Dental treatment under general anaesthetic and children's oral health-related quality of life

Data sources Medline, Scopus and the Web of Science. Study selection Studies conducted in children under 16 undergoing general anaesthesia having change in oral health-related quality of life were considered. Selection was undertaken by two reviewers independently. Data extraction and synthesis Data abstraction was undertaken independently by three groups of two reviewers – discrepancies were resolved by discussion. Study quality was assessed using the Quality Assessment Tool for Studies of Diverse Design (QATSDD). Results Twenty studies were included; there were 18 prospective studies, one randomised trial and one secondary analysis study. Most studies used a pre-test–post-test design and all but one used proxy measures of oral health-related quality of life (OHRQoL). All of the studies reported improved OHRQoL overall. However, results suggested that some aspects of OHRQoL may worsen. Conclusions Heterogeneity of included papers limited the conclusions which could be drawn. Treatment under GA appears to result in overall improvements in proxy-reported OHRQoL; however, there is a need for further high-quality studies employing validated, child-reported measures of OHRQoL

PI3K/AKT/mTOR pathway activation in actinic cheilitis and lip squamous cell carcinomas

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/156448/2/jdv16420_am.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/156448/1/jdv16420.pd

Quasi-stationary distributions for the Domany-Kinzel stochastic cellular automaton

We construct the {\it quasi-stationary} (QS) probability distribution for the Domany-Kinzel stochastic cellular automaton (DKCA), a discrete-time Markov process with an absorbing state. QS distributions are derived at both the one- and two-site levels. We characterize the distribuitions by their mean, and various moment ratios, and analyze the lifetime of the QS state, and the relaxation time to attain this state. Of particular interest are the scaling properties of the QS state along the critical line separating the active and absorbing phases. These exhibit a high degree of similarity to the contact process and the Malthus-Verhulst process (the closest continuous-time analogs of the DKCA), which extends to the scaling form of the QS distribution.Comment: 15 pages, 9 figures, submited to PR

The shallow marine ostracod communities of the Azores (Mid- North Atlantic): taphonomy and palaeoecology

This is the first palaeoecological and taphonomical study of the Recent marine ostracods from the Azores. The aims of this work were to address the following questions: i) to establish the typical ostracod assemblages from the shallow waters of the Azores; ii) to determine the bathymetric ranges for each ostracod species; iii) to investigate the time span and depth in which significant transport occurs; iv) to quantify the amount of out of habitat transport between sandy beaches, tide pools and the sublittoral; v) to determine distinctive taphonomic features that can be used to recognize the amount of temporal resolution in ostracod assemblages. Fifteen species were recovered, representing 8 families and 12 genera (Loxoconcha, Neonesidea, Xestoleberis, Aurila, Urocythereis, Heterocythereis, Carinocythereis, Callistocythere, Leptocythere, Semicytherura, Lanceostoma and Cylindroleberis). The living assemblages are dominated by specimens of the Loxoconchidae, Xestoleberidae and Hemicytheridae, whereas the dead assemblages are dominated by specimens of the Loxoconchidae, Hemicytheridae, Bairdiidae, Xestoleberidae and Trachyleberidae. The shift from life-dominated assemblages in the shallower depths to death-dominated assemblages at greater depths is a consequence of significant transport downwards. The abundance of ostracods is higher in the first 10-20 m depth, especially in fine to medium sandy substrates. Considerable differences among islands were supported by the Bayesian model, as a consequence of the physical and hydrodynamic factors that differently affect each of the Azorean islands. Large-scale (sea-surface currents, Holocene relative sea-level, storms) and small-scale processes are responsible for shaping the Azorean Recent marine ostracod communities. No living specimens were found in the samples collected at the beach faces, thus reinforcing former interpretations of one of the authors (S. Ávila) that advocate that at a global scale, sandy beaches in oceanic islands located at temperate latitudes are almost or even completely devoid of life due to historical reasons related with the sea level changes

Adolescent pregnancy: An important issue for paediatricians and primary care providers-A position paper from the European academy of paediatrics.

Adolescent pregnancy and childbearing, remain a widespread health-related problem with potential short and long-term consequences. Comprehensive social, economic, environmental, structural, and cultural factors heavily impact on adolescents' sexual and reproductive health and early pregnancy. Health professionals can play a pivotal role in the prevention of unplanned pregnancy. Improved access to family planning, sexuality education in schools, community-based interventions, and policies contribute greatly to reduce the risk of adolescent pregnancy and the adoption of respectful and responsible sexual behaviour. Additionally, health care professionals can support pregnant adolescents in making decisions under these circumstances and provide adequate health care. This review highlights actions that can guide healthcare professionals in empowering young adolescents to become more aware and capable of making informed decisions about their sexual life, health, and future

Identifying and prioritising services in European terrestrial and freshwater ecosystems

Ecosystems are multifunctional and provide humanity with a broad array of vital services. Effective management of services requires an improved evidence base, identifying the role of ecosystems in delivering multiple services, which can assist policy-makers in maintaining them. Here, information from the literature and scientific experts was used to systematically document the importance of services and identify trends in their use and status over time for the main terrestrial and freshwater ecosystems in Europe. The results from this review show that intensively managed ecosystems contribute mostly to vital provisioning services (e.g. agro-ecosystems provide food via crops and livestock, and forests provide wood), while semi-natural ecosystems (e.g. grasslands and mountains) are key contributors of genetic resources and cultural services (e.g. aesthetic values and sense of place). The most recent European trends in human use of services show increases in demand for crops from agro-ecosystems, timber from forests, water flow regulation from rivers, wetlands and mountains, and recreation and ecotourism in most ecosystems, but decreases in livestock production, freshwater capture fisheries, wild foods and virtually all services associated with ecosystems which have considerably decreased in area (e.g. semi-natural grasslands). The condition of the majority of services show either a degraded or mixed status across Europe with the exception of recent enhancements in timber production in forests and mountains, freshwater provision, water/erosion/natural hazard regulation and recreation/ecotourism in mountains, and climate regulation in forests. Key gaps in knowledge were evident for certain services across all ecosystems, including the provision of biochemicals and natural medicines, genetic resources and the regulating services of seed dispersal, pest/disease regulation and invasion resistance

Possible Z2 phase and spin-charge separation in electron doped cuprate superconductors

The SU(2) slave-boson mean-field theory for the tt'J model is analyzed. The role of next-nearest-neighbor hopping t' on the phase-diagram is studied. We find a pseudogap phase in hole-doped materials (where t'<0). The pseudo-gap phase is a U(1) spin liquid (the staggered-flux phase) with a U(1) gauge interaction and no fractionalization. This agrees with experiments on hole doped samples. The same calculation also indicates that a positive t' favors a Z2 state with true spin-charge separation. The Z2 state that exists when t' > 0.5J can be a candidate for the pseudo-gap phase of electron-doped cuprates (if such a phase exists). The experimental situation in electron-doped materials is also addressed.Comment: 6 pages, 2 figures, RevTeX4. Homepage http://dao.mit.edu/~wen

Percolation model for structural phase transitions in Li1−x_{1-x}Hx_xIO3_3 mixed crystals

A percolation model is proposed to explain the structural phase transitions found in Li$_{1-x}$H$_x$IO$_3$ mixed crystals as a function of the concentration parameter $x$. The percolation thresholds are obtained from Monte Carlo simulations on the specific lattices occupied by lithium atoms and hydrogen bonds. The theoretical results strongly suggest that percolating lithium vacancies and hydrogen bonds are indeed responsible for the solid solution observed in the experimental range $0.22 < x < 0.36$.Comment: 4 pages, 2 figure