States Public Research Articles

Candida auris Response in a Tennessee Dialysis Facility, 2023

Background: Candida auris, a multi-drug resistant fungal pathogen, was introduced to Tennessee in 2021. There are limited studies on the spread of C. auris in highly specialized care settings including outpatient dialysis facilities. Facilities are concerned that C. auris transmission is difficult to prevent in this setting due to patient vulnerability, treatment frequency and length, and isolation challenges. As a result, these facilities may reject patients based on their positive colonization status. In 2023, the Tennessee Department of Health (TDH) conducted two containment-driven colonization screenings in response to a colonized patient receiving dialysis treatment for one month without their status being known to the facility. Methods: An initial point prevalence survey (PPS) was conducted to assess for ongoing transmission among dialysis patients. Patient screening was prioritized for the cohort of patients who received dialysis at the same time as the index patient (Cohort A). The screening was broadened to include patients dialyzed directly before Cohort A (Cohort B) by request of the Cohort B patients. A second PPS was conducted 7 weeks later, targeting the same cohorts. Specimens were collected through supervised patient self-collection of a skin swab from the axilla and groin. Flocked Eswabs were used for collection and transferred in Amies transport media to the Tennessee State Public Health Lab. The presence of C. auris was detected via Polymerase Chain Reaction (PCR). Results: Twenty-three patients (12 from Cohort A; 11 from Cohort B) were screened in the first PPS. One patient from Cohort A tested positive. This colonized patient was determined to be a known C. auris case first detected four months prior, but the patient’s status was never communicated to the dialysis facility from the discharging acute care facility. Eleven patients, excluding the previously identified positives, participated (9 from Cohort A; 2 from Cohort B) in the second PPS; no positives were identified. Discussion: The index patient and an additional patient identified by the PPS both received dialysis at this facility for up to 4 months without facility knowledge. These results suggest that the standard infection control practices at this dialysis facility were adequate to prevent the transmission of C. auris among dialysis patients on multiple shifts. Additionally, patient self-collection identified a known C. auris patient. Future TDH work includes further evaluating the risk of C. auris transmission and developing targeted infection prevention and control practices for the outpatient dialysis setting.

Zoonoses-specific resources, collaborative networks, and enhanced communication can help US veterinarians tackle zoonotic diseases: results from a national survey.

Increased incidence of zoonoses, coupled with veterinarians' occupational exposure, led to this study examining the knowledge of licensed US veterinarians on zoonoses and their disease prevention practices. This online survey supported by the National Association of State Public Health Veterinarians received 466 responses from 36 US states; 67% of the respondents were female, and 72.5% were small animal medicine practitioners. The One Health concept was familiar among 82% of respondents, 51.3% knew of continuing education training on zoonoses, and 68% had attended such a training in the last 5 years. Respondents were unaware of which zoonoses to report to public health departments. For 3 out of 8 questions on standard operating procedures, statistically significant differences in protocols followed among small, large, and mixed animal medicine practitioners were observed. Most respondents believed they play a critical role in zoonoses prevention but would like more information on zoonotic diseases. Results indicate that assisting veterinarians with regularly updated information on zoonoses, providing targeted education and training to adhere to standardized infection control measures, and increasing communication with public health agencies and physicians may help prevent and reduce incidence of zoonoses.

Government Challenges and Financial Strengthening of Higher Education in Mexico

The allocation of public resources can either enhance or hinder a nation’s educational development at any level. This research examines the direction of international commitmentto education, the role of Higher Education Institutions, and the capture and implementation of funding sources. The text discusses education as a human right and a mechanism forphysical, social, emotional, creative, and humanistic development within socio‑political precepts. The analysis focuses on 13 State Public Universities in Mexico, examiningbudgetary variations and their impact on students and institutions. The text contrasts discursive and factual information. Among the main findings, Mexican Higher Education has the highest budget allocation. However, the sources of financing do not fully cover citizen demand. Operating expenses include the equipment of classrooms, maintenance of buildings, and salary payments. They represent a symbolic and tangible investment inthe talent and development of a historically vulnerable sector that governments should prioritize In conclusion, the consolidation of Higher Education and its universities mustadhere to national and international requirements. This includes expanding the level of education, achieving upward social mobility, and improving the living conditions ofMexicans, regardless of their place of residence or educational environment.

MOTIVATIONAL READINESS TOWARDS THE PROFESSIONAL ACTIVITY OF CADETS IN THE UNIVERSITIES UNDER THE MINISTRY OF INTERNAL AFFAIRS

Purpose. The article is devoted to the problem of motivational readiness towards the professional activity of cadets in the universities under the Ministry of Internal Affairs. The relevance of the chosen topic is due to the need to improve the training quality in the field of public order protection, protection of citizens' interests and control over compliance with the rule of law in all spheres of society. The subject of the analysis is the motivational readiness formation peculiarities towards the professional activity among cadets of universities under the Ministry of Internal Affairs (on the example of the Federal State Public Educational Establishment of Higher Training «Nizhniy Novgorod Academy of the Ministry of the Interior of the Russian Federation» cadets). Methodology. The research is based on the methodology of the study motivation at the University by T.I. Ilyina and the methodology of value diagnosing orientations in the career "Career Anchors" by E. Shein. Results. The obtained research results allowed us to identify the dynamics of the leading motives, as well as to identify a group of the most significant value orientations of students of the Nizhniy Novgorod academy of the Ministry of the Interior of Russia, underlying their mastery of the future profession: service orientation (the need to benefit people, society), integration of lifestyles (a successful combination of personal life and career), professional competence (constant self-improvement and improvement of one's professional level) and challenge (willingness to act in extreme situations, take responsibility for solving complex tasks). Practical implications. The results of the study can be applied in the process of preparing and conducting classes in educational organizations of the Ministry of Internal Affairs of Russia, as well as by practicing employees of the Ministry of Internal Affairs.

Clinical study of cervical caries treatment the effectiveness by assessing composite restorations condition

Background. Cervical caries is a fairly common teeth pathology and its treatment is carried out in complicated clinical conditions. Therefore, increasing the term of functioning of composite restorations is an urgent task. Aim. Identification of the effectiveness of a differential approach to dissection of hard dental tissues depending on the depth of enamel microcracks and implementation of professional hygiene in the treatment of cervical caries in the short- and long-term periods. Materials & Methods. The study involved 50 people (average age [23.28±5.52] years) in whom cervical caries was treated in 72 teeth. All patients were divided into three equal groups based on the number of restorations according to the selected dissection technique and the chara­cteristics of professional hygiene. The dissection technique depended on the depth of the enamel microcracks in Main Group I (MG I), the dissection was carried out within the limits of clinically intact hard dental tissues in Control Group (CG) and Main Group II (MG II). The dental biofilm was removed from the vestibular surface of the teeth by the method of air-abrasive cleaning using the erythritol-based powder in MG I and MG II, the vestibular surface of the tooth was cleaned of dental deposits with a polishing paste without fluoride in CG. The quality of restorations was assessed based on the United States Public Health Service (USPHS) criteria on the day of restoration, 6 and 12 months later. The effectiveness of the prescribed treatment was identified by the dynamic indicators of the dental pulp electroexcitability and the electrical conductivity of the enamel. Results. There were no partial or completely destroyed restorations in all terms of the observation period. Composite restorations were preserved according to the criteria of "anatomical shape" and "color matching". One year later restoration defects were absent in 61 teeth (84.72%): in MG I – in 22 (91.67%), in CG – in 19 (79.17%), in MG II – in 20 (83.33%). Recurrent caries and symptoms of hypersensitivity were not identified in MG I. A slightly greater effectiveness of the treatment was noted in MG II group in comparison with CG (by 4.16%) that confirms the importance of removing the dental biofilm before restoration by the method of air-abrasive clea­ning using erythritol. Conclusions. The analysis of the state of restorations in the long-term period showed that the dissection technique and the features of professional hygiene affected their quality before restoration. The number of high-quality composite restorations was by 10.42% more on average in MG I than in the other groups. The obtained results make it possible to recommend the proposed method for using in practical dentistry. Keywords: electroodontology, electroodontometry, microcracks.

Formation of Competences of Librarian-Bibliographer — Popularizer of Open Science in Vocational Training

There is a lack of attention to the practical implementation by libraries of citizen science projects, science communication and popularization of open science, including outside the academic environment. This situation is due to their relatively recent appearance in the field of researchers’ attention, as well as to the insufficient formation of the necessary competencies among librarians (especially those who graduated before the introduction of competency-based bachelor’s degree programmes).The study aims to address two objectives: 1) identification of specific competences required for a popularizer of open science in a library; 2) development of a structural and functional model of formation of such competences in vocational training.The competences necessary for a librarian-bibliographer — popularizer of open science are proposed. They are related to project and communicative activities, social partnership, support of scientific research, formation and presentation of content, including media content. The methods of mass work are important, as well as the organization of multifunctional library space, its zoning and navigation in order to ensure the comfort of users needed for the organization of citizen science hubs or centers of scientific cooperation. The structural and functional model of formation of such competences in the framework of additional professional education is presented, taking into account the presence of the following factors: previous unsystematized knowledge, skills and abilities based on the librarian’s work experience; theoretical and practical training; application of the acquired knowledge, skills and abilities in practical activities immediately after successful completion of the advanced training course. Such realization is based both on the presence of external motivation of the librarian and on his/her knowledge of open science (most often related to the concept of open access) and principles of its functioning. Interactive forms and technologies are noted, including in the assessment phase, using remote working tools to keep the trainees motivated as well as integrating them into the open science environment. In addition, the specific working conditions of the librarian should be analyzed when selecting tasks — this can be a decisive factor in the personal interest of the learner. The basis for the implementation and testing of this approach is laid in three modules of the advanced training course “Library for Open Science” of the State Public Scientific and Technical Library of the Siberian Branch of the Russian Academy of Sciences. The results of the course show a high degree of development of skills linked to communication and project activities, but further adaptation of the material related to the legal framework is required.

Система автоматизации оценки госпабликов Республики Алтай

В статье представлено проектное решение по разработке системы автоматизации рейтингования госпабликов Республики Алтай. Данная система позволит хранить базу данных, анализировать динамику результатов работы органов власти и организаций в социальных сетях, что будет способствовать объективному принятию управленческих решений и повышению качества работы. The article presents a design solution for the development of an automation system for rating state publications of the Altai Republic. This system will allow you to store a database, analyze the dynamics of the results of the work of authorities and organizations in social networks, which will contribute to objective management decision-making and improve the quality of work.

Optimizing Professional Development for New York State Public Health Association Members: Findings From a Mixed Methods Assessment of Public Health Professionals

The COVID-19 pandemic placed significant burden on public health professionals, with many experiencing burnout and leaving the profession. The New York State Public Health Association (NYSPHA) recognized the impact of the pandemic on the state’s public health workforce and sought professional development opportunities to support current and future generations of public health professionals. To achieve this goal, NYSPHA solicited input from its members and potential members via survey and focus groups as part of its New Directions Initiative. Seventy individuals participated in listening sessions, and 850 responded to the survey. While more than half felt that NYSPHA is invested in the health and wellness of New Yorkers, fewer considered NYSPHA a leader in public health or a go-to source for public health information. Only about one-third felt connected to NYSPHA as a public health professional. Participants identified multiple professional development opportunities that would encourage them to join or renew their membership including sections or special interest groups (57.4%), opportunities to gain leadership experience (56.7%), volunteering (58.1%), a new committee that addresses public health in the community (55.9%), and mentorship (48.4%). NYSPHA used the results of the survey and focus groups to provide several professional development opportunities including a mentorship program, a new Public Health in Action Committee, and special interest groups in mental health and climate change that have already made a difference in local New York State communities. Similar organizations may use NYSPHA’s experience as an example for supporting their workforce to maximize impact on the communities they serve.

The Role of External Signs of Multi-volume Editions in the Reconstruction of Kolyvan-Voskresensky Mining Plants Book Collection

The purpose of the article is to determinate the role of the external signs in the multi-volume editions in the book marking and to solve the practical problems of reconstruction of the original composition of the book collection of Kolyvan-Voskresensky mining plants (KVMP) for the period of the XVIIIth – early XIXth centuries. This topic is considered in continuation of such issues as the reconstruction of KVMP book collection, which has already attracted the attention of our predecessors, such as formation of the fund, its cataloguing, redistribution among official Altai libraries and others. For the first time one speaks not on mechanical fixation of certain features of the copies, but on the study of these characteristics “interaction mechanisms” under the conditions of redistribution of preserved copies among different Siberian repositories. The focus is only on the signs of the early period of the existence of the book collection: stamp imprints, textual and numerical service records, specific features of bindings etc. The emphasis on early signs is due to an appeal to the earliest accounting document – “Inventory of books of Barnaul State Library, compiled by P. K. Frolov” (1809). This makes it possible to show in detail the connection between the signs on the books and the articles corresponding to these books official document and to determine the original composition of different multi-volume editions or, on the contrary avoid combining volumes that do not correspond to each other into one set. The structure of the article is determined by analysis of numerous details associated with each copy from three state repositories: State Public Scientific Technological Library of the Siberian branch of Russian Academy of Sciences, Novosibirsk State Regional Scientific Library, Research Library of Tomsk State University. The main object of the study is records of “ordinary” and “private” copy numbers, official numerical records, handwritten evidences on the inclusion of numerous drawings in book blocks as an integral part of these editions, different styles of crossing out typographical letters with ferrous ink and other signs. The features of stamp imprints are taken into account. In some cases the paramount importance of the binding characteristics is shown. The role of external signs in combining disparate copies as sets of multi-volume editions is recognized as leading. It is concluded that not just recording, but rather a thorough study of the external features of the extant sets and odd volumes of multi-volume editions is one of the basic conditions for the successful reconstruction of the book collection of KVMP.

The Database “The Library of Varvara Pavlovna Adrianova-Peretz” in the State Public Scientific and Technological Library of the Siberian Branch of the Russian Academy of Sciences

Building the database “The library of Varvara Pavlovna Adrianova-Peretz” in the IRBIS64 library automation system revealed a number of problems related to books bibliographical records. This distributed book collection is preserved in the Rare Books and Manuscripts Department of the State Public Scientific and Technological Library of the Siberian Branch of the Russian Academy of Sciences (RAS SB) and in the library of the Department of Old Russian Literature of the RAS Institute of Russian Literature (The Pushkin House). The database seeding based on the study of “The Adrianova” book collection de visu, enables to eliminate invalid information in the SPSTL SB RAS e-catalogue and to provide the more convenient and faster access to the books in the unique memorial library of the outstanding Russian scientist. The database is of interest to the scholars of the humanities and readers interested in the literary studies, history, culture and folklore. The author characterizes the database as the comprehensive bibliographical descriptions of the collection copies. He lists the main special reference sources used in the process. The findings of the study of Novosibirsk part of Adrianova collection are characterized. The author discusses the prospects for the studies of the two collection parts to build the aggregated database of the distributed book collection with the following publishing of V. P. Adrianova-Peretz’ library catalog.

1-year Results of Molar Incisor Hypomineralization-affected Cases Treated with Silver Modified Atraumatic Restorative Treatment: A Retrospective Study.

Silver-modified atraumatic restorative treatment (SMART) can be an alternative method for molar incisor hypomineralization (MIH)-affected cases. The purpose of this study was to assess whether tooth location and cavity preparation affect the clinical success of MIH-affected permanent molars treated with the SMART technique. Modified United States Public Health Service criteria were utilized for the analyzes. The clinical records (3, 6, and 12 months) of 19 MIH-affected cases (6-12 years; no spontaneous pain and percussion/palpation sensitivity) treated with the SMART technique were assessed. The groups were allocated based on tooth location (mandibular-maxillary) and cavity preparation (class 1-2). The Fisher exact the Chi-squared test was utilized, and the p-value < 0.05 was accepted as statistically significant. Overall success rates were 94.7% at 3 and 6 months and 52.63% at 12 months. Clinical success did not differ statistically regarding location (p > 0.05). The class 1 cavity preparation group was found to be significantly more successful at the 12-month assessments (p = 0.033). The class of cavity preparation may affect the success of the treatment in long-term assessments. The SMART technique, especially in class 1 occlusal restorations, can be recommended as a short-term alternative to traditional treatment methods for MIH-affected cases. Bal C, Sozuoz MA, Sari MBD, et al. 1-year Results of Molar Incisor Hypomineralization-affected Cases Treated with Silver Modified Atraumatic Restorative Treatment: A Retrospective Study. Int J Clin Pediatr Dent 2024;17(6):683-689.

Clinical Survival of Reduced-Thickness Monolithic Lithium-Disilicate Crowns: A 3-Year Randomized Controlled Trial.

The aim of this randomized controlled trial was to see if the minimally invasive approach (reduced restoration thickness) would result in good clinical success of monolithic ceramic crowns compared to conventional layered all-ceramic crowns, and thus be an alternative to conventional tooth preparation. The ceramic that was investigated was IPS e.max lithium-disilicate ceramic produced using two different processing methods. A comparison was made between monolithic crowns with reduced thickness and standard layered crowns. Fifty-two patients, who had undergone endodontic treatment on either a premolar or molar, were randomly assigned into two groups. The teeth intended for layered crowns underwent to a 2 mm occlusal reduction with a 1 mm rounded shoulder, whereas the teeth intended for monolithic crowns underwent to a 1 mm reduction in the occlusal area with a 0.6 mm rounded shoulder. The clinical success was evaluated in eight categories using modified United States Public Health Service (USPHS) criteria. The observation period was 36 months, with control appointments every 6 months. There was no significant difference in clinical success between monolithic and conventional layered crowns after 3 years. One monolithic crown fractured while all other crowns were intact and the survival rate was 96%. All layered crowns were intact and the survival rate was 100%. The results of this study indicate that the minimally invasive approach can be a good alternative to conventional tooth preparation. IPS e.max lithium-disilicate ceramic demonstrated an exceptional three-year survival rate independently of the thickness of the material.

State Public Insurance Coverage Policies and Postpartum Care Among Immigrants

(JAMA. 2023;330(3):238–246) While physicians and professional medical organizations advocate for routine postpartum care for adults, some states impose restrictions on public insurance coverage for undocumented immigrants and immigrants granted legal documentation status within the past 5 years. The aim of this study was to investigate the relationship between public insurance coverage and postpartum care among low-income immigrants and to determine the difference in postpartum care receipt between immigrants and nonimmigrants.

State Public Scientific and Technological Library of the Siberian Branch of the Russian Academy of Sciences in the scientific and information space of the East of Russia

The scientific libraries participate in building the information and communication infrastructure being an integral part of the scientific, educational,socio-cultural and industrial complex of the region. The authors review in brief the evolution of the State Public Scientific and Technological Library of the Siberian Branch of the Russian Academy of Sciences (SPSTL SB RAS) – the leading information and library center of Siberia in the context of changing scientific and educational environment.The Siberian Branch of the USSR Academy of Sciences, established in 1957, contributes to the active development of science in the east of the country. Implementing strategic objectives, among the priority measures the Branch heads laid the new system foundations of research information support, which met the demands of science development and the specific character of the institution activity within the Siberian Branch of the USSR Academy of Sciences. Big efforts to expand the network of libraries of research institutes were undertaken. The State Public Scientific Technological Library of the SB USSR AS, which began its activities in the region in 1958, was designed as the central library of the USSR SB AS (SB RAS). For 65 years, it has been providing information and methodological support for multidisciplinary research. The Library also acts as an institutional center in the library science, bibliography and bibliology, book history, and the largest library and information, cultural, educational, educational center, shaping the modern information, scientific, educational and cultural environment.

Os Procuradores-Gerais do Ministério Público

Based on the historical look and the political sociology analytic tools, this text aims to discuss the establishment of rules for occupying the highest position in the hierarchy of the state Public Prosecutor’s Office: the position of Attorney General. By analyzing the trajectory of those who held this position from 1891 to after 1988, it was possible to understand the changes in the official and non-official rules regarding the morphological transformation of nominees. The study of 33 cases reveals the political and social tensions surrounding the Public Prosecutor’s Office’s high hierarchy until the 21st century

International Bibliographic Congresses: Through the Prism of History to the Future

The article presents the International Bibliographic Congress, scheduled for September 2025 in Yakutsk, which will continue the tradition of similar events in recent decades. The first International Bibliographic Congress was held in 2010 in St. Petersburg, the second — in 2015 in Moscow, the third — in 2021 in Novosibirsk. Each time they were cities, and respectively libraries (Russian National Library, Russian State Library, State Public Scientific and Technical Library of the Siberian Branch of the Russian Academy of Sciences), preserving and developing rich bibliographic traditions. It is shown that by holding international bibliographic congresses, the bibliographic community of Russia aims to achieve several goals: 1) to identify the current (at the time of the next congress) state of bibliographic science and practice not only in Russia, but also in other countries of the world; 2) to discuss the most pressing problems facing bibliographers; 3) to outline ways of further development of bibliographic activity in the near future and in the distant future.

Library as an element of infrastructure for the popularization of agricultural science (by the example of the Small Agricultural Academy of SFRCA RAS)

The issues of popularization of agricultural science, the formation of a natural scientific worldview, the development of the research potential of young students, primarily of school age, their early career guidance, and the construction of a long-term career trajectory to train highly professional scientific personnel and specialists in the agro-industrial sector are considered. As an example of implementing a long-term popularization project based on a scientific town’s scientific and educational infrastructure, the activities of the Small Agricultural Academy of the Siberian Federal Scientific Center for Agrobiotechnologies are presented. The functions of all project participants were analyzed and systematized, and the directions of their interaction were described. The role of the Siberian Scientific Agricultural Library, a branch of the State Public Library for Science and Technology SB RAS, as a multifunctional communication center in the field of agricultural science, as 'well as in popularizing its achievements among the younger generation, was especially noted.

Long-term performance of ceramic in/-onlays vs. cast gold partial crowns – a retrospective clinical study

ObjectivesTo assess the long-term clinical performance of ceramic in-/onlays (CIOs) and cast gold partial crowns (CGPCs) in posterior teeth in terms of success, survival, complications (biological, technical) and quality.Material and methodsIn a retrospective study, a total of 325 patients were recorded after up to 24.8 years (mean 13.9 ± 3.8 years) having (pre-)molars restored with CIO (Empress I, Ivoclar Vivadent, n = 161) and CGPC (Degunorm, DeguDent, n = 164) by supervised undergraduate students. A total of 296 restorations were assessed clinically and radiologically in healthy and endodontically treated teeth using modified United States Public Health Service (USPHS) criteria. Cumulative success and survival rates of the restorations were calculated using Kaplan–Meier estimates. Biological and technical complications were recorded. Status of oral health comprising caries risk and localized periodontitis were assessed.ResultsThe cumulative success rates of CIOs were 92.1% and of CGPCs 84.2% after mean service times of 14.5 years. The annual failure rates of total service times were 0.5% in teeth restored with CIO (n = 155) and 0.7% in teeth restored with CGPC (n = 163). The cumulative survival rates of CIOs were 93.9% after a mean service time of 15.2 years and decreased to 91.7% after 23.5 years. The cumulative survival rates of CGPCs were 92.6% after a mean service time of 14.9 years and 91.8% after 23.5 years. Complications in CIOs (n = 149) were ceramic fracture (6.7%), secondary caries (4.7%), endodontic complication (2.7%) and tooth fracture (1.3%) compared to CGPCs (n = 147) with endodontic complication (8.8%), secondary caries (4.8%) and decementation (2.0%). Endodontically treated teeth restored with CIO or CGPC revealed significantly less often success compared with corresponding vital teeth (p = .02). CIOs and CGPCs revealed clinically and radiographically good and excellent qualities with 71.8% (107/149) and 68% (100/147) without any significant differences regarding type of restoration.ConclusionsBoth CIOs and CGPCs achieved high survival rates up to 24.8 years when performed by supervised undergraduate students. The longevity of the restorations may benefit from the intraoral repair of accessible defects and, in case of pulp infection or necrosis, an adequate endodontic management.Clinical relevanceCIOs and CGPCs made by supervised undergraduate students are proper restoration types in posterior teeth in the long-term. An adequate preparation design, meticulous care in the inserting technique and constant biofilm removal due to proper oral hygiene combined with professional maintenance care are substantial. The clinical long-term performance was mostly limited by ceramic fractures in CIOs and endodontic complications in CGPCs.

Evaluation of pre-heated composite resins with soft-start polymerization and conventional composite restorations in class-I carious lesions – A randomized clinical trial

BackgroundBy increasing fluidity and conversion, pre-heated composites enhance adaptability and strength, while soft-start polymerization decreases internal stresses. AimOver a period of a year, this split-mouth design, randomized controlled clinical trial (RCT) compared pre-heated composites with soft-start polymerization to conventional composites in class-I lesions, with the goal of improving restoration outcomes. Methodsand Findings: Immediately following ethical approval and registration with CTRI, 37 patients with in-formed permission who met specified inclusion and exclusion criteria for class-I lesions were chosen for enrollment. Using a 1:1 ratio, teeth were randomly assigned to Group-A (pre-heated composite with soft-start polymerization) or Group-B (traditional composite restoration). At three-time intervals, the evaluation was blinded and calibrated using Modified United States Public Health Service (USPHS) criteria: baseline, six-month, and one-year marks. Statistical analysis was performed using SPSS 21.0 and the Mann-Whitney U test for inter-group comparisons and the Friedman test for intra-group comparisons. InterpretationPre-heated composites with soft-start polymerization performed better in terms of marginal adaptation with a statistically significant difference (p = 0.019) and in terms of color match they performed better clinically (p = 0.062) at 12 months. Other variables like marginal discolouration, sec-ondary caries, anatomic form, post-operative sensitivity, surface texture and retention showed no statistically significant difference (p < 0.05). Pre-heated composites with soft-start mode performed marginally better than nanofilled composites. However, both techniques can be used to successfully restore simple class-I carious lesions.

Comparative Evaluation of GC Gold Label IX with GC Gold Label IX Extra and GC Gold Label Hybrid in Cavitated Lesions Prepared by Hand Instrumentation Technique in Primary Molars: An In Vivo Study.

The purpose of the present study was to compare the clinical efficacy of GC Gold Label IX, GC Gold Label IX Extra, and GC Gold Label Hybrid in occlusal surface cavities in primary molars prepared by hand instrumentation technique. Ninety primary molars were selected from the children according to the inclusion and exclusion criteria. The selected teeth were randomly allocated into the following three groups, with 30 teeth in each group, according to the restorative material used: group I: GC Gold Label IX, group II: GC Gold Label IX Extra, and group III: GC Gold Label Hybrid. Occlusal cavities were prepared using hand instruments. Caries removal efficacy was verified using caries detector dye. The restorative materials were mixed and condensed into the prepared cavities. The restorations were assessed using modified United States Public Health Service (USPHS) evaluation criteria at 1, 3, and 6 months. The results were tabulated and statistically analyzed using the Chi-squared test. No significant difference was found in terms of color match, marginal discoloration, marginal integrity, surface roughness, and secondary caries, but a significant difference was observed in terms of retention and anatomic form between group I and group III. GC Gold Label Hybrid exhibited better clinical performance with respect to GC Gold Label IX and comparable clinical performance with respect to GC Gold Label IX Extra. GC Gold Label Hybrid is a newly developed glass ionomer cement (GIC), and its clinical performance needs to be studied. Mittal M, Bajaj N, Bhola M, et al. Comparative Evaluation of GC Gold Label IX with GC Gold Label IX Extra and GC Gold Label Hybrid in Cavitated Lesions Prepared by Hand Instrumentation Technique in Primary Molars: An In Vivo Study. Int J Clin Pediatr Dent 2024;17(5):570-575.