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Sample records for epitympanic recess comparison

  1. CT evaluation of the anterior epitympanic recess; Comparison among non-inflammatory ear, chronic otitis media with central perforation and cholesteatoma

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    Yamasoba, Tatsuya; Kikuchi, Shigeru; Takeuchi, Naonobu; Harada, Takehiko; Nomura, Yasuya (Tokyo Univ. (Japan). Faculty of Medicine)

    1991-02-01

    The structures of the anterior epitympanic recess and its surrounding tissues were examined among non-inflammatory ear, chronic otitis media with central perforation and cholesteatoma, using axial scans of high resolution computed tomography. The length and width of the recess, as well as the number of the slices where the cog was determined, had no significant differences among them. Thus, the bony structure of the recess was considered to be seldom influenced by inflammatory processes. In the non-inflammatory ear, the degree of pneumatization around the recess was similar to that of the petrous apex cells and lower than that of the mastoid cells. In the chronic otitis media with central perforation and cholesteatoma, the pneumatization of the whole temporal bones was suppressed and the tendency was also found that the cells around the recess were less pneumatized than the mastoid cells. When cholesteatoma invaded into the anterior epitympanic recess, the destruction of the bony protrusion of the lateral wall between the recess and the epitympanum was recognized, as well as the disappearance of the cog. The bony protrusion was considered to be an inferior extention of the cog toward the anterior tympanic spine. (author).

  2. Modified adjustable suture hang-back recession: Description of technique and comparison with conventional adjustable hang-back recession

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    Siddharth Agrawal

    2017-01-01

    Full Text Available Purpose: This study aims to describe and compare modified hang-back recession with the conventional hang-back recession in large angle comitant exotropia (XT. Methods: A prospective, interventional, double-blinded, randomized study on adult patients (>18 years undergoing single eye recession-resection for large angle (>30 prism diopters constant comitant XT was conducted between January 2011 and December 2015. Patients in Group A underwent modified hang-back lateral rectus recession with adjustable knot while in Group B underwent conventional hang-back recession with an adjustable knot. Outcome parameters studied were readjustment rate, change in deviation at 6 weeks, complications and need for resurgery at 6 months. Results: The groups were comparable in terms of age and preoperative deviation. The patients with the modified hang back (Group A fared significantly better (P < 0.05 than those with conventional hang back (Group B in terms of lesser need for adjustment, greater correction in deviation at 6 weeks and lesser need for resurgery at 6 months. Conclusion: This modification offers several advantages, significantly reduces resurgery requirement and has no added complications.

  3. Cutaneous and Labyrinthine Tolerance of Bioactive Glass S53P4 in Mastoid and Epitympanic Obliteration Surgery: Prospective Clinical Study

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    Daniele Bernardeschi

    2015-01-01

    Full Text Available Objective. To evaluate the cutaneous and the inner ear tolerance of bioactive glass S53P4 when used in the mastoid and epitympanic obliteration for chronic otitis surgery. Material and Methods. Forty-one cases have been included in this prospective study. Cutaneous tolerance was clinically evaluated 1 week, 1 month, and 3 months after surgery with a physical examination of the retroauricular and external auditory canal (EAC skin and the presence of otalgia; the inner ear tolerance was assessed by bone-conduction hearing threshold 1 day after surgery and by the presence of vertigo or imbalance. Results. All surgeries but 1 were uneventful: all patients maintained the preoperative bone-conduction hearing threshold except for one case in which the round window membrane was opened during the dissection of the cholesteatoma in the hypotympanum and this led to a dead ear. No dizziness or vertigo was reported. Three months after surgery, healing was achieved in all cases with a healthy painless skin. No cases of revision surgery for removal of the granules occurred in this study. Conclusion. The bioactive glass S53P4 is a well-tolerated biomaterial for primary or revision chronic otitis surgery, as shown by the local skin reaction which lasted less than 3 months and by the absence of labyrinthine complications.

  4. Clinical Comparison of Subepithelial Connective Tissue Grafts and Coronally Advanced Flaps with Emdogain in the Treatment of Gingival Recessions

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    F. Haghighati

    2007-03-01

    Full Text Available Objective: The aim of this study was to compare subepithelial connective tissue grafts (SCTG and coronally advanced flaps (CAF with the addition of Emdogain in the treatment of gingival recession.Materials and Methods: This interventional randomized controlled clinical trial involved eleven patients and 31 teeth demonstrating facial recessions of > 2 mm identified as Miller’s class I or II. Recession depth (RD, recession width (RW, probing depth (PD, clinical attachment level (CAL, and keratinized tissue (KT, weremeasured at baseline and at 4, 12 and 24 weeks postoperation. Before surgery the samples were randomized to receive either a CAF with Emdogain (test group or a connective tissue graft (control group. Data were analyzed using independent t-test and univariate analysis of variance.Results: Twenty-four weeks after therapy, the mean root coverage in the test and control cases was 50.24% and 65.82%, respectively. There was no significant difference between the two groups (P=0.759. Within the 24-week follow-up period both procedures resulted in statistically significant improvement in RD, RW and CAL, but not in PD. KT increased 0.7 mm in the SCTG group while it decreased 0.5 mm in the Emdogain group (P<0.05.Conclusion: The SCTG procedure provided better results in comparison to CAF with Emdogain. However the later method is easier and less technique-sensitive. Therefore it can be considered as a possible substitute for the treatment of gingival recessions,especially when increasing KT is not required.

  5. Bilateral multiple recession coverage with platelet-rich fibrin in comparison with amniotic membrane

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    Sonia S Shetty

    2014-01-01

    Full Text Available Various plastic procedures are done to enhance esthetics, relieve hypersensitivity or even prevent root caries. The most predictable plastic procedure is the coronally advanced flap procedure, with subepithelial connective tissue. Owing to the second surgical donor site and difficulty in procuring a sufficient graft in multiple recessions, various alternative additive membranes are used. This is a case report, the first of its kind, wherein a bilaterally occurring multiple Millers class I recession was managed by using Platelet-rich Fibrin (PrF and amniotic membrane, in a 40-year-old male, who presented to the Department of Periodontics. He complained of hypersensitivity in relation to the upper right and left back region, a bilateral Millers class I recession in relation to 15, 16, and 25, 26 of 3 mm each. Both the recessions were planned for root coverage with coronally advanced flap and additive membrane. The sites were randomly assigned for the use of platelet-rich fibrin and an aminotic membrane. The clinical outcome of the surgical procedure accounted for 100% root coverage, an enhanced gingival biotype, with both the membranes. Furthermore, the results were stable even after seven months in the amniotic membrane-treated site. Hence, the use of amniotic membrane as a novel approach to root coverage is more advantageous than PrF owing to the laboratory preparation of the autologous biomaterial.

  6. FLOW DYNAMIC COMPARISON BETWEEN RECESSED HINGE AND OPEN PIVOT BI-LEAFLET HEART VALVE DESIGNS.

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    Govindarajan, V; Udaykumar, H S; Chandran, K B

    2009-06-01

    The flow dynamics through the peripheral and hinge regions of a bi-leaflet mechanical heart valve are complex and result in abnormally high shear stresses particularly during the closing phase of the valve function. It has been observed that, the late stages of closure is more significant in the dynamics of platelet activation; therefore, the later stages of closure is simulated by solving the two-dimensional Navier-Stokes equations using an Eulerian Levelset based sharp interface Cartesian grid method. Using a fixed Cartesian mesh incorporating local mesh refinement for solution accuracy and efficiency, the flow through and within a recessed hinge design and an open pivot hinge design is compared. Platelets are modelled as point particles by Lagrangian particle tracking algorithm with one way coupling. A dilute particle flow is assumed and particle-particle interactions are neglected. It was observed that the hinge region of the open pivot valve indicated a lower potential for activation of platelets compared to that in valves with a recessed hinge design.

  7. Autosomal recessive hypercholesterolemia (ARH) and homozygous familial hypercholesterolemia (FH): a phenotypic comparison.

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    Pisciotta, Livia; Priore Oliva, Claudio; Pes, Giovanni Mario; Di Scala, Lilla; Bellocchio, Antonella; Fresa, Raffaele; Cantafora, Alfredo; Arca, Marcello; Calandra, Sebastiano; Bertolini, Stefano

    2006-10-01

    Autosomal recessive hypercholesterolemia (ARH) is a rare disorder, due to complete loss of function of an adaptor protein (ARH protein) required for receptor-mediated hepatic uptake of LDL. ARH is a phenocopy of homozygous familial hypercholesterolemia (HoFH) due to mutations in LDL receptor (LDLR) gene; however, previous studies suggested that ARH phenotype is less severe than that of HoFH. To test this hypothesis we compared 42 HoFH and 42 ARH patients. LDLR and ARH genes were analysed by Southern blotting and sequencing. LDLR activity was measured in cultured fibroblasts. In ARH plasma LDL cholestrol (LDL-C) level (14.25+/-2.29 mmol/L) was lower than in receptor-negative HoFH (21.38+/-3.56 mmol/L) but similar to that found in receptor-defective HoFH (15.52+/-2.39 mmol/L). The risk of coronary artery disease (CAD) was 9-fold lower in ARH patients. No ARH patients

  8. Sex-linked recessive

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    Inheritance - sex-linked recessive; Genetics - sex-linked recessive; X-linked recessive ... X-linked recessive diseases most often occur in males. Males have only one X chromosome. A single recessive gene ...

  9. Comparison of two techniques of harvesting connective tissue and its effects on healing pattern at palate and recession coverage at recipient site

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    Pandit, Nymphea; Khasa, Meenakshi; Gugnani, Shalini; Malik, Rajvir; Bali, Deepika

    2016-01-01

    Aim: To compare the healing pattern in palate following harvestation of connective tissue graft by two different techniques and to compare the recession coverage at the recipient sites. Materials and Methods: 30 recession sites with Miller's class I and II recession in 16 patients were recruited for this study. Sites were randomly divided into 2 treatment groups. Group I used Unigraft Knife to harvest the connective tissue whereas in group II patients Langer & Langer techniques was used to harvest the connective tissue graft from the palate. Healing was evaluated at the donor site using- wound size(WS), immediate bleeding (iB) and delayed bleeding (dB), complete wound epithelialization (CE), sensibility disorders (S) and post operative pain (PP) at baseline, 1st, 4th, and 12th week postoperatively. Recession coverage was assessed by measuring Clinical Attachment Level (CAL), vertical recession (VR), width of keratinized gingiva (KT). Results: On comparison between Group I and II, a statistically significant larger wound size was observed in Group I. CWE was higher in Group II. A non significant difference was observed when SD, and delayed bleeding were compared at all time intervals. A non-significant difference was observed in the clinical parameters at the recipient site. Conclusion: When evaluating the WS and CWE, the Langer and Langer technique was found to be better than the Unigraft knife technique for harvesting the connective tissue graft, whereas both the techniques were found to be effective in root coverage procedure outcomes. PMID:27041892

  10. Clinical Comparison of Full and Partial Double Pedicle Flaps with Connective Tissue Grafts for Treatment of Gingival Recession.

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    Ranjbari, Ardeshir; Gholami, Gholam Ali; Amid, Reza; Kadkhodazadeh, Mahdi; Youssefi, Navid; Mehdizadeh, Amir Reza; Aghaloo, Maryam

    2016-09-01

    Gingival recession has been considered as the most challenging issue in the field of periodontal plastic surgery. The purpose of this study was to evaluate the clinical efficacy of root coverage procedures by using partial thickness double pedicle graft and compare it with full thickness double pedicle graft. Eight patients, aged 15 to 58 years including 6 females and 2 males with 20 paired (mirror image) defects with class I and II gingival recession were randomly assigned into two groups. Clinical parameters such as recession depth, recession width, clinical attachment level, probing depth, and width of keratinized tissue were measured at the baseline and 6 months post-surgery. A mucosal double papillary flap was elevated and the respective root was thoroughly planed. The connective tissue graft was harvested from the palate, and then adapted over the root. The pedicle flap was secured over the connective tissue graft and sutured. The surgical technique was similar in the control group except for the prepared double pedicle graft which was full thickness. The mean root coverage was 88.14% (2.83 mm) in the test group and 85.7% (2.75 mm) in the control group. No statistical differences were found in the mean reduction of vertical recession, width of recession, or probing depth between the test and control groups. In both procedures, the width of keratinized tissue increased after three months and the difference between the two groups was not statistically significant in this respect. Connective tissue with partial and full thickness double pedicle grafts can be successfully used for treatment of marginal gingival recession.

  11. A Preliminary Clinical Comparison of the Use of Fascia Lata Allograft and Autogenous Connective Tissue Graft in Multiple Gingival Recession Coverage Based on the Tunnel Technique.

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    Bednarz, Wojciech; Żurek, Jacek; Gedrange, Thomas; Dominiak, Marzena

    2016-01-01

    The most effective method for treating gingival recessions (GR) is with an autogenous connective tissue graft (CTG) via flap surgery. Often, however, the amount of CTG that can be grafted is insufficient to cover all of a patient's gingival recessions at one time. The objective of this study was to provide a 6-month comparative assessment of the results of covering multiple Miller Class I and II gingival recessions with a Fascia Lata Allograft (FL) and a CTG harvested from palatal mucosa. The study comprised a total of 30 people who underwent multiple gingival recession (GR) procedures using a modified, coronally advanced tunnel technique (MCAT). The patients were divided into two groups of 15 according to the type of materials used for gingival augmentation purposes: FL for the test group and CTG for the control group. A clinical assessment was made at baseline, as well as 3 and 6 months following surgery. The following factors were assessed: recession depth, recession width, probing depth, clinical attachment level, height of keratinized tissue (HKT), distance between the cemento-enamel junction and the muco-gingival junction (CEJ-MGJ), API, SBI. The following values were calculated: average root coverage (ARC), complete root coverage (CRC). No statistically significant differences were observed between the groups in terms of clinical parameters assessed after 6 months, apart from CRC, which was 94.87 ± 0.14 mm in the control group and 94.24 ± 0.20 mm in the study group (p = 0.034). The average HKT in the control group after 6 months amounted to 2.86 ± 1.60 mm, and in the test group to 3.09 ± 0.95 mm, which translates into an increase in comparison to the baseline values of 0.73 mm (p < 0.001) and 0.48 mm (p = 0.017), respectively. FL Allografts may serve as an alternative to autogenous CTG in multiple gingival recession coverage procedures based on the tunnel technique.

  12. Comparison of 9th grade students’ physical activity levels during recess and regular class periods using objective measurement

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    Rolf Kretschmann

    2016-08-01

    Full Text Available Purpose: to assess and compare secondary school students’ physical activity levels during recess and regular class periods using objective measurement. Material: The study sample consisted of 26 9th grade school students (M = 15.28 years, SD = 0.47 of a German secondary school. They wore the Actiheart the whole school day for one week. All students followed the same school schedule and participated in the same classes. 9th grade school students’ physical activity levels during recess and regular class periods were assessed using the physical activity monitoring device Actiheart, which validly and objectively measures physical activity. Results: total recess time physical activity levels accounted for M = 2.38 METs, whereas total class period time physical activity levels only reached M = 1.58 METs. This difference could be proven statistically significant. Conclusions: Total recess time accounts for significantly higher physical activity levels compared to total class period time and the overall time students spend in school, respectively.

  13. Comparison of acidic and neutral PH root conditioners prior to a coronally positioned flap to treat gingival recession

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    Roya Shariatmadar Ahmadi

    2014-01-01

    Full Text Available Background: Localized gingival recession can be treated successfully via coronally positioned flap (CPF and additional use of root surface demineralization agents. The purpose of this study was to evaluate the effects of additional use of ethylene diamine tetraacetic acid (EDTA and citric acid as a root conditioner in association with CPF to cover localized buccal gingival recessions. Materials and Methods: Twenty-seven patients with 66 Miller class I buccal gingival recession ≥ 2 mm on single-rooted teeth were studied. Patients were randomly assigned: CPF with EDTA gel (test 1 and CPF with saturated citric acid (test 2 or CPF alone (control. Clinical parameters were measured at baseline and 1, 2, 3 and 6 months after surgery; assessment included recession depth (RD, clinical attachment level (CAL, probing depth (PD and height of keratinized gingiva (HKG. SPSS version-20 was used to perform all statistical analyses. Data was reported as Mean ± SD. Age, RD, CAL, PD, and HKG before treatment and after 6 months among study groups were compared by one-way ANOVA followed by the Tukey test. The level of significance was considered to be less than 0.05. Results: At 6 months, all treatment modalities showed significant root coverage and gain in CAL. RD was reduced from 2.86 ± 0.76 mm to 0.55±0.53 mm in the EDTA group and from 2.37±0.57 mm to 1.03±0.43 mm in the acid group and from 2.37±0.54 mm to 0.85±0.49 mm in the control group. The average percentage of root coverage for the EDTA, acid, and control groups were 80.73%, 52.16%, and 64.50%, respectively. At 6 months, there was a significant difference (P < 0.05 in all parameters for the EDTA group (except HKG that did not vary among the groups. Conclusion: Root preparation with EDTA was an effective procedure to cover localized gingival recessions and significantly improved the amount of root coverage obtained.

  14. Treatment of gingival recession.

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    Kassab, Moawia M; Badawi, Hala; Dentino, Andrew R

    2010-01-01

    Gingival recession is an intriguing and complex phenomenon. Recession frequently disturbs patients because of sensitivity and esthetics. Many surgical techniques have been introduced to treat gingival recession, including those involving autogenous tissue grafting, various flap designs, orthodontics, and guided tissue regeneration. This article describes different clinical approaches to treat gingival recession with emphasis on techniques that show promising results and root coverage.

  15. [Gingival recessions and orthodontics].

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    Renkema, A M; Padmos, J A D; de Quincey, G de

    2015-11-01

    Gingival recessions represent the most visible periodontal disease. The prevalence of gingival recessions is high. The root surface is literally exposed to negative influences such as erosion, abrasion, discoloration and decay. Moreover, gingival recessions can affect the quality of life by increased thermal sensitivity and reduced dento-gingival aesthetics. The aetiology of gingival recessions is complex and considered to be multifactorial. In order to prevent the development of gingival recessions during and after orthodontic treatment, several factors should be taken into account, among which maintenance of optimal oral hygiene and respect for the 'biological envelope' are decisive. Once gingival recessions have developed, orthodontic therapy can play a positive role in their treatment.

  16. Forecasting US Recessions

    DEFF Research Database (Denmark)

    Christiansen, Charlotte; Eriksen, Jonas Nygaard; Møller, Stig Vinther

    2014-01-01

    We study the role of sentiment variables as predictors for US recessions. We combine sentiment variables with either classical recession predictors or common factors based on a large panel of macroeconomic and financial variables. Sentiment variables hold vast predictive power for US recessions...... in excess of both the classical recession predictors and the common factors. The strong importance of the sentiment variables is documented both in-sample and out-of-sample....

  17. [Gingival recessions and orthodontics

    NARCIS (Netherlands)

    Renkema, A.M.; Padmos, J.A.; Quincey, G. de

    2015-01-01

    Gingival recessions represent the most visible periodontal disease. The prevalence of gingival recessions is high. The root surface is literally exposed to negative influences such as erosion, abrasion, discoloration and decay. Moreover, gingival recessions can affect the quality of life by

  18. Shaped Recess Flow Control

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    Shyam, Vikram (Inventor); Poinsatte, Philip (Inventor); Thurman, Douglas (Inventor)

    2017-01-01

    One or more embodiments of techniques or systems for shaped recess flow control are provided herein. A shaped recess or cavity can be formed on a surface associated with fluid flow. The shaped recess can be configured to create or induce fluid effects, temperature effects, or shedding effects that interact with a free stream or other structures. The shaped recess can be formed at an angle to a free stream flow and may be substantially "V" shaped. The shaped recess can be coupled with a cooling channel, for example. The shaped recess can be upstream or downstream from a cooling channel and aligned in a variety of manners. Due to the fluid effects, shedding effects, and temperature effects created by a shaped recess, lift-off or separation of cooling jets of cooling channels can be mitigated, thereby enhancing film cooling effectiveness.

  19. Starving for Recess

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    Patt, Mary Johnson

    2011-01-01

    Every weekday, millions of American schoolchildren throw away their half-eaten cafeteria lunches so that they can run outside to play. The traditional placement of lunch before recess, coupled with the recent decline in overall recess time to meet academic time constraints, forces children to choose between two essential needs: (1) food; and (2)…

  20. COMPARISON OF MODERATE-TO-VIGOROUS PHYSICAL ACTIVITY LEVELS BETWEEN PHYSICAL EDUCATION, SCHOOL RECESS AND AFTER-SCHOOL TIME IN SECONDARY SCHOOL STUDENTS: AN ACCELEROMETER-BASED STUDY

    OpenAIRE

    Mayorga Vega, Daniel; Parra Saldías, Maribel; Viciana, Jesús

    2017-01-01

    Regular physical activity is an important factor of health in youth. Unfortunately, in Chile 85% of adolescents do not achieve the 60 min daily recommendation of moderate-to-vigorous physical activity. Physical education, school recess and after-school time are considered crucial environments for adolescents to meet the recommended moderate-to-vigorous physical activity levels. This study compared the moderateto-vigorous physical activity levels between physical education, school recess and a...

  1. The Recession Squeezes Training.

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    Geber, Beverly

    1991-01-01

    Recession is having an impact on training departments. Besides a slowdown, it provides managers with a chance to reevaluate programs to ensure they are attuned to the specific goals of the company. (JOW)

  2. Clinical comparison of guided tissue regeneration, with collagen membrane and bone graft, versus connective tissue graft in the treatment of gingival recessions

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    Haghighati F

    2006-06-01

    Full Text Available Background and Aim: Increasing patient demands for esthetic, put the root coverage procedures in particular attention. Periodontal regeneration with GTR based root coverage methods is the most common treatment used. The purpose of this study was to compare guided tissue regeneration (GTR with collagen membrane and a bone graft, with sub-epithelial connective tissue graft (SCTG, in treatment of gingival recession. Materials and Methods: In this randomized clinical trial study, eleven healthy patients with no systemic diseases who had miller’s class I or II recession defects (gingival recession  2mm were treated with SCTG or GTR using a collagen membrane and a bone graft. Clinical measurements were obtained at baseline and 6 months after surgery. These clinical measurements included recession depth (RD, recession width (RW, probing depth (PD, and clinical attachment level (CAL. Data were analyzed using independent t test with p<0.05 as the limit of significance. Results: Both treatment methods resulted in a statistically significant reduction of recession depth (SCTG=2.3mm, GTR=2.1mm; P<0.0001. CAL gain after 6 months was also improved in both groups (SCG= 2.5mm, GTR=2.1mm, compared to baseline (P<0.0001. No statistical differences were observed in RD, RW, CAL between test and control groups. Root coverage was similar in both methods (SCTG= 74.2%, GTR= 62.6%, P=0.87. Conclusion: Based on the results of this study, the two techniques are clinically comparable. Therefore the use of collagen membrane and a bovine derived xenograft may alleviate the need for connective tissue graft.

  3. Comparison of enamel matrix derivative (Emdogain) and subepithelial connective tissue graft for root coverage in patients with multiple gingival recession defects: A randomized controlled clinical study.

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    Alexiou, Angeliki; Vouros, Ioannis; Menexes, Georgios; Konstantinidis, Antonis

    2017-01-01

    The purpose of the present study was to compare the clinical efficiency of enamel matrix derivative (EMD) placed under a coronally advanced flap (CAF; test group), to a connective tissue graft (CTG) placed under a CAF (control group), in patients with multiple recession defects. Twelve patients with multiple Miller's Class I or II gingival recessions in contralateral quadrants of the maxilla were selected. The primary outcome variable was the change in depth of the buccal recession (REC), at 6 months (T6) after surgery. The secondary outcome parameters included the clinical attachment level (CAL), the probing pocket depth (PPD), and the width of keratinized gingiva (WKT) apical to the recession. Recession defects were randomly divided to the test or control group by using a computer-generated randomization list. Data were analyzed within the frame of Mixed Linear Models with the ANOVA method. There were no statistically significantly differences observed between test and control groups in regards with the depth of buccal recession with a mean REC of 1.82 mm (CTG) and 1.72 mm (EMD) respectively. Similarly the mean PPD value was 1.3 mm for both groups at T6, while the respective value for CAL was 1.7 mm (EMD) and 1.8 mm (CTG). Statistically significant differences were observed only for the WKT, which were 3.0 mm and 3.6 mm for the test and control groups respectively (P < .001) at T6. The use of EMD in conjunction with a CAF resulted in similar results as compared to the CTG plus CAF.

  4. Clinical Comparison of the Subepithelial Connective Tissue versus Platelet-Rich Fibrin for the Multiple Gingival Recession Coverage on Anterior Teeth Using the Tunneling Technique

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    Victor Fabrizio Cabrera Pazmiño

    2017-01-01

    Full Text Available The aim of this study was to evaluate and compare, clinically, the efficiency of the subepithelial connective tissue graft (SCTG and platelet-rich fibrin (L-PRF using the tunnel technique to cover the multiple gingival recessions on anterior teeth, in the same patient. Within the limits of this study, we conclude that both SCTG and L-PRF proved to be reliable options for the treatment of gingival recessions, efficiently supporting the biological and aesthetic demand, stimulating the periodontal tissues’ health, and bringing reliable and highly predictable results.

  5. Clinical Comparison of the Subepithelial Connective Tissue versus Platelet-Rich Fibrin for the Multiple Gingival Recession Coverage on Anterior Teeth Using the Tunneling Technique

    Science.gov (United States)

    Rodas, Miguel Agusto Riquelme; Cáceres, Carlos David Barrios; Duarte, Guillermo Gustavo Renault; Azuaga, Melanie Vanesa Cano; de Paula, Bruna Luísa; Caliente, Eliana Aparecida; Soares, Simone; Silveira, Elcia Maria Varize

    2017-01-01

    The aim of this study was to evaluate and compare, clinically, the efficiency of the subepithelial connective tissue graft (SCTG) and platelet-rich fibrin (L-PRF) using the tunnel technique to cover the multiple gingival recessions on anterior teeth, in the same patient. Within the limits of this study, we conclude that both SCTG and L-PRF proved to be reliable options for the treatment of gingival recessions, efficiently supporting the biological and aesthetic demand, stimulating the periodontal tissues' health, and bringing reliable and highly predictable results. PMID:28695021

  6. Comparison of Extracellular Matrix Membrane and Connective Tissue Graft for Root Coverage in Class I/II Gingival Recession Defects: A Split Mouth Study.

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    M, Yogini; Mlv, Prabhuji; Bv, Karthikeyan; N, Sai Jyothsna

    2016-04-08

    The aim of this study was to assess the feasibility of extracellular matrix membrane (DynaMatrix®) in obtaining root coverage and compare it to the connective tissue graft for the treatment of Miller's Class I or Class II recession defects. Ten patients with a mean age of 31.2 years with bilateral Miller's Class I or Class II recession defects in the upper premolars were recruited. Each patient contributed two defects that were randomly treated by coronally advanced fl ap with connective tissue graft (CAF+CTG) and by coronally advanced flap underlaid with extracellular membrane (DynaMatrix®; CAF+DM). All the clinical parameters were recorded at baseline, three months and six months after surgery and data were statistically analyzed. The results of this study demonstrated that both the procedures were effective and predictable in root coverage procedures. However, no statistically signifi cant differences in gingival recession reduction were noted between extra cellular membrane and gold standard connective tissue graft. Within the limits of this clinical study, the use of extracellular membrane (DynaMatrix®) may represent an acceptable alternative to the connective tissue graft for treating gingival recession. Copyright© by the International Academy of Periodontology.

  7. [Autosomal recessive polycystic kidney].

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    Todorov, V; Penkova, S; Lalev, I

    1990-01-01

    A case of a 22 years old woman with autosomal-recessive form of kidney polycystosis is presented. The diagnosis was made in early childhood. A combination of renal anomaly and hepatic fibrosis with manifestations of portal hypertension was present. No deviations from the other internal organs were found. At the age of 12 she entered into the stage of chronic renal failure. The last five years she is on dialysis treatment. She had survived several acute bleedings from esophageal varices. The authors are of the opinion that the case is of interest since patients with autosomal-recessive renal polycystosis very rarely reach majority.

  8. Gingival Recessions and Biomechanics

    DEFF Research Database (Denmark)

    Laursen, Morten Godtfredsen

    Gingival recessions and biomechanics “Tissue is the issue, but bone sets the tone.“ A tooth outside the cortical plate can result in loss of bone and development of a gingival recession. The presentation aims to show biomechanical considerations in relation to movement of teeth with gingival...... by moving the root back in the alveolus. The tooth movement is accompanied by bone gain and thus increase the success rate for soft tissue augmentation. The choice of biomechanical system influences the treatment outcome. If a standard straight wire appliance is used, a biomechanical dilemma can arise...

  9. Consumption as a Factor of Polish Economic Growth During the Global Recession of 2008/2009: A Comparison with Spain and Hungary

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    Tomasz Jasiński

    2013-06-01

    Full Text Available The economic recession of 2007-2009 proved to be a difficult period for most European economies. Poland was among the few countries that recorded positive gross domestic product (GDP growth during that period. The main reason for its performance was that private consumption stimulated the GDP. The goal of this study was to explore the reasons that private consumption in Poland did not collapse during the economic recession through the substantial economic literature on this topic. The study compared Spain, Hungary and Poland from 2007 to 2009 to find differences specific to the latter. The most important factors differentiating Poland identified in this study were the confidence of Polish consumers in the economy and a high propensity to spend resulting in lower savings. Additional factors were a relatively low unemployment rate and relatively easy access to credit.

  10. The Recess Renaissance

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    Keeler, Rusty

    2015-01-01

    The author tells of his work around the country and world on transforming how schools do recess, free play, and outside time by transforming their outdoor spaces to match. Instead of a playground of fixed structures like traditional school grounds, newer spaces are filled with loose materials that children can use to build forts, dens, and tree…

  11. Production Recesses for Replaceable Cutting Inserts of Milling Tools

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    Kousal, Lukáš; Sadílek, Marek

    2014-12-01

    This article describes the production of recesses for replaceable cutting inserts of milling tools. The recess manufacture is exemplified on a D20 shanktype milling cutter with three replaceable cutting inserts. A new production technology and its operating cycle are demonstrated. A com-parison of the old and the new technologies shows the percentage saving of change cycles and used tools, including overall evaluation of the tech-nology.

  12. School Recess: Implications for Education and Development.

    Science.gov (United States)

    Pellegrini, A. D.; Smith, Peter K.

    1993-01-01

    Empirical research on the role of school recess is reviewed. Effects of child-level and school-level variables on recess behavior and the impact of recess on classroom behavior and social and cognitive competence are discussed. It is concluded that recess has important educational and developmental implications. (SLD)

  13. Barriers for recess physical activity

    DEFF Research Database (Denmark)

    Pawlowski, Charlotte Skau; Tjørnhøj-Thomsen, Tine; Schipperijn, Jasper

    2014-01-01

    differences in children's perceptions of barriers to recess physical activity. Based on the socio-ecological model four types of environmental barriers were distinguished: natural, social, physical and organizational environment. METHODS: Data were collected through 17 focus groups (at 17 different schools......BACKGROUND: Many children, in particular girls, do not reach the recommended amount of daily physical activity. School recess provides an opportunity for both boys and girls to be physically active, but barriers to recess physical activity are not well understood. This study explores gender...... and girls identified the same barriers, there were both inter- and intra-gender differences in the perception of these barriers. Weather was a barrier for all children, apart from the most active boys. Conflicts were perceived as a barrier particularly by those boys who played ballgames. Girls said...

  14. Algebra, Home Mortgages, and Recessions

    Science.gov (United States)

    Mariner, Jean A. Miller; Miller, Richard A.

    2009-01-01

    The current financial crisis and recession in the United States present an opportunity to discuss relevant applications of some topics in typical first-and second-year algebra and precalculus courses. Real-world applications of percent change, exponential functions, and sums of finite geometric sequences can help students understand the problems…

  15. Comparison between different papillary recession classification systems

    Directory of Open Access Journals (Sweden)

    Li-Ching Chang

    2012-12-01

    Conclusion: This study confirmed a significant correlation between the two existing classification methods. The proposed PR classification system characterizes open embrasures in greater detail than previous systems.

  16. Are streamflow recession characteristics really characteristic?

    OpenAIRE

    Stoelzle, M.; Stahl, K.; Weiler, M.

    2012-01-01

    Streamflow recession has been investigated by a variety of methods, often involving the fit of a model to empirical recession plots to parameterize a non-linear storage-outflow relationship. Such recession analysis methods (RAMs) are used to estimate hydraulic conductivity, storage capacity, or aquifer thickness and to model streamflow recession curves for regionalization and prediction at the catchment scale. Numerous RAMs have been published, but little is known about how characteristic ...

  17. Are streamflow recession characteristics really characteristic?

    OpenAIRE

    Stoelzle, M.; Stahl, K.; Weiler, M.

    2013-01-01

    Streamflow recession has been investigated by a variety of methods, often involving the fit of a model to empirical recession plots to parameterize a non-linear storage–outflow relationship based on the dQ/dtQ method. Such recession analysis methods (RAMs) are used to estimate hydraulic conductivity, storage capacity, or aquifer thickness and to model streamflow recession curves for regionalization and prediction at the catchment scale...

  18. Are streamflow recession characteristics really characteristic?

    Directory of Open Access Journals (Sweden)

    M. Stoelzle

    2013-02-01

    Full Text Available Streamflow recession has been investigated by a variety of methods, often involving the fit of a model to empirical recession plots to parameterize a non-linear storage–outflow relationship based on the dQ/dtQ method. Such recession analysis methods (RAMs are used to estimate hydraulic conductivity, storage capacity, or aquifer thickness and to model streamflow recession curves for regionalization and prediction at the catchment scale. Numerous RAMs have been published, but little is known about how comparably the resulting recession models distinguish characteristic catchment behavior. In this study we combined three established recession extraction methods with three different parameter-fitting methods to the power-law storage–outflow model to compare the range of recession characteristics that result from the application of these different RAMs. Resulting recession characteristics including recession time and corresponding storage depletion were evaluated for 20 meso-scale catchments in Germany. We found plausible ranges for model parameterization; however, calculated recession characteristics varied over two orders of magnitude. While recession characteristics of the 20 catchments derived with the different methods correlate strongly, particularly for the RAMs that use the same extraction method, not all rank the catchments consistently, and the differences among some of the methods are larger than among the catchments. To elucidate this variability we discuss the ambiguous roles of recession extraction procedures and the parameterization of the storage–outflow model and the limitations of the presented recession plots. The results suggest strong limitations to the comparability of recession characteristics derived with different methods, not only in the model parameters but also in the relative characterization of different catchments. A multiple-methods approach to investigating streamflow recession

  19. Are streamflow recession characteristics really characteristic?

    Science.gov (United States)

    Stoelzle, M.; Stahl, K.; Weiler, M.

    2013-02-01

    Streamflow recession has been investigated by a variety of methods, often involving the fit of a model to empirical recession plots to parameterize a non-linear storage-outflow relationship based on the dQ/dt-Q method. Such recession analysis methods (RAMs) are used to estimate hydraulic conductivity, storage capacity, or aquifer thickness and to model streamflow recession curves for regionalization and prediction at the catchment scale. Numerous RAMs have been published, but little is known about how comparably the resulting recession models distinguish characteristic catchment behavior. In this study we combined three established recession extraction methods with three different parameter-fitting methods to the power-law storage-outflow model to compare the range of recession characteristics that result from the application of these different RAMs. Resulting recession characteristics including recession time and corresponding storage depletion were evaluated for 20 meso-scale catchments in Germany. We found plausible ranges for model parameterization; however, calculated recession characteristics varied over two orders of magnitude. While recession characteristics of the 20 catchments derived with the different methods correlate strongly, particularly for the RAMs that use the same extraction method, not all rank the catchments consistently, and the differences among some of the methods are larger than among the catchments. To elucidate this variability we discuss the ambiguous roles of recession extraction procedures and the parameterization of the storage-outflow model and the limitations of the presented recession plots. The results suggest strong limitations to the comparability of recession characteristics derived with different methods, not only in the model parameters but also in the relative characterization of different catchments. A multiple-methods approach to investigating streamflow recession characteristics should be considered for applications

  20. The trauma of a recession.

    LENUS (Irish Health Repository)

    Murphy, S M

    2011-09-01

    Employment in construction in Ireland fell by 10% from nearly 282,000 in the second quarter of 2007 to 255,000 in the same period of 2008. Our study looks at the differences in soft tissue upper limb trauma dynamics of a pre- and post-recession Ireland. Construction accounted for 330 patients (27%) of all hand injuries in 2006, but only 18 (3%) in 2009. Our data shows a significant drop in hand injuries related to the construction industry, and more home\\/DIY cases and deliberate self-harm presenting in their stead.

  1. Clinical evaluation and comparison of the efficacy of coronally advanced flap alone and in combination with platelet rich fibrin membrane in the treatment of Miller Class I and II gingival recessions

    Directory of Open Access Journals (Sweden)

    Santosh Gupta

    2015-01-01

    Full Text Available Background: The aim of this study was to compare the clinical efficacy of coronally advanced flap (CAF alone and in combination with autologous platelet rich fibrin membrane (PRF in Miller′s class I and II gingival recessions. Materials and Method: Thirty isolated Miller class I or II sites in 26 subjects were randomly divided into test (15 sites- CAF+PRF and control (15 sites- CAF alone. Parameters probing pocket depth (PPD, Recession depth (RD, Clinical attachment loss (CAL, Keratinised tissue width (KTW and Gingival tissue thickness (GTH were evaluated at baseline, 3 months and 6 months postoperatively. Data was subjected to statistical analysis. P< 0.05 was considered statistically significant. Results: Mean percentage root coverage was 91.00±19.98% and 86.60±23.83% for test and control group respectively. Difference between the groups in all parameters at baseline, 3 months and 6 months was non significant. Complete root coverage was obtained in 12 (80% and 11 (73.3% subjects in test and control group respectively. The difference was found to be non-significant. Both groups showed significant differences in all parameters at 3 and 6 months respectively except difference in gingival tissue thickness which was non-significant in control group at 3 months. Conclusion: Combination of PRF to CAF procedure did not provide any added advantage in term of recession coverage in Miller class I and II recessions. Long term trials with more sample size are needed to validate these findings.

  2. X-linked recessive ichthyosis.

    Science.gov (United States)

    Hazan, Carole; Orlow, Seth J; Schaffer, Julie V

    2005-12-30

    A 13-year-old boy presented with a lifelong history of tightly-adherent, brown, polygonal scales that covered the extensor surfaces of the extremities, lateral aspects of the trunk, and neck. The clinical presentation and the history of a similar skin condition in the patient's male maternal relatives helped establish the diagnosis of X-linked recessive ichthyosis (XLI). Systemic manifestations of the steroid sulfatase (STS) deficiency underlying XLI include cryptorchidism, asymptomatic corneal opacities, and maternal failure to progress during labor. Most cases of XLI are caused by deletions of the STS gene, and contiguous gene syndromes may occur when the deletions extend to neighboring genes on the distal short arm of the X chromosome.

  3. Students with Autism Participating in Recess

    Science.gov (United States)

    Lucas, Matthew D.; Nichols, Kourtney M.

    2010-01-01

    The participation of a student with autism in recess can often be both challenging and rewarding for all students and the general education teacher. This paper will address common characteristics of students with autism and present basic solutions to improve the education of these students in the recess setting. Initially the definition,…

  4. Sensitivity study of a valve recession model

    OpenAIRE

    Vera-Cardenas, E.E.; Lewis, R; Slatter, T.

    2017-01-01

    The aim of this work was to carry out a sensitivity\\ud analysis of a valve recession model. \\ud For the sensitivity study, the effects of the param\\ud eters on the valve recession mode\\ud l were \\ud investigated, for both, light duty and heavy duty \\ud engines. It was seen that for light duty \\ud engines, the impact component parameters had the gr\\ud eatest effect on valve recession and \\ud for heavy duty engines the sliding wear component p\\ud arameters have an increasing con-\\ud tribution t...

  5. Children's Physical Activity Behavior during School Recess

    DEFF Research Database (Denmark)

    Pawlowski, Charlotte Skau; Andersen, Henriette Bondo; Troelsen, Jens

    2016-01-01

    Schoolyards are recognized as important settings for physical activity interventions during recess. However, varying results have been reported. This pilot study was conducted to gain in-depth knowledge of children's physical activity behavior during recess using a mixed-methods approach combining...... participated in go-along group interviews, and recess behavior was observed using an ethnographical participant observation approach. All data were analyzed separated systematically answering the Five W Questions. Children were categorized into Low, Middle and High physical activity groups and these groups...... preferred the schoolyard over the field to avoid the competitive soccer games on the field whereas boys dominated the field playing soccer. Using a mixed-methods approach to investigate children's physical activity behavior during recess helped gain in-depth knowledge that can aid development of future...

  6. Recessive Dystrophic Epidermolysis Bullosa with Congenital Cataract

    Directory of Open Access Journals (Sweden)

    S M Sharmughan Pillai

    1988-01-01

    Full Text Available Case _ having recessive dystrophic epidermolysis bullosa with severe blistering,scarring, inilia, mucosal ulcerations, corneal involvement, teeth anomalies and deformities of hands and feet had the unusual feature of congenital cortical cataract.

  7. Hospital Capital Investment During the Great Recession.

    Science.gov (United States)

    Choi, Sung

    2017-01-01

    Hospital capital investment is important for acquiring and maintaining technology and equipment needed to provide health care. Reduction in capital investment by a hospital has negative implications for patient outcomes. Most hospitals rely on debt and internal cash flow to fund capital investment. The great recession may have made it difficult for hospitals to borrow, thus reducing their capital investment. I investigated the impact of the great recession on capital investment made by California hospitals. Modeling how hospital capital investment may have been liquidity constrained during the recession is a novel contribution to the literature. I estimated the model with California Office of Statewide Health Planning and Development data and system generalized method of moments. Findings suggest that not-for-profit and public hospitals were liquidity constrained during the recession. Comparing the changes in hospital capital investment between 2006 and 2009 showed that hospitals used cash flow to increase capital investment by $2.45 million, other things equal.

  8. Recessive Dystrophic Epidermolysis Bullosa and Pregnancy.

    Science.gov (United States)

    Boria, F; Maseda, R; Martín-Cameán, M; De la Calle, M; de Lucas, R

    2017-12-01

    Dystrophic epidermolysis bullosa is a rare inherited disease caused by mutations in the COL7A1 gene. Its recessive variant (recessive dystrophic epidermolysis bullosa) is characterized by the absence or considerably reduced expression of type VII collagen, which leads to marked fragility of the skin and mucous membranes and subsequent blister formation, whether spontaneously or following minimal injury. There have been very few reports of this disease in pregnant women. We present 2 cases of pregnant women with recessive dystrophic epidermolysis bullosa managed in our High-Risk Pregnancy Unit at Hospital Universitario La Paz, Madrid, Spain. Both patients underwent full-term cesarean delivery, with no further complications for mother or child. Although recessive dystrophic epidermolysis bullosa increases the risk of maternal complications, a patient is not advised against pregnancy. With adequate monitoring, these patients can fulfil their desire to become mothers. Copyright © 2017 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Genetics Home Reference: autosomal recessive primary microcephaly

    Science.gov (United States)

    ... and Stroke: Microcephaly Educational Resources (13 links) Boston Children's Hospital Centers for Disease Control and Prevention: Intellectual Disability (PDF) Cleveland Clinic Disease InfoSearch: Primary autosomal recessive microcephaly 1 Disease InfoSearch: Primary autosomal ...

  10. Genetics Home Reference: autosomal recessive hypotrichosis

    Science.gov (United States)

    ... a few inches. The eyebrows , eyelashes , and other body hair may be sparse as well. Over time, the ... scalp hair loss (alopecia) and a decrease in body hair. Rarely, people with autosomal recessive hypotrichosis have skin ...

  11. Bond return predictability in expansions and recessions

    DEFF Research Database (Denmark)

    Engsted, Tom; Møller, Stig Vinther; Jensen, Magnus David Sander

    We document that over the period 1953-2011 US bond returns are predictable in expansionary periods but unpredictable during recessions. This result holds in both in-sample and out-of-sample analyses and using both univariate regressions and combination forecasting techniques. A simulation study...... but negative in recessions. The results are also consistent with tests showing that the expectations hypothesis of the term structure holds in recessions but not in expansions. However, the results for bonds are in sharp contrast to results for stocks showing that stock returns are predictable in recessions...... but not in expansions. Thus, our results indicate that there is not a common predictive pattern of stock and bond returns associated with the state of the economy....

  12. Gingival prosthesis: A treatment modality for recession

    Directory of Open Access Journals (Sweden)

    Pallavi Samatha Yalamanchili

    2013-01-01

    Full Text Available Gingival recession caused due to periodontal disease disturbs patients because of sensitivity and esthetics. Gingival prosthesis may be fixed or removable and can be made from silicones, acrylics, composite resins or ceramics according to what is best suited for the case. The gingival veneer is esthetically appealing and easy to maintain. This case report describes the use of gingival veneer as a treatment modality for recession.

  13. Recession-An issue for organizations

    OpenAIRE

    Daniel GEORGESCU

    2009-01-01

    The reality in all organization is that the directors and board are in the position of highest influence and their primary responsibility is leadership. As such, considering the consequences of a recession such as we currently face is not the time for directors to abdicate their responsibilities – it is time for governance leadership. The directors and the board must think and respond strategically. The article shows a matrix for positioning the general manager in recession that is similarly ...

  14. [THE MOLECULAR GENETIC CHARACTERISTIC OF SPECIES CONTENT OF SALIVA AND GINGIVAL RECESS UNDER PERIODONTITIS].

    Science.gov (United States)

    Tamarova, E R; Baimiev, A Kh; Shvetz, K Yu; Mavzyutov, A R

    2015-12-01

    The examination was carried out of samplings of 110 patients with periodontitis (observation group) and 60 patients without pathology of periodont (comparison group). The polymerase chain reaction was used to analyze samples of saliva and contents of periodontal recesses for detecting species-specific DNA fragments of Porphymmonas gigngivalis, Streptococcus macacae, S. mutans, S. oralis, S. salivarius, S. sangis, S. sobrinus, Treponema denticola. In patients with periodontitis S. mutans, S. oralis S. sobrinus were reliably more often detected in the content of periodontal recesses and S. mutans, S. sobrinus i in saliva. In the observation group the rate of detection of association S. mutans--S. oralis--S. sangis--S. sobrinus was significantly exceeded (up to 15.6%, X2 = 9.1, p = 0.004). In ten days of effective treatment of periodontitis reliable decreastng of rate of detection of S. wasoralis, S. sobrinus was observed in contents of periodontal recesses but not in of saliva. The detection of S.sobrinus using technique of polymerase chain reaction in contents of periodontal recesses and/or saliva of patients with periodontitis has a diagnostic value. The detection of S.sobrinus in contents of periodontal recesses is significant both in monoculture and in association S. mutans--S. oralis--S. sangis--S.sobrinus. The absence of S. sobrinus in contents of periodontal recesses testifies effectiveness of treatment of main disease (periodontitis).

  15. Formulating the spring discharge-function for the recession period ...

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Earth System Science; Volume 122; Issue 5. Formulating the spring discharge-function for the recession period by analyzing its recession curve: A case study of the Ranichauri spring (India) ... Keywords. Spring hydrograph; exponential fitting; gravity spring; recession period; recession curve.

  16. Impact of Deforestation and Recovery on Streamflow Recession Statistics

    Science.gov (United States)

    Krapu, C.; Kumar, M.

    2016-12-01

    Deforestation is known to influence streamflow and baseflow in particular in sub-humid environments. Baseflow contributions to the recession limb of a flood hydrograph convey information about subsurface stores from which trees also draw water. Recent works based on the assumptions outlined by Brutsaert and Nieber (1977) have proposed analyzing streamflow recession curves on a per-event basis. In this framework, each event's recession curve is governed by a power law relation with per-event scale and shape coefficients. As streamflow recession depends in part upon evapotranspiration demand from trees, these coefficients are hypothesized to contain useful information about catchment vegetation. Analysis was conducted of 13 small experimental catchments in the eastern United States with known forest treatment histories to determine whether or not streamflow recession behavior as observed from daily discharge records could serve as an indicator of deforestation in the drainage basin. Power-law scale coefficients were calculated for each major stormflow event at each test site and a statistical comparison of distribution of fitted coefficients was made between pre-treatment and post-treatment events as well as between pre-treatment and post-recovery events. A second method using these fitted coefficients in conjunction with Gaussian process regression was employed to track the change in the scale coefficient in the 13 catchments described previously as well as two medium-sized catchments in the North Carolina portion of the American Piedmont which did not have extensive records of forest cover. A linear trend analysis of precipitation was performed to determine whether nonstationarity in rainfall could be a confounding cause of changes in event scale coefficients. These results show a statistically significant difference in scale coefficient values in 5/8 treatment catchments and 0/5 control catchments. This suggests that lesser alterations to forest cover may not be

  17. Aeroacoustical Study of the Tgv Pantograph Recess

    Science.gov (United States)

    NOGER, C.; PATRAT, J. C.; PEUBE, J.; PEUBE, J. L.

    2000-03-01

    The general focus of this aerodynamic noise research, induced by turbulent incompressible flow, is to improve our knowledge of acoustic production mechanisms in the TGV pantograph recess in order to be able to reduce the radiated noise. This work is performed under contract with SNCF as a part of the German-French Cooperation DEUFRAKO K2, and is supported by French Ministries for Transport and Research. Previous studies on TGV noise source locations (DEUFRAKO K) have identified the pantograph recess as one of the important aerodynamic noise sources, for speeds higher than 300 km/h, due to flow separation. The pantograph recess is a very complex rectangular cavity, located both on the power car and the first coach roofs of the TGV, and has not been studied before due to the complex shapes. Its aeroacoustic features are investigated experimentally in a low-subsonic wind tunnel, on a realistic 1/7th scale mock-up both with and without pantographs. Flow velocities, estimated with hot-wire anemometry, and parietal visualizations show the flow to reattach on the recess bottom wall and to separate again at the downstream face. Wall pressure fluctuations and “acoustic” measurements using 14 and 12 in microphones respectively are also measured to qualify the flow: no aerodynamic or acoustic oscillations are observed. The study indicates that the pantograph recess has a different behaviour compared to the usual cavity grazing flows.

  18. Automating Recession Curve Displacement Recharge Estimation.

    Science.gov (United States)

    Smith, Brennan; Schwartz, Stuart

    2017-01-01

    Recharge estimation is an important and challenging element of groundwater management and resource sustainability. Many recharge estimation methods have been developed with varying data requirements, applicable to different spatial and temporal scales. The variability and inherent uncertainty in recharge estimation motivates the recommended use of multiple methods to estimate and bound regional recharge estimates. Despite the inherent limitations of using daily gauged streamflow, recession curve displacement methods provide a convenient first-order estimate as part of a multimethod hierarchical approach to estimate watershed-scale annual recharge. The implementation of recession curve displacement recharge estimation in the United States Geologic Survey (USGS) RORA program relies on the subjective, operator-specific selection of baseflow recession events to estimate a gauge-specific recession index. This paper presents a parametric algorithm that objectively automates this tedious, subjective process, parameterizing and automating the implementation of recession curve displacement. Results using the algorithm reproduce regional estimates of groundwater recharge from the USGS Appalachian Valley and Piedmont Regional Aquifer-System Analysis, with an average absolute error of less than 2%. The algorithm facilitates consistent, completely automated estimation of annual recharge that complements more rigorous data-intensive techniques for recharge estimation. © 2016, National Ground Water Association.

  19. [Orthodontic treatment of gingival recession: indications].

    Science.gov (United States)

    Delsol, Laurent; Bousquet, Philippe

    2011-09-01

    Gingival recession is a complex phenomenon. Root coverage results can be predictable regarding to the anatomy of the area. This includes the width of keratinized and attached gingiva, the buccolingual dimension of both soft tissue and alveolar bone, and the position and angulation of the teeth. If the tooth is out of the envelope of the alveolar process, with alveolar bone dehiscence and low thickness of the marginal soft tissue, the recession risk is important. Many techniques have been introduced to treat gingival recession. But lots of failures are linked to tooth position. An adequate orthodontic therapy, with controlled tooth movement, can improve periodontal tissues and thus improves the esthetical outcome. In some cases, orthodontic treatment is suggested to lead to an improved periodontal condition without pre-orthodontic gingival augmentation. © EDP Sciences, SFODF, 2011.

  20. Children's Physical Activity Behavior during School Recess

    DEFF Research Database (Denmark)

    Pawlowski, Charlotte Skau; Andersen, Henriette Bondo; Troelsen, Jens

    2016-01-01

    Schoolyards are recognized as important settings for physical activity interventions during recess. However, varying results have been reported. This pilot study was conducted to gain in-depth knowledge of children's physical activity behavior during recess using a mixed-methods approach combining...... quantitative GPS and accelerometer measurements with qualitative go-along group interviews and participant observations. Data were collected during three weekdays in a public school in Denmark. Eighty-one children (47 girls) wore an accelerometer (ActiGraph GT3X) and GPS (QStarz BT-Q1000xt), sixteen children...... were predominantly staying in three different locations during recess: school building, schoolyard and field, respectively. Mostly girls were in the building remaining in there because of a perceived lack of attractive outdoor play facilities. The children in the schoolyard were predominantly girls who...

  1. "Universal" Recession Curves and their Geomorphological Roots

    Science.gov (United States)

    Marani, M.; Biswal, B.

    2011-12-01

    The basic structural organization of channel networks, and of the connected hillslopes, have been shown to be intimately linked to basin responses to rainfall events, leading to geomorphological theories of the hydrologic response. Here, We identify a previously undetected link between the river network morphology and key recession curves properties. We show that the power-law exponent of -dQ/dt vs. Q curves is related to the power-law exponent of N(l) vs. G(l) curves (which we show to be connected to Hack's law), where l is the downstream distance from the channel heads, N(l) is the number of channel reaches exactly located at a distance l from their channel head, and G(l) is the total length of the network located at a distance greater or equal to l from channel heads. We then generalize the power-law expressions of recession curves, to identify "universal" curves, independent of the initial moisture conditions and of basin area, by making the -dQ/dt vs. Q curve non-dimensional using an index discharge representative of initial moisture conditions. We subsequently rescale the geomorphic recession curve, N(l) vs. G(l), producing a collapse of the geomorphic recession curves constructed from the DTM's of 67 US study basins. Finally, by use of the specific discharge u = Q/A, we link the two previous results and define the specific recession curves, whose collapse across basins within homogeneous geographical areas lends further, decisive, support to the notion that the statistical properties of observational recession curves bear the signature of the geomorphological structure of the networks producing them.

  2. The Effect of Recessions on Firms’ Boundaries

    DEFF Research Database (Denmark)

    Knudsen, Eirik Sjåholm; Foss, Kirsten

    2014-01-01

    The economic theory of the firm offers conflicting predictions of how the two major effects of recessions, changes in demand and access to credit, affect firm boundaries. Using data on Norwegian firms in the recent recession, we find support for both increased and reduced vertical integration...... of core activities in response to a recessionary shock. Further, we find a negative interaction effect between reductions in access to credit and reductions in demand on insourcing of core activities, but no such effect on outsourcing of core activities. We argue that this finding may highlight a possible...... explanation for the conflicting theoretical predictions regarding vertical integration in response to demand and credit shocks....

  3. Recession-An issue for organizations

    Directory of Open Access Journals (Sweden)

    Daniel GEORGESCU

    2009-12-01

    Full Text Available The reality in all organization is that the directors and board are in the position of highest influence and their primary responsibility is leadership. As such, considering the consequences of a recession such as we currently face is not the time for directors to abdicate their responsibilities – it is time for governance leadership. The directors and the board must think and respond strategically. The article shows a matrix for positioning the general manager in recession that is similarly with BCG matrix and in the final a table with a set of essential questions for helping the board in new strategies building.

  4. A novel technique for inferior rectus recession

    Directory of Open Access Journals (Sweden)

    Gokyigit B

    2014-01-01

    Full Text Available Birsen Gokyigit, Serpil Akar, Omer Faruk YilmazDepartment of Strabismus, Istanbul Beyoglu Educational and Research Eye Hospital, Istanbul, TurkeyPurpose: To introduce a novel technique of inferior rectus recession operation to allow larger amounts of recession without causing lower lid retraction and to compare this method with the results obtained in standard inferior rectus recession.Material and methods: This study included 20 patients operated on in the authors' clinic. The median age of the patients was 24.5±18.6 (4–73 years and the median follow-up was 9.3±11.8 (3–43 months. Ten patients operated on with the standard method were labeled Group 1 and ten patients operated on with the new method were labeled Group 2. Without exceeding 4 mm, inferior rectus recession to the whole muscle was performed in Group 1 patients. Inferior rectus recession was also performed on patients in Group 2 following the new method. Using a spatula, approximately 10% of the muscle surface fibers were detached intact as a thin layer, and the remaining 90% of deeper fibers were recessed 4–8 mm as planned. Patients' preoperative deviations and lower lid positions were recorded. The same parameters were checked in the first and third month postoperatively. Both groups were evaluated retrospectively by screening their files, and the Mann–Whitney U test was used for statistical evaluation.Results: Lower lid retraction was seen in four patients of Group 1. There was no retraction in Group 2. While there was a need to perform additional vertical muscle procedures for vertical deviations and lower lid retractions in Group 1, it was observed that there was no need for additional procedures in Group 2 patients. There was a statistically meaningful difference between the two procedures (P<0.05.Conclusion: This novel technique was found to be an effective surgical method for permitting more recession without the risk of lower lid retraction.Keywords: inferior rectus

  5. Recessive Epidermolysis Bullosa simplex- A case report

    African Journals Online (AJOL)

    Ademu

    Abstract: Background:Epidermolysis bullosa simplex (EBS) is characterized by intraepidermal blister formation, most commonly appearing in early infancy. Many variants of EBS exist; the four most common variants are inherited in an autosomal dominant fashion. The recessive forms are rare and less reported in our ...

  6. Phenytoin therapy in recessive dystrophic epidermolysis bullosa

    Directory of Open Access Journals (Sweden)

    Rege V

    1995-01-01

    Full Text Available A case of recessive dystrophic epidermolysis bullosa in a 17-year-old boy is described. The diagnosis was based on clinical and histophathological findings. The patient is being treated with 200-300 mg of phenytoin sodium per day maintaining a blood level of 13-15 mg/litre and is under remission for 1 year.

  7. Groundwater recharge using baseflow recession analysis in ...

    African Journals Online (AJOL)

    Baseflow recession analyses of Yewa and Ona rivers were carried out with a view to determining and comparing groundwater recharge in parts of the sedimentary and Basement Complex terrains of Southwestern Nigeria. Daily discharges of the rivers for ten years (1988 – 1997) were analysed. Groundwater recharge in ...

  8. Rare forms of autosomal recessive neurodegenerative ataxia.

    Science.gov (United States)

    Koenig, Michel

    2003-09-01

    There has been a recent explosion in knowledge regarding the genetic basis of several autosomal recessive ataxias. This article summarizes current information regarding rare forms of recessive ataxias. Friedreich's ataxia and ataxia telangiectasia are dealt with in other articles in this issue. The rarer recessive ataxias can be clinically classified as sensory and spinocerbellar ataxias, cerebellar ataxia with sensory-motor polyneuropathy, and purely cerebellar ataxias. Examples of the first category include ataxia with isolated vitamin E deficiency, abetalipoproteinemia, Refsum's disease, infantile-onset spinocerebellar ataxia, and ataxia with blindness and deafness. Examples of ataxia with sensory-motor polyneuropathy include ataxia with oculomotor apraxia 1 and 2 and spinocerebellar ataxia with neuropathy 1. Examples of purely cerebellar ataxia include autosomal recessive spastic ataxia of Charlevoix-Saguenay and ataxia with hypogonadotropic hypogonadism. This review summarizes the clinical and genetic features of these entities and concludes that the pathogenic basis of such ataxias at this time appear to involve two broad types of processes: free-radical injury and defects of DNA single- or double-strand break repair.

  9. Recess for Students with Visual Impairments

    Science.gov (United States)

    Lucas, Matthew D.

    2010-01-01

    During recess, the participation of a student with visual impairments in terms of movement can often be both challenging and rewarding for the student and general education teacher. This paper will address common characteristics of students with visual impairments and present basic solutions to improve the participation of these students in the…

  10. Weathering the Recession in College Health

    Science.gov (United States)

    Christmas, William A.

    2010-01-01

    The current global recession has increased personal stress levels throughout our society. With dwindling resources, institutions of higher learning are especially prone to budgetary cutbacks during such periods. Based on 22 years of experience as a health service director, the author offers some personal insights in the hope that they will help…

  11. Measuring Fluctuating Pressures With Recessed Gauges

    Science.gov (United States)

    Parrott, Tony L.; Jones, Michael G.

    1993-01-01

    Report discusses use of pressure gauges mounted in recesses in interior wall of model scramjet engine. Consists of brief memorandum plus excerpts from NASA Technical Paper 3189, "Unsteady Pressure Loads In A Generic High-Speed Engine Model." Focuses mainly on factors affecting accuracy of gauge readings.

  12. The Effect of Changes in Lower Incisor Inclination on Gingival Recession

    Directory of Open Access Journals (Sweden)

    Gulen Kamak

    2015-01-01

    Full Text Available Aim. Orthodontic treatment may promote development of recessions. The mechanism by which orthodontic treatment influences occurrence of recessions remains unclear. The aim of this study was to test the hypothesis that a change of mandibular incisor inclination promotes development of labial gingival recessions. Materials and Methods. The study sample comprised dental casts and lateral cephalograms obtained from 109 subjects before orthodontic treatment (Tb and after orthodontic treatment (Ta. Depending on the change of lower incisor inclination during treatment, the subjects were divided into three groups: Retroclination (R, Stable Position (S, and Proclination (P. The presence of gingival recessions of mandibular incisors and clinical crown heights were assessed on plaster models. Results and Conclusions. From Tb to Ta, Inc_Incl showed a statistically significant change in the R, P, and S groups (p<0.05. Increase of clinical crown heights of the lower incisors (42, 4, and 31 was not statistically significant in any group. The only statistically significant intergroup difference was the greater increase of the clinical crown height of tooth number 32 in the P group in comparison with the R group (p=0.049. The change of lower incisor inclination during treatment did not lead to development of labial gingival recessions in the study sample.

  13. Treatment of localized gingival recessions using gingival unit grafts: a randomized controlled clinical trial.

    Science.gov (United States)

    Kuru, Bahar; Yıldırım, Selin

    2013-01-01

    One of the success factors in periodontal plastic surgery is the synergistic relationship between involved tissues and vascular supply. Gingiva as a functional unit is unique with a specific vascular configuration and contains the supracrestal portion naturally created to survive over avascular root surfaces. The aim of this randomized controlled trial is to clinically evaluate the treatment of localized gingival recessions by using gingival unit grafts (palatal tissue involving marginal gingiva and papillae) compared with conventional palatal grafts. Seventeen patients with Class I to II recession defects on mandibular anterior teeth were included and randomly divided into two groups. Recessions were treated with gingival unit grafts in group 1 (n = 8) and with palatal grafts in group 2 (n = 9). Clinical parameters including vertical recession (VR), probing depth, keratinized tissue (KT), and attachment level were recorded at baseline and 8 months after surgery. Both treatments produced significant clinical improvements within the groups. Intergroup comparison revealed significantly higher VR reduction, attachment, and KT gain in group 1 than in group 2; mean percentages of the defect coverage were 91.62% ± 9.74% and 68.97% ± 13.67%, respectively (P <0.05). Healing of the gingival unit donor site was uneventful. Within its limits, this study demonstrates the possibility of treating buccal recessions with gingival unit grafts as an alternative technique using gingival donor graft of site-specific vascular configuration, with better defect coverage, clinical, and esthetic improvements compared with palatal grafts.

  14. Genetics Home Reference: autosomal recessive cerebellar ataxia type 1

    Science.gov (United States)

    ... Twitter Home Health Conditions ARCA1 Autosomal recessive cerebellar ataxia type 1 Printable PDF Open All Close All ... the expand/collapse boxes. Description Autosomal recessive cerebellar ataxia type 1 ( ARCA1 ) is a condition characterized by ...

  15. Gingival Recession in a Child‑Patient; Easily Missed Etiologies ...

    African Journals Online (AJOL)

    Gingival recession is commonly associated with plaque‑induced inflammation and calculus. A high frenal attachment is more important in gingival recession in the child‑patient. A healthy child‑patient with impeccable oral hygiene presented with localized gingival recession without plaque‑induced inflammation which led to ...

  16. Formulating the spring discharge-function for the recession period ...

    Indian Academy of Sciences (India)

    Prediction of spring water availability during the recession period is the key to its proper management. ... The efficiency of the formulated master discharge function of the spring for the recession period has been ... The only feasible answer to this water scarcity problem in recession period is to store it when it is in excess ...

  17. Etiology and occurrence of gingival recession - An epidemiological study

    Directory of Open Access Journals (Sweden)

    Sarpangala Mythri

    2015-01-01

    Full Text Available Objectives: Gingival recession is the term used to characterize the apical shift of the marginal gingiva from its normal position on the crown of the tooth. It is frequently observed in adult subjects. The occurrence and severity of the gingival recession present considerable differences between populations. To prevent gingival recession from occurring, it is essential to detect the underlying etiology. The aim of the present study was to determine the occurrence of gingival recession and to identify the most common factor associated with the cause of gingival recession. Methods: A total of 710 subjects aged between 15 years to 60 years were selected. Data were collected by an interview with the help of a proforma and then the dental examination was carried out. The presence of gingival recession was recorded using Miller's classification of gingival recession. The Silness and Loe Plaque Index, Loe and Silness gingival index, community periodontal index were recorded. The data thus obtained were subjected to statistical analysis using Chi-square test and Student's unpaired t-test. Results: Of 710 subjects examined, 291 (40.98% subjects exhibited gingival recession. The frequency of gingival recession was found to increase with age. High frequency of gingival recession was seen in males (60.5% compared to females (39.5%. Gingival recession was commonly seen in mandibular incisors (43.0%. Miller's class I gingival recession was more commonly seen. The most common cause for gingival recession was dental plaque accumulation (44.1% followed by faulty toothbrushing (42.7%. Conclusion: Approximately half of the subjects examined exhibited gingival recession. The etiology of gingival recession is multifactorial, and its appearance is always the result of more than one factor acting together.

  18. Labor Unions and the Great Recession

    Directory of Open Access Journals (Sweden)

    Ruth Milkman

    2017-04-01

    Full Text Available This article examines the impact of the Great Recession on the U.S. labor movement. After reviewing the classic industrial relations literature on the relationship between unionization rates and business cycles, we analyze historical union density trends. After documenting the relentless downward trend in the private sector from the early 1980s, with no apparent relationship to the business cycle, we analyze the negative impact of the political dynamic that unfolded in the wake of the Great Recession on public-sector unionism in sharp contrast to what took place during the Great Depression. We also explore the new forms of labor organizing that have emerged in the private sector, which have capitalized on the growing public concern about rising inequality sparked by Occupy Wall Street.

  19. Periosteoplasty for covering gingival recessions: Clinical results

    Directory of Open Access Journals (Sweden)

    Sascha Virnik

    2009-04-01

    Full Text Available Sascha Virnik1, Friedrich Michael Chiari1, Alexander Gaggl21Department of Oral and Maxillofacial Surgery, Central Hospital/LKH, Klagenfurt, Austria; 2Centre of Maxillofacial Surgery, “Pyramide am See” Clinic, Zurich, SwitzerlandAbstract: This is a case series in which a new technique for the surgical treatment of periodontal recessions is presented along with the results of the first clinical trial. A new technique of periodontal flap surgery was performed on 30 patients with severe periodontal recessions of the upper or lower front teeth. Root and soft tissue scaling was carried out with an open approach, then the periosteum was incised and mobilized at the apical part of the mucoperiosteum flap to cover the defect before the mucoperiosteum was reattached and fixed by sutures. Sulcus bleeding, periodontal probing depths, attachment loss and the length of the attached gingiva of the affected teeth were recorded preoperatively and at 3, 6, and 12 months postoperatively. Every clinical parameter was improved by surgery. No sulcus bleeding was observed at any time during the postoperative follow-up. A mean reattachment of 5.5 mm was noticed 12 months postoperatively at a mean probing depth of 0.3 mm. The mean height of the attached gingiva was 0 mm before surgery, 2.3 mm at three and six months postoperatively, and 2.2 mm at 12 months. The periosteum eversion technique is suitable for the treatment of gingival recessions resulting in good gingival function and a clear improvement in aesthetics.Keywords: periosteoplasty, periodontal surgery, gingival recession

  20. POSSIBLE RECESSION CURVE APPLICATIONS FOR RETENTION EVALUATION

    Directory of Open Access Journals (Sweden)

    Daniel Liberacki

    2015-11-01

    Full Text Available The objective of the article was to present possible applications of recession flow curve in a small lowland watershed retention discharge size evaluation. The examined woodland micro catchment area of 0.52 sq km is located in Puszcza Zielonka in central Wielkopolska. The Hutka catchment is typically woody with high retention abilities. The catchment of the Hutka watercourse is forested in 89%, the other 11% is covered by swamps and wasteland. The predominant sites are fresh mixed coniferous forest (BMśw, fresh coniferous forest (Bśw and alder carr forest (Ol. Landscape in catchment is characterized by a large number of interior depressions, filled partly with rainwater or peatbogs, with poorly developed natural drainage. The watercourses do not exceed 1 km in length, the mean width is approx. 0.5 m, while mean depth ranges from 0.2 to 0.3 m. During hydrological research conducted in 1997/1998–1999/2000, 35 major (characteristic raised water stages were observed in Hutka after substantial precipitation. The recession curve dating from 18–24 September 2000 has the α and n rates nearest to average. Comparing the model curve and the curve created by observing watercourse flow, one can notice their resemblance and that they have similar ordinate values as well as shape. In the case of other recession curves, the maximum differences of ordinate values are also about 0.1–0.2 l/s/km2. The measuured α and n rates do not reveal any regularities. There are no significant statistical Horton model parameter (for recession flow curves dependencies between α and n and e.g. initial flows (Qo or the whole period of high water waves (Qp. Consequently, calculated relation between these parameters is only an approximation for the general evaluation of the retention discharge in the catchment area towards retention with flow function.

  1. Engineering a paradox of thrift recession

    OpenAIRE

    Zhen Huo; José-Víctor Ríos-Rull

    2013-01-01

    We build a variation of the neoclassical growth model in which financial shocks to households or wealth shocks (in the sense of wealth destruction) generate recessions. Two standard ingredients that are necessary are (1) the existence of adjustment costs that make the expansion of the tradable goods sector difficult and (2) the existence of some frictions in the labor market that prevent enormous reductions in real wages (Nash bargaining in Mortensen-Pissarides labor markets is enough). We po...

  2. The Effect of Recessions on Gambling Expenditures

    OpenAIRE

    Horváth, Csilla; Paap, Richard

    2012-01-01

    textabstractThis article examines the influence of the business cycle on expenditures of three major types of legalized gambling activities: Casino gambling, lottery, and pari-mutuel wagering. Empirical results are obtained using monthly aggregated US per capita consumption time series for the period 1959. 01-2010. 08. Among the three gambling activities only lottery consumption appears to be recession-proof. This series is characterized by a vast and solid growth that exceeds the growth in i...

  3. Event-scale power law recession analysis: quantifying methodological uncertainty

    Science.gov (United States)

    Dralle, David N.; Karst, Nathaniel J.; Charalampous, Kyriakos; Veenstra, Andrew; Thompson, Sally E.

    2017-01-01

    The study of single streamflow recession events is receiving increasing attention following the presentation of novel theoretical explanations for the emergence of power law forms of the recession relationship, and drivers of its variability. Individually characterizing streamflow recessions often involves describing the similarities and differences between model parameters fitted to each recession time series. Significant methodological sensitivity has been identified in the fitting and parameterization of models that describe populations of many recessions, but the dependence of estimated model parameters on methodological choices has not been evaluated for event-by-event forms of analysis. Here, we use daily streamflow data from 16 catchments in northern California and southern Oregon to investigate how combinations of commonly used streamflow recession definitions and fitting techniques impact parameter estimates of a widely used power law recession model. Results are relevant to watersheds that are relatively steep, forested, and rain-dominated. The highly seasonal mediterranean climate of northern California and southern Oregon ensures study catchments explore a wide range of recession behaviors and wetness states, ideal for a sensitivity analysis. In such catchments, we show the following: (i) methodological decisions, including ones that have received little attention in the literature, can impact parameter value estimates and model goodness of fit; (ii) the central tendencies of event-scale recession parameter probability distributions are largely robust to methodological choices, in the sense that differing methods rank catchments similarly according to the medians of these distributions; (iii) recession parameter distributions are method-dependent, but roughly catchment-independent, such that changing the choices made about a particular method affects a given parameter in similar ways across most catchments; and (iv) the observed correlative relationship

  4. Comparative evaluation of platelet-rich fibrin with connective tissue grafts in the treatment of miller's Class I gingival recessions

    Directory of Open Access Journals (Sweden)

    Sonam Mufti

    2017-01-01

    Full Text Available Background: One of the most common aesthetic problem encountered in the field of periodontology is gingival recession, which is, perceived by the patients as increase in length of teeth. The treatment of buccal gingival recession is a common requirement due to aesthetic concern or root sensitivity. This study was planned to evaluate the efficacy of PRF membrane compared to that of CTG in Miller's class I gingival recessions. Materials and Methods: 32 sites with Miller's Class I gingival recessions, out of which 16 sites received PRF (test and 16 sites received CTG (control. Each patient had undergone an initial periodontal treatment, including oral hygiene instructions, plaque control, and scaling and root planing, followed by re-evaluation. All clinical recordings; recession height, recession width, clinical attachment level, height of keratinized tissue, thickness of keratinized tissue, healing index and pain perception, were performed immediately before surgery (baseline and after 6 months interval following periodontal surgery. Results: In the test group, significant improvement was seen in terms CAL, REC-HT, REC-WD, HKT and TKT from baseline to 6 months. In the control group, only significant improvement seen was in REC-HT and TKT from baseline to 6 months. Comparison of both Healing Index and VAS score was done and it showed no significant difference between test and the control group except VAS at 1 week. Conclusion: Though CTG is a gold standard procedure, PRF can be used as an alternative procedure by keeping patient's comfort and recognition in mind.

  5. The Great Recession, unemployment and suicide.

    Science.gov (United States)

    Norström, Thor; Grönqvist, Hans

    2015-02-01

    How have suicide rates responded to the marked increase in unemployment spurred by the Great Recession? Our paper puts this issue into a wider perspective by assessing (1) whether the unemployment-suicide link is modified by the degree of unemployment protection, and (2) whether the effect on suicide of the present crisis differs from the effects of previous economic downturns. We analysed the unemployment-suicide link using time-series data for 30 countries spanning the period 1960-2012. Separate fixed-effects models were estimated for each of five welfare state regimes with different levels of unemployment protection (Eastern, Southern, Anglo-Saxon, Bismarckian and Scandinavian). We included an interaction term to capture the possible excess effect of unemployment during the Great Recession. The largest unemployment increases occurred in the welfare state regimes with the least generous unemployment protection. The unemployment effect on male suicides was statistically significant in all welfare regimes, except the Scandinavian one. The effect on female suicides was significant only in the eastern European country group. There was a significant gradient in the effects, being stronger the less generous the unemployment protection. The interaction term capturing the possible excess effect of unemployment during the financial crisis was not significant. Our findings suggest that the more generous the unemployment protection the weaker the detrimental impact on suicide of the increasing unemployment during the Great Recession. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  6. The etiologic factors of periodontal recession

    OpenAIRE

    Karen Ferreira Gazel Yared; Elton Gonçalves Zenobio; Wellington Pacheco

    2006-01-01

    A literatura apresenta vários fatores relacionados na etiologia da recessão periodontal, além do processo inflamatório induzido pelo biofilme bacteriano, os quais incluem fatores externos e anatômicos locais. Por meio deste estudo, revistou-se a literatura sobre tais fatores, cujo conhecimento é de grande importância para o ortodontista, contribuindo durante o diagnóstico, planejamento e tratamento ortodôntico propriamente dito.The literature shows that besides dental plaque, some external an...

  7. Intermediate form of osteopetrosis with recessive inheritance

    Energy Technology Data Exchange (ETDEWEB)

    Kaibara, N.; Katsuki, I.; Hotokebuchi, T.; Takagishi, K.

    1982-11-01

    The clinical and radiographic features of the intermediate form of osteopetrosis in two sibs are presented in which the disorder appears to have been inherited as a recessive trait. Although this form of osteopetrosis has been poorly delineated, its recognition is practically important in order to give an accurate prognosis. This paper also presents an unusual complication of bilateral avascular necrosis of the femoral head in the younger sib. Radiographic changes of the femoral heads suggest those of Legg-Calve-Perthes disease, though the possibility of avascular necrosis following unrecognized femoral neck fracture is not completely excluded.

  8. Axial Lengths in Children with Recessive Cornea Plana.

    Science.gov (United States)

    Al Hazimi, Amro; Khan, Arif O

    2015-06-01

    While flat keratometry contributes to the hyperopia and associated refractive accommodative esotropia that is part of recessive cornea plana, whether or not axial lengths are abnormally short in the disease is unclear. In this study we assess this possibility. Prospective (2010-2012) axial length measurement (IOLmaster; Carl Zeiss, Oberkochen, Germany) of affected right eyes and comparison to right eyes with refractive accommodative esotropia only. Keratometry and refraction were also performed. For eight affected right eyes (age 10-12 years; seven families) axial length ranged from 21.46-24.80 mm (mean 23.34). Best corrected visual acuity ranged from 20/25 to 20/50, keratometry from 25.33-39.80 diopters (D) [mean 31.80], and refraction from +2.00 to +14.00 D (mean +7.22). For 50 control right eyes (age 4-12 years), axial length ranged from 19.87-23.66 mm (mean 21.6). Best-corrected visual acuity was 20/25 or better, keratometry ranged from 39.81-46.25 D (mean 42.42), and refraction from +2.25 to +8.00 D (mean 4.71). Axial lengths were longer in the affected group (2-tailed unpaired t-test p value 0.000005) despite greater hyperopia (2-tailed unpaired t-test p value 0.001). Despite greater hyperopia, axial lengths were longer in eyes with recessive cornea plana, evidence that axial lengths are not shortened by the disease. Keratometry in children with cornea plana was below the range of controls and was the major factor underlying the phenotype's hyperopia.

  9. Nonoscillatory half-linear difference equations and recessive solutions

    Directory of Open Access Journals (Sweden)

    Mauro Marini

    2005-05-01

    Full Text Available Recessive and dominant solutions for the nonoscillatory half-linear difference equation are investigated. By using a uniqueness result for the zero-convergent solutions satisfying a suitable final condition, we prove that recessive solutions are the “smallest solutions in a neighborhood of infinity,” like in the linear case. Other asymptotic properties of recessive and dominant solutions are treated too.

  10. How to Embrace Change: Provincial Unemployment After the 2008 Recession

    OpenAIRE

    Karpenko, Yevgeniya

    2014-01-01

    Five years after the 2008 recession, provincial unemployment rates in Canada remain higher than pre-recession levels. In some provinces, initial declines in unemployment have plateaued. When structural changes occur, a higher unemployment rate can persist even after a full economic recovery. This study undertakes an empirical analysis of provincial panel data to uncover potential causes of persistent unemployment across Canada. The results indicate that, after the recession, the structural co...

  11. Job duration and the cleansing and sullying effects of recessions

    OpenAIRE

    Jose Mustre-del-Rio

    2012-01-01

    A central question in economics is how business cycles affect the allocation of resources. Focusing on the labor market, an unresolved issue is whether recessions lead to above or below average productive arrangements. Typical models of the labor market imply that recessions cleanse the labor market as low quality employer-employee matches are destroyed and only exceptionally high quality matches are created. These models, however, ignore the potential sullying effect of recessions through on...

  12. Coverage of gingival recession using tunnel connective tissue graft technique

    Science.gov (United States)

    Khuller, Nitin

    2009-01-01

    The recession of gingiva is increasingly becoming a more prominent condition in the oral health of many patients and should be treated at its earliest detection. The multi-factorial etiology, decision modality, and current trends followed in treatment of gingival recession are discussed in this presentation. The correction of class I and II gingival recessions are presented as a means of minimizing surgical trauma and achieving predictable aesthetic results. In this case report, I present an alternative technique in treating gingival recession- the tunnel connective tissue graft. PMID:20407659

  13. Coverage of gingival recession using tunnel connective tissue graft technique

    Directory of Open Access Journals (Sweden)

    Khuller Nitin

    2009-01-01

    Full Text Available The recession of gingiva is increasingly becoming a more prominent condition in the oral health of many patients and should be treated at its earliest detection. The multi-factorial etiology, decision modality, and current trends followed in treatment of gingival recession are discussed in this presentation. The correction of class I and II gingival recessions are presented as a means of minimizing surgical trauma and achieving predictable aesthetic results. In this case report, I present an alternative technique in treating gingival recession- the tunnel connective tissue graft.

  14. Gingival labial recessions and the post-treatment proclination of mandibular incisors.

    Science.gov (United States)

    Renkema, Anne-Marie; Navratilova, Zuzanna; Mazurova, Katerina; Katsaros, Christos; Fudalej, Piotr S

    2015-10-01

    A prerequisite for development of gingival recession is the presence of alveolar bone dehiscence. Proclination of mandibular incisors can result in thinning of the alveolus and dehiscence formation. To assess an association between proclination of mandibular incisor and development of gingival recession. One hundred and seventeen subjects who met the following inclusion criteria were selected: 1. age 11-14 years at start of orthodontic treatment (TS), 2. bonded retainer placed immediately after treatment (T0), 3. dental casts and lateral cephalograms available pre-treatment (TS), post-treatment (T0), and 5 years post-treatment (T5), and 4. post-treatment (T0) lower incisor inclination (Inc_Incl) 100.5°. Two groups were formed: non-proclined (N = 57; mean Inc_Incl = 90.8°) and proclined (N = 60; mean Inc_Incl = 105.2°). Clinical crown heights of mandibular incisors and the presence of gingival recession sites in this region were assessed on plaster models. Fisher's exact tests, t-tests, and regression models were computed for analysis of inter-group differences. The mean increase of clinical crown heights (from T0 to T5) of mandibular incisors ranged from 0.75 to 0.83mm in the non-proclined and proclined groups, respectively (P = 0.273). At T5, gingival recession sites were present in 12.3% and 11.7% patients from the non-proclined and proclined groups, respectively. The difference was also not significant (P = 0.851). The proclination of mandibular incisors did not increase a risk of development of gingival recession during five-year observation in comparison non-proclined teeth. © The Author 2014. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  15. Study of Basin Recession Characteristics and Groundwater Storage Properties

    Science.gov (United States)

    Yen-Bo, Chen; Cheng-Haw, Lee

    2017-04-01

    Stream flow and groundwater storage are freshwater resources that human live on.In this study, we discuss southern area basin recession characteristics and Kao-Ping River basin groundwater storage, and hope to supply reference to Taiwan water resource management. The first part of this study is about recession characteristics. We apply Brutsaert (2008) low flow analysis model to establish two recession data pieces sifting models, including low flow steady period model and normal condition model. Within individual event analysis, group event analysis and southern area basin recession assessment, stream flow and base flow recession characteristics are parameterized. The second part of this study is about groundwater storage. Among main basin in southern Taiwan, there are sufficient stream flow and precipitation gaging station data about Kao-Ping River basin and extensive drainage data, and data about different hydrological characteristics between upstream and downstream area. Therefore, this study focuses on Kao-Ping River basin and accesses groundwater storage properties. Taking residue of groundwater volume in dry season into consideration, we use base flow hydrograph to access periodical property of groundwater storage, in order to establish hydrological period conceptual model. With groundwater storage and precipitation accumulative linearity quantified by hydrological period conceptual model, their periodical changing and alternation trend properties in each drainage areas of Kao-Ping River basin have been estimated. Results of this study showed that the recession time of stream flow is related to initial flow rate of the recession events. The recession time index is lower when the flow is stream flow, not base flow, and the recession time index is higher in low flow steady flow period than in normal recession condition. By applying hydrological period conceptual model, groundwater storage could explicitly be analyzed and compared with precipitation, by only

  16. Prevalence of gingival recession after orthodontic tooth movements.

    Science.gov (United States)

    Morris, Jason W; Campbell, Phillip M; Tadlock, Larry P; Boley, Jimmy; Buschang, Peter H

    2017-05-01

    This study was designed to evaluate the long-term prevalence of gingival recession after orthodontic tooth movements, focusing on the effects of mandibular incisor proclination and expansion of maxillary posterior teeth. Records of 205 patients (162 female, 43 male) were obtained from 2 private practice orthodontists. Using pretreatment (age, 14.0 ± 5.9 years) and posttreatment (age, 16.5 ± 6.0 years) lateral cephalograms and dental models, mandibular incisor proclination and maxillary arch widths were measured. Gingival recession was measured based on posttreatment and postretention (age, 32.3 ± 8.5 years) intraoral photographs and models. Associations between tooth movements and gingival recession were evaluated statistically. Only 5.8% of teeth exhibited recession at the end of orthodontic treatment (only 0.6% had recession >1 mm). After retention, 41.7% of the teeth showed recession, but the severity was limited (only 7.0% >1 mm). There was no relationship between mandibular incisor proclination during treatment and posttreatment gingival recession. Incisors that finished treatment angulated (IMPA) at 95° or greater did not show significantly more recession than did those that finished less than 95°. There were weak positive correlations (r = 0.17-0.41) between maxillary arch width increases during treatment and posttreatment recession. Orthodontic treatment is not a major risk factor for the development of gingival recession. Although greater amounts of maxillary expansion during treatment increase the risks of posttreatment recession, the effects are minimal. Copyright © 2017 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

  17. The developing recession in the United States

    Directory of Open Access Journals (Sweden)

    Wynne Godley

    2001-12-01

    Full Text Available This article points out that the expansion of aggregate demand in the US during the nineties was structured in a highly unusual way. There was a progressive tightening of the fiscal stance, so growth had to be powered by a uniquely rapid growth of private expenditure in excess of disposable income. This process was intrinsically unsustainable because it required very heavy borrowing, which caused a rise to record levels in debt/income ratios. If aggregate demand is to grow at an adequate rate in the medium term, there will have to be a large further fiscal relaxation. Yet fiscal policy alone cannot solve the problem because there has been a growing deficit in the balance of payments which will have to be corrected at some stage. The implications for the rest of the world of continued recession in the US could be very serious.

  18. A etiologia multifatorial da recessão periodontal The etiologic factors of periodontal recession

    Directory of Open Access Journals (Sweden)

    Karen Ferreira Gazel Yared

    2006-12-01

    Full Text Available A literatura apresenta vários fatores relacionados na etiologia da recessão periodontal, além do processo inflamatório induzido pelo biofilme bacteriano, os quais incluem fatores externos e anatômicos locais. Por meio deste estudo, revistou-se a literatura sobre tais fatores, cujo conhecimento é de grande importância para o ortodontista, contribuindo durante o diagnóstico, planejamento e tratamento ortodôntico propriamente dito.The literature shows that besides dental plaque, some external and anatomic local factors are still related to gingival recession etiology. This study reviewed the literature about those factors, which knownledge is of great benefit to the orthodontist, contributing during diagnostic, planning and orthodontic treatment.

  19. Addressing Problem Behavior at Recess Using Peer Praise Notes

    Science.gov (United States)

    Teerlink, Elise; Caldarella, Paul; Anderson, Darlene H.; Richardson, Michael J.; Guzman, E. Geovanni

    2017-01-01

    School recess, though beneficial to students in many ways, can be a problematic setting due to inadequate supervision, structure, and safety. A peer praise note (PPN) intervention was implemented on the recess playground to address these concerns at a Title I elementary school. Researchers used a single-subject reversal design across all students…

  20. Children's Physical Activity Levels during Indoor Recess Dance Videos

    Science.gov (United States)

    Erwin, Heather; Koufoudakis, Ryann; Beighle, Aaron

    2013-01-01

    Background: Children's physical activity (PA) levels remain low, and schools are being asked to assume a leadership role in PA promotion. Research suggests outdoor recess contributes to children's overall PA levels. However, similar research is not available for indoor recess, which occurs frequently due to a variety of factors. The purpose of…

  1. Development of labial gingival recessions in orthodontically treated patients

    NARCIS (Netherlands)

    Renkema, A.M.; Fudalej, P.S.; Kiekens, R.M.A.; Katsaros, C.

    2013-01-01

    INTRODUCTION: Our aim was to assess the prevalence of gingival recessions in patients before, immediately after, and 2 and 5 years after orthodontic treatment. METHODS: Labial gingival recessions in all teeth were scored (yes or no) by 2 raters on initial, end-of-treatment, and posttreatment (2 and

  2. Development of labial gingival recessions in orthodontically treated patients

    NARCIS (Netherlands)

    Renkema, Anne Marie; Fudalej, Piotr S.; Renkema, Alianne; Kiekens, Rosemie; Katsaros, Christos

    Introduction: Our aim was to assess the prevalence of gingival recessions in patients before, immediately after, and 2 and 5 years after orthodontic treatment. Methods: Labial gingival recessions in all teeth were scored (yes or no) by 2 raters on initial, end-of-treatment, and posttreatment (2 and

  3. The Impact of the Recession on College Students

    Science.gov (United States)

    Berg-Cross, Linda; Green, Rodney

    2010-01-01

    This article had three goals: (a) to provide a brief economic review of the relationship between recessionary times, institutional reactions, and the life trajectory of recession-era college students; (b) to discuss the recession-related psychosocial stressors facing today's college students; and (c) to discuss how counseling centers can help…

  4. Prevention, Recognition and Treatment of Common Recess Injuries

    Science.gov (United States)

    Linker, Jenny M.; David, Shannon L.

    2017-01-01

    When examining recess within a school's comprehensive school physical activity program (CSPAP), stakeholders should consider that 30% to 70% of school injuries occur during this part of the school day (Posner, 2000). Thus, existing frameworks to prevent and manage recess injuries may require a thorough review. The purpose of this article is to…

  5. Postoperative hand treatment in children with recessive dystrophic epidermolysis bullosa

    NARCIS (Netherlands)

    Formsma, S. A.; Maathuis, C. B. G.; Robinson, P. H.; Jonkman, M. E.

    2008-01-01

    The purpose of this study is to give an overview of the postoperative hand treatment options in children with recessive dystrophic epidermolysis bullosa (EB) and to introduce a treatment protocol and discuss the indications and timing. Recessive dystrophic EB is a rare hereditary blistering skin

  6. Students with Sickle Cell Anemia Participating in Recess

    Science.gov (United States)

    Lucas, Matthew D.; Devlin, Katharine M.

    2011-01-01

    The participation of a student with Sickle Cell Anemia in recess can often be both challenging and rewarding for the student and teacher. This paper will address common characteristics of students with Sickle Cell Anemia and present basic solutions to improve the experience of these students in the recess setting. Initially the definition,…

  7. Business Recovery Strategies in the Economic Crisis of Recession ...

    African Journals Online (AJOL)

    This paper examines Nigeria's theoretical economic foundation, the consequence of recession generally and specifically on the Gross Domestic Product (GDP) growth rate (2008-2010) and on companies together with customers reaction. Business recovery strategies for an upturn over the economic crisis of recession in ...

  8. Who Suffers during Recessions? NBER Working Paper No. 17951

    Science.gov (United States)

    Hoynes, Hilary W.; Miller, Douglas L.; Schaller, Jessamyn

    2012-01-01

    In this paper we examine how business cycles affect labor market outcomes in the United States. We conduct a detailed analysis of how cycles affect outcomes differentially across persons of differing age, education, race, and gender, and we compare the cyclical sensitivity during the Great Recession to that in the early 1980s recession. We present…

  9. Social Skills Intervention during Elementary School Recess: A Visual Analysis.

    Science.gov (United States)

    Anderson-Butcher, Dawn; Newsome, W. Sean; Nay, Stephanie

    2003-01-01

    This study builds on two studies that explored the effect of a social skills intervention on problem behaviors displayed by elementary school children during recess. Findings conclude that social skills intervention significantly decreased problem behaviors among school children at recess. Implications for behavioral management and healthy school…

  10. Students with Attention Deficit Hyperactivity Disorder Participating in Recess

    Science.gov (United States)

    Lucas, Matthew D.; Justice, Michael J.; Rosko, Kelly M.

    2014-01-01

    The participation of a student with Attention Deficit Hyperactivity Disorder (ADHD) in recess can often be both challenging and rewarding for the student and teacher. This paper will address common characteristics of children with ADHD and present basic solutions to improve the experience of these children in the recess setting. Initially, the…

  11. Gingival Recession in a Child‑Patient; Easily Missed Etiologies ...

    African Journals Online (AJOL)

    periodontal diseases. European J Gen Dent 2012;1:2‑5. 15. Pini‑Prato GP, Cozzani G, Magnani C, Baccetti T. Healing of gingival recession following orthodontic treatment: A 30‑year case report. Int J Periodontics Restorative Dent 2012;32:23‑7. 16. Pradeep AR, Sharma DC. Gingival recession and pathologic migration due ...

  12. Gingival Recession in a Child‑Patient; Easily Missed Etiologies ...

    African Journals Online (AJOL)

    frenal attachment is more important in gingival recession in the child‑patient. A healthy child‑patient with impeccable oral hygiene presented with localized gingival recession without plaque‑induced inflammation which led to the exploration of other possible etiologies. Multiple factors appeared to be acting in consonance ...

  13. Students with Obsessive Compulsive Disorder Participating in Recess

    Science.gov (United States)

    Lucas, Matthew D.; Sturgis, Amanda L.

    2012-01-01

    The participation of a student with Obsessive Compulsive Disorder (OCD) in recess can often be both challenging and rewarding for the student and teacher. This paper will address common characteristics of students with OCD and present basic solutions to improve the experience of these students in the recess setting. Initially the definition,…

  14. Students with Fetal Alcohol Syndrome Participating in Recess

    Science.gov (United States)

    Scheel, Rebecca; Lucas, Matthew D.

    2011-01-01

    For the student with Fetal Alcohol Syndrome (FAS), participation in recess can often be both challenging and rewarding for the student and teacher. This paper will address common characteristics of students with FAS and present basic solutions to improve the experience of these students in the recess setting. Initially, the definition and…

  15. Economic recession and suicidal behaviour: Possible mechanisms and ameliorating factors.

    Science.gov (United States)

    Haw, Camilla; Hawton, Keith; Gunnell, David; Platt, Stephen

    2015-02-01

    A growing body of research evidence from countries around the world indicates that economic recession is associated with increases in suicide, particularly in males of working age. To explore contributory and ameliorating factors associated with economic recession and suicide and thereby stimulate further research in this area and encourage policy makers to consider how best to reduce the impact of recession on mental health and suicidal behaviour. We conducted a selective review of the worldwide literature focusing on possible risk factors, mechanisms and preventative strategies for suicidal behaviour linked to economic recession. A model of how recession might affect suicide rates is presented. A major and often prolonged effect of recession is on unemployment and job insecurity. Other important effects include those exerted by financial loss, bankruptcy and home repossession. It is proposed these factors may lead directly or indirectly to mental health problems such as depression, anxiety and binge drinking and then to suicidal behaviour. Countries with active labour market programmes and sustained welfare spending during recessions have less marked increases in suicide rates than those that cut spending on welfare and job-search initiatives for the unemployed. Other measures likely to help include targeted interventions for unemployed people, membership of social organisations and responsible media reporting. Good primary care and mental health services are needed to cope with increased demand in times of economic recession but some governments have in fact reduced healthcare spending as an austerity measure. The research evidence linking recession, unemployment and suicide is substantial, but the evidence for the other mechanisms we have investigated is much more tentative. We describe the limitations of the existing body of research as well as make suggestions for future research into the effects of economic recession on suicidal behaviour. © The Author

  16. Recent declines in cancer incidence: related to the Great Recession?

    Science.gov (United States)

    Gomez, Scarlett Lin; Canchola, Alison J; Nelson, David O; Keegan, Theresa H M; Clarke, Christina A; Cheng, Iona; Shariff-Marco, Salma; DeRouen, Mindy; Catalano, Ralph; Satariano, William A; Davidson-Allen, Kathleen; Glaser, Sally L

    2017-02-01

    In recent years, cancer case counts in the U.S. underwent a large, rapid decline-an unexpected change given population growth for older persons at highest cancer risk. As these declines coincided with the Great Recession, we examined whether they were related to economic conditions. Using California Cancer Registry data from California's 30 most populous counties, we analyzed trends in cancer incidence during pre-recession (1996-2007) and recession/recovery (2008-2012) periods for all cancers combined and the ten most common sites. We evaluated the recession's association with rates using a multifactorial index that measured recession impact, and modeled associations between case counts and county-level unemployment rates using Poisson regression. Yearly cancer incidence rate declines were greater during the recession/recovery (3.3% among males, 1.4% among females) than before (0.7 and 0.5%, respectively), particularly for prostate, lung, and colorectal cancers. Lower case counts, especially for prostate and liver cancer among males and breast cancer, melanoma, and ovarian cancer among females, were associated with higher unemployment rates, irrespective of time period, but independent of secular effects. The associations for melanoma translated up to a 3.6% decrease in cases with each 1% increase in unemployment. Incidence declines were not greater in counties with higher recession impact index. Although recent declines in incidence of certain cancers are not differentially impacted by economic conditions related to the Great Recession relative to pre-recession conditions, the large recent absolute declines in the case counts of some cancer may be attributable to the large declines in unemployment in the recessionary period. This may occur through decreased engagement in preventive health behaviors, particularly for clinically less urgent cancers. Continued monitoring of trends is important to detect any rises in incidence rates as deferred diagnoses come to

  17. Urbanization and the global malaria recession.

    Science.gov (United States)

    Tatem, Andrew J; Gething, Peter W; Smith, David L; Hay, Simon I

    2013-04-17

    The past century has seen a significant contraction in the global extent of malaria transmission, resulting in over 50 countries being declared malaria free, and many regions of currently endemic countries eliminating the disease. Moreover, substantial reductions in transmission have been seen since 1900 in those areas that remain endemic today. Recent work showed that this malaria recession was unlikely to have been driven by climatic factors, and that control measures likely played a significant role. It has long been considered, however, that economic development, and particularly urbanization, has also been a causal factor. The urbanization process results in profound socio-economic and landscape changes that reduce malaria transmission, but the magnitude and extent of these effects on global endemicity reductions are poorly understood. Global data at subnational spatial resolution on changes in malaria transmission intensity and urbanization trends over the past century were combined to examine the relationships seen over a range of spatial and temporal scales. A consistent pattern of increased urbanization coincident with decreasing malaria transmission and elimination over the past century was found. Whilst it remains challenging to untangle whether this increased urbanization resulted in decreased transmission, or that malaria reductions promoted development, the results point to a close relationship between the two, irrespective of national wealth. The continuing rapid urbanization in malaria-endemic regions suggests that such malaria declines are likely to continue, particularly catalyzed by increasing levels of direct malaria control.

  18. The Role of Credit in Predicting US Recessions

    DEFF Research Database (Denmark)

    Pönkä, Harri

    We study the role of credit in forecasting US recession periods with probit models. We employ both classical recession predictors and common factors based on a large panel of financial and macroeconomic variables as control variables. Our findings suggest that a number of credit variables...... are useful predictors of US recessions over and above the control variables both in and out of sample. Especially the excess bond premium, capturing the cyclical changes in the relationship between default risk and credit spreads, is found to be a powerful predictor. Overall, models that combine credit...

  19. Onychophagia and postorthodontic isolated gingival recession: diagnosis and treatment.

    Science.gov (United States)

    Alessandri Bonetti, Giulio; Incerti Parenti, Serena; Zucchelli, Giovanni

    2012-12-01

    This clinical report describes the diagnosis and the management of isolated-type recession defects of complex etiology in 2 healthy postorthodontic patients. The lesions were confined to 1 mandibular incisor and were associated with an abnormal buccolingual inclination of the affected tooth despite a lingual retainer made with a round stainless steel twisted wire. After careful questioning, it was determined that the recession defects were indirect effects of habitual onychophagia. The concomitant fingernail-biting habit and the lingual bonded retainer led to the indirect development of bone dehiscence and, consequently, gingival recession. Copyright © 2012 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  20. STRATEGIC PLANNING IN THE GLOBAL ECONOMIC CRISIS AND RECESSION

    Directory of Open Access Journals (Sweden)

    Ana Anufrijev

    2013-12-01

    Full Text Available In the global economic crisis and recession, strategic planning is a necessity. New business environment manifests a new approach to strategic planning and strategic thinking defines the activities with the organizational aspects of the movements in the region has the greatest influence firm size. The financial plan, the deficit of financial assets is a condition that requires new forms of adjustment to market conditions. The recession and the Serbian go hand in hand and the lack of funds, the impact of economic crisis and economic recession are conditions that require urgent and strategic action planning.

  1. The global financial crisis and the Great Recession of 2007-2009.

    Science.gov (United States)

    Dore, Mohammed H I; Singh, Rajiv G

    2010-07-01

    This paper is a re-examination of the global financial crisis that began in and was accompanied by the most severe recession since the Great Depression. It builds on our earlier paper (Dore and Singh, 2009) and expands its scope. It is divided into parts. The first part deals with the ideological backdrop in which this crisis occurred, namely the belief in the rationality and stability of all markets including the capital markets, called the 'efficient market hypothesis.' The second part is a survey of the role of income distribution and its relations to aggregate spending and the growing role played by credit in the circular flow of income. The third part examines some features of the business cycle expansion phase of to . The fourth part is a brief report on a nonlinear Vector Error Correction model spanning the period to and how this expansion came to an end. The fifth part is a brief comparison of the Great Recession with the Great Depression. Finally in the sixth part, the international impact of the Great Recession is considered briefly, followed by some conclusions.

  2. Gingival unit transfer using in the Miller III recession defect treatment.

    Science.gov (United States)

    Yıldırım, Selin; Kuru, Bahar

    2015-02-16

    The most significant factor for the success in soft tissue grafts is the synergistic relation between vascular configuration and involved tissues. In the soft tissue graft procedures, site specific donor tissue is assumed to have improved potential for function and aesthetic survive at recipient sites. On a clinical level, using site specific gingival unit graft that placed on traditionally prepared recipient site, results in predictable root coverage. In this case report the clinical effectiveness of gingival unit transfer (GUT) technique performed on Miller III recession was presented and a similar recession case treated with free gingival graft (FGG) technique for comparison. Probing depth, recession depth, keratinized tissue width and clinical attachment level clinical parameters were measured at baseline and postoperative 8 mo. Percentage of defect coverage was evaluated at postoperative 8 mo. Creeping attachment was assessed at postoperative 1, 3, 6 and 8 mo. The GUT revealed better defect coverage and creeping attachment results than the FGG in the treatment of Miller III defects.

  3. Spontaneous improvement of gingival recession after correction of tooth positioning.

    Science.gov (United States)

    Machado, Andre Wilson; MacGinnis, Matthew; Damis, Lucio; Moon, Won

    2014-06-01

    A 30-year-old woman sought treatment for malpositioned mandibular incisors; the roots were positioned outside the alveolar bone, related to severe localized gingival recession. She had been previously treated orthodontically and subsequently underwent 2 gingival grafts. The new treatment included torquing the roots back within the alveolar bone and referral to a periodontist for a gingival graft. In this clinical report, the possible spontaneous improvement of gingival recession is discussed. A hypothesis described in the literature is called the "creeping attachment" phenomenon. The literature includes conflicting reports about the cause-and-effect relationship between orthodontics and gingival recession. This clinical example reports spontaneous improvement of gingival recession after correction of tooth positioning in the alveolar bone. A gingival graft can be performed after adequate root positioning in the alveolar bone housing, thus increasing the chance of achieving more favorable results. Copyright © 2014 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  4. Gingival recession--can orthodontics be a cure?

    National Research Council Canada - National Science Library

    Northway, William M

    2013-01-01

    .... With an extensive review of the literature, this case review attempts to make sense of the enigma of gingival recession and demonstrates an excellent treatment solution to concomitant orthodontic...

  5. Recession-Tolerant Sensors for Thermal Protection Systems Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Phase II project will develop a suite of diagnostic sensors using Direct Write technology to measure temperature, surface recession depth, and heat flux of an...

  6. Autosomal recessive bestrophinopathy: differential diagnosis and treatment options

    NARCIS (Netherlands)

    Boon, C.J.F.; Born, L.I. van den; Visser, L.; Keunen, J.E.E.; Bergen, A.A.B.; Booij, J.C.; Riemslag, F.C.; Florijn, R.J.; Schooneveld, M.J. van

    2013-01-01

    OBJECTIVE: To describe the clinical and genetic characteristics of patients with autosomal recessive bestrophinopathy (ARB). DESIGN: Retrospective case series. PARTICIPANTS: Ten patients with ARB from 7 different families. METHODS: All patients underwent a complete ophthalmic examination, including

  7. Quantitative Fundus Autofluorescence in Recessive Stargardt Disease

    Science.gov (United States)

    Burke, Tomas R.; Duncker, Tobias; Woods, Russell L.; Greenberg, Jonathan P.; Zernant, Jana; Tsang, Stephen H.; Smith, R. Theodore; Allikmets, Rando; Sparrow, Janet R.; Delori, François C.

    2014-01-01

    Purpose. To quantify fundus autofluorescence (qAF) in patients with recessive Stargardt disease (STGD1). Methods. A total of 42 STGD1 patients (ages: 7–52 years) with at least one confirmed disease-associated ABCA4 mutation were studied. Fundus AF images (488-nm excitation) were acquired with a confocal scanning laser ophthalmoscope equipped with an internal fluorescent reference to account for variable laser power and detector sensitivity. The gray levels (GLs) of each image were calibrated to the reference, zero GL, magnification, and normative optical media density to yield qAF. Texture factor (TF) was calculated to characterize inhomogeneities in the AF image and patients were assigned to the phenotypes of Fishman I through III. Results. Quantified fundus autofluorescence in 36 of 42 patients and TF in 27 of 42 patients were above normal limits for age. Young patients exhibited the relatively highest qAF, with levels up to 8-fold higher than healthy eyes. Quantified fundus autofluorescence and TF were higher in Fishman II and III than Fishman I, who had higher qAF and TF than healthy eyes. Patients carrying the G1916E mutation had lower qAF and TF than most other patients, even in the presence of a second allele associated with severe disease. Conclusions. Quantified fundus autofluorescence is an indirect approach to measuring RPE lipofuscin in vivo. We report that ABCA4 mutations cause significantly elevated qAF, consistent with previous reports indicating that increased RPE lipofuscin is a hallmark of STGD1. Even when qualitative differences in fundus AF images are not evident, qAF can elucidate phenotypic variation. Quantified fundus autofluorescence will serve to establish genotype-phenotype correlations and as an outcome measure in clinical trials. PMID:24677105

  8. The Great Recession and America’s Geography of Unemployment

    Science.gov (United States)

    Thiede, Brian C.; Monnat, Shannon M.

    2017-01-01

    Background The Great Recession of 2007–2009 was the most severe and lengthy economic crisis in the U.S. since the Great Depression. The impacts on the population were multi-dimensional, but operated largely through local labor markets. Objective To examine differences in recession-related changes in county unemployment rates and assess how population and place characteristics shaped these patterns. Methods We calculate and decompose Theil Indexes to describe recession-related changes in the distribution of unemployment rates between counties and states. We use exploratory spatial statistics to identify geographic clusters of counties that experienced similar changes in unemployment. We use spatial regression to evaluate associations between county-level recession impacts on unemployment and demographic composition, industrial structure, and state context. Results The recession was associated with increased inequality between county labor markets within states, but declining between-state differences. Counties that experienced disproportionate recession-related increases in unemployment were spatially clustered and characterized by large shares of historically disadvantaged racial and ethnic minority populations, low educational attainment, and heavy reliance on pro-cyclical industries. Associations between these sources of vulnerability were partially explained by unobserved state-level factors. Conclusions The local consequences of macroeconomic trends are associated with county population characteristics, as well as the structural contexts and policy environments in which they are embedded. The recession placed upward pressure on within-state inequality between local labor market conditions. Contribution To present new estimates of the recession’s impact on local labor markets, quantify how heterogeneous impacts affected the distribution of unemployment prevalence, and identify county characteristics associated with disproportionately large recession

  9. How Did Distributional Preferences Change During the Great Recession?

    OpenAIRE

    Raymond Fisman; Pamela Jakiela; Shachar Kariv

    2014-01-01

    We compare behavior in experiments measuring distributional preferences during the "Great Recession" to behavior in identical experiments conducted during the preceding economic boom. Subjects are drawn from a diverse pool of students whose socioeconomic composition is largely held constant by the university, mitigating concerns about differential selection across macroeconomic conditions. Subjects exposed to the recession are more selfish and more willing to sacrifice equality to enhance eff...

  10. No association between gingival labial recession and facial type.

    Science.gov (United States)

    Mazurova, Katerina; Renkema, Anne-Marie; Navratilova, Zuzana; Katsaros, Christos; Fudalej, Piotr S

    2016-06-01

    To evaluate if facial type is a predictor of the development of gingival recession. A cohort of 179 orthodontic patients (76 males, 101 females; age before treatment T S = 12.4 years, SD = 0.8) were followed until 5 years post-treatment (T 5 = 20.7 years, SD = 1.2). The presence of recessions was scored ('Yes' or 'No') by two raters on initial (T S), end of treatment (T 0), and post-treatment (T 5) plaster models. A recession was noted (scored 'Yes') if the labial cemento-enamel junction was exposed. The clinical crown heights were measured at T S, T 0, and T 5 as the distances between the incisal edges and the deepest points of the curvature of the vestibulo-gingival margins. Determination of the facial type was based on the inclination of mandibular plane relative to cranial base (Sella-Nasion/Mandibular Plane) and the proportion of posterior to anterior face heights (PFHs; SGo/NMe × 100 per cent) on pre-treatment cephalograms. From T 0 to T 5, the number of subjects with recessions increased from 2 (1.1 per cent) to 24 (13.6 per cent), and the number of recession sites increased from 2 to 39. However, most patients had either one or two recession sites. The mean clinical crown height of mandibular incisors increased by 0.86mm (SD = 0.82, P gingival recession or on the increase of clinical crown heights of mandibular incisors. Facial type is not a predictor of the occurrence of gingival recession. © The Author 2015. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  11. Gas insulated transmission line with insulators having field controlling recesses

    Science.gov (United States)

    Cookson, Alan H.; Pederson, Bjorn O.

    1984-01-01

    A gas insulated transmission line having a novel insulator for supporting an inner conductor concentrically within an outer sheath. The insulator has a recess contiguous with the periphery of one of the outer and inner conductors. The recess is disposed to a depth equal to an optimum gap for the dielectric insulating fluid used for the high voltage insulation or alternately disposed to a large depth so as to reduce the field at the critical conductor/insulator interface.

  12. Autosomal recessive polycystic kidney disease. A case report.

    OpenAIRE

    Hernando Diocaretz V; Andrea Abásolo G.; Marcela Valenzuela A.; Nicole Bascur P.

    2015-01-01

    INTRODUCTION: Polycystic Kidney Disease is a genetic disorder characterized by progressive cystic dilations of the renal ducts, presenting as autosomal dominant or recessive forms with an incidence of 1 in 1.000 and 1 in 20.000 births, respectively, according to international series. The autosomal recessive variety can be lethal in the neonatal period due to respiratory failure secondary to pulmonary hypoplasia and can manifest during childhood with hypertension, short st...

  13. Remote Recession Sensing of Ablative Heat Shield Materials

    Science.gov (United States)

    Winter, Michael W.; Stackpoole, Margaret; Nawaz, Anuscheh; Gonzales, Gregory Lewis; Ho, Thanh

    2014-01-01

    Material recession and charring are two major processes determining the performance of ablative heat shield materials. Even in ground testing, the characterization of these two mechanisms relies on measurements of material thickness before and after testing, thus providing only information integrated over the test time. For recession measurements, optical methods such as imaging the sample surface during testing are under investigation but require high alignment and instrument effort, therefore being not established as a standard measurement method. For char depth measurements, the most common method so far consists in investigation of sectioned samples after testing or in the case of Stardust where core extractions were performed to determine char information. In flight, no reliable recession measurements are available, except total recession after recovering the heat shield on ground. Developments of mechanical recession sensors have been started but require substantial on board instrumentation adding mass and complexity. In this work, preliminary experiments to evaluate the feasibility of remote sensing of material recession and possibly char depth through optically observing the emission signatures of seeding materials in the post shock plasma is investigated. It is shown that this method can provide time resolved recession measurements without the necessity of accurate alignment procedures of the optical set-up and without any instrumentation on board of a spacecraft. Furthermore, recession data can be obtained without recovering flight hardware which would be a huge benefit for inexpensive heat shield material testing on board of small re-entry probes, e.g. on new micro-satellite re-entry probes as a possible future application of Cubesats or RBR

  14. Systematic review of recess interventions to increase physical activity.

    Science.gov (United States)

    Ickes, Melinda J; Erwin, Heather; Beighle, Aaron

    2013-08-01

    With the rapid increase in obesity rates among youth, efforts to increase physical activity (PA) have become a priority. School-based strategies for PA promotion must be cost-effective, unobtrusive, and linked to improved academic performance. Efforts to maximize recess PA are advocated because of both health and academic benefits. The purpose of this manuscript was to review recess interventions aimed to improve PA among youth, and make recommendations to develop related best practices. An extensive literature search was conducted to include all primary research articles evaluating any recess intervention with PA as an outcome. The included 13 interventions represented both settings within the U.S and internationally, among preschools and elementary/primary schools. A variety of strategies were used within the design and implementation of each of the interventions including: added equipment/materials, markings, zones, teacher involvement, active video games, activity of the week, and activity cards. Of the included studies, 95% demonstrated positive outcomes as a result of the recess intervention. A number of simple, low-cost strategies can be implemented to maximize the amount of recess time students are allotted. Long-term follow-up studies are warranted for each of the recess strategies identified to be effective.

  15. Orthodontic therapy and gingival recession: a systematic review.

    Science.gov (United States)

    Joss-Vassalli, I; Grebenstein, C; Topouzelis, N; Sculean, A; Katsaros, C

    2010-08-01

    To perform a systematic review on the effect of changes in incisor inclination owing to orthodontic treatment and the occurrence of gingival recession. PubMed, EMBASE Excerpta Medica and CENTRAL of the Cochrane Library were searched and a hand search was performed. From 1925 articles identified, 17 articles were finally included: six experimental animal studies and 11 retrospective clinical studies in humans. More proclined teeth compared with less proclined teeth or untreated teeth had in most studies a higher occurrence or severity of gingival recession. Contradictory results were found regarding a possible statistically significant correlation between the extent of gingival recession and the amount of incisor proclination during treatment, width of attached gingiva, hygiene, periodontal condition or thickness of the symphysis. There are no high quality animal or clinical studies on this topic. Movement of the incisors out of the osseous envelope of the alveolar process may be associated with a higher tendency for developing gingival recessions. The amount of recession found in studies with statistically significant differences between proclined and non-proclined incisors is small and the clinical consequence questionable. Because of the low level of evidence of the included studies, the results should be considered with caution. Further randomized clinical studies including clinical examination of hygiene and gingival condition before, during and after treatment are needed to clarify the effect of orthodontic changes in incisor inclination and the occurrence of gingival recession.

  16. Development of labial gingival recessions in orthodontically treated patients.

    Science.gov (United States)

    Renkema, Anne Marie; Fudalej, Piotr S; Renkema, Alianne; Kiekens, Rosemie; Katsaros, Christos

    2013-02-01

    Our aim was to assess the prevalence of gingival recessions in patients before, immediately after, and 2 and 5 years after orthodontic treatment. Labial gingival recessions in all teeth were scored (yes or no) by 2 raters on initial, end-of-treatment, and posttreatment (2 and 5 years) plaster models of 302 orthodontic patients (38.7% male; 61.3% female) selected from a posttreatment archive. Their mean ages were 13.6 years (SD, 3.6; range, 9.5-32.7 years) at the initial assessment, 16.2 years (SD, 3.5; range, 11.7-35.1 years) at the end of treatment, 18.6 years (SD, 3.6; range, 13.7-37.2 years) at 2 years posttreatment, and 21.6 (SD, 3.5; range, 16.6-40.2 years) at 5 years posttreatment. A recession was noted (scored "yes") if the labial cementoenamel junction was exposed. All patients had a fixed retainer bonded to either the mandibular canines only (type I) or all 6 mandibular front teeth (type II). There was a continuous increase in gingival recessions after treatment from 7% at end of treatment to 20% at 2 years posttreatment and to 38% at 5 years posttreatment. Patients less than 16 years of age at the end of treatment were less likely to develop recessions than patients more than 16 years at the end of treatment (P = 0.013). The prevalence of recessions was not associated with sex (P = 0.462) or extraction treatment (P = 0.32). The type of fixed retainer did not influence the development of recessions in the mandibular front region (P = 0.231). The prevalence of gingival recessions steadily increases after orthodontic treatment. The recessions are more prevalent in older than in younger patients. No variable, except for age at the end of treatment, seems to be associated with the development of gingival recessions. Copyright © 2013 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  17. The Great Recession and risk for child abuse and neglect.

    Science.gov (United States)

    Schneider, William; Waldfogel, Jane; Brooks-Gunn, Jeanne

    2017-01-01

    This paper examines the association between the Great Recession and four measures of the risk for maternal child abuse and neglect: (1) maternal physical aggression; (2) maternal psychological aggression; (3) physical neglect by mothers; and (4) supervisory/exposure neglect by mothers. It draws on rich longitudinal data from the Fragile Families and Child Wellbeing Study, a longitudinal birth cohort study of families in 20 U.S. cities (N = 3,177; 50% African American, 25% Hispanic; 22% non-Hispanic white; 3% other). The study collected information for the 9-year follow-up survey before, during, and after the Great Recession (2007-2010). Interview dates were linked to two macroeconomic measures of the Great Recession: the national Consumer Sentiment Index and the local unemployment rate. Also included are a wide range of socio-demographic controls, as well as city fixed effects and controls for prior parenting. Results indicate that the Great Recession was associated with increased risk of child abuse but decreased risk of child neglect. Households with social fathers present may have been particularly adversely affected. Results also indicate that economic uncertainty during the Great Recession, as measured by the Consumer Sentiment Index and the unemployment rate, had direct effects on the risk of abuse or neglect, which were not mediated by individual-level measures of economic hardship or poor mental health.

  18. Overburndened and Underfunded: California Public Schools Amidst the Great Recession

    Directory of Open Access Journals (Sweden)

    Rhoda Freelon

    2012-06-01

    Full Text Available Since 2008, many nations, including the United States, have struggled with the effects of a global recession. The state of California has been particularly impacted by the Great Recession. Unemployment rates in California are among the highest in the United States, and a weak fiscal environment has forced deep cutbacks to a variety of state services. This study uses California as a case to explore the effects of economic crisis on public schools and the students they serve. The study draws on two years of survey and interview data with a representative sample of public school principals across California. The data show that, during the Great Recession, students have experienced growing social welfare needs that often shape their well-being and their performance in schools. We also find that the capacity of public schools to meet these needs and provide quality education has been eroded by budget cuts. This study finds that schools primarily serving low-income families have been hardest hit during the recession, in part because they cannot raise private dollars to fill the gap left by public sector cuts. The Great Recession thus has undermined educational quality while producing widening educational inequality in California.

  19. A New Formula for Front Slope Recession of Berm Breakwaters

    DEFF Research Database (Denmark)

    Andersen, Thomas Lykke; Burcharth, Hans F.

    2010-01-01

    The front slope stability of breakwaters with a homogeneous berm was studied in a large number of two dimensional model tests at Aalborg University, Denmark. The results are presented together with a new formula for prediction of the berm recession which is the most important parameter for descri......The front slope stability of breakwaters with a homogeneous berm was studied in a large number of two dimensional model tests at Aalborg University, Denmark. The results are presented together with a new formula for prediction of the berm recession which is the most important parameter...... for describing the reshaping. The formula has also been calibrated and validated against model test data from other researchers. The significance of the new design formula is that it predicts berm recession much better than the existing methods, especially in case of more stable structures....

  20. The Indian Stock Market and the Great Recession

    Directory of Open Access Journals (Sweden)

    Arindam MANDAL

    2012-03-01

    Full Text Available This study analyzes the impact of the outbreak of the Great Recession of 2007 on the behavior of the Indian stock market. The SENSEX index of the Bombay Stock Exchange is analyzed for the prerecession period of January 2002 – November 2007 and the postrecession outbreak period of December 2007 – July 2010. Substantial increase in SENSEX return volatility observed during the post-recession outbreak period, whereas no substantial difference in returns between two periods is found. Also strong co-movements in returns and volatility are observed between the SENSEX and other major stock indexes during the post-recession period. Our results establish the dominance of global factors in influencing Indian stock market behavior during periods of economic turmoil.

  1. COMPETITIVE DYNAMICS AND EARLY MOVER ADVANTAGES UNDER ECONOMIC RECESSIONS

    Directory of Open Access Journals (Sweden)

    Roberto Vassolo

    2017-02-01

    Full Text Available In light of the recent macroeconomic instability in global markets, we examine the evolution of competitive dynamics and firm profitability when industries are subject to recessions. Although ordinary intuition leads most to view recessions as harmful, we highlight conditions under which they enhance the relative value of industry-level supply-side isolating mechanisms, thereby affording early movers significant and sustainable profit advantages vis-à-vis laggards. We observe that the distribution of firm size within the industry switches from a bi-modal distribution (i.e., one dominated by both small and large firms to a right-skewed one (i.e., dominated mostly by large firms in these contexts, thereby signaling the rise of important opportunities in the form of less rivalrous competitive contexts for survivors of recessions. We derive our results from formal modeling and multiple simulation runs.

  2. Amnion membrane for coverage of gingival recession: A novel application

    Directory of Open Access Journals (Sweden)

    Rucha Shah

    2014-01-01

    Full Text Available Introduction: Amnion allograft has been used in the field of medicine for its exceptional wound-modulating properties. However, in the field of dentistry, only a limited number of reports have explored its potential in healing of oral wounds. Materials and Methods: Amnion allograft in conjunction with coronally advanced flap has been used in the management of gingival recession. Results: A complete coverage along with excellent esthetics and an improvement in gingival biotype was observed at 6 months postoperatively. Discussion: Because of its inherent wound-modulating properties, amnion allograft may be used to enhance periodontal wound healing and enable tissue regeneration such as that in the coverage of gingival recession. Conclusion: Amnion allograft may provide an alternative to other conventional methods of treating gingival recession.

  3. Space, body, time and relationship experiences of recess physical activity

    DEFF Research Database (Denmark)

    Pawlowski, Charlotte Skau; Andersen, Henriette Bondo; Tjørnhøj-Thomsen, Tine

    2016-01-01

    the classroom as a space for physical activity, designing schoolyards with smaller secluded spaces and varied facilities, improving children's self-esteem and body image, e.g., during physical education, and creating teacher organised play activities during recess.......BACKGROUND: Increasing recess physical activity has been the aim of several interventions, as this setting can provide numerous physical activity opportunities. However, it is unclear if these interventions are equally effective for all children, or if they only appeal to children who are already...... physically active. This study was conducted to explore the least physically active children's "lived experiences" within four existential lifeworlds linked to physical activity during recess: space, body, time, and relations. METHODS: The study builds on ethnographic fieldwork in a public school in Denmark...

  4. Gingival recession is likely associated with tongue piercings.

    Science.gov (United States)

    Reynolds, Mark A

    2012-09-01

    A convenience sample of 60 subjects (27 male; 33 female) with tongue piercings (case group) and 120 subjects (43 male; 77 female) without tongue piercings (control group), ranging in age from 13 to 28 years, were identified from a mix of races living in a geographic area of low socioeconomic status in Brazil. Subjects were recruited from school groups and university centers between January 2008 and March 2009. For each case, 2 controls were selected on a consecutive basis from the same school according to criteria that included age, gender, smoking, and previous orthodontic treatment. Exclusion criteria included individuals with systemic diseases that might compromise the immune system, as well as antibiotics within 3 months or other medications that could affect the gingival tissues. The key study factor was the use or nonuse of tongue piercings (jewelry). The analysis compared periodontal parameters, such as the occurrence, location, and severity of gingival recession, in subjects with and without tongue jewelry. Gingival recession in the anterior lingual mandibular region was assessed as the primary outcome measure. The study sample was divided according to the presence or absence of gingival recession as well as the severity (1-2, 3, and ≥ 4 mm) of gingival recession. The average age of subjects was similar in the case and control groups (18.9 versus 17.7 years, respectively). Fractures of the anterior teeth were present significantly more frequently in cases than controls (26.7% versus 11.7%, respectively; P gender, and the presence of bleeding on probing in the anterior region. Subjects with tongue jewelry exhibited an 18 times greater chance for the occurrence of gingival recession in the model (adjusted OR = 18.06, 95% CI 6.66-48.95, P < .001). The use of tongue jewelry was found to be strongly associated with the occurrence and severity of gingival recession in the mandibular anterior lingual region. Copyright © 2012. Published by Mosby, Inc. All rights

  5. Housing and the Great Recession : a VAR accounting exercise

    OpenAIRE

    Samuel E. Henly; Alexander L. Wolman

    2011-01-01

    We use a vector autoregression (VAR) for the components of gross domestic product (GDP) to conduct some sectoral and temporal accounting for the current recession. It is obvious that housing played an important role in the current recession, but residential investment declined for two years before GDP declined. According to the VAR, the level of GDP in the second quarter of 2009---the trough of the decline in GDP---was close to but above the level implied by the estimated sequence of VAR inno...

  6. Gingival recession--can orthodontics be a cure?

    Science.gov (United States)

    Northway, William M

    2013-11-01

    Does orthodontic treatment help or hinder a patient's periodontal status? What factors affect the periodontium? Can those factors be managed in a way that remedies existing periodontal issues? A 35-year-old woman presented with severe gingival recession and a unilateral Class II malocclusion. The treatment plan was to correct the malocclusion in a way that torques the roots more onto bone and to change her dental hygiene methods. With an extensive review of the literature, this case review attempts to make sense of the enigma of gingival recession and demonstrates an excellent treatment solution to concomitant orthodontic and periodontal problems.

  7. Global Recession and the National System of Innovation in China

    DEFF Research Database (Denmark)

    Muchie, Mammo; Baskaran, Angethvar

    2011-01-01

    Since the early 1990s China’s economy has emerged one of the leading economies in the world using judicial mix of policies of economic liberalisation and protection. China’s national system of innovation (NSI) has been evolving and has been adapting to the challenges posed the globalisation. China....... In this context, we wish to investigate the following research question: 1.How did the strengths and weakness of NSI help or hinder in coping with the adverse effects of the recession in China? It appears that China is the least affected emerging market by the global recession mainly due to the inherent strength...

  8. Mining of lethal recessive genetic variation in Danish cattle

    DEFF Research Database (Denmark)

    Das, Ashutosh

    2015-01-01

    The widespread use of artificial insemination in cattle breeding Worldwide leads to reduced effective population sizes and increased inbreeding levels. Increased inbreeding result in increased probalility of expression of recessive defective alleles, which probably is reflected in a decline...... in fertility. The primary objective of this PhD projekt was to identify recessive lethal gentic variants in the main Danish dairy cattle breed. Holstein-Friesian utilzing next generation sequencing (NGS) data. This study shows a potential for the use of the NGS-based reverse genetic approach in identifying...

  9. Comparative analysis of base flow recession curves for different Andean catchments

    Science.gov (United States)

    Guzman, P.; Batelaan, O.; Wyseure, G.

    2012-04-01

    Little is known in the Paute River basin, Ecuador about the groundwater resources, the relation between aquifers and their recharge zones and interaction with rivers. The pressure from human activities in the river basin is increasing and impacting the surface water quality and quantity, therefore it becomes increasingly useful to estimate the potential of groundwater exploitation as an alternative resource. Due to the lack of specific groundwater data and information, assessment of suitable alternative methods for groundwater research at different scales is considered. In low flow hydrology literature it is noted that the majority of natural gains to streamflow during low-flow periods are derived from releases from groundwater storage, moreover baseflow is generally suggested to be an indicator of groundwater or other delayed sources. Analysis of flow recession curves allows the determination of characteristics of the groundwater reservoir, which is a prerequisite for the separation of baseflow from total discharge and the estimation of groundwater storage and recharge. The flow recession curve at a river cross section is defined as the discharge hydrograph of the basin during a rainless or dry period. Its analysis yields information on the retention characteristics of the basin and of groundwater storage and depletion. In the Paute River basin baseflows are assumed to be originating from Paramo storage, which is largely determined by the high water retention capacity of the soils in combination with their slopes. In the case of the sub-catchment of the Tarqui River, there are evidences based on topography, hydromorphology, discharges and soils that suggest the presence of a major aquifer in the valley. Hence, the goal of this contribution is the comparison and analysis of groundwater conditions based on baseflow recession analysis for the Tarqui and Yanuncay River sub-catchments. Baseflow analyses are translated in recharge and groundwater resources

  10. Godwin Sogolo With the world economic recession of the second ...

    African Journals Online (AJOL)

    With the world economic recession of the second half of this century, planners of education are beginning to reassess areas of priority. In both developed and developing nations, the common measure of what stands at the apex and what stays at the base has become relevance, relevance, in terms of comparative utility.

  11. Recessive Epidermolysis Bullosa simplex- A case report | Yusuf ...

    African Journals Online (AJOL)

    Background:Epidermolysis bullosa simplex (EBS) is characterized by intraepidermal blister formation, most commonly appearing in early infancy. Many variants of EBS exist; the four most common variants are inherited in an autosomal dominant fashion. The recessive forms are rare and less reported in our environment.

  12. The Credit Crisis and Recession as a Paradigm Test

    NARCIS (Netherlands)

    Bezemer, Dirk J.

    This paper contributes to the debate on what economics can learn from the credit crisis and recession. It asks what are the elements in the mainstream paradigm that caused many economists to misjudge the state of the economy so dramatically in the years leading up to the 2007 credit crisis and the

  13. Autosomal-recessive inheritance of benign recurrent intrahepatic cholestasis

    NARCIS (Netherlands)

    De Koning, T J; Sandkuijl, L A; De Schryver, J E; Hennekam, E A; Beemer, F A; Houwen, R H

    1995-01-01

    Benign recurrent intrahepatic cholestasis (BRIC) is a rare disorder characterized by recurrent episodes of cholestasis without permanent liver damage. Familial and sporadic cases have been described. Based on existing evidence, both autosomal-recessive and autosomal-dominant inheritance have been

  14. Traumatic 6th Nerve Palsy Managed with Medial Rectus Recession ...

    African Journals Online (AJOL)

    Conjunctival periotomy was done. Medial rectus was identified and separated from surrounding tissues. 6 mm medial rectus recession was done using hangback sutures, and Hummelsheim procedure was done in which superior and inferior rectus tendons were vertically spilt into temporal two‑thirds and nasal one‑third.

  15. Autosomal recessive inheritance of goiter in Dutch goats

    NARCIS (Netherlands)

    Kok, K.; van Dijk, J. E.; Sterk, A.; Baas, F.; van Ommen, G. J.; de Vijlder, J. J.

    1987-01-01

    The inheritance of congenital goiter due to a thyroglobulin synthesis defect in a strain of Dutch goats has been studied by Mendelian and biochemical methods. Mendelian analysis of 301 matings, resulting in 591 kids, showed an autosomal recessive mode of inheritance. A restriction fragment length

  16. Recess Reports: Self-Identification of Students with Friendship Difficulties.

    Science.gov (United States)

    Doll, Beth; Murphy, Patrick

    Students' relationships with peers is fundamental to their mental health. A 3-month study presented here investigated the nature and frequency of students' self-reported recess problems and the degree to which these were concomitant with two often-used measures of children's social competence: peer acceptance and mutual friendships. Seven specific…

  17. Oil-rush, great recession, and 'development' implications for Africa ...

    African Journals Online (AJOL)

    The oil peak and the 2007/2008 economic recession are the most recent major global events to destabilise the economies of African countries and to afflict the life chances and social (re) production of the subaltern classes. This paper critically analyses Ghana's oil and gas industry to illustrate these issues. The paper ...

  18. Orthodontic therapy and gingival recession: a systematic review.

    NARCIS (Netherlands)

    Joss-Vassalli, I.; Grebenstein, C.; Topouzelis, N.; Sculean, A.; Katsaros, C.

    2010-01-01

    To perform a systematic review on the effect of changes in incisor inclination owing to orthodontic treatment and the occurrence of gingival recession. PubMed, EMBASE Excerpta Medica and CENTRAL of the Cochrane Library were searched and a hand search was performed. From 1925 articles identified, 17

  19. Evidence for nonallelic genetic heterogeneity in autosomal recessive retinitis pigmentosa

    NARCIS (Netherlands)

    Bleeker-Wagemakers, L. M.; Gal, A.; Kumar-Singh, R.; van den Born, L. I.; Li, Y.; Schwinger, E.; Sandkuijl, L. A.; Bergen, A. A.; Kenna, P.; Humphries, P.

    1992-01-01

    Recent evidence suggesting the involvement of mutant rhodopsin proteins in the pathogenesis of autosomal recessive retinitis pigmentosa has prompted us to investigate whether this form of the disease shows non-allelic genetic heterogeneity, as has previously been shown to be the case in autosomal

  20. Recession Amnesia and the Prospects for New England's Institutions

    Science.gov (United States)

    Halfond, Jay A.

    2010-01-01

    Among the little truly predictable, the author suggests three truths. First is the inevitability of recessions. Second is the belief that, in prosperity, these good times will just keep on rolling. Third is the fall. Bubbles will burst, myths shatter, plans unravel and pain sadly borne unjustly by those who didn't have a hand in the decisions that…

  1. No association between gingival labial recession and facial type

    NARCIS (Netherlands)

    Mazurova, K.; Renkema, A.M.; Navratilova, Z.; Katsaros, C.; Fudalej, P.S.

    2016-01-01

    OBJECTIVE: To evaluate if facial type is a predictor of the development of gingival recession. METHODS: A cohort of 179 orthodontic patients (76 males, 101 females; age before treatment T S = 12.4 years, SD = 0.8) were followed until 5 years post-treatment (T 5 = 20.7 years, SD = 1.2). The presence

  2. Adjustable recessions in horizontal comitant strabismus: A pilot study

    Directory of Open Access Journals (Sweden)

    Siddharth Agrawal

    2015-01-01

    Full Text Available Aim: To compare the surgical outcome of adjustable with the conventional recession in patients with horizontal comitant strabismus. Patients and Methods: A prospective comparative nonrandomized interventional pilot study was performed on patients with horizontal comitant strabismus. Fifty-four patients (27 in each group were allocated into 2 groups to undergo either adjustable suture (AS recession or non-AS (NAS recession along with conventional resection. The patients were followed up for 6 months. A successful outcome was defined as deviation ±10 prism diopters at 6 months. The results were statistically analyzed by Chi-square test, Fisher′s exact test, and Student′s t-test. Results: A successful outcome was found in 24 (88.8% patients in AS and 17 (62.9% in NAS group (P = 0.02. The postoperative adjustment was done in 13 (48.1% patients in AS group. There was one complication (tenon′s cyst in AS group. Conclusion: AS recession may be considered in all cooperative patients undergoing strabismus surgery for comitant deviations.

  3. Dropped-head in recessive oculopharyngeal muscular dystrophy.

    Science.gov (United States)

    Garibaldi, Matteo; Pennisi, Elena Maria; Bruttini, Mirella; Bizzarri, Veronica; Bucci, Elisabetta; Morino, Stefania; Talerico, Caterina; Stoppacciaro, Antonella; Renieri, Alessandra; Antonini, Giovanni

    2015-11-01

    A 69-year-old woman presented a dropped head, caused by severe neck extensor weakness that had started two years before. She had also developed a mild degree of dysphagia, rhinolalia, eyelid ptosis and proximal limb weakness during the last months. EMG revealed myopathic changes. Muscle MRI detected fatty infiltration in the posterior neck muscles and tongue. Muscle biopsy revealed fiber size variations, sporadic rimmed vacuoles, small scattered angulated fibers and a patchy myofibrillar network. Genetic analysis revealed homozygous (GCN)11 expansions in the PABPN1 gene that were consistent with recessive oculopharyngeal muscular dystrophy (OPMD). There are a few reports of the recessive form, which has a later disease onset with milder symptoms and higher clinical variability than the typical dominantly inherited form. This patient, who is the first Italian and the eighth worldwide reported case of recessive OPMD, is also the first case of OPMD with dropped-head syndrome, which thus expands the clinical phenotype of recessive OPMD. Copyright © 2015 Elsevier B.V. All rights reserved.

  4. Africa and global recessions: Options for reducing vulnerability in ...

    African Journals Online (AJOL)

    It concludes that traditional or conventional, market-based approaches do not adequately explain the root causes of global recessions and that the dominant counter-cyclical Keynesian-type fiscal and monetary policies that characterised the responses of many African countries do not actually provide a lasting solution to the ...

  5. Traumatic 6th Nerve Palsy Managed with Medial Rectus Recession ...

    African Journals Online (AJOL)

    left eye. Diagnosis of left eye traumatic 6th nerve palsy with medial rectus contracture was made. Left medial rectus recession with hangback sutures and Hummelsheim procedure were performed. Postoperatively, the patient's vision in the left eye had improved to 20/80 the esotropia had reduced to 15 prism diopters (delta).

  6. Employment of Ex-Offenders during the Recession

    Science.gov (United States)

    Nally, John M.; Lockwood, Susan R.; Ho, Taiping

    2011-01-01

    Researchers have rarely examined post-release employment among offenders during a period of economic recession. However, studies on employment issues among post-release offenders have showed that released offenders would likely have a higher unemployment rate due to their inadequate education and job skills (Batiuk, 1997; Harlow, 2003; Vacca,…

  7. School recess, social connectedness and health: a Canadian perspective.

    Science.gov (United States)

    McNamara, Lauren; Colley, Paige; Franklin, Nicole

    2017-04-01

    Children need opportunities to establish positive social connections at school, yet many school playgrounds are challenged by social conflict that can undermine these connections. When children's social needs go unmet, the resultant feelings of loneliness, isolation and self-doubt can cumulatively lead to mental and physical illness. Because recess is typically the only time during the school day that children are free to socialize and play, we propose a more thoughtful way of thinking about it: from the lens of belongingness. Schools are, historically, designed for instruction. We argue, however, that we need to attend to children's social needs at school. We highlight current research from social neuroscience, belonging and social connectedness in order to delineate the pathways between daily school recess and developmental health trajectories. We then consolidate an array of research on play, social interaction and school change to suggest four areas that could benefit from consideration in research, practice and policy: (i) the culture of recess, (ii) the importance of healthy role models on the playground, (iii) the necessity of activities, options and variety during recess and (iv) the significance of space and spatial layout (indoor and outdoor). We bridge our discussion with the conception of health as described in the Ottawa Charter and emphasize the need to build alliances across sectors to assist schools in their efforts to support children's overall health needs. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  8. Capital stock management during a recession that freezes credit markets

    NARCIS (Netherlands)

    Caulkins, J.P.; Feichtinger, G.; Grass, D.; Hartl, R.F.; Kort, Peter; Seidl, A.

    This paper considers the problem of how to price a conspicuous product while maintaining liquidity during a recession which both reduces demand and freezes credit markets. Reducing price would help maintain cash flow, but low prices can erode brand image and, hence, long-term sales. The paper

  9. Gingival recession, oral hygiene and associated factors among ...

    African Journals Online (AJOL)

    Background: Females are generally more motivated with regard to oral hygiene practices and thus brush their teeth more frequently than males. Objective: To determine the prevalence of gingival recession, oral hygiene status, oral hygiene practices and associated factors in women attending a maternity ward in Tanzania.

  10. Two novel mutations in ILDR1 gene cause autosomal recessive ...

    Indian Academy of Sciences (India)

    In a recent screening programme on hearing loss (HL), we examined 17 common autosomal recessive nonsyndromic hearing loss (ARNSHL) genes in every consanguineous Ira- nian family with ARNSHL that was referred to our centre. We first screened GJB2 mutations and then utilized a panel of three to four short ...

  11. A single recessive gene controls fragrance in cucumber (Cucumis ...

    Indian Academy of Sciences (India)

    2013-04-10

    Apr 10, 2013 ... c Indian Academy of Sciences. RESEARCH NOTE. A single recessive gene controls fragrance ... bitaceae. Cucumber fruits are consumed as a vegetable fresh or cooked or in pickled form. Over 95% of the cucumber ... Keywords. fragrance; aroma; cucumber; Cucumis sativus. Journal of Genetics, Vol.

  12. Increasing Physical Activity of Children during School Recess

    Science.gov (United States)

    Hayes, Lynda B.; Van Camp, Carole M.

    2015-01-01

    Physical activity is crucial for children's health. Fitbit accelerometers were used to measure steps of 6 elementary students during recess. The intervention included reinforcement, self-monitoring, goal setting, and feedback. Steps taken during the intervention phase (M?=?1,956 steps) were 47% higher than in baseline (M?=?1,326 steps), and the…

  13. The impact of economic recession on climate change: eight trends

    NARCIS (Netherlands)

    Obani, P.C.; Gupta, J.

    2016-01-01

    In the context of deadlocked climate change negotiations, and the expectation that legally binding targets may only set in as early as 2020, this paper addresses the question of whether the current economic recession in major economies in the North can help us buy time by reducing the emissions of

  14. Porcine collagen matrix for treating gingival recession. Randomized clinical trial.

    Directory of Open Access Journals (Sweden)

    Yuri Castro

    2014-03-01

    Full Text Available Achieving root coverage after exposure caused by gingival recession is one of the main goals of reconstructive periodontal surgery. Even though a large variety of techniques and mucogingival grafting procedures are available, their long-term results are not clear yet. Therefore, this study aimed to compare clinical effectiveness of the porcine collagen matrix with subepithelial connective graft for treating Miller class I and II gingival recessions. Materials and methods: The randomized clinical trial included twelve patients assigned to two groups. In the first group (experimental, six patients were treated using collagen matrix (mean age, 54.3±5.6 years; mean recession 2. 67±1.03mm. Another group (control of six patients was treated using connective grafts (mean age, 57.1± 2.7 years; mean recession 4.33±1.03mm. All patients underwent periodontal evaluation and pre-surgical preparation including oral hygiene instruction and supragingival scaling. Gingival recessions were exposed through partial thickness flaps where the grafts and matrices were placed. Patients were assessed periodically until complete healing of tissue. Results: Root coverage parameters, amount of keratinized gingiva, gingival biotype and clinical attachment level were evaluated. The root coverage percentage for the group using connective graft was 24.7±13.5% and 16.6±26.8% for the one treated with the matrix. The amount of increased keratinized tissue was 4.33±2.06mm and 4.5±0.83mm for the control and experimental group respectively. Both groups increased gingival biotypes from thin to thick at 100%. The final clinical attachment level was 4.17±3.17±04mm for the control group and 0.98mm for the experimental group. There were significant differences between the outcome of gingival recession and clinical attachment. Conclusion: Results indicate both techniques, besides being predictable, are useful for improving clinical parameters when treating gingival recessions

  15. Comparative evaluation of Subepithelial Connective Tissue Graft (SCTG and Acellular Dermal Matrix Allograft (ADMA in the treatment of localized gingival recession- A clinical study

    Directory of Open Access Journals (Sweden)

    A B Tarun Kumar

    2009-01-01

    Full Text Available Gingival recession is the one of the commonest clinical features of chronic periodontitis and poses a great esthetic and functional problem to the patient. Several treatment modalities have been described in the dental literature to treat the localized gingival recession. In the present study, the efficacy of subepithelial connective tissue graft (SCTG and the acellular dermal matrix allograft (ADMA was evaluated and compared in the treatment of localized gingival recession. Nine patients with bilateral identical Miller′s class I or II were selected and randomly assigned to treatment with either SCTG or the ADMA. Six months follow-up result showed significant clinical outcome in both the treatment groups in terms of improvement in recession depth, root coverage percentage, probing depth, clinical attachment level and the width of keratinized tissue. However on comparison between the two groups, no significant difference was found in relation to any of the parameters. Hence, it can be concluded that both the techniques (SCTG & ADMA are equally effective in the treatment of localized gingival recession and restoring the esthetic and function.

  16. Silfverskiold's test in total ankle replacement with gastrocnemius recession.

    Science.gov (United States)

    DeOrio, James K; Lewis, John S

    2014-02-01

    For patients undergoing primary total ankle replacement (TAR) with an equinus contracture, gastrocnemius recession may be performed to increase dorsiflexion. We examined whether gastrocnemius recession would significantly increase dorsiflexion even with a negative Silfverskiöld test. Data were prospectively collected on a consecutive series of 29 patients who underwent TAR. All were deemed to require lengthening of the posterior soft tissue structures for unacceptable equinus contracture. Once each patient was under anesthesia, Silfverskiöld's test was performed. A digital photograph was taken with the ankle at maximum passive dorsiflexion with the knee at 0 degrees of flexion and again with the knee at 30 degrees of flexion. Strayer gastrocnemius recession was then performed in standard fashion in every patient. After recession, Silfverskiöld's test was again performed with photographs obtained in the same manner. The digital photographs demonstrating the results of the preoperative and postoperative Silfverskiöld's tests in both knee positions were analyzed and the degree of ankle dorsiflexion measured. Regardless of the results of Silfverskiöld's test, after gastrocnemius recession, patients had an average increase of 12.6 ± 1.6 degrees of dorsiflexion with the knee extended compared to the same position preoperatively (P dorsiflexion of 17.8 ± 3.6 degrees with the knee extended (P = .004) and 13.4 ± 5.4 degrees with the knee flexed (P = .055). For the remaining 23 patients with a negative preoperative Silfverskiöld's test, dorsiflexion increased by 11.3 ± 1.6 (P dorsiflexion regardless of the results of the Silfverskiöld test while avoiding potential push-off and plantarflexion weakness associated with an Achilles lengthening. Level IV, case series.

  17. Genetics Home Reference: autosomal recessive spastic ataxia of Charlevoix-Saguenay

    Science.gov (United States)

    ... Twitter Home Health Conditions ARSACS Autosomal recessive spastic ataxia of Charlevoix-Saguenay Printable PDF Open All Close ... the expand/collapse boxes. Description Autosomal recessive spastic ataxia of Charlevoix-Saguenay , more commonly known as ARSACS , ...

  18. The Relationship between Children's Self-Reported Recess Problems, and Peer Acceptance and Friendships.

    Science.gov (United States)

    Doll, Beth; Murphy, Patrick; Song, Samuel Y.

    2003-01-01

    Investigates the nature of children's self-reported recess problems and the degree to which these were correlated with children's peer acceptance and mutual friendships. Modest relations were reported between inclusion recess problems and children's mutual friendships and peer acceptance. Results suggest that self-reported recess problems are a…

  19. Dominant and recessive polycystic kidney disease in children: Classification by intravenous pyelography, ultrasound, and computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Kaeaeriaeinen, H.; Jaeaeskelaeinen, J.; Kivisaari, L.; Koskimies, O.; Norio, R.

    1988-01-01

    Both dominant and recessive polycystic kidney disease appear in childhood. We have analyzed findings of intravenous pyelography, ultrasound and computed tomography in genetically classified cases of dominant (13 children) and recessive polycystic kidney disease (5 children) and thus defined criteria by which sporadic cases of childhood polycystic kidney disease can be classified to dominant or recessive polycystic kidney disease.

  20. Recessed insulator and barrier AlGaN/GaN HEMT: A novel structure ...

    Indian Academy of Sciences (India)

    In this study, a gallium nitride (GaN) high electron mobility transistor (HEMT) with recessed insulator and barrier is reported. In the proposed structure, insulator is recessed into the barrier at the drain side and barrier is recessed into the buffer layer at the source side. We study important device characteristics such as electric ...

  1. Give Me a Break! Can Strategic Recess Scheduling Increase On-Task Behaviour for First Graders?

    Science.gov (United States)

    Fagerstrom, Todd; Mahoney, Kate

    2006-01-01

    The purpose of this study was to determine whether strategically scheduled recess breaks throughout the school day will increase student on-task behaviours during the time when students work independently. As an intervention for this action research study, recess breaks were given more often but for less time; recess breaks were scheduled before…

  2. Autosomal recessive anhidrotic ectodermal dysplasia (Christ – Seimens – Touraine syndrome in siblings

    Directory of Open Access Journals (Sweden)

    Sundeep Chowdhry

    2016-07-01

    Full Text Available Anhidrotic Ectodermal Dysplasia (Christ – Seimens – Touraine Syndromeis a rare genodermatoses comprising triad of hypohidrosis (anhidrosis, hypotrichosis and anodontia. It is usually inherited as X-linked recessive. Autosomal dominant and recessive inheritance is very rare, here we report a case of autosomal recessive anhidrotic ectodermal dysplasia.

  3. Proposed Strategy for Selection Against Recessive Genetic Defects Through a Combination of Inbreeding and DNA Markers

    Science.gov (United States)

    Recessive genetic defects are currently on the minds of many cattle breeders. The relatively rapid development of diagnostic DNA tests for recessive defects appears to be a major recent technological advancement. However, the attitude of breeders and breed associations toward recessive defects seems...

  4. Global recession and microfinance risk governance in developing countries

    Directory of Open Access Journals (Sweden)

    Roberto Moro Visconti

    2011-09-01

    Full Text Available Global recession, started in 2008, is still proving an unresolved perfect storm and the financial crisis has affected also the real economy, creating widespread social unrest. Microfinance institutions (MFIs in developing countries seem however less affected by the worldwide turmoil, due to their segmentation and resilience to external shocks. Recession has a big impact on governance mechanisms, altering the equilibriums among different stakeholders and increasing the risk of investment returns; any governance improvement is highly welcome and recommended. No governance, no money for growth or bare survival. In the confused phase we are living in, at the moment there are not evident winners, but the underbanked poorest, unless properly supported, once again risk being the ultimate losers.

  5. Autosomal recessive osteopetrosis with a unique imaging finding: multiple encephaloceles

    Energy Technology Data Exchange (ETDEWEB)

    Saglam, Dilek; Bilgici, Meltem Ceyhan; Bekci, Tuemay [Ondokuz Mayis University, Department of Radiology, School of Medicine, Kurupelit, Samsun (Turkey); Albayrak, Canan; Albayrak, Davut [Ondokuz Mayis University, Department of Pediatrics, School of Medicine, Kurupelit, Samsun (Turkey)

    2017-05-15

    Osteopetrosis is a hereditary form of sclerosing bone dysplasia with various radiological and clinical presentations. The autosomal recessive type, also known as malignant osteopetrosis, is the most severe type, with the early onset of manifestations. A 5-month-old infant was admitted to our hospital with recurrent respiratory tract infections. Chest X-ray and skeletal survey revealed the classic findings of osteopetrosis, including diffuse osteosclerosis and bone within a bone appearance. At follow-up, the patient presented with, thickened calvarium, multiple prominent encephaloceles, and dural calcifications leading to the intracranial clinical manifestations with bilateral hearing and sight loss. Autosomal recessive osteopetrosis is one of the causes of encephaloceles and this finding may become dramatic if untreated. (orig.)

  6. Oil Price Rise and the Great Recession of 2008

    Directory of Open Access Journals (Sweden)

    Mehdi Siamak MONADJEMI

    2017-02-01

    Full Text Available The financial crises of 2007-2008, caused wide-spread falling output and unemployment, in the affected countries and also globally. The severity of the recession was such that it was called the “Great Recession”. As a result of an increase in demand from China and India, at the same time, oil prices rose significantly. The empirical results from this study show that oil price changes negatively affected global growth rate in the 1970s but not in the 1990s and 2000s. These results suggest that the Great Recession in 2008 that initiated by the financial crises, was independent of a significant rise in oil prices.

  7. Muco-gingival surgery for the treatment of periodontal recession

    Directory of Open Access Journals (Sweden)

    Omelio Fontaine Machado

    2015-06-01

    Full Text Available Periodontal recession is the total or partial loss of the gum that covers the root, having as a result an apical gingival margin. A therapeutic option is the muco-gingival surgery, in order to try to cover the exposed root of the tooth. This study presents the case of a 40-year-old white male patient, with a past medical history of referral from primary care for having a degree II periodontal recession at the 31, caused by an occlusion trauma. There were no signs of dental mobility and there was a good oral hygiene. Before the indication of medicinal treatment and the order of hematological studies, a free gum graft was performed to reduce the level of periodontal retraction. The patient was followed at office during three months. The patient progressed satisfactorily from an esthetic viewpoint.

  8. Serous retinal detachment after trabeculectomy in angle recession glaucoma

    Directory of Open Access Journals (Sweden)

    Roy, Avik Kumar

    2015-12-01

    Full Text Available An 18-year-old male with 360 degree angle recession after blunt trauma in his right eye developed uncontrolled intraocular pressure (IOP despite four antiglaucoma medications (AGM with advancing disc damage. He underwent trabeculectomy with intraoperative mitomycin-c (MMC application. There was an intraoperative vitreous prolapse which was managed accordingly. On post-surgery day 1, he had shallow choroidal detachment superiorly with non-recordable IOP. This was deteriorated 1 week postoperatively as choroidal detachment proceeded to serous retinal detachment. He was started with systemic steroid in addition to topical route. The serous effusions subsided within 2 weeks time. At the last follow up at 3 months, he was enjoying good visual acuity, deep anterior chamber, diffuse bleb, an IOP in low teens off any AGM and attached retina. This case highlights the rare occurrence of serous retinal detachment after surgical management of angle recession glaucoma.

  9. Caroli's syndrome with autosomal recessive polycystic kidney disease.

    Science.gov (United States)

    Shenoy, Prithi; Zaki, Syed Ahmed; Shanbag, Preeti; Bhongade, Swapnil

    2014-07-01

    Caroli's syndrome (CS) is a rare congenital disorder characterized by multiple segmental cystic or saccular dilatations of the intrahepatic bile ducts and congenital hepatic fibrosis. We report a 9-year-old boy who was diagnosed with CS and autosomal recessive poly-cystic kidney disease. On screening, his 5-month-old asymptomatic sister had multiple dilated biliary radicals with multiple bilateral renal cystic lesions. Both the patient and the affected sibling have been advised regular follow-up for monitoring the progression of the disease. In conclusion, patients with CS should be screened for renal cystic lesions and vice versa even if they are asymptomatic. Also, as the disease is inherited in an autosomal recessive manner, it is important to screen family members for early diagnosis and management.

  10. Analysis of patient acceptance following treatment of Miller's class II gingival recession with acellular dermal matrix and connective tissue graft.

    Science.gov (United States)

    Goyal, Niti; Gupta, Rajan; Pandit, Nymphea; Dahiya, Parveen

    2014-05-01

    Obtaining predictable and aesthetic root coverage has become an important part of periodontal therapy. The search for the appropriate root coverage techniques has resulted in many different approaches. The goal of this study was to evaluate the degree of patient acceptance with acellular dermal matrix (ADM) allograft in the treatment of buccal gingival recession and to compare it with subepithelial connective tissue graft. Thirty patients with Miller's class II recessions were treated and randomly assigned to the test group (ADM) and control group (subepithelial connective tissue graft). All patients underwent full periodontal evaluation and pre-surgical preparation, including oral hygiene instructions and scaling and root planing. The exposed roots were thoroughly planed and covered by a graft without any further root treatment. Results were evaluated based on the parameters measuring patient satisfaction and clinical outcome after 6 months of the surgical procedure. Postoperatively, significant root coverage, reduction in probing depth, gain in clinical attachment level, and increase in widths of keratinized tissue and attached gingiva were observed on intra-group comparison. There was no significant difference in any of the parameters between test and control groups. The subepithelial connective tissue graft and ADM graft were able to successfully treat gingival recession defects; however, the ADM showed better patient acceptance than the connective tissue graft.

  11. Generalised recessive dystrophic epidermolysis bullosa in two sisters

    Directory of Open Access Journals (Sweden)

    Grover Sanjiv

    2001-01-01

    Full Text Available Two female siblings of a family presented with a mechanobullous disorder since birth. Both had retarded physical development, flaccid bullac, extensive cutaneous erosions and scars, mucosal erosions, milia, corneal haziness, deformed and carious teeth, dystrophic nails, cicatricial alopecia of scalp and positive Nikolsky′s sign. Skin biopsy revealed subepidermal bulla. They were diagnosed as generalized recessive dystrophic epidermolysis bbllosa. They were given oral phcnytoin but failed to show significant response.

  12. The neoliberal policy paradigm and the great recession

    Directory of Open Access Journals (Sweden)

    Stein Howard

    2012-01-01

    Full Text Available The paper examines the relationship between neoliberal policies and the Great Recession with a focus on the persistence of the policy paradigm in spite of overwhelming evidence of its role in creating the crisis. These economic problems are only the latest that have arisen in the wake of the three long decade experiment with these policy packages. The paper investigates the ideological, methodological, historical, theoretical, political and economic interests underlying the perpetuation of neoliberalism.

  13. Bone Marrow Transplantation for Recessive Dystrophic Epidermolysis Bullosa

    Science.gov (United States)

    Wagner, John E.; Ishida-Yamamoto, Akemi; McGrath, John A.; Hordinsky, Maria; Keene, Douglas R.; Riddle, Megan J.; Osborn, Mark J.; Lund, Troy; Dolan, Michelle; Blazar, Bruce R.; Tolar, Jakub

    2010-01-01

    Background Recessive dystrophic epidermolysis bullosa is an incurable, often fatal mucocutaneous blistering disease caused by mutations in COL7A1, the gene encoding type VII collagen (C7). On the basis of preclinical data showing biochemical correction and prolonged survival in col7−/− mice, we hypothesized that allogeneic marrow contains stem cells capable of ameliorating the manifestations of recessive dystrophic epidermolysis bullosa in humans. Methods Between October 2007 and August 2009, we treated seven children who had recessive dystrophic epidermolysis bullosa with immunomyeloablative chemotherapy and allogeneic stem-cell transplantation. We assessed C7 expression by means of immunofluorescence staining and used transmission electron microscopy to visualize anchoring fibrils. We measured chimerism by means of competitive polymerase-chain-reaction assay, and documented blister formation and wound healing with the use of digital photography. Results One patient died of cardiomyopathy before transplantation. Of the remaining six patients, one had severe regimen-related cutaneous toxicity, with all having improved wound healing and a reduction in blister formation between 30 and 130 days after transplantation. We observed increased C7 deposition at the dermal–epidermal junction in five of the six recipients, albeit without normalization of anchoring fibrils. Five recipients were alive 130 to 799 days after transplantation; one died at 183 days as a consequence of graft rejection and infection. The six recipients had substantial proportions of donor cells in the skin, and none had detectable anti-C7 antibodies. Conclusions Increased C7 deposition and a sustained presence of donor cells were found in the skin of children with recessive dystrophic epidermolysis bullosa after allogeneic bone marrow transplantation. Further studies are needed to assess the long-term risks and benefits of such therapy in patients with this disorder. (Funded by the National

  14. Treatment of anterior crossbite and its influence on gingival recession

    OpenAIRE

    ANDRADE,Roberta Nascimento; TÔRRES,Flávia Ribeiro; Ferreira, Rogério Frederico Alves; Catharino, Fernanda

    2014-01-01

    Several etiological factors for gingival recession have been discussed in the literature, and the vestibular region of the mandibular incisors is a critical anatomical area for the emergence of this condition. Anterior crossbite is an important factor, because the trauma from occlusion between the incisors generates an imbalance in the distribution of forces, causing changes in the periodontium and making the area more susceptible to mechanical trauma during brushing and to plaque formation. ...

  15. Mutations in REEP6 Cause Autosomal-Recessive Retinitis Pigmentosa

    OpenAIRE

    Arno, Gavin; Agrawal, Smriti A.; Eblimit, Aiden; Bellingham, James; Xu, Mingchu; Wang, Feng; Chakarova, Christina; Parfitt, David A.; Lane, Amelia; Burgoyne, Thomas; Hull, Sarah; Carss, Keren J.; Fiorentino, Alessia; Hayes, Matthew J.; Munro, Peter M.

    2016-01-01

    Retinitis pigmentosa (RP) is the most frequent form of inherited retinal dystrophy. RP is genetically heterogeneous and the genes identified to date encode proteins involved in a wide range of functional pathways, including photoreceptor development, phototransduction, the retinoid cycle, cilia, and outer segment development. Here we report the identification of biallelic mutations in Receptor Expression Enhancer Protein 6 (REEP6) in seven individuals with autosomal-recessive RP from five unr...

  16. GJA12 mutations in children with recessive hypomyelinating leukoencephalopathy.

    Science.gov (United States)

    Bugiani, M; Al Shahwan, S; Lamantea, E; Bizzi, A; Bakhsh, E; Moroni, I; Balestrini, M R; Uziel, G; Zeviani, M

    2006-07-25

    Pelizaeus-Merzbacher-like disease (PMLD) is an inherited hypomyelinating leukoencephalopathy with onset in early infancy. Like Pelizaeus-Merzbacher disease (PMD), PMLD is characterized clinically by nystagmus, cerebellar ataxia, and spasticity, due to a permanent lack of myelin deposition in the brain. Mutations in the GJA12 gene, encoding connexin 47 (Cx47), were recently reported in five children with autosomal recessive PMLD. To evaluate the impact of mutations in the GJA12 gene in, and define the clinical and neuroimaging features of, autosomal recessive PMLD. The authors screened for GJA12 mutations in 10 additional PMLD families originating from Italy, Pakistan, and Saudi Arabia. Three novel homozygous GJA12 mutations were identified in 12 mutant cases distributed in 3 of 10 families. The mutations segregated with the disease according to an autosomal recessive trait and included one missense (G236S) and two nonsense (L281fs285X and P131fs144X) changes. The identification of homozygous mutations predicting the synthesis of aberrant and truncated polypeptides, and their tight segregation with the disease in very large families, clearly demonstrate that the loss of Cx47 function is the cause of the disease. The phenotype of GJA12-related Pelizaeus-Merzbacher-like disease is fairly homogeneous and similar to that of Pelizaeus-Merzbacher disease. However, slower progression of symptoms, greater preservation of cognitive functions, and partial myelination of corticospinal tracts at MRI were distinctive features, which could help in the differential diagnosis.

  17. Recession and Divorce in the United States, 2008-2011.

    Science.gov (United States)

    Cohen, Philip N

    2014-10-01

    Recession may increase divorce through a stress mechanism, or reduce divorce by exacerbating cost barriers or strengthening family bonds. After establishing an individual-level model predicting U.S. women's divorce, the paper tests period effects, and whether unemployment and foreclosures are associated with the odds of divorce using the 2008-2011 American Community Survey. Results show a downward spike in the divorce rate after 2008, almost recovering to the expected level by 2011, which suggests a negative recession effect. On the other hand, state foreclosure rates are positively associated with the odds of divorce with individual controls, although this effect is not significant when state fixed effects are introduced. State unemployment rates show no effect on odds of divorce. Future research will have to determine why national divorce odds fell during the recession while state-level economic indicators were not strongly associated with divorce. Exploratory analysis which shows unemployment decreasing divorce odds for those with college degrees, while foreclosures have the opposite effect, provides one possible avenue for such research.

  18. Recession and Divorce in the United States, 2008-2011

    Science.gov (United States)

    Cohen, Philip N.

    2015-01-01

    Recession may increase divorce through a stress mechanism, or reduce divorce by exacerbating cost barriers or strengthening family bonds. After establishing an individual-level model predicting U.S. women's divorce, the paper tests period effects, and whether unemployment and foreclosures are associated with the odds of divorce using the 2008-2011 American Community Survey. Results show a downward spike in the divorce rate after 2008, almost recovering to the expected level by 2011, which suggests a negative recession effect. On the other hand, state foreclosure rates are positively associated with the odds of divorce with individual controls, although this effect is not significant when state fixed effects are introduced. State unemployment rates show no effect on odds of divorce. Future research will have to determine why national divorce odds fell during the recession while state-level economic indicators were not strongly associated with divorce. Exploratory analysis which shows unemployment decreasing divorce odds for those with college degrees, while foreclosures have the opposite effect, provides one possible avenue for such research. PMID:26023246

  19. Youth prospects in a time of economic recession

    Directory of Open Access Journals (Sweden)

    Elena Cottini

    2013-11-01

    Full Text Available Background: The paper gives an update to earlier analysis considering youth poverty and transition to adulthood, which is timely given the economic crisis engulfing many countries in Europe. Whereas the crisis is affecting young people in particular, there is also a certain degree of variation across Europe. Objective: We document the short-term consequences of the current recession on the transition to adulthood of young Europeans, focusing on two main cornerstones in the transition to adulthood: economic independence and residential autonomy. Methods: We use a combination of OECD Employment Statistics for 2012 and micro-level data from the European Union Statistics on Income and Living Conditions (EU-SILC for the period 2005-2011 for 24 countries. Results: We document an increase in economic hardship experienced by young adults in several European countries during the recession, which is starting to translate into higher rates of co-residence with parents, hence delaying the process of leaving home and gaining economic independence. Conclusions: The way countries are reacting to the recession is not yet clear-cut, but economic uncertainty and deprivation is on the rise in those countries hardest hit, which is likely to delay the key markers of transition to adulthood.

  20. Does the decision to extract influence the development of gingival recessions? A retrospective long-term evaluation.

    Science.gov (United States)

    Villard, Nicolas M; Patcas, Raphael

    2015-11-01

    Mandibular anterior crowding can be treated by expanding the dental arch or by extracting teeth, usually premolars. The aim of this study was to assess long-term outcomes of extraction versus non-extraction therapies in terms of gingival recession. Fifty consecutive patients were selected, including 26 non-extraction and 24 extraction cases. All had been treated with fixed appliances because of well-defined comparable moderate crowding and Angle Class I malocclusion. Patient age was documented before treatment, upon debonding, and during retention, thus, allowing the calculation of the duration of active treatment and retention. The records available for these three points in time included casts and cephalograms. The casts were used to quantify mandibular anterior crowding and the associated clinical crown lengths. Based on the cephalograms, a number of symphyseal variables were measured. Data analysis included descriptive statistics, correlation tests, and multiple regressions. For accurate comparison of the extraction and non-extraction treatment groups, we required and verified that no significant intergroup differences were present with regard to initial crowding, duration of retention, and age at final record-taking. Both groups revealed increases in crown length, which fell short of statistical significance but were twice as large for canines than for incisors. The treatment decisions to extract premolars did result in significantly different topographic positions of the lower incisors, but they made no difference in the recession outcomes. None of the variables in our regression analysis was found to predict gingival recession. Findings of gingival recession in patients having undergone orthodontic treatment do not seem to be related to extraction/non-extraction treatment decisions.

  1. Adolescents' psychological health complaints and the economic recession in late 2007: a multilevel study in 31 countries.

    Science.gov (United States)

    Pfoertner, Timo-Kolja; Rathmann, Katharina; Elgar, Frank J; de Looze, Margaretha; Hofmann, Felix; Ottova-Jordan, Veronika; Ravens-Sieberer, Ulrike; Bosakova, Lucia; Currie, Candace; Richter, Matthias

    2014-12-01

    The recent economic recession, which began in 2007, has had a detrimental effect on the health of the adult population, but no study yet has investigated the impact of this downturn on adolescent health. This article uniquely examines the effect of the crisis on adolescents' psychological health complaints in a cross-national comparison. Data came from the World Health Organization collaborative 'Health Behaviour in School-aged Children' study in 2005-06 and 2009-10. We measured change in psychological health complaints from before to during the recession in the context of changing adult and adolescent unemployment rates. Furthermore, we used logistic multilevel regression to model the impact of absolute unemployment in 2010 and its change rate between 2005-06 and 2009-10 on adolescents' psychological health complaints in 2010. Descriptive results showed that although youth and adult unemployment has increased during the economic crisis, rates of psychological health complaints among adolescents were unaffected in some countries and even decreased in others. Multilevel regression models support this finding and reveal that only youth unemployment in 2010 increased the likelihood of psychological health complaints, whereas its change rate in light of the recession as well as adult unemployment did not relate to levels of psychological health complaints. In contrast to recent findings, our study indicates that the negative shift of the recent recession on the employment market in several countries has not affected adolescents' psychological health complaints. Adolescents' well-being instead seems to be influenced by the current situation on the labour market that shapes their occupational outlook. © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  2. Comparative evaluation of a bioabsorbable collagen membrane and connective tissue graft in the treatment of localized gingival recession: A clinical study

    Directory of Open Access Journals (Sweden)

    Harsha Mysore Babu

    2011-01-01

    Full Text Available Background: Gingival recession (GR can result in root sensitivity, esthetic concern to the patient, and predilection to root caries. The purpose of this randomized clinical study was to evaluate (1 the effect of guided tissue regeneration (GTR procedure using a bioabsorbable collagen membrane, in comparison to autogenous subepithelial connective tissue graft (SCTG for root coverage in localized gingival recession defects; and (2 the change in width of keratinized gingiva following these two procedures. Materials and Methods: A total of 10 cases, showing at least two localized Miller′s Class I or Class II gingival recession, participated in this study. In a split mouth design, the pairs of defects were randomly assigned for treatment with either SCTG (SCTG Group or GTR-based collagen membrane (GTRC Group. Both the grafts were covered with coronally advanced flap. Recession depth (RD, recession width (RW, width of keratinized gingiva (KG, probing depth (PD, relative attachment level (RAL, plaque index (PI, and gingival index (GI were recorded at baseline, 3 and 6 months postoperatively. Results: Six months following root coverage procedures, the mean root coverage was found to be 84.84% ± 16.81% and 84.0% ± 15.19% in SCTG Group and GTRC Group, respectively. The mean keratinized gingival width increase was 1.50 ± 0.70 mm and 2.30 ± 0.67 mm in the SCTG and GTRC group, respectively, which was not statistically significant. Conclusion: It may be concluded that resorbable collagen membrane can be a reliable alternative to autogenous connective tissue graft in the treatment of gingival recession.

  3. Comparative evaluation of a bioabsorbable collagen membrane and connective tissue graft in the treatment of localized gingival recession: A clinical study

    Science.gov (United States)

    Babu, Harsha Mysore; Gujjari, Sheela Kumar; Prasad, Deepak; Sehgal, Praveen Kumar; Srinivasan, Aishwarya

    2011-01-01

    Background: Gingival recession (GR) can result in root sensitivity, esthetic concern to the patient, and predilection to root caries. The purpose of this randomized clinical study was to evaluate (1) the effect of guided tissue regeneration (GTR) procedure using a bioabsorbable collagen membrane, in comparison to autogenous subepithelial connective tissue graft (SCTG) for root coverage in localized gingival recession defects; and (2) the change in width of keratinized gingiva following these two procedures. Materials and Methods: A total of 10 cases, showing at least two localized Miller's Class I or Class II gingival recession, participated in this study. In a split mouth design, the pairs of defects were randomly assigned for treatment with either SCTG (SCTG Group) or GTR-based collagen membrane (GTRC Group). Both the grafts were covered with coronally advanced flap. Recession depth (RD), recession width (RW), width of keratinized gingiva (KG), probing depth (PD), relative attachment level (RAL), plaque index (PI), and gingival index (GI) were recorded at baseline, 3 and 6 months postoperatively. Results: Six months following root coverage procedures, the mean root coverage was found to be 84.84% ± 16.81% and 84.0% ± 15.19% in SCTG Group and GTRC Group, respectively. The mean keratinized gingival width increase was 1.50 ± 0.70 mm and 2.30 ± 0.67 mm in the SCTG and GTRC group, respectively, which was not statistically significant. Conclusion: It may be concluded that resorbable collagen membrane can be a reliable alternative to autogenous connective tissue graft in the treatment of gingival recession. PMID:22368359

  4. Gingival recession in young adults: occurrence, severity, and relationship to past orthodontic treatment and oral piercing.

    Science.gov (United States)

    Slutzkey, Shimshon; Levin, Liran

    2008-11-01

    Gingival recession can be localized or generalized and associated with at least 1 tooth surface. As a result, gingival recession leads to root surface exposure, often causing esthetic impairment, fear of tooth loss, increased susceptibility for root caries, and dentin hypersensitivity. The prevalence, extent, and severity of gingival recession in a young adult Israeli population were evaluated, and the relationship between orthodontic therapy and other potential risk indicators and gingival recession was assessed. Our cohort included 303 consecutive healthy patients who had routine dental examinations at a military dental center. Information was collected regarding age, smoking habits, oral piercing, oral hygiene habits, and past orthodontic treatment. Clinical examination included visible gingival inflammation, visible dental plaque, and gingival recession on the facial aspects of all teeth. Gingival recession was found in 14.6% of the subjects and in 1.6% of all examined teeth. The prevalence, extent, and severity of recession correlated with past orthodontic treatment. A negative correlation was found between plaque on the buccal tooth aspect and gingival recession. There was no correlation between gingivitis or smoking habits and recession. Prevalence was related to oral piercing. Gingival recession is not uncommon in young adults and is related to past orthodontic treatment and oral piercing. Patients undergoing orthodontic treatment or about to pierce the tongue or lips should be advised regarding these findings.

  5. Performance Analysis of High-Speed Deep/Shallow Recessed Hybrid Bearing

    Directory of Open Access Journals (Sweden)

    Lei Wang

    2013-01-01

    Full Text Available The present paper proposes a theoretical analysis of the performance of deep/shallow recessed hybrid bearing. It is intended that, on the basis of the numerical results drawn from this study, appropriate shallow recess depth and width can be determined for use in the bearing design process. By adopting bulk flow theory, the turbulent Reynolds equation and energy equation are modified and solved numerically including concentrated inertia effects at the recess edge with different depth and width of shallow recess. The results indicate that the load capacity, drag torque increases as the depth of shallow recess is shallower and the width ratio (half angle of deep recess versus half angle of shallow recess is smaller. In contrast, the flow rate decreases as the depth of shallow recess is shallower and the width ratio is smaller. Nevertheless, the appropriate design of the depth and width of shallow recess might well induce the performance of high-speed deep/shallow recessed hybrid bearing.

  6. Mutations of the tyrosinase gene produce autosomal recessive ocular albinism

    Energy Technology Data Exchange (ETDEWEB)

    King, R.A.; Summers, C.G.; Oetting, W.S. [Univ. of Minnesota, Minneapolis, MN (United States)] [and others

    1994-09-01

    Albinism has historically been divided into ocular (OA) and oculocutaneous (OCA) types based on the presence or absence of clinically apparent skin and hair involvement in an individual with the ocular features of albinism. The major genes for OCA include the tyrosinase gene in OCA1 and the P gene in OCA2. X-linked and autosomal recessive OA have been described and the responsible genes have not been identified. We now present six Caucasian individuals who have the phenotype of autosomal recessive OA but who have OCA1 as shown by the presence of mutations of the tyrosinase. They had white or very light hair and white skin at birth, and cutaneous pigment developed in the first decade of life. At ages ranging from 1.5-23 years, hair color was dark blond to light brown. The skin had generalized pigment and well developed tan was present on the exposed arm and face skin of four. Iris pigment was present and iris translucency varied. Molecular analysis of the tyrosinase gene, using PCR amplification and direct di-deoxy sequencing showed the following mutations: E398Z/E398Q, P406S/g346a, R402E/T373K, ?/D383N, and H211N/T373K. The homozygous individual was not from a known consanguineous mating. T373K is the most common tyrosinase gene mutation in our laboratory. Three of these mutations are associated with a total loss of tyrosinase activity (g346a splice-site, T373K, and D383N), while four are associated with residual enzyme activity (H211N, R402E, E398Q, and P406S). These studies show that mutations of the tyrosinase gene can produce the phenotype of autosomal recessive OA in an individual who has normal amounts of cutaneous pigment and the ability to tan after birth. This extends the phenotypic range of OCA1 to normal cutaneous pigment after early childhood, and suggest that mutations of the tyrosinase gene account for a significant number of individuals with autosomal recessive OA.

  7. Autosomal recessive cerebellar ataxias: the current state of affairs.

    Science.gov (United States)

    Vermeer, S; van de Warrenburg, B P C; Willemsen, M A A P; Cluitmans, M; Scheffer, H; Kremer, B P; Knoers, N V A M

    2011-10-01

    Among the hereditary ataxias, autosomal recessive cerebellar ataxias (ARCAs) encompass a diverse group of rare neurodegenerative disorders in which a cerebellar syndrome is the key clinical feature. The clinical overlap between the different cerebellar ataxias, the occasional atypical phenotypes, and the genetic heterogeneity often complicate the clinical management of such patients. Despite the steady increase in newly discovered ARCA genes, many patients with a putative ARCA cannot be genotyped yet, proving that more genes must be involved. This review presents an updated overview of the various ARCAs. The clinical and genetic characteristics of those forms with a known molecular genetic defect are discussed, along with the emerging insights in the underlying pathophysiological mechanisms.

  8. Recessões gengivais: Técnicas de recobrimento radicular

    OpenAIRE

    Moreira, Ana Filipa Teixeira

    2017-01-01

    As recessões gengivais (RG), são caracterizadas por um deslocamento apical da margem gengival (MG), podem ser localizadas, afetando apenas um dente, ou generalizadas, afetando mais de um dente, devido à exposição radicular e perda de estruturas de suporte de tecido mole e duro. O recobrimento radicular (RR) é o procedimento cirúrgico mucogengival utilizado em cirurgia plástica periodontal no tratamento de RG, cujo o principal objetivo é a cobertura radicular completa, assim ...

  9. Cosmetic surgery in times of recession: macroeconomics for plastic surgeons.

    Science.gov (United States)

    Krieger, Lloyd M

    2002-10-01

    Periods of economic downturn place special demands on the plastic surgeon whose practice involves a large amount of cosmetic surgery. When determining strategy during difficult economic times, it is useful to understand the macroeconomic background of these downturns and to draw lessons from businesses in other service industries. Business cycles and monetary policy determine the overall environment in which plastic surgery is practiced. Plastic surgeons can take both defensive and proactive steps to maintain their profits during recessions and to prepare for the inevitable upturn. Care should also be taken when selecting pricing strategy during economic slowdowns.

  10. [Bilaminar technic in the treatment of gingival recessions].

    Science.gov (United States)

    Blasi, G; Viti, M

    1989-02-01

    Bilaminar procedures represent an evolution in the treatment of marginal tissue recessions. A connective tissue graft removed from the palate and over which a pedicle flap is sutured, is used in these procedures. The advantages of these new procedures are: 1) sure predictability of graft survival to which a double-blood supply is guaranteed; 2) primary intention healing at the donor site, with minimum post-operative discomfort; 3) excellent esthetic results consisting of better color blending between graft and adjacent tissues and absence of keloid- like scars, very common after free gingival grafts.

  11. Recess integration of micro-cleaved laser diode platelets with dielectric waveguides on silicon

    Science.gov (United States)

    Fonstad, Clifton G., Jr.; Rumpler, Joseph J.; Barkley, Edward R.; Perkins, James M.; Famenini, Shaya

    2008-02-01

    Ongoing research directed at integrating 1.55 μm III-V ridge waveguide gain elements (i.e. diode lasers and semiconductor optical amplifiers) co-axially aligned with, and coupled to, silicon oxy-nitride waveguides on silicon substrates is presented. The integration techniques used are highly modular and consistent with fabricating waveguides on Si-CMOS wafers and doing the integration of the III-V gain elements after all standard front- and back-end Si processing has been completed. A novel micro-cleaving technique is used to produce active ridge waveguide platelets on the order of 6 µm thick and 100 μm wide, with precisely controlled lengths, in the current work 300 +/- 1 μm, and cleaved end facets. Typical ridge guide micro-cleaved platelet lasers have thresholds under 30 mA. Micro-cleaved platelets are bonded within dielectric recesses etched through the oxy-nitride (SiO xN y) waveguides on a wafer so the ridge and SiO xN y waveguides are co-axially aligned. Transmission measurements indicate coupling losses are as low as 5 db with air filling the gaps between the waveguide ends, and measurements made through filled gaps indicate that the coupling losses can be reduced to below 1.5 dB with a high index (n = 2.2) dielectric fill. Simulations indicate that with further optimization of the mode profile in the III-V waveguide the loss can be reduced to below 1 dB. The paper concludes with a discussion of device design and optimization for co-axial recess integration, and with a comparison of co-axial coupling with the hybrid evanescent vertical coupling III-V/Si integration approach recently introduced by researchers at UCSB and Intel.

  12. Gingival recession: its causes and types, and the importance of orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Ana Suzy Jati

    Full Text Available abstract Gingival recession has direct causes and predisposing factors. Orthodontic treatment is able to prevent recession and even contribute to its treatment, with or without periodontal approach, depending on the type and severity of gingival tissue damage. There is no evidence on the fact that orthodontic treatment alone might induce gingival recession, although it might lead the affected teeth (usually mandibular incisors or maxillary canines to be involved in situations that act as predisposing factors, allowing direct causes to act and, therefore, trigger recession, especially when the buccal bone plate is very thin or presents with dehiscence. Several aspects regarding the relationship between orthodontic treatment and gingival recession have been addressed, and so has the importance of the periosteum to the mechanism of gingival recession formation. Clinical as well as experimental trials on the subject would help to clarify this matter, of which understanding is not very deep in the related literature.

  13. Gingival recession: its causes and types, and the importance of orthodontic treatment.

    Science.gov (United States)

    Jati, Ana Suzy; Furquim, Laurindo Zanco; Consolaro, Alberto

    2016-06-01

    Gingival recession has direct causes and predisposing factors. Orthodontic treatment is able to prevent recession and even contribute to its treatment, with or without periodontal approach, depending on the type and severity of gingival tissue damage. There is no evidence on the fact that orthodontic treatment alone might induce gingival recession, although it might lead the affected teeth (usually mandibular incisors or maxillary canines) to be involved in situations that act as predisposing factors, allowing direct causes to act and, therefore, trigger recession, especially when the buccal bone plate is very thin or presents with dehiscence. Several aspects regarding the relationship between orthodontic treatment and gingival recession have been addressed, and so has the importance of the periosteum to the mechanism of gingival recession formation. Clinical as well as experimental trials on the subject would help to clarify this matter, of which understanding is not very deep in the related literature.

  14. Young entrepreneurs’ trust during the recession: Evidence from Serbia

    Directory of Open Access Journals (Sweden)

    Babić Vojislav

    2015-01-01

    Full Text Available This paper deals with the influence of positive trust on business activities, entrepreneurship development, and economic growth. During the global recession, institutions make numerous decisions to find answers to the crisis that influence the behaviour of entrepreneurs. In such situations, significant stocks of trust are of great importance for economy stability and the motivation of future entrepreneurs. In the first section the terms, functions, and types of trust are defined. The second section presents the results of measuring the interpersonal and institutional trust of young entrepreneurs, representatives of future entrepreneurship and business and bearers of networking ideas in Serbia. The results show that young entrepreneurs have a serious trust deficit, which is worrying in people who are potential future business leaders. Only one fifth of the respondents intends to start their own firm when they have finished studying. The reasons most often given are that government economic policy and monopolies hamper starting a business. Most of the respondents thought that the government should be more involved in providing a better environment for medium and small business. Most respondents believed that the Serbian recession was caused foremost by wrong governmental economic policy, followed by corruption.

  15. Tag, catch, and other unnatural acts at recess (Circa 2014).

    Science.gov (United States)

    Sydnor, Synthia

    2014-03-01

    This commentary details a news event in which Carrie Weber Middle School in Port Washington, NY, supposedly banned students from using balls, playing tag, and doing cartwheels during recess. Public reaction in the form of news items, tweets, blogs, and commentary is sampled, and news releases from the Weber Middle School that were barely covered by the media and explain their decision to ban hardballs from 20-min recess are brought to light. The commentary then goes on to argue that such trending news events can be interpreted in terms of complex cultural histories, including in the case of Weber Middle School, much intellectual thought pioneered by human movement scholarship. Ideas about social nostalgia and memory, play, hegemony, invention of tradition, and cultural context are overviewed in light of their use in human movement studies and in interpreting the Weber Middle School issue. It is argued that current issues and initiatives surrounding obesity and sport for peace and development are, like the trending Weber Middle School news, sometimes not mapped or critiqued (terms coined by Markula-Denison and Silk in 2011) in the profound ways that cultural studies urge. The commentary ends in a call to scholars and practitioners of human movement studies for self-reflexivity and purposeful awareness of changing social definitions of the "unnatural."

  16. Microcephaly-chorioretinopathy syndrome, autosomal recessive form. A case report

    Directory of Open Access Journals (Sweden)

    Rafael Fabiano Machado Rosa

    Full Text Available CONTEXT: The autosomal recessive form of microcephaly-chorioretinopathy syndrome is a rare genetic condition that is considered to be an important differential diagnosis with congenital toxoplasmosis.CASE REPORT: Our patient was a seven-year-old white boy who was initially diagnosed with congenital toxoplasmosis. However, his serological tests for congenital infections, including toxoplasmosis, were negative. He was the first child of young, healthy and consanguineous parents (fourth-degree relatives. The parents had normal head circumferences and intelligence. The patient presented microcephaly and specific abnormalities of the retina, with multiple diffuse oval areas of pigmentation and patches of chorioretinal atrophy associated with diffuse pigmentation of the fundus. Ophthalmological evaluations on the parents were normal. A computed tomography scan of the child's head showed slight dilation of lateral ventricles and basal cisterns without evidence of calcifications. We did not find any lymphedema in his hands and feet. He had postnatal growth retardation, severe mental retardation and cerebral palsy.CONCLUSIONS: The finding of chorioretinal lesions in a child with microcephaly should raise suspicions of the autosomal recessive form of microcephaly-chorioretinopathy syndrome, especially in cases with an atypical pattern of eye fundus and consanguinity. A specific diagnosis is essential for an appropriate clinical evaluation and for genetic counseling for the patients and their families.

  17. Employer-sponsored health insurance erosion accelerates in the recession.

    Science.gov (United States)

    Gould, Elise

    2012-01-01

    From 2000 to 2009, the share of non-elderly Americans covered by employer-sponsored health insurance (ESI) fell 9.4 percentage points. Although the economy was already in a recession in 2008, it continued to dramatically deteriorate in 2009. From 2008 to 2009, the unemployment rate rose 3.5 percentage points, the largest one-year increase on record. As most Americans under age 65 rely on health insurance obtained through the workplace, it is no surprise that ESI fell sharply from 2008 to 2009 at a rate three times as high as in the first year of the recession. Over the 2000s, no demographic or socioeconomic group has been spared from the erosion of job-based insurance. Both genders and people of all ages, races, education, and income levels have suffered declines in coverage. Workers across the wage distribution, in small and large firms alike, and even those working full-time and in white-collar jobs have experienced losses. Along with sharp declines in ESI, the share of those under age 65 without any insurance increased 3.3 percentage points from 2000 to 2009. Increasing public insurance coverage, particularly among children, is the only reason the uninsured rate did not rise one-for-one with losses in ESI.

  18. Bank recession processes, rates, and prediction, Lake Sakakawea, North Dakota, U.S.A.

    Science.gov (United States)

    Reid, John R.; Sandberg, Brian S.; Millsop, Mark D.

    1988-03-01

    Bank recession at twenty stations along the eastern end of 286 km long Lake Sakakawea, North Dakota, measured regularly between 1983 and 1986, showed a recession range from essentially zero to almost 9 m yr -1 with an average of 1.6 m yr -1. Between 1969 and 1979, rates were greater, the declining rate a normal consequence of the factors affecting bank recession. Rates of recession vary with seasons, with 78% of the annual recession occurring during the warmer season (May-October) as a result of wave erosion. The remaining 22% occurs during thaw failure in spring. Prediction of ultimate (500 yr) bank recessions attempted using historical recession data, the three years of detailed field measurements, and regression analysis of the erosion factors. An equation, presented here, requires field measurement of bank orientation and height, batch width and composition, and slope of the offshore area. Effective fetch must be measured, as well. The resulting equation for the monthly warm season recession rate is: Rs=154.9 -, (18.8 √ A+ 25.1 √ B +10.1 √ c +6.9 √ 0+5.0 √ E + 1.1 √ F) where: A = sine of angle between bank orientation and dominant wind; B = offshore slope angle; C = beach width; D = bank height; E = effective fetch; and F = percentage of coarse beach clasts. The colder season recession percentage is: Rw = Rs [(2.05 D = 0.043 G) - 2/100] where D is bank height and G the bank orientation with respect to sun. The total yearly predicted recession (cm yr -1) is: Rt = 6 ( Rw) + 6 ( Rs) 6 being the number of months of "cold" and "warm" weather at Lake Sakakawea. For this rate to be projected into the future, it is necessary to assume a declining rate of recession, employing a parabolic trend. From this, the ultimate bank recession for Lake Sakakawea is predicted to range up to 542 m.

  19. Barriers for recess physical activity: a gender specific qualitative focus group exploration

    OpenAIRE

    Pawlowski, Charlotte Skau; Tjørnhøj-Thomsen, Tine; Schipperijn, Jasper; Troelsen, Jens

    2014-01-01

    Background Many children, in particular girls, do not reach the recommended amount of daily physical activity. School recess provides an opportunity for both boys and girls to be physically active, but barriers to recess physical activity are not well understood. This study explores gender differences in children’s perceptions of barriers to recess physical activity. Based on the socio-ecological model four types of environmental barriers were distinguished: natural, social, physical and orga...

  20. Deletions of recessive disease genes: CNV contribution to carrier states and disease-causing alleles

    Science.gov (United States)

    Boone, Philip M.; Campbell, Ian M.; Baggett, Brett C.; Soens, Zachry T.; Rao, Mitchell M.; Hixson, Patricia M.; Patel, Ankita; Bi, Weimin; Cheung, Sau Wai; Lalani, Seema R.; Beaudet, Arthur L.; Stankiewicz, Pawel; Shaw, Chad A.; Lupski, James R.

    2013-01-01

    Over 1200 recessive disease genes have been described in humans. The prevalence, allelic architecture, and per-genome load of pathogenic alleles in these genes remain to be fully elucidated, as does the contribution of DNA copy-number variants (CNVs) to carrier status and recessive disease. We mined CNV data from 21,470 individuals obtained by array-comparative genomic hybridization in a clinical diagnostic setting to identify deletions encompassing or disrupting recessive disease genes. We identified 3212 heterozygous potential carrier deletions affecting 419 unique recessive disease genes. Deletion frequency of these genes ranged from one occurrence to 1.5%. When compared with recessive disease genes never deleted in our cohort, the 419 recessive disease genes affected by at least one carrier deletion were longer and located farther from known dominant disease genes, suggesting that the formation and/or prevalence of carrier CNVs may be affected by both local and adjacent genomic features and by selection. Some subjects had multiple carrier CNVs (307 subjects) and/or carrier deletions encompassing more than one recessive disease gene (206 deletions). Heterozygous deletions spanning multiple recessive disease genes may confer carrier status for multiple single-gene disorders, for complex syndromes resulting from the combination of two or more recessive conditions, or may potentially cause clinical phenotypes due to a multiply heterozygous state. In addition to carrier mutations, we identified homozygous and hemizygous deletions potentially causative for recessive disease. We provide further evidence that CNVs contribute to the allelic architecture of both carrier and recessive disease-causing mutations. Thus, a complete recessive carrier screening method or diagnostic test should detect CNV alleles. PMID:23685542

  1. The Impact of the Recession on the TV Industry in Mexico and Spain

    OpenAIRE

    Medina, M. (Mercedes); Barron, L. (Leticia)

    2013-01-01

    The impact of the recession has been different in media market in America and Europe. In most Latin American countries, advertising revenue has not decreased as dramatically as in Europe. Spain is one of the European countries in which the recession has hit hardest and, as a result, the media market, mainly free to air TV, has been strongly affected. In contrast, the recession has not affected the Mexican market so profoundly, because its television market does not depend exclusively on adver...

  2. Estimation of Active Stream Network Length in a Hilly Headwater Catchment Using Recession Flow Analysis

    National Research Council Canada - National Science Library

    Wei Li; Ke Zhang; Yuqiao Long; Li Feng

    2017-01-01

    .... Regarding the correlation between active stream networks and stream recession flow characteristics, we developed a new method to estimate the ASNL, under different wetness conditions, of a catchment...

  3. Hardships of the Great Recession and health: Understanding varieties of vulnerability

    Directory of Open Access Journals (Sweden)

    Julie A Kirsch

    2016-05-01

    Full Text Available The Great Recession of 2007–2009 is regarded as the most severe economic downturn since World War II. This study examined relationships between reported recession hardships and physical health in a national survey of American adults ( N  = 1275. Furthermore, education and psychological resources (perceived control, purpose in life, and conscientiousness were tested as moderators of the health impacts of the recession. A greater number of hardships predicted poorer health, especially among the less educated. Psychological resources interacted with education and hardships to predict health outcomes. Although typically viewed as protective factors, such resources became vulnerabilities among educationally disadvantaged adults experiencing greater recession hardships.

  4. Hardships of the Great Recession and health: Understanding varieties of vulnerability

    Science.gov (United States)

    Kirsch, Julie A; Ryff, Carol D

    2016-01-01

    The Great Recession of 2007–2009 is regarded as the most severe economic downturn since World War II. This study examined relationships between reported recession hardships and physical health in a national survey of American adults (N = 1275). Furthermore, education and psychological resources (perceived control, purpose in life, and conscientiousness) were tested as moderators of the health impacts of the recession. A greater number of hardships predicted poorer health, especially among the less educated. Psychological resources interacted with education and hardships to predict health outcomes. Although typically viewed as protective factors, such resources became vulnerabilities among educationally disadvantaged adults experiencing greater recession hardships. PMID:28070407

  5. [The decline in population growth, income distribution, and economic recession].

    Science.gov (United States)

    Banguero, H

    1983-05-01

    This work uses Keynesian principles and an analysis of the Colombian population in the 1970s to argue that the Colombian policy of slowing population growth, which was adopted with the aim of improving the general welfare of the population, has had shortterm negative effects on effective demand and thus on the level of employment and welfare. These negative effects were caused by the inflexibility of income distribution, which prevented expansion of the internal market, complicated by the stagnant condition of the external sector and the budget deficit. The results of the Colombian case study demonstrate how the deceleration of population growth beginning in the 1960s had a significant impact on the levels of consumption and savings and on the patterns of consumption, leading to low levels of investment and little dynamism. Although the current Colombian economic recession is aggravated by contextual factors such as the world economic recession, the high cost of capital, the industrial recession, and declining food production among others, at the core of the crisis are longer term structural determinants such as the decline in the rate of population growth and the highly unequal distribution of income and wealth, which have contributed to a shrinking of the internal market for some types of goods. Given the unlikelihood of renewed rapid population growth, the Keynesian model suggests that the only alternative for increasing aggregate demand is state intervention through public spending and investment and reorientation of the financial system to achieve a dynamic redistribution of income. Based on these findings and on proposals of other analysts, a stragegy for revitalization is proposed which would imply a gradual income redistribution to allow increased consumption of mass produced goods by the low income groups. Direct consumption subsidies would be avoided because of their inflationary and import-expanding tendencies; rather, incentives and support would be

  6. Space, body, time and relationship experiences of recess physical activity

    DEFF Research Database (Denmark)

    Pawlowski, Charlotte Skau; Andersen, Henriette Bondo; Tjørnhøj-Thomsen, Tine

    2016-01-01

    physically active. This study was conducted to explore the least physically active children's "lived experiences" within four existential lifeworlds linked to physical activity during recess: space, body, time, and relations. METHODS: The study builds on ethnographic fieldwork in a public school in Denmark...... using a combination of participatory photo interviews and participant observation. Thirty-seven grade five children (11-12 years old) were grouped in quartiles based on their objectively measured daily physical activity levels. Eight children in the lowest activity quartile (six girls) were selected...... to participate in the study. To avoid stigmatising and to make generalisations more reliable we further recruited eight children from the two highest activity quartiles (four girls) to participate. RESULTS: An analysis of the least physically active children's "lived experiences" of space, body, time...

  7. TRENDS IN UNEMPLOYMENT DURING THE LAST ECONOMIC RECESSION IN SWEDEN

    Directory of Open Access Journals (Sweden)

    Magdalena Potrykus-Czapp

    2017-03-01

    Full Text Available In Sweden, state debt is one of the lowest in the European Union, inflation is low, the banking system operates soundly and the Swedish economy is diverse, highly competitive and successful. The standard of living is high in the entire country. The present social and economic success in Sweden was built on the conclusions drawn from the world financial crisis in the ‘90s and the global financial crisis between 2007-2008. The first effects of the global economic crisis in the form of rising unemployment appeared in Europe when we could observe a sharp increase in joblessness. This article discusses the problem of and methods of dealing with unemployment in Sweden during the recent economic recession.

  8. COMPARING FINANCIAL DISTRESS PREDICTION MODELS BEFORE AND DURING RECESSION

    Directory of Open Access Journals (Sweden)

    Nataša Šarlija

    2011-02-01

    Full Text Available The purpose of this paper is to design three separate financial distress prediction models that will track the changes in a relative importance of financial ratios throughout three consecutive years. The models were based on the financial data from 2000 privately-owned small and medium-sized enterprises in Croatia from 2006 to 2009, and developed by means of logistic regression. Macroeconomic conditions as well as market dynamic have been changed over the mentioned period. Financial ratios that were less important in one period become more important in the next period. Composition of model starting in 2006 has been changed in the next years. It tells us what financial ratios are more important during the time of economic downturn. Besides, it helps us to understand behavior of small and medium-sized enterprises in the period of prerecession and in the period of recession.

  9. Medial collateral ligament recession for chronic medial knee laxity.

    Science.gov (United States)

    Backes, Jeffrey R; Wiltfong, Roger E; Steensen, Robert N

    2013-06-01

    The medial collateral ligament (MCL) is the primary restraint to valgus stress of the knee. Although the MCL has demonstrated an ability to reliably heal with conservative management, chronic medial instability has been well described following an isolated MCL injury or in combination with an anterior cruciate ligament (ACL) tear. When the MCL heals with persistent medial laxity surgical treatment may be necessary to prevent chronic medial instability and valgus overload of a reconstructed cruciate ligament. We present a simple technique for MCL recession that can be used for isolated MCL laxity as well as in chronic ACL/MCL knee injuries. This technique allows for secure fixation with bone-to-bone healing, avoids donor-site morbidity, maintains relative MCL isometry, and can be performed through a modest incision. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  10. Prevention and treatment of chronic catarrhal gingivitis and gingival recession in patients with non-removable dental prosthesis designs

    Directory of Open Access Journals (Sweden)

    Анатолій Михайлович Петрушанко

    2015-05-01

    Full Text Available Schemes of prevention and treatment of chronic catarrhal gingivitis and gingival recession in patients with non-removable dental prosthesis designs. It is proved their clinical effectiveness and evaluation criteria of developed gum recession land. After application of preventive and therapeutic complexes, which observed in patients, improve the hygienic condition of the mouth, confirming the feasibility of their application.Methods. It is included 153 patients with various defects of individual teeth and dentition, including 85 women (55.6% and 68 men (44.4% aged from 25 to 55 years. The control group consisted of 35 healthy individuals of the same age without metallic inclusions in the mouth.Results. In analyzing the evaluation index hygienic condition of the oral cavity in patients 25-34 years of gingivitis against the backdrop of orthopedic treatment non-removable denture constructions the indices Green-Vermillion and Silness-Loe following data were obtained: patients of the main group before treatment, the rate Green Vermillion index was an average of 1,70 ± 0,07 points to 1,75 ± 0,08 points, indicating a satisfactory level of oral hygiene. After application of preventive and therapeutic complexes improve the hygienic condition of the oral cavity, which marked the studied index indicators hygiene.Analyzing the data should be noted that positive changes of hygienic condition of the oral cavity were observed throughout the study period in all age groups of patients in both subgroups of observation and comparison.Conclusions. We offer health care systems for the prevention and treatment of gum recession and chronic catarrhal gingivitis in patients after dental prosthetics of non-replaceable constructs allowed to suspend pathological processes in the gums and improve oral hygiene

  11. Genetic linkage studies in autosomal recessive retinitis pigmentosa

    Energy Technology Data Exchange (ETDEWEB)

    Mansfield, D.C.; Teague, P.W.; Barber, A. [Western General Hospital, Edinburgh (United Kingdom)] [and others

    1994-09-01

    Autosomal recessive retinitis pigmentosa (arRP) is a severe retinal dystrophy characterized by night blindness, progressive constriction of the visual fields and loss of central vision in the fourth or fifth decades. The frequency of this form of retinitis pigmentosa (RP) varies in different populations. Mutations within the rhodopsin, cyclic GMP phosphodiesterase-{beta} subunit and cGMP-gated channel genes have been reported in some arRP families. The genetic loci responsible for the majority of cases have yet to be identified. Genetic heterogeneity is likely to be extensive. In order to minimize the amount of genetic heterogenity, a set of arRP families was ascertained within the South-Central Sardinian population, in which 81% of families with a known mode of inheritance show an autosomal recessive form of RP. The Sardinian population is an ethnic {open_quotes}outlier{close_quotes}, having remained relatively isolated from mainland and other cultures. Genetic linkage data has been obtained in a set of 11 Sardinian arRP kindreds containing 26 affected members. Under the assumption of genetic homogeneity, no evidence of linkage was found in the arRP kindreds using 195 markers, which excluded 62% of the genome (Z<-2). Positive lod scores were obtained with D14S80 which showed no recombination in a subset of 5 families. Heterogeneity testing using D14S80 and arRP showed no significant evidence of heterogeneity (p=0.18) but evidence of linkage ({chi}{sup 2}=3.64, p=0.028). We are currently screening the neural retina-specific leucine zipper gene (NRL) in 14q11 for mutations as a candidate locus.

  12. Comparative study of Emdogain and coronally advanced flap technique in the treatment of human gingival recessions. A prospective controlled clinical study.

    Science.gov (United States)

    Hägewald, Stefan; Spahr, Axel; Rompola, Eirini; Haller, Bernd; Heijl, Lars; Bernimoulin, Jean-Pierre

    2002-01-01

    Various surgical techniques have been proposed for coverage of denuded root surfaces. The aim of this study was to evaluate a comparison of coronally repositioned flap procedure with or without the use of enamel matrix proteins in the treatment of recession defects. This study was an intra-individual longitudinal test of 12 months duration conducted as a blinded, split-mouth, placebo-controlled and randomised design. It was performed in 2 dental schools. 36 patients, aged 22-62 years, with 2 paired buccal recession defects of at least 3 mm participated. Surgical recession coverage was performed as coronally-advanced flap technique at both sites in the same session. One site was additionally treated with commercially-available enamel matrix proteins (Emdogain) and the other site with placebo (propylene glycol alginate) in accordance with the randomisation list. A blinded examiner assessed pre- and post-surgical measurements. Clinical measurements and photographs were taken pre-surgically and after 1 week, 3 weeks, 3 months, 6 months and 12 months, postoperatively. Measurements comprised height and width of the gingival recession, height of keratinized tissue, probing attachment level, probing pocket depth and alveolar bone level by periodontal probe, Florida Probe or caliper to the nearest 0.5 mm. 12 months after therapy, both treatment modalities showed significant root coverage and probing attachment gain. Gingival recession decreased from 3.7 mm to 0.8 mm for the Emdogain treated sites and from 3.9 mm to 1.0 mm for the control sites, corresponding to mean root coverages of 80% and 79%, respectively. This difference was not significant. With the exception of keratinized tissue gain, which was significantly higher (p=0.003) in the Emdogain group, all other clinical variables were not different in the between-group comparison. As the additional use of Emdogain together with coronally advanced flap technique for recession coverage showed no difference in the overall

  13. Effects of Student Pairing and Public Review on Physical Activity during School Recess

    Science.gov (United States)

    Zerger, Heather M.; Miller, Bryon G.; Valbuena, Diego; Miltenberger, Raymond G.

    2017-01-01

    The purpose of this study was to evaluate the effects of student pairing and feedback during recess on children's step counts. During baseline, participants wore a sealed pedometer during recess. During intervention, we paired participants with higher step counts with participants with lower step counts. We encouraged teams to compete for the…

  14. Playground Designs to Increase Physical Activity Levels during School Recess: A Systematic Review

    Science.gov (United States)

    Escalante, Yolanda; García-Hermoso, Antonio; Backx, Karianne; Saavedra, Jose M.

    2014-01-01

    School recess provides a major opportunity to increase children's physical activity levels. Various studies have described strategies to increase levels of physical activity. The purpose of this systematic review is therefore to examine the interventions proposed as forms of increasing children's physical activity levels during recess. A…

  15. A dairy calf DNA biobank for the discovery of new recessive genetic disorders

    Science.gov (United States)

    This abstract describes the establishment of a new DNA biobank to support the discovery of new recessive genetic disorders in the U.S. dairy cattle population. High-density single nucleotide polymorphism genotypes have recently been used to identify a number of novel recessive mutations that adverse...

  16. How the Economy Influences Pedagogy: The Great Recession's Influence on Elementary Teaching Practices

    Science.gov (United States)

    Sawyer, Amanda G.

    2017-01-01

    From 2007 to 2009, the United States experienced one of the greatest economic declines reported in the previous decades, known as the Great Recession (Bureau of Labor Statistics, 2012). While a great deal of media attention focused on the immediate financial effects of the recession, little discussion was made about the influence of this crisis…

  17. Gingival labial recessions in orthodontically treated and untreated individuals : a case control study

    NARCIS (Netherlands)

    Renkema, Anne Marie; Fudalej, Piotr S.; Renkema, Alianne A. P.; Abbas, Frank; Bronkhorst, Ewald; Katsaros, Christos

    Objectives To evaluate the long-term development of labial gingival recessions during orthodontic treatment and retention phase. Material and Methods In this retrospective casecontrol study, the presence of gingival recession was scored (Yes or No) on plaster models of 100 orthodontic patients

  18. Prevalence and severity of vestibular recession in mandibular incisors after orthodontic treatment.

    Science.gov (United States)

    Vasconcelos, Gisela; Kjellsen, Kristian; Preus, Hans; Vandevska-Radunovic, Vaska; Hansen, Bjørn Frode

    2012-01-01

    To assess the prevalence and severity of vestibular gingival recession of mandibular incisors after orthodontic treatment and to evaluate possible contributing factors. From the record pool of patients who completed orthodontic treatment from 1999-2006 at the Department of Orthodontics, University of Oslo, Norway, 588 patients fulfilled the inclusion criteria. Intraoral color slides were used for the evaluation of gingival recessions (based on Miller classification), presence of visible plaque, and gingival inflammation. Cephalometric radiographs were used to assess the sagittal intermaxillary relation, mandibular and intermaxillary angles, and the position of the lower incisors. A control group was drawn from the same pool of 588 patients. All statistical analyses were performed using SPSS. The prevalence of gingival recessions after orthodontic treatment was 10.3%. Most (8.6%) were classified as Miller Class I, and 1.7% were classified as Miller Class II. Gingival recession was predominantly found on central incisors. Reduction of the sagittal intermaxillary angle and retroclination of the lower incisors was correlated with the development of a more severe gingival recession. The present study indicates that vestibular gingival recession of mandibular incisors after orthodontic treatment is of minor prevalence and severity. The presence of gingival recession or retroclination of the incisors with mesial basal relations increases the risk of more severe gingival recession.

  19. The Ecology of Student Retention: Undergraduate Students and the Great Recession

    Science.gov (United States)

    Mendoza, Pilar; Malcolm, Zaria; Parish, Nancy

    2015-01-01

    This study investigated qualitatively how undergraduate students experienced the Great Recession at a flagship university in the South Eastern of United States and how this experience relates to their retention. Results indicate that the Great Recession has significantly impacted students' engagement and commitments. We argue that student…

  20. Understanding Factors Associated with Children's Motivation to Engage in Recess-Time Physical Activity

    Science.gov (United States)

    Efrat, Merav W.

    2016-01-01

    Physical activity is linked with health and academic benefits. While recess provides the greatest opportunity for children to accumulate physical activity, most children are not motivated to engage in sufficient amounts of physical activity during recess. Research demonstrates a strong relationship between self-efficacy and children's motivation…

  1. Parental Employment Status and Symptoms of Children Abused during a Recession

    Science.gov (United States)

    Tobey, Trina; McAuliff, Kathleen; Rocha, Celina

    2013-01-01

    Incidences and severity of child abuse have increased since the start of the recession. This study examined the relationship between employment status and severity of symptoms in children abused during a recession year. Participants included 154 females and 65 males between 2 and 17 years old referred to Dallas Children's Advocacy Center after…

  2. Recess physical activity and perceived school environment among elementary school children.

    Science.gov (United States)

    Ishii, Kaori; Shibata, Ai; Sato, Mai; Oka, Koichiro

    2014-07-15

    Differences in recess physical activity (PA) according to perceived school environment among elementary school children were examined. Participants were 103 children from two schools in Japan. PA was measured using accelerometry for seven consecutive days. Time spent in sedentary or PA (light, moderate, or vigorous) during their morning recess (25 min) and lunch recess (15 min) was determined. The School Physical Activity Environment Scale (three factors: equipment, facility, and safety) was used to investigate perceived school environment. Environmental factor scores were assigned to low or high groups for each factor by median. An analysis of covariance, with grade as the covariate, was conducted separately by gender to examine differences in PA between two groups. During lunch recess, boys in the high-equipment group spent significantly more time in moderate PA (high: 1.5; low: 0.8 min) whereas girls in this group spent less time in light PA (9.3, 11.0). Boys in the high-facility group spent significantly less time in sedentary (2.3, 3.9) and more time in vigorous PA (2.4, 1.4) during lunch recess, and girls spent more time in moderate (2.1, 1.2) and vigorous PA (1.9, 1.3) during morning recess. Differences were observed in recess PA according to school environment perceptions. The present study may be useful for further intervention studies for the promotion of PA during recess.

  3. Is School Community Readiness Related to Physical Activity before and after the Ready for Recess Intervention?

    Science.gov (United States)

    Ehlers, Diane K.; Huberty, Jennifer L.; Beseler, Cheryl L.

    2013-01-01

    The purpose of this study was to determine: (i) the effect of schools' baseline community readiness (CR) on youth physical activity (PA) at recess prior to the Ready for Recess intervention; (ii) if changes in PA due to the intervention were explained by baseline CR and (iii) if specific components of the intervention altered an association…

  4. Mutations in PCDH21 cause autosomal recessive cone-rod dystrophy

    DEFF Research Database (Denmark)

    Østergaard, Elsebet; Batbayli, M; Dunø, Morten

    2010-01-01

    Cone-rod dystrophy is a retinal dystrophy with early loss of cone photoreceptors and a parallel or subsequent loss of rod photoreceptors. It may be syndromic, but most forms are non-syndromic with autosomal dominant, autosomal recessive or X-linked recessive inheritance....

  5. Responding to Recession: IT Funding and Cost Management in Higher Education. Key Findings

    Science.gov (United States)

    Goldstein, Philip J.

    2010-01-01

    This document presents the key findings from "Responding to Recession: IT Funding and Cost Management in Higher Education", the 2010 ECAR (EDUCAUSE Center for Applied Research) study of how the economic recession is impacting information technology (IT) organizations and operations in higher education. The study was designed to address the…

  6. Effects of combined gate and ohmic recess on GaN HEMTs

    Directory of Open Access Journals (Sweden)

    Sunil Kumar

    2016-09-01

    Full Text Available AlGaN/GaN, because of their superior material properties, are most suitable semiconductor material for High Electron Mobility Transistors (HEMTs. In this work we investigated the hidden physics behind these materials and studied the effect of recess technology in AlGaN/GaN HEMTs. The device under investigation is simulated for different recess depth using Silvaco-Atlas TCAD. Recess technology improves the performance of AlGaN/GaN HEMTs. We considered three kinds of recess technology gate, ohmic and combination of gate and ohmic. Gate recess improves transconductance gm but it reduces the drain current Id of the device under investigation. Ohmic recess improves the transconductance gm but it introduces leakage current Ig in the device. In order to use AlGaN/GaN for high voltage operation, both the transconductance and the drain current should be reasonably high which is obtained by combining both gate and ohmic recess technologies. A good balance in transconductance and drain current is achieved by combining both gate and ohmic recess technologies without any leakage current.

  7. Recess Physical Activity and Perceived School Environment among Elementary School Children

    Directory of Open Access Journals (Sweden)

    Kaori Ishii

    2014-07-01

    Full Text Available Differences in recess physical activity (PA according to perceived school environment among elementary school children were examined. Participants were 103 children from two schools in Japan. PA was measured using accelerometry for seven consecutive days. Time spent in sedentary or PA (light, moderate, or vigorous during their morning recess (25 min and lunch recess (15 min was determined. The School Physical Activity Environment Scale (three factors: equipment, facility, and safety was used to investigate perceived school environment. Environmental factor scores were assigned to low or high groups for each factor by median. An analysis of covariance, with grade as the covariate, was conducted separately by gender to examine differences in PA between two groups. During lunch recess, boys in the high-equipment group spent significantly more time in moderate PA (high: 1.5; low: 0.8 min whereas girls in this group spent less time in light PA (9.3, 11.0. Boys in the high-facility group spent significantly less time in sedentary (2.3, 3.9 and more time in vigorous PA (2.4, 1.4 during lunch recess, and girls spent more time in moderate (2.1, 1.2 and vigorous PA (1.9, 1.3 during morning recess. Differences were observed in recess PA according to school environment perceptions. The present study may be useful for further intervention studies for the promotion of PA during recess.

  8. Influence of School Playground Size and Equipment on the Physical Activity of Students during Recess

    Science.gov (United States)

    Delidou, Eleni; Matsouka, Ourania; Nikolaidis, Christos

    2016-01-01

    Children's physical activity (PA) is increasingly restricted by the fast pace of modern life. Schools are the opportune setting in which to increase PA during daily recess. The purpose of this study was to record the degree of PA of 6th grade primary school students during recess and determine whether the playground size and available equipment…

  9. Museums and Other Nonprofits in the Current Recession: A Story of Resilience, Innovation, and Survival

    Science.gov (United States)

    Geller, Stephanie Lessans; Salamon, Lester M.

    2010-01-01

    This article presents the results of a nationwide survey conducted in the spring of 2009 that examined the impacts of the current recession on nonprofit organizations, including museums. The survey identified a host of negative effects that nonprofits have been experiencing as a result of the recession, including reduced organizational revenues,…

  10. Recession, Retrenchment, and Recovery: State Higher Education Funding & Student Financial Aid. Volume II: State Profiles

    Science.gov (United States)

    Ambrose, Allison S.; Hines, Edward R.; Hodel, Ross A.; Kelly, Kathleen F.; Mushrush, Christopher E., Pruden, Sheila J.; Vogt, W. Paul

    2006-01-01

    This report is a companion to "Recession, Retrenchment and Recovery: Higher Education Funding and Student Financial Aid" (ED502180). It provides profiles of individual states and their performance on a variety of measures used in the economic and fiscal analysis of the Recession, Retrenchment and Recovery project. The profiles describe the results…

  11. Crown Recession Patterns in Three Conifer Species of the Northern Rocky Mountains

    Science.gov (United States)

    Sean M. Garber; Robert A. Monserud; Douglas A. Maguire

    2008-01-01

    Crown length is a fundamental tree dimension for characterizing growth potential, wildlife habitat, and wood quality. The relative rates of height growth and crown recession detennine the progression of crown length over time. We investigated patterns in crown recession of three co-occurring species in the northern Rocky Mountains: western white pine (Pinus...

  12. Surgical treatment of gingival recessions using Emdogain gel : Clinical procedure and case reports

    NARCIS (Netherlands)

    Abbas, F; Wennstrom, J; Van der Weijden, F; Schneiders, T; Van der Velden, U

    2003-01-01

    This article describes the clinical procedure and outcome of surgical treatment of gingival recessions with the adjunctive use of Emdogain gel, an enamel matrix derivative bioactive material for periodontal reconstructive surgery. Six cases with gingival recession on maxillary canines are presented

  13. Cost-Effectiveness of Ready for Recess to Promote Physical Activity in Children

    Science.gov (United States)

    Wang, Hongmei; Li, Tao; Siahpush, Mohammad; Chen, Li-Wu; Huberty, Jennifer

    2017-01-01

    Background: Many school-based recess interventions have been shown to be effective in increasing physical activity but their relative efficiency compared to other school-based programs are unknown. This study examined the cost-effectiveness of Ready for Recess, a program designed to increase students' physical activity in 2 elementary schools.…

  14. Playing fair: the contribution of high-functioning recess to overall school climate in low-income elementary schools.

    Science.gov (United States)

    London, Rebecca A; Westrich, Lisa; Stokes-Guinan, Katie; McLaughlin, Milbrey

    2015-01-01

    Recess is a part of the elementary school day with strong implications for school climate. Positive school climate has been linked to a host of favorable student outcomes, from attendance to achievement. We examine 6 low-income elementary schools' experiences implementing a recess-based program designed to provide safe, healthy, and inclusive play to study how improving recess functioning can affect school climate. Data from teacher, principal, and recess coach interviews; student focus groups; recess observations; and a teacher survey are triangulated to understand the ways that recess changed during implementation. Comparing schools that achieved higher- and lower-functioning recesses, we link recess functioning with school climate. Recess improved in all schools, but 4 of the 6 achieved a higher-functioning recess. In these schools, teachers and principals agreed that by the end of the year, recess offered opportunities for student engagement, conflict resolution, pro-social skill development, and emotional and physical safety. Respondents in these four schools linked these changes to improved overall school climate. Recess is an important part of the school day for contributing to school climate. Creating a positive recess climate helps students to be engaged in meaningful play and return to class ready to learn. © 2014, American School Health Association.

  15. The effect of changes in lower incisor inclination on gingival recession.

    Science.gov (United States)

    Kamak, Gulen; Kamak, Hasan; Keklik, Hakan; Gurel, Hakan Gurcan

    2015-01-01

    Orthodontic treatment may promote development of recessions. The mechanism by which orthodontic treatment influences occurrence of recessions remains unclear. The aim of this study was to test the hypothesis that a change of mandibular incisor inclination promotes development of labial gingival recessions. The study sample comprised dental casts and lateral cephalograms obtained from 109 subjects before orthodontic treatment (Tb) and after orthodontic treatment (Ta). Depending on the change of lower incisor inclination during treatment, the subjects were divided into three groups: Retroclination (R), Stable Position (S), and Proclination (P). The presence of gingival recessions of mandibular incisors and clinical crown heights were assessed on plaster models. From Tb to Ta, Inc_Incl showed a statistically significant change in the R, P, and S groups (p treatment did not lead to development of labial gingival recessions in the study sample.

  16. Connective Tissue Graft for Gingival Recession in Mandibular Incisor Area: A Case Report.

    Science.gov (United States)

    Egawa, Masahiro; Inagaki, Satoru; Tomita, Sachiyo; Saito, Atsushi

    2016-01-01

    We report a case of gingival recession in the mandibular incisor region requiring a connective tissue graft. The patient was a 17-year-old girl who visited the Tokyo Dental College Chiba Hospital in 2014 with the chief complaint of gingival recession in the lower incisor region. She had received orthodontic treatment for 5 years and noticed the gingival recession on completion of active orthodontic treatment in 2013. Gingival recession in tooth #31 extended 3 mm beyond the muco-gingival junction (MGJ) and was clinically diagnosed as Miller Class II recession; probing depth was 6 mm. Following initial periodontal therapy, a connective tissue graft procedure was implemented. The connective tissue was harvested from the left palate. Healing was uneventful, and the grafted site showed a favorable outcome at 6 months postoperatively. We are continuing to carefully monitor the condition of periodontal tissue.

  17. Long-term postoperative outcomes of bilateral lateral rectus recession vs unilateral recession-resection for intermittent exotropia

    Directory of Open Access Journals (Sweden)

    Xian Yang

    2014-12-01

    Full Text Available AIM:To discuss the long-term postoperative results of bilateral lateral rectus recession (BLR and unilateral lateral rectus recession-medial rectus resection (RR in therapy of intermittent exotropia.METHODS: We retrospectively analyzed 213 cases of intermittent exotropia who underwent surgery between 2008 and 2010. The patients were grouped into BLR group and RR group. Motor outcomes were divided into three groups on the basis of the angle of deviation after surgery:overcorrection (esotropia/phoria >5△, orthophoria (esotropia/phoria ≤5△to exotropia/phoria ≤10△, and undercorrection/recurrence (exotropia/phoria>10△. Titmus test was used to evaluate stereoacuity, the stereoacuity <800s of arc meaned the patients had stereopsis. Surgical outcome including motor criteria and sensory status were compared at postoperative 6, 12, 24mo and at 36mo examination between groups.RESULTS:At 12, 24mo after surgery, the motor outcomes had no difference (P>0.05 between groups. However, the motor outcomes at 6, 36mo were signally different in each group, indicating the success rate in RR group at 6mo was higher than that in BLR group (83.02% vs 82.24%, P<0.05 but the result was contrary at the 3y examination (60.75% vs 43.40%, P<0.05. No statistical significance were found in the sensory outcomes between the groups at mean of 3.7y follow-up.CONCLUSION:Themotor outcomes in RR group were better than in BLR group at 6mo after surgery, while the 3y outcomes were better in BLR group. This may be due to the recurrence rate of the BLR was lower than the RR group’s.

  18. Economic Recession, Teacher-Reported Cuts to School Resources, and Children's Economic and Psychiatric Problems in Young Adulthood

    Science.gov (United States)

    Huurre, Taina; Santalahti, Päivi; Kiviruusu, Olli; Solantaus, Tytti

    2015-01-01

    The study investigated whether cuts to school resources made during economic recession contribute to children's psychiatric and economic problems in early adulthood. The cohort consisted of 817 Finnish children. Data was gathered from teachers during a recession (child age 12) and from national registers on children's post-recession use of…

  19. Gingival labial recessions in orthodontically treated and untreated individuals: a case - control study.

    Science.gov (United States)

    Renkema, Anne Marie; Fudalej, Piotr S; Renkema, Alianne A P; Abbas, Frank; Bronkhorst, Ewald; Katsaros, Christos

    2013-06-01

    To evaluate the long-term development of labial gingival recessions during orthodontic treatment and retention phase. In this retrospective case-control study, the presence of gingival recession was scored (Yes or No) on plaster models of 100 orthodontic patients (cases) and 120 controls at the age of 12 (T12 ), 15 (T15 ), 18 (T18 ), and 21 (T21 ) years. In the treated group, T12 reflected the start of orthodontic treatment and T15 - the end of active treatment and the start of retention phase with bonded retainers. Independent t-tests, Fisher's exact tests and a fitted two-part "hurdle" model were used to identify the effect of orthodontic treatment/retention on recessions. The proportion of subjects with recessions was consistently higher in cases than controls. Overall, the odds ratio for orthodontic patients as compared with controls to have recessions is 4.48 (p orthodontic treatment and/or the retention phase may be risk factors for the development of labial gingival recessions. In orthodontically treated subjects, mandibular incisors seem to be the most vulnerable to the development of gingival recessions. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  20. Federal spending on behavioral health accelerated during recession as individuals lost employer insurance.

    Science.gov (United States)

    Levit, Katharine R; Mark, Tami L; Coffey, Rosanna M; Frankel, Sasha; Santora, Patricia; Vandivort-Warren, Rita; Malone, Kevin

    2013-05-01

    The 2007-09 recession had a dramatic effect on behavioral health spending, with the effect most prominent for private, state, and local payers. During the recession behavioral health spending increased at a 4.6 percent average annual rate, down from 6.1 percent in 2004-07. Average annual growth in private behavioral health spending during the recession slowed to 2.7 percent from 7.2 percent in 2004-07. State and local behavioral health spending showed negative average annual growth, -1.2 percent, during the recession, compared with 3.7 percent increases in 2004-07. In contrast, federal behavioral health spending growth accelerated to 11.1 percent during the recession, up from 7.2 percent in 2004-07. These behavioral health spending trends were driven largely by increased federal spending in Medicaid, declining private insurance enrollment, and severe state budget constraints. An increased federal Medicaid match reduced the state share of Medicaid spending, which prevented more drastic cuts in state-funded behavioral health programs during the recession. Federal Medicaid served as a critical safety net for people with behavioral health treatment needs during the recession.

  1. Recessive Resistance to Plant Viruses: Potential Resistance Genes Beyond Translation Initiation Factors

    Directory of Open Access Journals (Sweden)

    Masayoshi Hashimoto

    2016-10-01

    Full Text Available The ability of plant viruses to propagate their genomes in host cells depends on many host factors. In the absence of an agrochemical that specifically targets plant viral infection cycles, one of the most effective methods for controlling viral diseases in plants is taking advantage of the host plant’s resistance machinery. Recessive resistance is conferred by a recessive gene mutation that encodes a host factor critical for viral infection. It is a branch of the resistance machinery and, as an inherited characteristic, is very durable. Moreover, recessive resistance may be acquired by a deficiency in a negative regulator of plant defense responses, possibly due to the autoactivation of defense signaling. Eukaryotic translation initiation factor (eIF 4E and eIF4G and their isoforms are the most widely exploited recessive resistance genes in several crop species, and they are effective against a subset of viral species. However, the establishment of efficient, recessive resistance-type antiviral control strategies against a wider range of plant viral diseases requires genetic resources other than eIF4Es. In this review, we focus on recent advances related to antiviral recessive resistance genes evaluated in model plants and several crop species. We also address the roles of next-generation sequencing and genome editing technologies in improving plant genetic resources for recessive resistance-based antiviral breeding in various crop species.

  2. Recession occurrence in patients treated with fixed appliances--preliminary report.

    Science.gov (United States)

    Szarmach, I J; Wawrzyn-Sobczak, K; Kaczyńska, J; Kozłowska, M; Stokowska, W

    2006-01-01

    The aim of the study was to evaluate the dependence of gingival recession, malocclusion and factors that may lead to recessions of the gingiva in patients applying for orthodontical treatment. The study involved 52 randomly selected patients treated with fixed appliances due to occlusal irregularities and dental abnormalities. Data obtained from the examination and selected parameters from cephalometric analysis were placed in a chart including ANB skeletal class and Wits parameter, lower incisor position IMPA, dental abnormalities, extractions due to orthodontical indications and recession etiopathic factors. Statistical analysis of obtained data was conducted using variance analysis. Statistically significant were assumed those calculations for which value of significance level p Recession was observed in 18 patients of the 52 examined. Skeletal I class was found in 11 patients (61.12%) and in 8 cases Wits parameter corresponded with skeletal class III (44.4%). Among the patients examined normal incisor inclination was observed in 6 patients (33.33%), whereas 12 cases revealed inclination irregularities (66.66%). Clinical examination disclosed dental defects in 13 patients (72.22%) and in 12 cases recession etiopathic factors were recognized (66.66%). Statistically significant differences between periodontal biotype and gingival recession of 43, 31, 33 teeth were estimated. Anatomical factors, malocclusion and dental irregularities were fund to be the main cause of the single and/or multiple recessions. Patients applying for orthodontic treatment due to occlusal abnormalities should remain under particular control in case of symptoms suggesting the incidence of recession, particularly when recessions are already present.

  3. Aetiology and severity of gingival recession in an adult population sample in Greece

    Directory of Open Access Journals (Sweden)

    Nikolaos Andreas Chrysanthakopoulos

    2011-01-01

    Full Text Available Background: Gingival recession is the most common and undesirable condition of the gingiva. The aim of study was to investigate the aetiology and severity of gingival recession in a Greek adult population sample. Methods : The study was performed on 165 males and 179 females, 18-68 years old who sought dental treatment in a private dental practice and showed gingival recession. All subjects were clinically examined and answered questions regarding their oral hygiene habits such as the type of toothbrush, frequency of brushing and method of brushing. The association between gingival recession and the following parameters was assessed: plaque score, gingival score and tooth position. Statistical analysis of the results was accomplished using chi-square test (α = 0.05. Results: The majority (79.4% of the patients showed grade I gingival recession and 15.3% showed grade II gingival recession. The maxillary 1 st and 2 nd molars (35.3% and the mandibular 1 st and 2 nd molars (28.7% were the teeth most frequently affected by root surface exposure. Patients with sub-gingival calculus, bacterial plaque and gingival inflammation (P < 0.05, malpositioned teeth (P < 0.001, horizontal brushing method, medium type of toothbrush (P < 0.001 and brushing once daily (P < 0.001 appeared to be the most common precipitating aetiological factor for gingival recession. Conclusion: According to the results of the present study, gingival recession was the result of more than one factor acting together. Horizontal brushing method, usage of medium type toothbrush and tooth brushing once daily were found to be more associated with gingival recession.

  4. Unemployment and household food hardship in the economic recession.

    Science.gov (United States)

    Huang, Jin; Kim, Youngmi; Birkenmaier, Julie

    2016-02-01

    The present study examined the association between unemployment and household food insecurity during the 2007-2009 economic recession in the USA. Longitudinal survey of the Survey of Income and Program Participation (SIPP; 2008-2011). Food insecurity was measured by five questions excerpted from an eighteen-item Food Security Scale. Unemployment was measured by a dichotomous indicator, the number of job losses and the total duration of all episodes in the observation period. As nationally representative data, the SIPP interviewed respondents in multiple waves with a time interval of four months. The study created two analytic samples including working-age household heads employed at the beginning of the observation period. The size of the two samples was 14,417 and 13,080. Unemployment was positively associated with food insecurity (OR=1.55; 95% CI 1.32, 1.83; Punemployment (OR=1.54; 95% CI 1.27, 1.88; Punemployment, one more episode of unemployment increased the odds of food insecurity by 8% (OR=1.08; 95% CI 1.00, 1.18; Punemployment and food insecurity is useful to better identify and serve the at-risk population. Connecting unemployment assistance closely to nutrition assistance could lower the prevalence of food insecurity among unemployed households. Public policy should better account for both episodes and duration of unemployment to reduce food insecurity.

  5. The Great Recession in Portugal: impact on hospital care use.

    Science.gov (United States)

    Perelman, Julian; Felix, Sónia; Santana, Rui

    2015-03-01

    The Great Recession started in Portugal in 2009, coupled with severe austerity. This study examines its impact on hospital care utilization, interpreted as caused by demand-side effects (related to variations in population income and health) and supply-side effects (related to hospitals' tighter budgets and reduced capacity). The database included all in-patient stays at all Portuguese NHS hospitals over the 2001-2012 period (n=17.7 millions). We analyzed changes in discharge rates, casemix index, and length of stay (LOS), using a before-after methodology. We additionally measured the association of health care indicators to unemployment. A 3.2% higher rate of discharges was observed after 2009. Urgent stays increased by 2.5%, while elective in-patient stays decreased by 1.4% after 2011. The LOS was 2.8% shorter after the crisis onset, essentially driven by the 4.5% decrease among non-elective stays. A one percentage point increase in unemployment rate was associated to a 0.4% increase in total volume, a 2.3% decrease in day cases, and a 0.1% decrease in LOS. The increase in total and urgent cases may reflect delayed out-patient care and health deterioration; the reduced volume of elective stays possibly signal a reduced capacity; finally, the shorter stays may indicate either efficiency-enhancing measures or reduced quality. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  6. Demonstration of Recessed Downlight Technologies: Power and Illumination Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Parker, Steven A.; Beeson, Tracy A.

    2009-11-20

    Solid state lighting (SSL), specifically light-emitting diodes (LED), has been advancing at a rapid pace, and there are presently multiple products available that serve as direct replacements for traditional luminaires. In this demonstration, conventional recessed lights in a conference room were used to compare conventional incandescent A-lamps, incandescent reflector R-lamps, dimming compact fluorescent lamps (CFL), to an LED replacement product. The primary focus during the study was on light delivered to the task plane as provided by the power required by the lighting system. Vertical illuminance, dimming range, and color shift are also important indicators of lighting quality and are discussed in the report. The results clearly showed that LEDs, with dimming-capable drivers, are much more efficient than incandescent and CFLs. Further, LEDs provide much smoother and consistent dimming than dimmable CFLs. On the potential negative side, it is important that the dimming switch be identified as compatible with the LED driver. A wide variety of dimmer switches are capable of dimming LEDs down to 15% of full light output, while select others can be capable of dimming LEDs down to 5%. In addition, LEDs can be intensive light sources, which can result in uncomfortable glare in some applications and to some occupants. Higher ceiling (9-foot or greater) or non-specular reflectors can act to alleviate the potential for glare.

  7. Autosomal recessive primary microcephaly due to ASPM mutations: An update.

    Science.gov (United States)

    Létard, Pascaline; Drunat, Séverine; Vial, Yoann; Duerinckx, Sarah; Ernault, Anais; Amram, Daniel; Arpin, Stéphanie; Bertoli, Marta; Busa, Tiffany; Ceulemans, Berten; Desir, Julie; Doco-Fenzy, Martine; Elalaoui, Siham Chafai; Devriendt, Koenraad; Faivre, Laurence; Francannet, Christine; Geneviève, David; Gérard, Marion; Gitiaux, Cyril; Julia, Sophie; Lebon, Sébastien; Lubala, Toni; Mathieu-Dramard, Michèle; Maurey, Hélène; Metreau, Julia; Nasserereddine, Sanaa; Nizon, Mathilde; Pierquin, Geneviève; Pouvreau, Nathalie; Rivier-Ringenbach, Clothilde; Rossi, Massimiliano; Schaefer, Elise; Sefiani, Abdelaziz; Sigaudy, Sabine; Sznajer, Yves; Tunca, Yusuf; Guilmin Crepon, Sophie; Alberti, Corinne; Elmaleh-Bergès, Monique; Benzacken, Brigitte; Wollnick, Bernd; Woods, C Geoffrey; Rauch, Anita; Abramowicz, Marc; El Ghouzzi, Vincent; Gressens, Pierre; Verloes, Alain; Passemard, Sandrine

    2017-12-14

    Autosomal recessive microcephaly or MicroCephaly Primary Hereditary (MCPH) is a genetically heterogeneous neurodevelopmental disorder characterized by a reduction in brain volume, indirectly measured by an occipitofrontal circumference (OFC) 2 standard deviations or more below the age- and sex-matched mean (-2SD) at birth and -3SD after 6 months, and leading to intellectual disability of variable severity. The Abnormal SPindle-like Microcephaly gene (ASPM), the human ortholog of the Drosophila melanogaster 'abnormal spindle' gene (asp), encodes ASPM, a protein localized at the centrosome of apical neuroprogenitor cells and involved in spindle pole positioning during neurogenesis. Loss-of-function mutations in ASPM cause MCPH5, which affects the majority of all MCPH patients worldwide. Here, we report 47 unpublished patients from 39 families carrying 28 new ASPM mutations, and conduct an exhaustive review of the molecular, clinical, neuroradiological and neuropsychological features of the 282 families previously reported (with 161 distinct ASPM mutations). Furthermore, we show that ASPM-related microcephaly is not systematically associated with intellectual deficiency and discuss the association between the structural brain defects (strong reduction in cortical volume and surface area) that modify the cortical map of these patients and their cognitive abilities. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  8. A new recessive ametapodia mutation in the chicken (Gallus domesticus).

    Science.gov (United States)

    Smyth, J R; Sreekumar, G P; Coyle, C A; Bitgood, J J

    2000-01-01

    An apparently new mutation that is associated with abnormal limb development appeared in a strain of Light Brown Leghorn chickens. Mutants are characterized by the complete absence of the tarsometatarsals, while severely hypoplastic development of the metacarpals is also present. The phenotype of the new mutant (ametapodia-2) closely resembles ametapodia-1, described in 1967, but ametapodia-2 is inherited as an autosomal recessive (AMET*A), while ametapodia-1 was associated with an incompletely dominant gene (MP*A). Only heterozygous ametapodia-1 (MP*N/MP*A) were viable and able to reproduce, while homozygous ametapodia-2 mutants do not normally survive beyond 2-4 days of age. The shankless mutation (SHL*S) also reduces development of the metatarsal and metacarpal bones and has been shown to be associated with a pericentric inversion of chromosome 2. No obvious cytologic abnormality was apparent in ametapodia-2 birds, and offspring of a cross between AMET*A carriers and shankless birds were normal, indicating that the two mutations are not alleles. Ametapodia-1 (MP*A) was found to be linked to the rose comb locus (R) by 16 crossover units. Linkage test matings between AMET*A and (R*R) showed independent segregation, strongly suggesting that the mutation occurred at a relatively distant locus and therefore is probably not allelic to MP*A.

  9. The Impulsive Stock Market of Bangladesh and the Great Recession

    Directory of Open Access Journals (Sweden)

    Saif Hossain

    2013-07-01

    Full Text Available The paper investigates whether the stock market of Bangladesh can be related with the last world recession. The Pearson’s correlation analysis model was used to find the correlation between the Dhaka Stock Exchange General index and real GDP growth rate of the world. The findings show that no statistically significant correlation exists between the two variables inferring that the stock market of Bangladesh was not significantly affected by ‘the great recession’ (2007-2009. The findings of this study are inconsistent with the results of previous studies which claimed that the Bangladesh stock market shares a common stochastic trend with the capital market of USA. The results of this study may be explained mainly by domestic factors such as low market capitalization, market inefficiency, strict monitoring and control by the Security and Exchange Commission and low international participation in the stock market of Bangladesh. All these factors, along with the inconsistency with past results, instigate further investigation.

  10. Historical time-recessive recombinant nucleotidal gene transfer

    Science.gov (United States)

    Norton, Michael A.

    2013-10-01

    Whether conscious of it or not, physicist Tim Berners-Lee basically applied principle of a nuclear chain reaction to electron transport, a remarkable outcome being the world wide web. On a less dense exponential than the nucleus, but still by out of control design (1999), the flow of electrons with high symmetry (hypertext) brought about astonishing new insights to the field. No one in the author's sphere of influence, including the author, ever learned or taught that such chain reactions have a time-recessive trajectory, such that key significant moments in the new science had impact not only the world at present, but on scale overlapping with ancestors. Dr. Chuck Darwin learned man indeed did arise in Africa (brown toastmasters); author suggests his creed ``survival of the fittest'' in post-20th century hindsight, for man initialized nuclear energy in Eurasia (white toastmasters), and nearly brought the world to collapse by dropping nuclear weapons on humans in Asia (yellow toastmasters), be best updated ``survival of the most communicative.'' If true, this informs that the measure of the appended science's power is as equally as important as the measure of its speed, ergo, there really is no energy crisis.

  11. Bond Market Asymmetries across Recessions and Expansions: New Evidence on Risk Premia

    DEFF Research Database (Denmark)

    Andreasen, Martin Møller; Engsted, Tom; Møller, Stig Vinther

    This paper provides new evidence on bond risk premia by conditioning the classic Campbell-Shiller regressions on the business cycle. In expansions, we find mostly positive intercepts and negative regression slopes, but the results are completely reversed in recessions with negative intercepts...... and positive regression slopes. We reproduce these coefficients in a term structure model with business cycle dependent loadings in the market price of risk. This model also predicts excess returns in the right direction during expansions and recessions, whereas the Gaussian affine term structure model...... predicts excess returns for medium- and long-term bonds with the wrong sign during recessions....

  12. Recessive mutations in PTHR1 cause contrasting skeletal dysplasias in Eiken and Blomstrand syndromes

    DEFF Research Database (Denmark)

    Duchatelet, Sabine; Ostergaard, Elsebet; Cortes, Dina

    2005-01-01

    Eiken syndrome is a rare autosomal recessive skeletal dysplasia. We identified a truncation mutation in the C-terminal cytoplasmic tail of the parathyroid hormone (PTH)/PTH-related peptide (PTHrP) type 1 receptor (PTHR1) gene as the cause of this syndrome. Eiken syndrome differs from Jansen...... and Blomstrand chondrodysplasia and from enchondromatosis, which are all syndromes caused by PTHR1 mutations. Notably, the skeletal features are opposite to those in Blomstrand chondrodysplasia, which is caused by inactivating recessive mutations in PTHR1. To our knowledge, this is the first description...... of opposite manifestations resulting from distinct recessive mutations in the same gene....

  13. STATISTICAL STUDY ON THE PREVALENCE OF GINGIVAL RECESSION IN YOUNG ADULTS

    Directory of Open Access Journals (Sweden)

    Oana POTÂRNICHIE

    2013-07-01

    Full Text Available Gingival recession represents a serious problem, for both patient and physician, especially when exposure of the radicular surface is related to the deterioration of the aesthetic aspect and to a more pronounced dental hyper‐ sensitivity. Scope of the study: to determine the preva‐ lence and severity of recessions in young adults, correlated with the local dental, as well as socio‐economic and cultu‐ ral conditions. Materials and method: A number of 85 persons, having addressed the Department of Perio‐ dontology, Faculty of Dental Medicine of Iasi, between February‐May 2011, were examined. The following para‐ meters were recorded: sex, education level, total number of gingival recessions at the level of the oral cavity, type of brush employed, frequency of dental brushing, amount of attached gingiva, existence of labial phrenum, type of occlusion, presence of certain complications induced by the manifestation of recessions, such as hypersensitivity. Results and discussion: Analysis and correlation of data showed that the most important role in the occurrence of recessions was played by the local factors, which intensi‐ fied the action of the determining element, the bacterial plaque. Thus, the nature of periodontal recessions is of inflammatory type, those with traumatic causes being sta‐ tistically non‐significant. The type of periodontium influ‐ enced the development of recessions, so that, for a delicate periodontium, 10.4 recessions/patient have been discove‐ red, while, in a thick periodontium, only 7 recessions/ patient. In cases of phrenectomies with insertion in the vicinity of the gingival margin, recessions of various sizes have been always present. In cases of dental occlusion, the obtained data suggest that the occurrence of recessions is not considerably influenced by the type of occlusion, the values being quite close. As to their sizes, most of the reces‐ sions were situated at a level of 2‐3 mm, a

  14. Treatment of gingival recession in two surgical stages: Free gingival graft and connective tissue grafting.

    Science.gov (United States)

    Henriques, Paulo Sergio Gomes; Nunes, Marcelo Pereira; Pelegrine, Andre Antonio

    2011-01-01

    This report describes a clinical case of severe Miller Class II gingival recession treated by two stages of surgery that combined a free gingival graft and connective tissue grafting. First, a free gingival graft (FGG) was performed to obtain an adequate keratinized tissue level. Three months later, a connective tissue graft (CTG) was performed to obtain root coverage. The results indicated that the FGG allows for a gain in the keratinized tissue level and the CTG allows for root coverage with decreased recession level after 16 months. Therefore, for this type of specific gingival recession, the combination of FGG and CTG can be used.

  15. Xenogeneic Collagen Matrix Versus Connective Tissue Graft: Case Series of Various Gingival Recession Treatments.

    Science.gov (United States)

    Chevalier, Grégoire; Cherkaoui, Selma; Kruk, Hanna; Bensaïd, Xavier; Danan, Marc

    A xenogeneic collagen matrix recently has been suggested as an alternative to connective tissue graft for the treatment of gingival recession. The matrix avoids the second surgical site, and as a consequence could decrease surgical morbidity. This new matrix was used in various clinical situations and compared to connective tissue graft (CTG) in a split-mouth design case series. A total of 17 recessions were treated with a coronally advanced flap, 9 with CTG, and 8 with the matrix. Mean recession reduction was 2.00 mm with the CTG and 2.00 mm with the matrix. No significant statistical differences between the techniques were observed in this case report.

  16. Patient-centered Microsurgical Management of Gingival Recession using Coronally Advanced Flap with Either Platelet-rich Fibrin or Connective Tissue Graft: A Comparative Analysis.

    Science.gov (United States)

    Kumar, Archana; Bains, Vivek Kumar; Jhingran, Rajesh; Srivastava, Ruchi; Madan, Rohit; Rizvi, Iram

    2017-01-01

    To evaluate autologous platelet-rich fibrin (PRF) and autogenous connective tissue graft (CTG) in gingival recession defects in conjunction with coronally advanced flap (CAF) using a microsurgical technique. Forty-five Class I and II recession defects were randomly equally ( n = 15) divided into three groups: Group I sites treated with CAF with PRF, Group II sites treated with CAF with CTG, and Group III sites treated with CAF alone using microsurgical approach. Parameters recorded were vertical gingival recession (VGR) and horizontal gingival recession (HGR), % complete root coverage (CRC), patient comfort score (PCS), patient esthetic score (PES), and hypersensitivity score (HS) at 10 days, 3 months, and 6 months. CAF surgery alone and in combination with PRF or CTG are effective procedures to cover denuded roots with mean VGR values of 1.26 ± 0.70 mm (74.4%), 1.26 ± 0.59 mm (58%), and 1.06 ± 0.79 mm (53.3%) for Groups I, II, and III, respectively. In terms of CRC achieved at 6 months, results showed that 100% CRC was obtained in 60% sites of Group I, 20% sites of Group II, and 27% sites of Group III. Patient response and acceptance for surgical treatment modality in terms of PCS and PES were highest for Group I (PRF and CAF) followed by Group III and Group II, and there was decrease in HS for Group I (PRF and CAF) while no significant changes in HS were observed for Group II and Group III. At the end of 6 months follow-up, there was a significant increase in gingival thickness measurements using transgingival probing in Group II, whereas nonsignificant changes were observed in Group I and Group III. A long-term multicenter randomized controlled clinical study may be necessary to evaluate the clinical outcome for autologous PRF in comparison to CTG and CAF alone.

  17. Patient-centered microsurgical management of gingival recession using coronally advanced flap with either platelet-rich fibrin or connective tissue graft: A comparative analysis

    Directory of Open Access Journals (Sweden)

    Archana Kumar

    2017-01-01

    Full Text Available Purpose: To evaluate autologous platelet-rich fibrin (PRF and autogenous connective tissue graft (CTG in gingival recession defects in conjunction with coronally advanced flap (CAF using a microsurgical technique. Materials and Methods: Forty-five Class I and II recession defects were randomly equally (n = 15 divided into three groups: Group I sites treated with CAF with PRF, Group II sites treated with CAF with CTG, and Group III sites treated with CAF alone using microsurgical approach. Parameters recorded were vertical gingival recession (VGR and horizontal gingival recession (HGR, % complete root coverage (CRC, patient comfort score (PCS, patient esthetic score (PES, and hypersensitivity score (HS at 10 days, 3 months, and 6 months. Results: CAF surgery alone and in combination with PRF or CTG are effective procedures to cover denuded roots with mean VGR values of 1.26 ± 0.70 mm (74.4%, 1.26 ± 0.59 mm (58%, and 1.06 ± 0.79 mm (53.3% for Groups I, II, and III, respectively. In terms of CRC achieved at 6 months, results showed that 100% CRC was obtained in 60% sites of Group I, 20% sites of Group II, and 27% sites of Group III. Patient response and acceptance for surgical treatment modality in terms of PCS and PES were highest for Group I (PRF and CAF followed by Group III and Group II, and there was decrease in HS for Group I (PRF and CAF while no significant changes in HS were observed for Group II and Group III. At the end of 6 months follow-up, there was a significant increase in gingival thickness measurements using transgingival probing in Group II, whereas nonsignificant changes were observed in Group I and Group III. Conclusions: A long-term multicenter randomized controlled clinical study may be necessary to evaluate the clinical outcome for autologous PRF in comparison to CTG and CAF alone.

  18. Effect of adherend recessing on bi-adhesively bonded single-lap ...

    Indian Academy of Sciences (India)

    formed bi-adhesively bonded SLJs. The bondline characteristics of bi-adhesively bonded joints with the effect of adherend recessing have been investigated by examining the distributions of the peel and maximum principle stresses (MPS) at the ...

  19. Chloride Channel ClCN7 Mutations Are Responsible for Severe Recessive, Dominant, and Intermediate Osteopetrosis

    National Research Council Canada - National Science Library

    Frattini, Annalisa; Pangrazio, Alessandra; Susani, Lucia; Sobacchi, Cristina; Mirolo, Massimiliano; Abinun, Mario; Andolina, Marino; Flanagan, Adrienne; Horwitz, Edwin M; Mihci, Ercan; Notarangelo, Luigi D; Ramenghi, Ugo; Teti, Anna; Van Hove, Johan; Vujic, Dragana; Young, Terri; Albertini, Alberto; Orchard, Paul J; Vezzoni, Paolo; Villa, Anna

    2003-01-01

    Among 94 osteopetrotic patients presenting with a severe clinical picture and diagnosed early in life, 12 bore mutations in the ClCN7 gene, but only 7 of them had the expected two recessive mutations...

  20. Boy with autosomal recessive polycystic kidney and autosomal dominant polycystic liver disease.

    NARCIS (Netherlands)

    Zingg-Schenk, A.; Caduff, J.; Azzarello-Burri, S.; Bergmann, C.; Drenth, J.P.H.; Neuhaus, T.J.

    2012-01-01

    BACKGROUND: Autosomal recessive polycystic kidney disease (ARPKD) shows a great phenotypic variability between patients, ranging from perinatal demise to mildly affected adults. Autosomal dominant polycystic liver disease (PCLD) does not manifest in childhood. CASE-DIAGNOSIS/TREATMENT: A boy was

  1. Proteins linked to autosomal dominant and autosomal recessive disorders harbor characteristic rare missense mutation distribution patterns

    National Research Council Canada - National Science Library

    Turner, Tychele N; Douville, Christopher; Kim, Dewey; Stenson, Peter D; Cooper, David N; Chakravarti, Aravinda; Karchin, Rachel

    2015-01-01

    .... Mutations in genes associated with autosomal dominant (AD) conditions are known to result in either loss or gain of function, whereas mutations in genes associated with autosomal recessive (AR...

  2. Structural changes in the Czech, Slovak and euro area economies during the Great Recession

    National Research Council Canada - National Science Library

    Stanislav Tvrz; Osvald Vasícek

    2016-01-01

    ..., as a small open economy that entered monetary union, and the economy of the euro area, which has a common monetary policy, during the turbulent period of the Great Recession, the subsequent anaemic...

  3. Financial Intermediation, House Prices and the Welfare Effects of the U.S. Great Recession

    DEFF Research Database (Denmark)

    Menno, Dominik Francesco; Oliviero, Tommaso

    2014-01-01

    intermediation sector. The model matches the boom-bust cycle in house prices, the dynamics of household mortgage debt, and the increase in wealth inequality observed in the U.S. between 2001-2013. We find larger welfare costs of the Great Recession for borrowers than for savers. Borrowers experience a larger......This paper quantifies how the welfare costs of the U.S. Great Recession are distributed across borrowing and saving U.S. households. For this purpose, we use a calibrated dynamic general equilibrium model of housing and household debt with shocks to aggregate income and shocks to the financial...... drop in consumption than savers who relatively benefit from a redistribution of housing wealth during the recession. We show that the size of this redistribution mechanism would have been significantly lower if (i) mortgage spreads would have remained at the low pre-crisis levels during the recession...

  4. Bilateral Inferior Rectus Muscle Recession in Patients With Graves Orbitopathy: Is It Effective?

    NARCIS (Netherlands)

    Jellema, Hinke Marijke; Saeed, Peerooz; Everhard-Halm, Yolande; Prick, Liesbeth; Mourits, Maarten

    2012-01-01

    Purpose: To evaluate the effect of bilateral inferior rectus recession regarding improvement of elevation, reduction of abnormal head tilt and vertical squint angle in patients with Graves orbitopathy. Method: Retrospective case series. Patients with Graves orbitopathy who underwent symmetric or

  5. Evaluation of resorbable membrane in treatment of human gingival isolated buccal recession

    Directory of Open Access Journals (Sweden)

    Sumit Narang

    2011-01-01

    Conclusion: Resorbable membrane is a versatile treatment modality for coverage of isolated buccal gingival recession. Although membrane exposure occurred in four patients, it did not interfere with post operative healing.

  6. Targeted carrier screening for four recessive disorders: High detection rate within a founder population

    NARCIS (Netherlands)

    Mathijssen, I.B.; Henneman, L.; van Eeten-Nijman, J.M.C.; Lakeman, P.; Ottenheim, C.P.E.; Redeker, E.J.W.; Ottenhof, W.; Meijers-Heijboer, H.; van Maarle, M.C.

    2015-01-01

    In a genetically isolated community in the Netherlands four severe recessive genetic disorders occur at relatively high frequency (pontocerebellar hypoplasia type 2 (PCH2), fetal akinesia deformation sequence (FADS), rhizomelic chondrodysplasia punctata type 1 (RCDP1), and osteogenesis imperfecta

  7. Policy levers to increase jobs and increase income from work after the Great Recession

    National Research Council Canada - National Science Library

    Neumark, David

    2016-01-01

    The depth of the Great Recession, the slow recovery of job creation, the downward trend in labor force participation, high long-term unemployment, stagnant or declining wages for low-to-medium skill...

  8. The Outdoor Recess Activities of Children at an Urban School: Longitudinal and Intraperiod Patterns

    National Research Council Canada - National Science Library

    Robyn M Holmes

    2012-01-01

      Based on a study of 149 parochial-school students enrolled in kindergarten through eighth grade, this article explores children's outdoor recess activities in an urban setting-with a focus on how age...

  9. Gingival labial recessions and the post-treatment proclination of mandibular incisors

    NARCIS (Netherlands)

    Renkema, A.M.; Navratilova, Z.; Mazurova, K.; Katsaros, C.; Fudalej, P.S.

    2015-01-01

    INTRODUCTION: A prerequisite for development of gingival recession is the presence of alveolar bone dehiscence. Proclination of mandibular incisors can result in thinning of the alveolus and dehiscence formation. OBJECTIVE: To assess an association between proclination of mandibular incisor and

  10. Recession-Tolerant Heat Flux Sensors for Thermal Protection Systems Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Phase I project will develop a suite of diagnostic sensors using Direct Write technology to measure temperature, surface recession depth, and heat flux of an...

  11. Role of high-resolution CT in cholesteatoma involving the supratubal recess

    Energy Technology Data Exchange (ETDEWEB)

    Funai, Hiroaki; Yabe, Toshie; Kase, Yasuhiro; Kitahara, Nobuo; Horiuchi, Koji; Yano, Jun; Ushijima, Tatsujiro; Iinuma, Toshitaka

    1987-11-01

    Operative findings of the supratubal recess were examined in the 30 patients with acquired cholesteatoma. They were compared with findings of high-resolution CTs (HRCTs) obtained preoperatively. Thus the role of HRCT in cholesteatoma involving the supratubal recess were evaluated. HRCTs of 172 ears without otitis media and 65 ears with tubotympanic type otitis media were analyzed as control. The HRCT has proved to provide excellent informations regarding the presence of cholesteatoma in the supratubal recess. Diagnostic points were as follows. (1) Destruction of the ''cog''. (2) Erosion or destruction of surrounding bony structures, for example, facial canal, tympanic tegmen. (3) Soft tissue density in the supratubal recess.

  12. Lending Calling. Recession by Over-Indebtedness: Description and Specific Features of the Spanish Case

    National Research Council Canada - National Science Library

    Antonio Sanabria Martín; Bibiana Medialdea García

    2016-01-01

    .... These authors' theories of financial fragility, and the extension of analysis of the recession to also include the expansionary period, are very useful when it comes to understanding the boom (1994-2008...

  13. THERAPEUTIC DIFFICULTIES IN ACHIEVEMENT OF OPTIMAL ROOT COVERAGE AND AESTHETIC IN CLASS III GINGIVAL RECESSION.

    Directory of Open Access Journals (Sweden)

    Christina Popova

    2013-07-01

    Full Text Available The width of the attached gingiva is defined as a distance between the depth of the gingival sulcus or gingival/periodontal pocket to the mucogingival junction. Authors suggest that a minimal amount of attached gingiva is necessary to ensure the gingival health. When the buccal bone plate and gingival tissues are thin and the position of the tooth is too vestibular gingival margin often displaces apically, and gingival recession develops. In the presence of gingival recession and reduced vestibular depth oral hygiene procedures are embarrassed.The definition of class III gingival recession is marginal lack of tissue extended to/or beyond the mucogingival junction with bone and soft tissue loss interdentally or malpositioning of the tooth.Prognosis for class III and IV gingival recession is that only partial coverage can be expected after root coverage procedures - FGG (free gingival graft or connective tissue graft (CTG. Adjunctive surgical techniques would be helpful to achieve better aesthetic outcomes.

  14. Measuring macro-level effects of the global economic recession on university-industry research cooperation

    Energy Technology Data Exchange (ETDEWEB)

    Azagra-Caro, J.M.; Tijssen, R.J.W.; Yegros-Yegros, A.

    2016-07-01

    The 2007/2008 financial crisis, and ensuing economic recession, had a direct negative effect on university-industry research cooperation in the OECD countries and other economies – it diminished the number of university-industry co-authored research publications (UICs) during the period 2008-13 by 7%. It also changed the relationship between national business expenditure on R&D and UIC output levels. Before the recession the relationship was negative, but became positive during the years 2008-2013. The few countries where business expenditure on R&D increased during recession saw UIC numbers rise. This moderating effect of the recession applies only to ‘domestic UICs’, where universities cooperated with business companies located in the same country. Micro-level research is needed to assess the contributing effects on large university-industry R&D consortia on both domestic and international collaboration patterns. (Author)

  15. A case of autosomal recessive hypercholesterolemia responsive to proprotein convertase subtilisin/kexin 9 inhibition.

    Science.gov (United States)

    Fahy, Eoin Francis; McCarthy, Elaine; Steinhagen-Thiessen, Elisabeth; Vaughan, Carl J

    We report the first case of hypercholesterolemia due to autosomal recessive hyperlipidemia caused by LDLRAP1 mutation responding favorably to PCSK9 inhibition. Copyright © 2016 National Lipid Association. Published by Elsevier Inc. All rights reserved.

  16. MR cholangiography in children with autosomal recessive polycystic kidney disease

    Energy Technology Data Exchange (ETDEWEB)

    Jung, G. [Department of Radiology, University of Cologne, Cologne (Germany)]|[Institut fuer Diagnostische Radiologie, Heinrich Heine Univ., Duesseldorf (Germany); Benz-Bohm, G.; Kugel, H. [Department of Radiology, University of Cologne, Cologne (Germany); Keller, K.M. [Department of Pediatrics, University of Bonn, Bonn (Germany); Querfeld, U. [Department of Pediatrics, University of Cologne, Cologne (Germany)

    1999-06-01

    Background. Magnetic resonance cholangiography (MRC) is a relatively new, non-invasive imaging technique of the biliary tree that has shown good correlation with endoscopic retrograde cholangiopancreatography. The liver manifestation of autosomal recessive polycystic kidney disease (ARPKD) is congenital hepatic fibrosis (CHF). CHF may be accompanied by Caroli`s disease, which is characterised by a non-obstructive dilation of the intrahepatic bile ducts. Objective. A prospective study was conducted to determine the presence and extent of Caroli`s disease in children with ARPKD. Materials and methods. Seven children with ARPKD aged from 3.0 to 10.1 years were examined. CHF was confirmed in all biopsied cases (5 of 7). All children had been followed by repeated abdominal US examinations for many years. The MR examination included a morphological imaging study using a T2-weighted turbo spin-echo sequence and a heavily T2-weighted inversion-recovery turbo spin-echo sequence with three-dimensional maximum intensity projection (MIP) reconstructions for MRC. Results. The diagnosis of Caroli`s disease could be made in one case by US; in two other children Caroli`s disease was suspected, but the differentiation from hepatic cysts was not possible. By MRC, Caroli`s disease could be diagnosed in three of seven children. Furthermore, MRC with MIP reconstructions demonstrated the extent of the disease by showing the entire biliary tree from different angles. Conclusions. MRC is a valuable method to establish the diagnosis and demonstrate the extent of Caroli`s disease. (orig.) With 1 fig., 1 tab., 18 refs.

  17. Mutations in REEP6 Cause Autosomal-Recessive Retinitis Pigmentosa.

    Science.gov (United States)

    Arno, Gavin; Agrawal, Smriti A; Eblimit, Aiden; Bellingham, James; Xu, Mingchu; Wang, Feng; Chakarova, Christina; Parfitt, David A; Lane, Amelia; Burgoyne, Thomas; Hull, Sarah; Carss, Keren J; Fiorentino, Alessia; Hayes, Matthew J; Munro, Peter M; Nicols, Ralph; Pontikos, Nikolas; Holder, Graham E; Asomugha, Chinwe; Raymond, F Lucy; Moore, Anthony T; Plagnol, Vincent; Michaelides, Michel; Hardcastle, Alison J; Li, Yumei; Cukras, Catherine; Webster, Andrew R; Cheetham, Michael E; Chen, Rui

    2016-12-01

    Retinitis pigmentosa (RP) is the most frequent form of inherited retinal dystrophy. RP is genetically heterogeneous and the genes identified to date encode proteins involved in a wide range of functional pathways, including photoreceptor development, phototransduction, the retinoid cycle, cilia, and outer segment development. Here we report the identification of biallelic mutations in Receptor Expression Enhancer Protein 6 (REEP6) in seven individuals with autosomal-recessive RP from five unrelated families. REEP6 is a member of the REEP/Yop1 family of proteins that influence the structure of the endoplasmic reticulum but is relatively unstudied. The six variants identified include three frameshift variants, two missense variants, and a genomic rearrangement that disrupts exon 1. Human 3D organoid optic cups were used to investigate REEP6 expression and confirmed the expression of a retina-specific isoform REEP6.1, which is specifically affected by one of the frameshift mutations. Expression of the two missense variants (c.383C>T [p.Pro128Leu] and c.404T>C [p.Leu135Pro]) and the REEP6.1 frameshift mutant in cultured cells suggest that these changes destabilize the protein. Furthermore, CRISPR-Cas9-mediated gene editing was used to produce Reep6 knock-in mice with the p.Leu135Pro RP-associated variant identified in one RP-affected individual. The homozygous knock-in mice mimic the clinical phenotypes of RP, including progressive photoreceptor degeneration and dysfunction of the rod photoreceptors. Therefore, our study implicates REEP6 in retinal homeostasis and highlights a pathway previously uncharacterized in retinal dystrophy. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  18. Business cycle synchronization during US recessions since the beginning of the 1870's

    OpenAIRE

    Antonakakis, Nikolaos

    2012-01-01

    This paper examines the synchronization of business cycles across the G7 countries during US recessions since the 1870's. Using a dynamic measure of business cycle synchronization, results depend on the globalisation period under consideration. On average, US recessions have significantly positive effects on business cycle co-movements only in the period following the breakdown of the Bretton Woods system of fixed exchange rates, while strongly decoupling effects among the G7 econ...

  19. Factors Associated with School Lunch Consumption: Reverse Recess and School "Brunch".

    Science.gov (United States)

    Chapman, Leah Elizabeth; Cohen, Juliana; Canterberry, Melanie; Carton, Thomas W

    2017-09-01

    While school foods have become healthier under the Healthy, Hunger Free Kids Act, research suggests there is still substantial food waste in cafeterias. It is therefore necessary to study factors that can impact food consumption, including holding recess before lunch ("reverse recess") and starting lunch periods very early or very late. This study examined the association between the timing of recess (pre-lunch vs post-lunch recess), the timing of the lunch period, and food consumed by students at lunch. We conducted a secondary data analysis from a repeated cross-sectional design. An 8-week plate waste study examining 20,183 trays of food was conducted in New Orleans, LA, in 2014. The study involved 1,036 fourth- and fifth-grade students from eight public schools. We measured percent of entrées, fruit, vegetables, and milk consumed by students at lunch. We used mixed-model analyses, controlling for student sex, grade, and the timing of the lunch period, and examined the association between reverse recess and student lunch consumption. Mixed-model analyses controlling for student sex, grade, and recess status examined whether the timing of the lunch period was associated with student lunch consumption. On average, students with reverse recess consumed 5.1% more of their fruit than students with post-lunch recess (P=0.009), but there were no significant differences in entrées, vegetables, or milk intake. Compared to students with "midday" lunch periods, on average students with "early" lunch periods consumed 5.8% less of their entrées (Precess was associated with increased fruit consumption. "Early" lunch periods were associated with decreased entrée and milk consumption, and "late" lunch periods were associated with decreased entrée and fruit consumption. Additional research is recommended to determine whether these associations are causal. Copyright © 2017 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

  20. Healing of gingival recession following orthodontic treatment: a 30-year case report.

    Science.gov (United States)

    Pini-Prato, Giovan Paolo; Cozzani, Giuseppe; Magnani, Cristina; Baccetti, Tiziano

    2012-02-01

    This case report describes the healing of gingival recessions on mandibular incisors resulting from orthodontic treatment of a deep bite malocclusion at a 30-year follow-up observation. The marked improvement in the severe recessions was a consequence of the elimination of the direct trauma, orthodontic intrusion of the affected teeth, and subsequent creeping attachment over time. No periodontal treatment was performed before or after orthodontic treatment.

  1. Congenital vocal cord paralysis with possible autosomal recessive inheritance: Case report and review of the literature

    Energy Technology Data Exchange (ETDEWEB)

    Koppel, R.; Friedman, S.; Fallet, S. [Long Island Campus for the Albert Einstein College of Medicine, New Hyde Park, NY (United States)

    1996-08-23

    We describe an infant with congenital vocal cord paralysis born to consanguineous parents. While autosomal dominant and X-linked inheritance have been previously reported in this condition, we conclude that the degree of parental consanguinity in this case strongly suggests autosomal recessive inheritance. Although we cannot exclude X-linked inheritance, evidence from animal studies demonstrates autosomal recessive inheritance and provides a possible molecular basis for congenital vocal cord paralysis. 14 refs., 1 fig.

  2. Histomorphological Analysis of the Osteophytic Appositions in Patients with Lumbar Lateral Recess Syndrome

    OpenAIRE

    Bajek, Goran; Bajek, Snježana; Zoričić Cvek, Sanja; Bobinac, Dragica; Splavski, Bruno; Šepić Grahovac, Dubravka

    2010-01-01

    Patients with lumbar lateral recess syndrome (LRS) can be successfully cured by removing osseous excrescences that grow on the peripheral edge of articular surface of the facet joint. They cause narrowing of the lateral recess and compress a root of the spinal nerve. Their appearance is related to the instability of respective dynamic vertebral segment. The aim of this study was to analyze the osteophytic composition morphohistochemically and elucidate cellular processes that lead to this new...

  3. 2009 recession and expansion from 2010 to 2012 in the states of Mexico

    OpenAIRE

    Alfredo Erquizio Espinal; Roberto Ramírez Rodríguez

    2014-01-01

    The article examines the recession and expansion phases for which transited Mexico in the past four years and in particular explains the causes of regional diversity of manifes­tations of the Great Recession of 2009. It uses regional–sectoral typology, formulated new indices based on Mitchell hypothesis about classic cycles and proposes a regional cycle equation inspired Frish metaphor about cyclical mechanism. This verifies that the sectoral profile of the states determines such differentiat...

  4. Do Economic Recessions During Early and Mid-Adulthood Influence Cognitive Function in Older Age?

    Science.gov (United States)

    Leist, Anja K.; Hessel, Philipp; Avendano, Mauricio

    2014-01-01

    Background Fluctuations in the national economy shape labour market opportunities and outcomes, which in turn may influence the accumulation of cognitive reserve. This study examines whether economic recessions experienced in early and mid-adulthood are associated with later-life cognitive function. Method Data came from 12,020 respondents in 11 countries participating in the Survey of Health, Ageing and Retirement in Europe (SHARE). Cognitive assessments in 2004/5 and 2006/7 were linked to complete work histories retrospectively collected in 2008/9, and to historical annual data on fluctuations in Gross Domestic Product (GDP) per capita for each country. Controlling for confounders, we assessed whether recessions experienced at ages 25-34, 35-44 and 45-49 were associated with cognitive function at ages 50-74. Results Among men, each additional recession at ages 45-49 was associated with worse cognitive function at ages 50-74 (b = -0.06, Confidence Interval [CI] -0.11, -0.01). Among women, each additional recession at ages 25-44 was associated with worse cognitive function at ages 50-74 (b25-34 = -0.03, CI -0.04, -0.01; b35-44= -0.02, CI -0.04, -0.00). Among men, recessions at ages 45-49 influenced risk of being laid-off, whereas among women, recessions at ages 25-44 led to working part-time and higher likelihood of downward occupational mobility, which were all predictors of worse later-life cognitive function. Conclusions Recessions at ages 45-49 among men and 25-44 among women are associated with later-life cognitive function, possibly via more unfavourable labour market trajectories. If replicated in future studies, findings may indicate that policies that ameliorate the impact of recessions on labour market outcomes may promote later-life cognitive function. PMID:24258197

  5. Self-ratings of materialism and status consumption in a Malaysian sample: effects of answering during an assumed recession versus economic growth.

    Science.gov (United States)

    Jusoh, W J; Heaney, J G; Goldsmith, R E

    2001-06-01

    Consumers' self-assessments of materialism and status consumption may be influenced by external economic conditions. In this study, 239 Malaysian students were asked to describe their levels of materialism using Richins and Dawson's 1992 Materialism scale and status consumption using Eastman, Goldsmith, and Flynn's 1999 Status Consumption Scale. Half the students were told to respond assuming that they were in an expanding economy, and half as if the economy was in a recession. Comparison of the groups' mean scores showed no statistically significant differences.

  6. Free gingival graft in the treatment of class III gingival recession

    Directory of Open Access Journals (Sweden)

    Remya V

    2008-01-01

    Full Text Available Aim: The purpose of this study was to assess the success and predictability of root coverage and esthetics obtained with free gingival grafts (FGGs in the treatment of early class III gingival recessions for a period of 12 months. Materials and Methods: Ten patients contributed to 12 sites, each with early class III recession with interdental bone loss £4 mm from cemento enamel junction(CEJ. Clinical parameters recorded at baseline and at 1, 6, and 12 months were probing depth (PD, recession depth (RD, recession width (RW, and clinical attachment level (CAL. Results: Reduction of recession resulted in a significant gain in CAL and PD at the end of 12 months. A statistically significant mean root coverage of 41.25 ± 21.07% was obtained at the end of 12 months. A statistically significant improvement in Visual Analog Scale score was seen after a 12-month follow-up period. Conclusion: In a south Indian population, early class III gingival recessions treated with FGG procedures resulted in 40-50% root coverage with fairly acceptable esthetics.

  7. Severe Gingival Recession Caused by Traumatic Occlusion and Mucogingival Stress: A Case Report

    Science.gov (United States)

    Ustun, Kemal; Sari, Zafer; Orucoglu, Hasan; Duran, Ismet; Hakki, Sema S.

    2008-01-01

    Gingival recession is displacement of the soft tissue margin apically leading to root surface exposure. Tooth malpositions, high muscle attachment, frenal pull have been associated with gingival tissue recession. Occlusal trauma is defined as injury resulting in tissue changes within the attachment apparatus as a result of occlusal forces. Trauma from occlusion may cause a shift in tooth position and the direction of the movement depends on the occlusal force. We present the clinical and radiological findings and the limitation of periodontal treatment of a severe gingival recession in a case with traumatic occlusion. A 16 years old male, systemically healthy and non-smoking patient presented to our clinic with severe gingival recession of mandibular canines and incisors. Clinical evaluation revealed extensive gingival recession on the vestibules of mandibular anterior segment. Patient has an Angle class III malocclusion and deep bite. To maintain the teeth until orthodontic therapy and maxillofacial surgery, mucogingival surgeries were performed to obtain attached gingiva to provide oral hygiene and reduce inflammation. After mucogingival surgeries, limited attached gingiva was gained in this case. Regular periodontal maintenance therapy was performed at 2 month intervals to preserve mandibular anterior teeth. Multidisciplinary approach should be performed in this kind of case for satisfactory results. Unless occlusal relationship was corrected, treatment of severe gingival recession will be problematic. For satisfactory periodontal treatment, early diagnosis of trauma from occlusion and its treatment is very important. PMID:19212523

  8. Management of gingival recession associated with orthodontic treatment: a case report.

    Science.gov (United States)

    Rana, Tarun Kumar; Phogat, Megha; Sharma, Tarun; Prasad, Narayana; Singh, Shailendra

    2014-07-01

    Many patients undergo orthodontic treatment for aesthetic improvement. It is well established that the patients who undergo orthodontic treatment have a high susceptibility to present plaque accumulation on their teeth because of the presence of brackets, wires and/or other orthodontic elements on the teeth surfaces with which the oral hygiene procedures might be more difficult. The orthodontic treatment is a double-action procedure regarding the periodontal tissues which may be very meaningful in increasing the periodontal health status and may be a harmful procedure which can be followed by several types of periodontal complications. There is a strong correlation between the severity and extent of gingival recessions and the orthodontic treatment suggesting that orthodontic tooth movement may lead to gingival recession. The principal objective in the treatment of gingival recession is to cover the exposed root surfaces to improve aesthetics and to reduce hypersensitivity. Different soft tissue grafting procedures have been proposed in the treatment of gingival recessions. Subepithelial connective tissue graft is a reliable method for treatment of gingival recession. The purpose of this case report was to illustrate the relationship between orthodontic therapy and gingival recession and to describe the management of this case.

  9. Financial Strain and Mental Health Among Older Adults During the Great Recession.

    Science.gov (United States)

    Wilkinson, Lindsay R

    2016-07-01

    The economic recession has garnered the interest of many scholars, with much attention being drawn to how the recession has affected labor force participation, household wealth, and even retirement decisions. Certainly, the Great Recession has influenced the financial well-being of older adults, but has it had discernible effects on mental health? This study draws on 5,366 respondents from the Health and Retirement Study (2006-2010) to examine objective and subjective measures of financial well-being in the period surrounding the Great Recession. Guided by cumulative inequality theory, this research investigates whether the economic downturn contributed to worsening anxiety and depressive symptoms over a 4-year period. Results from linear fixed effects models reveal that decreases in objective financial resources were associated with increased financial strain during the Great Recession. Unlike the objective indicators, however, financial strain was a strong and robust predictor of worsening mental health between 2006 and 2010. Building on prior research, this study elucidates the factors that shape financial strain and provides evidence that the Great Recession not only affected the financial well-being of older adults but also had adverse effects on mental health. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  10. Time-varying individual risk attitudes over the Great Recession: A comparison of Germany and Ukraine

    NARCIS (Netherlands)

    Dohmen, T.J.; Lehmann, H.; Pignatti, N.

    We use the panel data of the German Socio-Economic Panel (SOEP) and of the Ukrainian Longitudinal Monitoring Survey (ULMS) to investigate whether risk attitudes have primary (exogenous) determinants that are valid in different stages of economic development and in a different structural context,

  11. Influence of morphological parameters on the development of gingival recession in class III malocclusion.

    Science.gov (United States)

    Warmuz, Justyna; Jagielak, Maciej; Botzenhart, Ute; Seeliger, Julia; Gedrange, Tomasz; Dominiak, Marzena

    2016-07-01

    Cephalometric analysis, including both basic cranio- and gnathometric measurements and detailed evaluation of the construction of skeletal, muscular and mucosal systems combined with estimation of the risk of recession's occurrence, can be used to determine the direction of therapy and ensure appropriate aesthetic-functional effects of treatment. The objective of the present study was to compare the influence of the chosen morphologic parameters on the development of gingival recession in the front part of the jaw in patients with Angle class III. The research material was based on the medical documentation of 1800 patients. Sixty generally healthy patients qualified for the research with prognathism. On the basis of the side-head cephalograms, measurements were carried out to describe the bone structure in the front section of the lower jaw. The lower incisor teeth set-up was also analyzed. Gum recession of the lower incisor teeth was assessed on the basis of the inside-mouth photos of the patients with class III malocclusion. The occurrence of recession in a further 4 patients resulted from such a positioning of the lower teeth. In patients in the first group, treated with complex ortho-surgical treatment, the lower incisor teeth were adjusted much more vertically in the alveola and, thus, recession occurred only in one patient. Complex orthodontic-surgical therapy contributes to recession development to a lesser degree than the sham treatment and makes it a safe alternative therapy in patients with high diathesis for occurrence or progression of an existing recession. Copyright © 2015 Elsevier GmbH. All rights reserved.

  12. Interest and satisfaction of dentists in practicing periodontics: A survey based on treatment of gingival recession

    Science.gov (United States)

    Grover, Vishakha; Kapoor, Anoop; Malhotra, Ranjan; Sachdeva, Sonia

    2012-01-01

    Background: Gingival recession is a common occurrence and patients often report to dental clinic with associated problems such as root surface hypersensitivity, esthetic concerns, cervical root abrasions, and root caries that make it a concern for patients. Based upon the fact that gingival recession is an enigma for clinicians because of multitude of etiological factors and plethora of treatment modalities present for its treatment, a survey was conducted to assess knowledge as well as opinion about most common etiology, classification, and preferred treatment of gingival recession and to evaluate the interest and satisfaction of dentists in practicing periodontics. Materials and Methods: Study design consisted of a cross-sectional online survey, conducted among dentists practicing in state of Punjab, India, in the month of April 2011. A structured online questionnaire consisting of 17 questions evaluating the interest of dentists in periodontics based on knowledge about gingival recession (most of them giving the possibility of multiple choices of answers) was sent to about 300 dentists. Pearson Chi-Square and Mann-Whitney U tests were used for statistical analysis of data collected. P ≤ 0.05 was considered as statistically significant and P ≤ 0.01 considered as highly significant. Results: A greater proportion of periodontists had better knowledge about etiology (P = 0.07), classification (P = 0.000), and treatment of gingival recession (P = 0.000). A greater number of periodontists opted for the surgical modalities to correct the defects produced by gingival recession as compared to non-periodontists and had better interest (P = 0.000) and satisfaction (P = 0.000) in practicing periodontics. Conclusion: The results elucidated that periodontists had better interest and satisfaction in practicing periodontics, and were more inclined towards surgical correction of gingival recession as compared to non-periodontists. PMID:23162580

  13. Orthodontic treatment of localised gingival recession associated with traumatic anterior crossbite.

    Science.gov (United States)

    Seehra, Jadbinder; Fleming, Padhraig S; DiBiase, Andrew T

    2009-05-01

    Gingival recession can be defined as the apical shift of the marginal gingiva from its normal position on the crown of the tooth to levels on the root surface beyond the cemento-enamel junction. The aetiology of this condition is multifactorial, but can result from a traumatic occlusion. The long-term prognosis of teeth with localised gingival recession can be uncertain. Successful management of these cases may involve either orthodontic or periodontal treatment in isolation or in combination. To describe two patients in which localised gingival recession associated with anterior crossbites were corrected with orthodontic appliances. A 2 x 4 appliance and an upper removable appliance were used to correct the crossbites. Correction of the anterior crossbites resulted in a clinical improvement of the gingival recession. The aetiology and management of localised gingival recession is discussed. Simple orthodontic appliances can be used to provide interceptive treatment to correct localised crossbite and enhance the overall long-term prognosis of the lower incisors. To achieve optimal results multidisciplinary involvement is recommended.

  14. Changes in gingival recession related to orthodontic treatment of traumatic deep bites in adults.

    Science.gov (United States)

    Zimmer, Bernd; Seifi-Shirvandeh, Nasrin

    2007-05-01

    It was the aim of this investigation to establish whether orthodontic treatment of traumatic deep bites can restore trauma-related gingival recessions in adults. Forty-one incisor sites with trauma-related recession (group Tr) and 54 trauma-free sites (group NonTr) were diagnosed in the upper palatal or lower buccal regions in twelve adult patients (mean age 38.3 +/- 8.1 years). The 48 antagonistic sites on the buccal aspects of the upper incisors (Ubuc) and 47 sites on the lingual aspects of the lower incisors (L-ling) were also evaluated. Changes in clinical crown lengths achieved during treatment were measured on dental casts, and length changes in recessions were measured on screen projections of magnified intraoral photographs. The clinical crown lengths (mean: -1.13 +/- 0.97 mm) and recession depths (mean: -2.05 +/- 0.93 mm) decreased significantly (p Orthodontic treatment of traumatic deep bites involving removal of gingival trauma and intrusion of incisor teeth shows great potential in reducing the length of clinical crowns and depth of gingival recessions. In trauma-free buccal sites of upper incisors, intrusion therapy may also improve the gingival marginal contour.

  15. Gingival recession in mandibular incisors and symphysis morphology-a retrospective cohort study.

    Science.gov (United States)

    Mazurova, Katarina; Kopp, Jean-Baptiste; Renkema, Anne Marie; Pandis, Nikolaos; Katsaros, Christos; Fudalej, Piotr S

    2017-06-15

    To evaluate if the morphology of the mandibular symphysis is associated with the development of gingival recession. A cohort of 177 patients was followed longitudinally for up to 5 years post-treatment. Based on the width of the symphysis, participants were divided into three groups: narrow (n = 57); average (n = 63), and wide symphysis (n = 57). Morphology of the symphysis and inclination of incisors were measured on lateral cephalometric radiographs before treatment (Ts), at the end of treatment (T0) and 5 years after treatment (T5). Gingival recession and the change of clinical crown heights in mandibular incisors were measured on plaster models made at TS, T0, and T5. From TS to T5 the change in inclination was comparable in the narrow, average, and wide groups. At T5, gingival labial recession was present in 19.3 per cent of patients with narrow symphysis, 20.6 per cent with average symphysis, and 14 per cent of patients with wide symphysis. The difference was not significant. The mean change of clinical crown height was gingival recession (OR = 0.75, 95% CI: 0.58 to 0.96, P = 0.03). Within the limitations of this study, there is no evidence that the overall morphology of the mandibular symphysis is associated with gingival recession development.

  16. Preliminary Results of Primary Gastrocnemius-Soleus Recession for Midfoot Charcot Arthropathy.

    Science.gov (United States)

    Laborde, J Monroe; Philbin, Terrence M; Chandler, Philip J; Daigre, Justin

    2016-04-01

    Background Treatment of Charcot arthopathy of the foot can be challenging. The goal of this investigation was to determine whether primary gastrocnemius-soleus recession could decrease rate of new ulcers, progression of deformity, and amputation in patients with Charcot arthropathy of the midfoot.Methods A retrospective chart review revealed 28 feet in 24 diabetic patients with radiographic evidence of Charcot arthropathy of the midfoot. They were treated with primary gastrocnemius-soleus recession. Eleven feet in 11 patients had concurrent plantar midfoot ulcers. Three feet in 3 patients were lost to follow-up. Twenty-five feet in 21 patients were followed for an average of 37 months postoperatively (range = 18-79).Results A favorable outcome was defined as healing of existing ulcers, no new ulcers, no obvious progression of deformity, and no amputation. Favorable outcomes were obtained in 22 of 25 feet (18 of 21 patients). Only one patient had a persistent ulcer after gastrocnemius-soleus recession. The other 10 patients with preexisting ulcers healed. Deformity of midfoot progressed in one patient, leading ultimately to transtibial amputation. Another patient developed a knee joint infection and had a transfemoral amputation at another institution.Discussion These preliminary data suggest that primary gastrocnemius-soleus recession is followed by a much lower rate of persistent, recurrent, and new ulceration than previously reported studies. Gastrocnemius-soleus recession seems to aid in the treatment of Charcot arthropathy of the midfoot. Level IV. © 2015 The Author(s).

  17. Autosomal recessive transmission of MYBPC3 mutation results in malignant phenotype of hypertrophic cardiomyopathy.

    Directory of Open Access Journals (Sweden)

    Yilu Wang

    Full Text Available BACKGROUND: Hypertrophic cardiomyopathy (HCM due to mutations in genes encoding sarcomere proteins is most commonly inherited as an autosomal dominant trait. Since nearly 50% of HCM cases occur in the absence of a family history, a recessive inheritance pattern may be involved. METHODS: A pedigree was identified with suspected autosomal recessive transmission of HCM. Twenty-six HCM-related genes were comprehensively screened for mutations in the proband with targeted second generation sequencing, and the identified mutation was confirmed with bi-directional Sanger sequencing in all family members and 376 healthy controls. RESULTS: A novel missense mutation (c.1469G>T, p.Gly490Val in exon 17 of MYBPC3 was identified. Two siblings with HCM were homozygous for this mutation, whereas other family members were either heterozygous or wild type. Clinical evaluation showed that both homozygotes manifested a typical HCM presentation, but none of others, including 5 adult heterozygous mutation carriers up to 71 years of age, had any clinical evidence of HCM. CONCLUSIONS: Our data identified a MYBPC3 mutation in HCM, which appeared autosomal recessively inherited in this family. The absence of a family history of clinical HCM may be due to not only a de novo mutation, but also recessive mutations that failed to produce a clinical phenotype in heterozygous family members. Therefore, consideration of recessive mutations leading to HCM is essential for risk stratification and genetic counseling.

  18. Mutation analysis of the ASPM gene in 18 Pakistani families with autosomal recessive primary microcephaly.

    Science.gov (United States)

    Kousar, Rizwana; Nawaz, Hira; Khurshid, Maryam; Ali, Ghazanfer; Khan, Saad Ullah; Mir, Hina; Ayub, Muhammad; Wali, Abdul; Ali, Nadir; Jelani, Musharraf; Basit, Sulman; Ahmad, Wasim; Ansar, Muhammad

    2010-06-01

    Autosomal recessive primary microcephaly (MCPH) is a rare neurological disorder, in which the patients exhibit reduced occipital frontal head circumference (>3 standard deviations) and mild-to-severe mental retardation. Autosomal recessive primary microcephaly is genetically heterogeneous and 7 loci have been reported to date. Mutations in ASPM (abnormal spindle-like, microcephaly associated) gene are the most common cause of autosomal recessive primary microcephaly in the majority of the reported families. In the current investigation, we have located and studied 21 families with autosomal recessive primary microcephaly. Genotyping using polymorphic microsatellite markers linked to 7 autosomal recessive primary microcephaly loci revealed linkage of 18 families to the MCPH5 locus. Sequence analysis of the ASPM gene in 18 linked families detected 2 novel nonsense mutations (c.2101C>T/p.Q701X; c.9492T>G/p.Y3164X) in 2 families and 2 novel deletion mutations (c.6686delGAAA/p.R2229TfsX9; c.77delG/p.G26AfsX41) in 2 other families. Three previously described mutations (c.3978G>A/p.W1326X; c.1260delTCAAGTC/p.S420SfsX32; c.9159delA/p.K3053NfsX4) were also detected in 11 families. These identified mutations extended the body of evidence implicating the ASPM gene in the pathogenesis of human hereditary primary microcephaly.

  19. Multiple Marginal Tissue Recession Treated with a Simplified Lateral Sliding Flap Technique

    Directory of Open Access Journals (Sweden)

    Fernando Salimon Ribeiro

    2014-01-01

    Full Text Available Marginal tissue recession is a common esthetic problem that is usually accompanied by dentin sensitivity, and patients frequently report a fear of dental loss. Lateral sliding flaps have been used for localized recession, but they are rarely used for multiple recessions. The aim of this paper was to report a case of coverage of multiple marginal tissue recessions by means of a lateral sliding flap associated with a connective tissue graft. This was a modification of Nelson’s technique, which was originally described as the combination of the double papilla technique, lateral sliding flap, and connective tissue graft. In the present case, double papilla was not performed, rendering the maneuver less complicated. After surgery on teeth #23 to #25, total root coverage, decreased dentin sensitivity, and increased keratinized tissue band and gingival thickness were achieved. In the present case, modified Nelson technique proved to be a more simple procedure for the treatment of multiple recessions in one session, resulting in adequate healing, predictable root coverage, and, more importantly, esthetic and functional success.

  20. A Multicomponent Schoolyard Intervention Targeting Children's Recess Physical Activity and Sedentary Behavior: Effects After 1 Year.

    Science.gov (United States)

    Van Kann, Dave H H; de Vries, Sanne I; Schipperijn, Jasper; de Vries, Nanne K; Jansen, Maria W J; Kremers, Stef P J

    2017-11-01

    The aim of the study was to test the 12-month effects of a multicomponent physical activity (PA) intervention at schoolyards on morning recess PA levels of sixth- and seventh-grade children in primary schools, using accelerometry and additional global positioning system data. A quasi-experimental study design was used with 20 paired intervention and control schools. Global positioning system confirmatory analyses were applied to validate attendance at schoolyards during recess. Accelerometer data from 376 children from 7 pairs of schools were included in the final analyses. Pooled intervention effectiveness was tested by multilevel linear regression analyses, whereas effectiveness of intervention components was tested by multivariate linear regression analyses. Children exposed to the multicomponent intervention increased their time spent in light PA (+5.9%) during recess. No pooled effects on moderate to vigorous PA were found. In-depth analyses of intervention components showed that physical schoolyard interventions particularly predicted a decrease in time spent in sedentary behavior during recess at follow-up. Intervention intensity and the school's commitment to the project strengthened this effect. The multicomponent schoolyard PA intervention was effective in making children spend a larger proportion of recess time in light PA, which was most likely the result of a shift from sedentary behavior to light PA.

  1. Autozygosity reveals recessive mutations and novel mechanisms in dominant genes: implications in variant interpretation

    KAUST Repository

    Monies, Dorota

    2017-04-06

    The purpose of this study is to describe recessive alleles in strictly dominant genes. Identifying recessive mutations in genes for which only dominant disease or risk alleles have been reported can expand our understanding of the medical relevance of these genes both phenotypically and mechanistically. The Saudi population is enriched for autozygosity, which enhances the homozygous occurrence of alleles, including pathogenic alleles in genes that have been associated only with a dominant inheritance pattern.Exome sequencing of patients from consanguineous families with likely recessive phenotypes was performed. In one family, the genotype of the deceased children was inferred from their parents due to lack of available samples.We describe the identification of 11 recessive variants (5 of which are reported here for the first time) in 11 genes for which only dominant disease or risk alleles have been reported. The observed phenotypes for these recessive variants were novel (e.g., FBN2-related myopathy and CSF1R-related brain malformation and osteopetrosis), typical (e.g., ACTG2-related visceral myopathy), or an apparently healthy state (e.g., PDE11A), consistent with the corresponding mouse knockout phenotypes.Our results show that, in the era of genomic sequencing and

  2. The Great American Recession and forgone healthcare: Do widened disparities between African-Americans and Whites remain?

    Science.gov (United States)

    Travers, Jasmine L; Cohen, Catherine C; Dick, Andrew W; Stone, Patricia W

    2017-01-01

    During the Great Recession in America, African-Americans opted to forgo healthcare more than other racial/ethnic groups. It is not understood whether disparities in forgone care returned to pre-recession levels. Understanding healthcare utilization patterns is important for informing subsequent efforts to decrease healthcare disparities. Therefore, we examined changes in racial disparities in forgone care before, during, and after the Great Recession. Data were pooled from the 2006-2013 National Health Interview Survey. Forgone medical, mental, and prescription care due to affordability were assessed among African-Americans and Whites. Time periods were classified as: pre-recession (May 2006-November 2007), early recession (December 2007-November 2008), late recession (December 2008-May 2010) and post-recession (June 2010-December 2013). Multivariable logistic regressions of race, interacted with time periods, were used to identify disparities in forgone care controlling for other demographics, health insurance coverage, and having a usual place for medical care across time periods. Adjusted Wald tests were performed to identify significant changes in disparities across time periods. The sample consisted of 110,746 adults. African-Americans were more likely to forgo medical care during the post- recession compared to Whites (OR = 1.16, CI = 1.06, 1.26); changes in foregone medical care disparities were significant in that they increased in the post-recession period compared to the pre-recession (OR = 1.17, CI = 1.08, 1.28 and OR = 0.89, CI = 0.77, 1.04, respectively, adjusted Wald Test p-value Whites post-Great Recession and may be a result of outstanding issues related to healthcare access, cost, and quality. While health insurance is an important component of access to care, it alone should not be expected to remove these disparities due to other financial constraints. Additional strategies are necessary to close remaining gaps in care widened by the Great

  3. STRATEGIES FOR SUPERIOR PERFORMANCE IN RECESSIONS: PRO OR COUNTER-CYCLICAL?

    Directory of Open Access Journals (Sweden)

    Claudio Ramos Conti

    2015-04-01

    Full Text Available Recessions are recurring events in which most firms suffer severe impacts while others are less affected or may even prosper. Strategic management has made little progress in understanding such performance differences. In a scenario of decreased demand, intensified competition, and higher uncertainty, most firms try to survive by pro-cyclically cutting costs and investments. But firms could take advantage of undervalued resources in the market to counter-cyclically invest in new business opportunities to overtake competitors. We survey Brazilian firms in various industries about the 2008-2009 recession and analyze data using PLS-SEM. We find that while most firms pro-cyclically reduce costs and investments in recessions, a counter-cyclical strategy of investing in opportunities created by changes in the market enables superior performance. Most successful are firms with a propensity to recognize opportunities, an entrepreneurial orientation to invest, and the flexibility to efficiently implement investments.

  4. The effects of a buddy bench on elementary students’ solitary behavior during recess

    Directory of Open Access Journals (Sweden)

    Andrew A. Griffin Jr.

    2017-09-01

    Full Text Available Social skill instruction and school-wide positive behavior supporthave been found to be effective in treating students with emotional and behavioral disorders. However, students with internalizing behavior are often overlooked for interventions that could improveacademic outcomes and prevent problems that might have serious implications, including social withdrawal, social isolation, and suicidal ideation. In this study, a multiple baseline across participants design was used across two elementary school recess playgrounds to evaluate a “buddy bench” intervention, whichutilized peers to help socially withdrawn students to decrease social isolation behavior. Students in Grades 1 to 6 were observed during recess. Results revealed that from baseline to intervention phases the number of students engaged in solitary recess behavior decreased between 19% and 24%. Most students reported positive attitudes towards the intervention, while teachers were more neutral.

  5. Fine genetic mapping of a gene for autosomal recessive retinitis pigmentosa on chromosome 6p21

    Energy Technology Data Exchange (ETDEWEB)

    Shugart, Yin Y.; Banerjee, P.; Knowles, J.A. [Columbia Univ., New York, NY (United States)] [and others

    1995-08-01

    The inherited retinal degenerations known as retinitis pigmentosa (RP) can be caused by mutations at many different loci and can be inherited as an autosomal recessive, autosomal dominant, or X-linked recessive trait. Two forms of autosomal recessive (arRP) have been reported to cosegregate with mutations in the rhodopsin gene and the beta-subunit of rod phosphodiesterase on chromosome 4p. Genetic linkage has been reported on chromosomes 6p and 1q. In a large Dominican family, we reported an arRp gene near the region of the peripherin/RDS gene. Four recombinations were detected between the disease locus and an intragenic marker derived from peripherin/RDS. 26 refs., 2 figs., 1 tab.

  6. MED resulting from recessively inherited mutations in the gene encoding calcium-activated nucleotidase CANT1.

    Science.gov (United States)

    Balasubramanian, Karthika; Li, Bing; Krakow, Deborah; Nevarez, Lisette; Ho, Patric J; Ainsworth, Julia A; Nickerson, Deborah A; Bamshad, Michael J; Immken, LaDonna; Lachman, Ralph S; Cohn, Daniel H

    2017-09-01

    Multiple Epiphyseal Dysplasia (MED) is a relatively mild skeletal dysplasia characterized by mild short stature, joint pain, and early-onset osteoarthropathy. Dominantly inherited mutations in COMP, MATN3, COL9A1, COL9A2, and COL9A3, and recessively inherited mutations in SLC26A2, account for the molecular basis of disease in about 80-85% of the cases. In two families with recurrent MED of an unknown molecular basis, we used exome sequencing and candidate gene analysis to identify homozygosity for recessively inherited missense mutations in CANT1, which encodes calcium-activated nucleotidase 1. The MED phenotype is thus allelic to the more severe Desbuquois dysplasia phenotype and the results identify CANT1 as a second locus for recessively inherited MED. © 2017 Wiley Periodicals, Inc.

  7. Barriers for recess physical activity: a gender specific qualitative focus group exploration

    DEFF Research Database (Denmark)

    Pawlowski, Charlotte Skau; Tjørnhøj-Thomsen, Tine; Schipperijn, Jasper

    differences in children’s perceptions of barriers to recess physical activity. Based on the socio-ecological model four types of environmental barriers were distinguished: natural, social, physical and organizational environment Methods: Data were collected through 17 focus groups consisting of 111 children......Background: Many children, in particular girls, do not reach the recommended amount of daily physical activity. School recess provides an opportunity for both boys and girls to be physically active, but barriers to recess physical activity are not well understood. This study explores gender...... barriers, there were both inter- and intra-gender differences in the children´s perceptions of these barriers. Weather was a barrier for all children, apart from the most active boys. Conflicts were perceived as a barrier particularly for those boys who played ballgames. Girls said they would like to have...

  8. Treatment of multiple gingival recessions adopting modified tunnel subepithelial connective tissue graft technique

    Directory of Open Access Journals (Sweden)

    Jagmohan Singh

    2014-01-01

    Full Text Available Gingival recession related to periodontal disease or developmental problems can result in root sensitivity, root caries, and esthetically unacceptable root exposures. In the past, multiple surgical procedures have been proposed to obtain root coverage on exposed buccal root surfaces. There has been great interest in the treatment of gingival recession defects, especially with subepithelial connective-tissue grafting (SCTG. Recent advances have focused on SCTG by the tunnel technique. This article highlights the esthetic results obtained by adopting a modification of the tunnel technique using a single vertical incision along with autologous SCTG in the management of multiple adjacent Miller Class-II gingival recessions. A single vertical incision was used along with tunnel preparation for the facile placement of SCTG into the prepared tunnel. After 6 months of follow-up, the clinical condition was stable with satisfactory root coverage outcome. An excellent esthetical outcome was achieved and the patient was satisfied with the result.

  9. Barriers for recess physical activity: a gender specific qualitative focus group exploration

    DEFF Research Database (Denmark)

    Pawlowski, Charlotte Skau; Tjørnhøj-Thomsen, Tine; Schipperijn, Jasper

    Background: Many children, in particular girls, do not reach the recommended amount of daily physical activity. School recess provides an opportunity for both boys and girls to be physically active, but barriers to recess physical activity are not well understood. This study explores gender...... differences in children’s perceptions of barriers to recess physical activity. Based on the socio-ecological model four types of environmental barriers were distinguished: natural, social, physical and organizational environment Methods: Data were collected through 17 focus groups consisting of 111 children...... by a thematic analysis of data from the open discussions and go-along interviews. Results: The most frequently identified barriers for both boys and girls were weather, conflicts, lack of space, lack of facilities and a newly-found barrier, use of electronic devices. While boys and girls identifying the same...

  10. Multi-decadal marine- and land-terminating glacier recession in the Ammassalik region, southeast Greenland

    Directory of Open Access Journals (Sweden)

    S. H. Mernild

    2012-06-01

    Full Text Available Landsat imagery was applied to elucidate glacier fluctuations of land- and marine-terminating outlet glaciers from the Greenland Ice Sheet (GrIS and local land-terminating glaciers and ice caps (GIC peripheral to the GrIS in the Ammassalik region, Southeast Greenland, during the period 1972–2011. Data from 21 marine-terminating glaciers (including the glaciers Helheim, Midgaard, and Fenris, the GrIS land-terminating margin, and 35 GIC were examined and compared to observed atmospheric air temperatures, precipitation, and reconstructed ocean water temperatures (at 400 m depth in the Irminger Sea. Here, we document that net glacier recession has occurred since 1972 in the Ammassalik region for all glacier types and sizes, except for three GIC. The land-terminating GrIS and GIC reflect lower marginal and areal changes than the marine-terminating outlet glaciers. The mean annual land-terminating GrIS and GIC margin recessions were about three to five times lower than the GrIS marine-terminating recession. The marine-terminating outlet glaciers had an average net frontal retreat for 1999–2011 of 0.098 km yr−1, which was significantly higher than in previous sub-periods 1972–1986 and 1986–1999. For the marine-terminating GrIS, the annual areal recession rate has been decreasing since 1972, while increasing for the land-terminating GrIS since 1986. On average for all the observed GIC, a mean net frontal retreat for 1986–2011 of 0.010 ± 0.006 km yr−1 and a mean areal recession of around 1% per year occurred; overall for all observed GIC, a mean recession rate of 27 ± 24% occurred based on the 1986 GIC area. Since 1986, five GIC melted away in the Ammassalik area.

  11. Gingival abrasion and recession in manual and oscillating-rotating power brush users.

    Science.gov (United States)

    Rosema, N A M; Adam, R; Grender, J M; Van der Sluijs, E; Supranoto, S C; Van der Weijden, G A

    2014-11-01

    To assess gingival recession (GR) in manual and power toothbrush users and evaluate the relationship between GR and gingival abrasion scores (GA). This was an observational (cross-sectional), single-centre, examiner-blind study involving a single-brushing exercise, with 181 young adult participants: 90 manual brush users and 91 oscillating-rotating power brush users. Participants were assessed for GR and GA as primary response variables. Secondary response variables were the level of gingival inflammation, plaque score reduction and brushing duration. Pearson correlation was used to describe the relationship between number of recession sites and number of abrasions. Prebrushing (baseline) and post-brushing GA and plaque scores were assessed and differences analysed using paired tests. Two-sample t-test was used to analyse group differences; ancova was used for analyses of post-brushing changes with baseline as covariate. Overall, 97.8% of the study population had at least one site of ≥1 mm of gingival recession. For the manual group, this percentage was 98.9%, and for the power group, this percentage was 96.7% (P = 0.621). Post-brushing, the power group showed a significantly smaller GA increase than the manual group (P = 0.004); however, there was no significant correlation between number of recession sites and number of abrasions for either group (P ≥ 0.327). Little gingival recession was observed in either toothbrush user group; the observed GR levels were comparable. Lower post-brushing gingival abrasion levels were seen in the power group. There was no correlation between gingival abrasion as a result of brushing and the observed gingival recession following use of either toothbrush. © 2014 The Authors International Journal of Dental Hygiene Published by John Wiley & Sons Ltd.

  12. Method and Excel VBA Algorithm for Modeling Master Recession Curve Using Trigonometry Approach.

    Science.gov (United States)

    Posavec, Kristijan; Giacopetti, Marco; Materazzi, Marco; Birk, Steffen

    2017-11-01

    A new method was developed and implemented into an Excel Visual Basic for Applications (VBAs) algorithm utilizing trigonometry laws in an innovative way to overlap recession segments of time series and create master recession curves (MRCs). Based on a trigonometry approach, the algorithm horizontally translates succeeding recession segments of time series, placing their vertex, that is, the highest recorded value of each recession segment, directly onto the appropriate connection line defined by measurement points of a preceding recession segment. The new method and algorithm continues the development of methods and algorithms for the generation of MRC, where the first published method was based on a multiple linear/nonlinear regression model approach (Posavec et al. 2006). The newly developed trigonometry-based method was tested on real case study examples and compared with the previously published multiple linear/nonlinear regression model-based method. The results show that in some cases, that is, for some time series, the trigonometry-based method creates narrower overlaps of the recession segments, resulting in higher coefficients of determination R 2 , while in other cases the multiple linear/nonlinear regression model-based method remains superior. The Excel VBA algorithm for modeling MRC using the trigonometry approach is implemented into a spreadsheet tool (MRCTools v3.0 written by and available from Kristijan Posavec, Zagreb, Croatia) containing the previously published VBA algorithms for MRC generation and separation. All algorithms within the MRCTools v3.0 are open access and available free of charge, supporting the idea of running science on available, open, and free of charge software. © 2017, National Ground Water Association.

  13. Traumatic Habit causing Gingival Recession in a child: 3-Year Follow Up

    Directory of Open Access Journals (Sweden)

    Adilis Alexandria

    2015-02-01

    Full Text Available Introduction: The purpose of this report was to present a successful treatment approach in an unusual gingival recession as a result of finger sucking traumatic habit associated with high labial frenum. Case Report: A 10-year-old girl presented moderate pain, recession in the mandibular right incisor and finger sucking habit. The performed treatment was: oral hygiene instruction, use of palatal appliance, psychological support and frenectomy. After three years follow up, significant increases in the width of keratinized gingival, root coverage and profits in clinical attachment levels were observed. Conclusion: This case report showed great results in recovery of the periodontal health in a child.

  14. Orthodontic-associated localized gingival recession of lower incisors: who should treat it?

    Science.gov (United States)

    Chaushu, Stella; Stabholz, Ayala

    2013-07-01

    Gingival recession of lower incisors in the young population has become more prevalent in association with the increased uptake of orthodontic treatment. The two main predisposing factors are thin gingival biotype and bone dehiscence caused by labially displaced roots. Management is sometimes challenging, and the achievement of a successful result requires close cooperation between the orthodontist and periodontist. This article proposes a decision tree, which includes both orthodontic and periodontal considerations, to help the clinician in making the correct diagnosis and choosing the most suitable treatment in post-orthodontic gingival recessions.

  15. X-linked ichthyosis along with recessive dystrophic epidermolysis bullosa in the same patient.

    Science.gov (United States)

    Hernández-Martín, A; Cuadrado-Corrales, N; Ciria-Abad, S; Arias-Palomo, D; Mascaró-Galy, J M; Escámez, M J; García, M; Del Río, M; Torrelo, A; González-Sarmiento, R

    2010-01-01

    X-linked ichthyosis (XLI) is a relatively common keratinization disorder which is caused, in the vast majority of cases, by a total deletion of the sulfatase steroid (STS) gene. Dystrophic epidermolysis bullosa (DEB) is a scarring form of epidermolysis bullosa of either autosomal recessive or dominant inheritance secondary to collagen VII gene mutations. We report the first case of a patient with both XLI and DEB in whom a partial deletion of the STS gene and a recessive point mutation in COL7A1 were demonstrated. Copyright 2010 S. Karger AG, Basel.

  16. Histologic and Clinical Study of Gingival Recession Treated with Subepithelial Connective Tissue Graft: A Case Report.

    Science.gov (United States)

    García-De-la-Fuente, Ana-María; Aguirre-Zorzano, Luis Antonio; Estefanía-Fresco, Ruth; Roig Ódena, Laia; Aguirre-Urizar, José-Manuel

    Subepithelial connective tissue graft (SCTG) is considered the gold standard for treatment of gingival recessions. For ethical reasons, most studies report only clinical and not histologic results. A 20-year-old woman presenting with a localized gingival recession of 5 mm in the mandibular left central incisor was treated with SCTG. According to the initial treatment plan, the tooth was extracted 11 months later and a histologic study was performed, revealing new attachment of connective tissue with collagen fibers that were directly inserted in a perpendicular way into dentin areas and new cement areas (1.37 mm).

  17. 2009 recession and expansion from 2010 to 2012 in the states of Mexico

    Directory of Open Access Journals (Sweden)

    Alfredo Erquizio Espinal

    2014-11-01

    Full Text Available The article examines the recession and expansion phases for which transited Mexico in the past four years and in particular explains the causes of regional diversity of manifes­tations of the Great Recession of 2009. It uses regional–sectoral typology, formulated new indices based on Mitchell hypothesis about classic cycles and proposes a regional cycle equation inspired Frish metaphor about cyclical mechanism. This verifies that the sectoral profile of the states determines such differentiation, since most manufacturing states were most affected and characterized mainly by agricultural or mining character, they were less.

  18. Periodontal Plastic Microsurgery in the Treatment of Deep Gingival Recession after Orthodontic Movement

    Directory of Open Access Journals (Sweden)

    Sérgio Kahn

    2013-01-01

    Full Text Available Gingival recession is a condition that affects a large portion of the young and adult population and negatively affects the aesthetic aspects of the smile. Many factors are related to its development, including orthodontic movement beyond the osseous limits. Many treatment options have been proposed to cover the exposed root surface. The aim of this article was to describe three cases where a subepithelial connective tissue graft was performed, using a microsurgical technique, in the treatment of deep gingival recession after orthodontic treatment. This technique resulted in successful root coverage and keratinized tissue gain, improving the gingival esthetic pattern.

  19. Park7, a novel locus for autosomal recessive early-onset parkinsonism, on chromosome 1p36

    NARCIS (Netherlands)

    C.M. van Duijn (Cornelia); G.J. Breedveld (Guido); M. Horstink (Marten); L.A. Sandkuijl (Lodewijk); B.A. Oostra (Ben); J.C. van Swieten (John); V. Bonifati (Vincenzo); R-J.H. Galjaard (Robert-Jan); J.J. Houwing-Duistermaat (Jeanine); L. Testers; M.C.J. Dekker (Marieke); P.J.L.M. Snijders (Pieter); P. Heutink (Peter)

    2001-01-01

    textabstractAlthough the role of genetic factors in the origin of Parkinson disease has long been disputed, several genes involved in autosomal dominant and recessive forms of the disease have been localized. Mutations associated with early-onset autosomal recessive parkinsonism have been identified

  20. Unemployment, life satisfaction and deprivation: Gender and partnership differences in the context of economic recession

    OpenAIRE

    Frasquilho, Diana; Matos,Margarida Gaspar de; Marques, Adilson; Gaspar, Tânia; Almeida,José Miguel Caldas de

    2017-01-01

    BACKGROUND: The economic recession produced a rapid rise of unemployment rates that was more visible in Southern European countries. There is evidence that unemployment correlates highly with individuals’ poor life satisfaction. OBJECTIVE: To analyse the relationship between life satisfaction, household composition and socioeconomic deprivation in people facing unemployment during the economic recession. METHODS: A sample of 748 unemployed people from Lisbon (Portugal) completed a...

  1. A Dutch family with autosomal recessively inherited lower motor neuron predominant motor neuron disease due to optineurin mutations

    NARCIS (Netherlands)

    Beeldman, Emma; van der Kooi, Anneke J.; de Visser, Marianne; van Maarle, Merel C.; van Ruissen, Fred; Baas, Frank

    2015-01-01

    Approximately 10% of motor neuron disease (MND) patients report a familial predisposition for MND. Autosomal recessively inherited MND is less common and is most often caused by mutations in the superoxide dismutase 1 (SOD1) gene. In 2010, autosomal recessively inherited mutations in the optineurin

  2. Analysis of the dosage controversy in recess-resect and Faden surgery with the Robinson computer model of eye movements

    NARCIS (Netherlands)

    H.J. Simonsz (Huib); B. van Dijk (Bob)

    1987-01-01

    textabstractIn recess-resect surgery, the dosage depends on the preoperative angle of squint and on the ratio between squint-angle reduction and dosage that the surgeon has found in previous surgery. Recommendations pertaining to this ratio vary widely among authors. Some say a recession does more

  3. COMBINING A LATERALLY MOVED FLAP IN CLOSING LOCAL GINGIVAL RECESSION WITH THE USE OF STRAUMANN EMDOGAIN GEL

    Directory of Open Access Journals (Sweden)

    Tihomir Georgiev

    2010-11-01

    Full Text Available So far there is no universal solution regarding treatment of gingival recession. The author proposes his own version of updating one of the methods of treating gingival recession, namely a laterally moved flap with the addition of enamel matrix proteins. In the author’s opinion, this method is the least invasive and there are the least contraindications to it.

  4. Recess, Playground Games, and the Aims of School: An Investigation into the Semiotic Affordances of Four Square

    Science.gov (United States)

    Marple, Stacy Ann

    2011-01-01

    In recent times, recess has become threatened by the press for more academic instruction time and by fears of violent behavior. A dramatic indicator of this trend is seen in the increasing number of schools and school districts which have done away with or significantly reduced recess time (BBC news, 2007; Coughlan, 2007; Jarrett, 2002; Pressler,…

  5. Child Poverty During the Years of the Great Recession: An Analysis of Racial Differences Among Immigrants and US Natives

    Science.gov (United States)

    Tucker, Catherine

    2015-01-01

    Although the consequences of the Great Recession are extensively discussed in previous research, three critical issue need to be addressed in order to develop a full portrait of the economic experiences of children during this period. First, given the changing immigrant composition of the US child population, new studies are needed for examining the implications of immigrant status for exposure to child poverty during the recession. Second, it is important to understand how traditional patterns of racial inequality among were transformed during the years of the recession. Finally, it is not clear whether recession-related changes in socioeconomic inequalities continued to have implications for child well-being in the post-recession period. Results from this analysis indicate that the adverse effects of the recession were most intense in states with significant changes in their populations of Black and Latino immigrant children. The results further show that declines in parental work opportunities were more consequential for poverty among Whites and Asians. The analysis also finds differential implications of family contexts for child poverty among Black immigrant and natives during the recession. Finally, the results indicate that increases in racial child poverty disparities during the recession did not disappear in the years following the downturn. PMID:26918063

  6. The Impacts of the Great Recession on State Natural Resource Extension Programs

    Science.gov (United States)

    Serenari, Christopher; Peterson, M. Nils; Bardon, Robert E.; Brown, Robert D.

    2013-01-01

    The Great Recession contributed to major budget cuts for natural resource Extension programs in the United States. Despite the potentially large cuts, their impacts and how Extension has adapted their programs have not been evaluated. We begin addressing these needs with surveys of Association of Natural Resource Extension Professionals members…

  7. Poverty Levels and Debt Indicators among Low-Income Households before and after the Great Recession

    Science.gov (United States)

    Kim, Kyoung Tae; Wilmarth, Melissa J.; Henager, Robin

    2017-01-01

    This study analyzed the debt profile of low-income households before and after the Great Recession using the 2007, 2010, and 2013 Survey of Consumer Finances (SCF). We used Heckman selection models to investigate three debt characteristics: (a) the amount of debt, (b) debt-to-income ratio, and (c) debt delinquency. Before and after the Great…

  8. Pathophysiological Mechanisms of Dominant and Recessive GLRA1 Mutations in Hyperekplexia

    National Research Council Canada - National Science Library

    Chung, Seo-Kyung; Vanbellinghen, Jean-Francois; Mullins, Jonathan G. L; Robinson, Angela; Hantke, Janina; Hammond, Carrie L; Gilbert, Daniel F; Freilinger, Michael; Ryan, Monique; Kruer, Michael C; Masri, Amira; Gurses, Candan; Ferrie, Colin; Harvey, Kirsten; Shiang, Rita; Christodoulou, John; Andermann, Frederick; Andermann, Eva; Thomas, Rhys H; Harvey, Robert J; Lynch, Joseph W; Rees, Mark I

    2010-01-01

    ...) and the presynaptic glycine transporter GlyT2 (SLC6A5). In this study, systematic DNA sequencing of GLRA1 in 88 new unrelated human hyperekplexia patients revealed 19 sequence variants in 30 index cases, of which 21 cases were inherited in recessive...

  9. Dilemmas of downsizing during the great recession: crisis strategies of European employers

    NARCIS (Netherlands)

    van Dalen, H.P.; Henkens, K.

    2013-01-01

    The present paper analyzes the choices faced by European employers when threatened with the prospect of the mass lay-off of their employees as a result of the Great Recession. By means of a representative survey among employers in Italy, Germany, Denmark, Poland, the Netherlands and Sweden in 2009,

  10. Dilemmas of downsizing during the great recession: crisis strategies of European employers

    NARCIS (Netherlands)

    van Dalen, H.P.; Henkens, K.

    2013-01-01

    The present paper analyzes the choices faced by European employers when threatened with the prospect of the mass lay-off of their employees as a result of the Great Recession. By means of a representative survey among employers in Italy, Germany, Denmark, Poland, theNetherlands and Sweden in 2009,

  11. Dilemmas Of Downsizing During the Great Recession : Crisis Strategies of European Employers

    NARCIS (Netherlands)

    van Dalen, H.P.; Henkens, K.

    2013-01-01

    Summary The present paper analyzes the choices faced by European employers when threatened with the prospect of the mass lay-off of their employees as a result of the Great Recession. By means of a representative survey among employers in Italy, Germany, Denmark, Poland, the Netherlands and Sweden

  12. Dilemmas of downsizing during the Great Recession : Crisis strategies of European employers

    NARCIS (Netherlands)

    van Dalen, H.P.; Henkens, C.J.I.M.

    2013-01-01

    The present paper analyzes the choices faced by European employers when threatened with the prospect of the mass lay-off of their employees as a result of the Great Recession. By means of a representative survey among employers in Italy, Germany, Denmark, Poland, the Netherlands and Sweden in 2009,

  13. The Great Recession and Behavior Problems in 9-Year Old Children

    Science.gov (United States)

    Schneider, William; Waldfogel, Jane; Brooks-Gunn, Jeanne

    2015-01-01

    This article examines associations between the Great Recession and 4 aspects of 9-year olds' behavior--aggression (externalizing), anxiety/depression (internalizing), alcohol and drug use, and vandalism-using the Fragile Families and Child Wellbeing Study, a longitudinal birth cohort drawn from 20 U.S. cities (21% White, 50% Black, 26% Hispanic,…

  14. Progeria (Hutchison - Gilford syndrome in siblings: In an autosomal recessive pattern of inheritance

    Directory of Open Access Journals (Sweden)

    Raghu Tanjore

    2001-09-01

    Full Text Available Progeria is an autosomal dominant, premature aging syndrome. Six and three year old female siblings had sclcrodermatous changes over the extremities, alopecia, beaked nose, prominent veins and bird-like facies. Radiological features were consistent with features of progeria. The present case highlights rarity of progeria in siblings with a possible autosomal recessive pattern.

  15. Recession on Top of Energy Crisis May Mean Power Boost for Universities

    Science.gov (United States)

    Basken, Paul

    2009-01-01

    For many Americans, the confluence of a recession and a growing realization that the nation needs to end its reliance on fossil fuels seems like a double dose of bad news. But for the nation's research universities, it may be an opportunity. A Brookings Institution, a policy-study group with ties to the Democratic leaders now controlling the White…

  16. What's Eating into School Recess? Implications of Extended Eating for Free Play and Physical Activity

    Science.gov (United States)

    Wyver, Shirley; Engelen, Lina; Bundy, Anita; Naughton, Geraldine

    2012-01-01

    An assumption made when designing recess interventions in schools is that there is a clear demarcation between eating time and play time. We used observational data conducted as part of the Sydney Playground Project to test if this assumption was correct. The Sydney Playground Project is a cluster randomised controlled trial of a recess…

  17. Treatment of multiple gingival recessions using a coronally advanced flap procedure combined with button application.

    Science.gov (United States)

    Ozcelik, Onur; Haytac, M Cenk; Seydaoglu, Gulsah

    2011-06-01

    The purpose of this randomized controlled clinical trial was to evaluate the effectiveness of a new treatment approach, which consists of coronally advanced flap (CAF) procedure combined with orthodontic button application (CAF+B) for the treatment of multiple recession-type defects in patients with aesthetic demands. Forty-one healthy subjects presenting at least three adjacent Miller Class I or II multiple gingival recessions were treated with a CAF technique. Twenty-one patients were randomly assigned to the test group, and the other 20 patients were assigned to the control group. On the test group, orthodontic buttons were used for the stabilization of advanced flaps. Clinical and patient centered parameters were measured at baseline, 7 days and 6 months after the surgery. A total of 155 recessions were treated. Complete root coverage from baseline to 6 months post-surgery was 61% for the control group and 84% for the test group. There was no difference on visual analog scale-pain measurements among the treatment groups. Patient satisfaction with aesthetics was very high in CAF+B group when compared with CAF group. Six months results showed that the CAF+B approach was effective for the treatment of multiple gingival recessions in patients with aesthetic demands. © 2011 John Wiley & Sons A/S.

  18. Estimating the Total Pathogenic Allele Frequency of Autosomal Recessive Disorders in Case of Consanguinity

    NARCIS (Netherlands)

    Jonker, M.A.; Teeuw, M.E.; Kelmemi, W.; Kharrat, M.; Chaabouni-Bouhamed, H.; ten Kate, L.P.

    2015-01-01

    Objective: Estimating the total allele frequency of all pathogenic alleles of an autosomal recessive disease is not possible if only mutational data of a sample of affected individuals are available. However, if the affected individuals come from a population where consanguinity is not uncommon,

  19. Spectrum of mutations in the renin-angiotensin system genes in autosomal recessive renal tubular dysgenesis

    DEFF Research Database (Denmark)

    Gribouval, Olivier; Morinière, Vincent; Pawtowski, Audrey

    2012-01-01

    Autosomal recessive renal tubular dysgenesis (RTD) is a severe disorder of renal tubular development characterized by early onset and persistent fetal anuria leading to oligohydramnios and the Potter sequence, associated with skull ossification defects. Early death occurs in most cases from anuri...

  20. CNGB3 mutations account for 50% of all cases with autosomal recessive achromatopsia.

    NARCIS (Netherlands)

    Kohl, S.; Varsanyi, B.; Antunes, G.A.; Baumann, B.; Hoyng, C.B.; Jagle, H.; Rosenberg, T.; Kellner, U.; Lorenz, B.; Salati, R.; Jurklies, B.; Farkas, A.; Andreasson, S.; Weleber, R.G.; Jacobson, S.G.; Rudolph, G.; Castellan, C.; Dollfus, H.; Legius, E.; Anastasi, M.; Bitoun, P.; Lev, D.; Sieving, P.A.; Munier, F.L.; Zrenner, E.; Sharpe, L.T.; Cremers, F.P.M.; Wissinger, B.

    2005-01-01

    Achromatopsia is a congenital, autosomal recessively inherited disorder characterized by a lack of color discrimination, low visual acuity (<0.2), photophobia, and nystagmus. Mutations in the genes for CNGA3, CNGB3, and GNAT2 have been associated with this disorder. Here, we analyzed the spectrum

  1. Recessed insulator and barrier AlGaN/GaN HEMT: A novel structure ...

    Indian Academy of Sciences (India)

    2017-03-08

    Mar 8, 2017 ... posed structure is almost equivalent to that of the conventional transistor. In this work, length (Lr) and thickness. (Tr) of the recessed region of the barrier at the source side are the same as those of the insulator at the drain side. Keywords. AlGaN/GaN high electron mobility transistor; breakdown voltage; ...

  2. Five Recession-Driven Strategies for Planning and Managing Campus Facilities

    Science.gov (United States)

    Rudden, Michael S.

    2010-01-01

    Colleges and universities continue to face significant fiscal challenges in the current recession. A review of ongoing campus facilities planning projects, coupled with a review of more than 30 recent campus master planning requests for proposals and the relevant literature, indicates that colleges and universities are finding innovative ways to…

  3. On Zombie Banks and Recessions after Systemic Banking Crises: Government Intervention Matters

    NARCIS (Netherlands)

    Homar, T.; van Wijnbergen, S.

    2013-01-01

    Systemic banking crises often continue into recessions with large output losses (Reinhart & Rogoff 2009a). In this paper we ask whether the way Governments intervene in the financial sector has an impact on the economy's subsequent performance. Our theoretical analysis focuses on bank incentives to

  4. Autosomal recessive cerebellar ataxia caused by mutations in the PEX2 gene

    NARCIS (Netherlands)

    Sevin, C.; Ferdinandusse, S.; Waterham, H.R.; Wanders, R.J.; Aubourg, P.

    2011-01-01

    ABSTRACT: OBJECTIVE: To expand the spectrum of genetic causes of autosomal recessive cerebellar ataxia (ARCA). Case report: Two brothers are described who developed progressive cerebellar ataxia at 3 1/2 and 18 years, respectively. After ruling out known common genetic causes of ARCA, analysis of

  5. A gene for autosomal recessive nemaline myopathy assigned to chromosome 2q by linkage analysis

    NARCIS (Netherlands)

    Wallgren-Pettersson, C.; Avela, K.; Marchand, S.; Kolehmainen, J.; Tahvanainen, E.; Hansen, F.J.; Muntoni, F.; Dubowitz, V.; de Visser, Marianne; Van Langen, I.M.; Laing, N.G.; Faure, S.; De la Chapelle, A.

    1995-01-01

    Clinical genetic evidence suggests the existence of an autosomal recessive form of congenital nemaline myopathy in addition to the autosomal dominant one(s). One mutation in an Australian kindred has been identified as causing an autosomal dominant form of the disease. This mutation in the

  6. CALiPER Exploratory Study Office and Classroom Recessed Troffer Lighting - ARRA Report

    Energy Technology Data Exchange (ETDEWEB)

    Miller, Naomi J.

    2012-09-30

    This report is a brief summary of a project exploring LED versions of a very common luminaire type, the recessed troffer. It describes the planning and preparation for a mockup of 24 pairs of troffers in a simulated office space, where observations and comments were recorded.

  7. Why Did People Move During the Great Recession? The Role of Economics in Migration Decisions

    Directory of Open Access Journals (Sweden)

    Brian L. Levy

    2017-04-01

    Full Text Available Labor migration offers an important mechanism to reallocate workers when there are regional differences in employment conditions. Whereas conventional wisdom suggests migration rates should increase during recessions as workers move out of areas that are hit hardest, initial evidence suggested that overall migration rates declined during the Great Recession, despite large regional differences in unemployment and growth rates. In this paper we use data from the American Community Survey to analyze internal migration trends before and during the economic downturn. First, we find only a modest decline in the odds of adults leaving distressed labor market areas during the Great Recession, which may result in part from challenges related to the housing price crash. Second, we estimate conditional logit models of destination choice for individuals who migrate across labor market areas; we find a substantial effect of economic factors such as labor demand, unemployment, and housing values. We also estimate latent class conditional logit models that test whether there is heterogeneity in preferences for destination characteristics among migrants. Over all, the latent class models suggest that roughly equal percentages of migrants were motivated by economic factors before and during the Great Recession. We conclude that fears of dramatic declines in labor migration seem to be unsubstantiated.

  8. Autosomal recessive disorder with retardation of growth, mental deficiency, ptosis, pectus excavatum and camptodactyly

    Energy Technology Data Exchange (ETDEWEB)

    Khaldi, F.; Bennaceur, B.; Hammou, A.; Hamza, M.; Gharbi, H.A.

    1988-07-01

    Two strikingly similar brothers issued from consanguineous parents in the second degree present the following patterns of anomalies: Retardation of growth, mental deficiency, ocular abnormalities, pectus excavatum and camptodactyly. The ocular abnormalities include ptosis, microphthalmia and hypertelorism. No endocrine or metabolic aberrations are found. The authors conclude that the disorder has probably an autosomal recessive mode of transmission.

  9. A novel autosomal recessive GJA1 missense mutation linked to Craniometaphyseal dysplasia.

    Directory of Open Access Journals (Sweden)

    Ying Hu

    Full Text Available Craniometaphyseal dysplasia (CMD is a rare sclerosing skeletal disorder with progressive hyperostosis of craniofacial bones. CMD can be inherited in an autosomal dominant (AD trait or occur after de novo mutations in the pyrophosphate transporter ANKH. Although the autosomal recessive (AR form of CMD had been mapped to 6q21-22 the mutation has been elusive. In this study, we performed whole-exome sequencing for one subject with AR CMD and identified a novel missense mutation (c.716G>A, p.Arg239Gln in the C-terminus of the gap junction protein alpha-1 (GJA1 coding for connexin 43 (Cx43. We confirmed this mutation in 6 individuals from 3 additional families. The homozygous mutation cosegregated only with affected family members. Connexin 43 is a major component of gap junctions in osteoblasts, osteocytes, osteoclasts and chondrocytes. Gap junctions are responsible for the diffusion of low molecular weight molecules between cells. Mutations in Cx43 cause several dominant and recessive disorders involving developmental abnormalities of bone such as dominant and recessive oculodentodigital dysplasia (ODDD; MIM #164200, 257850 and isolated syndactyly type III (MIM #186100, the characteristic digital anomaly in ODDD. However, characteristic ocular and dental features of ODDD as well as syndactyly are absent in patients with the recessive Arg239Gln Cx43 mutation. Bone remodeling mechanisms disrupted by this novel Cx43 mutation remain to be elucidated.

  10. Gingival abrasion and recession in manual and oscillating-rotating power brush users

    NARCIS (Netherlands)

    Rosema, N.A.M.; Adam, R.; Grender, J.M.; van der Sluijs, E.; Supranoto, S.C.; van der Weijden, G.A.

    2014-01-01

    Objective To assess gingival recession (GR) in manual and power toothbrush users and evaluate the relationship between GR and gingival abrasion scores (GA). Methods This was an observational (cross-sectional), single-centre, examiner-blind study involving a single-brushing exercise, with 181 young

  11. Biallelic Mutations in CRB1 Underlie Autosomal Recessive Familial Foveal Retinoschisis

    NARCIS (Netherlands)

    Vincent, A.; Ng, J.; Gerth-Kahlert, C.; Tavares, E.; Maynes, J.T.; Wright, T.; Tiwari, A.; Tumber, A.; Li, S.; Hanson, J.V.; Bahr, A.; MacDonald, H.; Bahr, L.; Westall, C.; Berger, W.; Cremers, F.P.M.; Hollander, A.I. den; Heon, E

    2016-01-01

    PURPOSE: To identify the genetic cause of autosomal recessive familial foveal retinoschisis (FFR). METHODS: A female sibship with FFR was identified (Family-A; 17 and 16 years, respectively); panel based genetic sequencing (132 genes) and comparative genome hybridization (142 genes) were performed.

  12. Lighting a candle in the dark: advances in genetics and gene therapy of recessive retinal dystrophies.

    NARCIS (Netherlands)

    Hollander, A.I. den; Black, A.; Bennett, J.; Cremers, F.P.M.

    2010-01-01

    Nonsyndromic recessive retinal dystrophies cause severe visual impairment due to the death of photoreceptor and retinal pigment epithelium cells. These diseases until recently have been considered to be incurable. Molecular genetic studies in the last two decades have revealed the underlying

  13. Prenatal diagnosis by ultrasound in pregnancies at risk for autosomal recessive polycystic kidney disease

    NARCIS (Netherlands)

    A. Reuss (Annette); J.W. Wladimiroff (Juriy); P.A. Stewart (Patricia); M.F. Niermeijer (Martinus)

    1990-01-01

    markdownabstractAbstract In 15 pregnancies at risk of the autosomal recessive type of polycystic kidney disease (ARPKD), there were six recurrences (40%), five of which were diagnosed prenatally between 17 and 26 weeks (mean, 22 weeks). In the remaining affected case, normal kidney size and

  14. Working under pressure: economic recession and third sector development in Europe

    NARCIS (Netherlands)

    Pape, U.D.; Chaves-Ávila, R.; Pahl, J.B.; Petrella, F.; Pielinski, B.; Savall-Morera, T.

    2016-01-01

    The context conditions for third sector organizations (TSOs) in Europe have significantly changed as a result of the global economic crisis, including decreasing levels of public funding and changing modes of relations with the state. The effect of economic recession, however, varies across Europe.

  15. Young people and the post-recession labour market in the context of Europe 2020

    NARCIS (Netherlands)

    Chung, H.; Bekker, S.; Houwing, H.

    2012-01-01

    This article examines how the recent global recession, together with the general flexibilization of labour markets, is affecting young people. We examine different forms of social exclusion, including unemployment, temporary employment contracts and periods of inactivity, as well as the subjective

  16. A Nonsense Mutation in PDE6H Causes Autosomal-Recessive Incomplete Achromatopsia.

    NARCIS (Netherlands)

    Kohl, S.; Coppieters, F.; Meire, F.; Schaich, S.; Roosing, S.; Brennenstuhl, C.; Bolz, S.; Genderen, M.M. van; Riemslag, F.C.; Lukowski, R.; Hollander, A.I. den; Cremers, F.P.M.; Baere, E. de; Hoyng, C.B.; Wissinger, B.

    2012-01-01

    Achromatopsia (ACHM) is an autosomal-recessive retinal dystrophy characterized by color blindness, photophobia, nystagmus, and severely reduced visual acuity. Its prevalence has been estimated to about 1 in 30,000 individuals. Four genes, GNAT2, PDE6C, CNGA3, and CNGB3, have been implicated in ACHM,

  17. The Class of 2010: Economic Prospects for Young Adults in the Recession. EPI Briefing Paper #265

    Science.gov (United States)

    Bivens, Josh; Edwards, Kathryn Anne; Hertel-Fernandez, Alexander; Turner, Anna

    2010-01-01

    It will take years for the labor market to recover from the damage induced by the recent recession. While monthly job losses almost surely peaked in 2009, the unemployment rate will likely peak in 2010 (CBO 2010a). In April, the unemployment rate reached 9.9% and the overall economic cause is simple: firms are not hiring quickly enough, as…

  18. Adolescent adaptation before, during and in the aftermath of the Great Recession in the USA.

    Science.gov (United States)

    Johnson, Monica Kirkpatrick; Staff, Jeremy; Patrick, Megan E; Schulenberg, John E

    2017-02-01

    This study examines the impact of the "Great Recession" (from December 2007 to June 2009) on 8th and 10th graders in the USA, using annual nationally representative data from the Monitoring the Future study. Historical changes in youth adjustment (self-esteem, depressed mood, risk taking, aggression and property crime), school achievement (grade point average [GPA], time spent on homework and educational expectations) and structured and unstructured activities (volunteering, employment, sports and evenings out for fun) were examined between 1991 and 2014. Overall, there were only slight changes in mean levels of adjustment, achievement and most youth activities. However, the percentage of youth working during the school year did decline during the Great Recession. Several longer-term trends were also evident, though not directly tied to the Great Recession. These include an increase in GPA, a decrease in time spent on homework, rising educational expectations and more time spent volunteering. Future work should assess how the shift to unpaid work activities (e.g. volunteering and internships) among youth is impacting the transition from school to work in the contemporary economy, and whether the Great Recession had deleterious impacts for younger children or among youth whose parents lost work or had their homes foreclosed. © 2016 International Union of Psychological Science.

  19. Continuous Lake Recession of Siling Co, Central Tibet, Since the Middle Holocene

    Science.gov (United States)

    Shi, X.; Kirby, E.; Furlong, K. P.; Meng, K.; Robinson, R. A. J.; Lu, H.; Wang, E.

    2014-12-01

    Lake level changes and the associated water budget of closed lake basins are sensitive to climatic change. Although paleoshorelines around large lakes in Tibet were previously studied, reliable dating and surveying of these sequences of shorelines to reconstruct a detailed lake history in this region remain sparse. The rate of lake recession in response to paleoclimate changes remains poorly constrained. We have utilized flights of shoreline features with heights of up to 64 m above modern lake level within the Siling Co (lake) drainage basin to evaluate the history of the lake recession. Our results show that Siling Co underwent a continuous recession since ~ 4 ka from the Lingtong lake highstand (at ~ 4594 m in elevation). Simple calculations based on the history of these shorelines and the geometry of Siling Co lake basin suggest a systematic decrease in lake volume and surface area over the last 4 ka. Calculation of a 'hydrologic index' for closed lake basins (Mifflin and Wheat, 1979) suggests that historic lake levels reflect a decrease in effective moisture by a factor of 3 relative to the Middle Holocene lake highstand. The systematic recession of the lake likely reflects a progressive change in the water balance through time (rather than a protracted response to a step-function change). This is consistent with a weakening of the Indian Summer Monsoon. Our study shows how lacustrine shoreline archives can be used to quantify long-held inferences about the strength of the Indian Summer Monsoon.

  20. Inferior Oblique Weakening and Abnormal Head Position: Controlled Myotomy versus Recession

    Directory of Open Access Journals (Sweden)

    R. Migliorini

    2016-01-01

    Full Text Available Purpose. Randomized controlled trial aimed at comparing surgical outcomes in a group of patients suffering from hyperfunction of the inferior oblique (IO muscle with abnormal head position (AHP. The surgical techniques being compared are Recession and (thread Controlled Myotomy. Materials and Methods. The group of 20 patients suffering from medium-high hyperfunction of the IO was assessed through an ophthalmological and orthoptic examination. 10 patients underwent traditional Recession (Group  A and 10 were treated with Controlled Myotomy (Group  B. Results. The average age was 19 years ± 10.7 SD. After 1 year, 20% of Group  A showed a small Vertical Deviation associated with a small AHP, while 80% had orthophoria and 40% of them had a small AHP. 80% of Group  B showed a small Vertical Deviation associated with an equally small AHP, while 20% had orthophoria with a full resolution of AHP. Conclusion. Based on the results obtained and the fewer intrasurgical risks involved, thread Controlled Myotomy proved to be a valid alternative to Recession. Furthermore, in case of Recession, over the long period a small residual AHP remained in the patients who had orthophoria, unlike Myotomy which led to a total resolution.

  1. Optimal pricing of a conspicuous product during a recession that freezes capital markets

    NARCIS (Netherlands)

    Caulkins, J.P.; Feichtinger, G.; Grass, D.; Hartl, R.F.; Kort, P.M.; Seidl, A.

    2011-01-01

    This paper considers the problem of how to price a conspicuous product when the economy is in a recession that disrupts capital markets. A conspicuous product in this context is a luxury good for which demand is increasing in brand image. Brand image here means the ability of a consumer to impress

  2. Factors influencing the recession rate of Niagara Falls since the 19th century

    Science.gov (United States)

    Hayakawa, Yuichi S.; Matsukura, Yukinori

    2009-09-01

    The rate of recession of Niagara Falls (Horseshoe and American Falls) in northeastern North America has been documented since the 19th century; it shows a decreasing trend from ca. 1 m y - 1 a century ago to ca. 0.1 m y - 1 at present. Reduction of the flow volume in the Niagara River due to diversion into bypassing hydroelectric schemes has often been taken to be the factor responsible, but other factors such as changes in the waterfall shape could play a role and call for a quantitative study. Here, we examine the effect of physical factors on the historically varying recession rates of Niagara Falls, using an empirical equation which has previously been proposed based on a non-dimensional multiparametric model which incorporates flow volume, waterfall shape and bedrock strength. The changes in recession rates of Niagara Falls in the last century are successfully modeled by this empirical equation; these changes are caused by variations in flow volume and lip length. This result supports the validity of the empirical equation for waterfalls in rivers carrying little transported sediment. Our analysis also suggests that the decrease in the recession rate of Horseshoe Falls is related to both artificial reduction in river discharge and natural increase in waterfall lip length, whereas that of American Falls is solely due to the reduction in flow volume.

  3. Functionality of aquaporin-2 missense mutants in recessive nephrogenic diabetes insipidus.

    NARCIS (Netherlands)

    Marr, N.; Kamsteeg, E.J.; Raak, M.M.J.P. van; Os, C.H. van; Deen, P.M.T.

    2001-01-01

    Aquaporin-2 (AQP2) missense mutants in recessive nephrogenic diabetes insipidus (NDI) are all retained in the endoplasmic reticulum (ER), but some could function as water channels. No conclusions could be drawn about the water permeability (Pf) of others, because there was no method for quantifying

  4. When a Fly Has to Fly to Reproduce: Selection against Conditional Recessive Lethals in "Drosophila"

    Science.gov (United States)

    Plunkett, Andrea D.; Yampolsky, Lev Y.

    2010-01-01

    We propose an experimental model suitable for demonstrating allele frequency change in Drosophila melanogaster populations caused by selection against an easily scorable conditional lethal, namely recessive flightless alleles such as apterous and vestigial. Homozygotes for these alleles are excluded from reproduction because the food source used…

  5. Autosomal recessive retinitis pigmentosa with RP1 mutations is associated with myopia

    NARCIS (Netherlands)

    Chassine, T.; Bocquet, B.; Daien, V.; Avila-Fernandez, A.; Ayuso, C.; Collin, R.W.J.; Corton, M.; Hejtmancik, J.F.; Born, L.I. van den; Klevering, B.J.; Riazuddin, S.A.; Sendon, N.; Lacroux, A.; Meunier, I.; Hamel, C.P.

    2015-01-01

    OBJECTIVE: To determine the refractive error in patients with autosomal recessive retinitis pigmentosa (arRP) caused by RP1 mutations and to compare it with that of other genetic subtypes of RP. METHODS: Twenty-six individuals had arRP with RP1 mutations, 25 had autosomal dominant RP (adRP) with RP1

  6. Assigned Leaders in Unionized Environments: Coping with the Economic Recession and Its Aftermath in Academic Libraries

    Science.gov (United States)

    Lim, Adriene

    2012-01-01

    Despite the fact that the rate of unionism has grown in institutions of higher education over the past several decades, and the recent economic recession occurred at the same time that academic libraries faced accelerating changes in scholarly communication and technology, increased demands for accountability, and heightened external competition,…

  7. Recessive mutations in POLR1C cause a leukodystrophy by impairing biogenesis of RNA polymerase III

    NARCIS (Netherlands)

    Thiffault, Isabelle; Wolf, Nicole I.; Forget, Diane; Guerrero, Kether; Tran, Luan T.; Choquet, Karine; Lavallée-Adam, Mathieu; Poitras, Christian; Brais, Bernard; Yoon, Grace; Sztriha, Laszlo; Webster, Richard I.; Timmann, Dagmar; van de Warrenburg, Bart P.; Seeger, Jürgen; Zimmermann, Alíz; Máté, Adrienn; Goizet, Cyril; Fung, Eva; van der Knaap, Marjo S.; Fribourg, Sébastien; Vanderver, Adeline; Simons, Cas; Taft, Ryan J.; Yates, John R.; Coulombe, Benoit; Bernard, Geneviève

    2015-01-01

    A small proportion of 4H (Hypomyelination, Hypodontia and Hypogonadotropic Hypogonadism) or RNA polymerase III (POLR3)-related leukodystrophy cases are negative for mutations in the previously identified causative genes POLR3A and POLR3B. Here we report eight of these cases carrying recessive

  8. How did the economic recession (2008-2010) influence traffic fatalities in OECD-countries?

    Science.gov (United States)

    Wegman, Fred; Allsop, Richard; Antoniou, Constantinos; Bergel-Hayat, Ruth; Elvik, Rune; Lassarre, Sylvain; Lloyd, Daryl; Wijnen, Wim

    2017-05-01

    This paper presents analyses of how the economic recession that started in 2008 has influenced the number of traffic fatalities in OECD countries. Previous studies of the relationship between economic recessions and changes in the number of traffic fatalities are reviewed. Based on these studies, a causal diagram of the relationship between changes of the business cycle and changes in the number of traffic fatalities is proposed. This causal model is tested empirically by means of multivariate analyses and analyses of accident statistics for Great Britain and Sweden. Economic recession, as indicated both by slower growth of, or decline of gross national product, and by increased unemployment is associated with an accelerated decline in the number of traffic fatalities, i.e. a larger decline than the long-term trend that is normal in OECD countries. The principal mechanisms bringing this about are a disproportionate reduction of driving among high-risk drivers, in particular young drivers and a reduction of fatality rate per kilometre of travel, probably attributable to changes in road user behaviour that are only partly observable. The total number of vehicle kilometres of travel did not change very much as a result of the recession. The paper is based on an ITF-report that presents the analyses in greater detail. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Linkage of DFNB1 to non-syndromic neurosensory autosomal-recessive deafness in Mediterranean families

    NARCIS (Netherlands)

    Gasparini, P; Estivill, [No Value; Volpini, [No Value; Totaro, A; CastellviBel, S; Govea, N; Mila, M; DellaMonica, M; Ventruto, [No Value; DeBenedetto, M; Stanziale, P; Zelante, L; Mansfield, ES; Sandkuijl, L; Surrey, S; Fortina, P

    1997-01-01

    Recent studies show a susceptibility locus (DFNB1) responsible for non-syndromic neurosensory autosomal-recessive deafness (NSRD) mapping to the pericentromeric region of chromosome 13q, In order to better understand the frequency with which DFNB1 is the gene for deafness in our patient population

  10. The efficacy of microarray screening for autosomal recessive retinitis pigmentosa in routine clinical practice

    NARCIS (Netherlands)

    Huet, R.A.C. van; Pierrache, L.H.; Meester-Smoor, M.A.; Klaver, C.C.; Born, L.I. van den; Hoyng, C.B.; Wijs, I.J. de; Collin, R.W.J.; Hoefsloot, L.H.; Klevering, B.J.

    2015-01-01

    PURPOSE: To determine the efficacy of multiple versions of a commercially available arrayed primer extension (APEX) microarray chip for autosomal recessive retinitis pigmentosa (arRP). METHODS: We included 250 probands suspected of arRP who were genetically analyzed with the APEX microarray between

  11. Marx and Foucault: Subjectivity, Employability and the Crisis of Youth Unemployment in the Great Global Recession

    Science.gov (United States)

    Peters, Michael A.; Besley, Tina

    2013-01-01

    This article explores the different approaches taken to the concepts of work or labour by Marx and Foucault, examining in particular the question of subjectivity in relation to youth unemployment and the current crisis of youth unemployment as part of the aftermath of the global recession of 2008.

  12. Skin barrier properties in patients with recessive X-linked ichthyosis

    DEFF Research Database (Denmark)

    Johansen, J D; Ramsing, D; Vejlsgaard, G

    1995-01-01

    Patients with X-linked recessive ichthyosis (RXLI) were studied as a model of the effect of disturbed epidermal lipid composition on skin barrier function. Thirteen patients with RXLI and 15 age- and sex-matched controls were patch-tested with sodium lauryl sulphate (SLS) 0.5% for 24 h. Basal ski...

  13. Congenital hypothyroidism in association with Caroli's disease and autosomal recessive polycystic kidney disease: patient report.

    Science.gov (United States)

    Jeha, George S; Tatevian, Nina; Heptulla, Rubina A

    2005-03-01

    Autosomal recessive polycystic kidney disease (ARPKD) is an important renal disease of childhood. Congenital hypothyroidism has been associated with glomerulocystic kidney disease, but to date no association has been made with ARPKD. To our knowledge this is the first reported case of congenital hypothyroidism in an infant with ARPKD.

  14. Caroli's syndrome with autosomal recessive polycystic kidney disease in a two month old infant.

    Science.gov (United States)

    Kim, Jeong Tae; Hur, Yoon Jeong; Park, Jee Min; Kim, Myung Joon; Park, Young Nyun; Lee, Jae Seung

    2006-02-28

    Caroli's syndrome is a rare congenital disorder that involves intrahepatic bile duct ectasia and congenital hepatic fibrosis, frequently seen with concomitant autosomal recessive polycystic kidney disease (ARPKD). Literature on infants with ARPKD is rare. Here, we present a case of a two month old boy who was diagnosed with Caroli's syndrome and ARPKD.

  15. Porcine Collagen Matrix With And Without Enamel Matrix Derivative For The Treatment Of Gingival Recession Defects

    Science.gov (United States)

    2016-06-01

    can lead to a decrease in sensitivity of the associated tooth.6-8 Root caries is a concern because the dentinal surfaces are exposed to the oral...Moldable light curable acrylic material will be adapted to the cast in proximity to the site of the recession defect. c. The stent will direct the probe

  16. A new explanation for recessive myotonia congenita: exon deletions and duplications in CLCN1.

    Science.gov (United States)

    Raja Rayan, D L; Haworth, A; Sud, R; Matthews, E; Fialho, D; Burge, J; Portaro, S; Schorge, S; Tuin, K; Lunt, P; McEntagart, M; Toscano, A; Davis, M B; Hanna, M G

    2012-06-12

    To assess whether exon deletions or duplications in CLCN1 are associated with recessive myotonia congenita (MC). We performed detailed clinical and electrophysiologic characterization in 60 patients with phenotypes consistent with MC. DNA sequencing of CLCN1 followed by multiplex ligation-dependent probe amplification to screen for exon copy number variation was undertaken in all patients. Exon deletions or duplications in CLCN1 were identified in 6% of patients with MC. Half had heterozygous exonic rearrangements. The other 2 patients (50%), with severe disabling infantile onset myotonia, were identified with both a homozygous mutation, Pro744Thr, which functional electrophysiology studies suggested was nonpathogenic, and a triplication/homozygous duplication involving exons 8-14, suggesting an explanation for the severe phenotype. These data indicate that copy number variation in CLCN1 may be an important cause of recessive MC. Our observations suggest that it is important to check for exon deletions and duplications as part of the genetic analysis of patients with recessive MC, especially in patients in whom sequencing identifies no mutations or only a single recessive mutation. These results also indicate that additional, as yet unidentified, genetic mechanisms account for cases not currently explained by either CLCN1 point mutations or exonic deletions or duplications.

  17. Impact of the economic recession on companion animal relinquishment, adoption, and euthanasia: a Chicago animal shelter's experience.

    Science.gov (United States)

    Weng, Hsin-Yi; Hart, Lynette A

    2012-01-01

    This study investigated how the current economic recession (since December 2007) has affected dog and cat relinquishment, adoption, and euthanasia at the Anti-Cruelty Society animal shelter in Chicago, Illinois. The study compared temporal patterns of the investigated statistics before (2000-2007) the start of the current recession with the patterns after the start of the recession (2008-2010). The results showed that once the guardianship (ownership) of a nonhuman animal had been established, the recession did not greatly affect the owner's decision on relinquishment-except for the relinquishment of senior dogs, which may be associated with increased costs of care. However, an unfavorable economic environment may have reduced adoption of animals. The consequences of a decline in adoptions might be reflected in an increase in the proportion or number of sheltered animals euthanized. This study demonstrated how monitoring changes in temporal patterns in these shelter statistics can help guide animal shelters to better prepare for the current recession.

  18. Decoupled Method for Reconstruction of Surface Conditions From Internal Temperatures On Ablative Materials With Uncertain Recession Model

    Science.gov (United States)

    Oliver, A. Brandon

    2017-01-01

    Obtaining measurements of flight environments on ablative heat shields is both critical for spacecraft development and extremely challenging due to the harsh heating environment and surface recession. Thermocouples installed several millimeters below the surface are commonly used to measure the heat shield temperature response, but an ill-posed inverse heat conduction problem must be solved to reconstruct the surface heating environment from these measurements. Ablation can contribute substantially to the measurement response making solutions to the inverse problem strongly dependent on the recession model, which is often poorly characterized. To enable efficient surface reconstruction for recession model sensitivity analysis, a method for decoupling the surface recession evaluation from the inverse heat conduction problem is presented. The decoupled method is shown to provide reconstructions of equivalent accuracy to the traditional coupled method but with substantially reduced computational effort. These methods are applied to reconstruct the environments on the Mars Science Laboratory heat shield using diffusion limit and kinetically limited recession models.

  19. Coverage of Multiple Mandibular Gingival Recessions Using Tunnel Technique with Connective Tissue Graft: A Prospective Case Series.

    Science.gov (United States)

    Thalmair, Tobias; Fickl, Stefan; Wachtel, Hannes

    The aim of this clinical case series was to evaluate the clinical performance of the modified tunnel technique for treatment of multiple gingival recessions in the anterior mandible. A total of 20 patients with 63 Miller Class I and II defects were treated via a modified tunnel technique with subepithelial connective tissue graft. At baseline and 6 months postoperative, recession depth, probing pocket depth, width of keratinized tissue, and gingival tissue thickness were assessed. At 6 months, the results revealed a mean recession coverage of 93.87%. Complete recession coverage was achieved in 74.60%. The mean reduction of recession depth was 2.79 ± 0.12 mm. The modified tunnel technique showed successful mean root coverage in the delicate anterior mandible and was able to increase the amount of keratinized tissue.

  20. Tooth wear and gingival recession in 210 orthodontically treated patients: a retrospective cohort study.

    Science.gov (United States)

    Mijuskovic, Marco; Gebistorf, Meret C; Pandis, Nikolaos; Renkema, Anne M; Fudalej, Piotr S

    2017-11-14

    To assess the association between tooth wear (TW) and gingival recession (GR). Two hundred and ten orthodontically treated participants (100 males) were evaluated. GR and TW were rated independently by four raters on plaster models at four time points: before treatment (T1), mean age 13.8 years (SD = 3.7); after treatment (T2), mean age 16.7 years (SD = 3.9); 3 years after treatment (T3), mean age 19.7 years (SD = 4.2); and 7 years after treatment (T4), mean age 23.9 years (SD = 4.8). Univariable and mulitvariable random effects logistic regression analyses were performed with scores for GR as dependent variables and with TW, age, gender, dental segments (maxillary and mandibular anterior and posterior segments), time points, and Angle classification as independent variables. Method reliability was assessed with kappa statistics. Mandibular incisors, mandibular and maxillary first premolars and maxillary first molars were most vulnerable to GR. The prevalence of GR increased during the observation period. At T1 20.5% participants had one or more recession sites, at T4 85.7 % of the participants had at least one GR. There was evidence of association between moderate/severe TW and GR-for a tooth with moderate/severe wear, the odds of recession were 23% higher compared to a tooth with no/mild wear (odds ratio 1.23; 95% CI: 1.08-1.40; P = 0.002). Age, dental segment, and time were also significant recession predictors, whereas gender was not. There is evidence that moderate/severe TW is associated with the presence of gingival recession. Clinical significance of this can be limited.

  1. The Great Recession and the Health of Young Children: A Fixed Effects Analysis in Ireland.

    Science.gov (United States)

    Reinhard, Erica; Layte, Richard; McCrory, Cathal; Panico, Lidia; Avendano, Mauricio

    2018-01-12

    Economic recessions have been linked to adult health, but few studies have examined how recessions influence the health of young children. This study examines the impact of life transitions linked to the financial crisis in Ireland on the health of young children. Data came from the Growing Up in Ireland Infant Cohort Study (n = 11,134), which assessed children before (2008), during (2011), and after (2013) the recession and incorporated questions on the impacts of the financial crisis on families. Using fixed effects models to control for confounding, we found that a reduction in welfare benefits during the recession was associated with a significant increase in the risk of asthma (β = 0.0136, 95% confidence interval (95% CI): 0.0062, 0.0328) and atopy (β = 0.0161, 95% CI: 0.0026, 0.0297). While parental job loss was not associated with child health, a reduction in working hours was associated with increased reports of fair or poor child health (β = 0.0235, 95% CI: 0.0041, 0.0429), as were difficulties affording basics (β = 0.0193, 95% CI: 0.0005, 0.0381). Results suggest that failing to protect vulnerable families and children during economic recessions may have long-lasting implications for child health. © The Author(s) 2018. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  2. Characterization of Candidate Materials for Remote Recession Measurements of Ablative Heat Shield Materials

    Science.gov (United States)

    Butler, Bradley D.; Winter, Michael; Panerai, Francesco; Martin, Alexandre; Bailey, Sean C. C.; Stackpoole, Margaret; Danehy, Paul M.; Splinter, Scott

    2016-01-01

    A method of remotely measuring surface recession of a material sample in a plasma flow through emission spectroscopy of the post shock layer was characterized through experiments in the NASA Langley HYMETS arc jet facility. Different methods for delivering the seed products into the Phenolic Impregnated Carbon Ablator (PICA) material samples were investigated. Three samples were produced by seeding the PICA material with combinations of Al, Si, HfO2, VB2, Al2O3, SiO2, TiC, HfC, NaCl, and MgCl2 through infusing seed materials into a core of PICA, or through encapsulating seed material in an epoxy disk, mechanically bonding the disk to a PICA sample. The PICA samples seeded with the candidate tracers were then tested at surface temperatures near 2400 K under low pressure air plasma. The emission of Al, Ti, V, Na, and Mg in the post-shock layer was observed in the UV with a high resolution imaging spectrometer viewing the whole stagnation line from the side, and from UV to NIR with a fiber-coupled miniaturized spectrometer observing the sample surface in the wavelength range from 200 nm to 1,100 nm from the front through a collimator. Al, Na, and Mg were found to be emitting in the post-shock spectra even before the recession reached the seeding depth - therefore possibly characterizing the pyrolysis process rather than the recession itself. The appearance of Ti and V emission in the spectra was well correlated with the actual recession which was monitored through a video of the front surface of the sample. The applicability of a seed material as an indicator for recession appears to be related to the melting temperature of the seed material. Future parametric studies will be carried out in low power plasma facilities at the University of Kentucky.

  3. Outdoor activity during class recess reduces myopia onset and progression in school children.

    Science.gov (United States)

    Wu, Pei-Chang; Tsai, Chia-Ling; Wu, Hsiang-Lin; Yang, Yi-Hsin; Kuo, Hsi-Kung

    2013-05-01

    The aim of this study was to investigate the effect of outdoor activity during class recess on myopia changes among elementary school students in a suburban area of Taiwan. Prospective, comparative, consecutive, interventional study. Elementary school students 7 to 11 years of age recruited from 2 nearby schools located in a suburban area of southern Taiwan. The children of one school participated in the interventions, whereas those from the other school served as the control group. The interventions consisted of performing a recess outside the classroom (ROC) program that encouraged children to go outside for outdoor activities during recess. The control school did not have any special programs during recess. Data were obtained by means of a parent questionnaire and ocular evaluations that included axial length and cycloplegic autorefraction at the beginning and after 1 year. Five hundred seventy-one students were recruited for this study, of whom 333 students participated in the interventional program, and 238 students were in the control school. At the beginning of the study, there were no significant differences between these 2 schools with regard to age, gender, baseline refraction, and myopia prevalence (47.75% vs. 49.16%). After 1 year, new onset of myopia was significantly lower in the ROC group than in the control group (8.41% vs. 17.65%; Pschool year proved to be a protective factor against myopia shift in nonmyopic subjects (P = 0.020 and P = 0.017, respectively). For myopic subjects, school year was the only variable significantly associated with myopia progression (P = 0.006). Outdoor activities during class recess in school have a significant effect on myopia onset and myopic shift. Such activities have a prominent effect on the control of myopia shift, especially in nonmyopic children. The author(s) have no proprietary or commercial interest in any materials discussed in this article. Copyright © 2013 American Academy of Ophthalmology. Published by

  4. The mouse rumpshaker mutation of the proteolipid protein in human X-linked recessive spastic paraplegia

    Energy Technology Data Exchange (ETDEWEB)

    Kobayashi, H.; Hoffman, E.P.; Matise, T.C. [and others

    1994-09-01

    X-linked recessive spastic paraplegia is a rare neurodegenerative disorder characterized by slowly progressive weakness and spasticity of the lower extremities. We have recently genetically analyzed the original X-linked recessive spastic paraplegia family reported by Johnston and McKusick in 1962. We employed a fluorescent multiplex CA repeat strategy using a 22 locus, 10 cM framework map of the human X chromosome and localized the gene within a 36 cM region of Xq2l.3-q24 which includes the PLP locus. Saugier-Veber et al. recently reported a point mutation (His139Tyr) in exon 3B of the PLP gene in an X-linked recessive spastic paraplegia family (SPG2). This family shows no optic atrophy, in contrast to the family we have studied. This data showed that SPG2 and Pelizaeus-Merzbacher disease were allelic disorders. We investigated the PLP gene as a candidate gene for the original X-linked recessive spastic paraplegia family using SSCP and direct sequencing methods. We found a point mutation (T to C) in exon 4 of affected males which alters the amino-acid (Ile to Thr) at residue 186. This change was absent in the unaffected males of the family and in 40 unrelated control females (80 X chromosomes). Surprisingly, this mutation is identical to the mutation previously identified in the rumpshaker mouse model. The complete homology between both the mouse and human PLP sequence, and the mouse rumpshaker mutation and human spastic paraplegia mutation in our family, permit direct parallels to be drawn with regards to pathophysiology. Our data indicates that the well-documented and striking clinical differences between Pelizaeus-Merzbacher disease and X-linked recessive spastic paraplegia is due to the specific effect of different mutations of the human PLP gene on oligodendrocyte differentiation and development and on later myelin production and maintenance.

  5. CALiPER Exploratory Study: Recessed Troffer Lighting

    Energy Technology Data Exchange (ETDEWEB)

    Miller, Naomi J.; Royer, Michael P.; Poplawski, Michael E.

    2013-04-28

    This report describes an exploration of troffer lighting as used in office and classroom spaces, which was conducted by the CALiPER program. Twenty-four pairs of 2×2 and 2×4 troffers were procured anonymously, documented, tested for photometric and electrical performance, and installed in a mockup office space in Portland, Oregon. Three of the pairs were T8 fluorescent benchmark products, 12 were dedicated LED troffers, five were fluorescent troffers modified for LED lamps (sometimes referred to as "tubes"), and another four troffers were modified with LED retrofit kits. The modifications were performed by a commercial electrical contractor, following the instructions provided by the retrofit lamp or kit manufacturer. Once installed in the mockup facility, the converted luminaires were examined by a NRTL (Nationally Recognized Testing Laboratory) safety expert, who provided feedback on safety issues. In September 2012, a group of lighting designers, engineers, and facility managers were brought in to observe the LED luminaires in comparison to fluorescent benchmarks. This report documents performance in measures that go beyond illuminance values or luminaire efficacy. Dedicated LED troffers are ready to compete with fluorescent troffers in terms of efficacy (lumens per watt), and in many lighting quality issues such as glare, light distribution, visual appearance, and color quality. That is not to say that each one is stellar, but each one tested in this CALiPER study bested the fluorescent benchmarks in terms of efficacy, and almost all were rated highly in several categories -- only one luminaire of twelve performed consistently poorly.

  6. Clinical impact of platelet rich plasma in treatment of gingival recessions

    Directory of Open Access Journals (Sweden)

    Aleksić Zoran

    2008-01-01

    Full Text Available Introduction Root coverage supported with complete regeneration of lost periodontal tissues represents the ultimate goal of gingival recession treatment. Objective This study was designed to evaluate clinical effectiveness of platelet rich plasma gel (PRP with connective tissue graft (CTG in the treatment of gingival recession. METHOD 15 gingival recessions Miller class I or II were treated with CTG and PRP (group PRP. Connective tissue graft was harvested from the premolar region using trap door technique. After elevation of the flap, the regional bone and root surface were smeared with activated PRP gel. CTG was also irrigated with PRP gel before placement over the exposed root surface and local bone. Fixed CTG was covered with a coronally advanced flap. The same number of gingival recessions were treated with CTG in combination with the coronally advanced flap with no PRP gel (group TVT. Clinical recordings included recession depth (RD, probing depth (PD, clinical attachment level (CAL and keratinized tissue width (KT before and 1 year after mucogingival surgical treatment. Results Mean value of RD was significantly decreased from 4.93±0.86 mm to 0.60±0.37 (p<0.01 with CTG and PRP and from 4.76±0.74 mm to 0.63±0.29 mm (p<0.01 in CTG group. This difference was not statistically significant. Results of the keratinized tissue width showed significant increase from 0.88± 0.30 mm presurgery to 3.78±0.49 mm (p<0.01 six months after treatment in PRP group and from 0.90±0.34 mm to 3.15±0.41 in TVT group (p<0.01. This difference was statistically significant (p>0.05. No statistically significant differences were observed between treatment groups in CAL and PD. Conclusion Clinical results validate both procedures as effective and highly predictable surgical techniques in solving gingival recession problem. Histological evaluation may confirm advantage of PRP use related to regeneration of periodontal tissues. .

  7. Therapeutic efficacy of guided tissue regeneration and connective tissue autotransplants with periosteum in the management of gingival recession

    Directory of Open Access Journals (Sweden)

    Jovičić Bojan

    2008-01-01

    Full Text Available Background/Aim. Gingival recession progression in clinical practice as an ethiological factor of periodontal diseases, and symptoms of the disease have caused the development of various surgical procedures and techniques of the reconstruction of periodontal defects. The aim of this study was to verify efficacy of surgical procedures that include connective tissue autotransplants with periosteum and guided tissue regeneration for the treatment of gingival recession. Methods. The study included 20 teet with gingival recession, Müller class II and III. Ten teeth with gingival recession were treated with resorptive membrane and coronary guided surgical flap (GTR group. On the contralateral side 10 teeth with gingival recession were treated with connective tissue autotransplants with periosteum in combination with coronary guided surgical flap (TVT group. We measured the degree of epithelial attachment (DEA, width of subgingival curettage (WGC and vertical deepness of recession (VDR. For statistical significance we used Student's ttest. Results. The study revealed statistical significance in reducing VDR by both used treatments. Root deepness in GTR and TVT group was 63.5%, and 90%, respectively. With both surgical techniques we achieved coronary dislocation of the epithelial attachment, larger zone of gingival curettage, and better oral hygiene. Conclusion. Current surgical techniques are effective in the regeneration of deep periodontal spaces and the treatment of gingival recession. Significantly better results were achieved with the used coronary guided surgical flap than with guided tissue regeneration.

  8. Autosomal recessive cystinuria caused by genome-wide paternal uniparental isodisomy in a patient with Beckwith-Wiedemann syndrome.

    Science.gov (United States)

    Ohtsuka, Y; Higashimoto, K; Sasaki, K; Jozaki, K; Yoshinaga, H; Okamoto, N; Takama, Y; Kubota, A; Nakayama, M; Yatsuki, H; Nishioka, K; Joh, K; Mukai, T; Yoshiura, K-i; Soejima, H

    2015-09-01

    Approximately 20% of Beckwith-Wiedemann syndrome (BWS) cases are caused by mosaic paternal uniparental disomy of chromosome 11 (pUPD11). Although pUPD11 is usually limited to the short arm of chromosome 11, a small minority of BWS cases show genome-wide mosaic pUPD (GWpUPD). These patients show variable clinical features depending on mosaic ratio, imprinting status of other chromosomes, and paternally inherited recessive mutations. To date, there have been no reports of a mosaic GWpUPD patient with an autosomal recessive disease caused by a paternally inherited recessive mutation. Here, we describe a patient concurrently showing the clinical features of BWS and autosomal recessive cystinuria. Genetic analyses revealed that the patient has mosaic GWpUPD and an inherited paternal homozygous mutation in SLC7A9. This is the first report indicating that a paternally inherited recessive mutation can cause an autosomal recessive disease in cases of GWpUPD mosaicism. Investigation into recessive mutations and the dysregulation of imprinting domains is critical in understanding precise clinical conditions of patients with mosaic GWpUPD. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  9. Treatment of gingival recession using enamel matrix proteins: a case report with 4-year follow-up.

    Science.gov (United States)

    Kuru, Bahar; Yilmaz, Selçuk; Noyan, Ulkü

    2007-05-01

    Obtaining predictable and optimal coverage of exposed root surfaces and correction of corresponding gingival recessions have become important goals of periodontal plastic surgery. Various surgical techniques have been proposed for coverage of root surfaces. A therapeutic advantage may be gained if periodontal regeneration is obtained in addition to coverage of root with gingiva. In this case report, surgical recession coverage was performed as the bilaterally pedicled lateral sliding flap technique with the adjunctive use of enamel matrix derivative bioactive material (Emdogain). A female patient with gingival recession on maxillary central incisors is presented with 4-year follow-up observation. The surgical procedure used in this clinical pilot case study produced a marked reduction in gingival recession that was maintained for 4 years. Initial gingival recession averaged 4.25 mm with a probing depth of 1.25 mm. The 4-year follow-up demonstrated no significant changes in the degree of postoperative results obtained after 1 year. At the 4-year follow-up, a mean of 3.75 mm of root coverage was observed (93.8% root coverage). Probing depth averaged 0.75 mm, indicating a total of 4.25 mm gain of clinical attachment. Within the limits of this case, the results demonstrated the possibility of treating human buccal recessions by means of enamel matrix protein derivative together with the laterally repositioned flap technique, with a predictable reduction in recession and clinical gain in attachment.

  10. Surgical treatment of localized gingival recessions using coronally advanced flaps with or without subepithelial connective tissue graft.

    Science.gov (United States)

    Bellver-Fernández, Ricardo; Martínez-Rodriguez, Ana-María; Gioia-Palavecino, Claudio; Caffesse, Raul-Guillermo; Peñarrocha, Miguel

    2016-03-01

    A coronally advanced flap with subepithelial connective tissue graft is the gold standard surgical treatment of gingival recessions, since it offers a higher probability of achieving complete root coverage compared with other techniques. However, optimum short- and middle-term clinical results have also been obtained with coronally advanced flaps alone. The aim of the present study was to evaluate the results obtained by the surgical treatment of localized gingival recessions using coronally advanced flaps with or without subepithelial connective tissue graft. The reduction of recession height was assessed, together with the gain in gingival attachment apical to the recession, and total reduction of recession, in a comparative study of two techniques. Twenty-two gingival recessions were operated upon: 13 in the control group (coronally advanced flap) and 9 in the test group (coronally advanced flap associated to subepithelial connective tissue graft). After 18 months, the mean reduction of recession height was 2.2 ± 0.8 mm in the control group and 2.3 ± 0.7 mm in the test group, with a mean gain in gingival attachment of 1.3 ± 0.9 mm and 2.3 ± 1.3 mm, respectively. In percentage terms, the mean reduction of recession height was 84.6 ± 19.6% in the control group and 81.7 ± 17.8% in the test group, with a mean gain in gingival attachment of 20.5 ± 37.4% and 184.4 ± 135.5%, respectively. Significant reduction of gingival recession was achieved with both techniques, though the mean gain in gingival attachment (in mm and as a %) was greater in test group.

  11. Is Sub-Epithelial Connective Tissue Graft Really a Gold Standard for the Treatment of Gingival Recession Defects?

    OpenAIRE

    Ajay Mahajan; Ashu Bhardwaj; Poonam Mahajan

    2011-01-01

    Gingival recession defects are one of the most common peri-odontal problems. In the past few decades there have been several attempts to treat the gingival recession defects. Among all the treatment options the sub-epithelial connective tis-sue graft is still the most widely used. The sub-epithelial connective tissue graft is considered to produce high percentage of root coverage and therefore considered to be the gold standard technique for the treatment of gingival reces-sion defects. Despi...

  12. Economic recession (2006-2012 and changes in the health status of the Spanish population

    Directory of Open Access Journals (Sweden)

    Shirley Pérez-Romero

    2016-01-01

    Full Text Available Objective. To analyze the relationship of mental health problems in Spanish population with the economic recession (2006-2012, and find out how it affects the self-perception of health status. Materials and methods. Cross-sectional study using the National Health Survey of Spain, 2006/2007 and 2011/2012. Using logistic regression models, three in- dicators linked to mental health and perceived health were analyzed. Results. In 2011/2012 the consumption of antianxiety medications and sleeping pills increased in men and women. Mental dysfunction increased during the economic crisis in the male population. The perception of optimal health did not suffer significantly in either men or women. Conclusions. The economic recession showed a changing relation to the mental and general health of the population, coinciding with an increase in mental health disorders, such as anxiety.

  13. Squamous cell carcinoma complicating recessive dystrophic epidermolysis bullosa-Hallopeau-Siemens: a report of four cases.

    Science.gov (United States)

    Dammak, Anis; Zribi, Jihen; Boudaya, Sonia; Mseddi, Madiha; Meziou, Taha Jalel; Masmoudi, Abderrahmen; Ellouze, Zoubair; Keskes, Hassib; Turki, Hamida

    2009-06-01

    Recessive dystrophic epidermolysis bullosa (RDEB), an autosomal-recessive genodermatosis, is one of the more severe forms of the epidermolysis bullosa dystrophica group, and is characterized by generalized blistering of the skin and mucous membranes. Cutaneous squamous cell carcinoma is one of the most serious complications of this disease. We report four patients (three females and one male), two of whom were under 20 years of age, suffering from RDEB-Hallopeau-Siemens. All patients developed well-differentiated squamous cell carcinoma. No metastases were detected. All cases were treated surgically. Fatal evolution was noted in one patient. A second tumor was detected in another patient during the follow-up period. No further tumors or metastases were observed in the other patients. Regular clinical and histologic examination of any nodular lesions or non healing ulcers of all patients suffering from RDEB-Hallopeau-Siemens to detect an early malignancy is recommended.

  14. Homozygous mutation in Atlastin GTPase 1 causes recessive hereditary spastic paraplegia.

    Science.gov (United States)

    Willkomm, Lena; Heredia, Raul; Hoffmann, Katrin; Wang, Haicui; Voit, Thomas; Hoffman, Eric P; Cirak, Sebahattin

    2016-06-01

    Hereditary spastic paraplegia (HSP) is an extremely heterogeneous disease caused by mutations of numerous genes leading to lower limb spasticity (pure forms) that can be accompanied by neurological symptoms (complex forms). Despite recent advances, many causal mutations in patients remain unknown. We identified a consanguineous family with the early-onset HSP. Whole-exome sequencing revealed homozygosity for a novel Atlastin GTPase 1 gene stop mutation in three affected siblings. Heterozygous parents and siblings were unaffected. This was unexpected as mutations in the Atlastin 1 gene are known to cause autosomal dominant HSP. But our study showed that Atlastin 1 mutations may cause autosomal recessively inherited paraplegia with an underlying loss-of-function mechanism. Hence, patients with recessive forms of HSP should also be tested for the Atlastin 1 gene.

  15. Who Suffered Most from the Great Recession? Happiness in the United States

    Directory of Open Access Journals (Sweden)

    Kelsey J. O'Connor

    2017-04-01

    Full Text Available The lowest level of reported happiness since the 1970s occurred in 2010, which was the result of a negative long-term trend and the Great Recession. However, the Recession’s far-reaching consequences were not equally felt. The foreign-born fared the worst, men worse than women, and non-youth worse than youth (eighteen to twenty-four. Declining income and rising unemployment best explain the effects. People reported no change in happiness from the Great Recession when excluding the effects of declining income. This analysis is based on data from the General Social Survey (1972 to 2014. Micro-economic regressions, including macro controls, are used to estimate group-specific trends and deviations from trend occurring in 2008 and 2010. Fixed-effects analysis also supports the main conclusions.

  16. Gingival recession and adult orthodontics: a clinical evidence-based treatment proposal.

    Science.gov (United States)

    Dersot, Jean-Marc

    2012-03-01

    The presence of a gingival recession prior to orthodontic treatment is a real problem. Patients are concerned about losing their teeth but may also complain of their unpleasant appearance or root sensitivity in the exposed area. The orthodontist is not sure whether orthodontic treatment can be performed or whether the tooth movement will not aggravate the recession and whether periodontal surgery needs to be done before or after orthodontic treatment. The aim of this paper is to present recent data from the literature and several clinical situations in adults in order to submit a treatment sequence and clarify the role of different periodontal plastic surgery root coverage procedures. Copyright © 2011 CEO. Published by Elsevier Masson SAS. All rights reserved.

  17. A Progressive Autosomal Recessive Cataract Locus Maps to Chromosome 9q13-q22

    Science.gov (United States)

    Héon, Elise; Paterson, Andrew D.; Fraser, Michael; Billingsley, Gail; Priston, Megan; Balmer, Aubin; Schorderet, Daniel F.; Verner, Andrei; Hudson, Thomas J.; Munier, Francis L.

    2001-01-01

    Cataracts are the leading cause of blindness in most countries. Although most hereditary cases appear to follow an autosomal dominant pattern of inheritance, autosomal recessive inheritance has been clearly documented and is probably underrecognized. We studied a large family—from a relatively isolated geographic region—whose members were affected by autosomal recessive adult-onset pulverulent cataracts. We mapped the disease locus to a 14-cM interval at a novel disease locus, 9q13-q22 (between markers D9S1123 and D9S257), with a LOD score of 4.7. The study of this progressive and age-related cataract phenotype may provide insight into the cause of the more common sporadic form of age-related cataracts. PMID:11179024

  18. Birth prevalence and mutation spectrum in danish patients with autosomal recessive albinism

    DEFF Research Database (Denmark)

    Grønskov, Karen; Ek, Jakob; Sand, Annie

    2009-01-01

    PURPOSE: The study was initiated to investigate the mutation spectrum of four OCA genes and to calculate the birth prevalence in patients with autosomal recessive albinism. METHODS: Mutation analysis using dHPLC or direct DNA sequencing of TYR, OCA2, TYRP1, and MATP was performed in 62 patients....... Two mutations in one OCA gene explained oculocutaneous albinism (OCA) in 44% of the patients. Mutations in TYR were found in 26% of patients, while OCA2 and MATP caused OCA in 15% and 3%, respectively. No mutations were found in TYRP1. Of the remaining 56% of patients, 29% were heterozygous...... recessive ocular albinism (AROA) based on clinical findings was 55 to 45. CONCLUSIONS: TYR is the major OCA gene in Denmark, but several patients do not have mutations in the investigated genes. A relatively large fraction of patients were observed with AROA, and of those 52% had no mutations compared...

  19. Investigation of recessive ataxia loci in patients with young age of onset.

    Science.gov (United States)

    Zühlke, C; Bernard, V; Gillessen-Kaesbach, G

    2007-08-01

    Autosomal recessive cerebellar ataxias are a phenotypically and genetically heterogeneous group of diseases. Major forms can be distinguished on the basis of clinical signs, age of onset, biochemical parameters or genotypes. To develop rational diagnostic strategies, phenotypic information, e.g., age of onset combined with population-specific disease frequencies could be highly favourable. We tested this hypothesis for single candidate loci and mutations in North European ataxia patients with juvenile and early adult onset. While we could prove that Friedreich ataxia (FRDA) is frequent in Germany, only few patients with ataxia-oculomotor apraxia type 1 (AOA1) and type 2 (AOA2) were diagnosed. The frequency of the mitochondrial recessive ataxia syndrome (MIRAS) and the infantile onset spinocerebellar ataxia (IOSCA) in this population remains unknown since no case with the common mutation of the corresponding gene was detected.

  20. Novel Autosomal Recessive c10orf2 Mutations Causing Infantile-Onset Spinocerebellar Ataxia.

    Science.gov (United States)

    Hartley, Jessica N; Booth, Frances A; Del Bigio, Marc R; Mhanni, Aizeddin A

    2012-01-01

    Recessive mutations in genes encoding mitochondrial DNA replication machinery lead to mitochondrial DNA depletion syndromes. This genetically and phenotypically heterogeneous group includes infantile onset spinocerebellar ataxia (OMIM# 271245) a neurodegenerative disease caused by mutations in the mtDNA helicase gene, c10orf2, with an increased frequency in the Finnish population due to a founder mutation. We describe a child of English descent who presented with a severe phenotype of IOSCA as a result of two-novel mutations in the c10orf2 gene. This paper expands the phenotypic spectrum of IOSCA and adds further evidence for the presence of a genotype-phenotype correlation among patients with recessive mutations in this gene.

  1. Novel Autosomal Recessive c10orf2 Mutations Causing Infantile-Onset Spinocerebellar Ataxia

    Directory of Open Access Journals (Sweden)

    Jessica N. Hartley

    2012-01-01

    Full Text Available Recessive mutations in genes encoding mitochondrial DNA replication machinery lead to mitochondrial DNA depletion syndromes. This genetically and phenotypically heterogeneous group includes infantile onset spinocerebellar ataxia (OMIM# 271245 a neurodegenerative disease caused by mutations in the mtDNA helicase gene, c10orf2, with an increased frequency in the Finnish population due to a founder mutation. We describe a child of English descent who presented with a severe phenotype of IOSCA as a result of two-novel mutations in the c10orf2 gene. This paper expands the phenotypic spectrum of IOSCA and adds further evidence for the presence of a genotype-phenotype correlation among patients with recessive mutations in this gene.

  2. Mass Incarceration, Parental Imprisonment, and the Great Recession: Intergenerational Sources of Severe Deprivation in America

    Directory of Open Access Journals (Sweden)

    John Hagan

    2015-11-01

    Full Text Available What were the socioeconomic consequences for American youth of having a parent incarcerated during the 2008 Great Recession? We analyze a nationally representative panel study of adolescents who, when interviewed during this recession, were transitioning to and through early adulthood. Young adult children who have had a father or mother imprisoned are at increased risk of experiencing socioeconomic deprivation, including inadequate access to food. We build in this article on recent research showing that postsecondary education has become especially important in determining adult outcomes, and we demonstrate that higher educational attainment reduces intergenerational effects of parental imprisonment. The salient policy implication of this article may be the important protective role of education in reducing unprecedented risks and vulnerabilities imposed by mass parental incarceration.

  3. The Impact of Recession on the Implementation of Corporate Social Responsibility in Companies

    Directory of Open Access Journals (Sweden)

    Placier Klára

    2011-06-01

    Full Text Available During the last few years, companies have had an increasing interest in Corporate Social Responsibility (CSR and its implications in economic performance and competitive environment. However, as a result of the recent economic decline, CSR and the overall attitude of companies towards socially responsible activities have been affected. This article discusses the shift in the perception of CSR during the economic recession as well as the current implementation of CSR in the corporate sector, especially in a period when features such as financial stability, innovation and competitiveness are crucial. The research was based on a cross-case analysis in three companies. The analysis resulted in the identification of the impact of recession on CSR and an outline of the trends for future development.

  4. DETECTION OF RECESSIVE MUTATIONS (CVM, BLAD AND RED FACTOR INHOLSTEIN BULLS IN SLOVENIA

    Directory of Open Access Journals (Sweden)

    Betka LOGAR

    2008-07-01

    Full Text Available Detection of recessive mutations that causes complex vertebral malformation (CVM and bovine leukocyte adhesion defi ciency (BLAD in Holstein cattle is especially required for bulls, which are used for artifi cial insemination (A.I.; these enable elimination of carriers from the A.I. programs and therefore prevent transmission of unwanted mutations to a large number of offspring. Some breeders are also interested in the identifi cation of carriers of recessive allele for red and white coat colour (Red factor. Here, we performed genetic tests for detection of mutations associated with CVM, BLAD and Red factor using methods previously reported or modifi ed methods. Analysis of Holstein bulls, which were recommended for A.I in Slovenia in the years 2007 and 2008, revealed four (10 % carriers of CVM, and two (5.4 % carriers of red gene, while all bulls were non-carriers of BLAD.

  5. Barriers for recess physical activity: a gender specific qualitative focus group exploration

    DEFF Research Database (Denmark)

    Pawlowski, Charlotte Skau; Tjørnhøj-Thomsen, Tine; Schipperijn, Jasper

    more secluded areas added to the school playground, even in large schoolyards where lack of space was not a barrier. This aligned with girls’ requests for more “hanging-out” facilities, whereas boys primarily wanted activity promoting facilities. Conclusion: Based on the results from this study, we...... by a thematic analysis of data from the open discussions and go-along interviews. Results: The most frequently identified barriers for both boys and girls were weather, conflicts, lack of space, lack of facilities and a newly-found barrier, use of electronic devices. While boys and girls identifying the same......Background: Many children, in particular girls, do not reach the recommended amount of daily physical activity. School recess provides an opportunity for both boys and girls to be physically active, but barriers to recess physical activity are not well understood. This study explores gender...

  6. Identification of Mutations in SDR9C7 in 6 Families with Autosomal Recessive Congenital Ichthyosis

    DEFF Research Database (Denmark)

    Hotz, A; Fagerberg, C; Vahlquist, A

    2017-01-01

    Autosomal recessive congenital ichthyosis (ARCI) is a heterogeneous group of disorders of keratinization. To date, ARCI has been associated with following genes: ABCA12, ALOX12B, ALOXE3, CERS3, CYP4F22, NIPAL4, TGM1, PNPLA1 and recently SDR9C7 and SULT2B1.(1-6) Furthermore, seven patients from...... patients who carried five previously unreported mutations in SDR9C7. This article is protected by copyright. All rights reserved....

  7. AIPL1 implicated in the pathogenesis of two cases of autosomal recessive retinal degeneration

    Science.gov (United States)

    Li, David; Jin, Chongfei; Jiao, Xiaodong; Li, Lin; Bushra, Tahmina; Naeem, Muhammad Asif; Butt, Nadeem H.; Husnain, Tayyab; Sieving, Paul A.; Riazuddin, Sheikh; Riazuddin, S. Amer

    2014-01-01

    Purpose To localize and identify the gene and mutations causing autosomal recessive retinal dystrophy in two consanguineous Pakistani families. Methods Consanguineous families from Pakistan were ascertained to be affected with autosomal recessive retinal degeneration. All affected individuals underwent thorough ophthalmologic examinations. Blood samples were collected, and genomic DNA was extracted using a salting out procedure. Genotyping was performed using microsatellite markers spaced at approximately 10 cM intervals. Two-point linkage analysis was performed with the lod score method. Direct DNA sequencing of amplified genomic DNA was performed for mutation screening of candidate genes. Results Genome-wide linkage scans yielded a lod score of 3.05 at θ=0 for D17S1832 and 3.82 at θ=0 for D17S938, localizing the disease gene to a 12.22 cM (6.64 Mb) region flanked by D17S1828 and D17S1852 for family 61032 and family 61227, which contains aryl hydrocarbon receptor interacting protein-like 1 (AIPL1), a gene previously implicated in recessive Leber congenital amaurosis and autosomal dominant cone-rod dystrophy. Sequencing of AIPL1 showed a homozygous c.773G>C (p.Arg258Pro) sequence change in all affected individuals of family 61032 and a homozygous c.465G>T (p.(H93_Q155del)) change in all affected members of family 61227. Conclusions The results strongly suggest that the c.773G>C (p.R258P) and c.465G>T (p.(H93_Q155del)) mutations in AIPL1 cause autosomal recessive retinal degeneration in these consanguineous Pakistani families. PMID:24426771

  8. Molecular and functional analysis of scalloped recessive lethal alleles in Drosophila melanogaster.

    OpenAIRE

    Srivastava, Ajay; Simmonds, Andrew J.; Garg, Ankush; Fossheim, Leif; Campbell, Shelagh D.; Bell, John B.

    2004-01-01

    The Drosophila melanogaster scalloped (sd) gene is a homolog of the human TEF-1 gene and is a member of the TEA/ATTS domain-containing family of transcription factors. In Drosophila, sd is involved in wing development as well as neural development. Herein, data are presented from a molecular analysis of five recessive lethal sd alleles. Only one of these alleles complements a viable allele associated with an sd mutant wing phenotype, suggesting that functions important for wing development ar...

  9. Gingival recessions and the change of inclination of mandibular incisors during orthodontic treatment.

    Science.gov (United States)

    Renkema, Anne Marie; Fudalej, Piotr S; Renkema, Alianne; Bronkhorst, Ewald; Katsaros, Christos

    2013-04-01

    SUMMARY A recent systematic review demonstrated that, overall, orthodontic treatment might result in a small worsening of periodontal status. The aim of this retrospective study was to test the hypothesis that a change of mandibular incisor inclination promotes development of labial gingival recessions. One hundred and seventy-nine subjects who met the following inclusion criteria were selected: age 11-14 years at start of orthodontic treatment (TS), bonded retainer placed immediately after treatment (T₀), dental casts and lateral cephalograms available pre-treatment (TS), post-treatment (T₀), 2 years post-treatment (T₂), and 5 years post-treatment (T₅). Depending on the change of lower incisor inclination during treatment (ΔInc_Incl), the sample was divided into three groups: Retro (N = 34; ΔInc_Incl ≤ -1 degree), Stable (N = 22; ΔInc_Incl > -1 degree and ≤1 degree), and Pro (N = 123; ΔInc_Incl > 1 degree). Clinical crown heights of mandibular incisors and the presence of gingival recessions in this region were assessed on plaster models. Fisher's exact tests, one-way analysis of variance, and regression models were used for analysis of inter-group differences. The mean increase of clinical crown heights (T₀ to T₅) of mandibular incisors ranged from 0.6 to 0.91 mm in the Retro, Stable, and Pro groups, respectively; the difference was not significant (P = 0.534). At T₅, gingival recessions were present in 8.8, 4.5, and 16.3 per cent patients from the Retro, Stable, and Pro groups, respectively. The difference was not significant (P = 0.265). The change of lower incisors inclination during treatment did not affect development of labial gingival recessions in this patient group.

  10. Climate and terrain factors explaining streamflow response and recession in Australian catchments

    Directory of Open Access Journals (Sweden)

    A. I. J. M. van Dijk

    2010-01-01

    Full Text Available Daily streamflow data were analysed to assess which climate and terrain factors best explain streamflow response in 183 Australian catchments. Assessed descriptors of catchment response included the parameters of fitted baseflow models, and baseflow index (BFI, average quick flow and average baseflow derived by baseflow separation. The variation in response between catchments was compared with indicators of catchment climate, morphology, geology, soils and land use. Spatial coherence in the residual unexplained variation was investigated using semi-variogram techniques. A linear reservoir model (one parameter; recession coefficient produced baseflow estimates as good as those obtained using a non-linear reservoir (two parameters and for practical purposes was therefore considered an appropriate balance between simplicity and explanatory performance. About a third (27–34% of the spatial variation in recession coefficients and BFI was explained by catchment climate indicators, with another 53% of variation being spatially correlated over distances of 100–150 km, probably indicative of substrate characteristics not captured by the available soil and geology data. The shortest recession half-times occurred in the driest catchments and were attributed to intermittent occurrence of fast-draining (possibly perched groundwater. Most (70–84% of the variation in average baseflow and quick flow was explained by rainfall and climate characteristics; another 20% of variation was spatially correlated over distances of 300–700 km, possibly reflecting a combination of terrain and climate factors. It is concluded that catchment streamflow response can be predicted quite well on the basis of catchment climate alone. The prediction of baseflow recession response should be improved further if relevant substrate properties were identified and measured.

  11. Mutations in c10orf11, a melanocyte-differentiation gene, cause autosomal-recessive albinism.

    Science.gov (United States)

    Grønskov, Karen; Dooley, Christopher M; Østergaard, Elsebet; Kelsh, Robert N; Hansen, Lars; Levesque, Mitchell P; Vilhelmsen, Kaj; Møllgård, Kjeld; Stemple, Derek L; Rosenberg, Thomas

    2013-03-07

    Autosomal-recessive albinism is a hypopigmentation disorder with a broad phenotypic range. A substantial fraction of individuals with albinism remain genetically unresolved, and it has been hypothesized that more genes are to be identified. By using homozygosity mapping of an inbred Faroese family, we identified a 3.5 Mb homozygous region (10q22.2-q22.3) on chromosome 10. The region contains five protein-coding genes, and sequencing of one of these, C10orf11, revealed a nonsense mutation that segregated with the disease and showed a recessive inheritance pattern. Investigation of additional albinism-affected individuals from the Faroe Islands revealed that five out of eight unrelated affected persons had the nonsense mutation in C10orf11. Screening of a cohort of autosomal-recessive-albinism-affected individuals residing in Denmark showed a homozygous 1 bp duplication in C10orf11 in an individual originating from Lithuania. Immunohistochemistry showed localization of C10orf11 in melanoblasts and melanocytes in human fetal tissue, but no localization was seen in retinal pigment epithelial cells. Knockdown of the zebrafish (Danio rerio) homolog with the use of morpholinos resulted in substantially decreased pigmentation and a reduction of the apparent number of pigmented melanocytes. The morphant phenotype was rescued by wild-type C10orf11, but not by mutant C10orf11. In conclusion, we have identified a melanocyte-differentiation gene, C10orf11, which when mutated causes autosomal-recessive albinism in humans. Copyright © 2013 The American Society of Human Genetics. Published by Elsevier Inc. All rights reserved.

  12. Alcohol taxation, economic recession, and mortality changes in five European countries

    Directory of Open Access Journals (Sweden)

    Andreeva, Tatiana

    2012-07-01

    Full Text Available BACKGROUND: Since 2008 some mortality decline is observed in several European countries including Latvia, Lithuania, and Ukraine. We hypothesized that this decline could be caused by decreased alcohol use facilitated by both economic recession and alcohol taxation. This study aimed to check this hypothesis.METHODS: Besides the abovementioned countries which suffered from the economic recession and have increased alcohol excise taxes, we considered data from the WHO-Euro mortality database for Poland which did not suffer from GDP decline and Ireland which decreased alcohol excise in 2009. Both per capita GDP growth change (from -18% in Latvia to +2% in Poland and alcohol excise change (from -20% in Ireland to +60% in Ukraine compared to 2008 rates were considered as independent variables. The outcome was percentage of real mortality decline compared to 2009 extrapolation of 2000-2008 trends, which were built using linear regression separately for major groups of death causes earlier shown to have changed in 2009. Population groups aged 30-59 were considered as those whose mortality declined most.RESULTS: Ten percent increase in alcohol excise taxes was associated with 9.4% decline in respiratory mortality from expected rate, 5.7% decline in causes of death related to nervous system, 4.9% decline in external causes of death, 4.8% decline in circulatory system deaths, 3.5% decline in infectious diseases as causes of death. Cardiovascular mortality decline was marginally associated with measurements of economic crisis (0.7% decline per 1% GDP fall.DISCUSSION: During the economic recession, the portion of all-causes mortality that has declined is most likely alcohol-related. Death causes that have mostly declined during the recession are more strongly associated with alcohol taxation than with GDP fall. Cardiovascular deaths decline related to the economic crisis could have been related to diet changes including smaller proportion of fatty and

  13. Novel Autosomal Recessive c10orf2 Mutations Causing Infantile-Onset Spinocerebellar Ataxia

    OpenAIRE

    Hartley, Jessica N.; Booth, Frances A.; Del Bigio, Marc R.; Mhanni, Aizeddin A.

    2012-01-01

    Recessive mutations in genes encoding mitochondrial DNA replication machinery lead to mitochondrial DNA depletion syndromes. This genetically and phenotypically heterogeneous group includes infantile onset spinocerebellar ataxia (OMIM# 271245) a neurodegenerative disease caused by mutations in the mtDNA helicase gene, c10orf2, with an increased frequency in the Finnish population due to a founder mutation. We describe a child of English descent who presented with a severe phenotype of IOSCA ...

  14. Underemployment in the early careers of college graduates following the Great Recession

    OpenAIRE

    Jaison R. Abel; Deitz, Richard

    2015-01-01

    Though labor market conditions steadily improved following the Great Recession, underemployment among recent college graduates continued to climb, reaching highs not seen since the early 1990s. In this paper, we take a closer look at the jobs held by underemployed college graduates in the early stages of their careers during this period. We show that relatively few recent graduates were working in low-skilled service jobs, and that many of the underemployed worked in fairly well paid non-coll...

  15. Estimating catchment-scale groundwater dynamics from recession analysis - enhanced constraining of hydrological models

    Science.gov (United States)

    Skaugen, Thomas; Mengistu, Zelalem

    2016-12-01

    In this study, we propose a new formulation of subsurface water storage dynamics for use in rainfall-runoff models. Under the assumption of a strong relationship between storage and runoff, the temporal distribution of catchment-scale storage is considered to have the same shape as the distribution of observed recessions (measured as the difference between the log of runoff values). The mean subsurface storage is estimated as the storage at steady state, where moisture input equals the mean annual runoff. An important contribution of the new formulation is that its parameters are derived directly from observed recession data and the mean annual runoff. The parameters are hence estimated prior to model calibration against runoff. The new storage routine is implemented in the parameter parsimonious distance distribution dynamics (DDD) model and has been tested for 73 catchments in Norway of varying size, mean elevation and landscape type. Runoff simulations for the 73 catchments from two model structures (DDD with calibrated subsurface storage and DDD with the new estimated subsurface storage) were compared. Little loss in precision of runoff simulations was found using the new estimated storage routine. For the 73 catchments, an average of the Nash-Sutcliffe efficiency criterion of 0.73 was obtained using the new estimated storage routine compared with 0.75 using calibrated storage routine. The average Kling-Gupta efficiency criterion was 0.80 and 0.81 for the new and old storage routine, respectively. Runoff recessions are more realistically modelled using the new approach since the root mean square error between the mean of observed and simulated recession characteristics was reduced by almost 50 % using the new storage routine. The parameters of the proposed storage routine are found to be significantly correlated to catchment characteristics, which is potentially useful for predictions in ungauged basins.

  16. Inter- and intra-observer agreement on Miller's classification of gingival tissue recessions.

    Science.gov (United States)

    Bertl, Kristina; Ruckenbauer, Dorothea; Müller-Kern, Michael; Durstberger, Gerlinde; Lettner, Stefan; Bruckmann, Corinna; Ulm, Christian

    2015-09-01

    Miller's is the most commonly used classification of gingival tissue recessions, defined as the displacement of the soft tissue margin apical to the cemento-enamel junction. However, data on the reliability of this classification are missing so far, although reliability, which reflects the consistency of repeated measurements, is regarded as a prerequisite for judging the utility of a classification. The aim of the present study was to evaluate inter- and intra-observer agreement on Miller's classification of gingival tissue recessions. Two hundred photographs (50 of each region: maxillary/mandibular anterior/posterior teeth) of gingival tissue recessions were evaluated twice by four observers with different degrees of experience in Miller's classification, gingival phenotype, tooth shape, and identifiability of the cemento-enamel junction. The following inter- and intra-observer agreements were found: Miller's classification, 0.72 and 0.73-0.95; gingival phenotype, 0.29 and 0.45-0.58; tooth shape, 0.39 and 0.44-0.59; and identifiability of the cemento-enamel junction, 0.21 and 0.30-0.59. A higher agreement was detected for anterior teeth. Further, gingival phenotype (thin-high scalloping) significantly correlated with tooth shape (long-narrow) (ρ = 0.662, p < 0.001). Miller's classification of gingival tissue recessions was evaluated by four examiners using 200 clinical photographs and yielded substantial to almost perfect agreement, with higher agreement for anterior teeth. Although limited to photographic assessment, the present study offers the so far missing proof on the sufficient inter- and intra-observer agreement of this classification.

  17. High-involvement management, economic recession, well-being and organizational performance

    OpenAIRE

    Wood, Stephen; Ogbonnaya, Chidiebere

    2016-01-01

    High-involvement management was introduced as a means of overcoming economic crises; but it has been argued that the inevitability of cost-cutting measures when organizations face such crises would undermine its efficacy. This paper first presents theories of why tensions may exist between high-involvement management and actions typically taken by management during recessions, such as wage and employment freezes. It then reports research aimed at testing whether the performance effects of hig...

  18. Sclerostin Antibody Treatment Improves the Bone Phenotype of Crtap(-/-) Mice, a Model of Recessive Osteogenesis Imperfecta.

    Science.gov (United States)

    Grafe, Ingo; Alexander, Stefanie; Yang, Tao; Lietman, Caressa; Homan, Erica P; Munivez, Elda; Chen, Yuqing; Jiang, Ming Ming; Bertin, Terry; Dawson, Brian; Asuncion, Franklin; Ke, Hua Zhu; Ominsky, Michael S; Lee, Brendan

    2016-05-01

    Osteogenesis imperfecta (OI) is characterized by low bone mass, poor bone quality, and fractures. Standard treatment for OI patients is limited to bisphosphonates, which only incompletely correct the bone phenotype, and seem to be less effective in adults. Sclerostin-neutralizing antibodies (Scl-Ab) have been shown to be beneficial in animal models of osteoporosis, and dominant OI resulting from mutations in the genes encoding type I collagen. However, Scl-Ab treatment has not been studied in models of recessive OI. Cartilage-associated protein (CRTAP) is involved in posttranslational type I collagen modification, and its loss of function results in recessive OI. In this study, we treated 1-week-old and 6-week-old Crtap(-/-) mice with Scl-Ab for 6 weeks (25 mg/kg, s.c., twice per week), to determine the effects on the bone phenotype in models of "pediatric" and "young adult" recessive OI. Vehicle-treated Crtap(-/-) and wild-type (WT) mice served as controls. Compared with control Crtap(-/-) mice, micro-computed tomography (μCT) analyses showed significant increases in bone volume and improved trabecular microarchitecture in Scl-Ab-treated Crtap(-/-) mice in both age cohorts, in both vertebrae and femurs. Additionally, Scl-Ab improved femoral cortical parameters in both age cohorts. Biomechanical testing showed that Scl-Ab improved parameters of whole-bone strength in Crtap(-/-) mice, with more robust effects in the week 6 to 12 cohort, but did not affect the increased bone brittleness. Additionally, Scl-Ab normalized the increased osteoclast numbers, stimulated bone formation rate (week 6 to 12 cohort only), but did not affect osteocyte density. Overall, our findings suggest that Scl-Ab treatment may be beneficial in the treatment of recessive OI caused by defects in collagen posttranslational modification. © 2015 American Society for Bone and Mineral Research. © 2015 American Society for Bone and Mineral Research.

  19. Instant Recess®: a practical tool for increasing physical activity during the school day.

    Science.gov (United States)

    Whitt-Glover, Melicia C; Ham, Sandra A; Yancey, Antronette K

    2011-01-01

    An increased prevalence of overweight/obesity among children has led to school district level policies to increase physical activity (PA) among elementary school students. Interventions are needed that increase activity levels without sacrificing time spent in academics. We evaluated a policy implementation intervention for to increase in-school PA in elementary schools in Forsyth County, North Carolina, in a randomized study with a delayed intervention control group. The study included third- through fifth-grade classrooms in eight elementary schools. Instant Recess® was used to introduce 10-minute PA breaks in classrooms on schedules determined by teachers. Direct observation was used to measure activity levels, other student behaviors, and teacher behaviors related to PA in the classrooms. Twenty-eight visits to schools were made during the spring and fall semesters of 2009. At baseline 11% to 44% of intervention and control schools were engaged in classroom-based PA. PA increased from baseline to spring follow-up in intervention schools and was maintained the following fall. Control schools decreased PA from baseline to spring and increased PA once they began the intervention. Students in classrooms engaged in Instant Recess exhibited statistically significant increases in light (51%) and moderate-intensity (16%) PA and increases in time spent in on-task behavior (11%). Control schools experienced similar benefits after they began implementing Instant Recess. Instant Recess is useful for increasing PA and improving behavior among elementary school children. Additional research may be needed to understand how to create policies supporting classroom activity breaks and how to assess policy adherence.

  20. Failure of irradiated onion to induce sex-linked recessive lethal mutations in Drosophila melanogaster

    Energy Technology Data Exchange (ETDEWEB)

    Mittler, S. (Northern Illinois Univ., De Kalb (USA). Dept. of Biological Sciences); Eiss, M.I. (McCormick and Co., Inc., Hunt Valley, MD (USA). Research and Development Labs.)

    1982-01-01

    The feeding of Drosophila for all of their entire larval life plus 2 days as an adult on onion powder that had been irradiated with 15, 950 or 1500 krad did not significantly increase sex-linked recessive lethal mutations. The Drosophila were fed on a mixture that contained 24.5% of onion powder by dry weight. The onion powder had been exposed to a cobalt-60 source of 1.2 million Curies.

  1. Root surface modifiers and subepithelial connective tissue graft for treatment of gingival recessions: a systematic review.

    Science.gov (United States)

    Karam, P S B H; Sant'Ana, A C P; de Rezende, M L R; Greghi, S L A; Damante, C A; Zangrando, M S R

    2016-04-01

    Many techniques and flap designs have been used to treat gingival recession by root coverage, but subepithelial connective tissue graft (SCTG) seems to be the gold standard procedure. In an attempt to improve the healing process and increase the success rate of root coverage, some authors have used root modifiers, including different root conditioners, lasers, EMD, recombinant human growth factors and platelet-rich plasma (PRP). The aim of this systematic review was to evaluate the effects of root biomodification in clinical outcomes of gingival recessions treated with SCTG. Studies reporting SCTG associated with any form of root surface biomodification for root coverage of gingival recessions (Miller Class I and Class II) were considered as eligible for inclusion. Studies needed to have data of clinical outcomes in a follow up of at least 6 months. Screening of the articles, data extraction and quality assessment were conducted independently and in duplicate. None of the products evaluated (citric acid, EDTA, PRP, lasers and EMD) showed evident benefits in clinical outcomes. Test and control groups presented similar outcomes related to root coverage and periodontal parameters, with no statistical differences between them. The exception was root biomodification with the neodymium-doped yttrium aluminium garnet (Nd:YAG) laser, which impaired root coverage and had a detrimental effect on clinical outcomes. Based on the present clinical data, the use of root surface modifiers to improve clinical outcomes in gingival recessions treated with SCTG is not justified. More in vivo studies, and randomized clinical trials with larger sample sizes and extended follow up, are necessary. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  2. Coronally advanced flap combined with connective tissue graft; treatment of choice for root coverage following recession?

    Science.gov (United States)

    Madeley, Ed; Duane, Brett

    2017-03-01

    Data sourcesMedline, The Cochrane Database Trials Register, Embase, supplemented by handsearching of five prominent periodontal journals, references from reviewed papers and contact with experts in the field of mucogingival surgery.Study selectionRandomised controlled trials (RCTs) with or without a split-mouth design, on human patients. RCTs had to compare at least two different surgical interventions on clearly specified recession defects, be over six months in duration and have clearly specified clinical measurements regarding root coverage.Data extraction and synthesisThe initial search for studies was carried out by one operator. The studies were quality assessed by two independent review authors using the Cochrane risk of bias tool. Odds Ratios were combined for dichotomous data and mean differences in continuous data using a random-effect model. The strength of the evidence of included studies was assessed according to the GRADE recommendations for bias and heterogeneity.ResultsFifty-one RCTs were reviewed encompassing 1574 patients and 1744 recession defects. Eighty meta-analyses were conducted. Results showed that surgical intervention using a coronally advanced flap (CAF) in conjunction with a connective tissue graft (CTG) was more effective at obtaining complete root coverage (CRC), reduced recession (RecRed) and keratinised tissue (KT) gain compared to CAF alone. The use of barrier membranes with CAF showed no significant improvement to CAF alone with regard to CRC and RecRed. The use of enamel matrix derivatives (EMD) in conjunction with CAF had significant improvement in CRC, RecRed and KT gain compared to CAF alone. Using multiple techniques or biomaterials yielded similar or fewer benefits than simpler proceduresConclusionsTreatment of recession defects is best achieved with a coronally advanced flap combined with a connective tissue graft.

  3. Barriers for recess physical activity: a gender specific qualitative focus group exploration.

    Science.gov (United States)

    Pawlowski, Charlotte Skau; Tjørnhøj-Thomsen, Tine; Schipperijn, Jasper; Troelsen, Jens

    2014-06-23

    Many children, in particular girls, do not reach the recommended amount of daily physical activity. School recess provides an opportunity for both boys and girls to be physically active, but barriers to recess physical activity are not well understood. This study explores gender differences in children's perceptions of barriers to recess physical activity. Based on the socio-ecological model four types of environmental barriers were distinguished: natural, social, physical and organizational environment. Data were collected through 17 focus groups (at 17 different schools) with in total 111 children (53 boys) from fourth grade, with a mean age of 10.4 years. The focus groups included an open group discussion, go-along group interviews, and a gender segregated post-it note activity. A content analysis of the post-it notes was used to rank the children's perceived barriers. This was verified by a thematic analysis of transcripts from the open discussions and go-along interviews. The most frequently identified barriers for both boys and girls were weather, conflicts, lack of space, lack of play facilities and a newly-found barrier, use of electronic devices. While boys and girls identified the same barriers, there were both inter- and intra-gender differences in the perception of these barriers. Weather was a barrier for all children, apart from the most active boys. Conflicts were perceived as a barrier particularly by those boys who played ballgames. Girls said they would like to have more secluded areas added to the school playground, even in large schoolyards where lack of space was not a barrier. This aligned with girls' requests for more "hanging-out" facilities, whereas boys primarily wanted activity promoting facilities. Based on the results from this study, we recommend promoting recess physical activity through a combination of actions, addressing barriers within the natural, social, physical and organizational environment.

  4. Ichthyin (NIPAL4-autosomal recessive congenital ichthyosis with atopic diathesis: Case report and literature review

    Directory of Open Access Journals (Sweden)

    Yousef Binamer

    2016-01-01

    Full Text Available Autosomal recessive congenital ichthyosis (ARCI, is a rare form of ichthyosis with multiple mutations identified. Ichthyin (NIPAL4 gene mutation is identified in about 18% of cases. In addition to the usual ichthyosis phenotype we are presenting a new association between ARCI and atopic diathesis with multiple allergies. To the best of our knowledge this is the second case to report such an association between ARCI and atopic diathesis.

  5. Understanding the reasons why tourists visit the Kruger National Park during a recession

    Directory of Open Access Journals (Sweden)

    Marco Scholtz

    2013-02-01

    Full Text Available The 2008 and 2009 recession increased pressure on travellers to cut costs on luxury items, such as going on holiday, and this has led to a global tourism decline of 8%. This, however, was not the case in the Kruger National Park (KNP in South Africa where a sustained 1.6% accommodation unit occupancy growth was experienced. In order to sustain this growth, it is of the utmost importance to determine why people still visited the Park during this period. Thus the aim of the study was to determine why people still visited the KNP amidst the 2008 and 2009 economic recession. A total of 355 completed questionnaires were obtained at the Park during 15 December 2009 – 20 December 2009 (high season after which various analyses (including factor analysis were conducted. Six motives were identified and ‘escape’, ‘wildlife experience’ and ‘family benefits’ were rated most important. Push factors were more dominant to the extent that visitors regard taking a holiday to the Park as a necessity. It furthermore seems that visitors adapt their spending behaviour at the Park to still be able to afford the visit. This was the first time that research was conducted at a national park during a recession period and this information is important for South African National Parks, seeing as it provides a better understanding of visitors’ behaviour as well as feeling towards the Park (especially during recession, and leads to improved niche marketing and a competitive advantage. This research also provides a better understanding of visitors’ behaviour during economic downturns.

  6. HRM and Performance: The vulnerability of soft HRM practices during recession and retrenchment

    OpenAIRE

    Cook, H.; MacKenzie, R; Forde, C

    2016-01-01

    This multi-method case explores how change in HRM implementation can impact performance metrics in a recessionary climate. Qualitative HR outcome data are mapped against financial metrics to explore adoption of hard-line HRM practices in a major UK retailer. Despite record profits throughout the recession, the organisation responded strategically to worsening conditions in the labour market, firstly to maintain operational flexibility, but then to opportunistically enlarge jobs and intensify ...

  7. Lifecycle effects of a recession on health behaviors: Boom, bust, and recovery in Iceland.

    Science.gov (United States)

    Ásgeirsdóttir, Tinna Laufey; Corman, Hope; Noonan, Kelly; Reichman, Nancy E

    2016-03-01

    This study uses individual-level longitudinal data from Iceland, a country that experienced a severe economic crisis in 2008 and substantial recovery by 2012, to investigate the extent to which the effects of a recession on health behaviors are lingering or short-lived and to explore trajectories in health behaviors from pre-crisis boom, to crisis, to recovery. Health-compromising behaviors (smoking, heavy drinking, sugared soft drinks, sweets, fast food, and tanning) declined during the crisis, and all but sweets continued to decline during the recovery. Health-promoting behaviors (consumption of fruit, fish oil, and vitamins/minerals and getting recommended sleep) followed more idiosyncratic paths. Overall, most behaviors reverted back to their pre-crisis levels or trends during the recovery, and these short-term deviations in trajectories were probably too short-lived in this recession to have major impacts on health or mortality. A notable exception is for binge drinking, which declined by 10% during the 2 crisis years, continued to fall (at a slower rate of 8%) during the 3 recovery years, and did not revert back to the upward pre-crisis trend during our observation period. These lingering effects, which directionally run counter to the pre-crisis upward trend in consumption and do not reflect price increases during the recovery period, suggest that alcohol is a potential pathway by which recessions improve health and/or reduce mortality. Copyright © 2015 Elsevier B.V. All rights reserved.

  8. THE GREAT RECESSION AND RECENT EMPLOYMENT TRENDS AMONG SECONDARY STUDENTS IN THE UNITED STATES*

    Science.gov (United States)

    Staff, Jeremy; Johnson, Monica Kirkpatrick; Patrick, Megan E.; Schulenberg, John E.

    2014-01-01

    The Great Recession had substantial effects on the labor market in the United States, as elsewhere. To what extent did secondary students’ employment decline during this time? Which students are leaving the labor market? Are reductions in employment concentrated in particular jobs? To answer these questions, we use data from the Monitoring the Future study, an ongoing study of secondary students in the United States. More specifically, we examine recent trends in teenage employment using 6 cohorts each of 8th, 10th, and 12th graders (from 2006 to 2011, spanning before, during and after the Great Recession). Results show a gradual decline in school year employment since 2006, including the years after the official end of the recession. Employment during the school year is especially low among 8th and 10th graders, Hispanic and non-Hispanic Black youth, and students from disadvantaged backgrounds (based upon parental education), though the recent drop in work has varied little by population subgroups. The decline in employment is, however, concentrated among the oldest students, and working intensely (over 20 hours per week) has dropped more than working moderate hours. Students are more likely to babysit and do lawn work and less likely to hold jobs in office, clerical, and sales positions than in years past. These patterns and recent shifts in job type suggest some degree of job replacement by older workers. PMID:25642296

  9. Improved Structure and Function in Autosomal Recessive Polycystic Rat Kidneys with Renal Tubular Cell Therapy.

    Science.gov (United States)

    Kelly, K J; Zhang, Jizhong; Han, Ling; Kamocka, Malgorzata; Miller, Caroline; Gattone, Vincent H; Dominguez, Jesus H

    2015-01-01

    Autosomal recessive polycystic kidney disease is a truly catastrophic monogenetic disease, causing death and end stage renal disease in neonates and children. Using PCK female rats, an orthologous model of autosomal recessive polycystic kidney disease harboring mutant Pkhd1, we tested the hypothesis that intravenous renal cell transplantation with normal Sprague Dawley male kidney cells would improve the polycystic kidney disease phenotype. Cytotherapy with renal cells expressing wild type Pkhd1 and tubulogenic serum amyloid A1 had powerful and sustained beneficial effects on renal function and structure in the polycystic kidney disease model. Donor cell engraftment and both mutant and wild type Pkhd1 were found in treated but not control PCK kidneys 15 weeks after the final cell infusion. To examine the mechanisms of global protection with a small number of transplanted cells, we tested the hypothesis that exosomes derived from normal Sprague Dawley cells can limit the cystic phenotype of PCK recipient cells. We found that renal exosomes originating from normal Sprague Dawley cells carried and transferred wild type Pkhd1 mRNA to PCK cells in vivo and in vitro and restricted cyst formation by cultured PCK cells. The results indicate that transplantation with renal cells containing wild type Pkhd1 improves renal structure and function in autosomal recessive polycystic kidney disease and may provide an intra-renal supply of normal Pkhd1 mRNA.

  10. Combined orthodontic - mucogingival treatment of a deep post-orthodontic gingival recession.

    Science.gov (United States)

    Zucchelli, Giovanni; Parenti, Serena Incerti; Ghigi, Gino; Bonetti, Giulio Alessandri

    2012-01-01

    In this article, the interdisciplinary management of an isolated-type recession defect in a severely compromised mandibular incisor of a young post-orthodontic patient is described. The prognosis of root coverage surgery was very questionable and unpredictable due to the severe root malposition (III Miller class gingival recession). The treatment plan consisted of: (1) interproximal enamel reduction to gain space within the dental arch, (2) orthodontic repositioning of the root of the affected tooth within the alveolar bone and (3) root coverage mucogingival surgery. Clinical re-evaluation 7 months after fixed orthodontic treatment revealed major improvements in the root coverage prognosis due to the resolution of root malposition and de novo formation of keratinized tissue apical to the root exposure (I Miller class gingival recession). A subepithelial connective tissue graft was performed as a root coverage surgical procedure. Clinical examination 1 year after surgery revealed complete root coverage, good color blending with adjacent soft tissue and an increase in facial gingival thickness. Successful periodontal and esthetic outcomes can be accomplished after the combined orthodontic-periodontal treatment of a severely mucogingivally compromised tooth.

  11. Interleukin-1 gene cluster polymorphisms and gingival recessions after orthodontic treatment.

    Science.gov (United States)

    Bergandi, Loredana; Rubiano, Rachele; Brunazzo, Matteo; Aldieri, Elisabetta; Alfieri, Elisabetta; Dalmasso, Paola; Dal Masso, Paola; Cardaropoli, Giuseppe; Bracco, Pietro; Debernardi, Cesare; Ghigo, Dario

    2008-01-01

    Genetic polymorphisms in the interleukin-1 gene cluster have been associated with the severity of periodontal diseases featured by a variable degree of destruction of connective tissue and bone, such as periodontitis and periimplantitis. This study was aimed to investigate if a link exists between such interleukin-1 gene polymorphisms and the development of gingival recessions during orthodontic treatment in Italian children. We evaluated, in 74 young Italian patients of both sexes, the -889 C/T polymorphism of the interleukin-1alpha gene and the -511 C/T and +3954 C/T polymorphisms of interleukin-1alpha gene by polymerase chain reactions-restriction fragment length polymorphism method using NcoI, AvaI and TaqI as restriction enzymes. No association of interleukin-1 genotypes investigated and gingival recession occurring during orthodontic treatment were identified. In the population studied specific interleukin-1 genotypes (linked to a higher susceptibility to bone resorption in periodontal disease) there does not appear to be any association with the development of gingival recessions during orthodontic treatment.

  12. Improved Structure and Function in Autosomal Recessive Polycystic Rat Kidneys with Renal Tubular Cell Therapy.

    Directory of Open Access Journals (Sweden)

    K J Kelly

    Full Text Available Autosomal recessive polycystic kidney disease is a truly catastrophic monogenetic disease, causing death and end stage renal disease in neonates and children. Using PCK female rats, an orthologous model of autosomal recessive polycystic kidney disease harboring mutant Pkhd1, we tested the hypothesis that intravenous renal cell transplantation with normal Sprague Dawley male kidney cells would improve the polycystic kidney disease phenotype. Cytotherapy with renal cells expressing wild type Pkhd1 and tubulogenic serum amyloid A1 had powerful and sustained beneficial effects on renal function and structure in the polycystic kidney disease model. Donor cell engraftment and both mutant and wild type Pkhd1 were found in treated but not control PCK kidneys 15 weeks after the final cell infusion. To examine the mechanisms of global protection with a small number of transplanted cells, we tested the hypothesis that exosomes derived from normal Sprague Dawley cells can limit the cystic phenotype of PCK recipient cells. We found that renal exosomes originating from normal Sprague Dawley cells carried and transferred wild type Pkhd1 mRNA to PCK cells in vivo and in vitro and restricted cyst formation by cultured PCK cells. The results indicate that transplantation with renal cells containing wild type Pkhd1 improves renal structure and function in autosomal recessive polycystic kidney disease and may provide an intra-renal supply of normal Pkhd1 mRNA.

  13. Evaluation of macular thickness change after inferior oblique muscle recession surgery

    Directory of Open Access Journals (Sweden)

    Ece Turan-Vural

    2014-01-01

    Full Text Available Purpose: This study aimed to evaluate the changes in macular thickness following inferior oblique muscle recession surgery. Materials and Methods: Thirty-eight eyes from 21 patients undergoing ocular muscle surgery were included. Patients were grouped into three groups based on the type of surgical intervention: Group I (n = 12, inferior oblique recession surgery alone; Group II (n = 12, inferior oblique plus horizontal muscle surgery; Group III (n = 14, horizontal muscle surgery alone. Each eye was scanned using the optical coherence tomography (OCT device preoperatively and on the first postoperative day to measure macular thickness. Results: Following surgery, a significant increase in foveal thickness occurred in Group I (P < 0.05 and Group II (P < 0.01. In addition, a statistically significant difference was observed between the groups with regard to the increase in foveal thickness (P = 0.016, with significantly lower changes in Group III. Conclusion: Our findings suggested that inferior oblique muscle recession surgery is associated with an increase in macular thickness.

  14. Facility provision in elementary schools: correlates with physical education, recess, and obesity.

    Science.gov (United States)

    Fernandes, Meenakshi; Sturm, Roland

    2010-01-01

    The objectives were to: (1) document correlations among facility provision (availability and adequacy) in elementary schools, child sociodemographic factors, and school characteristics nationwide; and (2) investigate whether facility provision is associated with physical education (PE) time, recess time, and obesity trajectory. The analytic sample included 8935 fifth graders from the Early Childhood Longitudinal Survey Kindergarten Cohort. School teachers and administrators were surveyed about facility provision, PE, and recess time in April 2004. Multivariate linear and logistic regressions that accounted for the nesting of children within schools were used. Children from disadvantaged backgrounds were more likely to attend a school with worse gymnasium and playground provision. Gymnasium availability was associated with an additional 8.3 min overall and at least an additional 25 min of PE per week for schools in humid climate zones. These figures represent 10.8 and 32.5%, respectively, of the average time spent in PE. No significant findings were obtained for gymnasium and playground adequacy in relation to PE and recess time, and facility provision in relation to obesity trajectory. Poor facility provision is a potential barrier for school physical activity programs and facility provision is lower in schools that most need them: urban, high minority, and high enrollment schools.

  15. Genetic Causes of Putative Autosomal Recessive Intellectual Disability Cases in Hamedan Province

    Directory of Open Access Journals (Sweden)

    Milad Bastami

    2012-04-01

    Full Text Available Objective: The aim of this study was to investigate the genetic causes of autosomal recessive intellectual disabilities (AR-ID in Hamadan province of Iran. Materials & Methods: In this descriptive-analytical cross-sectional study, 25 families with more than one affected with putative autosomal recessive intellectual disability were chosen with collaboration of Welfare Organization of Hamadan province. Families were included a total of 60 patients (39 male and 21 female whose intellectual disability had been confirmed by Raven IQ test. Each family was asked for clinical examination and getting consent form. Blood sample was collected from each family. One proband from each family was tested for CGG repeat expansion in FMR1 gene, chromosomal abnormalities and inborn errors of metabolism. We also performed homozygosity mapping based on STR markers for seven known MCPH loci in families with primary microcephaly and AR-ID. Results: Five families had full mutation of Fragile X syndrome. No chromosomal abnormalities were identified. Metabolic screening revealed one family with Medium Chain Acyl CoA Dehydrogenase deficiency. None of three families with primary microcephaly and AR-ID showed linkage to any of known seven MCPH loci. Conclusion: The main causes of ID in Hamadan province were Fragile X syndrome and Autosomal Recessive Primary Microcephaly with the frequencies of 20% and 12%, respectively.

  16. Focused groundwater controlled feedbacks into the hyporheic zone during baseflow recession.

    Science.gov (United States)

    Malzone, Jonathan M; Lowry, Christopher S

    2015-01-01

    Groundwater surface water interaction in the hyporheic zone remains an important challenge for water resources management and ecosystem restoration. In heterogeneous stratified glacial sediments, reach-scale environments contain an uneven distribution of focused groundwater flow occurring simultaneously with diffusely discharging groundwater. This results in a variation of stream-aquifer interactions, where focused flow systems are able to temporally dominate exchange processes. The research presented here investigates the direct and indirect influences focused groundwater discharge exerts on the hyporheic zone during baseflow recession. Field results demonstrate that as diffuse sources of groundwater deplete during baseflow recession, focused groundwater discharge remains constant. During baseflow recession the hyporheic zone is unable to expand, while the high nitrate concentration from focused discharge changes the chemistry of the stream. The final result is a higher concentration of nitrate in the hyporheic zone as this altered surface water infiltrates into the subsurface. This indirect coupling of focused groundwater discharge and the hyporheic zone is unaccounted for in hyporheic studies at this time. Results indicate important implications for the potential reduction of agricultural degradation of water quality. © 2014, National Ground Water Association.

  17. Recess Activity and General Health Status among Iranian Elementary Schools' Pupils.

    Science.gov (United States)

    Shaghaghi, Abdolreza; Piri, Massumeh; Allahverdipour, Hamid; Asghari-Jafarabadi, Mohammad

    2013-01-01

    Regular and daily physical activity during childhood and at school is one of the important part of requirements of normal growth, development and well-being. To achieve physical activity promotion among school child aged population recess as outside of class time efforts is scheduled and allows students to engage in physical and social activities. The purpose of the present study was to assess recess activities as well as status of physical activities among a sample of Iranian students at the primary schools. This cross-sectional study was performed in four randomly selected schools from a list of 26 elementary schools in March, 2012 in the city of Shahindej, located in North-west of Iran. Participants were 439 (10-12 years) elementary schools'. Physical activity level by self-reporting, mental health using the parent-completed Child Health Questionnaire, and happiness was assessed using a Persian translated version of the Subjective Happiness Scale. Hierarchical logistic regression analysis was applied in two steps using the enter method to analyze data in the SPSS version 17. Backward logistic regression analysis showed that gender of the parent who answered the study questions, father's education, educational grade of children, BMI, physical function, physical health, health status of the children and family function were significantly related to the children's physical activity level. Promoting parents' awareness and schools' staff about importance of physical activities especially in recess times must be an important part of school and community mental health promotion programs.

  18. Uncovering human social networks in coping with Lake Chilwa recessions in Malawi.

    Science.gov (United States)

    Nagoli, Joseph; Chiwona-Karltun, Linley

    2017-05-01

    This paper provides an in-depth understanding of social dynamics in the form of kinship ties in matrilineal societies. It unpacks gender roles and relationships at the community level to understand how social structures, created by the pattern of relations, enhance or hinder coping initiatives during lake recessions in the Lake Chilwa socio-ecological system. Using qualitative and quantitative methods including in-depth interviews, Focus Group Discussions (FGD) and household questionnaires, this paper provides insights into how people in the Lake Chilwa social-ecological system prepare for and cope with Lake Chilwa water recessions by capitalising on their social networks. The findings have shown that during lake recessions poor households in the Lake Chilwa socio-ecological system are cushioned by fellow households through lineage networks. There is strong tradition secured through kinship ties where the generic term 'mwambo wathu' (our tradition) embraces a group of formative norms enforced via a series of rules and rituals. Based in a matrilineal system, women have strong rights over land allocation and use in which the female sorority group 'mbumba' is very stable. There is a great deal of reciprocity and food redistribution among the households. This self-organization provides deeper meaning about how people assimilate the dynamics affecting their social and natural environments. Specifically the findings provide evidence on how households, communities and their livelihoods in Africa are reconstructed as natural resources fluctuate. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Root coverage with Emdogain/AlloDerm: a new way to treat gingival recessions.

    Science.gov (United States)

    Saadoun, André P

    2008-01-01

    The recession of the gingival margin is becoming a more prominent condition in the oral situation of many patients and should be treated at its earliest detection. The multifactorial etiology, decision modality, and current trends in the treatment of gingival recession are discussed in this article. The surgical technique of choice depends on several factors, but among the different surgical protocols available, the clinician should select one that will minimize surgical trauma and achieve predictable esthetic results. All of the approaches described in this article can effectively treat deep and shallow Class I or II buccal recessions. Recently, as an alternative to autogenous gingival grafts in root coverage procedures, enamel matrix derivative (Emdogain) and acellular dermal matrix allograft (AlloDerm) were utilized to correct these gingival defects, negating the morbidity and the requirement for a second palatal surgical procedure. Emdogain or AlloDerm materials used alone or in combination are a predictable treatment for root coverage, are relatively easy to perform (although they are technique sensitive), present low patient morbidity, offer a significant increase in the percentage of root coverage and amount of keratinized tissue, and should be part of the periodontal plastic surgery armamentarium.

  20. Gastrocnemius Recession Leads to Increased Ankle Motion and Improved Patient Satisfaction After 2 Years of Follow-Up

    DEFF Research Database (Denmark)

    Holtmann, Julia Alessandra; Südkamp, Norbert P; Schmal, Hagen

    2017-01-01

    The isolated gastrocnemius contracture present in neurologic healthy patients results in a significant limitation of ankle dorsiflexion causing pathologic gait patterns and a greater risk of further foot disorders. Gastrocnemius recession is an established procedure to increase ankle dorsiflexion....... However, little evidence is available of the use of gastrocnemius recession in these patients. Complication rates, recurrence of gastrocnemius contracture, and the prevalence of additional foot disorders needs further evaluation. A study group of 64 operated limbs undergoing gastrocnemius recession...... had improved significantly from 65.4 ± 26.5 points to 33.4 ± 19.5 points (p contracture seem to have a high prevalence of symptomatic foot disorders. At a mid-term follow-up examination, gastrocnemius recession (Strayer) was shown to be an effective...

  1. Changes in Catchment-Scale Recession Flow Properties in Response to Permafrost Thawing in the Yukon River Basin

    National Research Council Canada - National Science Library

    Lyon, Steve W; Destouni, Georgia

    2010-01-01

    ...), covering large portions of Alaska, USA and parts of Canada. The changes in the recession flow properties detected in the YRB agree well with observations of permafrost thawing across central Alaska...

  2. Hirschsprung disease associated with polydactyly, unilateral renal agenesis, hypertelorism, and congenital deafness: a new autosomal recessive syndrome.

    Science.gov (United States)

    Santos, H; Mateus, J; Leal, M J

    1988-01-01

    An association of Hirschsprung disease with polydactyly, unilateral renal agenesis, hypertelorism, and congenital deafness is described in sibs (brother and sister) of consanguineous parents. It is suggested that this might represent a new autosomal recessive syndrome. Images PMID:3351909

  3. Children's physical activity behavior during school recess: A case study using GPS, accelerometer, participant observation, and go-along interview

    DEFF Research Database (Denmark)

    Pawlowski, Charlotte Skau; Andersen, Henriette Bondo; Troelsen, Jens

    Schoolyards are recognized as important settings for physical activity interventions during recess. However, varying results have been reported. This pilot study was conducted to gain in-depth knowledge of children’s physical activity behavior during recess using a mixed-methods approach combining...... participated in go-along group interviews, and recess behavior was observed using an ethnographical participant observation approach. All data were analyzed separated sys- tematically answering the Five W Questions. Children were categorized into Low, Middle and High physical activity groups and these groups...... who preferred the schoolyard over the field to avoid the competitive soccer games on the field whereas boys dominated the field playing soccer. Using a mixed-methods approach to investigate chil- dren’s physical activity behavior during recess helped gain in-depth knowledge that can aid development...

  4. Meals of differing caloric content do not alter physical activity behavior during a subsequent simulated recess period in children

    National Research Council Canada - National Science Library

    Smith, Kelly J; Pohle-Krauza, Rachael; Uhas, Samantha; Barkley, Jacob E

    2016-01-01

    .... This is of importance as a typical school lunch is HC. If this type of meal negatively impacts subsequent physical activity behavior, the ability of post-lunch recess periods as a means to increase energy expenditure...

  5. The use of platelet-rich fibrin membrane in gingival recession treatment

    Directory of Open Access Journals (Sweden)

    Aleksić Zoran

    2010-01-01

    Full Text Available Introduction. Fibrin, fibronectin, platelet derived growth factor, and transforming growth factors from platelet concetrate are crucial for tissue reparation and regeneration. Objective. This study was designed to evaluate clinical effectiveness of activated platelet-rich fibrin (PRF membrane in treatment of gingival recession. Methods. 19 gingival recessions Miller class I or II were treated with a coronally advanced flap and the PRF membrane (PRF group. Following the elevation of the flap, bone and root surfaces were covered with the PRF membrane. After suturing, the PRF membrane was covered with a coronally advanced flap. In the same patients, 19 other gingival recessions were treated with CTG in combination with the coronally advanced flap (the CTG group. Clinical recordings were made of vertical recession depth (VRD, probing depth (PD, clinical attachment level (CAL and keratinized tissue width (KTW before and 12 months after mucogingival surgical treatment. Clinical evaluation of healing events was estimated with recordings of the healing index (HI. Recordings of HI were performed in the 1st, 2nd and 3rd week post-surgically. Results. Mean root coverage was significant in both groups (the PRF group 79.94% and the CTG group 88.56% %; p<0.01. The difference between the two tested groups was not statistically significant. Results of the keratinized tissue width showed significant increase (p<0.05 12 months after the surgery in both, the PRF and CTG groups. Results of KTW showed statistical significance of recorded differences obtained in the two evaluated groups (p<0.05. There was no statistical significance in reduction of PD and CAL recorded in the PRF and CTG groups. The values of HI recorded in the 1st and 2nd week postoperatively were significantly enhanced in the PRF group (p<0.05. Conclusion. Results of this study confirm both procedures as effective with equivalence of clinical results in solving gingival recession problems. The

  6. Gingival recessions of lower incisors after proclination by orthodontics alone or in combination with anterior mandibular alveolar process distraction osteogenesis.

    Science.gov (United States)

    Antonarakis, Gregory S; Joss, Christof Urs; Triaca, Albino; Kuijpers-Jagtman, Anne Marie; Kiliaridis, Stavros

    2017-11-01

    The aim of this study was to longitudinally compare periodontal conditions in consecutive patients who had orthodontic treatment with proclination of lower incisors either by orthodontics alone or in combination with anterior mandibular alveolar process distraction osteogenesis (DO). Nineteen patients had orthodontic treatment with DO, 18 with extraction of lower premolars (Ex), and 18 without extractions (Nonex). Lateral cephalograms were used to evaluate lower incisor proclination, while study casts and intraoral photographs were used to evaluate labial and lingual gingival recessions before (T1) and at an average of 4.5 years (T2) after treatment. No differences in labial recessions on lower incisors were present between the patient groups despite greater lower incisor proclination in the Nonex and DO groups. The Ex group showed no new development of lingual recessions in contrast to the Nonex (eight sites; two subjects) and DO groups (seven sites; three subjects). Severe lingual recessions (increased ≥1 mm) were more present in the Nonex group (five sites; two subjects) compared to the Ex group (no sites). Proclination of lower incisors of 10° or more either by orthodontic tooth movement or displacement of the whole alveolar process increased the risk of lingual gingival recessions 17 times. This was not the case with labial gingival recessions. Orthodontic or surgical proclination of lower incisors beyond a 10° limit increases the risk of inducing lingual gingival recessions. During orthodontic treatment, with or without DO, one should avoid proclining lower incisors more than 10° to decrease the risk of gingival recessions.

  7. The effects of orthodontic movement on a subepithelial connective tissue graft in the treatment of gingival recession.

    Science.gov (United States)

    Tanaka, Orlando Motohiro; Avila, Ana Leticia Rocha; Silva, Gabriela Molina; Añez, Maria Cecilia Galacini; Taffarel, Ivan Pedro

    2010-12-01

    The purpose of this article is to report on the five-year follow-up of a case involving treatment of gingival recession with a subepithelial connective tissue graft prior to orthodontic tooth movement. Gingival recession has a global prevalence that varies from 3 to 100 percent depending on the population studied and the method of analysis. In addition, the frequency of recession seems to be positively correlated with age. Planned orthodontic tooth movement is not necessarily an etiological factor for gingival recession, so long as it does not move the tooth out of its alveolar process. When the tooth is shifted without adequate biomechanical control, bone dehiscence can develop, and the recession can occur as a consequence of the orthodontic treatment. A 19.6-year-old female patient was referred for orthodontic treatment due to severe anterior-inferior dental crowding and a mandibular right lateral incisor in linguoverson and 4.0 mm of gingival recession on the labial surface. Normal gingival architecture was restored with a subepithelial connective tissue graft used to cover the 4.0 mm defect, after which orthodontic treatment repositioned the malposed incisor into its correct occlusal alignment. Individualized torque was applied to the mandibular right central incisor during the orthodontic treatment. The patient was reevaluated five years after completion of the orthodontic treatment. At the five-year recall appointment, the patient exhibited normal tooth alignment and generalized normal gingival architecture; however, 2 mm of gingival recession was noted on the graft site. This case demonstrated that periodontal surgical correction of facial gingival recession with a subepithelial graft may be performed prior to initiating orthodontic treatment.

  8. A prospective clinical study to evaluate the effect of manual and power toothbrushes on pre-existing gingival recessions.

    Science.gov (United States)

    Dorfer, Christof E; Joerss, Daniela; Wolff, Diana

    2009-07-01

    To evaluate gingival recession changes after six months of brushing with an oscillating-rotating power toothbrush (PT) or an ADA reference manual toothbrush (MT). Healthy subjects with pre-existing recession were assigned to brush with either a PT (n=55) or an ADA reference MT (n=54) according to a prospective randomized, controlled, single-blind, parallel group design. Participants were asked to brush their teeth twice daily for two minutes each with the same fluoride toothpaste. Clinical attachment loss and probing pocket depths (PPDs) were measured at six sites per tooth to the nearest mm by one calibrated examiner at baseline and after six months. Gingival recession was calculated as the differences between clinical attachment loss and PPDs overall and separately at individual sites. As compared with baseline, overall recession at six months was reduced from 2.35 +/- 0.35 mm to 1.98 +/- 0.55 mm (p<0.001) in the PT group and from 2.26 +/- 0.31 mm to 1.90 +/- 0.45 mm (p<0.001) in the MT group. The data showed 40% (power) and 38% (manual) of all recession sites improved by at least 0.5 mm while 51% and 54% remained unchanged. Eight percent and 7% recessions increased over time. Differences between groups were not statistically significant at either timepoint. Both the PT and the MT significantly reduced pre-existing gingival recession after six months of brushing. This may have been due to improved brushing technique (i.e., Hawthorne effect). Based on these six-month data, concern that power tooth brushing results in a higher risk for gingival recession is not warranted.

  9. Unequal distribution of salary from a gender perspective and the impact of recession on the catalan labor market

    OpenAIRE

    Adillón, M.Jesús Gómez; Piqué, M.Àngels Cabasés

    2014-01-01

    In order to highlight the uneven impact of recession on the labor market in Catalonia (Spain), especially regarding wage structure, this study examines the evolution of its main variables in the period 2005-2012 from a gender perspective. For ten years prior to recession, female employment improved, mainly due to the expansion of the tertiary sector and public sector and numerous new political and legislative actions. These actions aimed at the interdiction of certain long-held and deep-roote...

  10. Free trade – a priority issue of G-20 summits after the world economy went into recession

    Directory of Open Access Journals (Sweden)

    Ph. D. Alina-Petronela Haller

    2010-05-01

    Full Text Available The world economy has been greatly affected by the current recession. All countries have suffered regardless of their level of development. Given that global problems require global solutions, world powers have met at summits of the G-20 forum, in order to determine the causes of the recession and adopt the most relevant measures to overcome the crisis and to correct other imbalances (e.g. environmental issues, hunger existing in the world.

  11. Therapeutic efficacy of connective tissue autotransplants with periosteum and platelet rich plasma in the management of gingival recession

    OpenAIRE

    Jovičić Bojan; Lazić Zoran; Nedić Milica; Matijević Stevo; Gostović-Špadijer Aleksandra

    2013-01-01

    Background/Aim. Gingival recession progression in clinical practaice has influenced the development of various surgical procedures and techniques for solving esthetic imperfections and subjective difficulties coused by gingival recession. The aim of this study was to verify efficacy of surgical procedures and to compare both of surgical procedures through the keratinized tissue width. Methods. The study included 20 teeth with gingival recesion, Müller class I and II. Ten teeth with ging...

  12. The influence of pulleys on the quantitative characteristics of medial rectus muscle recessions: the torque vector model.

    Science.gov (United States)

    Miller, Aaron M; Mims, James L

    2006-08-01

    To develop a new pulley-based torque vector mathematical model for medial rectus muscle recessions and compare it based on known clinical characteristics, to the currently accepted nonpulley length-tension model. The following quantitative characteristics of the results of bilateral medial rectus muscle recessions were chosen for study to see whether the new torque vector model or the classic length-tension model would better predict these characteristics: (1) larger bilateral medial rectus muscle recessions produce more effect per millimeter, with the dose-response curve approximating an exponential shape; (2) the exact location of the preplaced medial rectus muscle suture prior to muscle disinsertion in recessions has minimal effect on the postoperative ocular alignment; and (3) medial rectus muscle recessions of more than eight mm are likely to produce an early consecutive exotropia. Based on the documented location of the medial rectus muscle pulley, the change in the torque vector per millimeter of medial rectus muscle recession was calculated and shown to have an exponential shape. For all three of the quantitative characteristics chosen, the torque vector model appears to better predict the results of medial rectus muscle recessions when compared with the length-tension model. Many quantitative characteristics of medial rectus muscle recessions are better explained by the torque vector model, instead of the classical length-tension model, and support the presence, location, and function of the medial rectus muscle pulley. This new understanding of ocular motility mechanics may influence surgical technique and introduce new surgical considerations for correction of ocular motility disorders.

  13. A new locus for autosomal recessive hereditary spastic paraplegia maps to chromosome 16q24.3.

    OpenAIRE

    De Michele, Giuseppe; De Fusco, Maurizio; Cavalcanti, Francesca; Filla, Alessandro; Marconi, Roberto; Volpe, Giampiero; Monticelli, Antonella; Ballabio, Andrea; Casari, Giorgio; Cocozza, Sergio

    1998-01-01

    Hereditary spastic paraplegia is a genetically and phenotypically heterogeneous disorder. Both pure and complicated forms have been described, with autosomal dominant, autosomal recessive, and X-linked inheritance. Various loci (SPG1-SPG6) associated with this disorder have been mapped. Here, we report linkage analysis of a large consanguineous family affected with autosomal recessive spastic paraplegia with age at onset of 25-42 years. Linkage analysis of this family excluded all previously ...

  14. A Multicomponent Schoolyard Intervention Targeting Children’s Recess Physical Activity and Sedentary Behavior: Effects After One Year

    DEFF Research Database (Denmark)

    Van Kann, Dave H.H.; de Vries, S.I.; Schipperijn, J.

    2017-01-01

    were found. In depth-analyses on intervention components showed that physical schoolyard interventions particularly predicted a decrease in time spent in sedentary behavior during recess at follow-up. Intervention intensity and school?s commitment to the project strengthened this effect. Conclusions...... The multicomponent schoolyard PA intervention was effective in making children spend a larger proportion of recess time in light PA, which was most likely the result of a shift from sedentary behavior to light PA....

  15. A systematic review of the association between appliance-induced labial movement of mandibular incisors and gingival recession.

    Science.gov (United States)

    Aziz, Tehnia; Flores-Mir, Carlos

    2011-05-01

    To determine if an association exists between appliance-induced labial movement of mandibular incisors and gingival recession. Electronic databases were searched for studies with the terms: 'incisor', 'incisor proclination', 'tooth movement', 'orthodontic tooth movement', 'gingival recession' and 'orthodontic appliance'. The original articles and abstracts that met the initial inclusion criteria were retrieved, and their references hand searched for possible articles missed by the database searches. Inclusion criteria included human studies that suggested a link between labial movement of lower incisors produced by orthodontic treatment and gingival recession. Exclusion criteria included significant intrusion or extrusion of the mandibular incisors, periodontal disease, subjects taking medication that affects gingival health and subjects with systematic diseases. Seven articles fulfilled the selection criteria. Gingival recession after labial movement of lower incisors was assessed on dental casts, intra-oral slides, lateral cephalograms and gingival examination. The articles were analysed to determine the impact of their treatment methodology on the outcomes. No association between appliance-induced labial movement of mandibular incisors and gingival recession was found. Factors that may lead to gingival recession after orthodontic tipping and/or translation movement were identified as a reduced thickness of the free gingival margin, a narrow mandibular symphysis, inadequate plaque control and aggressive tooth brushing.

  16. Therapeutic efficacy of connective tissue autotransplants with periosteum and platelet rich plasma in the management of gingival recession

    Directory of Open Access Journals (Sweden)

    Jovičić Bojan

    2013-01-01

    Full Text Available Background/Aim. Gingival recession progression in clinical practaice has influenced the development of various surgical procedures and techniques for solving esthetic imperfections and subjective difficulties coused by gingival recession. The aim of this study was to verify efficacy of surgical procedures and to compare both of surgical procedures through the keratinized tissue width. Methods. The study included 20 teeth with gingival recesion, Müller class I and II. Ten teeth with gingival recession were treated with connective tissue autotransplants with periosteum in combination with coronary guided surgical flap (CTG group. On the contralateral side 10 teeth with gingival recession were treated with the same surgical procedures but in combination with platelet-rich plasma (CTGPRP group. We measured the keratinized tissue width. For statistical significance we used the Student's t-test. Results. The study reveled a statistical significance in reducing vertical deepress of recession by both used treatments. Root deepness in CTG and CTG-PRP group was 90% and 93.5%, respectively. With both surgical techniques we achieved larger zone of keratinized gingiva but with a wide zone of keratinized tissue in CTG - the PRP group. Conclusion. The concept regeneration technique with PRP and with the stimulating influence of platele activated growth factors results in the regeneration of deep periodontal tissue as an important prerequisite for the successful treatment of gingival recession.

  17. Impact of interleukin 1 gene polymorphism and smoking on long-term stability following gingival recession treatment.

    Science.gov (United States)

    Jankovic, Sasha; Aleksic, Zoran; Dimitrijevic, Bozidar; Camargo, Paulo; Kenney, Barry; Lekovic, Vojislav

    2013-01-01

    Risk factors such as smoking, genetic factors, and tissue biotype play an important role in the etiology, predictability, and long-term stability of gingival recession treatment. This study was designed to evaluate the influence of interleukin 1 (IL-1) polymorphism and smoking on the stability of gingival recession treatment after 1 and 3 years. All patients (n = 55) were treated for type I and II recession defects using a connective tissue graft. Clinical evaluations were performed, which included assessment of vertical recession depth, gingival inflammation, and clinical attachment level. A fingerstick blood sample was collected using specially provided DNA filter paper and mailed for processing in a laboratory using polymerase chain reaction-based methodology. The results indicated that 19 subjects were genotype positive (34.5%). Treatment of the localized recessions was effective and provided a similar amount of coverage in genotype-positive and genotype-negative subjects within smoking and nonsmoking groups after 1 year. In a 3-year period, nonsmoking patients with positive IL-1 genotype lost approximately 20% of the root coverage gained at 1 year and were almost four times more inferior compared with genotype-negative patients. Patients who smoked and had a positive IL-1 genotype lost approximately 35% of the gained root coverage. IL-1 polymorphism and smoking habit did not affect gingival recession treatment at 1 year but had a great impact on long-term stability.

  18. Is Sub-Epithelial Connective Tissue Graft Really a Gold Standard for the Treatment of Gingival Recession Defects?

    Directory of Open Access Journals (Sweden)

    Ajay Mahajan

    2011-04-01

    Full Text Available Gingival recession defects are one of the most common peri-odontal problems. In the past few decades there have been several attempts to treat the gingival recession defects. Among all the treatment options the sub-epithelial connective tis-sue graft is still the most widely used. The sub-epithelial connective tissue graft is considered to produce high percentage of root coverage and therefore considered to be the gold standard technique for the treatment of gingival reces-sion defects. Despite many research papers favoring the use of sub-epithelial connective tissue graft, recent data suggests no major difference in terms of percent root coverage when various other techniques for the treatment of gingival recession defects are compared with each other. In the light of present clinical evidence the criteria to determine whether sub-epithelial connective tissue graft technique should be considered a gold standard or not for be treatment of gingival recession must be re-evaluated. This article highlights some inherent drawbacks associated with sub-epithelial connective tissue graft and emphasizes the need to consider other available techniques for the treatment of gingival recession defects.

  19. Tunnel Technique With Collagen Matrix Compared With Connective Tissue Graft for Treatment of Periodontal Recession: A Randomized Clinical Trial.

    Science.gov (United States)

    Cieślik-Wegemund, Marta; Wierucka-Młynarczyk, Beata; Tanasiewicz, Marta; Gilowski, Łukasz

    2016-12-01

    The aim of this study is to compare efficacy of the tunnel technique for root coverage using collagen matrix (CM) versus connective tissue graft (CTG) for treatment of multiple recessions of Miller Classes I and II over a short period of time. Twenty-eight patients were enrolled in the study. Patients in the control group were treated with the tunnel technique using CTGs, whereas patients in the test group were treated with the tunnel technique using xenogeneic CM. Clinical recordings were obtained at baseline and after 3 and 6 months. Percentages of average recession coverage (ARC) and complete recession coverage (CRC) were evaluated 3 and 6 months after surgery. Significant decreases were recorded in both groups of recession parameters compared with baseline measurements. Mean recession depth (0.21 versus 0.39 mm) and recession area (0.31 versus 0.53 mm 2 ) after 6 months were significantly higher in the test group (P tissue width (KTW) increased at a similar rate in both groups (1.0 versus 0.8 mm for control and test groups, respectively). ARC after 6 months was 95% in the control group and 91% in the test group (P <0.05), and CRC was 71.4% (10/14) in the control group and 14.3% (2/14) in the test group (P <0.05). Xenogeneic CM combined with tunnel technique leads to satisfactory ARC and increase in KTW similar to CTG, but yields lower unsatisfactory CRC.

  20. Coincidence the Autosomal Recessive Polycystic Kidney Disease With Placenta Membranacea (A Probably Genetic Relation with PKHD1 Gene

    Directory of Open Access Journals (Sweden)

    Ehsan Hosseini

    2016-05-01

    Full Text Available Placenta membranacea is one of the most barley anomalies happens in pregnancy defined by chorionic villi (partially or completely covered the fetus membrane. Autosomal recessive polycystic kidney disease in fetus is also a rare case with an incidence of 1: 20,000 live births resulting in a 30% death rate in neonates. In this case for the first time, we reported a placenta membranacea and autosomal recessive polycystic kidney disease occurred with together. A 25-year-old woman was admitted at 16 weeks of gestation for inducing abortion with autosomal recessive polycystic kidney disease in fetus diagnosed in routine sonography fellowship. Post-delivery examination revealed a placenta totally enveloped the fetus, oligohydramnious and bilateral enlarged polycystic kidneys of fetus. Histological study indicated umbilicus has only one artery and one vein as well as autosomal recessive polycystic kidney disease and directly attachment of chorionic villi to fetal membrane eventually diagnosed as complete placenta membranacea. The etiology of placenta membranacea is not completely clarified. As autosomal recessive polycystic kidney disease is a result of mutation in PKHD1 gene, so our finding may be initiates a new investigation about genetic relation between placenta membranacea and autosomal recessive polycystic kidney disease.

  1. Attitudes toward carrier screening and prenatal diagnosis for recessive hereditary deafness among the educated population in urban China.

    Science.gov (United States)

    Fu, Xiaoli; Cai, Yi; Hu, Yechen; Liu, Jisheng; Yang, Tao

    2016-12-01

    Approximately 80% of hereditary deafness is recessive, in which case most mutation carriers were unaware of their carrier status. Though parental attitudes toward genetic testing and prenatal diagnosis are overall positive in those with deaf children, there is little information about that in the general population. To this end, we designed a self-completed questionnaire and distributed it in two colleges in Shanghai, China. A total of 975 completed surveys were returned in print or online forms. Our results showed that 98.7% of the respondents without family history of early onset deafness did not know or underestimated their likelihood to carry a recessive mutation in common deafness genes. After brief written information was given using GJB2, the most common recessive deafness gene as the example, 67.7% of the respondents expressed interest in knowing if they are carriers of GJB2 mutations through genetic testing. In hypothetical circumstance of carrying a recessive GJB2 mutation, 86.9% would suggest their partners to also take the test. In case that both were carriers, 88.7% would consider prenatal diagnosis and 80.7% would consider terminating an affected pregnancy. On the basis of these results, it was concluded that despite the poor awareness to the risk of recessive hereditary deafness, the majority of the educated population in urban China likely hold a positive view toward carrier screening and prenatal diagnosis of recessive deafness genes. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  2. Enamel matrix derivative (emdogain) or subepithelial connective tissue graft for the treatment of adjacent multiple gingival recessions: a pilot study.

    Science.gov (United States)

    Alkan, Eylem Ayhan; Parlar, Ates

    2013-01-01

    One treatment approach for achieving healing by regeneration is the application of enamel matrix derivative (EMD) during periodontal surgery. The aim of this randomized clinical study was to compare the efficacy of EMD with a connective tissue graft (CTG) for the treatment of adjacent Miller Class l and II multiple gingival recessions. Twelve systemically healthy subjects with at least two Miller Class I or II multiple gingival recession defects affecting adjacent teeth on both sides of the mouth were enrolled. The surgical protocol was performed for both groups. The 56 recession defects were evaluated for recession depth (RD), recession width (RW), percentage of root coverage (PRC), height of keratinized tissue (HKT), probing depth (PD), and clinical attachment level (CAL). All measurements were repeated at 6 and 12 months. The mean PRC at the final evaluation was 89% ± 17% for the coronally advanced flap (CAF) + EMD group and 93% ± 17% for the CAF + CTG group. Both treatments resulted in statistically significant decreases in RD and RW and increases in HKT at 6 and 12 months. There was also a significant CAL gain for both groups. PD remained shallow over time. The results demonstrated that both procedures were successful in treating Miller Class I and II multiple gingival recessions; however, the greater results of the CAF + CTG group did not reach a statistically significant level.

  3. Evaluation of aquifer thickness by analysing recession hydrographs. Application to the Oman ophiolite hard-rock aquifer

    Science.gov (United States)

    Dewandel, B.; Lachassagne, P.; Bakalowicz, M.; Weng, Ph; Al-Malki, A.

    2003-04-01

    For more than a century, hydrologists and hydrogeologists have been investigating the processes of stream and spring baseflow recession, for obtaining data on aquifer characteristics. The Maillet Formula [Librairie Sci., A. Hermann, Paris (1905) 218], an exponential equation widely used for recession curve analysis, is an approximate analytical solution for the diffusion equation in porous media whereas the equation proposed by Boussinesq [C. R. Acad. Sci. 137 (1903) 5; J. Math. Pure Appl. 10 (1904) 5], that depicts baseflow recession as a quadratic form, is an exact analytical solution. Other formulas currently used involve mathematical functions with no basis on groundwater theory. Only the exact analytical solutions can provide quantitative data on aquifer characteristics. The efficiency of the two methods was compared on the basis of recession curves obtained with a 2D cross-sectional finite differences model that simulates natural aquifers. Simulations of shallow aquifers with an impermeable floor at the level of the outlet show that their recession curves have a quadratic form. Thus, the approximate Maillet solution largely overestimates the duration of the 'influenced' stage and underestimates the dynamic volume of the aquifer. Moreover, only the Boussinesq equations enable correct estimates of the aquifer parameters. Numerical simulations of more realistic aquifers, with an impermeable floor much deeper than the outlet, proves the robustness of the Boussinesq formula even under conditions far from the simplifying assumptions that were used to integrate the diffusion equation. The quadratic form of recession is valid regardless of the thickness of the aquifer under the outlet, and provides good estimates of the aquifer's hydrodynamic parameters. Nevertheless, the same numerical simulations show that aquifers with a very deep floor provide an exponential recession. Thus, in that configuration, the Maillet formula also provides a good fit of recession curves

  4. Association between gingival recession and proclination of maxillary central incisors near the cleft in patients with unilateral cleft lip and palate: A retrospective case-control study.

    Science.gov (United States)

    Zhu, Shiwen; Chen, Zhenqi

    2013-03-01

    The aim of this study was to investigate whether proclination of the maxillary central incisor near a cleft leads to gingival recession in patients born with unilateral cleft lip and palate. Forty patients with unilateral cleft lip and palate were retrospectively enrolled. By using intraoral slides, casts, and cephalograms, changes in gingival recession and proclination were measured. The 2-sample t test, correlation, and stepwise logistic regression analyses were applied. There were statistically significant differences in proclination variations between subjects with and without increased gingival recession (P gingival recession. Bone grafting during treatment resulted in a significant difference in gingival recession (P gingival recession (odds ratio, 3.06; 95% confidence interval, 1.329-7.046; P = 0.0086). Proclination of the maxillary central incisor adjacent to the cleft is positively correlated with gingival recession in patients with unilateral cleft lip and palate. Proclination should be limited to prevent gingival recession and its esthetic and functional problems. It is better for a borderline cleft patient to have orthognathic surgery rather than camouflage treatment. Bone grafting during treatment might benefit gingival recession. The angle between the long axis of the maxillary central incisors and the sella-nasion plane is considered the strongest predictor of gingival recession. Copyright © 2013 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  5. Recesses along the posterior margin of the infrapatellar (Hoffa's) fat pad: prevalence and morphology on routine MR imaging of the knee

    Energy Technology Data Exchange (ETDEWEB)

    Aydingoez, Uestuen; Oguz, Berna [Hacettepe University Medical School, Department of Radiology, Ankara (Turkey); Aydingoez, Oender; Akguen, Isik [Istanbul University Cerrahpasa Medical School, Department of Orthopedics and Traumatology, Istanbul (Turkey); Bayramoglu, Alp; Demiryuerek, Deniz [Hacettepe University Medical School, Department of Anatomy, Ankara (Turkey); Uezuen, Ibrahim [Ministry of Justice, Council of Forensic Medicine, Istanbul (Turkey)

    2005-05-01

    The objective is to evaluate the prevalence and morphology of recesses along the posterior margin of the infrapatellar fat pad on routine MR imaging of the knee. MR images of 213 knees in 204 consecutive individuals were evaluated with regard to the prevalence and morphology of recesses (a ''suprahoffatic'' recess close to the inferior border of the patella and the previously described ''infrahoffatic'' recess anterior to the inferior portion of the infrapatellar plica). The recesses were analyzed with regard to synovial effusion and the condition of the anterior cruciate ligament (ACL). Anatomic dissection was made in 29 knees in 16 cadavers to verify the presence of the suprahoffatic recess. The infrahoffatic recess was present in 45% of the knees and mostly linear in shape (44%). The suprahoffatic recess was detected in 71% of the knees (45% in cadavers). Very weak to moderate positive correlation was found between the synovial effusion or the condition of the ACL and the presence and dimensions of the recesses. An awareness of the recesses in the infrapatellar fat pad is important in order to distinguish between pathology and anatomic variants on routine MR imaging of the knee. (orig.)

  6. A flume investigation of the influence of flood recession rate and vegetation patches on channel bar morphology

    Science.gov (United States)

    Kenworthy, M.; Yarnell, S. M.; Yager, E. M.; Merritt, D. M.

    2012-12-01

    Investigations of the influence of flow stage on channel morphology often focus on the impacts of peak or minimum discharges. Similarly, restoration efforts on heavily regulated rivers and predictions about the response of unregulated channels to climate change often focus on the effects of peak flows (e.g. scour depth, grain sizes mobilized) and minimum flows (e.g. habitat availability). Rarely considered are the impacts of the rate of change in flow stage on the rising and falling limbs of flood events. We investigated the influence of discharge recession rate during hydrograph falling limbs and the coupled influences of recession rate and vegetation patches on the morphology of a forced channel bar in the sand-bed Saint Anthony Falls Outdoor Stream Lab. We ran three hydrograph falling limbs with different recession rates (10%, 30%, 70%), but held the minimum discharge, total water volume, and estimated sediment transport capacity within 10% between runs. The 10% recession run started from a peak flow of 150 L/s, while the 30% and 70% recession runs started from 284 L/s. We held the ratio between sediment supply and estimated transport capacity constant through runs by setting the sediment feed rate equal to the estimated transport capacity. Similar starting conditions for all experiments were established by running the channel at constant discharge and sediment feed rate to equilibrium, which was satisfied when cross-sections stabilized and down-stream bar growth ceased. The 10% and 30% runs were repeated with vegetation (Juncus and Carex) installed in a dense patch on the equilibrium bar. Measured changes in bar topography showed that higher peak flows increased the maximum elevation of deposition at the upstream end of the bar. Repeat bed scans during runs suggested that peak flows deposited sediment at the bar head and receding flows redistributed this sediment across the bar, with less redistribution for faster recession rates. Greater redistribution may

  7. Recess Activity and General Health Status among Iranian Elementary Schools’ Pupils

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    Abdolreza Shaghaghi

    2013-06-01

    Full Text Available Background: Regular and daily physical activity during childhood and at school is one of the important part of requirements of normal growth, development and well-being. To achieve physical activity promotion among school child aged population recess as outside of class time efforts is scheduled and allows students to engage in physical and social activities. The purpose of the present study was to assess recess activities as well as status of physical activities among a sample of Iranian students at the pri¬mary schools.Methods: This cross-sectional study was performed in four randomly se¬lected schools from a list of 26 elementary schools in March, 2012 in the city of Shahindej, located in North-west of Iran. Participants were 439 (10–12 years elementary schools’. Physical activity level by self-reporting, mental health using the parent-completed Child Health Questionnaire, and happiness was assessed using a Persian translated version of the Subjective Happiness Scale. Hierarchical logistic regression analysis was applied in two steps using the enter method to analyze data in the SPSS version 17.Results: Backward logistic regression analysis showed that gender of the parent who answered the study questions, father’s education, educational grade of children, BMI, physical function, physical health, health status of the children and family function were significantly related to the children’s physical activity level.Conclusion: Promoting parents’ awareness and schools’ staff about im¬portance of physical activities especially in recess times must be an impor¬tant part of school and community mental health promotion programs.

  8. Homozygosity Mapping in Leber Congenital Amaurosis and Autosomal Recessive Retinitis Pigmentosa in South Indian Families.

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    Sundaramurthy Srilekha

    Full Text Available Leber congenital amaurosis (LCA and retinitis pigmentosa (RP are retinal degenerative diseases which cause severe retinal dystrophy affecting the photoreceptors. LCA is predominantly inherited as an autosomal recessive trait and contributes to 5% of all retinal dystrophies; whereas RP is inherited by all the Mendelian pattern of inheritance and both are leading causes of visual impairment in children and young adults. Homozygosity mapping is an efficient strategy for mapping both known and novel disease loci in recessive conditions, especially in a consanguineous mating, exploiting the fact that the regions adjacent to the disease locus will also be homozygous by descent in such inbred children. Here we have studied eleven consanguineous LCA and one autosomal recessive RP (arRP south Indian families to know the prevalence of mutations in known genes and also to know the involvement of novel loci, if any. Complete ophthalmic examination was done for all the affected individuals including electroretinogram, fundus photograph, fundus autofluorescence, and optical coherence tomography. Homozygosity mapping using Affymetrix 250K HMA GeneChip on eleven LCA families followed by screening of candidate gene(s in the homozygous block identified mutations in ten families; AIPL1 - 3 families, RPE65- 2 families, GUCY2D, CRB1, RDH12, IQCB1 and SPATA7 in one family each, respectively. Six of the ten (60% mutations identified are novel. Homozygosity mapping using Affymetrix 10K HMA GeneChip on the arRP family identified a novel nonsense mutation in MERTK. The mutations segregated within the family and was absent in 200 control chromosomes screened. In one of the eleven LCA families, the causative gene/mutation was not identified but many homozygous blocks were noted indicating that a possible novel locus/gene might be involved. The genotype and phenotype features, especially the fundus changes for AIPL1, RPE65, CRB1, RDH12 genes were as reported earlier.

  9. The role of climatic and terrain attributes in estimating baseflow recession in tropical catchments

    Directory of Open Access Journals (Sweden)

    J. L. Peña-Arancibia

    2010-11-01

    Full Text Available The understanding of low flows in rivers is paramount more than ever as demand for water increases on a global scale. At the same time, limited streamflow data to investigate this phenomenon, particularly in the tropics, makes the provision of accurate estimations in ungauged areas an ongoing research need. This paper analysed the potential of climatic and terrain attributes of 167 tropical and sub-tropical unregulated catchments to predict baseflow recession rates. Daily streamflow data (m3 s–1 from the Global River Discharge Center (GRDC and a linear reservoir model were used to obtain baseflow recession coefficients (kbf for these catchments. Climatic attributes included annual and seasonal indicators of rainfall and potential evapotranspiration. Terrain attributes included indicators of catchment shape, morphology, land cover, soils and geology. Stepwise regression was used to identify the best predictors for baseflow recession coefficients. Mean annual rainfall (MAR and aridity index (AI were found to explain 49% of the spatial variation of kbf. The rest of climatic indices and the terrain indices average catchment slope (SLO and tree cover were also good predictors, but co-correlated with MAR. Catchment elongation (CE, a measure of catchment shape, was also found to be statistically significant, although weakly correlated. An analysis of clusters of catchments of smaller size, showed that in these areas, presumably with some similarity of soils and geology due to proximity, residuals of the regression could be explained by SLO and CE. The approach used provides a potential alternative for kbf parameterisation in ungauged catchments.

  10. The impact of economic recession on maternal and infant mortality: lessons from history

    Directory of Open Access Journals (Sweden)

    Fitzmaurice Ann

    2010-11-01

    Full Text Available Abstract Background The effect of the recent world recession on population health has featured heavily in recent international meetings. Maternal health is a particular concern given that many countries were already falling short of their MDG targets for 2015. Methods We utilise 20th century time series data from 14 high and middle income countries to investigate associations between previous economic recession and boom periods on maternal and infant outcomes (1936 to 2005. A first difference logarithmic model is used to investigate the association between short run fluctuations in GDP per capita (individual incomes and changes in health outcomes. Separate models are estimated for four separate time periods. Results The results suggest a modest but significant association between maternal and infant mortality and economic growth for early periods (1936 to 1965 but not more recent periods. Individual country data display markedly different patterns of response to economic changes. Japan and Canada were vulnerable to economic shocks in the post war period. In contrast, mortality rates in countries such as the UK and Italy and particularly the US appear little affected by economic fluctuations. Conclusions The data presented suggest that recessions do have a negative association with maternal and infant outcomes particularly in earlier stages of a country's development although the effects vary widely across different systems. Almost all of the 20 least wealthy countries have suffered a reduction of 10% or more in GDP per capita in at least one of the last five decades. The challenge for today's policy makers is the design and implementation of mechanisms that protect vulnerable populations from the effects of fluctuating national income.

  11. Socio-economic factors linked with mental health during the recession: a multilevel analysis.

    Science.gov (United States)

    Ruiz-Pérez, Isabel; Bermúdez-Tamayo, Clara; Rodríguez-Barranco, Miguel

    2017-03-06

    Periods of financial crisis are associated with higher psychological stress among the population and greater use of mental health services. The objective is to analyse contextual factors associated with mental health among the Spanish population during the recession. Cross-sectional, descriptive study of two periods: before the recession (2006) and after therecession (2011-2012). The study population comprised individuals aged 16+ years old, polled for the National Health Survey. There were 25,234 subjects (2006) and 20,754 subjects (2012). The dependent variable was psychic morbidity. 1) socio-demographic (age, socio-professional class, level of education, nationality, employment situation, marital status), 2) psycho-social (social support) and 3) financial (GDP per capita, risk of poverty, income per capita per household), public welfare services (health spending per capita), labour market (employment and unemployment rates, percentage of temporary workers). Multilevel logistic regression models with mixed effects were constructed to determine change in psychic morbidity according to the variables studied. The macroeconomic variables associated with worse mental health for both males and females were lower health spending per capita and percentage of temporary workers. Among women, the risk of poor mental health increased 6% for each 100€ decrease in healthcare spending per capita. Among men, the risk of poor mental health decreased 8% for each 5-percentage point increase in temporary workers. Higher rates of precarious employment in a region have a negative effect on people's mental health; likewise lower health spending per capita. Policies during periods of recession should focus on support and improved conditions for vulnerable groups such as temporary workers. Healthcare cutbacks should be avoided in order to prevent increased prevalence of poor mental health.

  12. Recessive inheritance of population-specific intronic LINE-1 insertion causes a rotor syndrome phenotype.

    Science.gov (United States)

    Kagawa, Tatehiro; Oka, Akira; Kobayashi, Yoshinao; Hiasa, Yoichi; Kitamura, Tsuneo; Sakugawa, Hiroshi; Adachi, Yukihiko; Anzai, Kazuya; Tsuruya, Kota; Arase, Yoshitaka; Hirose, Shunji; Shiraishi, Koichi; Shiina, Takashi; Sato, Tadayuki; Wang, Ting; Tanaka, Masayuki; Hayashi, Hideki; Kawabe, Noboru; Robinson, Peter N; Zemojtel, Tomasz; Mine, Tetsuya

    2015-03-01

    Sequences of long-interspersed elements (LINE-1, L1) make up ∼17% of the human genome. De novo insertions of retrotransposition-active L1s can result in genetic diseases. It has been recently shown that the homozygous inactivation of two adjacent genes SLCO1B1 and SLCO1B3 encoding organic anion transporting polypeptides OATP1B1 and OATP1B3 causes a benign recessive disease presenting with conjugated hyperbilirubinemia, Rotor syndrome. Here, we examined SLCO1B1 and SLCO1B3 genes in six Japanese diagnosed with Rotor syndrome on the basis of laboratory data and laparoscopy. All six Japanese patients were homozygous for the c.1738C>T nonsense mutation in SLCO1B1 and homozygous for the insertion of a ∼6.1-kbp L1 retrotransposon in intron 5 of SLCO1B3, which altogether make up a Japanese-specific haplotype. RNA analysis revealed that the L1 insertion induced deleterious splicing resulting in SLCO1B3 transcripts lacking exon 5 or exons 5-7 and containing premature stop codons. The expression of OATP1B1 and OATP1B3 proteins was not detected in liver tissues. This is the first documented case of a population-specific polymorphic intronic L1 transposon insertion contributing to molecular etiology of recessive genetic disease. Since L1 activity in human genomes is currently seen as a major source of individual genetic variation, further investigations are warranted to determine whether this phenomenon results in other autosomal-recessive diseases. © 2014 WILEY PERIODICALS, INC.

  13. The population genetics of human disease: The case of recessive, lethal mutations.

    Science.gov (United States)

    Amorim, Carlos Eduardo G; Gao, Ziyue; Baker, Zachary; Diesel, José Francisco; Simons, Yuval B; Haque, Imran S; Pickrell, Joseph; Przeworski, Molly

    2017-09-01

    Do the frequencies of disease mutations in human populations reflect a simple balance between mutation and purifying selection? What other factors shape the prevalence of disease mutations? To begin to answer these questions, we focused on one of the simplest cases: recessive mutations that alone cause lethal diseases or complete sterility. To this end, we generated a hand-curated set of 417 Mendelian mutations in 32 genes reported to cause a recessive, lethal Mendelian disease. We then considered analytic models of mutation-selection balance in infinite and finite populations of constant sizes and simulations of purifying selection in a more realistic demographic setting, and tested how well these models fit allele frequencies estimated from 33,370 individuals of European ancestry. In doing so, we distinguished between CpG transitions, which occur at a substantially elevated rate, and three other mutation types. Intriguingly, the observed frequency for CpG transitions is slightly higher than expectation but close, whereas the frequencies observed for the three other mutation types are an order of magnitude higher than expected, with a bigger deviation from expectation seen for less mutable types. This discrepancy is even larger when subtle fitness effects in heterozygotes or lethal compound heterozygotes are taken into account. In principle, higher than expected frequencies of disease mutations could be due to widespread errors in reporting causal variants, compensation by other mutations, or balancing selection. It is unclear why these factors would have a greater impact on disease mutations that occur at lower rates, however. We argue instead that the unexpectedly high frequency of disease mutations and the relationship to the mutation rate likely reflect an ascertainment bias: of all the mutations that cause recessive lethal diseases, those that by chance have reached higher frequencies are more likely to have been identified and thus to have been included in

  14. Rapid and punctuated Late Holocene recession of Siling Co, central Tibet

    Science.gov (United States)

    Shi, Xuhua; Kirby, Eric; Furlong, Kevin P.; Meng, Kai; Robinson, Ruth; Lu, Haijian; Wang, Erchie

    2017-09-01

    Variations in the strength of the Asian monsoon during Holocene time are thought to have been associated with widespread changes in precipitation across much of Tibet. Local records of monsoon strength from cave deposits, ice cores, and lake sediments typically rely on proxy data that relate isotopic variations to changes in precipitation. Lake expansion and contraction in response to changing water balance are likewise inferred from sedimentologic, isotopic and paleobiologic proxies, but relatively few direct records of changes in lake volume from preserved shorelines exist. Here we utilize relict shoreline deposits and associated alluvial fan features around Siling Co, the largest lake in central Tibet, to reconstruct centennial-to-millennial-scale variations in lake area and volume over the Holocene. Mapping and surveying of lacustrine shorelines coupled with optically stimulated luminescence dating of associated deposits indicate protracted occupation of a highstand elevation from >8 ka to 4 ka, followed by rapid recession that was likely punctuated by several stillstands of centennial-scale duration. Calculation of the changes in lake surface area and past hydrologic indices of the Siling Co basin suggests the effective moisture during the early Holocene highstand was approximately three times greater than today. In contrast to other lakes in central and western Tibet, our results suggest that Siling Co did not begin to recede synchronously with decreasing solar insolation at ca. 9-8 ka. Rather, initial recession of Siling Co appears to correspond to a time period of enhanced aridity and weakened monsoon in both Africa and Asia at ca. 4.2 ka. Our results add to a growing body of literature that suggest a period of relatively severe aridity on the Tibetan Plateau at this time. We suggest that subsequent punctuated recession of Siling Co was punctuated by similar periods of abrupt climate change during the Late Holocene.

  15. Differential impact of consanguineous marriages on autosomal recessive diseases in Tunisia.

    Science.gov (United States)

    Ben Halim, Nizar; Hsouna, Sana; Lasram, Khaled; Rejeb, Insaf; Walha, Asma; Talmoudi, Faten; Messai, Habib; Sabrine Ben Brick, Ahlem; Ouragini, Houyem; Cherif, Wafa; Nagara, Majdi; Ben Rhouma, Faten; Chouchene, Ibtissem; Ouechtati, Farah; Bouyacoub, Yosra; Ben Rekaya, Mariem; Messaoud, Olfa; Ben Ammar, Slim; El Matri, Leila; Tebib, Neji; Ben Dridi, Marie F; Mokni, Mourad; Amouri, Ahlem; Kefi, Rym; Abdelhak, Sonia

    2016-01-01

    Consanguinity is common in Tunisia. However, little information exists on its impact on recessive disorders. In this study, we evaluate the impact of consanguineous marriages on the occurrence of some specific autosomal recessive disorders and consider how other factors, such as population substructure and mutation frequency, may be of equal importance in disease prevalence. Consanguinity profiles were retrospectively studied among 425 Tunisian patients suffering from autosomal recessive xeroderma pigmentosum, dystrophic epidermolysis bullosa, nonsyndromic retinitis pigmentosa, Gaucher disease, Fanconi anemia, glycogenosis type I, and ichthyosis, and compared to those of a healthy control sample. Consanguinity was observed in 341 cases (64.94%). Consanguinity rates per disease were 75.63, 63.64, 60.64, 61.29, 57.89, 73.33, and 51.28%, respectively. First-cousin marriages were the most common form of consanguinity (48.94%) with the percentages of 55.46, 45.46, 47.87, 48.39, 45.61, 56.66, and 35.90%, respectively. A very high level of geographic endogamy was also observed (93.92%), with the values by disease ranging between 75.86 and 96.64%. We observed an overall excess risk associated to consanguinity of nearly sevenfold which was proportional to the number of affected siblings and the frequency of disease allele in the family. Consanguinity was significantly associated with the first five cited diseases (odds ratio = 24.41, 15.17, 7.5, 5.53, and 5.07, respectively). However, no meaningful effects were reported among the remaining diseases. This study reveals a variation in the excess risk linked to consanguinity according to the type of disorder, suggesting the potential of cryptic population substructure to contribute to disease incidence in populations with complex social structure like Tunisia. It also emphasizes the role of other health and demographic aspects such as mutation frequency and reproductive replacement in diseases etiology. © 2015 Wiley

  16. The population genetics of human disease: The case of recessive, lethal mutations

    Science.gov (United States)

    Gao, Ziyue; Baker, Zachary; Diesel, José Francisco; Simons, Yuval B.; Haque, Imran S.; Pickrell, Joseph; Przeworski, Molly

    2017-01-01

    Do the frequencies of disease mutations in human populations reflect a simple balance between mutation and purifying selection? What other factors shape the prevalence of disease mutations? To begin to answer these questions, we focused on one of the simplest cases: recessive mutations that alone cause lethal diseases or complete sterility. To this end, we generated a hand-curated set of 417 Mendelian mutations in 32 genes reported to cause a recessive, lethal Mendelian disease. We then considered analytic models of mutation-selection balance in infinite and finite populations of constant sizes and simulations of purifying selection in a more realistic demographic setting, and tested how well these models fit allele frequencies estimated from 33,370 individuals of European ancestry. In doing so, we distinguished between CpG transitions, which occur at a substantially elevated rate, and three other mutation types. Intriguingly, the observed frequency for CpG transitions is slightly higher than expectation but close, whereas the frequencies observed for the three other mutation types are an order of magnitude higher than expected, with a bigger deviation from expectation seen for less mutable types. This discrepancy is even larger when subtle fitness effects in heterozygotes or lethal compound heterozygotes are taken into account. In principle, higher than expected frequencies of disease mutations could be due to widespread errors in reporting causal variants, compensation by other mutations, or balancing selection. It is unclear why these factors would have a greater impact on disease mutations that occur at lower rates, however. We argue instead that the unexpectedly high frequency of disease mutations and the relationship to the mutation rate likely reflect an ascertainment bias: of all the mutations that cause recessive lethal diseases, those that by chance have reached higher frequencies are more likely to have been identified and thus to have been included in

  17. Pharmaceutical expenditure changes in Serbia and Greece during the global economic recession

    Directory of Open Access Journals (Sweden)

    Mihajlo Jakovljevic

    2016-04-01

    Full Text Available Aim: Clarity on health expenditures is essential for the timely identification of risks that jeopardize the democratic provision of health services and the credibility of health insurance systems. Furthermore, observing health outcomes with geographical scope is essential for making multilateral associations. This study aimed at conveying information on the variability of important economic parameters of the health sector of Serbia and Greece from 2007 to 2012, when the most serious financial crisis in the post-war economic history hit the global economy. Methods: Exchange rates, purchase-power-parities (PPP and price indices were used for the bilateral review of health and pharmaceutical expenditure dynamics during 2007-2012. Prescription and dispensing changes were also studied taking into account the anatomical therapeutic chemical (ATC structure of drugs consumed. Results: Greece was forced to cut down its total health care and pharmaceutical expenditure and mainly its out-of-pocket payments were more seriously affected by the recession. Surprisingly, emerging market of Serbia, although severely damaged by global recession, succeeded to maintain 19% growth of its per capita health expenditure and even 25% increase of its per capita spending on pharmaceuticals. Innovative pharmaceuticals showed an upward trend in both countries. Conclusions: These two countries might serve as an example of two distinct pathways of mature and emerging health care markets during financial constraints caused by global recession. Our findings show that producing disease-based feedback, in the long run, may empower the assessment of the return on investment on medical technology and healthcare systems’ cost-effectiveness.

  18. A novel nonsense mutation in keratin 10 causes a familial case of recessive epidermolytic ichthyosis

    Science.gov (United States)

    Gutierrez, Jeydith A; Hannoush, Zeina C; Vargas, Luis G; Momany, Allison; Garcia, Carmen C; Murray, Jeffrey C; Dunnwald, Martine

    2013-01-01

    Epidermolytic ichthyosis (EI) is a rare skin disorder characterized by generalized erythroderma and cutaneous blistering at birth, which is substituted by hyperkeratosis later in life. It is caused by autosomal dominant mutations in highly conserved regions of KRT1 and KRT10. To date, only four mutations with autosomal recessive inheritance of EI have been described in consanguineous families. All of them affect the 2B domain of KRT10. In the present study, we describe four patients with EI (including one lethal case) born from unaffected parents in a consanguineous family of a native Venezuelan community. The objective of this study was to characterize the clinical, genetic, and morphological aspects of the disease in this family, as well as understand its functional implications. Genomic DNA was sequenced for KRT10 and KRT1. Immunofluoresence for keratin expression was performed on cutaneous biopsies. After examination of cutaneous biopsies histology, our results showed hyperkeratosis and acantholysis with an expanded granular layer. Sequencing of KRT10 demonstrated a nonsense mutation (p.Tyr282Ter.) corresponding to the 1B domain of the protein in patients and a heterozygous pattern in other family members, resulting in complete absence of K10. The loss of K10 was compensated by upregulation of K14 and K17. In conclusion, this novel mutation in KRT10 is the first recessive genetic variation that is not located in the so called “hot spot” for recessive EI, suggesting that other areas of the gene are also susceptible for such mutations. PMID:23957016

  19. 2015, a Year without Snow in the Oregon Cascades: Recession Response of Small Watersheds

    Science.gov (United States)

    Jachens, E. R.; Roques, C.; Selker, J. S.; Rupp, D. E.; Lewis, S.; Walter, C.; Grant, G.; Nolin, A. W.

    2016-12-01

    In the Oregon Cascades, the winter snow conditions in 2015 were equivalent to 4 degree Celsius climate warming scenario, representing a unique opportunity to test fundamental hypotheses of headwater streams response to changes in the amount and timing of recharge. The Cascade Mountain range is characterized in two groups: 1) the Western Cascades are old volcanic flows with well-defined drainage basins and high snowmelt runoff, and 2) the High Cascades are younger volcanic flows where precipitation infiltrates into deep aquifer system. Each system responds differently to yearly precipitation patterns. With the Oregon Cascade Mountain range receiving less than 20% of their average snowfall in the winter of 2015, we seek to describe the hydrological responses of such anomalous - but near future normal - recharge conditions. A total of six small watersheds were investigated. Continuous stage measurements were combined with discrete streamflow discharge measurements to create discharge rating curves and a continuous hydrographs. While summer stream did meet or drop below historic records, they did not go as low as predicted by established models, revealing some specific hydrological properties of the aquifers that sustains the river flow in such recharge conditions. Watersheds that were predominantly surface fed has stream flows an order of magnitude lower than previous years, while the spring fed stream in new volcanic systems have only slightly lower stream flows compared to last year. Recession analysis of stream flows (Brutsaert and Niebert 1977) were used to quantify the hydraulic properties of the aquifers and draw hypothesis regarding regional responses of river flows to low snow recharge processes. Surface fed streams exhibited overall late time recession behavior while feeling the effects of aquifer boundary conditions and spring fed systems exhibited early time recession behaviors without feeling the effects of aquifer boundary conditions.

  20. Practical application of a method for assessing the progression of gingival recessions in orthodontically treated patients--a pilot study.

    Science.gov (United States)

    Warmuz, Justyna; Puszkiel, Piotr; Botzenhart, Ute; Gedrange, Tomasz; Dominiak, Marzena

    2014-09-01

    The objective of the present study was to discuss the practical application of a new method for measuring bone width in the anterior section of the mandible to assess the progression of gingival recessions after orthodontic treatment based on a description of case studies. Three cases with skeletal classes I, II and III aged 20-29 were presented. We assessed the risk of gingival recessions around lower incisors by analysing cephalograms before and after orthodontic treatment. The following values were analysed: the angle of buccal bone thickness in the anterior section of the mandible (API-CEJ2-B), the height of bone dehiscence (CEJ2-Id) and the width of the mentalis (B-D). Recession height (RD) and width (RW) were clinically measured using calibrated 1mm periodontometer. The mean baseline angle of API-CEJ2-B[°] was 22.23° before and no lower than 16° after treatment. In all patients CEJ2-Id was 0.56 mm before and greater than 1.4 mm following treatment. This was reflected clinically in the absence of new gingival recessions or the progression of an already existing recession in the area of the lower incisors in the first two cases. In the third case, height of recessions was increased to 1.25 mm average value. The mean baseline width for B-D was 13.46 mm; in all cases it increased up to 14.5 mm after treatment, most significantly in the case of a female patient with skeletal class II. An analysis of cephalometric images, including basic cranio- and gnathometric measurements together with a careful assessment of bone, mucosal and dental parameters of the alveolar ridge, can be a useful instrument to determine the risk of gingival recessions and to choose the right orthodontic treatment option, ensuring the highest possible aesthetic-functional treatment outcome.