Discipline, Disparity, and Diplomas: Suspension and Grade Retention in a Southeastern State

This study was designed to explore how race and gender impact student success in a southeastern state. A mixed-methods design was implemented so that the quantitative data could be further explained and explored using qualitative research. The quantitative analysis was conducted using a three-factor ANOVA to analyze the number of days a student misses due to suspension and the number of grade level retentions; race, gender, and the district a student attends were used as the independent variables in the analyses. Purposive sampling and the development of a script for the qualitative interviews followed the quantitative analyses. Interviews with administrators in one district within the southeastern state were conducted to further explore the impact of race and gender on discipline and student grade level retention. The results of this study highlight the need for schools and districts to evaluate their discipline practices and explore the disparate number of males who are being retained in a grade level

Comparison of sealing ability of lateral and vertical techniques in two different post space preparations

Introduction: The purpose of this study was to compare the apical sealing ability of lateral and vertical compaction techniques following immediate and delayed post space preparation.Materials and Methods: Seventy-four distal and palatal roots of human extracted molars were instrumented and randomly divided into 4 experimental groups (n=15), two experimental control groups (n=5), and two positive and negative leakage controls (n=2). Canals were filled by lateral (groups 1 and 2) and vertical (groups 3 and 4) compaction techniques using Tubliseal sealer. Post space was prepared immediately after obturation in group 1 and after seven days in groups 2 and 4 using a # 3 Peeso drill. In group 3, post space was prepared immediately during down-packing phase. The teeth were kept in 2% methylen blue dye for seven days. The roots were sectioned buccolingually and the mean score of dye penetration was measured. Data was analyzed with T-test and one way ANOVA.Results: There was significant difference in dye penetration between delayed and control-lateral compaction groups (p=0.009). There was also a significant difference in dye penetration between immediate and delayed lateral compaction groups (p=0.044). Conclusion: Less apical leakage in the cold lateral condensation and immediate post space preparation group was observed

Evaluation of cytotoxicity of different root canal sealers and their effect on cytokine production

INTRODUCTION: Endodontic sealers are in direct contact with periradicular tissues and play a critical role in regeneration and pathogenesis of periradicular diseases. The aim of this study was to compare cytotoxicity of four different types of sealers including AH plus, Sankin, Tubliseal EWT and Apexit as well as their effect on cytokine release of L929 fibroblasts. MATERIALS AND METHODS: In this experimental study, cells were cultured in Complete Medium Culture (CMC) and then divided into two test groups. In group 1, sealers were added to cell culture wells immediately after mixing. In group 2, sealers were added to cell cultures 3 hours after mixing. Cell viability was evaluated by MTT assay after 4, 24 and 168 hours. The amount of Interleukin-6 (IL-6) released in response to the sealers was also evaluated by ELISA technique on fibroblasts after 24 hour period. Data were analyzed using Kruskal-Wallis and Mann Whitey-U tests. RESULTS: Significant differences were seen in cytotoxicity in both groups (P<0.001). The least cytotoxic sealers were AH Plus and Sankin respectively, whereas Tubliseal EWT showed the greatest cytotoxicity. Production of IL-6 was significantly different among studied groups (P<0.001). The highest IL-6 level was observed in Tubliseal EWT and Sankin groups; which was statistically significant (P<0.001). CONCLUSION: AH plus has less cytotoxicity and induces less IL-6 release. Tubliseal EWT has greater cytotoxicity and induces more IL-6 release than other sealers. This should be considered during their routine use in root canal treatments

Effect of alternating and direct currents on Pseudomonas aeruginosa growth in vitro

Eradication of pathogenic bacteria from important part of our life such as dental tools, foods and wounds is necessary. Based on the effect of natural selection, these bacteria become resistant to antibiotics. In some cases such as the section where burnt are treated in the hospital, we observe high rate of mortality as well as high numbers of resistant bacteria. In order to solve these problems, electrical stimulation (ES) is proposed. This has being shown to be an effective method. One of the reasons why it works could be due to the bacteria static property of electrical stimulation. So, more studies must be done so as to reach optimum voltage and currents. The test media were Muller-Hinton agar and eosin methylene blue (EMB) agar. In this research Pseudomonas aeruginosa which was isolated from patients wounds was examined with levels of alternating and direct current (AC and DC) electrical stimulation (1.5V, 3.5V, 5.5V and 10V) to see if these currents could inhibit P. aeruginosa growth in vitro. The experiment was performed in two forms: The first was carried out immediately while the second was carried out 19 h after being cultured. Different patterns of zone of inhibition were observed in the two forms of our research. AC current had low inhibitive effect on P. aeruginosas growth. Anode and cathode showed different zone of inhibition, in each of the forms and media. The maximum inhibition zone (22 mm) was observed around cathode in 3.5 V direct current which was immediately used in the media. Direct current significantly inhibits growth of P. aeruginosa. Based on other studies on different bacterial species, ES can be applied to sterilization and controlling of superficial infections like in burnt patients.Key words: Electrical stimulation, Pseudomonas aeruginosa, wound healing

The Next Step

In traditional radiology practice, reports are typically dictated and then transcribed.? While the free-text reports represent the semantic knowledge interpreted and conveyed by a physician, the information can be hard to access. The advantages of representing medical data in a structured format using standard terminology are clearly recognized. These include the ability to implement a standardized electronic medical record, automatically invoke medical guidelines when appropriate, and conduct outcomes research. Standard structured reports facilitate intelligent indexing, searching, and retrieval of documents from clinical databases. Recent attempts have been made in the industry to enable structured data entry using preformatted templates, but these have yet to gain widespread acceptance.1,2 These preformatted templates do not necessarily use standard nomenclature and tend to disturb a clinician’s normal workflow. This paper presents a prototype system that incorporates the benefits of both dictated free-text reports and standard, structured reports

Teleradiology as a Foundation for an Enterprise-wide Health Care Delivery System

An effective, integrated telemedicine system has been developed that allows (a) teleconsultation between local primary health care providers (primary care physicians and general radiologists) and remote imaging subspecialists and (b) active patient participation related to his or her medical condition and patient education. The initial stage of system development was a traditional teleradiology consultation service between general radiologists and specialists; this established system was expanded to include primary care physicians and patients. The system was developed by using a well-defined process model, resulting in three integrated modules: a patient module, a primary health care provider module, and a specialist module. A middle agent layer enables tailoring and customization of the modules for each specific user type. Implementation by using Java and the Common Object Request Broker Architecture standard facilitates platform independence and interoperability. The system supports (a) teleconsultation between a local primary health care provider and an imaging subspecialist regardless of geographic location and (b) patient education and online scheduling. The developed system can potentially form a foundation for an enterprise-wide health care delivery system. In such a system, the role of radiologist specialists is enhanced from that of a diagnostician to the management of a patient’s process of care

Metadata Framework to Support Deployment of Digital Health Technologies in Clinical Trials in Parkinson’s Disease

Sensor data from digital health technologies (DHTs) used in clinical trials provides a valuable source of information, because of the possibility to combine datasets from different studies, to combine it with other data types, and to reuse it multiple times for various purposes. To date, there exist no standards for capturing or storing DHT biosensor data applicable across modalities and disease areas, and which can also capture the clinical trial and environment-specific aspects, so-called metadata. In this perspectives paper, we propose a metadata framework that divides the DHT metadata into metadata that is independent of the therapeutic area or clinical trial design (concept of interest and context of use), and metadata that is dependent on these factors. We demonstrate how this framework can be applied to data collected with different types of DHTs deployed in the WATCH-PD clinical study of Parkinson’s disease. This framework provides a means to pre-specify and therefore standardize aspects of the use of DHTs, promoting comparability of DHTs across future studies

Establishing a Target Exposure for Once-Daily Intravenous Busulfan Given with Fludarabine and Thymoglobulin before Allogeneic Transplantation

AbstractA combination of fludarabine (Flu) and daily i.v. busulfan (Bu) is well tolerated and effective in patients undergoing allogeneic hematopoietic stem cell transplantation. Although there is some evidence that Bu exposures exceeding 6000 μM/min may lead to excessive toxicity, there is little information on the effect of exposures below this level on outcomes. We studied Bu exposure, as measured by area under the concentration-time curve (AUC), in 158 patients with various hematologic malignancies in an attempt to identify an optimal range for targeted therapy. The preparative chemotherapy regimen comprised Flu 50 mg/m2 on days -6 to -2 and i.v. Bu 3.2 mg/kg on days -5 to -2 inclusive. Graft-versus-host disease (GVHD) prophylaxis included methotrexate, cyclosporin A, and antithymocyte globulin. Patients with Bu exposures below the median AUC of 4439 μM/min were at increased risk for acute GVHD grade II-IV (hazard ratio [HR], 2.30; 95% confidence interval [CI], 1.19 to 4.49; P = .014). Those in the highest and lowest Bu exposure quartiles (daily AUC <3814 μM/min and >4993 μM/min) had an increased risk of nonrelapse mortality (subdistribution HR, 3.32; 95% CI, 1.46 to 7.54; P = .004), as well as worse disease-free survival (HR, 1.81; 95% CI, 1.09 to 2.99; P = .021) and overall survival (HR, 1.94; 95% CI, 1.12 to 3.37; P = .018). Bu exposures between 4440 and 4993 μM/min were accompanied by the lowest risk of both nonrelapse mortality and acute GVHD

Radiation exposure from Chest CT: Issues and Strategies

Concerns have been raised over alleged overuse of CT scanning and inappropriate selection of scanning methods, all of which expose patients to unnecessary radiation. Thus, it is important to identify clinical situations in which techniques with lower radiation dose such as plain radiography or no radiation such as MRI and occasionally ultrasonography can be chosen over CT scanning. This article proposes the arguments for radiation dose reduction in CT scanning of the chest and discusses recommended practices and studies that address means of reducing radiation exposure associated with CT scanning of the chest

Adenocarcinoma arising in a cystic duplication of the small bowel: case report and review of literature

Enteric duplications are rare, but can occur anywhere along the digestive tract. Most of the patients become symptomatic in early childhood and only a few cases of adult patients have been reported in literature. Here we report a unique case of an adenocarcinoma arising in a coincidentally found cystic duplication of the small bowel