Intravenous conscious sedation in patients under 16 years of age. Fact or fiction?

Recently published guidelines on the use of conscious sedation in dentistry have published varying recommendations on the lower age limit for the use of intravenous conscious sedation. There are a large number of dentists currently providing dental treatment for paediatric patients under intravenous conscious sedation. The 18 cases reported here (age range 11-15 years), were successfully managed with intravenous conscious sedation. The experience in this paper is not sufficient evidence to recommend the wholesale use of intravenous conscious sedation in patients who are under 16 years. The fact that a range of operators can use these techniques on paediatric patients would suggest that further study should be carried out in this population. The guidance should be modified to say there is insufficient evidence to support the use of intravenous conscious sedation in children, rather than arbitrarily selecting a cut off point at age 16 years

Two-stream instability in quasi-one-dimensional Bose-Einstein condensates

We apply a kinetic model to predict the existence of an instability mechanism in elongated Bose-Einstein condensates. Our kinetic description, based on the Wigner formalism, is employed to highlight the existence of unstable Bogoliubov waves that may be excited in the counterpropagation configuration. We identify a dimensionless parameter, the Mach number at T=0, that tunes different regimes of stability. We also estimate the magnitude of the main parameters at which two-stream instability is expected to be observed under typical experimental conditions

Attosecond electronic and nuclear quantum photodynamics of ozone: time-dependent Dyson orbitals and dipole

A nonadiabatic scheme for the description of the coupled electron and nuclear motions in the ozone molecule was proposed recently. An initial coherent nonstationary state was prepared as a superposition of the ground state and the excited Hartley band. In this situation neither the electrons nor the nuclei are in a stationary state. The multiconfiguration time dependent Hartree method was used to solve the coupled nuclear quantum dynamics in the framework of the adiabatic separation of the time-dependent Schr\"odinger equation. The resulting wave packet shows an oscillation of the electron density between the two chemical bonds. As a first step for probing the electronic motion we computed the time-dependent molecular dipole and the Dyson orbitals. The latter play an important role in the explanation of the photoelectron angular distribution. Calculations of the Dyson orbitals are presented both for the time-independent as well as the time-dependent situations. We limited our description of the electronic motion to the Franck-Condon region only due to the localization of the nuclear wave packets around this point during the first 5-6 fs

Evaluating Unpaid Time Contributions by Seniors: A Conceptual Framework

In the past, considerable research in gerontology has focused on services provided to seniors. Recently, however, there has a been a growing recognition of the contributions made by seniors to their families, communities and to society. Empirical estimates have been provided by researchers to show how much these contributions are worth in terms of savings in dollar amounts. A critical review of the literature identifies unresolved issues concerning which contributions to count and how to measure and value these contributions. As yet, no clear criteria exist that readily identify the distinction between volunteer activities and unpaid work, what specifically should be counted as an unpaid time contribution, how it should be quantified, and how this unit of contribution should be monetarily valued. The market replacement approach and the opportunity cost approach that are used to assign value to unpaid work often use very different wage rates or levels of income loss. This paper reviews the relevant literature and identifies important issues in evaluating unpaid time contribution of seniors. The authors propose a framework which addresses some of the methodological shortcomings identified in previous research and which provides a guide for future research in this area.seniors; valuing unpaid work

Historical divergence and gene flow: Coalescent analyses of mitochondrial, autosomal and sex-linked loci in passerina buntings

Quantifying the role of gene flow during the divergence of closely related species is crucial to understanding the process of speciation. We collected DNA sequence data from 20 loci (one mitochondrial, 13 autosomal, and six sex-linked) for population samples of Lazuli Buntings (Passerina amoena) and Indigo Buntings (Passerina cyanea) (Aves: Cardinalidae) to test explicitly between a strict allopatric speciation model and a model in which divergence occurred despite postdivergence gene flow. Likelihood ratio tests of coalescent-based population genetic parameter estimates indicated a strong signal of postdivergence gene flow and a strict allopatric speciation model was rejected. Analyses of partitioned datasets (mitochondrial, autosomal, and sex-linked) suggest the overall gene flow patterns are driven primarily by autosomal gene flow, as there is no evidence of mitochondrial gene flow and we were unable to reject an allopatric speciation model for the sex-linked data. This pattern is consistent with either a parapatric divergence model or repeated periods of allopatry with gene flow occurring via secondary contact. These results are consistent with the low fitness of female avian hybrids under Haldane\u27s rule and demonstrate that sex-linked loci likely are important in the initial generation of reproductive isolation, not just its maintenance. © 2010 The Author(s). Journal compilation © 2010 The Society for the Study of Evolution

A Potential Foundation for Emergent Space-Time

We present a novel derivation of both the Minkowski metric and Lorentz transformations from the consistent quantification of a causally ordered set of events with respect to an embedded observer. Unlike past derivations, which have relied on assumptions such as the existence of a 4-dimensional manifold, symmetries of space-time, or the constant speed of light, we demonstrate that these now familiar mathematics can be derived as the unique means to consistently quantify a network of events. This suggests that space-time need not be physical, but instead the mathematics of space and time emerges as the unique way in which an observer can consistently quantify events and their relationships to one another. The result is a potential foundation for emergent space-time.Comment: The paper was originally titled "The Physics of Events: A Potential Foundation for Emergent Space-Time". We changed the title (and abstract) to be more direct when the paper was accepted for publication at the Journal of Mathematical Physics. 24 pages, 15 figure

Evidence for a dynamic phase transition in [Co/Pt]_3 magnetic multilayers

A dynamic phase transition (DPT) with respect to the period P of an applied alternating magnetic field has been observed previously in numerical simulations of magnetic systems. However, experimental evidence for this DPT has thus far been limited to qualitative observations of hysteresis loop collapse in studies of hysteresis loop area scaling. Here, we present significantly stronger evidence for the experimental observation of this DPT, in a [Co(4 A)/Pt(7 A)]_3-multilayer system with strong perpendicular anisotropy. We applied an out-of-plane, time-varying (sawtooth) field to the [Co/Pt]_3 multilayer, in the presence of a small additional constant field, H_b. We then measured the resulting out-of-plane magnetization time series to produce nonequilibrium phase diagrams (NEPDs) of the cycle-averaged magnetization, Q, and its variance, Var(Q), as functions of P and H_b. The experimental NEPDs are found to strongly resemble those calculated from simulations of a kinetic Ising model under analagous conditions. The similarity of the experimental and simulated NEPDs, in particular the presence of a localized peak in the variance Var(Q) in the experimental results, constitutes strong evidence for the presence of this DPT in our magnetic multilayer samples. Technical challenges related to the hysteretic nature and response time of the electromagnet used to generate the time-varying applied field precluded us from extracting meaningful critical scaling exponents from the current data. However, based on our results, we propose refinements to the experimental procedure which could potentially enable the determination of critical exponents in the future.Comment: substantial revision; 26 pages, 9 figures; to appear in Phys. Rev.

Lightning Hazards to Aircraft Fuel Tanks

The hazards of lightning strokes to aircraft fuel tanks have been investigated in artificial-lightning-generation facilities specifically constructed to duplicate closely the natural lightning discharges to air craft determined through flight research programs and analysis of lightning-damaged aircraft over a period of many years. Explosion studies were made in an environmental explosion chamber using small fuel tanks under various simulated flight conditions. The results showed that there is a primary hazard whenever there is direct puncture of the fuel-tank wall, whereas the ignition of fuel by hot spots on tank walls due to lightning strikes is unlikely. Punctures of fuel-tank walls by artificial-lightning discharges produced explosions of the fuel in the mixture range from excessively lean to rich mixtures. None of the aluminum alloys, 0.081 inch thick or over, were punctured by the laboratory discharges representative of natural-lightning discharges to aircraft; however, reliance on this wall thickness for complete protection would not be justified, because occasional strokes are known to be of greater magnitude and because statistics reveal variations in the damage pattern. Data gathered by the Lightning and Transients Research Institute on lightning strokes to aircraft show that 90 percent of the strokes recorded have occurred in the temperature range of -10 to +10 C, where many of the jet fuels are flammable but where aviation gasoline is overrich. Also, 10 percent of the strokes recorded have been to the wings, which are the principal fuel-storage areas for modern aircraft. Thus, there is a hazard, particularly for jet fuels. Certain protective measures are indicated by the studies to date, such as the use of lightning diverter rods, thickening of the wing skin in areas near the most probable stroke paths, and the use of fuel-tank liners in critical areas