The Results of Water Fluoridation in Ireland

The visit of Dr. Trendley Dean to Dublin in the mid-1950s helped accelerate the decision to introduce water fluoridation as a public health measure in the prevention of caries in the Republic of Ireland. A challenge to the constitutional validity of the Health (Fluoridation of Water Supplies) Act 1960 failed and in 1964 the water supplies of Dublin city were fluoridated. Over the next seven to eight years all the major urban communities in the Republic of Ireland were fluoridated. Currently, 67 percent of the 3.5 million people in the country reside in fluoridated communities. Studies conducted over the last 20 years show that residents of fluoridated communities have better dental health than those in nonfluoridated communities—the mean dmft is lower in children and the number of natural teeth present in adults is higher.     

Correlates of suicide in building industry workers.

Suicide within the construction industry in Queensland, Australia was reportedly high in a recent Royal Commission report. The current study examined the incidence and causes of suicide in this industry using psychological autopsy and focus group investigations. A total of 64 male suicides occurred over the seven-year period, representing a crude suicide rate of 40.3 per 100,000, significantly greater than the working age Australian male rate. Young employees were at excessive risk with separation/divorce, relationship problems, and untreated psychiatric conditions the major contributors. Focus groups emphasized the importance of work/home interface factors and industry-specific factors preceding suicide.     

The oral health and treatment needs of community‐dwelling older people in a rural town in Western Australia

Objectives: The aim of this study was to assess, in a sample of older rural community‐dwelling Australians, their: oral health status, dental treatment needs, perceived barriers to access dental services and the prevalence and severity of dental anxiety. Methods: A cross‐sectional study of elderly rural Australians. Results: Eighty participants (mean age of 71.7 years) had a mean number of 0.69 (SD 1.6) decayed teeth, 15.72 (SD 13.3) missing teeth and 3.9 (SD 5.4) filled teeth. Forty‐one per cent were edentulous. Xerostomia was reported by 53% of the edentulous and 43% of the dentate. The average Corah Dental Anxiety Scale score was 8.72 (SD 3.8). Prevalence of dental anxiety was 15.6%. Two‐thirds needed dental treatment. Conclusions: Caries experience was lower than that reported in other studies. Reported barriers to use of dental services were long waiting times, lack of perceived dental need and costs.     

Feeding preferences and attitudes to breastfeeding and its promotion among teenagers in Northern Ireland.

Northern Ireland has one of the lowest breastfeeding initiation rates in the world. Given that attitudes toward infant feeding are formed at an early age and a high rate of teenage pregnancy, it has become necessary to survey attitudes to infant feeding and breastfeeding promotion preferences in teenagers in Northern Ireland. Questionnaires were distributed to teenagers aged 14 to 18 years (n = 419) based in 7 schools selected by type and location throughout Northern Ireland. Attitudes to breastfeeding in public reflected preferred infant-feeding method and were positively influenced by prior exposure to breastfeeding (P = .024). Females were more positive than males both in relation to breastfeeding in public (P = .002) and breastfeeding promotion (P = .003). Recommendations for breastfeeding promotion include specific targeting of young people (both male and female) and enabling contact between teenagers and nursing mothers as much as possible.     

Speed of repolarization and morphology of glygerol-treated frog muscle fibres

1. Single muscle fibres from frog semitendinosus were subjected to sudden changes in [K](o), while recording membrane potential.2. In agreement with Hodgkin & Horowicz (1960), a sudden increase in [K](o) in normal fibres produced a rapid depolarization (half-time 0.3 sec), whereas a sudden decrease in [K](o) produced a slower repolarization (half-time 2-3 sec).3. Fibres were subjected to ;glycerol-treatment', a procedure which was supposed to produce a functional disconnexion of the T-system from the surface. In these glycerol-treated fibres both depolarization and repolarization induced by changes of [K](o) took place rapidly.4. The results suggest that the slowness of the repolarization in normal fibres is due to a retention of K ions inside the T-tubules.5. Electron microscopical observation of single fibres or bundles of fibres, which have been soaked in a Ringer containing ferritin, revealed that normal fibres contained ferritin particles in the T-system, while glycerol-treated fibres showed no ferritin. Except for the presence of some large vacuoles and some swelling of the T-system, glycerol-treated fibres appeared morphologically normal.6. Prolonged soaking in a high potassium solution produced electrical effects suggesting that K ions can enter the tubules of treated fibres very slowly, in spite of their inaccessibility to ferritin.7. The main effect of glycerol-treatment does not seem to be a total disconnexion of the T-system from the fibre surface, but rather constriction of the T-tubules near their openings to the exterior.     

Bladder acellular matrix as a substrate for studying in vitro bladder smooth muscle-urothelial cell interactions

The objective of this study was to evaluate the ability of bladder acellular matrix (BAM) to support the individual and combined growth of primary porcine bladder smooth muscle (SMC) and urothelial (UEC) cells. An in vitro co-culture system was devised to evaluate the effect of UEC on (i) SMC-mediated contraction of BAM discs, and (ii) SMC invasiveness into BAM. Cells were seeded onto BAM discs under 4 different culture conditions. Constructs were incubated for 1, 7, 14 and 28 days. Samples were then harvested for evaluation of matrix contraction. Immunohistochemistry (IHC) was utilized to examine cellular organization within the samples and conditioned media supernatants analyzed for net gelatinase activity. BAM contraction was significantly increased with co-culture. The same side co-culture configuration lead to a greater reduction in surface area than opposite side co-culture. IHC revealed enhanced SMC infiltration into BAM when co-culture was utilized. A significant increase in net gelatinase activity was also observed with the co-culture configuration. Enhanced infiltration and contractile ability of bladder SMCs with UEC co-culture may, in part, be due to an increase in gelatinase activity. The influence of bladder UECs on SMC behaviour in vitro indicates that BAM may contain some key inductive factors that serve to promote important bladder cell-cell and cell-matrix interactions.     

The distribution of the T-system along the sarcomeres of frog and toad sartorius muscles

1. Frog and toad sartorius muscles were soaked in ferritin suspensions and then fixed and prepared for electron microscopy. Ferritin particles were counted in micrographs of regions where fibril striations were in good register, and the number of particles plotted according to position along the sarcomeres.2. The distribution of ferritin particles in both frog and toad muscle sarcomeres could be accounted for by a single peak centred at the Z-line, with a total width of about 0.4 mu.3. The peak in toad fibres was slightly broader than that in frog fibres, and this was due to more frequent branching of the T-system in the toad. In both frog and toad sartorius muscles branching increases the total quantity of T-system by around 30%.4. No peak was found in the ferritin distribution which could account for the peak of albumin distribution observed near the A-I boundary of toad sartorius muscles by Hill (1964).     

Capacity and Competence in Child and Adolescent Psychiatry

Capacity and competence in the field of child and adolescent psychiatry are complex issues, because of the many different influences that are involved in how children and adolescents make treatment decisions within the setting of mental health. This article will examine some of the influences which must be considered, namely: developmental aspects, the paradoxical relationship between the need for autonomy and participation and the capacity of children, family psychiatry, and the duty of care towards children and adolescents. The legal frameworks relevant to consideration of consent and competence will be briefly considered, as well as some studies of children's consent, participation and competence. A case vignette will be used as a focus to consider the complexity of the issue of competence in child and adolescent psychiatry, in the particular mental disorder of anorexia nervosa.