7,104 research outputs found
Opioid Analgesic Prescribing Practices of Dental Professionals in the United States
The prescription of opioid analgesics by dental professionals is widespread in the United States. Policy makers, government agencies, and professional organizations consider this phenomenon a growing public health concern. This study examined trends in the prescription of opioid analgesics for adults by dental professionals and associated factors in the United States. Data from the Medical Expenditure Panel Survey (1996-2013) were analyzed. Descriptive statistics were calculated separately for each year. Logistic regression analyses were conducted to estimate the overall trend during the period with and without adjusting for dental procedures and personal characteristics. Survey weights were incorporated to handle the sampling design. The prescription of opioid analgesics following dental care increased over time. After adjusting for sociodemographic factors, source of payment, and type of dental procedure, the odds ratio (OR) of prescribing opioid analgesics following a dental visit per each decade difference was 1.28 (95% confidence interval [CI], 1.19–1.38). Surgical, root canal, and implant procedures had the highest rates of opioid prescriptions and the greatest increases in rates over the study period. After adjusting for personal characteristics and type of dental procedure, the OR of receiving a prescription for opioids comparing blacks, Asians, and Hispanics to whites was 1.29 (95% CI, 1.17–1.41), 0.57 (95% CI, 0.47–0.70), and 0.84 (95% CI, 0.75–0.95), respectively. Opioid analgesic prescriptions following dental visits increased over time after adjusting for personal characteristics and type of dental procedure. The odds of receiving a prescription for opioids were higher for certain racial/ethnic minority groups.
Knowledge Transfer Statement: This study highlights dental professionals prescribing practices of opioid analgesics by following dental treatments in the United States. With this knowledge, appropriate guidelines, protocols, and policies can be developed and implemented to address any inappropriate prescribing practices of opioid analgesics. In addition, this information could lead to an improvement in the prescribing practices of dental professionals and to evidence-based therapeutic decision making
Trends and Racial/Ethnic Disparities in Antibiotic Prescribing Practices of Dentists in The United States
Objective
The aim of this study was to examine trends and racial/ethnic disparities in antibiotic prescribing practices of dentists in the United States. Methods
The US Medical Expenditure Panel Survey data for 1996‐2013 was analyzed. Information on patient sociodemographic characteristics, dental visits, receipt of dental procedures, and type of antibiotics prescribed following visits was obtained. Descriptive statistics were calculated separately for each year. Logistic regression analyses were conducted to identify associations during the period with and without adjustment for dental procedures and sociodemographic characteristics. Survey weights were incorporated to handle the sampling design. Results
Nationally, the number of antibiotic prescribed at dental visits was estimated to be higher by 842,749 (0.4 percent) at year 2013 compared to the prescription level at 2003 were the population sociodemographic distribution kept at 2013 level. On average, the odds of prescribing antibiotics following dental care increased with each decade of study (OR: 1.10; 95% CI: [1.04, 1.17]) after adjusting for sociodemographic characteristics and receipt of dental procedures. Compared to Whites, Blacks had 21 percent (95% CI: 11%, 31%) higher odds of receiving a prescription for antibiotics from a dentist after adjusting for dental procedure and other sociodemographic characteristics. Conclusions
The prescription of antibiotics following dental visits increased over time after adjustment for sociodemographic characteristics and dental procedure. The probability of being prescribed antibiotics by dentists was higher for Blacks compared to Whites
Localized spectral asymptotics for boundary value problems and correlation effects in the free Fermi gas in general domains
We rigorously derive explicit formulae for the pair correlation function of
the ground state of the free Fermi gas in the thermodynamic limit for general
geometries of the macroscopic regions occupied by the particles and arbitrary
dimension. As a consequence we also establish the asymptotic validity of the
local density approximation for the corresponding exchange energy. At constant
density these formulae are universal and do not depend on the geometry of the
underlying macroscopic domain. In order to identify the correlation effects in
the thermodynamic limit, we prove a local Weyl law for the spectral asymptotics
of the Laplacian for certain quantum observables which are themselves dependent
on a small parameter under very general boundary conditions
Experimental energy levels and partition function of the C molecule
The carbon dimer, the C molecule, is ubiquitous in astronomical
environments. Experimental-quality rovibronic energy levels are reported for
C, based on rovibronic transitions measured for and among its
singlet, triplet, and quintet electronic states, reported in 42 publications.
The determination utilizes the Measured Active Rotational-Vibrational Energy
Levels (MARVEL) technique. The 23,343 transitions measured experimentally and
validated within this study determine 5,699 rovibronic energy levels, 1,325,
4,309, and 65 levels for the singlet, triplet, and quintet states investigated,
respectively. The MARVEL analysis provides rovibronic energies for six singlet,
six triplet, and two quintet electronic states. For example, the lowest
measurable energy level of the \astate\ state, corresponding to the total
angular momentum quantum number and the spin-multiplet component, is
603.817(5) \cm. This well-determined energy difference should facilitate
observations of singlet--triplet intercombination lines which are thought to
occur in the interstellar medium and comets. The large number of highly
accurate and clearly labeled transitions that can be derived by combining
MARVEL energy levels with computed temperature-dependent intensities should
help a number of astrophysical observations as well as corresponding laboratory
measurements. The experimental rovibronic energy levels, augmented, where
needed, with {\it ab initio} variational ones based on empirically adjusted and
spin-orbit coupled potential energy curves obtained using the \Duo\ code, are
used to obtain a highly accurate partition function, and related thermodynamic
data, for C up to 4,000 K.Comment: ApJ Supplements (in press), 48 page
Hooke's law correlation in two-electron systems
We study the properties of the Hooke's law correlation energy (\Ec),
defined as the correlation energy when two electrons interact {\em via} a
harmonic potential in a -dimensional space. More precisely, we investigate
the ground state properties of two model systems: the Moshinsky atom (in
which the electrons move in a quadratic potential) and the spherium model (in
which they move on the surface of a sphere). A comparison with their Coulombic
counterparts is made, which highlights the main differences of the \Ec in
both the weakly and strongly correlated limits. Moreover, we show that the
Schr\"odinger equation of the spherium model is exactly solvable for two values
of the dimension (), and that the exact wave function is
based on Mathieu functions.Comment: 7 pages, 5 figure
Post-Wick theorems for symbolic manipulation of second-quantized expressions in atomic many-body perturbation theory
Manipulating expressions in many-body perturbation theory becomes unwieldily
with increasing order of the perturbation theory. Here I derive a set of
theorems for efficient simplification of such expressions. The derived rules
are specifically designed for implementing with symbolic algebra tools. As an
illustration, we count the numbers of Brueckner-Goldstone diagrams in the first
several orders of many-body perturbation theory for matrix elements between two
states of a mono-valent system.Comment: J. Phys. B. (in press); Mathematica packages available from
http://wolfweb.unr.edu/homepage/andrei/WWW-tap/mathematica.htm
Density-functionals not based on the electron gas: Local-density approximation for a Luttinger liquid
By shifting the reference system for the local-density approximation (LDA)
from the electron gas to other model systems one obtains a new class of density
functionals, which by design account for the correlations present in the chosen
reference system. This strategy is illustrated by constructing an explicit LDA
for the one-dimensional Hubbard model. While the traditional {\it ab initio}
LDA is based on a Fermi liquid (the electron gas), this one is based on a
Luttinger liquid. First applications to inhomogeneous Hubbard models, including
one containing a localized impurity, are reported.Comment: 4 pages, 4 figures (final version, contains additional applications
and discussion; accepted by Phys. Rev. Lett.
Black-holes, topological strings and large N phase transitions
The counting of microstates of BPS black-holes on local Calabi-Yau of the
form is explored
by computing the partition function of q-deformed Yang-Mills theory on .
We obtain, at finite , the instanton expansion of the gauge theory. It can
be written exactly as the partition function for U(N) Chern-Simons gauge theory
on a Lens space, summed over all non-trivial vacua, plus a tower of
non-perturbative instanton contributions. In the large limit we find a
peculiar phase structure in the model. At weak string coupling the theory
reduces to the trivial sector and the topological string partition function on
the resolved conifold is reproduced in this regime. At a certain critical
point, instantons are enhanced and the theory undergoes a phase transition into
a strong coupling regime. The transition from the strong coupling phase to the
weak coupling phase is of third order.Comment: 16 pages, 3 figures; Invited talk given at QG05, Cala Gonone (Italy),
September 200
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