Alaska Dental Health Aide Program

Background. In 1999, An Oral Health Survey of American Indian and Alaska Native (AI/AN) Dental Patients found that 79% of 2- to 5-year-olds had a history of tooth decay. The Alaska Native Tribal Health Consortium in collaboration with Alaska’s Tribal Health Organizations (THO) developed a new and diverse dental workforce model to address AI/AN oral health disparities. Objectives. This paper describes the workforce model and some experience to date of the Dental Health Aide (DHA) Initiative that was introduced under the federally sanctioned Community Health Aide Program in Alaska. These new dental team members work with THO dentists and hygienists to provide education, prevention and basic restorative services in a culturally appropriate manner. Results. The DHA Initiative introduced 4 new dental provider types to Alaska: the Primary Dental Health Aide, the Expanded Function Dental Health Aide, the Dental Health Aide Hygienist and the Dental Health Aide Therapist. The scope of practice between the 4 different DHA providers varies vastly along with the required training and education requirements. DHAs are certified, not licensed, providers. Recertification occurs every 2 years and requires the completion of 24 hours of continuing education and continual competency evaluation. Conclusions. Dental Health Aides provide evidence-based prevention programs and dental care that improve access to oral health care and help address well-documented oral health disparities

Earth’s Minimoons : Opportunities for Science and Technology

Twelve years ago the Catalina Sky Survey discovered Earth's first known natural geocentric object other than the Moon, a few-meter diameter asteroid designated 2006 RH120. Despite significant improvements in ground-based telescope and detector technology in the past decade the asteroid surveys have not discovered another temporarily-captured orbiter (TCO; colloquially known as minimoons) but the all-sky fireball system operated in the Czech Republic as part of the European Fireball Network detected a bright natural meteor that was almost certainly in a geocentric orbit before it struck Earth's atmosphere. Within a few years the Large Synoptic Survey Telescope (LSST) will either begin to regularly detect TCOs or force a re-analysis of the creation and dynamical evolution of small asteroids in the inner solar system. The first studies of the provenance, properties, and dynamics of Earth's minimoons suggested that there should be a steady state population with about one 1- to 2-m diameter captured objects at any time, with the number of captured meteoroids increasing exponentially for smaller sizes. That model was then improved and extended to include the population of temporarily-captured flybys (TCFs), objects that fail to make an entire revolution around Earth while energetically bound to the Earth-Moon system. Several different techniques for discovering TCOs have been considered but their small diameters, proximity, and rapid motion make them challenging targets for existing ground-based optical, meteor, and radar surveys. However, the LSST's tremendous light gathering power and short exposure times could allow it to detect and discover many minimoons. We expect that if the TCO population is confirmed, and new objects are frequently discovered, they can provide new opportunities for (1) studying the dynamics of the Earth-Moon system, (2) testing models of the production and dynamical evolution of small asteroids from the asteroid belt, (3) rapid and frequent low delta-v missions to multiple minimoons, and (4) evaluating in-situ resource utilization techniques on asteroidal material. Here we review the past decade of minimoon studies in preparation for capitalizing on the scientific and commercial opportunities of TCOs in the first decade of LSST operations.Peer reviewe

Prospectus, January 22, 1986

https://spark.parkland.edu/prospectus_1986/1000/thumbnail.jp

Prospectus, September 26, 1985

https://spark.parkland.edu/prospectus_1985/1019/thumbnail.jp

The interaction effect of gender and residential environment, individual resources, and needs satisfaction on quality of life among older adults in the UK

Objectives: To examine the difference in gender and its impact on selected quality of life (QoL) domains of Social Production Function Theory among older adults in England. Methods: Based on an annual national adult social care service user survey conducted in the UK in 2016. QoL was assessed by a single-item construct and independent variables were home design, access to information and local area, self-rated health, perceived pain/discomfort, perceived anxiety/depression, activities of daily living, use and satisfaction of formal and informal care, and demographic variables. Results: 28,955 respondents aged 65+ were interviewed. Multinomial logistic regression analysis found four interaction effects for predicting a very good/good QoL: (1) Female receiving non-co-residing informal care (OR=1.501, p<.01), (2) Female feeling safe (OR=1.499, p<.01), (3) Female feeling satisfied with social contact with people (OR=1.465, p<.05), and (4) Female being helped in the use of time (OR=1.370, p<.05). Conclusion: Findings suggest gender differences in QoL as men and women are heterogenous with different health and disease patterns, health-/help-seeking behaviours, roles and responsibilities, and levels of resilience, needs, risks, and access and control resources. Practitioners should adopt a gender-specific assessment and personalised interventions to promote gender equality, empowerment, and long-term sustainable development for an ageing society.Peer reviewe

Year 1 of the Legacy Survey of Space and Time (LSST): Recommendations for Template Production to Enable Solar System Small Body Transient and Time Domain Science

The Vera C. Rubin Observatory Legacy Survey of Space and Time (LSST) will discover ~6 million solar system planetesimals, providing in total over a billion photometric and astrometric measurements in 6 broad-band filters. Rubin Observatory's automated data reduction pipelines will employ difference imaging; templates representing the static sky will be subtracted from the nightly LSST observations in order to identify transient sources, including solar system moving objects. These templates are expected to be generated by coadding high quality images of the same pointing from the previous year's survey observations. The first year of LSST operations will require a different method for generating templates, if solar system discoveries are to be reported daily like Year 2 and beyond. We make recommendations for template production in the LSST's first year and present the opportunities for solar system small body transient and time domain science enhanced by this change

Heterocyclic scaffolds as promising anticancer agents against tumours of the central nervous system: Exploring the scope of indole and carbazole derivatives

Tumours of the central nervous system are intrinsically more dangerous than tumours at other sites, and in particular, brain tumours are responsible for 3% of cancer deaths in the UK. Despite this, research into new therapies only receives 1% of national cancer research spend. The most common chemotherapies are temozolomide, procarbazine, carmustine, lomustine and vincristine, but because of the rapid development of chemoresistance, these drugs alone simply aren’t sufficient for long-term treatment. Such poor prognosis of brain tumour patients prompted us to research new treatments for malignant glioma, and in doing so, it became apparent that aromatic heterocycles play an important part, especially the indole, carbazole and indolocarbazole scaffolds. This review highlights compounds in development for the treatment of tumours of the central nervous system which are structurally based on the indole, carbazole and indolocarbazole scaffolds, under the expectation that it will highlight new avenues for research for the development of new compounds to treat these devastating neoplasms