The purpose of this survey was to determine the frequency of use of rubber dam isolation in the United Kingdom for both operative and endodontic procedures. Questionnaires were sent to 1800 dentists throughout the country, with 1008 returns (56%). Most replies were from dentists active in general dental practice. The use of rubber dam is largely neglected and more than 70% of all dentists surveyed did not utilise rubber dam for any procedure whatsoever.

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Dentists the world over seem to still have issues in making rubber dam application a routine part of practice, even in situations where patients are obviously at risk. In this article, the author - who has delivered hundreds of seminars and hands on tuition in a quick and easy method of dam application (the 'Dam it - it's Easy!' series) to dentists in the UK, Europe, North America and Asia - highlights the similarity of the misconceptions existing in regard to its use by dentists the world over. The valuable advantages to the environment in the dental treatment room by dental dam application are considered underused. The protection offered by routine rubber dam application is second to none in situations that are potentially physically hazardous to patients.

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The effects of four commercially available film-forming polymers (Bond, Designer, Spray Gard, Nu-Film-P) on disease severity of powdery mildew (Microsphaera alphitoides Griffon and Maubl.) on English oak (Quercus robur L.) and Guignardia leaf blotch (Guignardia aesculi (Peck) Stewart) on horsechestnut (Aesculus hippocastanum L.) were examined in a field experiment. In addition, a comparative evaluation of the fungicide penconazole, commercially used for powdery mildew control, was conducted. Effects on tree vitality were also assessed by measuring leaf chlorophyll fluorescence and chlorophyll concentrations. Irrespective of tree species, Nu-Film-P and Spray Gard did not significantly influence disease severity of powdery mildew and Guignardia leaf blotch. Likewise, no significant effects of these two film-forming polymers on chlorophyll fluorescence and chlorophyll content were recorded. Reduction in disease severity following spray applications of the film-forming polymers Bond and Designer was statistically comparable with penconazole. None of the film-forming polymers and fungicide evaluated was phytotoxic to the test trees. Results suggest that application of an appropriate film-forming polymer may provide a useful addition to existing methods of plant disease control.

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IntroductionA proportion of patients with lung cancer will not be suitable for anti-cancer treatment and are managed with best supportive care (BSC). The aim of this retrospective case series analysis was to critically review the use of diagnostic and staging investigations in patients who were ultimately managed with BSC. MethodsA retrospective review of all lung cancer patients with a multidisciplinary team outcome of BSC from 01 June 2018 to 01 June 2019 was performed. Patients were categorised into those with an early BSC decision and those that underwent further investigations prior to a BSC decision (investigations beyond initial computed tomography (CT)). Patient demographics, clinical characteristics and outcomes were collated and analysed. ResultsSeventy-seven lung cancer patients managed with BSC were identified. Patients were elderly (average age 79 years), functionally limited (80% World Health Organization

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