Diabetes and Periodontal Disease: The Need for Interprofessional Patient Care.

PosterObjective: The objective of this clinical case presentation is to emphasize the importance of an interprofessional approach to health care. Specifically, this case will emphasize the importance of managing diabetes in a periodontal patient. Background: A 69 year old patient presented with the chief complaint of, “I want my teeth cleaned.” The medical history revealed several medications and conditions that could potentially impact the oral cavity. The patient presented with type II diabetes mellitus, which became uncontrolled during the treatment; was taking a calcium channel blocker to control his high blood pressure, and was using a bi-pap machine for his sleep apnea. The patient also was obese and gave a history of bariatric surgery, GERD, and recent back pain. Assessment: The initial clinical examination of this patient revealed generalized mild bone loss as evidenced by 3-4mm from the CEJ radiographically (generalized moderate plaque induced gingivitis with dark pink spongy tissue with bulbous papilla that did not adhere tightly to the tooth with bleeding) and generalized mild chronic periodontitis as evidenced by 4-5mm CAL and 6mm CAL associated with swollen gingiva. Localized severe periodontitis of 8mm CAL on tooth number 19 was present. Dental Hygiene Treatment Plan: Scaling and root planing was performed for selective areas along with a periodontal tissue re-evaluation. Treatment: The treatment was performed throughout three separate appointments. At the beginning of treatment the patient’s A1C was 8.5% and his blood glucose was 195 mg/dl. Results: The re-evaluation appointment revealed slight improvement in the health of the gingiva, but minimal to no improvement in probing depths. Conclusion: This case highlights the need for an interprofessional approach to patient care. Problems with diabetes management, as well as other contributing factors, have been known to impact periodontal therapy outcomes

Interplay of the exciton and electron-hole plasma recombination on the photoluminescence dynamics in bulk GaAs

We present a systematic study of the exciton/electron-hole plasma photoluminescence dynamics in bulk GaAs for various lattice temperatures and excitation densities. The competition between the exciton and electron-hole pair recombination dominates the onset of the luminescence. We show that the metal-to-insulator transition, induced by temperature and/or excitation density, can be directly monitored by the carrier dynamics and the time-resolved spectral characteristics of the light emission. The dependence on carrier density of the photoluminescence rise time is strongly modified around a lattice temperature of 49 K, corresponding to the exciton binding energy (4.2 meV). In a similar way, the rise-time dependence on lattice temperature undergoes a relatively abrupt change at an excitation density of 120-180x10^15 cm^-3, which is about five times greater than the calculated Mott density in GaAs taking into account many body corrections.Comment: 15 pages, 7 figures, submitted to Phys. Rev.

Genetic variability and population structure of endangered Panax ginseng in the Russian Primorye

<p>Abstract</p> <p>Background</p> <p>The natural habitat of wild <it>P. ginseng </it>is currently found only in the Russian Primorye and the populations are extremely exhausted and require restoration. Analysis of the genetic diversity and population structure of an endangered species is a prerequisite for conservation. The present study aims to investigate the patterns and levels of genetic polymorphism and population structures of wild <it>P. ginseng </it>with the AFLP method to (1) estimate the level of genetic diversity in the <it>P. ginseng </it>populations in the Russian Primorsky Krai, (2) calculate the distribution of variability within a population and among populations and (3) examine the genetic relationship between the populations.</p> <p>Methods</p> <p>Genetic variability and population structure of ten <it>P. ginseng </it>populations were investigated with Amplified Fragment Length Polymorphism (AFLP) markers. The genetic relationships among <it>P. ginseng </it>plants and populations were delineated.</p> <p>Results</p> <p>The mean genetic variability within populations was high. The mean level of polymorphisms was 55.68% at the population level and 99.65% at the species level. The Shannon's index ranged between 0.1602 and 0.3222 with an average of 0.2626 at the population level and 0.3967 at the species level. The analysis of molecular variances (AMOVA) showed a significant population structure in <it>P. ginseng</it>. The partition of genetic diversity with AMOVA suggested that the majority of the genetic variation (64.5%) was within populations of <it>P. ginseng</it>. The inter-population variability was approximately 36% of the total variability. The genetic relationships among <it>P. ginseng </it>plants and populations were reconstructed by Minimum Spanning tree (MS-tree) on the basis of Euclidean distances with ARLEQUIN and NTSYS, respectively. The MS-trees suggest that the southern <it>Uss</it>, <it>Part </it>and <it>Nad </it>populations may have promoted <it>P. ginseng </it>distribution throughout the Russian Primorye.</p> <p>Conclusion</p> <p>The <it>P. ginseng </it>populations in the Russian Primorye are significant in genetic diversity. The high variability demonstrates that the current genetic resources of <it>P. ginseng </it>populations have not been exposed to depletion.</p

Large Broadening of the Superconducting Transition by Fluctuations in a 3D Metal at High Magnetic Fields: The MgB2_{2} case

It is shown that the transition to the low temperature superconducting state in a 3D metal at high magnetic field is smeared dramatically by thermal fluctuation of the superconducting order parameter. The resulting superconducting-to-normal crossover occurs in a vortex liquid state which is extended well below the mean-field $H_{c2}$. Application to MgB$_{2}$ yields good quantitative agreement with recently reported data of dHvA oscillation in the superconducting state

Extra Spin-Wave mode in Quantum Hall systems. Beyond the Skyrmion Limit

We report on the observation of a new spin mode in a quantum Hall system in the vicinity of odd electron filling factors under experimental conditions excluding the possibility of Skyrmion excitations. The new mode having presumably zero energy at odd filling factors emerges at small deviations from odd filling factors and couples to the spin-exciton. The existence of an extra spin mode assumes a nontrivial magnetic order at partial fillings of Landau levels surrounding quantum Hall ferromagnets other then the Skyrmion crystal.Comment: 9 pages, 4 figure