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1.
Animal ; 18(6): 101191, 2024 May 16.
Article in English | MEDLINE | ID: mdl-38843666

ABSTRACT

Studies on animal cognition, emotion, language, culture, and politics have shown that non-human animals are agents who engage in self-willed actions and have an interest in shaping their own lives. In today's world, however, animals' lives are affected significantly by circumstances that humans have created, including animal farming systems. The current paper explores how the agency of cows relates to technology by reporting on fieldwork performed in the Dutch dairy sector. Multi-species ethnography was used as a flexible methodology that allowed readjusting questions and methods as our research developed. In the first research phase, observations and informal talks were held on six farms which had been recruited on the basis of convenience sampling and which were each visited for one full day. In the second research phase, five more farms were selected for 1-day visits through theoretical and snowball sampling, and one farm was visited repeatedly for in-depth observations. The observational strategies used included following individual actors (farmers, cows or technologies) and documenting their interactions with other actors; participating in daily routines such as feeding cows roughage and scraping manure; witnessing cows' responses to non-routine events such as the introduction of new technologies or new cows; and sometimes waiting for notable occurrences by just 'hanging out' with cows. Observations and informal talks were in this research phase complemented by a small number of interviews with farmers, cow shed designers, and technology developers. Our main conclusion is that the agency of dairy cows is presupposed and mediated by dairy farming technologies. Dairy farming technologies presuppose cow in the 'scripts' and 'programs of action' which they enforce: they require cows to act in specific ways, anticipate some ways in which cows could disrupt technological routines, and (successfully or unsuccessfully) attempt to ensure cows' cooperation by appealing to their wants and desires and their ability to learn. Dairy farming technologies thus assign to cows not only the ability to perform 'metabolic labour' but also the capacity to act purposively and learning abilities. Technologies mediate cow agency by (co-)shaping how cows express agency in relation to other entities, including other cows, humans, other non-human animals, material entities including technologies, and the world at large. That technologies can be relevant for animal agency in various ways raises the question of how technologies can be designed for agency - although the concept of animal agency also challenges us to reconsider animal agriculture more fundamentally.

2.
Philos Trans R Soc Lond B Biol Sci ; 378(1889): 20220396, 2023 11 06.
Article in English | MEDLINE | ID: mdl-37718597

ABSTRACT

Anthropologists have long studied how small-scale societies manage climate variation. Here, we investigate how Yucatec Maya subsistence farmers respond to climate stress, and the ways in which market integration may enhance or disturb response stategies. Using information on harvest returns, climate perceptions, household economics and helping networks, modelling results show that as farmers rely more on market inputs (e.g. seed, tractors, fertilizer) for a successful yield, the reasons given for a bad harvest shift from climate variables to access to quality inputs. We also find that social and economic diversification is key to mediating a household's experience of climate and market shocks. The Maya are astute stewards of climate knowledge, and have effective social and economic means to mitigate potential fluctuations in food availability. In the transition from a subsistence to a market integrated economy, these traditional strategies become strained. Reliance on market inputs forges a more rigid food production system that conflicts with the diversity and flexibility on which traditional strategies depend to manage climate variation. Moving forward, the best policies would be those that facilitate maintaining an equal footing in both a subsistence maize economy, while incorporating new market opportunities. This article is part of the theme issue 'Climate change adaptation needs a science of culture'.


Subject(s)
Climate Change , Farmers , Humans , Knowledge , Policy , Seeds
3.
Public Health Ethics ; 16(1): 102-111, 2023 Apr.
Article in English | MEDLINE | ID: mdl-37151783

ABSTRACT

Despite extensive stigma mitigation efforts, infectious disease stigma remains common. So far, little attention has been paid to the moral psychology of stigmatizing practices (i.e. beliefs, attitudes, actions) rather than the experience of being stigmatized. Addressing the moral psychology behind stigmatizing practices seems necessary to explain the persistence of infectious disease stigma and to develop effective mitigation strategies. Our article proposes building on Jonathan Haidt's moral foundations theory, which states that moral judgements follow from intuitions rather than conscious reasoning. Conceptual analysis was conducted to show how Haidt's five moral foundations can be connected to (i) moral judgements about stigmatizing practices and (ii) stigmatizing practices themselves. We found that care/harm, fairness/cheating, loyalty/betrayal and sanctity/degradation intuitions can inform moral judgements about stigmatizing practices. Loyalty/betrayal and sanctity/degradation intuitions can sometimes also feed stigmatizing practices. Authority/subversion intuitions can inform moral judgements and stigmatizing practices towards people who disrespect authoritative rules meant to protect public health. Moral dumbfounding and posthoc reasoning might explain the persistence of stigmatizing practices. In conclusion, this study demonstrates the relevance of Haidt's approach to infectious disease stigma research and mitigation strategies. We hope that this study motivates researchers to further test and assess this approach.

4.
Phys Rev Lett ; 129(12): 127201, 2022 Sep 16.
Article in English | MEDLINE | ID: mdl-36179160

ABSTRACT

CrBr_{3} is an excellent realization of the two-dimensional honeycomb ferromagnet, which offers a bosonic equivalent of graphene with Dirac magnons and topological character. We perform inelastic neutron scattering measurements using state-of-the-art instrumentation to update 50-year-old data, thereby enabling a definitive comparison both with recent experimental claims of a significant gap at the Dirac point and with theoretical predictions for thermal magnon renormalization. We demonstrate that CrBr_{3} has next-neighbor J_{2} and J_{3} interactions approximately 5% of J_{1}, an ideal Dirac magnon dispersion at the K point, and the associated signature of isospin winding. The magnon lifetime and the thermal band renormalization show the universal T^{2} evolution expected from an interacting spin-wave treatment, but the measured dispersion lacks the predicted van Hove features, pointing to the need for more sophisticated theoretical analysis.

5.
Phys Rev Lett ; 129(6): 067001, 2022 Aug 05.
Article in English | MEDLINE | ID: mdl-36018650

ABSTRACT

Using sound velocity and attenuation measurements in high magnetic fields, we identify a new transition in the vortex lattice state of La_{2-x}Sr_{x}CuO_{4}. The transition, observed in magnetic fields exceeding 35 T and temperatures far below zero field T_{c}, is detected in the compression modulus of the vortex lattice, at a doping level of x=p=0.17. Our theoretical analysis based on Eilenberger's theory of the vortex lattice shows that the transition corresponds to the long-sought 45° rotation of the square vortex lattice, predicted to occur in d-wave superconductors near a van Hove singularity.

6.
Bone ; 143: 115732, 2021 02.
Article in English | MEDLINE | ID: mdl-33160095

ABSTRACT

ALPL encodes tissue-nonspecific alkaline phosphatase (TNAP), an enzyme expressed in bone, teeth, liver, and kidney. ALPL loss-of-function mutations cause hypophosphatasia (HPP), an inborn error-of-metabolism that produces skeletal and dental mineralization defects. Case reports describe widely varying dental phenotypes, making it unclear how HPP comparatively affects the three unique dental mineralized tissues: enamel, dentin, and cementum. We hypothesized that HPP affected all dental mineralized tissues and aimed to establish quantitative measurements of dental tissues in a subject with HPP. The female proband was diagnosed with HPP during childhood based on reduced alkaline phosphatase activity (ALP), mild rachitic skeletal effects, and premature primary tooth loss. The diagnosis was subsequently confirmed genetically by the presence of compound heterozygous ALPL mutations (exon 5: c.346G>A, p.A116T; exon 10: c.1077C>G, p.I359M). Dental defects in 8 prematurely exfoliated primary teeth were analyzed by high resolution micro-computed tomography (micro-CT) and histology. Similarities to the Alpl-/- mouse model of HPP were identified by additional analyses of murine dentoalveolar tissues. Primary teeth from the proband exhibited substantial remaining root structure compared to healthy control teeth. Enamel and dentin densities were not adversely affected in HPP vs. control teeth. However, analysis of discrete dentin regions revealed an approximate 10% reduction in the density of outer mantle dentin of HPP vs. control teeth. All 4 incisors and the molar lacked acellular cementum by micro-CT and histology, but surprisingly, 2 of 3 prematurely exfoliated canines exhibited apparently normal acellular cementum. Based on dentin findings in the proband's teeth, we examined dentoalveolar tissues in a mouse model of HPP, revealing that the delayed initiation of mineralization in the incisor mantle dentin was associated with a broader lack of circumpulpal dentin mineralization. This study describes a quantitative approach to measure effects of HPP on dental tissues. This approach has uncovered a previously unrecognized novel mantle dentin defect in HPP, as well as a surprising and variable cementum phenotype within the teeth from the same HPP subject.


Subject(s)
Hypophosphatasia , Alkaline Phosphatase/genetics , Animals , Female , Hypophosphatasia/diagnostic imaging , Hypophosphatasia/genetics , Mice , Mutation/genetics , Tooth, Deciduous , X-Ray Microtomography
7.
Phys Rev Lett ; 124(25): 257201, 2020 Jun 26.
Article in English | MEDLINE | ID: mdl-32639763

ABSTRACT

We have used neutron spectroscopy to investigate the spin dynamics of the quantum (S=1/2) antiferromagnetic Ising chains in RbCoCl_{3}. The structure and magnetic interactions in this material conspire to produce two magnetic phase transitions at low temperatures, presenting an ideal opportunity for thermal control of the chain environment. The high-resolution spectra we measure of two-domain-wall excitations therefore characterize precisely both the continuum response of isolated chains and the "Zeeman-ladder" bound states of chains in three different effective staggered fields in one and the same material. We apply an extended Matsubara formalism to obtain a quantitative description of the entire dataset, Monte Carlo simulations to interpret the magnetic order, and finite-temperature density-matrix renormalization-group calculations to fit the spectral features of all three phases.

8.
J Law Med Ethics ; 47(2_suppl): 63-67, 2019 06.
Article in English | MEDLINE | ID: mdl-31298113

ABSTRACT

Each decade since 1979, the Healthy People initiative establishes the national prevention agenda and provides the foundation for disease prevention and health promotion policies and programs. Law and policy have been included in Healthy People objectives from the start, but not integrated into the overall initiative as well as possible to potentially leverage change to meet Healthy People targets and goals. This article provides background on the Healthy People initiative and its use among various stakeholder groups, describes the work of a project aiming to better integrate law and policy into this initiative, and discusses the development of Healthy People 2030 - the next iteration of health goals for the nation. Lessons from the preliminary stages of developing Healthy People by the HHS Secretary's Advisory Committee (Committee) on National Health Promotion and Disease Prevention Objectives for 2030 and a Federal Interagency Workgroup will be included. Efforts by the Committee focused on the role of law and policy as determinants of health and valuable resources around health equity are also shared. Finally, the article discusses ways that law and policy can potentially be tools to help meet Healthy People targets and to attain national health goals.


Subject(s)
Health Policy , Healthy People Programs/legislation & jurisprudence , Healthy People Programs/organization & administration , Public Health , Advisory Committees , Healthy People Programs/history , Healthy People Programs/trends , History, 20th Century , History, 21st Century , Humans , United States , United States Dept. of Health and Human Services
9.
Phys Rev Lett ; 121(11): 117201, 2018 Sep 14.
Article in English | MEDLINE | ID: mdl-30265101

ABSTRACT

We report an extraordinary pressure dependence of the magnetic interactions in the metal-organic system [CuF_{2}(H_{2}O)_{2}]_{2}pyrazine. At zero pressure, this material realizes a quasi-two-dimensional spin-1/2 square-lattice Heisenberg antiferromagnet. By high-pressure, high-field susceptibility measurements we show that the dominant exchange parameter is reduced continuously by a factor of 2 on compression. Above 18 kbar, a phase transition occurs, inducing an orbital re-ordering that switches the dimensionality, transforming the quasi-two-dimensional lattice into weakly coupled chains. We explain the microscopic mechanisms for both phenomena by combining detailed x-ray and neutron diffraction studies with quantitative modeling using spin-polarized density functional theory.

10.
Phys Rev Lett ; 121(7): 077004, 2018 Aug 17.
Article in English | MEDLINE | ID: mdl-30169083

ABSTRACT

We present a soft x-ray angle-resolved photoemission spectroscopy study of overdoped high-temperature superconductors. In-plane and out-of-plane components of the Fermi surface are mapped by varying the photoemission angle and the incident photon energy. No k_{z} dispersion is observed along the nodal direction, whereas a significant antinodal k_{z} dispersion is identified for La-based cuprates. Based on a tight-binding parametrization, we discuss the implications for the density of states near the van Hove singularity. Our results suggest that the large electronic specific heat found in overdoped La_{2-x}Sr_{x}CuO_{4} cannot be assigned to the van Hove singularity alone. We therefore propose quantum criticality induced by a collapsing pseudogap phase as a plausible explanation for observed enhancement of electronic specific heat.

11.
Nat Commun ; 9(1): 3252, 2018 08 14.
Article in English | MEDLINE | ID: mdl-30108225

ABSTRACT

Relativistic massless Dirac fermions can be probed with high-energy physics experiments, but appear also as low-energy quasi-particle excitations in electronic band structures. In condensed matter systems, their massless nature can be protected by crystal symmetries. Classification of such symmetry-protected relativistic band degeneracies has been fruitful, although many of the predicted quasi-particles still await their experimental discovery. Here we reveal, using angle-resolved photoemission spectroscopy, the existence of two-dimensional type-II Dirac fermions in the high-temperature superconductor La1.77Sr0.23CuO4. The Dirac point, constituting the crossing of [Formula: see text] and [Formula: see text] bands, is found approximately one electronvolt below the Fermi level (EF) and is protected by mirror symmetry. If spin-orbit coupling is considered, the Dirac point degeneracy is lifted and the bands acquire a topologically non-trivial character. In certain nickelate systems, band structure calculations suggest that the same type-II Dirac fermions can be realised near EF.

12.
Mar Pollut Bull ; 130: 335-347, 2018 May.
Article in English | MEDLINE | ID: mdl-29866567

ABSTRACT

While sewage pollution is contributing to the global decline of coral reefs, its offshore extent and direct reef impacts from water column mixing and benthic seeps are poorly documented. We addressed this knowledge gap on a Hawaiian coral reef using sewage indicator and benthic cover measurements, macroalgal bioassays, and a pollution scoring tool. Fecal indicator bacteria (FIB) and nutrient concentrations were spatially variable in surface and benthic waters, with shoreline values being highest. Shoreline macroalgae δ15N and %N indicated high nitrogen loads containing sewage, while offshore surface and benthic values suggested lower nitrogen loads from environmental sources. Coral cover was negatively correlated with FIB, macroalgal δ15N, and nutrient concentrations. Benthic salinity and temperature measurements detected daily tidal groundwater pulses which may explain these associations. While pollution scores revealed that sewage was largely concentrated along the shoreline, results showed some reached the reef and may be contributing to its declining condition.


Subject(s)
Coral Reefs , Sewage/analysis , Water Pollutants, Chemical/analysis , Animals , Anthozoa/chemistry , Anthozoa/microbiology , Feces/microbiology , Hawaii , Nitrogen/analysis , Seaweed/chemistry
13.
Mar Pollut Bull ; 129(1): 70-80, 2018 Apr.
Article in English | MEDLINE | ID: mdl-29680569

ABSTRACT

Sewage pollution is contributing to the global decline of coral reefs. Identifying locations where it is entering waters near reefs is therefore a management priority. Our study documented shoreline sewage pollution hotspots in a coastal community with a fringing coral reef (Puako, Hawai'i) using dye tracer studies, sewage indicator measurements, and a pollution scoring tool. Sewage reached shoreline waters within 9 h to 3 d. Fecal indicator bacteria concentrations were high and variable, and δ15N macroalgal values were indicative of sewage at many stations. Shoreline nutrient concentrations were two times higher than those in upland groundwater. Pollution hotspots were identified with a scoring tool using three sewage indicators. It confirmed known locations of sewage pollution from dye tracer studies. Our study highlights the need for a multi-indicator approach and scoring tool to identify sewage pollution hotspots. This approach will be useful for other coastal communities grappling with sewage pollution.


Subject(s)
Coral Reefs , Environmental Monitoring/methods , Seawater/microbiology , Sewage/microbiology , Water Pollutants/analysis , Animals , Clostridium perfringens/isolation & purification , Enterococcus/isolation & purification , Hawaii , Seawater/chemistry , Seaweed/isolation & purification , Sewage/analysis
14.
JDR Clin Trans Res ; 3(2): 161-169, 2018 Apr.
Article in English | MEDLINE | ID: mdl-29568802

ABSTRACT

The purposes of this study were to describe primary tooth emergence in an American Indian (AI) population during the first 36 mo of life to compare 1) patterns of emergence between male and female children and 2) tooth emergence between these AI children and other U.S. ethnic groups. Data were derived from a birth cohort of 239 AI children from a Northern Plains tribe participating in a longitudinal study of early childhood caries, with examination data at target ages of 8, 12, 16, 22, 28, and 36 mo of age (±1 mo). Patterns of emergence in AI children were characterized and sex comparisons accomplished with interval-censored survival methodology. Numbers of erupted teeth in AI children at each age were compared via Kruskal-Wallis tests against those in children of the same age, as drawn from a cross-sectional study of dental caries patterns in Arizona; these comparisons were based on the dental examinations of 547 White non-Hispanic and 677 Hispanic children. Characterization of time to achievement of various milestones-including emergence of the anterior teeth, the first molars, and the complete primary dentition-provided no evidence of sex differences among AI children. AI children had significantly more teeth present at 8 mo (median, 3) than either White non-Hispanic (P < 0.0063) or Hispanic (P < 0.0001) children (median, 2 each). This was also true at 12 mo (P < 0.001; medians, 8 vs. 6 and 7, respectively) and 16 mo (P < 0.001; medians, 12 vs. 11 each). Less pronounced differences were seen at 22 mo (P < 0.0001). White non-Hispanic and Hispanic children did not differ at any time considered (P > 0.05). These results provide evidence of earlier tooth emergence in AI children than in the other 2 ethnicities. Although the underlying etiology of the severity of early childhood caries in AI children is likely to be multifactorial, earlier tooth emergence may be a contributing factor. Knowledge Transfer Statement: The findings of this study have practical implications for practitioners providing childhood oral health care to ethnic groups with early tooth emergence. It may be important to provide parents with information on toothbrushing, dentist visits, and other practices supportive of good oral health as early as possible to protect their children's primary dentition.

16.
Vox Sang ; 112(5): 417-424, 2017 Jul.
Article in English | MEDLINE | ID: mdl-28466467

ABSTRACT

BACKGROUND AND OBJECTIVES: Concern with the costs of blood safety is growing, which raises the question whether safety measures that reduce risk only marginally should be discontinued. Withdrawing such safety measures would allow reallocating resources to more efficient health care interventions, but it might raise moral objections. MATERIALS AND METHODS: This study evaluates two ethical arguments why discontinuing blood safety measures would be more objectionable than not implementing them. The first argument is that whereas withdrawing protective measures causes harm to patients, not starting protective measures 'merely' omits to prevent harm. The second argument is that patients who benefit from protective measures are historically entitled to the continuation of those protective measures. RESULTS: Both arguments are unconvincing. There is only a weak causal connection between removing blood safety measures and harms that transfusion recipients suffer. Moreover, patients are not entitled to the continuation of protective measures that prove very inefficient, unless applying these protective measures rectifies past injustice towards them. CONCLUSION: Unless stronger ethical objections can be found, blood system operators and regulators should be more willing to withdraw inefficient safety measures.


Subject(s)
Blood Safety/ethics , Blood Safety/economics , Blood Safety/methods , Blood Transfusion/economics , Blood Transfusion/ethics , Humans , Primary Prevention
17.
Phys Rev Lett ; 118(17): 177202, 2017 Apr 28.
Article in English | MEDLINE | ID: mdl-28498681

ABSTRACT

The challenge of one-dimensional systems is to understand their physics beyond the level of known elementary excitations. By high-resolution neutron spectroscopy in a quantum spin-ladder material, we probe the leading multiparticle excitation by characterizing the two-magnon bound state at zero field. By applying high magnetic fields, we create and select the singlet (longitudinal) and triplet (transverse) excitations of the fully spin-polarized ladder, which have not been observed previously and are close analogs of the modes anticipated in a polarized Haldane chain. Theoretical modeling of the dynamical response demonstrates our complete quantitative understanding of these states.

18.
Geburtshilfe Frauenheilkd ; 77(1): 45-51, 2017 Jan.
Article in English | MEDLINE | ID: mdl-28190888

ABSTRACT

Introduction Minimally invasive operative techniques are being used increasingly in gynaecological surgery. The expansion of the laparoscopic operation spectrum is in part the result of improved imaging. This study investigates the practical advantages of using 3D cameras in routine surgical practice. Materials and Methods Two different 3-dimensional camera systems were compared with a 2-dimensional HD system; the operating surgeon's experiences were documented immediately postoperatively using a questionnaire. Results Significant advantages were reported for suturing and cutting of anatomical structures when using the 3D compared to 2D camera systems. There was only a slight advantage for coagulating. The use of 3D cameras significantly improved the general operative visibility and in particular the representation of spacial depth compared to 2-dimensional images. There was not a significant advantage for image width. Depiction of adhesions and retroperitoneal neural structures was significantly improved by the stereoscopic cameras, though this did not apply to blood vessels, ureter, uterus or ovaries. Conclusion 3-dimensional cameras were particularly advantageous for the depiction of fine anatomical structures due to improved spacial depth representation compared to 2D systems. 3D cameras provide the operating surgeon with a monitor image that more closely resembles actual anatomy, thus simplifying laparoscopic procedures.

19.
Fortschr Neurol Psychiatr ; 84(9): 578-88, 2016 Sep.
Article in German | MEDLINE | ID: mdl-27607072

ABSTRACT

Autism spectrum disorders (ASD) are characterized by disturbed social interaction and communication as well as stereotyped or repetitive behaviors and interests. Although adults with ASD often acquire complex compensatory strategies that help them master social situations in a rule-based fashion, they still show impairments in intuitive processing of social signals and especially nonverbal communication in complex everyday situations. This constitutes a particular challenge for the psychotherapy of ASD. Psychotherapists are required to explicitly inform and act as an agent of the non-autistic world to enable patients to acquire the ability to take different perspectives. The overall aim of cognitive behavioral therapy interventions addressing ASD in adulthood is to extend the patients' behavioral repertoire to improve their quality of life. Thus, besides psychoeducation on ASD and its frequently associated comorbidities, psychotherapy for adults with ASD should focus on the training and development of social-communicative skills. Furthermore, dealing with stress in everyday situations is an important aspect of psychotherapy of these patients.


Subject(s)
Autism Spectrum Disorder/diagnosis , Autism Spectrum Disorder/therapy , Adult , Autism Spectrum Disorder/psychology , Cognitive Behavioral Therapy , Communication , Humans , International Classification of Diseases , Interpersonal Relations , Patient Education as Topic , Psychotherapy , Quality of Life/psychology , Social Behavior
20.
J Oral Rehabil ; 43(2): 136-44, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26393865

ABSTRACT

This practice-based study evaluates the survival and success of conventionally luted metal-ceramic and zirconia molar crowns fabricated by using a prolonged cooling period for the veneering porcelain. Fifty-three patients were treated from 07/2008 to 07/2009 with either metal-ceramic crowns (MCC) or zirconia crowns (ZC). Forty-five patients (26 female) with 91 restorations (obser-vational period: 64.0 ± 4.8 months) participated in a clinical follow-up examination and were included in the study. Estimated cumulative survival (ECSv), success (ECSc) and veneering ceramic success (ECVCSc) were calculated (Kaplan-Meier) and analysed by the crown fabrication technique and the position of the restoration (Cox regression model) (P < 0.05). Five complete failures (MCC: 2, ZC: 3) were recorded (5-year ECSv: MCC: 97.6%, (95% confidence interval (95%-CI): [93%; 100%]/ZC: 94.0%, (95%-CI): [87%; 100%]). Of the MCCs (n = 41), 85.0%, [95%-CI: (77%; 96%)] remained event-free, whereas the ECSc for the ZCs (n = 50) was 74.3% (95%-CI): [61%; 87%]. No significant differences in ECSv (P = 0.51), ECSc (P = 0.43) and ECVCSc (P = 0.36) were detected between the two fabrication techniques. Restorations placed on terminal abutments (n = 44) demonstrated a significantly lower ECVCSc (P = 0.035), (5-year VCF-rate: 14.8%) than crowns placed on tooth-neighboured abutments (n = 47), (5-year VCF-rate: 4.3%). In the present study, zirconia molar crowns demonstrated a 5-year ECSv, ECSc and ECVCSc comparable to MCCs. Irrespective of the fabrication technique, crowns on terminal abutments bear a significantly increased risk for VCFs. Clinical investigations with an increased number of restorations are needed.


Subject(s)
Crowns/adverse effects , Dental Materials/adverse effects , Dental Porcelain/adverse effects , Dental Prosthesis Design/adverse effects , Dental Restoration Failure , Zirconium/adverse effects , Adult , Female , Follow-Up Studies , Humans , Male , Middle Aged , Molar , Treatment Outcome
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