Diabetes and Periodontal Disease: The Need for Interprofessional Patient Care.

PosterObjective: The objective of this clinical case presentation is to emphasize the importance of an interprofessional approach to health care. Specifically, this case will emphasize the importance of managing diabetes in a periodontal patient. Background: A 69 year old patient presented with the chief complaint of, “I want my teeth cleaned.” The medical history revealed several medications and conditions that could potentially impact the oral cavity. The patient presented with type II diabetes mellitus, which became uncontrolled during the treatment; was taking a calcium channel blocker to control his high blood pressure, and was using a bi-pap machine for his sleep apnea. The patient also was obese and gave a history of bariatric surgery, GERD, and recent back pain. Assessment: The initial clinical examination of this patient revealed generalized mild bone loss as evidenced by 3-4mm from the CEJ radiographically (generalized moderate plaque induced gingivitis with dark pink spongy tissue with bulbous papilla that did not adhere tightly to the tooth with bleeding) and generalized mild chronic periodontitis as evidenced by 4-5mm CAL and 6mm CAL associated with swollen gingiva. Localized severe periodontitis of 8mm CAL on tooth number 19 was present. Dental Hygiene Treatment Plan: Scaling and root planing was performed for selective areas along with a periodontal tissue re-evaluation. Treatment: The treatment was performed throughout three separate appointments. At the beginning of treatment the patient’s A1C was 8.5% and his blood glucose was 195 mg/dl. Results: The re-evaluation appointment revealed slight improvement in the health of the gingiva, but minimal to no improvement in probing depths. Conclusion: This case highlights the need for an interprofessional approach to patient care. Problems with diabetes management, as well as other contributing factors, have been known to impact periodontal therapy outcomes

Study of the magnetic anisotropy of the multiphase samples of the ferrimagnets with hexagonal crystal structure by the method of ferromagnetic resonance

The influence of machining conditions in a planetary ball mill on the phase composition, structural and magnetic parameters of hexaferrite powders composition BaFe12O19 was investigated. The properties of powders vary greatly depending on the power density and the time of machining. Magnetocrystalline anisotropy of multiphase powders was studied by the method of ferromagnetic resonance. The effective field of magnetic anisotropy is reduced by more than two times, with decreasing particle size of ~ 67 nm to ~ 10 nm when the processing time equal to 10 minutes. The flow of mechanochemical reactions during grinding leads to the disintegration of the hexagonal crystal phase and the formation of the magnetite phase with a small value of the magnetocrystalline anisotropy field

Giant Electroresistance in Ferroelectric Tunnel Junctions

The interplay between the electron transport in metal/ferroelectric/metal junctions with ultrathin ferroelectric barriers and the polarization state of a barrier is investigated. Using a model which takes into account screening of polarization charges in metallic electrodes and direct quantum tunneling across a ferroelectric barrier we calculate the change in the tunneling conductance associated with the polarization switching. We find the conductance change of a few orders of magnitude for metallic electrodes with significantly different screening lengths. This giant electroresistance effect is the consequence of a different potential profile seen by transport electrons for the two opposite polarization orientations.Comment: 4 page

Mass-conserving tracer transport modelling on a reduced latitude-longitude grid with NIES-TM

The need to perform long-term simulations with reasonable accuracy has led to the development of mass-conservative and efficient numerical methods for solving the transport equation in forward and inverse models. We designed and implemented a flux-form (Eulerian) tracer transport algorithm in the National Institute for Environmental Studies Transport Model (NIES TM), which is used for simulating diurnal and synoptic-scale variations of tropospheric long-lived constituents, as well as their seasonal and inter-annual variability. Implementation of the flux-form method requires the mass conservative wind fields. However, the model is off-line and is driven by datasets from a global atmospheric model or data assimilation system, in which vertically integrated mass changes are not in balance with the surface pressure tendency and mass conservation is not achieved. To rectify the mass-imbalance, a flux-correction method is employed. To avoid a singularity near the poles, caused by the small grid size arising from the meridional convergence problem, the proposed model uses a reduced latitude–longitude grid scheme, in which the grid size is doubled several times approaching the poles. This approach overcomes the Courant condition in the Polar Regions, maintains a reasonably high integration time-step, and ensures adequate model performance during simulations. To assess the model performance, we performed global transport simulations for SF<sub>6</sub>, <sup>222</sup>Rn, and CO<sub>2</sub>. The results were compared with observations available from the World Data Centre for Greenhouse Gases, GLOBALVIEW, and the Hateruma monitoring station, Japan. Overall, the results show that the proposed flux-form version of NIES TM can produce tropospheric tracer transport more realistically than previously possible. The reasons for this improvement are discussed

Dilatometric characteristics of weakly sintered ceramics

Thermal expansion of refractory ceramics CaZrO3, MgAl2O4, La2Zr2O7 and YSZ-12 was studied. The samples of the complex oxides were synthesized by solution combustion synthesis with glycine; the fuel:oxidant ratio was varied depending on the character of redox reaction. The linear thermal expansion coefficient (LTEC) of ceramics was measured on the samples with an initial density 23–52%. The maximal sinterability of 89–92% after 6 h annealing at 1550 °С was demonstrated by La2Zr2O7 and YSZ-12, and the minimal values (78–82%) – by CaZrO3 and MgAl2O4. All materials have close LTEC values, from 9.0 to 9.6·10–6 K–1

Fingerprints of homogeneous nucleation and crystal growth in polyamide 66 as studied by combined infrared spectroscopy and fast scanning chip calorimetry

Homogenous crystal nucleation and growth in polyamide 66 (PA66) are followed in situ by means of a combination of FTIR spectroscopy and fast scanning chip calorimetry (FSC). Therefore, a novel setup with a calorimetry chip equipped with an IR-transparent SiN membrane was developed, which enables to examine IR spectroscopic and FSC experiments on the identical specimen. Because of the small amount of sample material (~ 100 ng), it is possible to achieve heating and cooling rates up to 5000 Ks−1, and hence to quench the sample into a fully amorphous state without quenched-in homogeneous crystal nuclei. Annealing the film then allows to determine the onset of homogenous nucleation and crystal growth by means of FSC, whereas molecular interactions are unraveled by FTIR spectroscopy. It is demonstrated that different moieties of PA66 respond distinctly during crystallization; far-reaching interactions such as hydrogen bonding are established prior to onset of short-range steric hindrance

Green's Matrix for a Second Order Self-Adjoint Matrix Differential Operator

A systematic construction of the Green's matrix for a second order, self-adjoint matrix differential operator from the linearly independent solutions of the corresponding homogeneous differential equation set is carried out. We follow the general approach of extracting the Green's matrix from the Green's matrix of the corresponding first order system. This construction is required in the cases where the differential equation set cannot be turned to an algebraic equation set via transform techniques.Comment: 19 page

Anomalous behaviors of the charge and spin degrees of freedom in the CuO double chains of PrBa2_2Cu4_4O8_8

The density-matrix renormalization-group method is used to study the electronic states of a two-chain Hubbard model for CuO double chains of PrBa$_2$Cu$_4$O$_8$. We show that the model at quarter filling has the charge ordered phases with stripe-type and in-line--type patterns in the parameter space, and in-between, there appears a wide region of vanishing charge gap; the latter phase is characteristic of either Tomonaga-Luttinger liquid or a metallic state with a spin gap. We argue that the low-energy electronic state of the CuO double chains of PrBa$_2$Cu$_4$O$_8$ should be in the metallic state with a possibly small spin gap.Comment: REVTEX 4, 10 pages, 9 figures; submitted to PR