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1.
J Biophotonics ; 10(10): 1292-1304, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28544745

RESUMO

The goal of this work is to investigate the thermal effects of femtosecond laser (fs-laser) ablation for the removal of carious dental tissue. Additional studies identify different tooth tissues through femtosecond laser induced breakdown spectroscopy (fsLIBS) for the development of a feedback loop that could be utilized during ablation in a clinical setting. Scanning Election Microscope (SEM) images reveal that minimal morphological damages are incurred at repetition rates below the carbonization threshold of each tooth tissue. Thermal studies measure the temperature distribution and temperature decay during laser ablation and after laser cessation, and demonstrate that repetition rates at or below 10kHz with a laser fluence of 40 J/cm2 would inflict minimal thermal damage on the surrounding nerve tissues and provide acceptable clinical removal rates. Spectral analysis of the different tooth tissues is also conducted and differences between the visible wavelength fsLIBS spectra are evident, though more robust classification studies are needed for clinical translation. These results have initiated a set of precautionary recommendations that would enable the clinician to utilize femtosecond laser ablation for the removal of carious lesions while ensuring that the solidity and utility of the tooth remain intact.


Assuntos
Terapia a Laser , Lasers , Temperatura , Dente/efeitos da radiação , Animais , Bovinos , Humanos , Dente/citologia
2.
Glob Public Health ; 6(6): 577-92, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21790501

RESUMO

This paper is based on an extensive literature review of academic, policy and 'grey' literatures on the intersections of culture and the global HIV/AIDS pandemic commissioned by UNESCO. It highlights that the review exposed a dominant conceptual perspective that poorly captures structures of vulnerability, particularly structures that expose entire populations to risk in relatively uniform ways. Stemming from this, the review revealed a series of specific topical areas in need of further research including masculinities, transactional sex, infrastructural deficits in health and education, fragile states and global governance. For each of these topical areas the authors demonstrate the relationship to the conceptual limitation, summarise relevant research in this area, and provide evidence of applicability to public health interventions. In pursuit of more effective interventions, this paper draws attention to some of the conceptual limitations of current approaches to understanding the pandemic, and calls for interventions that move beyond individual behaviours to address structures that shape individual behaviour and make entire populations more vulnerable to HIV.


Assuntos
Características Culturais , Saúde Global/etnologia , Infecções por HIV/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde/etnologia , Comportamento Sexual/etnologia , Comparação Transcultural , Países em Desenvolvimento , Surtos de Doenças/prevenção & controle , Surtos de Doenças/estatística & dados numéricos , Identidade de Gênero , Infecções por HIV/epidemiologia , Infecções por HIV/etnologia , Mau Uso de Serviços de Saúde , Humanos , Comportamento de Redução do Risco , Fatores Socioeconômicos
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