Oral health beliefs and behaviors of nurse and nurse practitioner students using the HU-DBI inventory: An opportunity for oral health vicarious learning

Background: Oral health access to care issues are resulting in curricular changes to train nursing students as oral health educators and providers. However, little data are available concerning their personal oral health beliefs/behaviors. The study purpose was to gather information from nurse and nurse practitioner students regarding their oral health beliefs and behaviors. Methods: Using the Hiroshima University Dental Behavioural Inventory (HU-DBI), survey data were gathered from nurse and nurse practitioner students as well as dental hygiene students as controls concerning their oral health beliefs and behaviors. Results: Mean HU-DBI scores were higher among nurse practitioner than nursing students, indicating more positive beliefs/behaviors, but both were lower than dental hygiene students. Both nurse and nurse practitioner students reported significantly fewer dental visits and some poorer hygiene practices than controls. Additionally, nursing students were more likely to believe that their teeth were worsening despite brushing. Conclusions: Assessment of personal oral health beliefs/behaviors should occur early in nursing education with mentoring so that optimal modeling can positively impact patients’ oral health. Oral health education opportunities within and among disciplines are discussed

3D Visualization of Coral Reef Habitat

A bathymetric survey was recently conducted in Southeast Florida (Broward County) during April 2001 using the Laser Airborne Depth Sounder (LADS) system. This four-meter resolution survey encompassed from North Dade County, through the length of Broward County coastline, to south Palm Beach County (approximately 43 km) and from the shore eastward to depths of approximately 40 m (2.5-3.5 km offshore). This georeferenced data was sun shaded at various angles and azimuths and draped with a NOAA NAPP 1:24,000 georeferenced air photograph mosaic. The model was zoomed and tipped to the desired orientations and processed into three-dimensional perspectives. Two views, slightly offset, were used to create anaglyphs. The anaglyph provided an actual three-dimensional view of the bathymetry. Multiple view options were useful for identifying benthic features including coral reefs and associated habitats

Calculation of Wood Density Variation From X-ray Densitometer Data

A method is proposed for quantifying the variation in wood density as recorded by X-ray densitometry. This method uses the sum of the squared deviations from the mean density, and so approximates a true statistical variance. This gives greater meaning to variation than has previously been described. The density variation can be computed for a single growth ring, or several growth rings. The calculations are shown using data from 11-year-old Pinus radiata trees

Mapping Coral Reef Habitats in Southeast Florida Using a Combined Technique Approach

To create maps of nearshore benthic habitats of Broward County, Florida, from 0 to 35 m depth, we combined laser bathymetry, acoustic ground discrimination, subbottom profiling, and aerial photography data in a geographic information system (GIS). A mosaic of interpolated, sun-shaded, laser bathymetry data served as the foundation upon which acoustic ground discrimination, limited subbottom profiling and aerial photography, and groundtruthing data aided in interpretation of habitats. Mapping criteria similar to NOAA biogeographic Caribbean mapping were used to allow for a comparable output. Expert-driven visual interpretation outlined geomorphological features at a scale of 1 : 6000 with a minimum mapping unit of 1 acre. Acoustic data were then used to differentiate areas of similar geomorphology by their acoustic diversity into areas of high and low scatter, which could be equated to rugosity created by either the substratum or benthic fauna. Of the approximately 112 km² mapped, 56.62 km² were coral reef and colonized hard bottom (50.42%), 54.78 km² were unconsolidated sediments (46.80%), and 0.43 km² were other categories (2.78%). Three linear reef complexes exist. The outermost linear reef has a mature windward reef morphology including a drowned spur and groove system, which was absent on the other two reef lines. The acoustic ground discrimination and groundtruthing showed different benthic habitats on the outer vs. middle and inner reefs. Higher acoustic scatter could be related to taller benthos and more rugose substratum. A considerable amount of colonized pavement (nearshore hard grounds) was found inshore. The map of Broward County yielded a high overall accuracy of 89.6%, only slightly less than the photo-interpreted NOAA Caribbean maps (overall accuracy of 91.1%). User and producer accuracies within each category were also similar. The combined technique approach was effective and accurate, and similar methodology can be used in other areas where photo interpretation is not feasible because of turbidity or depth limitations

Fish Assemblages Associated with Artificial Reefs of Concrete Aggregates or Quarry Stone Offshore Miami Beach, Florida, USA

Few studies have compared the suitability of different artificial reef construction materials in terms of their efficacy in acquiring diverse faunal assemblages. We compared the fishes associated with 12 co-located reefs constructed of limestone quarry boulders, concrete-gravel aggregate, or concrete-tire aggregate (four of each substrate) in 7 m of water, 200 m offshore Miami Beach, Florida, USA. All 12 reefs were deployed 100 m apart the same day in two lines of six. The four quarry stone reefs consist of a pile of 50 boulders each. The remaining eight reefs, of concrete-gravel aggregate and concrete-tire aggregate, were each constructed with 25 1.5 m edge and 25 1.2 m edge tetrahedron modules. Every two months from October 1998 to February 2001, SCUBA divers recorded fish species, abundance, and length, as well as spiny lobster, Panulirus argus, abundance. One hundred and forty-six species of fishes were recorded during the study period. The abundance and species richness of fish on each treatment exhibited a significant (p\u3c0.05) seasonal variation with summer months having the greatest numbers and winter the lowest. There was no significant difference in total fish or spiny lobster abundance or fish biomass amongst the three reef types (p\u3e0.05). Likewise, multi-dimensional scaling of Bray-Curtis dissimilarity indices did not indicate clustering of fish assemblages by reef type. Comparison of pre-deployment fish counts from the reef sites and neighboring hard bottom and jetty with counts from the same sites two years post-deployment indicate the artificial reefs increased both fish abundance and richness in the local area

Gonorrhea infection in women: prevalence, effects, screening, and management

Gonorrhea is a set of clinical conditions resulting from infection with the sexually-acquired bacterial pathogen Neisseria gonorrhoeae. Acquisition may involve multiple mucosal sites in the lower female genital tract, including the urethra, cervix, Bartholin’s and Skene’s glands, as well as the anorectal canal, pharynx, and conjunctivae. It may spread to the upper genital tract, uterine tubes, abdominal cavity, and other systemic sites. Gonorrhea is the second most commonly reported sexually-transmitted infection in the US and rates are higher among women than men. Women and infants are affected disproportionately by gonorrhea, because early infection may be asymptomatic and also because extension of infection is often associated with serious sequelae. Screening is critical for infection identification and the prevention or limitation of upper genital tract spread, and horizontal and vertical transmission. Routine genital screening is recommended annually for all sexually active women at risk for infection, including women aged < 25 years and older women with one or more of the following risks: a previous gonorrhea infection, the presence of other sexually transmitted diseases, new or multiple sex partners, inconsistent condom use, commercial sex work, drug use, or human immunodeficiency virus infection with sexual activity or pregnancy. Pharyngeal gonococcal infections are common in adolescents, and direct culture screening is necessary to identify affected individuals. Nucleic acid amplification tests (NAATs) are considered the standard for screening and diagnosis. Although urine NAAT testing is most commonly used, there is growing support for vaginal swabs collected by providers or patients themselves. Resistance to all antibiotics currently recommended for the treatment of gonorrhea has been documented and complicates therapeutic strategies. The Centers for Disease Control and Prevention recommend treatment of gonorrhea with a single class of drugs, ie, the cephalosporins

LIDAR-Derived Benthic Habitat Maps Enable the Quantification of Potential Dredging Impacts to Coral Reef Ecosystems

An essential component to the analysis of ecosystem services is to characterize and define the major habitats within the area of interest. Aerial photography and/or satellite imagery coupled with geographic information systems (GIS) are frequently used to identify and quantify habitats in open terrestrial ecosystems. However, it is more difficult to successfully apply this methodology to deeper, \u3c20 m, underwater environments. Light detection and ranging (LIDAR), a relatively new remote sensing technology that provides detailed bathymetry, can be used when adequate imagery is not available. This study uses LIDAR as the basis to characterize various benthic habitats in a coral reef ecosystem in order to quantify the habitats for a Habitat Equivalency Analysis (HEA) related to planned dredging activities to expand the Port Everglades entrance channel, Broward County, FL. As part of a regional mapping effort, marine benthic habitats were characterized for Broward County, FL. A mosaic of interpolated, sunshaded, laser bathymetry data served as the foundation upon which acoustic ground discrimination, limited subbottom profiling and aerial photography, and groundtruthing data were added in a GIS to aid in interpretation of benthic habitats. Expert-driven visual interpretation outlined geomorphological features in the LIDAR data at a scale of 1:6000 with a minimum mapping unit of 1 acre. The map of Broward County yielded a high overall accuracy of 89.6%. To quantify the potential dredging impacts, the habitat layer was clipped in GIS to the boundaries of anticipated direct and indirect impacts of the proposed project. Then the area of each clipped polygon was totaled for each habitat by impact type. HEA and Florida’s Uniform Mitigation Assessment Method (UMAM) were performed using these areas. This work would not have been possible using satellite imagery or aerial photography alone and illustrates the capability of relatively new remote sensing technologies to aid in the definition and quantification of habitats for ecosystem service analyses