Psychometric Evaluation of the Revised Iowa Pain Thermometer (IPT-R) in a Sample of Diverse Cognitively Intact and Impaired Older Adults: A Pilot Study.

Self-report pain assessment tools are commonly used in clinical settings to determine patients' pain intensity. The Iowa Pain Thermometer (IPT) is a tool that was developed for research, but also can be used in clinical settings. However, its utility in clinical settings is challenging because it uses a 13-point scale (0-12 scale) that does not align with common electronic pain scoring metrics. Therefore, this study evaluated the psychometric properties of an 11-point (0-10 scale) adaptation of the Iowa Pain Thermometer (IPT-R) to evaluate the psychometric properties of the IPT-R and to determine patient preference for a self-report pain assessment tool. A descriptive, correlational design was employed. The IPT-R was compared with the original IPT and a numeric rating scale (NRS). This study was conducted in the southeastern United States with 75 adults ranging in age from 65-95 years with varying levels of cognition. Participants were primarily representative of black and white backgrounds. Participants were asked to rate current pain, worst pain during the past week, and reassessment of current pain after 10-minute intervals using three scales (IPT-R, IPT, and NRS) presented in random order. Participants were asked to identify the tool preferred (the easiest to use and that best represented their pain intensity). Spearman-rank correlations were performed to determine convergent validity and test-retest reliability. Based on the results of this preliminary study, the IPT-R has good validity and reliability. The participants in this sample preferred the IPT-R over the original IPT (0-12 scale) and the traditional NRS (0-10 scale). Clinicians may consider using this tool with diverse older patients to assess pain intensity.

Cytotoxicity of a new root canal filling material on human gingival fibroblasts.

This study evaluated the cytotoxicity of the root canal sealing materials Resilon and Epiphany versus gutta-percha, Grossman's sealer, Thermaseal, and Sealapex. Using human gingival fibroblasts the fibroblasts cultures were incubated for either 1 or 24 h to test the cytotoxicity after freshly mixing or after 24 h of setting. Fibroblasts were then stained with trypan blue, to determine number of dead cells. Data were analyzed using ANOVA and t tests. Resilon was similar to gutta-percha and the control. Epiphany was less cytotoxic than Grossman's sealer at both the 1 and 24 h time periods. Epiphany was more cytotoxic than Sealapex at the 1-h time period but less cytotoxic at the 24 h time period. These results indicated that Resilon had a lower cytotoxicity and that Epiphany was more cytotoxic than conventional materials.

Photochemistry of iron in simulated crustal aerosols with dimethyl sulfide oxidation products.

Iron contained in dust-derived aerosol particles deposited into remote oceans is essential for phytoplankton productivity, which controls photosynthesis rate and the uptake and release of climate forcing gases. Understanding chemical mechanisms that control iron bioavailability, that is, its speciation, is therefore crucial for global climate predictions. In the present study, the photoredox chemistry of iron in marine atmospheric aerosol particles was investigated by using ferrihydrite as a surrogate iron phase in the presence of dimethyl sulfide (DMS) derived oxidation products: dimethyl sulfoxide (DMSO), dimethyl sulfone (DMS02), methane sulfinic acid (MSIA), and methane sulfonic acid (MSA). Reactants and products were analyzed with UV-vis absorption spectroscopy, ion chromatography, and a hydrogen peroxide sensitive electrode. Results show that MSIA enhances the photoreductive dissolution of iron in a ligand-to-metal charge transfer reaction producing Fe(II), MSA, and H2O2. The rate law for Fe(II) is close to first order (0.79) with regard to adsorbed MSIA and has an empirical rate constant of 1.4 x 10(-4) s(-1). This mechanism may represent a significant pathway through which iron becomes more bioavailable, and it contributes to models of iron and sulfur chemistries in the marine atmosphere.