Auswirkungen von Xenon auf die Blutgasanalyse, die Narkoseausleitungszeit und die postnarkotische Vigilanz:eine prospektive, randomisierte Doppelblind-Studie

In dieser prospektiven, randomisierten klinischen Studie sollte untersucht werden, ob es unter Xenonanästhesie zu Ungenauigkeiten in der Pulsoxymetrie kommen kann. Als Referenz wurde das Blutgasanalyseverfahren gewählt. Weiterhin wurde die Narkoseausleitungszeit von Xenon vs. Isofluran gemessen. Mit Hilfe des ALDRETE Score wurde die postnarkotische Vigilanz der beiden Patientenpopulationen festgehalten. Bei 20 Patienten wurden die Blutgasanalysen mit den Sättigungen der Pulsoxymetrie durchgeführt. Der ALDRETE Score wurde 5, 10, 15 und 30 Minuten nach Extubation bestimmt. Es gab keine signifikanten Unterschiede in der Qualität der Bestimmung der Sättigung mit beiden Messverfahren. In der Narkoseausleitungszeit gelangten die Patienten schneller zu Bewusstsein. Xenon lieferte im ALDRETE Score die besseren Ausgangswerte. Somit ist für Xenon bei bestimmten Patientenpopulationen und bei besserer Konkurrenzfähigkeit bezüglich der Herstellungskosten ein breitere Einsatz denkbar

Accuracy of Cone Beam Computed Tomography for Periodontal Defect Measurements

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/142101/1/jper1261.pd

The Beta Problem: A Study of Abell 262

We present an investigation of the dynamical state of the cluster A262. Existing optical line of sight velocities for select cluster galaxies have been augmented by new data obtained with the Automated Multi-Object Spectrograph at Lick Observatory. We find evidence for a virialized early-type population distinct from a late-type population infalling from the Pisces-Perseus supercluster ridge. We also report on a tertiary population of low luminosity galaxies whose velocity dispersion distinguishes them from both the early and late-type galaxies. We supplement our investigation with an analysis of archival X-ray data. A temperature is determined using ASCA GIS data and a gas profile is derived from ROSAT HRI data. The increased statistics of our sample results in a picture of A262 with significant differences from earlier work. A previously proposed solution to the "beta-problem" in A262 in which the gas temperature is significantly higher than the galaxy temperature is shown to result from using too low a velocity dispersion for the early-type galaxies. Our data present a consistent picture of A262 in which there is no "beta-problem", and the gas and galaxy temperature are roughly comparable. There is no longer any requirement for extensive galaxy-gas feedback to drastically overheat the gas with respect to the galaxies. We also demonstrate that entropy-floor models can explain the recent discovery that the beta values determined by cluster gas and the cluster core radii are correlated.Comment: 31 pages, 14 figures, AAS LaTeX v5.0, Encapsulated Postscript figures, to be published in The Astrophysical Journa

Identification and support of autistic individuals within the UK Criminal Justice System: a practical approach based upon professional consensus with input from lived experience.

Background: Autism Spectrum Disorder (hereafter referred to as autism) is characterised by difficulties with (i) social communication, social interaction, and (ii) restricted and repetitive interests and behaviours. Estimates of autism prevalence within the criminal justice system (CJS) vary considerably, but there is evidence to suggest that the condition can be missed or misidentified within this population. Autism has implications for an individual’s journey through the CJS, from police questioning and engagement in court proceedings through to risk assessment, formulation, therapeutic approaches, engagement with support services, and long-term social and legal outcomes. Methods: This consensus based on professional opinion with input from lived experience aims to provide general principles for consideration by United Kingdom (UK) CJS personnel when working with autistic individuals, focusing on autistic offenders and those suspected of offences. Principles may be transferable to countries beyond the UK. Multidisciplinary professionals and two service users were approached for their input to address the effective identification and support strategies for autistic individuals within the CJS. Results: The authors provide a consensus statement including recommendations on the general principles of effective identification, and support strategies for autistic individuals across different levels of the CJS. Conclusion: Greater attention needs to be given to this population as they navigate the CJS

Critical review of immediate implant loading

Background : Implant dentistry has become successful with the discovery of the biological properties of titanium. In the original protocol, studies have advocated a 2-stage surgical protocol for load-free and submerged healing to ensure predictable osseointegration. However, the discomfort, inconvenience, and anxiety associated with waiting period remains a challenge to both patients and clinicians. Hence, loading implant right after placement was attempted and has gained popularity among clinicians. Issues/questions related to this approach remain unanswered. Therefore, it is the purpose of this review article to (1) review and analyze critically the current available literature in the field of immediate implant loading and (2) discuss, based on scientific evidence, factors that may influence this treatment modality. Material and Methods : Literature published over the past 20 years was selected and reviewed. Findings from these studies were discussed and summarized in the tables. The advantages and disadvantages associated with immediate implant loading were analyzed. Factors that may influence the success of immediate implant loading, including patient selection, type of bone quality, required implant length, micro- and macrostructure of the implant, surgical skill, need for achieving primary stability/control of occlusal force, and prosthesis guidelines, were thoroughly reviewed and discussed. Results and Conclusion : Various studies have demonstrated the feasibility and predictability of this technique. However, most of these articles are based on retrospective data or uncontrolled cases. Randomized, prospective, parallel-armed longitudinal human trials are primarily based on short-term results and long-term follow-ups are still scarce in this field. Nonetheless, from available literature, it may be concluded that anatomic locations, implant designs, and restricted prosthetic guidelines are key to ensure successful outcomes. Future studies, preferably randomized, prospective longitudinal studies, are certainly needed before this approach can be widely used. To cite this article: Gapski R, Wang H-L, Mascarenhas P, Lang NP. Critical review of immediate implant loading. Clin. Oral Impl. Res , 14 , 2003; 515–527Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73058/1/j.1600-0501.2003.00950.x.pd

Executive Summary of the Topical Program: Nuclear Isomers in the Era of FRIB

We report on the Facility for Rare Isotope Beams (FRIB) Theory Alliance topical program "Nuclear Isomers in the Era of FRIB". We outline the many ways isomers influence and contribute to nuclear science and technology, especially in the four FRIB pillars: properties of rare isotopes, nuclear astrophysics, fundamental symmetries, and applications for the nation and society. We conclude with a resolution stating our recommendation that the nuclear physics community actively pursue isomer research. A white paper is forthcoming.Comment: 4 pages including reference

Exploring medical student learning in the large group teaching environment: examining current practice to inform curricular development

Background Lectures continue to be an efficient and standardised way to deliver information to large groups of students. It has been well documented that students prefer interactive lectures, based on active learning principles, to didactic teaching in the large group setting. Despite this, it is often the case than many students do not engage with active learning tasks and attempts at interaction. By exploring student experiences, expectations and how they use lectures in their learning we will provide recommendations for faculty to support student learning both in the lecture theatre and during personal study time. Methods This research employed a hermeneutic phenomenological approach. Three focus groups, consisting of 19 students in total, were used to explore the experiences of second year medical students in large group teaching sessions. Using generic thematic data analysis, these accounts have been developed into a meaningful account of experience. Results This study found there to be a well-established learning culture amongst students and with it, expectations as to the format of teaching sessions. Furthermore, there were set perceptions about the student role within the learning environment which had many implications, including the way that innovative teaching methods were received. Student learning was perceived to take place outside the lecture theatre, with a large emphasis placed on creating resources that can be taken away to use in personal study time. Conclusions Presented here is a constructive review of reasons for student participation, interaction and engagement in large group teaching sessions. Based on this are recommendations constructed with the view to aid educators in engaging students within this setting. Short term, educators can implement strategies that monopolise on the established learning culture of students to encourage engagement with active learning strategies. Long term, it would be beneficial for educators to consider ways to shift the current student learning culture to one that embraces an active learning curriculum