Would You Recognize Lupus?

Systemic Lupus Erythematosus, or SLE, is a chronic autoimmune disease which significantly affects various organs of the body and the oral cavity. According to various studies, SLE can cause an increased risk of periodontitis, fungal infections, and dental caries within the oral cavity. Periodontitis is an inflammatory condition mediated by an infectious etiology which affects the supporting tissues of the periodontium and alveolar bone. With SLE being an inflammatory condition as well, recent studies have emerged hypothesizing the possible association between SLE and periodontitis. Other effects on the oral cavity such as fungal infections including lichen planus and angular cheilitis are occasionally seen in patients with lupus. Furthermore, SLE has been shown to increase the prevalence of dental caries due to decreased salivary flow and pH, and subsequent changes in the oral flora. On a systemic level, internal inflammation of SLE could lead to several other problems within the body and certain medications patients take for SLE treatment can cause cutaneous lesions. Therefore, as clinicians, it is imperative to adequately review patient medical histories as well as perform intraoral and extraoral examinations in order to fully understand the possible contraindications between dental treatment and SLE. The purpose of this literature review is to inform clinicians on the oral and systemic aspects of SLE and how evidence-based decision making may impact dental treatment planning in order to provide patients with the best quality of care.https://scholarscompass.vcu.edu/denh_student/1003/thumbnail.jp

Transient Thermal Analyses of Passive Systems on SCEPTOR X-57

As efficiency, emissions, and noise become increasingly prominent considerations in aircraft design, turning to an electric propulsion system is a desirable solution. Achieving the intended benefits of distributed electric propulsion (DEP) requires thermally demanding high power systems, presenting a different set of challenges compared to traditional aircraft propulsion. The embedded nature of these heat sources often preclude the use of traditional thermal management systems in order to maximize performance, with less opportunity to exhaust waste heat to the surrounding environment. This paper summarizes the thermal analyses of X-57 vehicle subsystems that don't employ externally air-cooled heat sinks. The high-power battery, wires, high-lift motors, and aircraft outer surface are subjected to heat loads with stringent thermal constraints. The temperature of these components are tracked transiently, since they never reach a steady-state equilibrium. Through analysis and testing, this report demonstrates that properly characterizing the material properties is key to accurately modeling peak temperature of these systems, with less concern for spatial thermal gradients. Experimentally validated results show the thermal profile of these systems can be sufficiently estimated using reduced order approximations

Steady State Thermal Analyses of SCEPTOR X-57 Wingtip Propulsion

Electric aircraft concepts enable advanced propulsion airframe integration approaches that promise increased efficiency as well as reduced emissions and noise. NASA's fully electric Maxwell X-57, developed under the SCEPTOR program, features distributed propulsion across a high aspect ratio wing. There are 14 propulsors in all: 12 high lift motor that are only active during take off and climb, and 2 larger motors positioned on the wingtips that operate over the entire mission. The power electronics involved in the wingtip propulsion are temperature sensitive and therefore require thermal management. This work focuses on the high and low fidelity heat transfer analysis methods performed to ensure that the wingtip motor inverters do not reach their temperature limits. It also explores different geometry configurations involved in the X-57 development and any thermal concerns. All analyses presented are performed at steady state under stressful operating conditions, therefore predicting temperatures which are considered the worst-case scenario to remain conservative

Demographic and temporal variations in immunity and condition of polar bears (\u3ci\u3eUrsus maritimus\u3c/i\u3e) from the southern Beaufort Sea

Assessing the health and condition of animals in their natural environment can be problematic. Many physiological metrics, including immunity, are highly influenced by specific context and recent events to which researchers may be unaware. Thus, using a multifaceted physiological approach and a context-specific analysis encompassing multiple time scales can be highly informative. Ecoimmunological tools in particular can provide important indications to the health of animals in the wild.We collected blood and hair samples from free-ranging polar bears (Ursus maritimus) in the southern Beaufort Sea and examined the influence of sex, age, and reproductive status on metrics of immunity, stress, and body condition during 2013–2015.We examined metrics of innate immunity (bactericidal ability and lysis) and stress (hair cortisol, reactive oxygen species, and oxidative barrier), in relation to indices of body condition considered to be short term (urea to creatinine ratio; UC ratio) and long term (storage energy and body mass index). We found the factors of sex, age, and reproductive status of the bear were critical for interpreting different physiological metrics. Additionally, the metrics of body condition were important predictors for stress indicators. Finally,many of these metrics differed between years, illustrating the need to examine populations on a longer time scale. Taken together, this study demonstrates the complex relationship between multiple facets of physiology and how interpretation requires us to examine individuals within a specific context

Notes of a Meeting Held in the Diplomatic Reception Room of the Department of State on Monday, March 20, 1911

The document is a carbon transcript of notes from a meeting held in the State Department respecting the necessity of more such meetings, the present organization of the Department, expenditures, and esprit de corps. Present at the meeting were: The Assistant Secretaries, the Solicitor, the Director of the Consular Service, the Chief Clerk and the Chiefs and Assistant Chiefs of the Divisions and Bureaus of the Department.https://digitalcommons.ursinus.edu/fmhw_speeches/1004/thumbnail.jp

Physical Activity and Healthy Habits Influence Mood Profile Clusters in a Lithuanian Population

Moods have been investigated previously in a range of cultural contexts. In our study, we investigated if six mood profiles previously identified, termed the iceberg, inverse Everest, inverse iceberg, shark fin, submerged, and surface profiles, were also evident among a Lithuanian sample. A Lithuanian translation of the Brunel Mood Scale (BRUMS-LTU) was completed by a sample of 746 participants (male = 199, female = 547) aged from 17–78 years (M = 41.8 years, SD = 11.4 year). Seeded k-means cluster analysis clearly identified the six hypothesized mood profiles, the prevalence of which reflected previous findings. Cluster prevalence varied significantly by sex, age, exercise and smoking status, frequency of overeating, and self-rated health of participants. Male participants and older adults were under-represented for the inverse Everest profile and over-represented for the iceberg profile. Those who reported more healthy habits (i.e., exerciser, non-smoker, rarely overeat) and those reporting better self-rated health were over-represented for the iceberg profile and under-represented for negative mood profiles; namely, the inverse Everest, inverse iceberg, and shark fin profiles. Findings supported the cross-cultural invariance of the mood profile clusters and confirmed the link between unhealthy habits and negative mood profile

David Hume on Banking and Hoarding

David Hume opposes banks and favors hoarding. The only bank he reluctantly approves of is a public, 100% reserve bank. Other banks increase money supply and prices, hindering exports and economic growth. For Hume, a 100% reserve public bank would lead to ‘‘the destruction of paper-credit’’ ([1752] 1985, p. 285), fostering economic growth instead by preventing inflation. Additionally, a 100% reserve bank hoards a large quantity of gold and silver, which is available in case of national emergency

Elevated maternal lipids in early pregnancy are not associated with risk of intrapartum caesarean in overweight and obese nulliparous women

Background: Maternal overweight and obesity are associated with slower labour progress and increased caesarean delivery for failure to progress. Obesity is also associated with hyperlipidaemia and cholesterol inhibits myometrial contractility in vitro. Our aim was, among overweight and obese nulliparous women, to investigate 1. the role of early pregnancy serum cholesterol and 2. clinical risk factors associated with first stage caesarean for failure to progress at term. Methods: Secondary data analysis from a prospective cohort of overweight/obese New Zealand and Australian nullipara recruited to the SCOPE study. Women who laboured at term and delivered vaginally (n=840) or required first stage caesarean for failure to progress (n=196) were included. Maternal characteristics and serum cholesterol at 14–16 weeks’ of gestation were compared according to delivery mode in univariable and multivariable analyses (adjusted for BMI, maternal age and height, obstetric care type, induction of labour and gestation at delivery ≥41 weeks). Results: Total cholesterol at 14–16 weeks was not higher among women requiring first stage caesarean for failure to progress compared to those with vaginal delivery (5.55 ± 0.92 versus 5.67 ± 0.85 mmol/L, p= 0.10 respectively). Antenatal risk factors for first stage caesarean for failure to progress in overweight and obese women were BMI (adjusted odds ratio [aOR (95% CI)] 1.15 (1.07-1.22) per 5 unit increase, maternal age 1.37 (1.17-1.61) per 5 year increase, height 1.09 (1.06-1.12) per 1cm reduction), induction of labour 1.94 (1.38-2.73) and prolonged pregnancy ≥41 weeks 1.64 (1.14-2.35). Conclusions: Elevated maternal cholesterol in early pregnancy is not a risk factor for first stage caesarean for failure to progress in overweight/obese women. Other clinically relevant risk factors identified are: increasing maternal BMI, increasing maternal age, induction of labour and prolonged pregnancy ≥41 weeks’ of gestation.Elaine M Fyfe, Karen S Rivers, John MD Thompson, Kamala PL Thiyagarajan, Katie M Groom, Gustaaf A Dekker, Lesley ME McCowan and On behalf of the SCOPE consortiu

The same frequency of planets inside and outside open clusters of stars

Most stars and their planets form in open clusters. Over 95 per cent of such clusters have stellar densities too low (less than a hundred stars per cubic parsec) to withstand internal and external dynamical stresses and fall apart within a few hundred million years. Older open clusters have survived by virtue of being richer and denser in stars (1,000 to 10,000 per cubic parsec) when they formed. Such clusters represent a stellar environment very different from the birthplace of the Sun and other planet-hosting field stars. So far more than 800 planets have been found around Sun-like stars in the field. The field planets are usually the size of Neptune or smaller. In contrast, only four planets have been found orbiting stars in open clusters, all with masses similar to or greater than that of Jupiter. Here we report observations of the transits of two Sun-like stars by planets smaller than Neptune in the billion-year-old open cluster NGC6811. This demonstrates that small planets can form and survive in a dense cluster environment, and implies that the frequency and properties of planets in open clusters are consistent with those of planets around field stars in the Galaxy.Comment: 18 pages, 6 figures, 1 table (main text + supplementary information