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Barrett's esophagus. Prevalence, risk of adenocarcinoma, role of endoscopic surveillance 2002 Clinica Chirurgica 4, Dipartimento di Scienze Mediche e Chirurgiche, Universita degli Studi di Padova, Padova, Italy. giovanni.zaninotto@unipd.it
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Minerva chirurgica
Periodical, Abbrev.
Minerva Chir.
Pub Date Free Form
Dec
Volume
57
Issue
6
Start Page
819
Other Pages
836
Notes
LR: 20061115; JID: 0400726; RF: 100; ppublish
Place of Publication
Italy
ISSN/ISBN
0026-4733; 0026-4733
Accession Number
PMID: 12592224
Language
ita
SubFile
English Abstract; Journal Article; Review; IM
DOI
Output Language
Unknown(0)
PMID
12592224
Abstract
The presence of gastric metaplasia in the distal esophagus is better known as Barrett's Esophagus (BE). It is an acquired condition caused by gastro-esophageal reflux disease and is associated with a high risk of adenocarcinoma development in the distal esophagus and cardia. The definition of BE has changed over the years as only the specialized metaplasia, with the characteristic "goblet cells", has been shown to carry a risk of cancer development. BE is currently defined as the presence of intestinal metaplasia in the distal esophagus. The prevalence of intestinal metaplasia of the distal esophagus in patients undergoing endoscopy with multiple biopsies for dyspeptic symptoms, varies from 9-21% at the level of the cardia and from 1.2-8% at 3 cm above the esophago-gastric junction, with a decreasing caudo-cranial frequency. Among the BE population (intestinal metaplasia 3 or more cm long) there is a prevalence of male sex and white race, with an average age between the 5(th) and 7(th) decade. The risk of BE mucosa advancing to esophageal adenocarcinoma is not well established: incidence rates from 1/52 years-patient to 1/441 years-patient and a calculated risk from 30 to 125 times higher than in the normal population were reported. These discrepancies are probably related to: 1) temporal differences of the studies, 2) retrospective versus prospective type of the studies, 3) length of follow-up, 4) number of individuals surveilled, 5) regional variations. A literature analysis confirmed that the differences are mostly related to the number of patients studied (the larger the population the lower the incidence), are generally inversely proportional to the follow-up length (the shorter the follow-up the higher the incidence) and depend on the type of the studies (the incidence is higher in the retrospective studies than in the prospective one's). Surveillance program: esophageal adenocarcinoma is a lethal tumor with a 20% 5-year survival rate. The guidelines of The American College of Gastroenterology advice a two-year surveillance rate for BE patients without dysplasia. The difficulty with BE surveillance programs-- even if worthwhile on a single patient basis-- is that they are very expensive and at the present none of the endoscopic surveillance prospective studies has shown a positive impact in the survival rate. From our knowledge it doesn't seem wise to abandon a precautionary surveillance strategy, but further studies are needed to better understand the risk population: at the moment our advice is to monitor male patients in good general conditions with a BE segment longer than 3 cm.
Descriptors
Adenocarcinoma/diagnosis/epidemiology/etiology, Barrett Esophagus/complications/diagnosis/epidemiology, Esophageal Neoplasms/diagnosis/etiology, Esophagoscopy, Follow-Up Studies, Humans, Incidence, Prevalence, Risk Factors
Links
Book Title
Database
Publisher
Data Source
Authors
Zaninotto,G., Costantini,M., Molena,D., Rizzetto,C., Ekser,B., Ancona,E.
Original/Translated Title
L'esofago di Barret. Prevalenza, rischio di adenocarcinoma, ruolo dei programmi di sorveglianza endoscopica
URL
Date of Electronic
PMCID
Editors
Smoking mothers and snuffing fathers: behavioural influences on youth tobacco use in a Swedish cohort 2003 Division of Epidemiology, Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden. ingvar.rosendahl@smd.sll.se
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Mar
Volume
12
Issue
1
Start Page
74
Other Pages
78
Notes
LR: 20140611; JID: 9209612; OID: NLM: PMC1759077; ppublish
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 12612366
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
Output Language
Unknown(0)
PMID
12612366
Abstract
OBJECTIVE: To analyse the influences of parental use of cigarettes and snus (the Swedish variety of smokeless tobacco) on offspring's behaviour. DESIGN: Prospective cohort study. SETTING: The Stockholm County of Sweden. SUBJECTS: 2232 adolescents recruited in the fifth grade (mean age 11.6 years) with follow up in the eighth grade. MAIN OUTCOME MEASURES: Self reported tobacco use (ever and current use of cigarettes and/or snus) in the eighth grade. RESULTS: Parents' tobacco use was associated with adolescents' current use of cigarettes and snus (odds ratio (OR) 2.7, 95% confidence interval (CI) 1.8 to 3.9 if both parents used tobacco v neither parent). Mother's cigarette smoking was associated with adolescents' current exclusive smoking (OR 2.4, 95% CI 1.6 to 3.6). Father's use of snus was associated with current exclusive use of snus among boys (OR 3.0, 95% CI 1.4 to 6.4), but not with current cigarette use. The overall prevalence of current smoking was lower among children whose fathers used snus than among those whose fathers smoked. CONCLUSIONS: Parental smoking, especially maternal smoking, enhances the risk of tobacco experimentation in youths, as does paternal use of smokeless tobacco. However, the transition to regular cigarette smoking is not likely to be affected by paternal use of smokeless tobacco. Contextual factors, in particular declining smoking trends and negative social acceptance of smoking, can explain most of these findings.
Descriptors
Adolescent, Adolescent Behavior, Child, Child of Impaired Parents/psychology, Fathers/psychology, Female, Humans, Male, Mothers/psychology, Parent-Child Relations, Prospective Studies, Risk Factors, Smoking/epidemiology/psychology, Sweden/epidemiology, Tobacco Use Disorder/epidemiology/psychology, Tobacco, Smokeless
Links
Book Title
Database
Publisher
Data Source
Authors
Rosendahl,K. I., Galanti,M. R., Gilljam,H., Ahlbom,A.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC1759077
Editors
NTP Toxicology and Carcinogenesis Studies of Talc (CAS No. 14807-96-6)(Non-Asbestiform) in F344/N Rats and B6C3F1 Mice (Inhalation Studies) 1993
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
National Toxicology Program technical report series
Periodical, Abbrev.
Natl.Toxicol.Program.Tech.Rep.Ser.
Pub Date Free Form
Sep
Volume
421
Issue
Start Page
1
Other Pages
287
Notes
JID: 8500747; ppublish
Place of Publication
ISSN/ISBN
0888-8051; 0888-8051
Accession Number
PMID: 12616290
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
Output Language
Unknown(0)
PMID
12616290
Abstract
Talc ore may contain several other minerals including calcite, dolomite, magnesite, tremolite, anthophyllite, antigorite, quartz, pyrophyllite, micas, or chlorites. Talc products are sold in a multitude of grades which have physical or functional characteristics especially suited for particular applications, so occupational and consumer exposures to talc are complex. Epidemiology studies have suggested an association between non-fibrous talc and lung cancer risk. Talc was nominated by the National Institute of Occupational Safety and Health (NIOSH) for study by the NTP because of widespread human exposure and because of the lack of adequate information on its chronic toxicity and potential carcinogenicity. Toxicology and carcinogenicity studies of talc (non-asbestiform, cosmetic grade), a finely powdered hydrous magnesium silicate, were conducted by exposing groups of F344/N rats to aerosols for 6 hours per day, 5 days per week for up to 113 weeks (males) or 122 weeks (females). Groups of B6C3F1 mice were exposed similarly for up to 104 weeks. LIFETIME STUDY IN RATS: Groups of 49 or 50 male and 50 female rats were exposed to aerosols of 0, 6, or 18 mg/m(3) talc until mortality in any exposure group reached 80% (113 weeks for males and 122 weeks for females). These exposures were selected based on 4-week inhalation studies of the terminal lung talc burden in F344/N rats; concentrations greater than 18 mg/m(3) were expected to overwhelm lung clearance mechanisms and impair lung function. These exposure concentrations provided a dose equivalent of 0, 2.8, or 8.4 mg/kg per day for male rats and 0, 3.2, or 9.6 mg/kg per day for female rats. In a special study, additional groups of 22 male and 22 female rats were similarly exposed and examined for interim pathology evaluations or pulmonary function tests after 6, 11, 18, and 24 months and lung biochemistry and cytology studies after 24 months. The talc aerosols had a median mass aerodynamic diameter of 2.7 mm in the 6 mg/m(3) chamber and a median diameter of 3.2 mm in the 18 mg/m(3) chamber, with geometric standard deviations of 1.9 mm. However, there was a 7-week period beginning at study week 11 during which the chamber concentration for the 18 mg/m(3) rats varied from approximately 30 to 40 mg/m(3) because of difficulties with the aerosol concentration monitoring system. Further, there was a 12-week period beginning at approximately week 70 during which there were difficulties in generating the talc aerosol, and the chamber concentrations for rats and mice were substantially lower than the target concentrations. Survival, Body Weights, and Clinical Findings: The survival of male and female rats exposed to talc was similar to that of the controls. Mean body weights of rats exposed to 18 mg/m(3) were slightly lower than those of controls after week 65. No clinical findings were attributed to talc exposure. Pathology Findings: Absolute and relative lung weights of male rats exposed to 18 mg/m(3) were significantly greater than those of controls at the 6-, 11-, and 18-month interim evaluations and at the end of the lifetime study, while those of female rats exposed to 18 mg/m(3) were significantly greater at the 11-, 18-, and 24-month interim evaluations and at the end of the lifetime study. Inhalation exposure of rats to talc produced a spectrum of inflammatory, reparative, and proliferative processes in the lungs. Granulomatous inflammation occurred in nearly all exposed rats and the severity increased with exposure duration and concentration. Hyperplasia of the alveolar epithelium and interstitial fibrosis occurred in or near foci of inflammation in many exposed rats, while squamous metaplasia of the alveolar epithelium and squamous cysts were also occasionally seen. Accumulations of macrophages (histiocytes), most containing talc particles, were found in the peribronchial lymphoid tissue of the lung and in the bronchial and mediastinal Iymph nodes. In female rats, the incidences
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
National Toxicology Program
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Solid-phase microextraction to monitor the sonochemical degradation of polycyclic aromatic hydrocarbons in water 2003 Department of Environmental Engineering, Technical University of Crete, Polytechneioupolis, GR-73100 Chania, Greece. epsilaki@mred.tuc.gr
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of environmental monitoring : JEM
Periodical, Abbrev.
J.Environ.Monit.
Pub Date Free Form
Feb
Volume
5
Issue
1
Start Page
135
Other Pages
140
Notes
LR: 20061115; JID: 100968688; 0 (Polycyclic Hydrocarbons, Aromatic); 0 (Water Pollutants, Chemical); ppublish
Place of Publication
England
ISSN/ISBN
1464-0325; 1464-0325
Accession Number
PMID: 12619768
Language
eng
SubFile
Journal Article; IM
DOI
Output Language
Unknown(0)
PMID
12619768
Abstract
Solid-phase microextraction (SPME) coupled with GC-MS has been used to monitor the degradation of polycyclic aromatic hydrocarbons (PAHs) by ultrasound treatment. Immersion SPME sampling enabled the fast and solventless extraction of target contaminants at the low microg l(-1) concentration level. The developed protocol was found to be linear in the concentration range from 0.1 to 50 microg l(-1) for most target analytes, with the limits of detection ranging between 0.01 and 0.70 microg l(-1) and the relative standard deviations between 4.31 and 27%. The developed SPME protocol was used to follow concentration profiles of aqueous solutions containing 16 PAHs, which were subject to low frequency ultrasonic irradiation. At the conditions employed in this study (80 kHz of ultrasound frequency, 130 W l(-1) of applied electric power density, 30 microg l(-1) of initial concentration for each of the 16 PAHs), sonochemical treatment was found capable of destroying the lower molecular weight PAHs (naphthalene, acenaphthylene, acenaphthene, fluorene, phenanthrene, anthracene, fluoranthene and pyrene) within 120-180 min of irradiation. The higher molecular weight PAHs were more recalcitrant to ultrasound treatment.
Descriptors
Environmental Monitoring/methods, Gas Chromatography-Mass Spectrometry, Molecular Weight, Polycyclic Hydrocarbons, Aromatic/analysis/chemistry, Ultrasonics, Water Pollutants, Chemical/analysis, Water Purification/methods
Links
Book Title
Database
Publisher
Data Source
Authors
Psillakis,E., Ntelekos,A., Mantzavinos,D., Nikolopoulos,E., Kalogerakis,N.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Evaluation of indoor BTX in an outskirt zone of Rome (Italy) 2003 Istituto sull'Inquinamento Atmosferico CNR, Via Salaria km 29.3, C.P. 10, 00016-Monterotondo Scalo RM, Italy. bertoni@iia.mlib.cnr.it
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Annali di Chimica
Periodical, Abbrev.
Ann.Chim.
Pub Date Free Form
Jan-Feb
Volume
93
Issue
2-Jan
Start Page
27
Other Pages
33
Notes
LR: 20131121; JID: 7610375; 0 (Air Pollutants); 0 (Xylenes); 3FPU23BG52 (Toluene); J64922108F (Benzene); ppublish
Place of Publication
Italy
ISSN/ISBN
0003-4592; 0003-4592
Accession Number
PMID: 12650571
Language
eng
SubFile
Journal Article; IM
DOI
Output Language
Unknown(0)
PMID
12650571
Abstract
Correlation between indoor and outdoor levels of BTX (benzene, toluene and the sum of ethyl benzene, o-xylene, m-xylene and p-xylene) has been investigated at thirteen homes, thirteen classrooms and related outdoor atmospheres. Non smoking people and low polluted sites were chosen for this campaign, in order to highlight if commonly used domestic materials could act as internal sources. Data, obtained by employing long-term diffusive samplers over a three-month period, are compared with a parallel experiment showing the day-night indoor/outdoor trend. The obtained results let us conclude that there is evidence of internal sources at homes whilst in the schools depletion phenomena prevail, probably due to the walls adsorption.
Descriptors
Air Pollutants/analysis, Air Pollution, Indoor/analysis, Benzene/analysis, Cities, Environmental Monitoring, Housing, Humans, Italy, Schools, Toluene/analysis, Xylenes/analysis
Links
Book Title
Database
Publisher
Data Source
Authors
Bertoni,G., Tappa,R., Ciuchini,C.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Concurrent use of tobacco products by California adolescents 2003 Cancer Prevention and Control Program, Cancer Center, University of California, San Diego, La Jolla, CA 92093, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Preventive medicine
Periodical, Abbrev.
Prev.Med.
Pub Date Free Form
May
Volume
36
Issue
5
Start Page
575
Other Pages
584
Notes
LR: 20061115; JID: 0322116; ppublish
Place of Publication
United States
ISSN/ISBN
0091-7435; 0091-7435
Accession Number
PMID: 12689803
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
S0091743502000646 [pii]
Output Language
Unknown(0)
PMID
12689803
Abstract
BACKGROUND: To describe patterns and correlates of tobacco product use other than cigarettes in adolescents 12-17 years of age. METHODS: Adolescent respondents (N = 6090) to the 1999 California Tobacco Survey provided estimates of ever and current use (in last 30 days) of smokeless tobacco, cigars, and bidis, which were examined by cigarette smoking experience, demographics, and known predictors of cigarette use. RESULTS: Only 3% of adolescents who never smoked cigarettes experimented with other tobacco products. Among ever smokers who were not current smokers, the rate was 35%. Nearly 60% of current cigarette experimenters had tried another tobacco product, but almost 90% of current established smokers had experimented with one. Over 40% of current established smokers used another tobacco product in the last 30 days. Factors predictive of cigarette smoking were also highly associated with other tobacco use. In ever cigarette smokers, having peers who used other tobacco products was most highly associated with other tobacco use. Problem or risky behaviors, beliefs that cigarettes are safe or beneficial, and receptivity to tobacco promotions were also independently associated with other tobacco product use. CONCLUSIONS: Adolescent smokers who use other tobacco products may be prone to risky behavior and such use may hasten the development of nicotine tolerance.
Descriptors
Adolescent, Adolescent Behavior/ethnology/psychology, California/epidemiology, Data Collection, Demography, Female, Humans, Male, Peer Group, Prevalence, Risk Factors, Smoking/epidemiology/ethnology, Tobacco Use Disorder/epidemiology/ethnology, Tobacco, Smokeless/supply & distribution
Links
Book Title
Database
Publisher
Data Source
Authors
Gilpin,E. A., Pierce,J. P.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Effect of different bonding agents on shear bond strengths of composite-bonded porcelain to enamel 2003 Department of Prosthodontics, Faculty of Dentistry, Ege University, Izmir, Turkey. cenkcura@hotmail.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Journal of prosthetic dentistry
Periodical, Abbrev.
J.Prosthet.Dent.
Pub Date Free Form
Apr
Volume
89
Issue
4
Start Page
394
Other Pages
399
Notes
LR: 20131121; JID: 0376364; 0 (Acrylates); 0 (Aluminum Silicates); 0 (Clearfil SE Bond); 0 (Composite Resins); 0 (Dentin-Bonding Agents); 0 (IPS-Empress ceramic); 0 (PermaQuik); 0 (Polymethacrylic Acids); 0 (Prime and Bond NT); 0 (Prompt L-Pop); 0 (Resin
Place of Publication
United States
ISSN/ISBN
0022-3913; 0022-3913
Accession Number
PMID: 12690353
Language
eng
SubFile
Clinical Trial; Journal Article; D; IM
DOI
10.1067/mpr.2003.58 [doi]
Output Language
Unknown(0)
PMID
12690353
Abstract
STATEMENT OF PROBLEM: The use of bonding agents in the luting procedure for porcelain laminate restorations to enamel is not clear. PURPOSE: This study evaluated the shear bond strength differences between an enamel-luting composite and a heat-pressed ceramic with 6 different bonding systems. MATERIAL AND METHODS: Seventy standardized heat-pressed IPS Empress ceramic discs (4-mm diameter, 3-mm height) were prepared. A vertical planar enamel-bonding surface was prepared on the buccal or lingual enamel of 70 freshly extracted sound human molars and premolars. The teeth were oriented to maintain a parallel relationship between the bonding plane and the shear loading axis of a universal testing machine. Tooth specimens were divided into 7 groups (n=10) comprising equal numbers of molars and premolars. The enamel surfaces of specimens in groups 1 through 6 were prepared with 1 of 6 bonding agents (Scotchbond Multi Purpose Plus, Heliobond, PQ1, SE Bond, Prime&Bond NT, and Prompt L-Pop). Finally, the specimens were luted to the ceramic discs with the composite cement (Opal Luting Composite). Ceramic discs in the seventh group (Control) were luted to the etched enamel with the composite cement without using bonding material. Enamel-ceramic specimens were kept in distilled water at room temperature for 30 days after cementation. All specimens were shear loaded axially in a universal testing machine with a crosshead speed of 0.05 mm/min until fracture. Shear bond strength was measured and recorded for each group in MPa. To determine the statistical significance of the differences between the mean shear bond strength values, a 1-way analysis of variance was used (alpha=.05). Post-hoc multiple comparisons were made with Duncan's multiple range analysis. Fractured surfaces of each specimen were also inspected with a stereomicroscope to evaluate failure modes. RESULTS: A 1-way analysis of variance revealed significant differences between the test groups (P=.00). Bond strength values (MPa) from the highest to the lowest were as follows: Prompt L-Pop, 25.46 +/- 5.6; Prime&Bond NT, 18.99 +/- 4.93; Heliobond, 17.28 +/- 4.0; SE Bond, 16.21 +/- 2.6; PQ1, 15.60 +/- 2.8; Scotchbond MPP, 14.82 +/- 2.4; and Control, 10.55 +/- 1.6. Duncan's multiple range post hoc analysis exhibited significant differences between the control group and the adhesive bonding agent groups (P<.05). There were also significant differences between the bonding agent groups (P<.05). Prompt L-Pop showed the highest bond strength values. CONCLUSION: Within the limitations of this study, bonding agents appear to have a strengthening effect on the shear bond strengths of the enamel/composite/porcelain interface of the materials tested. Bonding agents used in this study showed similar bond strength values except for Prompt L-Pop, which demonstrated the highest bond strength values.
Descriptors
Acrylates/chemistry, Adhesiveness, Adult, Aluminum Silicates/chemistry, Analysis of Variance, Composite Resins/chemistry, Dental Bonding, Dental Enamel/ultrastructure, Dental Porcelain/chemistry, Dentin-Bonding Agents/chemistry, Humans, Materials Testing, Middle Aged, Polymethacrylic Acids/chemistry, Resin Cements/chemistry, Statistics as Topic, Stress, Mechanical, Temperature, Time Factors, Water/chemistry
Links
Book Title
Database
Publisher
Data Source
Authors
Cura,C., Saracoglu,A., Cotert,H. S.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Irradiation of dental enamel with Q-switched lambda = 355-nm laser pulses: surface morphology, fluoride adsorption, and adhesion to composite resin 2003 Department of Growth and Development, University of California, San Francisco, California 94143, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Lasers in surgery and medicine
Periodical, Abbrev.
Lasers Surg.Med.
Pub Date Free Form
Volume
32
Issue
4
Start Page
310
Other Pages
317
Notes
LR: 20071115; CI: Copyright 2003; GR: R01-DE14554/DE/NIDCR NIH HHS/United States; JID: 8007168; 0 (Composite Resins); 0 (Fluorides, Topical); ppublish
Place of Publication
United States
ISSN/ISBN
0196-8092; 0196-8092
Accession Number
PMID: 12696100
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.; IM
DOI
10.1002/lsm.10162 [doi]
Output Language
Unknown(0)
PMID
12696100
Abstract
BACKGROUND AND OBJECTIVES: Lasers can be used to modify the chemical composition of dental enamel to increase the bond strength to restorative materials and to render the mineral phase more resistant to acid dissolution. Previous studies have suggested a synergistic relationship between CO(2) laser irradiation and fluoride treatment on increased resistance to acid dissolution. In this study a near-UV laser operating with lambda = 355-nm laser pulses of 3-5 nanoseconds duration was used to modify the surface morphology of dental enamel to increase the bond strength to restorative materials and increase the uptake of topical fluoride to render the surface more resistant to acid dissolution. We hypothesize that the short UV laser pulses are primarily absorbed by protein and lipid localized between the enamel prisms resulting in removal of intact mineral effectively etching the surface without thermal modification of the mineral phase. Such modification is likely to increase the permeability of the enamel surface and the subsequent absorption of fluoride. In addition, there is an increase in surface roughness without the formation of a layer of loosely adherent, thermally modified enamel that increases the bond strength to composite restorative materials. STUDY DESIGN/MATERIALS AND METHODS: The surfaces of blocks of bovine enamel, 5 x 5 mm(2), were uniformly irradiated by 355-nm laser pulses and subsequently bonded to composite. The shear bond test was used to assess the bond strength of non-irradiated blocks (negative control), acid etched blocks (positive control), and laser irradiated blocks. The resistance to acid dissolution was evaluated using controlled surface dissolution experiments on irradiated samples, irradiated samples exposed to topical fluoride, and non-irradiated control samples with and without fluoride. RESULTS: The laser surface treatments significantly increased the shear-bond strength of enamel to composite, to a level exceeding 20 MPa which was significantly more than the non-irradiated control samples and significantly less than the acid etch. Laser irradiation alone and topical fluoride application alone did not significantly increase the resistance to acid dissolution. The laser treatment followed by topical application of fluoride significantly increased the resistance to acid dissolution to a level of over 50% versus the control samples. CONCLUSIONS: We present a novel method for increasing bond strength to restorative materials and enhancing fluoride delivery to enamel surfaces and shed some light on the underlying mechanisms of caries inhibition via laser treatment and topical application of fluoride.
Descriptors
Animals, Cattle, Composite Resins, Dental Bonding, Dental Enamel/radiation effects/ultrastructure, Fluorides, Topical, Laser Therapy, Microscopy, Electron, Scanning, Surface Properties
Links
Book Title
Database
Publisher
Wiley-Liss, Inc
Data Source
Authors
Wheeler,C. R., Fried,D., Featherstone,J. D., Watanabe,L. G., Le,C. Q.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Residential smoking therapy 2003 Received from Ambulatory Care Service, Durham VA Medical Center, Durham, NC 27705, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of general internal medicine
Periodical, Abbrev.
J.Gen.Intern.Med.
Pub Date Free Form
Apr
Volume
18
Issue
4
Start Page
275
Other Pages
280
Notes
LR: 20151119; JID: 8605834; OID: NLM: PMC1494850; ppublish
Place of Publication
United States
ISSN/ISBN
0884-8734; 0884-8734
Accession Number
PMID: 12709094
Language
eng
SubFile
Clinical Trial; Journal Article; IM
DOI
jgi11114 [pii]
Output Language
Unknown(0)
PMID
12709094
Abstract
OBJECTIVE: To evaluate a pilot 4-day residential smoking treatment program for smokers who had relapsed after participation in an outpatient smoking program. DESIGN: A single-arm clinical trial. Participants stayed in a supportive, smoke-free environment for 4 days during which they attended educational sessions on nutrition, exercise, and psychology. Nicotine withdrawal was treated with nicotine inhalers and patches. After discharge, participants attended monthly outpatient group sessions for 6 months. SETTING: The Durham, NC Veterans Affairs Medical Center residential unit. PARTICIPANTS: Twenty-three medical outpatient smokers. MEASUREMENTS: Seven-day point prevalence smoking abstinence was determined by self-report of zero cigarettes smoked and verified by exhaled carbon monoxide <8 parts per million. MAIN RESULTS: Participants' mean age was 57.4 years; 100% were male; 61% were Caucasian; and 39% were African American. The mean score on the Fagerstrom Test for Nicotine Dependence was 7.1 (SD 2.3). Daily nicotine doses ranged from the nicotine inhaler alone to 56 mg of transdermal nicotine plus nicotine inhaler. Verified smoking abstinence on discharge (after 4 days) was 21/23 or 91.3% (95% confidence interval [95% CI], 73 to 100). At 6 months, the 7-day point abstinence rate was 6/23 or 26.1% (95% CI, 15 to 36). CONCLUSIONS: This pilot residential smoking treatment program was designed to assist smokers who relapsed after outpatient treatment. Four days of residential smoking therapy successfully relieved smoking withdrawal. At 6 months after discharge, participants maintained an abstinence rate comparable to other medical therapies for smoking.
Descriptors
Aged, Attitude to Health, Behavior Therapy/methods, Confidence Intervals, Diet Therapy/methods, Humans, Male, Middle Aged, North Carolina, Patient Education as Topic/methods/statistics & numerical data, Pilot Projects, Psychotherapy, Group, Recurrence, Smoking/epidemiology/prevention & control, Smoking Cessation/methods/psychology/statistics & numerical data, Surveys and Questionnaires, Time Factors, Treatment Outcome, Veterans
Links
Book Title
Database
Publisher
Data Source
Authors
Green,A., Yancy,W. S., Braxton,L., Westman,E. C.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC1494850
Editors
Effect of smoking reduction on later cessation: a pilot experimental study 2003 Department of Psychiatry, University of Vermont Burlington, VT, USA. carpenter@musc.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Apr
Volume
5
Issue
2
Start Page
155
Other Pages
162
Notes
LR: 20151119; GR: DA 00450/DA/NIDA NIH HHS/United States; GR: DA 07242/DA/NIDA NIH HHS/United States; GR: DA 11557/DA/NIDA NIH HHS/United States; JID: 9815751; 0 (Nicotinic Agonists); 6M3C89ZY6R (Nicotine); CIN: Nicotine Tob Res. 2003 Apr;5(2):141-4. PMID
Place of Publication
England
ISSN/ISBN
1462-2203; 1462-2203
Accession Number
PMID: 12745487
Language
eng
SubFile
Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; IM
DOI
V9A2243679FULKWK [pii]
Output Language
Unknown(0)
PMID
12745487
Abstract
It is unclear whether reducing the number of cigarettes in smokers not trying to quit increases or decreases the likelihood of future quitting. In a pilot study, smokers not currently interested in quitting (n=67) were randomized to two groups. Experimental participants received behavioral treatment and nicotine replacement therapy (choice of gum, patch, or inhaler) to reduce smoking by 50% over 4 weeks, followed by brief advice to quit. Usual-care participants received only brief advice to quit and nicotine replacement if they decided to quit. During the 4-week treatment period, nonabstaining reduction participants decreased from 23 to 14 cigarettes per day (p<.01) and maintained their reduction over the 6-month follow-up period. At the 6-month follow-up, 35% of usual-care and 41% of reduction participants (nonsignificant [ns]) moved forward in their stage of change. Over the 6 months, 34% of usual-care participants had at least one 24-h quit attempt, compared with 25% of reduction participants (ns). A total of 9% of usual-care participants remained quit at 6 months vs. 13% in the reduction group (ns). These preliminary results suggest that adding a reduction option neither increases nor undermines interest in cessation. Higher than expected rates of attempted cessation and quitting in the usual-care group suggest that we recruited smokers whose motivation to quit was above average. Thus, a replication test in a less-motivated group of smokers is needed.
Descriptors
Administration, Cutaneous, Adult, Behavior Therapy/methods, Female, Follow-Up Studies, Humans, Incidence, Male, Motivation, Nicotine/administration & dosage, Nicotinic Agonists/administration & dosage, Pilot Projects, Smoking/prevention & control/therapy, Smoking Cessation/methods, Time Factors
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Carpenter,M. J., Hughes,J. R., Keely,J. P.
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