Dental students' ability to locate emergency equipment-lessons learned from aviation.

PURPOSE: The purpose of this study was to evaluate the dental student's ability to locate medical emergency equipment/items at the University of Michigan School of Dentistry clinic. METHODS: A total of 138 second-year dental students (traditional group) participated in this study as part of a simulation-based medical emergencies rotation course held during the winter term of 2014 and 2015. Without prior training, students were tested on their ability to locate nine predetermined items on the clinic floor using a self-reported checklist. Six months later, a convenience sample of 18 students (novel group) from the same cohort were later trained on their location and retested individually. RESULTS: Of the 138 students tested, only 10.14% students could locate seven of the nine items when compared to 100% in the novel group. Only 5.07% of students in the traditional group could locate all items initially, compared with 72.22% students in the novel group. CONCLUSION: Whilst our students have lecture-based knowledge about medical emergencies, the results of our study identified a gap of knowledge of emergency equipment/item location amongst students. Therefore, an intervention performed with a similar group of second-year dental students supported that proper training may be used to achieve retention of knowledge. Based on our "novel group" results, we have incorporated targeted training in the dental curriculum that leads to students being better prepared in locating emergency equipment/items. This study suggests that other populations, such as faculty or staff, may also benefit from hands-on training.

WOCN Society Position Paper: Avoidable Versus Unavoidable Pressure Ulcers/Injuries.

The issue of whether pressure injuries are avoidable or preventable has been and continues to be an issue of great debate and discussion for many years, and it has significant legal and regulatory implications related to prevention of wounds due to pressure. The following position paper outlines the position of the Wound, Ostomy and Continence Nurses Society (WOCN) on avoidable versus unavoidable pressure injuries. It includes the following information: statement of position, purpose/rationale for the position, definitions of avoidable versus unavoidable pressure injuries, alternative definitions, historical overview, supportive statements from expert opinion and research in the literature, and recommendations for research.

Solar-type xenon: a new isotopic composition of xenon in the pesyanoe meteorite.

Xenon in the Pesyanoe meteorite is a mixture of several componenits. Solar-type xenon is a new component deficient in the neutron-rich isotopes as compared to both trapped chondritic and terrestrial atmospheric xenon.

Rare gas record in the largest apollo 15 rock.

The spallation krypton data from rock chip 15555,23 indicate a wellshielded location during most of the time during which the rock was exposed to cosmic rays. A krypton-krypton exposure age of 81(+17)(-7) x 10(6) years is calculated, and the gas retention ages are estimated. No evidence for the presence of products from plutonium-244 or iodine-129 was found.

Discovery of an unmelted h-chondrite inclusion in an iron meteorite.

The link between H chondrites and silicate inclusions in group IIE iron meteorites has long been suspected, but direct evidence for a common parentage has remained elusive. The discovery of an unmelted chondritic inclusion in the Techado iron meteorite sheds light on the genetic relation between these two groups, providing clues on the origin of chondritic materials as inclusions in iron meteorites. It is proposed that the complex IIE iron meteorite breccias formed by collisions with several different bodies, followed by deep burial of metal and silicate fragments in the asteroidal megaregolith.

Compositional trends in rock-forming elements of comet Halley dust.

The VEGA 1 and 2 spacecraft flew by comet P/Halley in 1986 carrying, among other instruments, two mass spectrometers to measure the elemental composition of dust particles emitted from the comet. Most particles seem to be a mixture of silicates of variable magnesium-iron composition and organic matter. Comprehensive study of data and consideration of the mass of dust particles reveal cometary grains of "unusual" composition: magnesium-rich and iron-rich particles. Magnesium-rich particles are most likely magnesium carbonates, which could not have formed under conditions of equilibrium condensation but rather require formation by aqueous alteration. The composition of the iron-rich particles can also be related to secondary processes in the comet.

Solar wind gases, cosmic ray spallation products, and the irradiation history.

The isotopic abundances of the rare gases in the fines are found to be similar to those previously reported for gas-rich meteorites. Relative to the heavy gases, neon and helium are depleted by factors of 2.5 and 10 respectively. Accurate krypton-krypton ages for rocks 10017, 10047, 10057, and 10071 were obtained covering a range of from 47 to 509 x 10(6) years. Varying relative production rates of the krypton and xenon isotopes in these rocks suggest different irradiation conditions and a complex history for at least some of the rocks.

Signatures of the martian atmosphere in glass of the Zagami meteorite.

Isotopic signatures of nitrogen, argon, and xenon have been determined in separated millimeter-sized pockets of shock-melted glass in a recently identified lithology of the meteorite Zagami, a shergottite. The ratio of nitrogen-15 to nitrogen-14, which is at least 282 per mil larger than the terrestrial value, the ratio of xenon-129 to xenon-132 = 2.40, and the argon isotopic abundances match the signatures previously observed in the glassy lithology of the Antarctic shergottite EETA 79001. These results show that the signatures in EETA 79001 are not unique but characterize the trapped gas component in shock-melted glass of shergottites. The isotopic and elemental ratios of nitrogen, argon, and xenon closely resemble the Viking spacecraft data for the martian atmosphere and provide compelling evidence for a martian origin of the two shergottites and, by extension, of the meteorites in the shergottites-nakhlites-chassignites (SNC) group.

Nitrogen in solar energetic particles: isotopically distinct from solar wind.

Stepwise etching of lunar soil ilmenite grains reveals that the 15N/14N ratio of implanted nitrogen decreases with increasing implantation depth within the ilmenite grains, i.e., with increasing energy of implantation. These results show that N derived from solar energetic particles, NSEP, is enriched in the light isotope, 14N, relative to solar-wind nitrogen, NSW. This is in striking contrast to the neon isotopic record: NeSEP is depleted in the light isotope, 20Ne, relative to NeSW. These data suggest either distinct signatures in the respective solar source regions, or fractionation in the acceleration mechanism(s). However, the observed opposite fractionation trends for light N and Ne isotopes do not agree with model predictions.

[Emergency care in maxillofacial injuries]. / Epeigousa antimetopise ton kakoseon tes gnathoprosopikes choras.

We present the methodology of the emergency care in maxillofacial injuries, mainly the preservation of vital functions and the control of the general condition of the patient. Definitive care will follow the emergency care measures.

[The submasseteric abscess as a complication of the semi-impacted wisdom tooth infection]. / To ypomaseterio apostema san epiploke tes peristephanitidas.

The submasseteric abscess is a serious problem related with the semi-impacted mandibular wisdom-tooth infection. Especially severe complications are long-term trismus and osteomyelitis of the mandibular ramus. Treatment must be radical and depends on the stage of the infection (acute or chronic, early or mature). Important remains the preventive extraction of the responsible third molar.

[Temporomandibular joint ankylosis: the problem of restoration]. / Alethes agkylose tes krotaphognathikes arthroses: to problema tes apokatastases.

Restoration of normal motion and function in patients with temporomandibular joint ankylosis, has been a difficult goal to achieve. According to the experience of the authors early mobilization and physiotherapy, without lining the joint with intermediate materials, is effective for treatment of TMJ ankylosis.

Epinephrine suppresses rap1B.GAP-activated GTPase activity in human platelets.

Lysate from quiescent platelets promotes rapid hydrolysis of [gamma-32P]GTP bound to rap1B. Various platelet agonists, including platelet-activating factor, phorbol 12,13-dibutyrate, alpha-thrombin, epinephrine, ADP, and iloprost, that affect platelet metabolism by different signal transduction pathways were used to stimulate intact platelets and study their effects on rap1B.GAP-activated GTPase activity (GAP, GTPase-activating protein). Only epinephrine was found to dramatically decrease not only the rate but also the amount of hydrolysis of rap1B-bound GTP activated by rap1B.GAP. This effect was dose dependent and occurred rapidly. The suppression of GTPase activity was specific for rap1B.GAP in that ras.GAP- and rap2B.GAP-activated GTPase activity were not affected by epinephrine stimulation. This effect appears to be mediated by the alpha 2-adrenergic receptor, as evidenced by a similar suppression of GTPase activity by stimulating platelets with the synthetic alpha 2-adrenergic receptor agonist UK14304 (bromoxidine). Furthermore, the selective alpha 2-adrenergic receptor antagonist yohimbine blocked the suppression of GTPase activity expressed in epinephrine-stimulated cell lysates. No apparent changes in the patterns of protein expression or tyrosine phosphorylation were observed. Although the migration characteristics upon anion-exchange chromatography of rap1B.GAP and ras.GAP activities were unaffected by epinephrine stimulation, the specific activity of rap1B.GAP was noticeably decreased with 250 and 500 microM epinephrine. These results suggest a possible role for rap1B and rap1B.GAP in epinephrine-stimulated signal transduction.

[Cervicofacial actinomycosis. Report of a case]. / Tracheloprosopike aktinomyketiase. Anaphora periptoses.

Actinomycosis is a relatively rare chronic granulomatous infection, which is characterized by the formation of abscesses which tend to form fistulas. Anatomically is classified according to the location of the lesions in cervicofacial, pulmonary and abdominal form. We present a case of cervicofacial actinomycosis and its treatment, emphasizing on the difficulty of the diagnosis of the lesion.