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The biennial symposium of the Education, Research and Development Group (ERDG) of the New Zealand Association of Orthodontists (NZAO) was held in Queenstown on August 17 and 18, 2007. Following a well-tested format, the symposium considered the effects of expansion of the dental arches in the three planes of space and over time, a timely but difficult topic given the current fashion to avoid the extraction of teeth to correct dental crowding. The findings reported here represent the consensus reached by delegates attending the symposium. [ABSTRACT FROM AUTHOR]

This essay provides a literary history of the restitution narrative in colonial New England; using Cotton Mather's The Angel of Bethesda (1724), I argue that Puritan medical texts employ theological and medical epistemologies to enable patient agency. In these texts, individuals must be involved in reforming the sinful behaviors that they believed caused their conditions, and must also engage in a form of public health by sharing their stories so that others may avoid future sins-and therefore illnesses. Ultimately, recognizing how restitution has been historically defined allows for alternate understandings of recovery that place patients at the center., (© 2019. Springer Science+Business Media, LLC, part of Springer Nature.)

The biennial symposium of the Education, Research and Development Group (ERDG) of the New Zealand Association of Orthodontists (NZAO) was held in Tauranga on August 5 and 6, 2005. Following a well-tested format the symposium considered the benefits and risks of orthodontic treatment, a timely topic in an age when the role of health-related professions is under increasing public scrutiny in New Zealand. The registration fee included a copy of the book Risk Management in Orthodontics: Experts' Guide to Malpractice, edited by Graber et al (2004). The findings reported here represent the consensus reached by delegates attending the symposium.

Introduction: Cell adhesion molecules play a significant role in the cellular connection of normal cells. The cadherins are believed to act as tumour suppressors, and their altered expression and function have been associated with tumour development., Aim and Methods: The authors examined the expression of a Ca++ dependent intercellular adhesion molecule, P-cadherin using an immunohistochemical method in 69 surgically resected breast carcinomas., Results: P-cadherin was detected in 30 cases (43.5%, cytoplasmic and/or membrane staining). The expression of P-cadherin was independent of tumour size and lymph node status, but correlated with a high tumour grade (grade III). In contrast, expression of E-cadherin correlated with lower tumour grade (grade I-II). P-cadherin expression was not detected in invasive lobular carcinomas., Conclusion: In general, P-cadherin was expressed at a lower frequency compared to E-cadherin, alpha-, and beta-catenin. These results suggest that an inverse relationship may exist between E- and P-cadherin in relation to grade, and that the expression of P-cadherin may be a marker of aggressiveness.

Strategic planning, service development, and management by objective are approaches usually associated with corporate business. However, the New Zealand Association of Orthodontists (NZAO) is using them successfully in responding to the rapidly changing legislative, professional, and commercial environment in this country. This report gives an account of an initiative taken by NZAO in response to such changes to strengthen the professional development of practising orthodontists in New Zealand. This involved setting up a group within the Association to organise a meeting on a key issue in clinical orthodontics, using a workshop format to promote discussion and debate in place of the passive reception of information characteristic of most professional meetings. It also sought to test the feasibility of having a live keynote presentation via video-teleconference link from a speaker in the United States.

To determine whether the ductal carcinoma in situ (DCIS) detected mammographically or presenting clinically is the same or differs, pathological and biological (c-erbB-2 and p53 detection) features of 79 cases of pure DCIS, 5 cases with microinvasion and 8 cases with 1 to 2 mm of invasion, all detected by mammography, have been compared with 59 cases of pure DCIS, 8 cases with microinvasion and 7 cases with 1 to 2 mm invasion, all of which presented clinically. Half of the mammographically detected group were smaller than 20 mm, and there was a higher incidence of these being low grade, whereas 30% of the symptomatic cases were smaller than 20 mm, and more of this group were larger than 50 mm. For the pure DCIS, there were less high-grade and more intermediate-grade cases in the mammographically detected group, although the incidence of low grade was similar between the two groups. There were more cases with a micropapillary pattern in the symptomatic group. C-erbB-2 protein was detected in 42% of the mammographically detected cases, whereas 59% of the symptomatic cases had c-erbB-2 reactivity. P53 detection was similar for both groups (33.0% and 37.0%). There were more symptomatic cases with invasion, and these were predominantly high grade, whereas the mammographically detected cases were both high and intermediate grade. Twelve of the 15 symptomatic cases with invasion expressed c-erbB-2, in comparison with 4 of the 13 mammographically detected cases, with half of the high-grade lesions in the latter group being negative. This study has shown that although there is overlap of pathological and biological features between DCIS presenting clinically and that detected mammographically, there can be differences in extent, grade, and invasion. The impact of this, however, can be determined only by clinical follow-up.

The expression of epidermal growth factor receptor (EGFR) mRNA and protein has been determined in a group of breast carcinomas and compared to oestrogen and progesterone receptor (ER, PgR) status, as well as pathological features. In situ hybridization using a digoxigenin-labelled oligonucleotide probe was applied to formalin-fixed paraffin-embedded sections, and immunohistochemistry was used to determine EGFR protein. EGFR mRNA was detected in 66% of carcinomas with a third having labelling similar to normal breast tissue, 22% heterogeneous weak to strong labelling, and 11% strong labelling. EGFR protein was detected in 36% and these tumours had a strong correlation to lack of ER and high histological grade. The presence of EGFR protein was strongly correlated with more intense labelling for EGFR mRNA (p < 0.0001). This contrasted with normal breast in which both EGFR protein and mRNA were present with varying degrees in both tumours and a normal breast control. The ER-/PgR- carcinomas showed the full range of EGFR mRNA labelling. It is postulated that oestrogen or oestrogen regulated proteins are involved in regulation of EGFR mRNA and protein. In a proportion of tumours lacking steroid receptors regulation is lost, leading to EGFR overexpression.

The yields of cricket paralysis virus from two insect cell lines propagated in suspension culture were examined. Although Trichoplusia ni (TN368) cells produced more virus per cell than Drosophila line 2 (DL2) cells, the smaller DL2 cells reached a higher cell density. Thus the difference in production between TN368 and DL2 cultures was minimal. In mixed infections of Flock House virus and cricket paralysis virus (CrPV), CrPV was the predominant virus produced despite being present at a much lower multiplicity of infection.

This report describes a combined orthodontic and orthognathic surgery approach to the treatment of open bite in an adult female. An aesthetically pleasing and stable result was achieved in which the Intercuspal and Retruded Contact Positions were coincident. The functioning occlusion exhibited bilateral canine rise and an absence of non-working-side interferences on lateral excursion. Incisal guidance with disclusion of the posterior occlusal surfaces occurred on protrusive function. There were no signs or symptoms of temporomandibular joint dysfunction before or after treatment.

Transforming growth factor beta (TGF-beta) comprises a group of multifunctional regulatory proteins, whose effects include stimulation of extracellular matrix formation and modification of immune function. The presence of TGF-beta 1 and TGF-beta 2 in invasive breast carcinomas has been determined and related to pathological features, the presence of fibronectin and tenascin and lymphocyte/macrophage infiltration, using immunohistochemistry. Differences were observed in the extent of reactivity within the same carcinoma and between tumours stained with an antibody detecting TGF-beta 1 ane one detecting TGF-beta plus TGF-beta 2, the latter having a higher level of reactivity. Prominent reactivity for TGF-beta 1 was associated with lymph node metastasis, (0.02 > P > 0.01), increased detection of cellular fibronectin, fine stromal fibronectin staining, more prominent reactivity for tenascin (0.02 > P > 0.01), the presence of tumour-associated macrophage infiltration and altered ratios of CD4 and CD8 lymphocyte populations, with CD8 lymphocytes predominating. These associations were not observed for carcinomas showing prominent staining with antibody detecting TGF-beta 2 as well as TGF-beta 1. The findings indicate that TGF-beta 1 may have a role in invasion and metastasis of breast carcinomas.

This report describes a combined orthodontic and orthognathic surgery approach to the treatment of extreme deep overbite in an adult male. An aesthetically pleasing and stable result was achieved without extensive restorative or prosthetic treatment and their inevitable sequelae. The functioning occlusion exhibited bilateral canine rise and an absence of non-working side interferences on lateral excursion. Incisal guidance with disclusion of posterior occlusal surfaces occurred on protrusive function.

Transforming growth factor beta (TGF-beta) is a multi-functional regulatory protein which can affect growth, immune responses, angiogenesis and the formation of extracellular matrix. Its role in breast carcinomas has been investigated using an antiserum to TGF-beta 1 and immunohistochemistry. 27 ductal carcinomas in situ and 54 invasive carcinomas were examined, employing formalin-fixed, paraffin-embedded material. There was no reactivity in 55.5% of in situ carcinomas in comparison with the invasive tumour where only a third were negative. Prominent reactivity was seen in 11% of in situ tumours, and 20% of invasive carcinomas. There was no correlation between detection of transforming growth factor beta 1, and histological grade, oestrogen receptor status, epidermal growth factor receptor status and Ki-67 labelling for the invasive carcinomas. There was a significant relationship between prominent reactivity and node status, all carcinomas with this degree of staining having metastasised. This, along with the differences between in situ and invasive carcinomas, suggests that TGF-beta 1 may be a determining factor for invasion and metastasis.

Five antibodies directed against the whole or part of p53 protein have been used to detect the protein immunohistochemically in 70 infiltrating breast carcinomas and 10 ductal carcinomas in situ. Mutations are known to occur in different conserved domains, and the antibodies employed spanned the expected sites. p53 protein was identified in 53 per cent of infiltrating carcinomas using the antibodies PAb 240, PAb 1801, C19, and JG8. The antibody PAb 421 detected the protein in 31.5 per cent; all positive with the other antibodies. Well-differentiated oestrogen receptor-positive tumours had a low incidence of p53 detection. Variation in the percentage of reactivity was seen between carcinomas and in some cases between different antibodies in the same cancer. Those carcinomas with a high percentage of positive cells with all antibodies were more likely to have metastasized to nodes, be at an advanced stage, and be oestrogen receptor-negative/epidermal growth factor receptor-positive. There was no significant correlation with c-erbB-2 protein expression or retinoblastoma protein loss. p53 protein was detected in a high proportion of cells in three of the six comedo ductal carcinomas in situ studied but either not at all or at a lower level in tumours of the cribriform type. p53 mutations are common in breast carcinomas, but heterogeneity within individual tumours is frequent. Marked expression of p53 appears to relate to tumour progression.

The physico-chemical properties of Flock House virus (FHV) were examined. FHV was shown to have a single-stranded RNA genome divided between two species of MW 1.1 and 0.46 million; the genome was infectious. FHV has a single, coat protein of 43,000 MW. The virus sediments at 142S and has a density of 1.351 g/ml in CsCl at pH 7. These properties indicate that FHV is a nodavirus but it is distinguishable from Nodamura virus and black beetle virus by differences in electrophoretic mobility, the size of the coat protein, particle density and stability in CsCl.

Functional orthodontic appliances have recently captured the interest of a significant portion of the dental profession. In numerous articles and short courses, functional appliances have been portrayed as a new, low cost, easily managed and completely safe treatment modality. Claims have been made that they can make mandibles grow, can align the dentition without the need for extractions, and that because such treatment effects are achieved 'physiologically' they are thus inherently stable. Do functional appliances really work? The historical background to the development of functional appliances is described and the results of a number of clinical investigations are compared and discussed. Comment on the implications of functional appliance therapy is given and finally, a statement as to the rational use of functional appliances in practice is suggested.