Designing for Safety:Implications of a Fifteen Year Review of Swallowed and Aspirated Dentures

Objectives: Dentures are worn by around 20% of the population, yet if they become displaced they may enter the gastrointestinal or respiratory system, sometimes with grave consequences. The aim of this study was to review recent published literature in order to identify the epidemiology of patients and characteristics of swallowed and aspirated dental prostheses, and propose strategies to minimise these risks. Material and Methods: A fifteen year retrospective of published case series and case reports was carried out. Photographs, radiographs and descriptions of the dental prostheses were gathered, as well as the patient’s presenting complaint, the anatomical site where the denture was caught and the procedure required to remove the denture. Results: Ninety one separate events of swallowed or aspirated dentures were identified from 83 case reports and series from 28 countries. Average age was 55 years, and these were 74% male. Photographs were retrieved for 49 of these dentures. Clasps were present in 25 of the dentures. There was no significant difference between clasped and unclasped dentures for perforation rates, need for open surgery and spontaneously passed dentures. Conclusions: We discuss the implications of this study regarding denture designs, specifically the importance of using a radiopaque acrylic, using clasps when required even if there is a risk of aspiration, advising patients to return if a denture is loose or damaged, and finally that all patients who wear a denture are at risk of aspiration and swallowing events, and associated morbidity and mortality

Two parameter Deformed Multimode Oscillators and q-Symmetric States

Two types of the coherent states for two parameter deformed multimode oscillator system are investigated. Moreover, two parameter deformed $gl(n)$ algebra and deformed symmetric states are constructed.Comment: LaTeX v1.2, 14 pages with no figure

Correlation length in cuprates deduced from the impurity-induced magnetization

We report a new multi-nuclei based NMR method which allows us to image the staggered polarization induced by nonmagnetic Li impurities in underdoped O6.6 and slightly overdoped O7 YBa2Cu3O6+y above T_C. The spatial extension of the polarization xi_imp approximately follows a Curie law, increasing up to six lattice constants at T=80K at O6.6 in the pseudogap regime. Near optimal doping, the staggered magnetization has the same shape, with xi_imp reduced by a factor 2. xi_imp is argued to reveal the intrinsic magnetic correlation length of the pure system. It is found to display a smooth evolution through the pseudogap regime.Comment: 8 latex pages + 8 figures, to appear in Physical Review B, this resubmitted version is twice longer than the previous one : we detail here our method to determine the impurity-induced magnetizatio

Effect of statins on atrial fibrillation: collaborative meta-analysis of published and unpublished evidence from randomised controlled trials

Objective To examine whether statins can reduce the risk of atrial fibrillation. Design Meta-analysis of published and unpublished results from larger scale statin trials, with comparison of the findings against the published results from smaller scale or shorter duration studies. Data sources Medline, Embase, and Cochrane's CENTRAL up to October 2010. Unpublished data from longer term trials were obtained through contact with investigators. Study selection Randomised controlled trials comparing statin with no statin or comparing high dose versus standard dose statin; all longer term trials had at least 100 participants and at least six months' follow-up. Results In published data from 13 short term trials (4414 randomised patients, 659 events), statin treatment seemed to reduce the odds of an episode of atrial fibrillation by 39% (odds ratio 0.61, 95% confidence interval 0.51 to 0.74; P<0.001), but there was significant heterogeneity (P<0.001) between the trials. In contrast, among 22 longer term and mostly larger trials of statin versus control (105 791 randomised patients, 2535 events), statin treatment was not associated with a significant reduction in atrial fibrillation (0.95, 0.88 to 1.03; P=0.24) (P<0.001 for test of difference between the two sets of trials). Seven longer term trials of more intensive versus standard statin regimens (28 964 randomised patients and 1419 events) also showed no evidence of a reduction in the risk of atrial fibrillation (1.00, 0.90 to 1.12; P=0.99). Conclusions The suggested beneficial effect of statins on atrial fibrillation from published shorter term studies is not supported by a comprehensive review of published and unpublished evidence from larger scale trials

Interference effects in f-deformed fields

We show how the introduction of an algeabric field deformation affects the interference phenomena. We also give a physical interpretation of the developed theory.Comment: 6 pages, Latex file, no figures, accepted by Physica Script

Deformed versus undeformed cat states encoding qubit

We study the possibility of exploiting superpositions of coherent states to encode qubit. A comparison between the use of deformed and undeformed bosonic algebra is made in connection with the amplitude damping errors.Comment: 6 pages, 2 eps figures, to appear in J. Opt.

Some remarks on the Gauss decomposition for quantum group GL_q(n)

In this letter some properties of the Gauss decomposition of quantum group $GL_q(n)$ with application to q-bosonization are considered.Comment: 11 page

The role of primary healthcare professionals in oral cancer prevention and detection

AIM: To investigate current knowledge, examination habits and preventive practices of primary healthcare professionals in Scotland, with respect to oral cancer, and to determine any relevant training needs. SETTING: Primary care. METHOD: Questionnaires were sent to a random sample of 357 general medical practitioners (GMPs) and 331 dental practitioners throughout Scotland. Additionally, focus group research and interviews were conducted amongst primary healthcare team members. RESULTS: Whilst 58% of dental respondents reported examining regularly for signs of oral cancer, GMPs examined patients' mouths usually in response to a complaint of soreness. The majority of GMPs (85%) and dentists (63%) indicated that they felt less than confident in detecting oral cancer, with over 70% of GMPs identifying lack of training as an important barrier. Many practitioners were unclear concerning the relative importance of the presence of potentially malignant lesions in the oral cavity. A high proportion of the GMPs indicated that they should have a major role to play in oral cancer detection (66%) but many felt strongly that this should be primarily the remit of the dental team. CONCLUSION: The study revealed a need for continuing education programmes for primary care practitioners in oral cancer-related activities. This should aim to improve diagnostic skills and seek to increase practitioners' participation in preventive activities