261 research outputs found

    Minimally Invasive Periodontal Treatment Using the Er,Cr: YSGG Laser. A 2-year Retrospective Preliminary Clinical Study

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    Minimally invasive surgery (MIS) using the erbium, chromium: yttrium-scandium-gallium-garnet (Er,Cr:YSGG) laser (Waterlase MD, Biolase, Irvine, CA) to treat moderate to advanced periodontal disease is presented as an alternative to conventional therapies. To date, there are few short- or long-term studies to demonstrate the effects of this laser in treating and maintaining periodontal health. Electronic clinical records from 16 patients – total of 126 teeth, with pocket depths ranging from 4 mm to 9 mm – were treated with the same protocol using the Er,Cr:YSGG laser. The mean baseline probing depths (PD) were 5 mm and clinical attachment levels (CAL) were 5 mm in the 4 - 6 mm pretreated laser group. The mean baseline probing depths were 7.5 and 7.6 mm for PD and CAL respectfully in the 7 – 9 mm pretreatment laser group. At the 2 year mark, the average PD was 3.2 ± 1.1 mm for the 4-6 mm pocket group and the 7-9 mm pocket group had a mean PD of 3.7 ± 1.2 mm. mean CAL was 3.1 ± 1.1 mm for the 4-6 mm group and 3.6 ± 1.2 for the 7-9 mm group with an overall reduction of 1.9 mm and 4.0 mm respectively. At one and two years, both groups remained stable with PD comparable to the three-month gains. The CAL measurements at one and two years were also comparable to the three-month gains

    Anomalous Low Temperature Behavior of Superconducting Nd(1.85)Ce(0.15)CuO(4-y)

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    We have measured the temperature dependence of the in-plane London penetration depth lambda(T) and the maximum Josephson current Ic(T) using bicrystal grain boundary Josephson junctions of the electron-doped cuprate superconductor Nd(1.85)Ce(0.15)CuO(4-y). Both quantities reveal an anomalous temperature dependence below about 4 K. In contrast to the usual monotonous decrease (increase) of lambda(T) (Ic(T)) with decreasing temperature, lambda(T) and Ic(T) are found to increase and decrease, respectively, with decreasing temperature below 4 K resulting in a non-monotonous overall temperature dependence. This anomalous behavior was found to be absent in analogous measurements performed on Pr(1.85)Ce(0.15)CuO(4-y). From this we conclude that the anomalous behavior of Nd(1.85)Ce(0.15)CuO(4-y) is caused by the presence of the Nd3+ paramagnetic moments. Correcting the measured lambda(T) dependence of Nd(1.85)Ce(0.15)CuO(4-y) for the temperature dependent susceptibility due to the Nd moments, an exponential dependence is obtained indicating isotropic s-wave pairing. This result is fully consistent with the lambda(T) dependence measured for Pr(1.85)Ce(0.15)CuO(4-y).Comment: 4 pages including 4 figures, to appear in Phys. Rev. Let

    Surface floating 2D bands in layered nonsymmorphic semimetals : ZrSiS and related compounds

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    Work at Argonne National Laboratory is supported by the U.S. Department of Energy, Office of Science, under Contract No. DE-AC02-06CH11357; additional support by National Science Foundation under Grant No. DMR-0703406. This work was partially supported by the DFG, proposal no. SCHO 1730/1-1.In this work, we present a model of the surface states of nonsymmorphic semimetals. These are derived from surface mass terms that lift the high degeneracy imposed on the band structure by the nonsymmorphic bulk symmetries. Reflecting the reduced symmetry at the surface, the bulk bands are strongly modified. This leads to the creation of two-dimensional floating or unpinned bands, which are distinct from Shockley states, quantum well states, or topologically protected surface states. We focus on the layered semimetal ZrSiS to clarify the origin of its surface states. We demonstrate an excellent agreement between density functional theory calculations and angle-resolved photoemission spectroscopy measurements and present an effective four-band model in which similar surface bands appear. Finally, we emphasize the role of the surface chemical potential by comparing the surface density of states in samples with and without potassium coating. Our findings can be extended to related compounds and generalized to other crystals with nonsymmorphic symmetries.Publisher PDFPeer reviewe

    Phase-sensitive Evidence for d-wave Pairing Symmetry in Electron-doped Cuprate Superconductors

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    We present phase-sensitive evidence that the electron-doped cuprates Nd1.85Ce0.15CuO4-y (NCCO) and Pr1.85Ce0.15CuO4-y (PCCO) have d-wave pairing symmetry. This evidence was obtained by observing the half-flux quantum effect, using a scanning SQUID microscope, in c-axis oriented films of NCCO or PCCO epitaxially grown on tricrystal [100] SrTiO3 substrates designed to be frustrated for a d(x2-y2) order parameter. Samples with two other configurations, designed to b unfrustrated for a d-wave superconductor, do not show the half-flux quantum effect.Comment: 4 pages, Latex, 4 figure

    The development and implementation of a regional network of physiotherapists for exercise therapy in patients with peripheral arterial disease, a preliminary report

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    BACKGROUND: Exercise therapy (ET) is the main conservative and proven effective treatment of patients with intermittent claudication. Currently, the most frequent exercise prescription is a single 'go home and walk' advise, without supervision or follow-up. There is no evidence to support the efficacy of this advise and compliance is known to be low. Therefore, a systematic approach was used to guarantee quality and standardisation of treatment, optimal guideline adherence and improved of inter-professional communication between vascular surgeons and physiotherapists. In this preliminary report we would like to outline the steps taken for the development and implementation of the Network Exercise Therapy Parkstad METHODS: In October 2003 all 59 regional physiotherapy practices were invited to attend a symposium regarding ET in a physiotherapeutic setting. Attending physiotherapists interested in providing ET and willing to follow a certified course on ET, were asked to register. Three tastkgroups were formed to accomplish the set targets: Exercise therapy education, Exercise therapy implementation and continuity, and Inter-professional communication in the Parkstad region. RESULTS: In total 27 physiotherapists, from 22 different practices followed the educational program and are now trained and accredited to provide ET according to the guideline of the Royal Dutch Society for Physiotherapy. A web-based database wasdesigned to contain information on disease specific items provided by the vascular surgery department, and aspects with respect to ET registered by the physiotherapist. The information is regularly updated and available online. Access tothe database is restricted to vascular surgeons and physiotherapists in the network. The secondary purpose of the database is to register essential benchmark data for future analysis of ET in a physiotherapeutic setting in the Netherlands and to enable physiotherapists continuous feedback on patient performance. A triage system was developed to detect patients with a compromised cardiac history. This group receives ET at the in-hospital department of revalidation with the possibility of immediate consultation of a cardiologist in case of cardiac complications or even CPR. CONCLUSION: The Network Exercise Therapy Parkstad of supervised ET is the first initiative in the Netherlands to provide ET close to the patient's home environment. With the implementation of supervised ET in an outpatient physiotherapeutic setting for all eligible patients with symptomatic PAD, the access to care has been improved. A web-based communication system provides physiotherapists and vascular surgeons with all the necessary and continues updated patient information. Future research, currently in progress, will investigate the therapeutic benefits and cost-effectiveness of exercise therapy in a physiotherapeutic setting

    Animal keeping in Chalcolithic North-Central Anatolia:What can stable isotope analysis add?

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    Stable isotope analysis is an essential investigative technique, complementary to more traditional zooarchaeological approaches to elucidating animal keeping practices. Carbon (δ13C) and nitrogen (δ15N) stable isotope values of 132 domesticates (cattle, caprines and pigs) were evaluated to investigate one aspect of animal keeping, animal forage, at the Late Chalcolithic (mid-fourth millennium BC) site of Çamlıbel Tarlası, which is located in north-central Anatolia. The analyses indicated that all of the domesticates had diets based predominantly on C3 plants. Pig and caprine δ13C and δ15N values were found to be statistically indistinguishable. However, cattle exhibited distinctive stable isotope values and, therefore, differences in diet from both pigs and caprines at Çamlıbel Tarlası. This difference may relate to the distinct patterns of foraging behaviour exhibited by the domesticates. Alternatively, this diversity may result from the use of different grazing areas or from the foddering practices of the Çamlıbel Tarlası inhabitants
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