Mental health and social support among public safety personnel.

BACKGROUND: Social support may be a protective factor for the mental health of public safety personnel (PSP), who are frequently exposed to potentially psychologically traumatic events and report substantial post-traumatic stress disorder (PTSD) and major depressive disorder (MDD) symptoms. Research examining perceived social support and its association with PTSD and MDD in different PSP categories (e.g. firefighters, paramedics) is limited. AIMS: To examine differences in perceived social support across PSP and determine whether perceived social support is associated with differences in rates of MDD and PTSD. METHODS: We asked Canadian PSP, including correctional workers and officers, public safety communications officials, firefighters, paramedics, municipal and provincial police officers, and Royal Canadian Mounted Police (RCMP) officers, to complete an online anonymous survey that assessed socio-demographic information (e.g. occupation, sex, marital status, service years), social supports and symptoms of mental disorders, including PTSD and MDD. Analyses included ANOVA and logistic regression models. RESULTS: Perceived social support differed by PSP occupation. RCMP officers reported lower social support than all other PSP except paramedics. For most PSP categories, PSP who reported greater social support were less likely to screen positive for PTSD (adjusted odds ratios [AORs]: 0.90-0.93). Across all PSP categories, greater perceived social support was associated with a decreased likelihood of screening positive for MDD (AORs: 0.85-0.91). CONCLUSIONS: Perceived social support differs across some PSP categories and predicts PTSD and MDD diagnostic status. Studies involving diagnostic clinical interviews, longitudinal designs and social support interventions are needed to replicate and extend our results.

Pulse oximetry screening for critical congenital heart disease in planned out of hospital births and the incidence of critical congenital heart disease in the Plain community.

OBJECTIVE: This study evaluated pulse oximetry screening (POS) for critical congenital heart disease (CCHD) in planned out of hospital births with special attention to births in Plain communities (Amish, Mennonite and similar). STUDY DESIGN: Wisconsin out of hospital births in 2013 and 2014 were evaluated. Care providers were supplied with and trained in the use of pulse oximeters for CCHD screening. State records were reviewed to identify deaths and hospital admissions due to CCHD in this population. RESULTS: Detailed information on POS was available in 1616 planned out of hospital births. Seven hundred and ninety-nine were from the Plain community. In total, 1584 babies (98%) passed their POS, 16 infants (1%) failed and 16 (1%) were not screened. Five infants from the Plain community had CCHD and three were detected by POS. CONCLUSION: POS for CCHD can be successfully implemented outside the hospital setting and plays a particularly important role in communities with high rates of CCHD and where formal prenatal screening is uncommon.

Growth characteristics underlying the lack of a chin in pigs: a histomorphometric study.

OBJECTIVES: Despite similar mandibular growth to that of humans, pigs lack a chin projection as shown in most humans. To understand whether this divergence is contributed to differences in local symphyseal growth, this project characterized bone modeling activities at the symphyseal surfaces of juvenile pigs. MATERIAL AND METHODS: Symphyseal specimens from two age groups (4- and 6-month-old, n = 10) were processed into histological sections with and without decalcification, which were assessed for surface mineral apposition and bone resorption, respectively. In a blinded fashion, measurements of four parameters (MAR: mineral apposition rate, MAZ: mineral apposition zone, ES/BS: eroded surface and OC.N/BS: osteoclast number) were obtained and tested by a multivariate two-way mixed-model analyses of variance (manova) for the differences between symphyseal regions and ages. RESULTS: Qualitatively, pig symphyseal labial and lingual surfaces were horizontally oriented and characterized by mineral apposition and bone resorption, respectively. Quantitatively, labial mineral apposition tended to be greater rostrally than caudally at 4 months, which became greater caudally than rostrally at 6 months (region/age interactions: p = 0.127 for MAR, p = 0.012 for MAZ). Lingual bone resorption tended to be greater caudally than rostrally, but only ES/BS measurements were significant (p = 0.039) regardless of age, while OC.N/BS measurements varied with ages and regions (age/region interaction, p = 0.087). CONCLUSIONS: Insufficient differential in symphyseal surface modeling between the labial-caudal and labial-rostral regions contributes to the lack of chin projection in the pig.

The effects of lip revision surgery on nasolabial esthetics in patients with cleft lip.

OBJECTIVES: 1) To determine the concordance among surgeons on subjective assessments of nasolabial esthetics in children with repaired cleft lip; and 2) to evaluate longitudinal changes in nasolabial esthetics in relation to cleft lip revision surgery. SETTING AND SAMPLE POPULATION: School of Dentistry at University of North Carolina, Chapel Hill. Children with repaired unilateral cleft lip: 32 had lip revision surgery and 27 did not have surgery. MATERIALS AND METHODS: Retrospective observational study from a non-randomized clinical trial. Ratings of nasolabial esthetics performed by six surgeons using the Asher-McDade scale at baseline and 12-month follow-up. RESULTS: Concordance among surgeons ranged from poor to acceptable. Nasolabial ratings at follow-up were better in the Revision group than in the Non-Revision group, although differences were small. The most prevalent change in the Revision Group was improvement in one or more units on the scale, while 'no change' was most prevalent in the Non-Revision group. Participants in the Revision group were more likely to receive a 'no' in relation to the need for lip or nose revision at the follow-up visit. CONCLUSION: There were mild esthetic improvements observed in relation to lip revision surgery, which should be interpreted with caution given the subjectivity of the rating method used.

Atomic force microscopic investigation of respiratory syncytial virus infection in HEp-2 cells.

Respiratory syncytial virus (RSV) primarily causes bronchiolitis and pneumonia in infants. In spite of intense research, no safe and effective vaccine has been developed yet. For understanding its pathogenesis and development of anti-RSV drugs/therapeutics, it is indispensable to study the RSV-host interaction. Although, there are limited studies using electron microscopy to elucidate the infection process of RSV, to our knowledge, no study has reported the morphological impact of RSV infection using atomic force microscopy. We report the cytoplasmic and nuclear changes in human epidermoid cell line type 2 using atomic force microscopy. Human epidermoid cell line type 2 cells, grown on cover slips, were infected with RSV and fixed after various time periods, processed and observed for morphological changes using atomic force microscopy. RSV infected cells showed loss of membrane integrity, with degeneration in the cellular content and cytoskeleton. Nuclear membrane was disintegrated and nuclear volume was decreased. The chromatin of the RSV infected cells was condensed, progressing towards degeneration via pyknosis and apoptosis. Membrane protrusions of ~150-200 nm diameter were observed on RSV infected cells after 6 h, suggestive of prospective RSV budding sites. To our knowledge, this is the first study of RSV infection process using atomic force microscopy. Such morphological studies could help explore viral infection process aiding the development of anti-RSV therapies.

Soil microorganisms in cotton fields sequentially treated with insecticides.

A crop protection system consisting of sequential treatments by six insecticides--dimethoate, monocrotophos, deltamethrin, endosulfan, cypermethrin, and triazophos--at recommended dosages in cotton fields in Punjab, India was investigated for its effects on nontarget soil microorganisms and their activities. Successive applications of the insecticides caused only short-lived adverse effects on the soil microorganisms. None of the insecticides used had any adverse effects on soil fungi as reflected by their total numbers. Significant change in Azotobacter numbers were observed after dimethoate, triazophos, and endosulfan treatment in 1998 soil. An increase of up to 71% in actinomycetes numbers was observed after deltamethrin treatment in the treated fields in 1995. Few short-term changes in iron-reduction capacity were observed after endosulfan and cypermethrin treatments. No adverse effect was observed on the soil respiration during all the experimental periods. The amount of residues detected in soil ranged from 8.5 to 42.0 ng g(-1)dry wt. soil for organophosphorus insecticides and from nondetectable to 5.55 ng g (-1)dry wt. soil for synthetic pyrethroids. It ranged between 7.3 and 35.6 ng g(-1)dry wt. soil for endosulfan. On many occasions two or three insecticide residues were detected together; therefore, the effect observed on soil microorganisms and their activities was a multiresidue effect. In 1998, crop soil amounts of insecticide residues were generally more than those in 1995 and 1996. Persistence and dissipation patterns in soils with a history of exposure to the insecticides compared to the non-history soils were similar.

Comparison of leaf beetle assemblages of deciduous trees canopies in Hungary (Coleoptera: Chrysomelidae).

The species richness and species composition of Coleoptera assemblages were investigated in deciduous tree canopies in Hungary. Apple and pear orchards were investigated in Nagykovácsi, Kecskemét and Sárospatak in 1990-94, and limes and maples in Keszthely in 1999-2002. Faunistic results and conclusions of these investigations were published elsewhere. Examination of the fauna of parks, avenues and other planted urban plant stocks has only begun to occupy researchers in the last decade in Hungary. The proportion of leaf-beetle species in the material gathered on maples and limes ranged between 17.0 and 21.3 per cent. The commonest leaf-beetle specimens collected in the lime canopy were Aphthona euphorbiae, Chaetocnema tibialis, Longitarsus lycopi, L. pellucidus, L. pratensis and L. succineus. The commonest on maple were Aphthona euphorbiae, Chaetocnema concinna, C. tibialis, Longitarsus lycopi, L. pellucidus, L. succineus, Phyllotreta cruciferae and P. vittula. This study presents the details on the composition of the chrysomelid communities that was compared by metric ordination using the Syntax 5.1 program.

Species composition of leaf beetle assemblages in the canopies of apple and pear orchards in Hungary and Great Britain (Coleoptera: Chrysomelidae).

The species richness and species composition of Coleoptera assemblages were investigated in the canopies of apple and pear orchards in Hungary and in the apple orchards in Great Britain. The investigations were carried out in Hungary (Nagykovácsi: 3 plots, Kecskemét: 5 plots, Sárospatak: 4 plots) between 1990-94, and in Great Britain in Kent (East Malling, Marden and Robertsbridge) in 2001 and 2002. Former investigations in Hungary revealed that the diversity of Coleoptera assemblages in the canopy of apple and pear orchard were surprisingly high. As a result of our investigations it was found that altogether 324 species, almost 3% of the Hungarian beetle fauna were represented: 253 species in apple orchards and 188 species in pear orchards. Similar results were obtained in the investigations carried out in Great Britain between 2001-2002. In Hungary, the majority of the species belonged to the families Curculionidae, Chrysomelidae and Coccinelidae. The proportion of leaf beetles varied between 15 and 20%. The most common leaf beetle species in the canopy of the commercial orchards were Phyllotreta vittula, Phyllotreta atra, Phyllotreta nigripes, Oulemta melanopus, and Aphthona euphorbiae. In the abandoned orchards the most common species were Luperus xanthopoda, Smaragdina salicina and Orsodacne liieola. In Great Britain 44 leaf beetle species were found in the canopies of the investigated orchards. The species with higher abundance were Aphthona euphorbiae. Chaetocnema concinna and Longitarsus parvulus. We concluded, that leaf beetles give high part of the orchard canopy biodiversity and sometimes occur with high species richness and abundance. However, the reasons of their occurrence and their potential role are poorly known.

Data on the biology of cabbage stem flea beetle, Psylliodes chrysocephalus (Linnaeus, 1758) (Coleoptera, Chrysomelidae, Alticinae).

Biology of Psylliodes chrysocephalus (Linnaeus, 1758) known as pest of rape and other cruciferous crops in Europe was studied under field and laboratory conditions in Western Hungary. Oviposition usually takes place from the end of September through winter until the end of March. The number of eggs laid by a female may nearly be one thousand. The longevity and the rhythm of the oviposition depend on the climatic conditions. In most years the second (L2) and third (L3) developmental stage larvae over winter in the sterns and main ribs of the lower leaves of rape. In gentle winters first (L1) developmental stage larvae can also over winter because oviposition occurs during winter months as well. Adults also over winter, they live until the beginning of April of the next year. The larvae feed inside of the sterns and midribs of rape leaves; moulting also takes place there. At the beginning of May the fully developed larvae leave the plant and enter the soil to pupate. Adults of the new generation appear on the surface by the end of May and begin to feed on green pods of rape but, however, they also chew the leaves and sterns. After the harvest of rape adults are still active. Before going into summer diapause they visit cruciferous crops or various cruciferous weeds for feeding. Summer diapause takes places from the beginning of July until the end of August. On the basis of our investigations Psylliodes chrysocephalus (Linnaeus, 1758) has one generation a year in Hungary.

Measuring orthodontic treatment satisfaction: questionnaire development and preliminary validation.

OBJECTIVES: The aims of this study were to develop a reliable self-report measure of consumer satisfaction with orthodontic treatment, and to preliminarily assess its validity. METHOD: Transcripts of qualitative interviews with patients, their parents, and practicing orthodontists together with items from existing dental satisfaction questionnaires were used to develop a pool of 41 items assessing satisfaction with various aspects of orthodontic care. These items were paired with five-point Likert scales (1 = strongly disagree, 5 = strongly agree) and were administered to 299 parents of children who had completed orthodontic treatment at two university-based clinics. RESULTS: Factor analyses and reliability analyses identified three main subscales with high reliabilities: 13 items assessing satisfaction with treatment process (Cronbach's alpha = .92), seven items assessing satisfaction with psychosocial effects of treatment (Cronbach's alpha = .87), and five items assessing satisfaction with overall treatment outcome (Cronbach's alpha = .79). Relationships among these three subscales and pre- and posttreatment variables were examined in a subset of 86 parents/patients. Forward stepwise regression with backward overlook revealed no significant relationships between any satisfaction subscale and demographic variables. Posttreatment overjet was inversely related to parental satisfaction with orthodontic treatment process (R2 = .13; P < .001), and parent satisfaction with treatment outcome (R2 = .28; P < .0001). Improvement in esthetics as measured by improvement in IOTN Aesthetic Component scores was positively related to satisfaction with psychosocial outcomes (R2 = .28; P < .0001). CONCLUSIONS: The present instrument is reliable and can be used to assess three dimensions of parental satisfaction with their child's orthodontic treatment. Relationships between visible orthodontic outcome variables and parent satisfaction provide preliminary validity support for the instrument.

A comparison of the reliability and validity of 3 occlusal indexes of orthodontic treatment need.

Several occlusal indexes are currently used to ascertain eligibility for orthodontic treatment. A comparison of 3 indexes of orthodontic treatment need was made with the consensus opinion of a panel of 15 experienced orthodontists. Sets of study casts (170) representing the full spectrum of malocclusions were selected. An examiner, calibrated in the Dental Aesthetic Index, the Handicapping Labiolingual Deviation with the California Modification, and the Index of Orthodontic Treatment Need, scored the casts. The panel of orthodontists individually rated the same casts for their degree of orthodontic treatment need. The mean rating of the panel on the need for treatment was used as the gold standard for evaluating the validity of the indexes. Intrarater and interrater reliability was high (kappa > 0.8). Overall accuracy of the indexes, as reflected in area under receiver-operating characteristic curves, was also high: Dental Aesthetic Index, 95%; Handicapping Labiolingual Deviation with the California Modification, 94%; and Index of Orthodontic Treatment Need, 98%. Cutoff points for the indexes that resulted in the closest agreement with the gold standard differed from the published cutoff points for the indexes. The indexes appear to be valid measures of treatment need as perceived by orthodontists. The published cutoff points for the indexes were more conservative in assigning patients for treatment than a panel of orthodontists. However, adjusting the cutoff points moved all 3 indexes into close agreement with the experts.

Insecticide residues in cotton crop soil.

Dimethoate, monocrotophos, triazophos, deltamethrin, cypermethrin and endosulfan were applied to a cotton crop soil located at Nurpur village, Punjab, India. The insecticides were applied sequentially at recommended dosages in cotton fields by foliar application in 1995, 1996 and 1998. Soil samples were collected from the cotton crop farms and extracted with acetone. The extracted material was analysed by a gas liquid chromatograph (GLC) equipped with an 63Ni electron-capture detector (ECD-63Ni). Recovery data was obtained by fortifying soil with insecticide. The average recoveries from the fortified soil samples were 76-92% for organophosphorous compounds and 90-98% for synthetic pyrethroids and organochlorines. The results showed that the insecticide residues under study were present in the range of 1.16 to 41.97 ng g(-1) d.wt.soil. The pattern of dissipation of the insecticides used was similar for the duration of the crop. Half lives of the insecticides ranged from 7 to 22 days. Except endosulfan none of the other insecticides used were leached below 15 cm. Endosulfan was found to be rapidly degraded in the soil and formed a sulfate metabolite. Persistence and dissipation pattern in soils with history of exposure to the insecticide compared to non-history soils were similar.

A comparison of cranial base growth in Class I and Class II skeletal patterns.

The purpose of this retrospective longitudinal study was to compare 7 cephalometric measurements of the cranial base in subjects with Class I and Class II skeletal patterns at ages 1 month, 2 years, and 14 years. A sample of 22 Class I and 21 Class II subjects was selected; the inclusion criteria were overjet, ANB, and Harvold unit difference. Analyses of head circumference, crown-rump length, and weight revealed no significant (P >.15) differences between the Class I and Class II infant subjects at the initial age (1 month). One angular and 6 linear measurements were first compared with a multivariate analysis of variance, which revealed significant effects for age (P <.0001) and the age by skeletal pattern interaction (P =.0266) but not for skeletal pattern (P =.3705). Analyses of variance showed significant (P <.0001) age effects for each of the cephalometric variables but no significant skeletal pattern effects (P >.10). The anterior cranial base measurement of nasion to sphenoethmoidal suture was the only variable found to have a significant age by skeletal pattern interaction (P <.006), which revealed a difference in the timing of its growth spurt that occurred between 1 month and 2 years in the Class I subjects and between 2 years and 14 years in the Class II subjects. There were no significant differences between the skeletal classes at any of the 3 ages evaluated. Conclusions from this study indicate that cranial base growth patterns are similar for Class I and Class II subjects and that the premise of a more obtuse "saddle angle" or cranial base angle in Class II skeletal patterns was not supported.

Data on the host plant selection of the horseradish flea beetle, Phyllotreta armoraciae (Koch, 1803) (Coleoptera, Chrysomelidae, Alticinae).

Crucifer feeding specialists within the Chrysomelidae family can be found mainly in the subfamilies of Chrysomelinae and Alticinae. Nearly all the species of Phyllotreta within Alticinae feed on crucifers or related genera of Resedaceae and Capparaceae. Oligophagy is a characteristic feature of Phyllotreta species but some species are monophagous. Under natural conditions Phyllotreta armoraciae (Koch, 1803) is considered as a monophagous species feeding only on horseradish (Armoracia lapathifolia Usteri). Ph. armoraciae is in fact not monophagous under laboratory conditions. It feeds on several cruciferous plants to the same extent as on horseradish. In our investigation we tried to clarify the host plant selection of Hungarian populations of Ph. armoraciae. Under laboratory conditions no consumption of Capsella bursa-pastoris (L.) Medic., Arabis sp. and Alyssum saxatile L. was observed even under stress conditions. Small amount of Brassica napus L. and Sinapis alba L. while appreciable amount of Barbarea vulgaris R. Br., Brassia nigra (L.) Koch and Alliaria petiolata (M. B.) Cavara et Grande were consumed. There was no significant difference in preference for Brassica nigra and Armoracia lapathifolia.

Cephalometric variables as predictors of Class II treatment outcome.

Cephalometric analysis of skeletodental features is accepted as an integral part of orthodontic diagnosis and treatment planning. This assumes that diagnostic cephalometric variables affect prognosis and thus help reduce malocclusion severity, which is the aim of orthodontic treatment. The aim of this study was to assess the predictive value of 41 commonly used cephalometric parameters with regard to pretreatment severity and treatment outcomes. Pretreatment severity was assessed by using the Peer Assessment Rating (PAR) occlusal index, an instrument that has been shown to be valid and reliable. Treatment outcomes consisted of (1) posttreatment malocclusion severity (post-PAR), (2) relative improvement (percent PAR reduction), and (3) treatment duration. Complete records, including cephalograms, of 223 treated Class II cases were analyzed by means of separate multiple linear regression models. Each of the outcome variables and the pretreatment severity served as the respective dependent variables, and the cephalometric parameters served as the independent or predictor variables. The cephalometric parameters explained 39.2% of the pretreatment severity variance, 17. 9% of posttreatment severity variance, 15.7% of relative treatment improvement variance, and 20.0% of treatment duration variance.

Facial growth and management of orthodontic problems.

This article enables pediatricians to identify and understand the implications of common facial growth problems in children and adolescents. Problems with facial growth can result in aesthetic and functional concerns. Using a simple method of clinical evaluation, pediatricians can identify facial growth problems in the anteroposterior, vertical, and transverse dimensions. These problems can then be referred for evaluation and treatment by various means. Because facial growth is the result of the interaction of genetic and environmental factors (some of which are functional), growth modification may be a possibility. Some problems may be camouflaged or treated by combined surgical and orthodontic means. Continued growth in early adulthood may enhance or detract from treatment results obtained in childhood or adolescence. These dynamic properties of the face make management of facial growth challenging but generally rewarding and successful because of substantial aesthetic and functional improvements.

Alveolar bone grafts: the surgical/orthodontic management of the cleft maxilla.

The purpose of this paper is to discuss the management of the cleft maxilla with emphasis on the controversies concerning the decisions which a cleft palate team makes with limited evidence but strong beliefs in the anticipated outcomes. The orthodontist and the surgeon need to collaborate in determining the timing and sequencing of alveolar bone grafting. Currently the emphasis on secondary bone grafting has superseded primary bone grafting in its effectiveness and efficiency. Contemporary management of infants born with clefts of the lip and palate is to delay bone grafting until the early mixed dentition stage of dental development with the optimal timing being related to the development of the unerupted permanent canine. In the management of patients with cleft palate, the surgeon and the orthodontist need to evaluate the mixed dentition stage of dental development to determine the optimum timing of treatment to coincide with the most favourable eruption of the maxillary canine or the lateral incisor when this tooth is on the distal side of the cleft. The issues which have led to controversy relate to (i) the age at which alveolar bone grafting should be performed, (ii) the type of bone graft and the site from which the donor bone will be harvested and (iii) the timing of the maxillary expansion and whether this should be performed before or after the alveolar bone graft is placed. A review of contemporary management of the palatal and alveolar cleft is discussed and illustrated in unilateral and bilateral clefts of the maxilla.