A cross sectional study of water quality from dental unit water lines in dental practices in the West of Scotland

OBJECTIVE: To determine the microbiological quality of water from dental units in a general practice setting and current practice for disinfection of units. DESIGN: A cross-sectional study of the water quality from 40 dental units in 39 general practices and a questionnaire of the disinfection protocols used in those practices. SETTING: NHS practices in primarydental care. SUBJECTS: Thirty-nine general practices from the West of Scotland. METHODS: Water samples were collected on two separate occasions from dental units and analysed for microbiological quality by the total viable count (TVC) method. Water specimens were collected from the triple syringe, high speed outlet, cup filler and surgery tap. Each participating practitioner was asked to complete a questionnaire. Results Microbial contamination was highest from the high speed outlet followed by the triple syringe and cup filler. On average, the TVC counts from the high speed water lines at 37 degrees C and for the high speed lines, triple syringe and cup filler at 22 degrees C were significantly higher than that from the control tap water specimens. The study included units from 11 different manufacturers with ages ranging from under one year to over eight years. The age of the dental unit analysed did not appear to influence the level of microbial contamination. Five of the practices surveyed used disinfectants to clean the dental units but these had no significant effect on the microbiological quality of the water. The majority of dental units (25 out of 40) were never flushed with water between patients. A number of different non-sterile irrigants were used for surgical procedures. CONCLUSION: The microbiological quality of water from dental units in general dental practice is poor compared with that from drinking water sources. Suitable sterile irrigants should be used for surgical procedures in dental practice. Further work is required for pragmatic decontamination regimens of dental unit water lines in a general dental practice setting

Interparticle Potential up to Next-to-leading Order for Gravitational, Electrical, and Dilatonic Forces

Long-range forces up to next-to-leading order are computed in the framework of the Einstein-Maxwell-dilaton system by means of a semiclassical approach to gravity. As has been recently shown, this approach is effective if one of the masses under consideration is significantly greater than all the energies involved in the system. Further, we obtain the condition for the equilibrium of charged masses in the system.Comment: 19 pages, 19 figures, RevTeX4.1. Revised version, Title change

Fulvestrant: an oestrogen receptor antagonist with a novel mechanism of action

Due to their favourable tolerability profiles, endocrine therapies have long been considered the treatment of choice for hormone-sensitive metastatic breast cancer. However, the oestrogen agonist effects of the available selective oestrogen receptor modulators, such as tamoxifen, and the development of cross-resistance between endocrine therapies with similar modes of action have led to the need for new treatments that act through different mechanisms. Fulvestrant (‘Faslodex’) is the first of a new type of endocrine treatment – an oestrogen receptor (ER) antagonist that downregulates the ER and has no agonist effects. This article provides an overview of the current understanding of ER signalling and illustrates the unique mode of action of fulvestrant. Preclinical and clinical study data are presented in support of the novel mechanism of action of this new type of ER antagonist

Analysis of the impact of sex and age on the variation in the prevalence of antinuclear autoantibodies in Polish population: a nationwide observational, cross-sectional study

The detection of antinuclear autoantibody (ANA) is dependent on many factors and varies between the populations. The aim of the study was first to assess the prevalence of ANA in the Polish adult population depending on age, sex and the cutoff threshold used for the results obtained. Second, we estimated the occurrence of individual types of ANA-staining patterns. We tested 1731 patient samples using commercially available IIFA using two cutoff thresholds of 1:100 and 1:160. We found ANA in 260 participants (15.0%), but the percentage of positive results strongly depended on the cutoff level. For a cutoff threshold 1:100, the positive population was 19.5% and for the 1:160 cutoff threshold, it was 11.7%. The most prevalent ANA-staining pattern was AC-2 Dense Fine speckled (50%), followed by AC-21 Reticular/AMA (14.38%) ANA more common in women (72%); 64% of ANA-positive patients were over 50 years of age. ANA prevalence in the Polish population is at a level observed in other highly developed countries and is more prevalent in women and elderly individuals. To reduce the number of positive results released, we suggest that Polish laboratories should set 1:160 as the cutoff threshold

Teorias semiclássica e efetiva da gravitação

First and second order corrections for the scattering of different types of particles by a weak gravitational field, treated as an external field, are calculated. These computations indicate a violation of the Equivalence Principle: to first order, the cross-sections are spin dependent; if the calculations are pushed to the next order, they become dependent upon energy as well. Interesting enough, the aforementioned results are equivalent to those obtained by means of the so-called Effective Theory of Gravitation, in the limit in which one of the masses is much greater than all the other energies involved. We discuss also some applications of our research, such as the determination of an upper bound for the photon mass, and the possible detection, in the foreseeable future, of these violations of the Equivalence PrincipleAnalisamos o espalhamento de partículas quânticas por um campo gravitacional fraco, tratado como campo externo, em primeira e segunda ordens de perturbação. Essa análise acusa violações do Princípio da Equivalência em relação ao spin - em primeira ordem -,e em relação à energia - em segunda ordem. Verificamos que os resultados mencionados são equivalentes àqueles obtidos por intermédio da Teoria Efetiva da Gravitação, no limite em que uma das massas é muito maior do que as outras energias envolvidas. Discutimos também algumas aplicações de nossa investigação, tais como a determinação de um limite superior para a massa do fóton e a possível detecção em um futuro não muito distante dessas violações do Princípio da Equivalênci

Photon mass and gravitational deflection

The deflection of a massive photon by an external gravitational field is energy-dependent. Interesting enough, any massive quantum particle, no matter what its spin is, undergoes dispersive deflection in external gravitational fields. Exploiting the dispersive deflection of the quantized massive electromagnetic radiation by the gravitational field of the Sun, we find an upper bound for the photon mass

Interakcja wapnia z miedzią, kobaltem i chromem w glebach mineralnych

Model studies were conducted upon the course and the range of sorption-desorption processes of Cu²⁺, Co²⁺, and Cr³⁺ while saturating the three mineral soils with them, and also durning leaching with water, and CaCL in the forced flow conditions. Sorption of heavy metal cations was depended upon the soils surface area. Leaching of heavy metals, previously sorbed, with a calcium cation showed a variable value of their desorption, depending on the texture of soil