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Purpose: Technology, including educational applications (apps), is commonly used in schools by teachers and speech-language pathologists. Nonetheless, very little research has examined the efficacy of these apps for student learning or how to choose appropriate apps for instruction. Several previous rubrics to evaluate the instructional quality of apps have been published, yet limitations such as user training and time to administer have limited their use. The purpose of this study was to develop a comprehensive yet easy-to-use rubric for evaluating educational apps. Method: An iterative process guided the development and assessment of the Rubric for the Evaluation of Apps for Learning (REAL). Prior rubrics were synthesized to develop a comprehensive list of items. These items were condensed for simplicity purposes. A focus group and a survey of teachers and speechlanguage pathologists validated the rubric items and informed revisions. Multiple rounds of interrater reliability calculations and rubric revisions resulted in a final draft of the rubric, included here. Results: The final version of REAL passed validation and demonstrated evidence of interrater reliability among familiar users (Fleiss' ķ= .71--.77) and those with no prior experience using the rubric (Fleiss' ķ = .46). The majority of practitioners (90%) reported that they would use the rubric in their practice. REAL was used to rate 10 apps teaching phonics and 10 apps teaching social skills; scores are presented for demonstration purposes and indicate a wide range of rankings. Conclusions: REAL is a feasible, comprehensive rubric for evaluating the quality of educational apps, for which there may be little to no published research evidence. Practitioners may be overwhelmed with the number of commercially available apps. REAL provides a tool to help them make decisions that benefit the children they serve. [ABSTRACT FROM AUTHOR]

Purpose: To compare wear behavior, durability during in vitro mastication simulation, and fracture force of an established and a novel lithium disilicate CAD/CAM material, as well as to examine the impact of cementation and reduced ceramic thickness on durability and fracture force. Materials and Methods: Specimens (n = 8 per group) were prepared from lithium disilicate (LS2; IPS e.max, Ivoclar Vivadent) and advanced lithium disilicate (ALD; Cerec Tessera, Dentsply Sirona). Specimens were polished, and two-body wear test and thermocycling were performed (50 N, 120,000 cycles, 1.6 Hz, H2O dist., 5°C/55°C, 600 cycles). Maximum vertical loss, surface roughness, surface roughness depth, and antagonist wear were determined. Single crowns (n = 8 per group; thickness 1.5 mm/1.0 mm) were manufactured from LS2 and ALD and mounted on human molar teeth with adhesive resin (AB; CalibraCeram, Dentsply Sirona), glass-ionomer cement (GIC; Ketac Cem, 3M ESPE), and hybrid glass-ionomer cement (HGIC; Calibra Bio, Dentsply Sirona). Thermocycling and mechanical loading (2 x 3000 x 5°C/55°C, 2 minutes, H20 dist., 1.2 x 106 50 N) were performed. Fracture force was determined by a universal testing machine (1446, ZwickRoell), and one-way analysis and Bonferroni post hoc test (α = .05) were used for statistical analyses. Results: Mean (ALD: 210 ± 42.4 µm; LS2: 264.3 ± 56.1 µm) and maximum (ALD: 391.1 ± 86.3 µm; LS2: 518.3 ± 113.2 µm) wear between groups were significantly different (P ≤ .047). Fracture force varied between 1,911.4 ± 468.4 N (ALD/AB 1 mm) and 2,995.3 ± 880.6 N (LS2/GIC), without significant differences (P ≥ .152). Conclusion: ALD showed better wear behavior than LS2, but provided similar fracture force. Cementation and reduction of ceramic thickness had only minor effects on fracture force. [ABSTRACT FROM AUTHOR]

Background: Modern zirconia blanks for the fabrication of dental CAD/CAM restorations provide a layer structure with color and strength transitions. Variation in the yttria content has a particular effect on the characteristics of the materials. The properties of dental restorations may vary depending on the milling position within the blank. Especially for wide-span fixed partial dentures (FPDs), relevant effects on clinical performance might result. This study investigated if the application of high-translucent zirconia and positioning within multilayer zirconia blanks affect the in vitro performance of 4-unit FPDs. Methods: 4-unit FPDs were fabricated from monolayer 3Y-TZP-A, 3Y-TZP, 4Y-TZP, 5Y-TZP, 4Y/5Y-TZP, and different positions within multilayer zirconia blanks (3Y-TZP/5Y-TZP). The FPDs were adhesively luted to resin abutment teeth, divided into groups (n = 8 each): "baseline" (24 h water-storage)/"TCML" (chewing simulation by means of thermalcycling and mechanical loading), and loaded to fracture. The statistics included mean and standard deviation, one-way ANOVA, Bonferroni post hoc test, and Pearson correlation (α = 0.05). Results: The mean fracture force values varied between 803.8 ± 171.7 N (5Y) and 1474.1 ± 193.0 N (3Y) (baseline) and 713.5 ± 190.9 N (5Y) and 1337.4 ± 205.6 N (3Y) (TCML). Significantly different (p = 0.000) results between the groups and individual significant differences (p ≤ 0.039) were found. Conclusions: Positioning within multilayer blanks affected the fracture force only slightly. Multilayer, 3Y-TZP-A, 3Y-TZP, and 4Y-TZP seem appropriate for the clinical application with 4-unit molar FPDs. Application of 5Y-TZP is critical. [ABSTRACT FROM AUTHOR]

[Display omitted] • UDMA/UMA based materials deliver promising performance for occlusal splint applications. • The addition of UMA monomers increases flexibility of UDMA based rapid prototyping materials. • UMA content of up to 25% seems clinically appropriable. Optimal UMA content should be subject to further investigations. This study is focused on testing experimental rapid prototyping materials for occlusal splints made from Urethandimethacrylate (UDMA) and Urethanmethacrylate (UMA). Materials were mixed from UDMA and UMA in ratios of 1.0:0.0, 0.75:0.25, 0.5:0.5, 0.25:0.75 and 0.0:1.0. Specimens were printed using digital light processing (DLP). After post-processing, the specimens underwent testing on flexural strength, modulus of elasticity, hardness, wear behavior, surface roughness, gloss and color stability. All tests were performed after 24 h (baseline) and 10 days of water storage (aging). Splints underwent cyclic pull-off and insertion testing, which was alongside simulated using finite element analysis. The mechanical properties were significantly influenced by changes in the UDMA:UMA ratio. Statistical analysis revealed that increased amounts of UMA correlated with a decrease in flexural strength (92.0 to 30.7 MPa), modulus of elasticity (2.4 to 0.6 GPa), hardness (155.1 to 102.0 N/mm2) and wear resistance (−1394.9 to −1742.1 μm). Materials with higher amounts of UMA were also more likely to be influenced by water storage. Specimens with 75% and 100% UMA content were partly not analyzable due to soft consistency. Optical properties showed only minor influence from UMA content and aging. Differences in surface roughness (3.9 to 2.4 μm) and color stability were insignificant. Gloss was partly influenced by the UDMA:UMA ratio and water storage. Mean survival rates for cyclic pull-off and insertion testing ranged from 2537 to 23,857 cycles. A correlation between the amount of UMA and survival rates was observed. The addition of up to 25% UMA showed promising results, complying with clinical standards and delivering acceptable results in the cyclic pull-off and insertion test. Further investigation on increments between 0 and 25% UMA could help to find an optimum. [ABSTRACT FROM AUTHOR]

The objective of this project was to determine the impact of cooling on the soft tissue thickness, cranial thickness, and cross-sectional brain area of cadaver heads from market pigs. Documenting the effect of cooling on tissue dimensions of swine heads is valuable and important for future investigations of physical stunning and euthanasia methods that use cadaver heads. Scalded and dehaired cadaver heads with intact jowls were sourced from market pigs stunned with CO2 gas. After transport to the data collection location, a penetrating captive bolt (PCB) shot (Jarvis Model PAS—Type P 0.25R Caliber Captive Bolt Pistol with Medium Rod Assembly and Blue Powder Cartridges) was applied in the frontal position. Following PCB application, each head (n = 36) underwent an UNCHILLED treatment followed by CHILLED treatment. The UNCHILLED treatment involved images collected immediately after splitting each head along the bolt path, and the CHILLED treatment involved images of the same heads after storage in a walk-in cooler for 24 h at 2 to 4°C. All measurements for each treatment were collected from images of the heads on the plane of the bolt path immediately prior to and immediately after the refrigeration treatment. Measurements were performed by two observers. Across all measurements, mean interobserver coefficient of variation was 11.3 ± 0.6%. The soft tissue caudal to the bolt path was different (P = 0.0120) between treatments (CHILLED: 6.4 ± 0.2 mm; UNCHILLED: 7.2 ± 0.2 mm). The soft tissue thickness rostral to the bolt path was different (P = 0.0378) between treatments (CHILLED: 5.5 ± 0.2 mm; UNCHILLED: 6.1 ± 0.2 mm). Cranial thickness caudal to the bolt path was not different (P = 0.8659; CHILLED: 18.1 ± 0.6 mm; UNCHILLED: 18.3 ± 0.6 mm), nor was there a significant difference (P = 0.2593) in cranial thickness rostral to the bolt path between treatments (CHILLED: 16.2 ± 0.6 mm; UNCHILLED: 15.2 ± 0.6 mm). Cross-sectional brain area did not differ (P = 0.0737; CHILLED: 3633.4 ± 44.1 mm; UNCHILLED: 3519.9 ± 44.1 mm). A correction factor of 1.12 was determined from this study for cases where estimation of UNCHILLED soft tissue thickness from CHILLED soft tissue thickness is necessary. [ABSTRACT FROM AUTHOR]

Epidemiological studies suggest that cardiorespiratory fitness (CRfitness) is associated with reduced risk of depression and anxiety in women, however, the mechanisms by which CRfitness may be protective against the development of these disorders are less clear. Because sleep problems are associated with both a higher risk for mental illness and altered physiological responses to stress, this study investigated whether sleep quality might influence the relationship between CRfitness and physiological stress responses in women. Thirty healthy women (18–45 y) who were medication-free, with regular menstrual cycles completed: (1) enrolment visit [including the assessment of CRfitness via maximal oxygen consumption during exercise]; (2) one-week sleep monitoring period including subjective (daily sleep diaries) and objective (wrist actigraphy) sleep measures; and (3) psychosocial stressor protocol (the Trier Social Stress Test; TSST) for the collection of heart rate (HR), blood pressure (BP), and salivary cortisol stress responses. Higher CRfitness was associated with reduced wake after sleep onset (WASO) duration (r = −.38, p = 0.04), higher self-reported sleep quality (higher scores reflect poorer sleep quality; r = −.37, p = 0.05), and lower HR (r = −.43, p = 0.02) during the stressor. Higher sleep quality was associated with a lower HR during the stressor (r =.44, p = 0.01). Increased WASO duration and WASO number were associated with blunted cortisol output during the stressor (r = −.44, p = 0.02, and r = −.46, p = 0.02, respectively). Results suggest that, in women, CRfitness may be protective against the deleterious effects of stress via improved sleep quality. [ABSTRACT FROM AUTHOR]

The objective of this project was to determine the impact of cooling on the soft tissue thickness, cranial thickness, and cross-sectional brain area of cadaver heads from market pigs. Documenting the effect of cooling on tissue dimensions of swine heads is valuable and important for future investigations of physical stunning and euthanasia methods that use cadaver heads. Cadaver heads were sourced from market pigs stunned with CO2. After transport to the data collection location, a captive bolt shot was applied in the frontal position. Following captive bolt application, each head (n=36) underwent an UNCHILLED and CHILLED treatment. The UNCHILLED treatment involved images collected immediately after splitting the head along the bolt path and the CHILLED treatment involved images of the same heads after storage in a walk-in cooler for 24 h at 2-4°C. All measurements for each treatment were determined from images of the heads cut along the plane of the bolt path immediately prior to and immediately after the refrigeration treatment. Measurements were performed by two observers; across all measurements, mean interobserver percent coefficient of variation (%CV) was 11.3±0.6%. The soft tissue posterior to the bolt path was different (P=0.0120) between treatments (CHILLED: 6.4±0.2mm; UNCHILLED: 7.2±0.2mm). The soft tissue thickness anterior to the bolt path was different (P=0.0378) between treatments (CHILLED: 5.5±0.2mm; UNCHILLED: 6.1±0.2mm). There was not a significant difference (P=0.8659) in cranial thickness posterior to the bolt path (CHILLED: 18.1±0.6mm; UNCHILLED: 18.3±0.6mm), nor was there a significant difference (P=0.2593) in cranial thickness anterior to the bolt path between treatments (CHILLED: 16.2±0.6mm; UNCHILLED: 15.2±0.6mm). Cross-sectional brain area did not differ (P=0.0737) (CHILLED: 3633.4±44.1mm; UNCHILLED: 3519.9±44.1mm). A correction factor of 1.12 was determined from this study for cases where estimation of UNCHILLED soft tissue thickness from CHILLED soft tissue thickness is necessary. [ABSTRACT FROM AUTHOR]

For a better understanding of biofilm establishment, adhesion forces of proteins on immobilized protein layers were investigated by scanning force spectroscopy (SFS). For this purpose the experimental setup to immobilize protein layers on the surface is important. The influence of the method chosen to immobilize the proteins on the surface was examined and afterwards the effect of variations in pH and contact time on the measured adhesion forces in protein-protein interaction was analyzed. The adsorption of bovine serum albumin (BSA) on BSA-coated silicon was used here as a model system. To coat the substrate, free adsorption, crosslinking with glutaraldehyde, and covalent protein binding to the surface after silanization were used. For the latter different deposition methods of the silane were compared. Depending on the immobilization method the measured protein-protein interactions show distinct differences. Covalent attachment of proteins is a promising approach to attain stable, pre-adsorbed protein layers for SFS measurements. The adhesion forces of a BSA-coated cantilever on such layers seem to be dominated by electrostatic interactions of the molecules. [ABSTRACT FROM AUTHOR]

Understanding how the immobilization of enzymes on solid carriers affects their performance is paramount for the design of highly efficient heterogeneous biocatalysts. An efficient supply of substrates onto the solid phase is one of the main challenges to maximize the activity of the immobilized enzymes. Herein, we apply advanced single-particle analysis to decipher the optimal design of an immobilized NADH oxidase (NOX) whose activity depends both on O 2 and NADH concentrations. Carrier physicochemical properties and its functionality along with the enzyme distribution across the carrier were implemented as design variables to study the effects of the intraparticle concentration of substrates (O 2 and NADH) on the activity. Intraparticle O 2 -sensing analysis revealed the superior performance of the enzyme immobilized at the outer surface in terms of effective supply of O 2 . Furthermore, the co-immobilization of NADH and NOX within the tuned surface of porous microbeads increases the effective concentration of NADH in the surroundings of the enzyme. As a result, the optimal spatial organization of NOX and its confinement with NADH allow a 100% recovery of the activity of the soluble enzyme upon the immobilization process. By engineering these variables, we increase the NADH oxidation activity of the heterogeneous biocatalyst by up to 650% compared to NOX immobilized under suboptimal conditions. In conclusion, this work highlights the rational design and engineering of the enzyme-carrier interface to maximize the efficiency of heterogeneous biocatalysts.

The MiSeq FGx™ Forensic Genomics System types 231 genetic markers in one multiplex polymerase chain reaction (PCR) assay. The markers include core forensic short tandem repeats (STRs) as well as identity, ancestry and phenotype informative short nucleotide polymorphisms (SNPs). In this work, the MiSeq FGx™ Forensic Genomics System was evaluated by analysing reproducibility, sensitivity, mixture identification and forensic phenotyping capabilities of the assay. Furthermore, the genotype calling of the ForenSeq™ Universal Analysis Software was verified by analysing fastq.gz files from the MiSeq FGx™ platform using the softwares STRinNGS and GATK. Overall, the performance of the MiSeq FGx™ Forensic Genomics System was high. However, locus and allele drop-outs were relatively frequent at six loci (two STRs and four human identification SNPs) due to low read depth or skewed heterozygote balances, and the stutter ratios were larger than those observed with conventional STR genotyping methods. The risk of locus and allele drop-outs increased dramatically when the amount of DNA in the first PCR was lower than 250 pg. Two-person 50:1 mixtures were identified as mixtures, whereas 100:1 and 1 000:1 mixtures were not. Y-chromosomal short tandem repeats (Y-STRs) alleles were detected in the 100:1 and 1 000:1 female/male mixtures. The ForenSeq™ Universal Analysis Software provided the data analyst with useful alerts that simplified the analysis of the large number of markers. Many of the alerts were due to user-defined, locus-specific criteria. The results shown here indicated that the default settings should be altered for some loci. Also, recommended changes to the assay and software are discussed.

Because pediatric tissue is difficult for researchers to obtain, the biomechanical responses of adult humans have been studied much more extensively than those of children. Piglets, chimpanzees, and other animals have been used as child surrogates, but the tissue properties and responses to impact forces obtained from these animals may not directly correlate with the human child, and this correlation is not well understood. Consequently, only a handful of human pediatric tissue properties are known. Child anthropomorphic test devices employed in automotive safety have been developed largely by scaling data obtained from adult human cadaveric tests, where various scaling methods have been used to account for differences in geometry, material properties, or a combination of these two parameters. Similar scaling techniques have also been implemented to develop injury assessment reference values for child anthropomorphic test devices. Nevertheless, these scaling techniques have not yet proven to be accurate, in part because of the lack of pediatric data. In this review, the properties of pediatric human and animal surrogate tissue that have been mechanically tested are evaluated. It was found that most of the pediatric tissue that has previously been tested pertains to the head, neck, cervical spine, and extremities. It is evident that some body regions, such as the head and neck, have been tested to some extent since injuries to these regions are critical from an injury perspective. On the other hand, there is limited pediatric data available for the thorax, abdomen, thoracic and lumbar spines and fetal-related tissue. This review presents the pediatric data available in the literature and highlights the body regions where further testing is needed.