Formal and informal support for parents with mild intellectual disabilities or borderline intellectual functioning: The strength of connections

Schuengel, C. [Promotor]Kef, S. [Copromotor

Adsorption of aminefluorides on human enamel

Changes in surface characteristics of ground and polished human enamel after adsorption of two types of aminefluorides (AmF 297 and AmF 335) have been studied. After adsorption of aminefluorides from solutions with concentrations up to 10 mM for 2 min followed by rinsing of the surface with distilled water, contact angle measurements were carried out to yield surface free energies and ellipsometry was performed to yield the adsorbed layer thickness. In a separate experiment on powdered enamel, set up in an analogous way, zeta potential changes after adsorption of aminefluorides were determined in a 10 mM potassium phosphate buffer at pH 7·0. Surface free energies decreased from 88 erg·cm−2 to 52 erg·cm−2 and 35 erg·cm−1 after adsorption of AmF 297 and AmF 335 respectively at c = 1 mM. Increasing the aminefluoride concentration in solution did not affect the values obtained. Zeta potentials, originally −36 mV, became positive after adsorption, while ellipsometry indicated the buildup of adsorbed layers with a thickness between 3 run and 12 nm. All three types of experiments indicated that both AmF 297 and AmF 335 form an adsorbed monolayer on ground and polished enamel at a concentration of 1 mM. Negligible additional adsorption takes place at higher concentrations under the present experimental circumstances. In vivo, adsorbed aminefluoride layers will be rapidly covered by adsorbed protein layers, shielding both the adsorbed aminefluoride layer as well as its physicochemical characteristics. This effect has been studied in vivo by measuring surface free energy changes of ground and polished enamel, with AmF 297 and AmF 335 adsorbed at c = 2·5 mM as a function of the time, these samples were carried by test persons in partial dentures. On both types of AmF-coated enamel the surface free energies increased within 30 min to values approaching the one obtained previously for pellicle-coated ground and polished enamel (110 ± 9 erg·cm−2)

Major surgery within the first 3 months of life and subsequent biobehavioral pain responses to immunization at later age: A case comparison study. [IF 3.4]

Objectives. Pain exposure during early infancy affects the pain perception beyond infancy into childhood. The objective of this study was to examine whether major surgery within the first 3 months of life in combination with preemptive analgesia alters pain responses to immunization at 14 or 45 months and to assess whether these alterations are greater in toddlers with a larger number of negative hospital experiences. Methods. Two groups of 50 toddlers each were compared: index group and control group. All index toddlers had participated within the first 3 months of their life in a randomized, clinical trial that evaluated the efficacy of preemptive morphine administration for postoperative analgesia. The controls were matched by type of immunization and community health care pediatrician. Pain reactions were recorded at routine immunization at either 14 (measles-mumps-rubella immunization) or 45 months (diphtheria-tetanus-trivalent polio immunization) of age. Outcome measures were facial reaction, coded by the Maximum Discriminative Facial Movement Coding System; heart rate (HR); and cortisol saliva concentration. Negative hospital experiences included number of operations requiring postoperative morphine administration, cumulative Therapeutic Intervention Scoring System scores, and length of stay in the intensive care unit or total hospitalization days. Results. No differences were found between the index and control groups in the facial display of pain, anger, or sadness or in physiologic parameters such as HR and cortisol concentrations. Intragroup analyses of the index group showed that after measles-mumps-rubella vaccination, the number of negative hospital experiences correlated positively with the facial responsiveness and negatively with HR responses. No effect was seen after diphtheria-tetanus-trivalent polio immunization. Conclusions. Major surgery in combination with preemptive analgesia within the first months of life does not alter pain response to subsequent pain exposure in childhood. Greater exposure to early hospitalization influences the pain responses after prolonged time. These responses, however, diminish after a prolonged period of nonexposure

Придністровський конфлікт: чинники існування напруги

Стаття присвячена аналізу та систематизації чинників, що обумовлюють збереження статус-кво у процесі придністровського врегулювання на глобальному, регіональному та локальному рівні.The article is devoted to the analysis and systematization of factors leading to the preservation of the status-quo in the Transnistrian settlement process on global, regional and local level

Propagation pathways of classical Labrador Sea water from its source region to 26°N

More than two decades of hydrography on the Abaco line east of the Bahamas at 26 degrees N reveals decadal variability in the salinity of classical Labrador Sea Water (cLSW), despite the long distance from its source region in the North Atlantic Ocean. Hydrographic time series from the Labrador Sea and from the Abaco line show a pronounced step-like decrease in salinity between 1985 and 1995 in the Labrador Sea and between 1995 and 2010 at the Abaco line, suggesting a time lag between the two locations of approximately 9 years. The amplitude of the anomaly at the Abaco line is 50% of the amplitude in the Labrador Sea. A similar time lag and reduction of amplitude is found in the high-resolution OFES model, in which salinity anomalies can be observed propagating through the Deep Western Boundary Current as well as through a broad interior pathway. On its way south to the Abaco line, the cLSW becomes 8 standard deviations saltier due to isopycnal mixing with Mediterranean Outflow Water (MOW). Climatological data in the North Atlantic suggests that the mixing ratio of MOW to cLSW at the Abaco line is 1:4 and that no variability in MOW is required to explain the observed variability at the Abaco line. The data studied here suggest that decadal cLSW anomalies stay relatively coherent while getting advected, despite the important role of interior pathways