275 research outputs found
Retention systems for extraoral maxillofacial prosthetic implants: a critical review
We describe the techniques available for retention of implant-supported prostheses: bar-clips, O-rings, and magnets. We present reported preferences and, although this is limited by the heterogeneity of methods used and patients studied, we hope we have identified the best retention systems for maxillofacial prosthetic implants. If practitioners know the advantages and disadvantages of each system, they can choose the most natural and comfortable prosthesis. We searched the PubMed and Scopus databases, and restricted our search to papers published 2001–13. MeSH terms used were Maxillofacial prosthesis and Craniofacial prosthesis OR Craniofacial prostheses. We found a total of 2630 papers, and after duplicates had been removed we analysed the rest and found 25 papers for review. Of these, 12 were excluded because they were case reports or non-systematic reviews. Of the remaining 13, 10 described group analyses and seemed appropriate to find practitioner’s choices, as cited in the abstract (n=1611 prostheses). Three papers did not mention the type of prosthetic connection used, so were excluded. The most popular choices for different conditions were analysed, though the sites and retention systems were not specified in all 10 papers. The bar-clip system was the most used in auricular (6/10 papers) and nasal prostheses (4/10). For the orbital region, 6/10 favoured magnets. Non-osseointegrated mechanical or adhesive retention techniques are the least expensive and have no contraindications. When osseointegrated implants are possible, each facial region has a favoured system. The choice of system is influenced by two factors: standard practice and the abilities of the maxillofacial surgeon and maxillofacial prosthetist
Automated Detection of Coronal Loops using a Wavelet Transform Modulus Maxima Method
We propose and test a wavelet transform modulus maxima method for the au-
tomated detection and extraction of coronal loops in extreme ultraviolet images
of the solar corona. This method decomposes an image into a number of size
scales and tracks enhanced power along each ridge corresponding to a coronal
loop at each scale. We compare the results across scales and suggest the
optimum set of parameters to maximise completeness while minimising detection
of noise. For a test coronal image, we compare the global statistics (e.g.,
number of loops at each length) to previous automated coronal-loop detection
algorithms
Effect of Solar Wind Drag on the Determination of the Properties of Coronal Mass Ejections from Heliospheric Images
The Fixed-\Phi (F\Phi) and Harmonic Mean (HM) fitting methods are two methods
to determine the average direction and velocity of coronal mass ejections
(CMEs) from time-elongation tracks produced by Heliospheric Imagers (HIs), such
as the HIs onboard the STEREO spacecraft. Both methods assume a constant
velocity in their descriptions of the time-elongation profiles of CMEs, which
are used to fit the observed time-elongation data. Here, we analyze the effect
of aerodynamic drag on CMEs propagating through interplanetary space, and how
this drag affects the result of the F\Phi and HM fitting methods. A simple drag
model is used to analytically construct time-elongation profiles which are then
fitted with the two methods. It is found that higher angles and velocities give
rise to greater error in both methods, reaching errors in the direction of
propagation of up to 15 deg and 30 deg for the F\Phi and HM fitting methods,
respectively. This is due to the physical accelerations of the CMEs being
interpreted as geometrical accelerations by the fitting methods. Because of the
geometrical definition of the HM fitting method, it is affected by the
acceleration more greatly than the F\Phi fitting method. Overall, we find that
both techniques overestimate the initial (and final) velocity and direction for
fast CMEs propagating beyond 90 deg from the Sun-spacecraft line, meaning that
arrival times at 1 AU would be predicted early (by up to 12 hours). We also
find that the direction and arrival time of a wide and decelerating CME can be
better reproduced by the F\Phi due to the cancellation of two errors:
neglecting the CME width and neglecting the CME deceleration. Overall, the
inaccuracies of the two fitting methods are expected to play an important role
in the prediction of CME hit and arrival times as we head towards solar maximum
and the STEREO spacecraft further move behind the Sun.Comment: Solar Physics, Online First, 17 page
Speeds and arrival times of solar transients approximated by self-similar expanding circular fronts
The NASA STEREO mission opened up the possibility to forecast the arrival
times, speeds and directions of solar transients from outside the Sun-Earth
line. In particular, we are interested in predicting potentially geo-effective
Interplanetary Coronal Mass Ejections (ICMEs) from observations of density
structures at large observation angles from the Sun (with the STEREO
Heliospheric Imager instrument). We contribute to this endeavor by deriving
analytical formulas concerning a geometric correction for the ICME speed and
arrival time for the technique introduced by Davies et al. (2012, ApJ, in
press) called Self-Similar Expansion Fitting (SSEF). This model assumes that a
circle propagates outward, along a plane specified by a position angle (e.g.
the ecliptic), with constant angular half width (lambda). This is an extension
to earlier, more simple models: Fixed-Phi-Fitting (lambda = 0 degree) and
Harmonic Mean Fitting (lambda = 90 degree). This approach has the advantage
that it is possible to assess clearly, in contrast to previous models, if a
particular location in the heliosphere, such as a planet or spacecraft, might
be expected to be hit by the ICME front. Our correction formulas are especially
significant for glancing hits, where small differences in the direction greatly
influence the expected speeds (up to 100-200 km/s) and arrival times (up to two
days later than the apex). For very wide ICMEs (2 lambda > 120 degree), the
geometric correction becomes very similar to the one derived by M\"ostl et al.
(2011, ApJ, 741, id. 34) for the Harmonic Mean model. These analytic
expressions can also be used for empirical or analytical models to predict the
1 AU arrival time of an ICME by correcting for effects of hits by the flank
rather than the apex, if the width and direction of the ICME in a plane are
known and a circular geometry of the ICME front is assumed.Comment: 15 pages, 5 figures, accepted for publication in "Solar Physics
Examining the validity of the Athlete Engagement Questionnaire (AEQ) within a Portuguese sport setting
Sport psychology literature suggests that understanding engagement levels is pivotal to promote positive sporting experiences among athletes. The purpose of this study was to examine the psychometric properties of the Athlete Engagement Questionnaire among Portuguese sport athletes. Two distinct samples of Portuguese athletes from different competitive levels were collected, and the results of a confirmatory factor analysis demonstrated a good fit of the model to the data. A review of the psychometric properties indicated that all factors showed good composite reliability, convergent validity, and discriminant validity. In addition, a multi-groups analysis showed the invariance of the model in two independent samples providing evidence of cross validity. Implications of these results for scholars and coaches are discussed and guidelines for future studies are suggested
Observation of hard scattering in photoproduction events with a large rapidity gap at HERA
Events with a large rapidity gap and total transverse energy greater than 5
GeV have been observed in quasi-real photoproduction at HERA with the ZEUS
detector. The distribution of these events as a function of the
centre of mass energy is consistent with diffractive scattering. For total
transverse energies above 12 GeV, the hadronic final states show predominantly
a two-jet structure with each jet having a transverse energy greater than 4
GeV. For the two-jet events, little energy flow is found outside the jets. This
observation is consistent with the hard scattering of a quasi-real photon with
a colourless object in the proton.Comment: 19 pages, latex, 4 figures appended as uuencoded fil
Meta-analysis of genome-wide association studies of anxiety disorders.
Anxiety disorders (ADs), namely generalized AD, panic disorder and phobias, are common, etiologically complex conditions with a partially genetic basis. Despite differing on diagnostic definitions based on clinical presentation, ADs likely represent various expressions of an underlying common diathesis of abnormal regulation of basic threat-response systems. We conducted genome-wide association analyses in nine samples of European ancestry from seven large, independent studies. To identify genetic variants contributing to genetic susceptibility shared across interview-generated DSM-based ADs, we applied two phenotypic approaches: (1) comparisons between categorical AD cases and supernormal controls, and (2) quantitative phenotypic factor scores (FS) derived from a multivariate analysis combining information across the clinical phenotypes. We used logistic and linear regression, respectively, to analyze the association between these phenotypes and genome-wide single nucleotide polymorphisms. Meta-analysis for each phenotype combined results across the nine samples for over 18 000 unrelated individuals. Each meta-analysis identified a different genome-wide significant region, with the following markers showing the strongest association: for case-control contrasts, rs1709393 located in an uncharacterized non-coding RNA locus on chromosomal band 3q12.3 (P=1.65 × 10(-8)); for FS, rs1067327 within CAMKMT encoding the calmodulin-lysine N-methyltransferase on chromosomal band 2p21 (P=2.86 × 10(-9)). Independent replication and further exploration of these findings are needed to more fully understand the role of these variants in risk and expression of ADs.Molecular Psychiatry advance online publication, 12 January 2016; doi:10.1038/mp.2015.197
Insulin secretion, insulin sensitivity, and hepatic insulin extraction in first-degree relatives of type 2 diabetic patients
Risk Factors for Graft-versus-Host Disease in Haploidentical Hematopoietic Cell Transplantation Using Post-Transplant Cyclophosphamide
Post-transplant cyclophosphamide (PTCy) has significantly increased the successful use of haploidentical donors with a relatively low incidence of graft-versus-host disease (GVHD). Given its increasing use, we sought to determine risk factors for GVHD after haploidentical hematopoietic cell transplantation (haplo-HCT) using PTCy. Data from the Center for International Blood and Marrow Transplant Research on adult patients with acute myeloid leukemia, acute lymphoblastic leukemia, myelodysplastic syndrome, or chronic myeloid leukemia who underwent PTCy-based haplo-HCT (2013 to 2016) were analyzed and categorized into 4 groups based on myeloablative (MA) or reduced-intensity conditioning (RIC) and bone marrow (BM) or peripheral blood (PB) graft source. In total, 646 patients were identified (MA-BM = 79, MA-PB = 183, RIC-BM = 192, RIC-PB = 192). The incidence of grade 2 to 4 acute GVHD at 6 months was highest in MA-PB (44%), followed by RIC-PB (36%), MA-BM (36%), and RIC-BM (30%) (P =.002). The incidence of chronic GVHD at 1 year was 40%, 34%, 24%, and 20%, respectively (P <.001). In multivariable analysis, there was no impact of stem cell source or conditioning regimen on grade 2 to 4 acute GVHD; however, older donor age (30 to 49 versus <29 years) was significantly associated with higher rates of grade 2 to 4 acute GVHD (hazard ratio [HR], 1.53; 95% confidence interval [CI], 1.11 to 2.12; P =.01). In contrast, PB compared to BM as a stem cell source was a significant risk factor for the development of chronic GVHD (HR, 1.70; 95% CI, 1.11 to 2.62; P =.01) in the RIC setting. There were no differences in relapse or overall survival between groups. Donor age and graft source are risk factors for acute and chronic GVHD, respectively, after PTCy-based haplo-HCT. Our results indicate that in RIC haplo-HCT, the risk of chronic GVHD is higher with PB stem cells, without any difference in relapse or overall survival
A multi-center study on the attitudes of Malaysian emergency health care staff towards allowing family presence during resuscitation of adult patients
BACKGROUND
The practice of allowing family members to witness on-going active resuscitation has been gaining ground in many developed countries since it was first introduced in the early 1990s. In many Asian countries, the acceptability of this practice has not been well studied.
AIM
We conducted a multi-center questionnaire study to determine the attitudes of health care professionals in Malaysia towards family presence to witness ongoing medical procedures during resuscitation.
METHODS
Using a bilingual questionnaire (in Malay and English language), we asked our respondents about their attitudes towards allowing family presence (FP) as well as their actual experience of requests from families to be allowed to witness resuscitations. Multiple logistic regression was used to analyze the association between the many variables and a positive attitude towards FP.
RESULTS
Out of 300 health care professionals who received forms, 270 responded (a 90% response rate). Generally only 15.8% of our respondents agreed to allow relatives to witness resuscitations, although more than twice the number (38.5%) agreed that relatives do have a right to be around during resuscitation. Health care providers are significantly more likely to allow FP if the procedures are perceived as likely to be successful (e.g., intravenous cannulation and blood taking as compared to chest tube insertion). Doctors were more than twice as likely as paramedics to agree to FP (p-value = 0.002). This is probably due to the Malaysian work culture in our health care systems in which paramedics usually adopt a 'follow-the-leader' attitude in their daily practice.
CONCLUSION
The concept of allowing FP is not well accepted among our Malaysian health care providers
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