Failure of non-vacuum steam sterilization processes for dental handpieces

Background: Dental handpieces are used in critical and semi-critical operative interventions. Although a number of dental professional bodies recommend that dental handpieces are sterilized between patient use there is a lack of clarity and understanding of the effectiveness of different steam sterilization processes. The internal mechanisms of dental handpieces contain narrow lumens (0·8-2·3mm) which can impede the removal of air and ingress of saturated steam required to achieve sterilization conditions. Aim: To identify the extent of sterilization failure in dental handpieces using a non-vacuum process. Methods: In-vitro and in-vivo investigations were conducted on commonly used UK benchtop steam sterilizers and three different types of dental handpieces. The sterilization process was monitored inside the lumens of dental handpieces using thermometric (TM) methods (dataloggers), chemical indicators (CI) and biological indicators (BI). Findings: All three methods of assessing achievement of sterility within dental handpieces that had been exposed to non-vacuum sterilization conditions demonstrated a significant number of failures (CI=8/3,024(fails/n tests); BI=15/3,024; TM=56/56) compared to vacuum sterilization conditions (CI=2/1,944; BI=0/1,944; TM=0/36). The dental handpiece most likely to fail sterilization in the non-vacuum process was the surgical handpiece. Non-vacuum sterilizers located in general dental practice had a higher rate of sterilization failure (CI=25/1,620; BI=32/1,620; TM=56/56) with no failures in vacuum process. Conclusion: Non-vacuum downward/gravity displacement, type-N steam sterilizers are an unreliable method for sterilization of dental handpieces in general dental practice. The handpiece most likely to fail sterilization is the type most frequently used for surgical interventions

Investigating steam penetration using thermometric methods in dental handpieces with narrow internal lumens during sterilizing processes with non-vacuum or vacuum processes

Background: Dental handpieces are required to be sterilized between patient use. Vacuum steam sterilization processes with fractionated pre/post-vacuum phases or unique cycles for specified medical devices, are required for hollow instruments with internal lumens to assure successful air removal. Entrapped air will compromise achievement of required sterilization conditions. Many countries and professional organisations still advocate non-vacuum sterilization processes for these devices. Aim: To investigate non-vacuum downward/gravity displacement, type-N steam sterilization of dental handpieces, using thermometric methods to measure time to achieve sterilization temperature at different handpiece locations. Methods: Measurements at different positions within air turbines were undertaken with thermocouples and dataloggers. Two examples of commonly used UK benchtop steam sterilizers were tested; a non-vacuum benchtop sterilizer (Little Sister 3, Eschmann, UK) and a vacuum benchtop sterilizer (Lisa, W&H, Austria). Each sterilizer cycle was completed with three handpieces and each cycle in triplicate. Findings: A total of 140 measurements inside dental handpiece lumens were recorded. We demonstrate that the non-vacuum process fails (time range 0-150 seconds) to reliably achieve sterilization temperatures within the time limit specified by the International standard (15 seconds equilibration time). The measurement point at the base of the handpiece failed in all test runs (n=9) to meet the standard. No failures were detected with the vacuum steam sterilization type B process with fractionated pre-vacuum and post-vacuum phases. Conclusion: Non-vacuum downward/gravity displacement, type-N steam sterilization processes are unreliable in achieving sterilization conditions inside dental handpieces and the base of the handpiece is the site most likely to fail

Targeting Mr Average: Participation, gender equity and school sport partnerships

The School Sport Partnership Programme (SSPP) is one strand of the national strategy for physical education and school sport in England, the physical education and school sport Club Links Strategy (PESSCL). The SSPP aims to make links between school physical education (PE) and out of school sports participation, and has a particular remit to raise the participation levels of several identified under-represented groups, of which girls and young women are one. National evaluations of the SSPP show that it is beginning to have positive impacts on young people's activity levels by increasing the range and provision of extra curricular activities (Office for Standards in Education (OFSTED), 2003, 2004, 2005; Loughborough Partnership, 2005, 2006). This paper contributes to the developing picture of the phased implementation of the programme by providing qualitative insights into the work of one school sport partnership with a particular focus on gender equity. The paper explores the ways in which gender equity issues have been explicitly addressed within the 'official texts' of the SSPP; how these have shifted over time and how teachers are responding to and making sense of these in their daily practice. Using participation observation, interview and questionnaire data, the paper explores how the coordinators are addressing the challenge of increasing the participation of girls and young women. The paper draws on Walby's (2000) conceptualisation of different kinds of feminist praxis to highlight the limitations of the coordinators' work. Two key themes from the data and their implications are addressed: the dominance of competitive sport practices and the PE professionals' views of targeting as a strategy for increasing the participation of under-represented groups. The paper concludes that coordinators work within an equality or difference discourse with little evidence of the transformative praxis needed for the programme to be truly inclusive. © 2008 Taylor & Francis

Harmonic entanglement with second-order non-linearity

We investigate the second-order non-linear interaction as a means to generate entanglement between fields of differing wavelengths. And show that perfect entanglement can, in principle, be produced between the fundamental and second harmonic fields in these processes. Neither pure second harmonic generation, nor parametric oscillation optimally produce entanglement, such optimal entanglement is rather produced by an intermediate process. An experimental demonstration of these predictions should be imminently feasible.Comment: 4 pages, 4 figure

Connected component identification and cluster update on GPU

Cluster identification tasks occur in a multitude of contexts in physics and engineering such as, for instance, cluster algorithms for simulating spin models, percolation simulations, segmentation problems in image processing, or network analysis. While it has been shown that graphics processing units (GPUs) can result in speedups of two to three orders of magnitude as compared to serial codes on CPUs for the case of local and thus naturally parallelized problems such as single-spin flip update simulations of spin models, the situation is considerably more complicated for the non-local problem of cluster or connected component identification. I discuss the suitability of different approaches of parallelization of cluster labeling and cluster update algorithms for calculations on GPU and compare to the performance of serial implementations.Comment: 15 pages, 14 figures, one table, submitted to PR

Maintenance of polar stratospheric clouds in a moist stratosphere

Previous work has shown that polar stratospheric clouds (PSCs) could have acted to substantially warm high latitude regions during past warm climates such as the Eocene (55 Ma). Using a simple model of stratospheric water vapor transport and polar stratospheric cloud (PSC) formation, we investigate the dependence of PSC optical depth on tropopause temperature, cloud microphysical parameters, stratospheric overturning, and tropospheric methane. We show that PSC radiative effects can help slow removal of water from the stratosphere via self-heating. However, we also show that the ability of PSCs to have a substantial impact on climate depends strongly on the PSC particle number density and the strength of the overturning circulation. Thus even a large source of stratospheric water vapor (e.g. from methane oxidation) will not result in substantial PSC radiative effects unless PSC ice crystal number density is high compared to most current observations, and stratospheric overturning (which modulates polar stratospheric temperatures) is low. These results are supported by analysis of a series of runs of the NCAR WACCM model with methane concentrations varying up to one thousand times present levels

Growth rates of the Weibel and tearing mode instabilities in a relativistic pair plasma

We present an algorithm for solving the linear dispersion relation in an inhomogeneous, magnetised, relativistic plasma. The method is a generalisation of a previously reported algorithm that was limited to the homogeneous case. The extension involves projecting the spatial dependence of the perturbations onto a set of basis functions that satisfy the boundary conditions (spectral Galerkin method). To test this algorithm in the homogeneous case, we derive an analytical expression for the growth rate of the Weibel instability for a relativistic Maxwellian distribution and compare it with the numerical results. In the inhomogeneous case, we present solutions of the dispersion relation for the relativistic tearing mode, making no assumption about the thickness of the current sheet, and check the numerical method against the analytical expression.Comment: Accepted by PPC

Ballisistic range measurements of the drag and static and dynamic stability of a recoverable space shuttle booster vehicle

An experimental study has been conducted to determine the aerodynamic characteristics of a proposed recoverable space shuttle booster vehicle. Tests were made at Mach numbers of 0.7, 1.5, and 3.5 of two configurations, one with tail panels deflected 90 deg and one with tail panels deflected 70 deg. Both configurations were found to be highly statically stable at all Mach numbers. The dynamic behavior was erratic; the models exhibited both neutral dynamic stability and dynamic instability, and the motions experienced during free flight at the subsonic Mach number were very irregular. The flow field over the models was characterized by an extensive separated flow region which largely encompassed the tail panels. The experimental drag and static stability were not well predicted by available theoretical estimates

Optimising Spectroscopic and Photometric Galaxy Surveys: Efficient Target Selection and Survey Strategy

The next generation of spectroscopic surveys will have a wealth of photometric data available for use in target selection. Selecting the best targets is likely to be one of the most important hurdles in making these spectroscopic campaigns as successful as possible. Our ability to measure dark energy depends strongly on the types of targets that we are able to select with a given photometric data set. We show in this paper that we will be able to successfully select the targets needed for the next generation of spectroscopic surveys. We also investigate the details of this selection, including optimisation of instrument design and survey strategy in order to measure dark energy. We use color-color selection as well as neural networks to select the best possible emission line galaxies and luminous red galaxies for a cosmological survey. Using the Fisher matrix formalism we forecast the efficiency of each target selection scenario. We show how the dark energy figures of merit change in each target selection regime as a function of target type, survey time, survey density and other survey parameters. We outline the optimal target selection scenarios and survey strategy choices which will be available to the next generation of spectroscopic surveys.Comment: 16 pages, 22 figures, accepted to MNRAS in dec 201