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Recommendations for clinicians include prioritizing the couple subsystem as an avenue for building resilience against minority stress.
Critical thinking is an essential skill for the dentist, yet little has surfaced to define the outcome, guide learning, and assess performance. On June 16, 2020, the American Dental Education Association (ADEA) sponsored a 1-hour webinar on Critical thinking with 600 attendees. To report input from a national cohort of dental educators responding to a model for critical thinking guidance.
Critical thinking concepts with explicit skillsets were presented. learn more Attendees gave Likert responses on importance and confidence defining outcome. At the end of the webinar, attendees were asked in an open-ended format what their "take away" was.
One hundred and five responded to a Likert scale question on how important critical thinking is, with 93% giving a 5. To the question on how well have you figured out how to define the outcome, guide learning, and assess performance, 53% gave a 3 and 21% gave a 2 (χ
=151; P<0.01) From 121 "take away" responses, 79 reiterated the session's central theme with comments on emulating the thought process of the expert or articulating a skillset. In a separate classification of the same "take away," responses oriented to common domains of education nomenclature. No alternative critical thinking model for articulating the outcome, guiding learning, and assessing performance was evident in any of the 121 take away responses.
Results are interpreted as an opportunity moment for dental education to collectively develop additional critical thinking models.
Results are interpreted as an opportunity moment for dental education to collectively develop additional critical thinking models.
To describe the use of the upper lip for reconstruction of the external nose and closure of large facial defects in dogs.
Four dogs with facial defects with exposure of the underlying nasal cavity.
Short case series.
A variation of the lip-to-lid technique was used to reconstruct one-half of the external nose after resection of a mast cell tumor in one dog. A full-thickness labial transposition flap (upper lip) was used to reconstruct facial and nasal defects exposing the nasal cavity. A cylindrical mucosal graft was employed in the restoration of nostril patency in one dog.
The lip-to-lid variation (also known as lip-to-nose) restored the right nostril and nasal planum after mast cell tumor resection in one dog. In three dogs, the nasal defects were reconstructed with full-thickness upper labial transposition flaps. Restoration of nostril patency in one dog was also aided by the cylindrical mucosal graft.
The full-thickness labial transposition flap and the lip-to-lid flap variation were successfully used to reconstruct major defects of the external nose and facial defects involving the nasal cavity.
Composite flaps of the upper lip should be considered to close problematic nasocutaneous fistulas and restore function to the external nose. The upper lip provides a source of mucosa to restore patency of stenotic nares or obstructed nostrils.
Composite flaps of the upper lip should be considered to close problematic nasocutaneous fistulas and restore function to the external nose. The upper lip provides a source of mucosa to restore patency of stenotic nares or obstructed nostrils.In recent years, luminescent materials doped with Ln3+ ions have attracted much attention for their application as optical thermometers based on both downshifting and upconversion processes. This study presents research done on the development of highly sensitive optical thermometers in the physiological temperature range based on poly(methyl methacrylate) (PMMA) films doped with two series of visible Ln3+ complexes (Ln3+ =Tb3+ , Eu3+ , and Sm3+ ) and SiO2 nanoparticles (NPs) coated with these PMMA films. The best performing PMMA film doped with Tb3+ and Eu3+ complexes was the PMMA[TbEuL1 tppo]1 film (L1 =4,4,4-trifluoro-1-phenyl-1,3-butadionate; tppo=triphenylphosphine oxide), which showed good temperature sensing of Sr =4.21 % K-1 at 313 K, whereas for the PMMA films doped with Tb3+ and Sm3+ complexes the best performing was the PMMA[TbSmL2 tppo]3 film (L2 =4,4,4-trifluoro-1-(4-chlorophenyl)-1,3-butadionate), with Sr =3.64 % K-1 at 313 K. Additionally, SiO2 NPs coated with the best performing films from each of the series of PMMA films (Tb-Eu and Tb-Sm) and their temperature-sensing properties were studied in water, showing excellent performance in the physiological temperature range (PMMA[TbEuL1 tppo]1@SiO2 Sr =3.84 % °C at 20 °C; PMMA[TbSmL2 tppo]3@SiO2 Sr =3.27 % °C at 20 °C) and the toxicity of these nanoparticles on human cells was studied, showing that they were nontoxic.Solid organ and hematopoietic stem cell transplantation may be complicated by the development of post-transplant lymphoproliferative disorders (PTLDs). The World Health Organization categorizes PTLDs into four entities including non-destructive, monomorphic, polymorphic, and classical Hodgkin lymphoma types. The most common PTLDs are B-cell lymphomas, with T-cell lymphomas accounting for only a few cases. Cutaneous T-cell lymphomas are rarer still in post-transplant patients with primary cutaneous peripheral T-cell lymphoma being an extraordinarily rare subtype in this population. PTLDs may be aggressive and are often associated with high morbidity and mortality. Advances in medicine have led to increased awareness of PTLDs and improved diagnostic tools which assist in the diagnosis of these conditions. However, the clinical and histopathologic heterogeneity of PTLDs may make diagnosis a challenge. In the transplant patient population, the cutaneous manifestations of the lymphoproliferative disease may mimic other conditions, such as eczematous dermatitis and graft-vs-host disease. Herein, we report a case of post-transplant primary cutaneous peripheral T-cell lymphoma not otherwise specified (PTCL-NOS) in a pediatric heart transplant patient and describe the clinical presentation and diagnostic histopathologic features.
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