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Biomedical subjects

S Kessel

Publications and source records attributed to S Kessel.

6 recordsLinked to original sources
PubMed1998

Thermal stresses in metal-ceramic specimens for the ISO crack initiation test (three-point flexure bond test).

OBJECTIVES: At the October 1996 meeting of the ISO/TC106/SC 2/WG 1 working group, a special three-point flexure test for the characterization of the metal-ceramic bond was incorporated in the standard (ISO CD 9693). Due to the fabrication process, like real porcelain-fused-to-metal (PFM) restorations, the specimens contain thermal (eigen-) stresses upon which the load stresses are superimposed in the actual test. This study is devoted to the determination of these residual thermal stresses. METHODS: The residual thermal stresses in the specimen were calculated with the aid of the finite element method (FEM) using an especially fine mesh in the vicinity of the edge of initial debonding. Young's modulus, EM, of the alloy was varied within the interval 80 GPa < or = EM < or = 220 GPa which covers the spectrum of dental alloys. The analysis also allows the calculation of thermal stresses as a function of the difference delta alpha = alpha M - alpha C of the coefficients of thermal expansion of alloy and ceramic and the glass transition temperature theta G of porcelain. RESULTS: The thermal shear and normal stresses at the bond interface concentrate at the end of the ceramic veneer and practically vanish over about three quarters of the central part of the layer. The larger the Young's modulus, EM, of the alloy, the higher both stresses. SIGNIFICANCE: The results permit a deeper comprehension of the debonding process in the test: shear stress induced by loading increases the overall shear stress at the end of the bond interface, whereas load tensile stress is buffered by thermal compressive stress.

Dental Bonding↗
PubMed1998

The association between health risk behaviors and sexual orientation among a school-based sample of adolescents.

OBJECTIVE: This study is one of the first to examine the association between sexual orientation and health risk behaviors among a representative, school-based sample of adolescents. DESIGN: This study was conducted on an anonymous, representative sample of 4159 9th- to 12th-grade students in public high schools from Massachusetts' expanded Centers for Disease Control and Prevention 1995 Youth Risk Behavior Survey. Sexual orientation was determined by the following question: "Which of the following best describes you?" A total of 104 students self-identified as gay, lesbian, or bisexual (GLB), representing 2.5% of the overall population. Of GLB youth, 66.7% were male and 70% were white (not Hispanic). Health risk and problem behaviors were analyzed comparing GLB youth and their peers. Those variables found to be significantly associated with GLB youth were then analyzed by multiple logistic regression models. RESULTS: GLB youth were more likely than their peers to have been victimized and threatened and to have been engaged in a variety of risk behaviors including suicidal ideation and attempts, multiple substance use, and sexual risk behaviors. Four separate logistic regression models were constructed. Model I, Onset of Behaviors Before Age 13, showed use of cocaine before age 13 years as strongly associated with GLB orientation (odds ratio [OR]: 6.10; 95% confidence interval [CI] = 2.45-15.20). Early initiation of sexual intercourse (2.15; 10.6-4.38), marijuana use (1.98; 1.04-4.09), and alcohol use (1.82; 1.03-3.23) also was associated with GLB orientation. Model II, Lifetime Frequencies of Behaviors, showed that frequency of crack cocaine use (1.38; 1.06-1.79), inhalant use (1.30; 1.05-1.61), and number of sexual partners (1.27; 1.06-1.43) was associated with GLB orientation. Model III, Frequency of Recent Behaviors, showed smokeless tobacco use in the past 30 days (1.38; 1. 20-1.59) and number of sexual partners in the previous 3 months (1. 47; 1.31-1.65) were associated with GLB orientation. Model IV, Frequency of Behaviors at School, showed having one's property stolen or deliberately damaged (1.23; 1.08-1.40) and using marijuana (1.29; 1.05-1.59) and smokeless tobacco (1.53; 1.30-1.81) were associated with GLB orientation. Overall, GLB respondents engaged disproportionately in multiple risk behaviors, reporting an increased mean number of risk behaviors (mean = 6.81 +/- 4.49) compared with the overall student population (mean = 3.45 +/- 3.15). CONCLUSION: GLB youth who self-identify during high school report disproportionate risk for a variety of health risk and problem behaviors, including suicide, victimization, sexual risk behaviors, and multiple substance use. In addition, these youth are more likely to report engaging in multiple risk behaviors and initiating risk behaviors at an earlier age than are their peers. These findings suggest that educational efforts, prevention programs, and health services must be designed to address the unique needs of GLB youth.

Adolescent↗
PubMedDate not supplied

Using linked birth and infant death files for program planning and evaluation: NIMS workshop lessons.

Health planners should base program decisions on the best information available. Combining information from different sources can be valuable in identifying problems--the essential first step in program planning. To facilitate this process, a workshop was conducted during the National Infant Mortality Surveillance Conference in Atlanta, GA. Maternal and child health directors explored the use of linked birth and infant death data for program planning and evaluation. Linked birth and infant death certificate files permit evaluation of infant mortality by birth weight and other infant and maternal characteristics, thus providing more detailed information than birth or death certificates alone. An assessment of the birth weight distribution of live births, birth weight specific-mortality risks, distribution of deaths by birth weight, and birth weight-specific causes of death can help identify problems in the childbearing population and with the delivery of health services. Once the infant health problems are defined clearly, the selection and delivery of services can be better targeted and evaluated for the reduction of these problems.

Birth Certificates↗