Ireland's chronic shortage of dentists

Prof. Albert Leung, Dean of the Faculty of Dentistry at the Royal College of Surgeons in Ireland, noted Association President Dr Caroline Robins’ comments on the shortage of dentists in Ireland in our last edition and says that this problem must be addressed urgently

Electric Vehicle Charging Station Placement: Formulation, Complexity, and Solutions

To enhance environmental sustainability, many countries will electrify their transportation systems in their future smart city plans. So the number of electric vehicles (EVs) running in a city will grow significantly. There are many ways to re-charge EVs' batteries and charging stations will be considered as the main source of energy. The locations of charging stations are critical; they should not only be pervasive enough such that an EV anywhere can easily access a charging station within its driving range, but also widely spread so that EVs can cruise around the whole city upon being re-charged. Based on these new perspectives, we formulate the Electric Vehicle Charging Station Placement Problem (EVCSPP) in this paper. We prove that the problem is non-deterministic polynomial-time hard. We also propose four solution methods to tackle EVCSPP and evaluate their performance on various artificial and practical cases. As verified by the simulation results, the methods have their own characteristics and they are suitable for different situations depending on the requirements for solution quality, algorithmic efficiency, problem size, nature of the algorithm, and existence of system prerequisite.Comment: Submitted to IEEE Transactions on Smart Grid, revise

Supraspinal characterization of the thermal grill illusion with fMRI.

BackgroundSimultaneous presentation of non-noxious warm (40°C) and cold (20°C) stimuli in an interlacing fashion results in a transient hot burning noxious sensation (matched at 46°C) known as the thermal grill (TG) illusion. Functional magnetic resonance imaging and psychophysical assessments were utilized to compare the supraspinal events related to the spatial summation effect of three TG presentations: 20°C/20°C (G2020), 20°C/40°C (G2040) and 40°C/40°C (G4040) with corresponding matched thermode stimuli: 20°C (P20), 46°C (P46) and 40°C (P40) and hot pain (HP) stimuli.ResultsFor G2040, the hot burning sensation was only noted during the initial off-line assessment. In comparison to P40, G4040 resulted in an equally enhanced response from all supraspinal regions associated with both pain sensory/discriminatory and noxious modulatory response. In comparison to P20, G2020 presentation resulted in a much earlier diminished/sedative response leading to a statistically significantly (P < 0.01) higher degree of deactivation in modulatory supraspinal areas activated by G4040. Granger Causality Analysis showed that while thalamic activation in HP may cast activation inference in all hot pain related somatosensory, affective and modulatory areas, similar activation in G2040 and G2020 resulted in deactivation inference in the corresponding areas.ConclusionsIn short, the transient TG sensation is caused by a dissociated state derived from non-noxious warm and cold spatial summation interaction. The observed central dissociated state may share some parallels in certain chronic neuropathic pain states

The impact of a postgraduate learning experience on the confidence of General Dental Practitioners

This study aimed to explore the relationship between participating in a learning experience and the ensuing changes in confidence. A self-selected group of General Dental Practitioners (GDPs) entered a five-year, part-time postgraduate master’s training programme in restorative dentistry. Confidence in communication with patients and technical skills were measured at the start of the programme by questionnaire and at the conclusion of the programme by questionnaire and personal interview. A total of 72 clinicians started the programme; 27% (n = 20) completed the master’s degree. Assessment of confidence revealed a spread from 4/10 to 10/10 for communication with patients and clinical skills in restorative dentistry before the programme started. A total of 15% (n = 11) volunteered for interview. Analysis of qualitative data revealed (i) a perceived increase in confidence from all clinicians; (ii) a perceived greater ability to treat patients; (iii) an increase in treatment options being offered to patients; (iv) a perceived increase in treatment uptake by patients; and (v) greater job opportunities. The study showed a positive relationship between the learning experience and the perceived increase in confidence of clinicians. The increase in confidence manifested itself in better communication and clinical skills

The use of picture cards to elicit postgraduate dental student feedback

The aim of this study was to elicit information about the use of picture cards to stimulate student feedback following a postgraduate dental course. Twenty-nine general dental practitioners (GDPs) volunteered for the study. Following an explanation of how this style of feedback worked, students were asked to choose a picture card from those available and use that image to stimulate their feedback. An independent interviewer introduced the topic and gathered comments in the form of qualitative data, generated by pre-formed questions. 93% (n = 26) questionnaires were completed and returned. 77% (n = 20) GDPs reported enjoying giving their feedback by ‘picture card’ technique; 83% (n = 20) reported this form of feedback stimulated their thoughts. Qualitative data were analysed thematically. Some GDPs felt the picture cards helped them formulate their feedback, others felt being able to give feedback to a third party they did not know was beneficial and giving feedback as a group was helpful. This novel approach of using picture cards to stimulate feedback was well received by these GDPs. A mixed result as to the value of this style of feedback was evident. A group feedback session facilitated by a stranger was considered to be a valuable approach to take

Could vitamin C improve the therapeutic effect of integrated medicine for COVID-19?

Combined the therapy of Western medicine, traditional Chinese medicine, and a high dose of vitamin C resulted in the most effective outcome for flight against COVID-19. It’s shortening the time of disease recovery, symptom disappearance, chest CT improvement, and tongue amelioration. Traditional Chinese medicine such as Bai-Nu decoction, and Buzhong Yiqi decoction possessed anti-inflammatory, anti-oxidant properties, which improved the properties of western medicines added by increasing the white blood cell count and lymphocyte count supplement with vitamin C for combating COVID-19.The western medicines that are commonly used include (i) alpha-interferon (5 million U or equivalent dose each time for adults and twice daily), (ii) lopinavir/ritonavir (200 mg/50 mg per pill for adults, two pills each time and twice daily), ribavirin (jointly with interferon or lopinavir/ritonavir, 500 mg each time for adults, and twice or three times of intravenous injection daily), chloroquine phosphate (500 mg for 7 days, adults aged 18-65 with body weight over 50 kg), and arbidol (200 mg for adults, and no longer than 10 days). (To be continued)..