The direct/indirect composite resin veneers: a case report

Veneer restorations are well suited for conservative and aesthetic improvement of the anterior dentition. Laboratory fabricated porcelain and composite resin veneers present optimal aesthetics and durability. Although there are disadvantages associated with direct bonding, it provides control of color and contour for the operator, particularly in the case of a single anterior central incisor. Direct/indirect composite resin veneers utilize the advantages of both direct and indirect techniques in reconstruction of restorations with improved physical properties. The learning objective of this article is to review the available composite resins, opaquers, and tints, and present a step-by-step protocol for predictable restoration of discolored anterior dentition with direct/indirect heat-treated composite resin veneers in a single appointment. Patient evaluation, preoperative aesthetic considerations, selection of the restorative composite resins, and the clinical procedure are discussed.     

La réputation sociale de l'enfant en milieu scolaire.

Studied the social reputations of elementary school children. Ss were 76 2nd-grade (mean age 7.5 yrs), 71 3rd-grade (mean age 8.5 yrs), and 83 4th-grade students (mean age 9.7 yrs). Using the peer nomination technique, Ss were assessed collectively on 8 dimensions requiring both social and academic judgments. A cluster analysis was performed to identify groups with different sociometric profiles. Correlations between peer evaluations and teacher evaluations of Ss' social reputations were determined. (English abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Palatopharyngeal surgery. A study of its effectiveness in the treatment of obstructive apnea syndrome during sleep

Palatopharyngeal surgery is a therapeutic option for obstructive Sleep Apnea Syndrome (OSAS). This operation is based on the assumption that the soft palate is the principal apneogenic area of the upper airways. The effectiveness of palatopharyngeal surgery and of correcting nasal obstruction (co-adjuvant factor of SAOS), when present, was evaluated. Thirty patients were selected by cephalometry for surgery (3 women, 27 men; age 45.3 +/- 7.5 years). The success rate was 60%, which justifies the inclusion of surgery as a useful option for treating SAOS.     

Dielectric barrier discharge treatments at atmospheric pressure for wood surface modification

In this research, the effect of dielectric barrier discharge on mechanically manufactured (sawn, planed or polished) wood surfaces is investigated. The experiments have shown that the best hydrophilia is obtained with a cold plasma discharge in air under atmospheric pressure. Other gases such as helium, nitrogen, and argon have been tested, too. Changes of the wood surface properties were determined by absorption of water and contact angle measurements. As a result of a 1 to 20 seconds long exposure to plasma, wood surfaces became hydrophilic. The absorption of water in wood can be changed up to 22 times higher after plasma treatment in air for 20 seconds duration. The fracture strength of glued wood has been increased by 68% after this plasma pretreatment. Using plasma treatment in methane or acetylene wood surfaces are changed to hydrophobic properties. After plasma treatment for 1 min. in a Ar:CH₄=80:20 gas mixture under atmospheric pressure, the absorption of water in wood is 32 times lower than without plasma treatment. As mentioned before, plasma treatment can produce hydrophobic and hydrophilic wood surfaces. But a good homogeneity of the gas discharge is necessary for the plasma treatment of wood. Zusammenfassung Im Rahmen dieser Arbeit werden die Auswirkungen der dielektrisch behinderten Entladung bei Atmosphärendruck auf mechanisch bearbeitete Holzoberflächen (gesägt, gehobelt oder geschliffen) untersucht. Die Experimente haben gezeigt, dass die höchste Hydrophilität bei einem in Luftatmosphäre gezündetem Plasma erreicht wird. Es werden auch andere Gase verwendet, wie z.B. Helium, Stickstoff und Argon. Zur Untersuchung der veränderten mechanischen und energetischen Eigenschaften der Holzoberflächen werden der Tropfen-Versuch und die Kontaktwinkelmessung verwendet. Durch eine 1 bis 20 Sekunden lange Plasmabehandlung können die Oberflächen hydrophil gestaltet werden. So kann die Eindringzeit von Wasser um Faktor 22 gesteigert werden durch eine 20 Sekunden lange Plasmabehandlung in Umgebungsluft. Die Bruchfestigkeit von Leimholz wird durch die gleiche Plasmavorbehandlung um 68% gesteigert. Werden als Plasmabehandlungsgas Methan oder Acetylen eingesetzt, so wird die Holzoberfläche hydrophob. Durch eine 60 Sekunden lange Plasmabehandlung in einem Ar:CH₄=80:20 Gasgemisch bei Atmosphärendruck wird die Eindringszeit von Wasser um den Faktor 32 gesenkt. Mit Hilfe der Plasmabehandlung können also sowohl hydrophobe als auch hydrophile Holzoberflächen erzeugt werden. Jedoch wird für die Plasmabehandlung von Holz eine sehr homogene Gasentladung benötigt.     

Organizational determinants of IT adoption in the pharmaceutical distribution sector

The aim of this paper is to propose new organizational factors that might explain the differences in the extent and the speed of IT adoption. With this in mind, we carried out an analysis of 16 cases in the pharmaceutical distribution sector in Spain. The results indicate that there are certain intangible assets that favour the introduction and development of IT. Among these are a frank and fluid communication between departments and members of the organization, low levels of conflict, the explicit support of top management towards IT adoption and learning and creative skills of IT-staff. In addition to these factors, we found others that we propose as catalysts of IT adoption. Among these we might mention the special relationship between the member-clients and the company in the case of cooperative firms.     

Optimal Locations of Groundwater Extractions in Coastal Aquifers

A regional water supply management model for coastal aquifers was developed. One of its outcomes is the definition of the optimized locations for groundwater withdrawal. Such a tool permits the analysis of alternative plans for groundwater extraction and the sustainable use of water resources in a coastal aquifer subject to saltwater intrusion. The principal components are the evolutionary optimization and the analytical/numerical simulation models. The optimization technique looks for the best well locations taking into consideration the economic results and the satisfaction of the societal water demand. However these two concerns are conditioned by trying to control the saltwater intrusion, i.e., preserving the environmental equilibrium. The simulation model uses the governing mathematical equations for groundwater movement to find the interface between freshwater and saltwater. Because of the non-linearity in the system and the possibility of a jumping interface, a security distance was defined. This is a controlling variable which can be set by the decision makers. The model was applied to a typical case with interesting results. For example, diagrams showing the relationship between the location of the wells and the security distance(s) are of importance to the managers. It was also crucial to have an understanding of the tradeoffs between groundwater withdrawals, positions of the wells from the coast line, and the security distance. The model was also applied to a real case in order to relate the extractions, distances and artificial recharge (not presented in this paper).     

Pressure effects on flow and fracture of Be-Al alloys

The flow and fracture behavior of Be-Al alloys were determined in tension with different levels of superimposed pressure. The Be-Al alloys were prepared by Brush Wellman, Inc. (Cleveland, OH) from prealloyed powders processed to either a hot isostatically pressed (“hipped”) or cold isostatically pressed and extruded condition. Significant effects of pressure on both the flow and ductility have been observed at room temperature, with implications on the formability of these materials. The effects of changes in processing conditions and stress state on the flow and fracture behavior are summarized in addition to both optical and scanning electron microscopy (SEM) examination of the fracture surfaces. Separate other studies on the alloy constituents (e.g., Al and Be) are also reported. The results are also compared to previous works on monolithic materials and composites tested with high pressure.     

Spreading Codes Generator for Wireless CDMA Networks

The prime characteristic of spread spectrum modulated signals is that their bandwidth is greater than the information rate. In this way a redundancy is introduced that allows the severe levels of inteference inherent in the transmission of digital information over radio and satellite links to be overcome. Current spread spectrum applications are primarily in military communications; nevertheless, there is growing interest in this technique for third generation mobile radio networks (UMTS, FPLTS, etc.) with open discussion regarding the practicality of using a multiple access system based on spread spectrum techniques (CDMA). However, in order to support as many users in the same bandwidth as other multiple access techniques such as TDMA or FDMA, it is important how to generate large families of sequences that present low cross-correlation. The aim of this paper is to describe a spreading codes generator that can produce a large number of PN sequences with good properties of auto- and cross-correlation. Moreover, the codes generated shows high unpredictability and good statistical behaviour. This also allows the implementation of some features that are common on military networks such as message privacy (increasingly important in commercial networks) without additional cost. The structure presented shows itself to be advantageous for high speed generation of codes at a low cost, low power consumption (allowing longer life for batteries), small size and simplicity of implementation, essential ingredients for commercial equipment. Another attractive feature is its structural parallelism, useful in VLSI implementations. All of these features render it potentially suitable for the implementation of channel bandwidth sharing systems in future wireless personal communications networks.     

Bone marrow biopsy in the diagnosis of fever of unknown origin in patients with acquired immunodeficiency syndrome

BACKGROUND: Fever is commonly observed in patients with human immunodeficiency virus (HIV) disease and frequently eludes diagnosis. The role of bone marrow biopsy in the diagnosis of fever of unknown origin in patients infected with HIV remains controversial. PATIENTS AND METHODS: One hundred twenty-three consecutive patients with 137 episodes of fever lasting 10 or more days without diagnosis after 1 week of hospitalization were evaluated by bone marrow biopsy. RESULTS: Overall, a specific diagnosis was achieved in 52 episodes by means of culture and histopathological examination (diagnostic yield, 37.9%). Three types of disease were found: mycobacterial infections (n = 36, 69% of documented episodes), including 18 patients with disseminated tuberculosis and 14 with Mycobacterium avium-intracellulare complex infections; non-Hodgkin lymphomas (n = 12, 23%); and visceral leishmaniasis (n = 4, 8%). Although bone marrow cultures were more sensitive than microscopic examination with special stains for the diagnosis of mycobacterial infections, the pathological examination of bone marrow led to a more rapid diagnosis of disease. In addition, the histopathological examination of bone marrow alone led to the diagnosis of a specific condition in 43 episodes (31.3% of all episodes). CONCLUSIONS: Bone marrow biopsy is a useful procedure for the diagnosis of fever in patients with advanced HIV disease, particularly in areas where tuberculosis and leishmaniasis are prevalent. Involvement of the marrow may be the first indication of the existence of extranodal non-Hodgkin lymphoma. For Mycobacterium avium-intracellulare complex infection, blood cultures were more sensitive than bone marrow biopsy.