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Selected AbstractsPhadiatopTM compared to skin-prick test as a tool for diagnosing atopy in epidemiological studies in schoolchildrenPEDIATRIC ALLERGY AND IMMUNOLOGY, Issue 3 2007Luis Garcia-Marcos The validity of the PhadiatopTM test as compared to the skin-prick test (SPT) for diagnosing atopy in the epidemiological field has not been studied in schoolchildren. The aim of the present study was to evaluate its validity for classifying schoolchildren 9,12 yr old into atopics and non-atopics. A total of 621 children whose parents authorized both a SPT and a blood extraction from all children participating in the phase II of the International Study of Allergies in Children (ISAAC) in Cartagena (Spain) were included in the analysis. A positive SPT was that with at least a wheal having a maximum diameter of 3 mm, once the negative value had been subtracted. PhadiatopTM was performed according to the manufacturer instructions. Diagnostic tests using SPT as the gold standard were calculated for the whole group of children and also for those with asthma or rhinoconjunctivitis and for children without any of them. The results of the tests were: sensitivity 85.0% (95% CI 82.2,87.8%), specificity 85.5% (95%CI 82.7,88.3%), positive predictive value 72.7% (95%CI 69.0,76.1%), negative predictive value 92.7% (95%CI 90.6,94.7%) and accuracy 85.3% (95%CI 82.3,88.0%). The results improved among the symptomatic groups. PhadiatopTM can be used as a valid alternative to SPT in the epidemiological setting to diagnose atopy. [source] Effects of additional and extended acid etching on bonding to caries-affected dentineEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 5 2004César Augusto Galvão Arrais This study evaluated the effects of additional and extended acid etching on microtensile bond strength (µTBS) of two adhesive systems to sound (SD) and caries-affected dentine (CAD). Flat surfaces of CAD surrounded by SD of 36 extracted carious third molars were assigned to four treatments (i): self-etching adhesive system (Clearfil SE Bond) applied to dentine surfaces following manufacturer's instructions (MI); (ii) after additional etching for 15 s (35% phosphoric acid, PA); (iii) total-etch one-bottle adhesive (Single Bond) applied to dentine surfaces following MI; or (iv), after etching for 45 s with PA. Composite ,blocks' were built on bonded surfaces and restored teeth were vertically sectioned to obtain bonded slices of 0.7 mm thick. Slices were trimmed to create hourglass-shaped specimens (cross-sectional area of 1 mm2), which were tested under tension in a universal testing machine. Additional CAD and SD samples were prepared for scanning electron microscopy observations. Additional and extended etching significantly increased µTBS to CAD; however, µTBS of both adhesives to CAD were significantly lower than to SD. Additional and extended etching can improve bonding to CAD; however, adhesives applied on SD showed the best results for bonding. [source] Pressures generated in vitro during Stabident intraosseous injectionsINTERNATIONAL ENDODONTIC JOURNAL, Issue 5 2005J. M. Whitworth Abstract Aim, To test the hypothesis that the Stabident intraosseous injection is a potentially high-pressure technique, which carries serious risks of anaesthetic cartridge failure. Methodology, A standard Astra dental syringe was modified to measure the internal pressure of local anaesthetic cartridges during injection. Intra-cartridge pressures were measured at 1 s intervals during slow (approximately 15 s) and rapid (<10 s) injections of 2% Xylocaine with 1 : 80 000 adrenaline (0.25 cartridge volumes) into air (no tissue resistance), or into freshly prepared Stabident perforation sites in the anterior mandible of freshly culled young and old sheep (against tissue resistance). Each injection was repeated 10 times over 3 days. Absolute maximum pressures generated by each category of injection, mean pressures at 1 s intervals in each series of injections, and standard deviations were calculated. Curves of mean maximum intra-cartridge pressure development with time were plotted for slow and rapid injections, and one-way anova (P < 0.05) conducted to determine significant differences between categories of injection. Results, Pressures created when injecting into air were less than those needed to inject into tissue (P < 0.001). Fast injection produced greater intra-cartridge pressures than slow delivery (P < 0.05). Injection pressures rose more quickly and to higher levels in small, young sheep mandibles than in larger, old sheep mandibles. The absolute maximum intra-cartridge pressure developed during the study was 3.31 MPa which is less than that needed to fracture glass cartridges. Conclusions, Stabident intraosseous injection conducted in accordance with the manufacturer's instructions does not present a serious risk of dangerous pressure build-up in local anaesthetic cartridges. [source] An in vitro comparison of canal preparation using two automated rotary nickel,titanium instrumentation techniquesINTERNATIONAL ENDODONTIC JOURNAL, Issue 4 2000S. J. Jardine Abstract Aim The aim of this study was to compare the efficacy of root canal preparation using two automated rotary nickel,titanium instrumentation techniques with a double flared balanced forces hand preparation technique, using stainless steel files in extracted human teeth. Methodology Sixty root canals in extracted human teeth were matched for curvature, length and diameter and divided evenly between three groups (group 1 = double flare using Flexofiles®, group 2 = rotary nickel,titanium using McXIM® instruments and group 3 = rotary nickel,titanium using Profile® .04 TaperTM Series 29 instruments). The instruments were used according to the manufacturer's instructions in a torque controlled motor and handpiece (groups 2 and 3) and according to a predetermined procedure in group 1. A standardized radiographic technique using mercury as a contrast medium was used to evaluate the canal shape before and after preparation in the plane of maximum curvature. The pre- and postoperative radiographic images were compared against each other and with a predicted ,ideal preparation' calculated from a projection of the final instrument dimensions. The outcome measures were changes in canal dimensions as quantified by measuring the changes in the position of the inner and outer wall at 1 mm intervals. Alteration in canal curvature could be inferred by comparison with the ideal preparation. Results The degree of canal curvature did not influence the effectiveness of any of the techniques. The results showed no statistically significant differences in the outcome measures between the groups (two-way anova). There were no significant differences in canal wall position changes at any level except the apical three, where significantly less change occurred in all groups (P = 1%). Instruments fractured in three canals, with acute curves in groups 2 and 3. Conclusions Canal curvatures were equally and well maintained following preparation in all the groups, as long as the instrument did not fracture. [source] Erythema induratum with pulmonary tuberculosis: histopathologic features resembling true vasculitisINTERNATIONAL JOURNAL OF DERMATOLOGY, Issue 3 2001Yong Suk Lee MD A 22-year-old South Korean woman presented with a 4-month history of several nodules on both legs. She looked healthy, but suffered from tenderness and swelling of the legs. Physical examination showed multiple, nonulcerating, erythematous nodules occurring on the calves, knee joints, and thighs (Fig. 1). A biopsy specimen of the skin revealed necrotizing vasculitis of medium-sized arteries with fibrinoid necrosis at the border between the dermis and the subcutis. Dense cellular infiltrates, including numerous neutrophils and lymphocytes, presented within and around the vessel walls as in polyarteritis nodosa, with some eosinophils (Fig. 2A,B). There were no other generalized symptoms. She was diagnosed with cutaneous polyarteritis nodosa and was initially treated with systemic steroids. She was given an intravenous injection of Solu-Cortef, 60 mg/6 h for 7 days. This was replaced with oral prednisolone for 2 weeks. The skin lesions and symptoms improved. Figure 1. Small, nut-sized, erythematous, brown-colored nodules and patches on the lower extremities, even above the knee joints Figure 2. (A) Dense infiltration within and around artery (× 40). (B) Slightly expanded lobular panniculitis with vasculitis (× 100) Six months later, she complained of general weakness and recurrent skin lesions. Purified protein derivative (PPD) test gave a moderate positive reaction and chest X-ray examination showed the features of pulmonary tuberculosis: radio-opaque infiltrations in the right lower lung field. A repeated biopsy revealed mild vasculitis with more diffuse lobular infiltrations of the subcutaneous tissue compared with the former specimen. Polymerase chain reaction (PCR) and tissue culture for Mycobacterium tuberculosis were performed from a biopsy specimen. DNA was extracted from skin tissue with an AplisystemTM DNA/RNA detection kit using the resin-mediated boiling method (Stargene, Seoul, South Korea). The primers were designed on the basis of the M. tuberculosis gene IS6110 target (sense primer, 5,-CCA GAT GCA CCG TCG AAC GGC TGA T-3, antisense primer, 5,-CGC TCG CTG AAC CGG ATC GAT GTG T-3,). The amplification was performed with uracil- N -glycosylase (UNG), to prevent carry-over contamination, and internal control primers, to correct for false-negative reaction (Kox LF, Rhienthong D, Miranda AM et al. A more reliable PCR for detection of Mycobacterium tuberculosis in clinical samples. J Clin Microbiol 1994; 32: 672,678; Longo MC, Berninger MS, Hartley JL. Use of uracil DNA glycosylase to control carry-over contamination in polymerase chain reactions. Gene 1990; 93: 125,128). According to the manufacturer's instructions, amplification was carried out for 40 cycles with denaturation at 94 °C for 40 s, annealing at 70 °C for 1 min, and extension at 72 °C for 1 min in a thermal cycler (Perkin,Elmer Cetus, Norwalk, CT, USA). The results of PCR and tissue culture for M. tuberculosis using the biopsy specimen were all negative (Fig. 3). Figure 3. Negative result in PCR for M. tuberculosis (negative control is not shown; M, marker; P, positive control; I, internal control; S, specimen) The patient was finally diagnosed with erythema induratum with pulmonary tuberculosis and was started on antituberculosis medication (isoniazid 400 mg, rifampicin 600 mg, ethambutol 800 mg, and pyrazinamide 1500 mg daily). She showed prompt improvement after 2 weeks of medication. After 9 months of antituberculosis therapy, her skin lesions and chest X-ray had cleared. She was followed up for 4 months with no recurrence of skin and pulmonary lesions. [source] Effect of dentine smear layer on the performance of self-etching adhesive systems: A micro-tensile bond strength studyJOURNAL OF BIOMEDICAL MATERIALS RESEARCH, Issue 1 2010Pisol Senawongse Abstract This study aimed to evaluate the effect of the smear layer on the micro-tensile bond strength when two self-etching adhesives were used with different techniques. Flat dentine surfaces were prepared using either medium grit diamond burs or tungsten carbide burs. Ten specimens from each prepared surfaces were subjected for smear layer evaluation under SEM. Forty specimens from each of the prepared surfaces were further divided into two groups, bonded with either Clearfil SE Bond (SE) or Clearfil S3 Bond (S3) using one of four applications (as manufacturer's instructions, agitation, reapplication, and increased application time), restored with composites and subjected to a micro-tensile bond strength test. Smear layers created with diamond burs were thicker than those created with tungsten carbide burs. Surfaces prepared with tungsten carbide burs produced a higher bond strength than those prepared with diamond burs and the same type of adhesive resin. SE demonstrated a higher bond strength than S3 for all surfaces. S3 applied with the agitation technique demonstrated a higher bond strength to dentine prepared with tungsten carbide and diamond burs than that applied with other techniques. SE applied with increased time on dentine treated with carbide burs produced the highest bond strength. In conclusion, a thick smear layer decreased bond strength to dentine, and this might be improved by modification of application technique. © 2010 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 2010. [source] The effect of a dentifrice and mouth rinse combination containing amine fluoride/stannous fluoride on plaque and gingivitis: a 6-month field studyJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 7 2005S. Paraskevas Abstract Aim: To examine the effect of amine fluoride/stannous fluoride (AmF/SnF2)-containing dentifrice and mouth rinse on plaque formation and gingivitis as compared with habitual oral hygiene procedures with a regular sodium fluoride (NaF) dentifrice. Material and Methods: In total, 22 general practices participated in this research project. The participants (N=281) were randomly assigned into two groups: the test group received an AmF/SnF2 dentifrice,mouth rinse combination and the control group received a NaF-containing dentifrice. The patients were requested to brush twice daily for approximately 2 min. The subjects of the test group had to rinse additionally in the evening for 30 s with 10 ml of the mouth rinse. Results: Both groups started with comparable scores of plaque, bleeding and staining. At 6 months, the plaque scores were 0.95 for the AmF/SnF2 group and 0.99 for the NaF group (decrease of 16% and 10%, respectively). Bleeding scores, although significantly different from baseline, did not show differences between the two regimes. At the end of the experimental period, the overall staining was more pronounced in the AmF/SnF2 group (41%) than the NaF group (26%). Both plaque reduction and increase in staining seemed to be correlated to the amount of mouth rinse used in the test group. Conclusion: In instruction-resistant patients recruited from dental practices, the combined use of AmF/SnF2 did not decrease gingivitis at a significant level in comparison with the regular regime of two times daily brushing with an NaF-containing dentifrice. However, the above-mentioned combination resulted in greater plaque reduction than that observed with the use of the conventional dentifrice. When used according to the manufacturer's instructions, this effect on plaque scores was more pronounced. [source] Scanning Electron Microscope Analysis of Internal Adaptation of Materials Used for Pulp Protection under Composite Resin RestorationsJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 2 2005MARIA INEZ LEMOS PELIZ DDS ABSTRACT Purpose:: The aim of this study was to evaluate the interfacial microgap with different materials used for pulp protection. The null hypothesis tested was that the combination of calcium hydroxide, resin-modified glass ionomer, and dentin adhesive used as pulp protection in composite restorations would not result in a greater axial gap than that obtained with hybridization only. Materials and Methods: Standardized Class V preparations were performed in buccal and lingual surfaces of 60 caries-free, extracted human third molars. The prepared teeth were randomly assessed in six groups: (1) Single Bond (SB) (3M ESPE, St. Paul, MN, USA); (2) Life (LF) (Kerr Co., Romulus, MI, USA) + SB; (3) LF + Vitrebond (VT) (3M ESPE) + SB; (4) VT + SB; (5) SB + VT; (6) SB + VT + SB. They were restored with microhybrid composite resin Filtek Z250 (3M ESPE), according to the manufacturer's instructions. However, to groups 5 and 6, the dentin bonding adhesive was applied prior to the resin-modified glass ionomer. The specimens were then thermo-cycled, cross-sectioned through the center of the restoration, fixed, and processed for scanning electron microscopy. The specimens were mounted on stubs and sputter coated. The internal adaptation of the materials to the axial wall was analyzed under SEM with × 1,000 magnification. Results: The data obtained were analyzed with nonparametric tests (Kruskal-Wallis, p V .05). The null hypothesis was rejected. Calcium hydroxide and resin-modified glass ionomer applied alone or in conjunction with each other (p < .001) resulted in statistically wider microgaps than occurred when the dentin was only hybridized prior to the restoration. [source] An in vitro study of the reliability of DIAGNOdent® measurementsJOURNAL OF ORAL REHABILITATION, Issue 9 2004J Kühnisch summary, Aim of this in vitro study was to assess the reliability of measurements by a laser fluorescence technique for occlusal caries detection. Four dentists using four DIAGNOdent® devices (Dds) according to manufacturer's instructions examined 80 carefully cleaned extracted molars with non-cavitated occlusal lesions. Inter- and intra-examiner reproducibility were calculated using Lin's intra-class correlation coefficient (ICCLin) and the limits of agreement by Bland and Altman (Comp Biol Med 1990;20:337). An excellent intra-examiner reproducibility was found for all dentists (ICCLin 0·93,0·98). The inter-examiner reliability was proved to be good and excellent (ICCLin 0·74,0·98). By reason of the registered lower mean fluorescence values of dentist 3 compared with his/her colleagues all these measurements were excluded from further calculations. Differences between Dd instruments were not evident. When the values of the Dd were categorized according to the treatment related cut-off limits a substantial reproducibility was found in the range of 0,14 (ICCLin 0·66; DIFF 4·0/,3·5) and >30 (ICCLin 0·6% of all Dd measurements were reproduced in the range 15,30 (ICCLin 0·16; DIFF 8·1/,7·3). The results suggest that dentists should be trained before using Dd. The low reliability in the interval of 15-30 could indicate a limited use for a longitudinal caries monitoring on pits and fissures; further research should be focused on this clinically important interval. [source] A study on the mandibular movement of anterior openbite patientsJOURNAL OF ORAL REHABILITATION, Issue 9 2000J.-Y. Koak The purpose of this study was to compare the mandibular movements of anterior openbite patients using those of normal bite (angle class I) patients, to ascertain which components of mandibular movement are different in the two groups, and to use this information for occlusal treatment. The Saphon Visi-trainer Model 3 and the Denar Pantronic were used to record mandibular movement and a Pantronic survey was performed using an arbitrary hinge axis, according to manufacturer's instructions. The subjects were 43 adults and included 28 subjects presenting with acceptable normal occlusion (angle class I) with no sign of TM dysfunction syndrome (TMD) and 15 subjects with anterior openbite with no anterior guidance. In the anterior openbite group, the average anterior and lateral condylar inclination, maximum opening and the distance between the intercuspal position with retruded contact position distance (anterior,posterior) were significantly lower than normal. The results suggest that in openbite patients the condyle inclination is flatter and the function of the TMJ is more restricted than in the mandibular movements of the normal group. It is hoped that these results will be useful for the correction of the anterior openbite condition. [source] The protective action of scutellarin against immunological liver injury induced by concanavalin A and its effect on pro-inflammatory cytokines in miceJOURNAL OF PHARMACY AND PHARMACOLOGY: AN INTERNATI ONAL JOURNAL OF PHARMACEUTICAL SCIENCE, Issue 1 2007Zheng Huai Tan Scutellarin is a natural compound from a Chinese herb. The purpose of this paper was to study the protective effect of scutellarin on concanavalin A (Con A)-induced immunological liver injury and its effect on liver nuclear factor ,B (NF-,B), tumor necrosis factor , (TNF-,), interferon , (IFN-,), and inducible nitric oxide synthase (iNOS) expression in mice. Mouse liver injury was produced by injection of Con A 25 mg kg,1 via the tail vein. Scutellarin 50 or 100 mg kg,1 was peritoneally administered to mice 9 or 1 h before injection of Con A. The levels of serum alanine aminotransferase (ALT) and asparatate aminotransferase (AST), NO2,/NO3, and TNF - , were determined with biochemical kits, and ELISA using Quantikine Mouse TNF-, kit according the manufacturer's instructions. Liver lesions were examined by light microscope. The expression of TNF-,, IFN-,, iNOS and Fas mRNA in the livers was detected by RT-PCR; and the expression of c-Fos, c-Jun, iNOS and I,B proteins was measured by Western Blotting. As a result, pretreatment with scutellarin 100 mg kg,1 significantly decreased the serum ALT, AST, NO2,/NO3,and TNF-, levels, and also reduced liver lesions induced by Con A. Scutellarin 100 mg kg,1 down-regulated expression of TNF-, and iNOS mRNA, and c-Fos, c-Jun and iNOS protein, while scutellarin enhanced the degradation of I,B, in the livers of mice injected with Con A. The results suggest that scutellarin has a protective action against Con A-induced liver injury in mice, and its active mechanism may be related to the inhibition of the NF-,B-TNF-,-iNOS transduction pathway. [source] Effect of Casting Procedures on Screw Loosening in UCLA-Type AbutmentsJOURNAL OF PROSTHODONTICS, Issue 2 2006Stefania C. Kano DDS Background: Screw loosening of implant restorations continues to be a complication in implant prosthodontics. Screw joints are subjected to a loss of initially applied torque because of friction and component misfit. It has been suggested that the loss of applied torque is less in machined metal abutments than in cast plastic abutments. Purpose: This study compared the loss of applied torque (detorque) values in machined titanium and in cast UCLA-type abutments for external hex abutment/implant interface. Materials and Methods: Four groups of 12 samples each were evaluated: (1) machined titanium abutments, (2) premachined palladium abutments cast with palladium, (3) plastic abutments cast with nickel-chromium, and (4) plastic abutments cast with cobalt-chromium. Each abutment was torqued to 30 Ncm according to the manufacturer's instructions and detorqued three times. The mean loss of applied torque (detorque) was recorded as a percentage of the torque applied. Group means were calculated and compared using ANOVA and Tukey's LSD test. Results: Mean detorque values were (1) 92.3 ± 2.9%, (2) 81.6 ± 5.0%, (3) 86.4 ± 4.6%, and (4) 84.0 ± 7.0%. Machined abutments demonstrated significantly greater detorque values compared with all cast groups (p < 0.05). No significant differences were found among cast groups. Conclusion: Machined abutments retained a significantly greater percentage of torque compared with cast abutments. Casting procedures decrease the percentage of applied torque, which may influence final screw joint stability. [source] Comparison of calibrated and uncalibrated arterial pressure,based cardiac output monitors during orthotopic liver transplantation,LIVER TRANSPLANTATION, Issue 6 2010Vladimir Krejci Arterial pressure,based cardiac output monitors (APCOs) are increasingly used as alternatives to thermodilution. Validation of these evolving technologies in high-risk surgery is still ongoing. In liver transplantation, FloTrac-Vigileo (Edwards Lifesciences) has limited correlation with thermodilution, whereas LiDCO Plus (LiDCO Ltd.) has not been tested intraoperatively. Our goal was to directly compare the 2 proprietary APCO algorithms as alternatives to pulmonary artery catheter thermodilution in orthotopic liver transplantation (OLT). The cardiac index (CI) was measured simultaneously in 20 OLT patients at prospectively defined surgical landmarks with the LiDCO Plus monitor (CIL) and the FloTrac-Vigileo monitor (CIV). LiDCO Plus was calibrated according to the manufacturer's instructions. FloTrac-Vigileo did not require calibration. The reference CI was derived from pulmonary artery catheter intermittent thermodilution (CITD). CIV -CITD bias ranged from ,1.38 (95% confidence interval = ,2.02 to ,0.75 L/minute/m2, P = 0.02) to ,2.51 L/minute/m2 (95% confidence interval = ,3.36 to ,1.65 L/minute/m2, P < 0.001), and CIL -CITD bias ranged from ,0.65 (95% confidence interval = ,1.29 to ,0.01 L/minute/m2, P = 0.047) to ,1.48 L/minute/m2 (95% confidence interval = ,2.37 to ,0.60 L/minute/m2, P < 0.01). For both APCOs, bias to CITD was correlated with the systemic vascular resistance index, with a stronger dependence for FloTrac-Vigileo. The capability of the APCOs for tracking changes in CITD was assessed with a 4-quadrant plot for directional changes and with receiver operating characteristic curves for specificity and sensitivity. The performance of both APCOs was poor in detecting increases and fair in detecting decreases in CITD. In conclusion, the calibrated and uncalibrated APCOs perform differently during OLT. Although the calibrated APCO is less influenced by changes in the systemic vascular resistance, neither device can be used interchangeably with thermodilution to monitor cardiac output during liver transplantation. Liver Transpl 16:773-782, 2010. © 2010 AASLD. [source] Changes in the mechanical properties of tooth-colored direct restorative materials in relation to timePOLYMERS FOR ADVANCED TECHNOLOGIES, Issue 9 2003Gülbin Sayg Abstract The objective of this study was to determine the flexural strength, flexural modulus, Vickers hardness of a packable composite (Surefil), and an ormocer (Definite) in comparison with a microhybrid composite (Z-100), a microfil composite (Silux Plus) and a polyacid-modified composite resin (Dyract). Flexural strength and flexural modulus were determined using a three-point bending device. Microhardness was measured with a Vickers indentor. The specimens of each material were prepared according to manufacturer's instructions. The specimens were stored in artificial saliva at pH 6, all at 37°C. The groups were tested at the beginning of the test, at 3 months and at 6 months. Flexural strength values of Surefil and Definite showed a progressive increase. The highest MPa values were determined for Surefil (134.4,MPa) and the lowest MPa values were obtained for Dyract (59.6,MPa). The highest flexural modulus values were revealed for Surefil (10.000 GPa). Z-100, Silux Plus and Definite showed a tendency to decline in relation to time for their flexural modulus. GPa values of Silux Plus were stable at 3 and 6 months. Vickers hardness numbers showed that Surefil was the hardest and Dyract was the weakest material. Copyright © 2003 John Wiley & Sons, Ltd. [source] A Rapid Qualitative Test for Suspected Ethylene Glycol PoisoningACADEMIC EMERGENCY MEDICINE, Issue 7 2008Heather Long MD Abstract Objectives:, Many hospitals must send out ethylene glycol (EG) samples to a reference laboratory, and delays in diagnosis and treatment may occur. A qualitative colorimetric test (ethylene glycol test [EGT] kit), already in use by veterinarians, gives results in 30 minutes with little expertise or cost. The EGT reliably detects the presence of EG in spiked human serum samples. The objective of this study was to prospectively assess the sensitivity and specificity of the EGT kit in actual clinical samples submitted for EG testing by the criterion standard gas chromatography (GC). Methods:, Blood samples from patients with suspected toxic alcohol poisoning submitted to a reference laboratory were tested by GC. An investigator blinded to the GC results tested the same sample with the EGT kit following the manufacturer's instructions and using the internal control. Three physicians also blinded to the GC results categorized the sample as positive for EG, negative, or inconclusive. Interrater reliability was assessed with a kappa statistic (,). Results of the EGT kit testing were then compared to those from GC testing. Results:, Data are reported on 24 samples submitted. By GC, 15 samples were confirmed for EG (range 27,281 mg/dL), 5 were confirmed for methanol (ME; range 64,101 mg/dL), and 4 were negative for both alcohols. The EGT was unanimously positive in all confirmed EG samples and negative in all ME samples. In one of the negative samples, an ambiguous result occurred and was counted as a false-positive. Interobserver agreement with the EGT was high (, = 0.909; 95% confidence interval [CI] = 0.735 to 1.0). Sensitivity and specificity were 100% (95% CI = 70% to 100%) and 88.8% (95% CI = 52% to 100%), respectively. Conclusions:, The EGT appears to be a reliable qualitative test in cases of suspected human EG poisoning. [source] Randomized comparison of vasoseal and angioseal closure devices in patients undergoing coronary angiography and angioplastyCATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, Issue 4 2002Nicolas W. Shammas MD Abstract AngioSeal (AS) and VasoSeal (VS) are collagen-based arterial closure devices utilized to achieve earlier hemostasis and ambulation in diagnostic and interventional percutaneous procedures. To our knowledge, there has been no randomized studies comparing these two devices as approved for use in the United States. One hundred fifty-seven patients were randomized to receive either the 8 Fr AS (n = 79) or VS (n = 78) closure device. Data on 95 patients who had coronary angiography (49 AS, 46 VS) and 55 patients who underwent angioplasty (28 AS, 27 VS) were completed. Heparin was not administered during the coronary angiogram procedure. The activated clotting time was kept at approximately 300 sec during angioplasty. Patients on coumadin or GP IIb/IIIa platelet inhibitors were not included in this study. The time unit interval to achieve hemostasis in this study was based on the time the AS tension spring was left over the common femoral artery following collagen deployment as per the manufacturer's instructions (20 min). Time to hemostasis, time to ambulation, and major and minor complications were prospectively recorded. Two-tailed t -test and chi-square analysis were performed on continuous and dichotomous variables, respectively. For the angiogram-only subgroup, time (min) to hemostasis (20.51 ± 4.36 vs. 18.59 ± 11.77; P = 0.30) and ambulation (145.71 ± 124 vs. 109.89 ± 60.37; P = 0.075) were not statistically different for the AS and VS, respectively. Similarly, for the angioplasty subgroup, time (min) to hemostasis (24.23 ± 12.70 vs. 19.57 ± 2.27; P = 0.077) and ambulation (607.32 ± 344.22 vs. 486.48 ± 200.37; P = 0.12) were not statistically different for both AS and VS, respectively. Furthermore, there were no statistical differences in deployment failure, major, minor, or total complication rates between the two devices. In the absence of GP IIb/IIIa inhibitors, VS and the 8 Fr AS devices have statistically similar time to hemostasis and ambulation as well as device failures and complication rates following coronary angiography and angioplasty. Cathet Cardiovasc Intervent 2002;55:421,425. © 2002 Wiley-Liss, Inc. [source] Minimally Invasive Flapless Implant Surgery: A Prospective Multicenter StudyCLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, Issue 2005ODhc, William Becker DDS ABSTRACT Background: Placement of implants with a minimally invasive flapless approach has the potential to minimize crestal bone loss, soft tissue inflammation, and probing depth adjacent to implants and to minimize surgical time. Purpose: The aim of this multicenter study was to evaluate implant placement using a minimally invasive one-stage flapless technique up to 2 years. Materials and Methods: Fifty-seven patients ranging in age from 24 to 86 years were recruited from three clinical centers (Tucson, AZ, USA; Tel Aviv, Israel; Göteborg, Sweden). Seventy-nine implants were placed. A small, sharp-tipped guiding drill was used to create a precise, minimally invasive initial penetration through the mucosa and into bone (Nobel Biocare, Yorba, Linda, CA, USA). Implants were placed according to the manufacturer's instructions, with minimal countersinking. The parameters evaluated were total surgical time, implant survival, bone quality and quantity, implant position by tooth type, depth from mucosal margin to bone crest, implant length, probing depth, inflammation, and crestal bone changes. At 2 years, for 79 implants placed in 57 patients, the cumulative success rate using a minimally invasive flapless method was 98.7%, indicating the loss of 1 implant. Changes in crestal bone for 77 baseline and follow-up measurements were insignificant (radiograph 1: mean 0.7 mm, SD 0.5 mm, range 2.8 mm, minimum 0.2 mm, maximum 3.0 mm; radiograph 2: mean 0.8 mm, SD 0.5 mm, range 3.4 mm, minimum 0.12 mm, maximum 3.5 mm). Using descriptive statistics for 78 patients (one implant lost), mean changes for probing depth and inflammation were clinically insignificant. The average time for implant placement was 28 minutes (minimum 10 minutes, maximum 60 minutes, SD 13.1 minutes). Average depth from mucosal margin to bone was 3.3 mm (SD 0.7 mm, minimum 2 mm, maximum 5 mm, range 3 mm). Thirty-two implants were placed in maxillae and 47 in mandibles. Conclusions: The results of this study demonstrate that following diagnostic treatment planning criteria, flapless surgery using a minimally invasive technique is a predictable procedure. The benefits of this procedure are lessened surgical time; minimal changes in crestal bone levels, probing depth, and inflammation; perceived minimized bleeding; and lessened postoperative discomfort. [source] Original article: Glass transition temperature of hard chairside reline materials after post-polymerisation treatmentsGERODONTOLOGY, Issue 3 2010Vanessa M. Urban doi:10.1111/j.1741-2358.2009.00312.x Glass transition temperature of hard chairside reline materials after post-polymerisation treatments Objective:, This study evaluated the effect of post-polymerisation treatments on the glass transition temperature (Tg) of five hard chairside reline materials (Duraliner II-D, Kooliner-K, New Truliner-N, Ufi Gel hard-U and Tokuso Rebase Fast-T). Materials and methods:, Specimens (10 × 10 × 1 mm) were made following the manufacturers' instructions and divided into three groups (n = 5). Control group specimens were left untreated. Specimens from the microwave group were irradiated with pre-determined power/time combinations, and specimens from the water-bath group were immersed in hot water at 55°C for 10 min. Glass transition (°C) was performed by differential scanning calorimetry. Data were analysed using anova, followed by post hoc Tukey's test (, = 0.05). Results:, Both post-polymerisation treatments promoted a significant (p < 0.05) increase in the Tg of reline material K. Materials K, D and N showed the lowest Tg (p < 0.05). No significant difference between T and U specimens was observed. Conclusion:, Post-polymerisation treatments improved the glass transition of material Kooliner, with the effect being more pronounced for microwave irradiation. [source] An in vitro comparison of adhesive systems to seal pulp chamber wallsINTERNATIONAL ENDODONTIC JOURNAL, Issue 5 2004B. Ozturk Abstract Aim, To compare in vitro the sealing properties of five different dentine adhesive materials (Prime&Bond NT (PBNT); Prompt L-Pop (PLP); Clearfil SE Bond (CSEB); Scotchbond Multi Purpose Plus (SMPP); EBS-Multi (EBSM)) inside the pulp chamber. Methodology, Seventy-five recently extracted human molar teeth were used. The roof of the pulp chambers and roots were removed under water cooling. Pulp tissue was removed, and the canal orifices were sealed. The pulp chambers were then treated with 5% sodium hypochlorite (NaOCl) for 1 min. The teeth were randomly divided into five groups of 15 teeth each. Adhesive systems were applied to the pulp chamber walls according to the manufacturers' instructions. The samples were connected to Plexiglass plates, and a fluid filtration method was used for quantitative evaluation of leakage. Measurements of fluid movement were made at 2-min intervals for 8 min. The quality of seal of each specimen was measured immediately, after 24 h, 1 week and 1 month. The data were statistically analysed by repeated-measurements multivariate anova, Friedman test, Wilcoxon signed rank test, Kruskal,Wallis of one-way anova and Mann,Whitney U -tests. The pulp chamber wall with and without NaOCl and resin,dentine interfaces of specimens were observed under a scanning electron microscope (SEM). Results, The leakage values of the materials were significantly different at different measurement periods. In all groups, leakage values decreased with time (P < 0.05). PBNT and PLP had the least leakage during immediate measurements (P < 0.05). After 1 month, leakage of all adhesive systems was not significantly different (P < 0.05). SEM observation of pulp chamber walls demonstrated that the irregular dentine surface without smear layer was present in the nontreated group. However, NaOCl application removed the collagen fibrils leaving the dentine surface smooth. At resin,dentine interfaces of specimens, no hybridization zone was observed. Conclusions, None of the materials had created a perfect seal to the pulp chamber walls. PBNT and PLP had better sealing over the short term, but over the long term, there were no differences between the materials. [source] Effect of curing mode on bond strength of self-adhesive resin luting cements to dentinJOURNAL OF BIOMEDICAL MATERIALS RESEARCH, Issue 1 2010T. R. Aguiar Abstract In this study, the in vitro bond strength of dual-curing resin cements to indirect composite restorations when the cement was either light polymerized or allowed to only autopolymerize was evaluated. Occlusal dentin surfaces of 56 extracted human third molars were flattened to expose coronal dentin. Teeth were assigned to eight groups (n = 7) according to resin cement products and polymerization modes: conventional cement (Panavia F 2.0; Kuraray Medical) and self-adhesive cements [RelyX Unicem (3M ESPE), BisCem (Bisco), and G-Cem (GC Corp.)]. Cements were applied to prepolymerized resin discs (2-mm-thick Sinfony; 3M ESPE), which were subsequently bonded to the prepared dentin surfaces. The restored teeth were either light-polymerized through the overlying composite according to manufacturers' instructions or were allowed to only self-cure. After 24 h, the teeth and restorations were sectioned to obtain multiple bonded beams (1.0 mm2) and tested in tension at a crosshead speed of 0.5 mm/min until failure. Data (MPa) were analyzed by two-way ANOVA and Tukey test (, = 0.05). Light activation of some cement systems (G-Cem and Panavia F 2.0) increased the bond strength, while the curing mode did not affect the bond strength for some (RelyX Unicem and BisCem). The bond strength in the autopolymerized mode varied among products. In general, the use of self-adhesive resin cements did not provide significantly higher bond strengths than that of a conventional material, and two self-adhesive cements yielded significantly lower bond values (regardless of cure mode) than the other products. © 2010 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 2010 [source] Sorption and solubility testing of orthodontic bonding cements in different solutionsJOURNAL OF BIOMEDICAL MATERIALS RESEARCH, Issue 2 2006Manuel Toledano Abstract To evaluate and compare the solubility and sorption of orthodontic bonding cements after immersion in different solutions, five different cements were used: a fluoride-containing resin composite, a light-cured glass ionomer cement, a light-cured resin composite, a paste,paste chemically cured resin composite, and a liquid,paste chemically cured resin composite. Five different solutions were employed: distilled water, artificial saliva, an alcohol-free mouthrinse solution (Orthokin), a 5% alcohol mouthrinse solution (Perioaid), and a 75% ethanol/water solution. Five disc specimens (15 mm × 0.85 mm) were used for each experimental condition. Materials were handled following manufacturers' instructions and were ground wet with silicon carbide paper. Solubility and sorption of the materials were calculated by means of weighing the samples before and after immersion and desiccation. Data were analyzed by two-way ANOVA and Student,Newman,Keuls test (p < 0.05). The light-cured glass ionomer cement showed the lowest solubility and the highest sorption values. When using alcohol-containing solutions as storage media, solubility of the paste,paste chemically cured resin composite increased, and sorption values for the tested chemically cured resin composites were also increased. The use of alcohol-free mouthrinses does not affect sorption and solubility of orthodontic cements. The chemically cured (paste,paste) composite resin cement, requiring a mixing procedure, was the most affected by immersion in alcohol-containing solutions. © 2005 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 2006 [source] The effect of thermocycling on peel strength of six soft lining materialsJOURNAL OF ORAL REHABILITATION, Issue 6 2002A. Sertgöz The bond strength of two heat-cured and four cold-cured soft lining materials was compared using a peeling test method before and after thermocycling. Tested soft lining materials were Molloplast B, Mollosil, Ufigel P, Ufigel C, Permaquick and Permaflex. Six specimens, 6·5 × 2 × 0·3 cm, for each group were prepared according to the manufacturers' instructions. Control groups were stored in a humidor for 24 h, whereas the others were thermocycled in a water bath between the 5 and 55 °C for 5000 cycles. Peel strength of samples were measured using an Instron Universal testing machine at a cross-head speed of 5 mm min,1. The types of failure were observed using an electron microscope. The highest peel bond strength values were calculated for Permaflex and Permaquick before and after thermocycling, respectively. Molloplast B, Mollosil, Ufigel P and Permaquick demonstrated an increase in peel strength after thermocycling, with Permaquick lining material having statistically significant increase. However, decrease in peel strength was observed for Ufigel C and Permaflex after thermocycling. Failure mode within the control groups was cohesive for Molloplast B, Permaquick and Permaflex, whereas adhesive for Ufigel P and Ufigel C. Mollosil demonstrated a mixed mode of failure for both thermocycled and control groups. [source] Reducing the Incidence of Denture Stomatitis: Are Denture Cleansers Sufficient?JOURNAL OF PROSTHODONTICS, Issue 4 2010Anto Jose MSc Abstract Purpose:,Candida albicans is the predominant oral yeast associated with denture stomatitis. With an increasing population of denture wearers, the incidence of denture stomatitis is increasing. Effective management of these patients will alleviate the morbidity associated with this disease. The aim of this study was to examine the capacity of four denture cleansers to efficiently decontaminate and sterilize surfaces covered by C. albicans biofilms. Materials and Methods: Sixteen C. albicans strains isolated from denture stomatitis patients and strain ATCC 90028 were grown as mature confluent biofilms on a 96-well format and immersed in Dentural, MedicalÔ Interporous®, Steradent Active Plus, and Boots Smile denture cleansers according to the manufacturers' instructions or overnight. The metabolic activity and biomass of the biofilms were then quantified, and scanning electron microscopy (SEM) used to examine treated biofilms. Results: Dentural was the most effective denture cleanser, reducing the biomass by greater than 90% after 20 minutes. Steradent Active plus was significantly more effective following 10-minute immersion than overnight (p < 0.001). All cleansers reduced the metabolic activity by greater than 80% following overnight immersion; however, Boots Smile exhibited significantly reduced metabolic activity following only a 15-minute immersion (p < 0.001). SEM revealed residual C. albicans material following Dentural treatment. Conclusions: This study showed that denture cleansers exhibit effective anti- C. albicans biofilm activity, both in terms of removal and disinfection; however, residual biofilm retention that could lead to regrowth and denture colonization was observed. Therefore, alternative mechanical disruptive methods are required to enhance biofilm removal. [source] | |||||||||||||