Patient Perception of Physician Attire Before and After Disclosure of the Risks of Microbial Contamination

Background: The white coat is traditionally considered to be the appropriate attire for physicians but it may also be contaminated with microbes and act as a potential source of infection. We aimed to study patients’ acceptance of physicians’ attire, their underlying reasons, and their reactions to an educational intervention with regards to the risks of contamination. Methods: We conducted a voluntary questionnaire survey at a university teaching hospital in Hong Kong from February to July 2012. 262 patient-responses from adult inpatients and outpatients across various specialties were analysed. Results: White coats were highly favoured (90.8%) when compared with scrubs (22.1%), smart casual (7.6%) and formal (7.3%) wears. ’Professional image’ and ‘ease of identification’ were the main attributes of the white coat. Most patients (92.2%) would prefer doctors washing their white coats every few days, whilst 80.9% believed that doctors were actually doing so. After patients were informed of the potential risk of microbial contamination, white coats remained as the most favoured attire (66.4%), but with scrubs doubling in popularity (45.8%). Smart casual (9.2%) and formal attire (4.6%) remain the least accepted. Conclusion: Despite cross-infections being a significant concern within the healthcare environments, patients’ predominant acceptance and perceived attributes towards the white coat were maintained after an educational intervention on the risks of microbial contamination.published_or_final_versio

Survival of atraumatic restorative treatment (ART) sealants and restorations: a meta-analysis

The purpose of this study is to perform a systematic investigation plus meta-analysis into survival of atraumatic restorative treatment (ART) sealants and restorations using high-viscosity glass ionomers and to compare the results with those from the 2005 ART meta-analysis. Until February 2010, four databases were searched. Two hundred four publications were found, and 66 reported on ART restorations or sealant survival. Based on five exclusion criteria, two independent reviewers selected the 29 publications that accounted for the meta-analysis. Confidence intervals (CI) and or standard errors were calculated and the heterogeneity variance of the survival rates was estimated. Location (school/clinic) was an independent variable. The survival rates of single-surface and multiple-surface ART restorations in primary teeth over the first 2 years were 93% (CI, 91–94%) and 62% (CI, 51–73%), respectively; for single-surface ART restorations in permanent teeth over the first 3 and 5 years it was 85% (CI, 77–91%) and 80% (CI, 76–83%), respectively and for multiple-surface ART restorations in permanent teeth over 1 year it was 86% (CI, 59–98%). The mean annual dentine lesion incidence rate, in pits and fissures previously sealed using ART, over the first 3 years was 1%. No location effect and no differences between the 2005 and 2010 survival rates of ART restorations and sealants were observed. The short-term survival rates of single-surface ART restorations in primary and permanent teeth, and the caries-preventive effect of ART sealants were high. Clinical relevance: ART can safely be used in single-surface cavities in both primary and permanent teeth. ART sealants have a high caries preventive effect

Potassium Use Efficiency of Plants

International audienceThere are many terms used to define aspects of potassium (K) use efficiency of plants. The terms used most frequently in an agricultural context are (1) agronomic K use efficiency (KUE), which is defined as yield per unit K available to a crop and is numerically equal to the product of (2) the K uptake efficiency (KUpE) of the crop, which is defined as crop K content per unit K available and (3) its K utilization efficiency (KUtE), which is defined as yield per unit crop K content. There is considerable genetic variation between and within plant species in KUE, KUpE, and KUtE. Root systems of genotypes with greatest KUpE often have an ability (1) to exploit the soil volume effectively, (2) to manipulate the rhizosphere to release nonexchangeable K from soil, and (3) to take up K at low rhizosphere K concentrations. Genotypes with greatest KUtE have the ability (1) to redistribute K from older to younger tissues to maintain growth and photosynthesis and (2) to reduce vacuolar K concentration, while maintaining an appropriate K concentration in metabolically active subcellular compartments, either by anatomical adaptation or by greater substitution of K with other solutes in the vacuole. Genetic variation in traits related to KUpE and KUtE might be exploited in breeding crop genotypes that require less K fertilizer. This could reduce fertilizer costs, protect the environment, and slow the exhaustion of nonrenewable resources