Can adjunctive corticosteroid therapy improve patient-centered outcomes following third molar surgery? A systematic review

Third molar surgery is frequently associated with postoperative discomfort such as pain, edema and trismus. We aimed to evaluate the current evidence on the efficacy of adjunctive corticosteroid therapy in improving patient-centered outcomes following third molar surgery

Bonding of brackets using a caries-protective adhesive patch

OBJECTIVES: The purpose of this study was to assess the shear bond strength (SBS) of metal brackets when placed with a caries protective adhesive patch. METHODS: Forty stainless steel brackets (Ormco) were bonded to 40 bovine enamel samples according to the following conditioning/bonding procedures using a resin-based orthodontic luting material (Heliosit Orthodontic, N=10 per group): (A) 35% phosphoric acid (30s), rinse and dry; (B) as in A but additional placement of a prototype adhesive patch (Ivoclar Vivadent) using a bonding agent (Heliobond); (C) application of a two-step self-etch adhesive (AdheSE); (D) as in C but additional patch placement. Samples were stored at 37 degrees C for 24h. SBS was measured with a universal testing machine with a crosshead speed of 0.5mm/min and the adhesive remnant index (ARI) was determined under a stereomicroscope (16x). RESULTS: Mean SBS (standard deviation) values were as follows: (A) 16.6 (6.4)MPa; (B) 12.2 (5.8); (C) 12.9 (5.0); and (D) 10.5 (4.7). Analysis of variance followed by Bonferroni correction revealed no statistically significant differences. In 2 (B) and 4 (D) specimens, complete retention of the adhesive patch was observed. CONCLUSIONS: All treatment groups showed adequate bond strength values. The adhesive patch could therefore be applied in combination with orthodontic brackets and seal the enamel adjacent to the bracket

Preliminary estimates of radiosonde thermistor errors

Radiosonde temperature measurements are subject to errors, not the least of which is the effect of long- and short-wave radiation. Methods of adjusting the daytime temperatures to a nighttime equivalent are used by some analysis centers. Other than providing consistent observations for analysis this procedure does not provide a true correction. The literature discusses the problem of radiosonde temperature errors but it is not apparent what effort, if any, has been taken to quantify these errors. To accomplish the latter, radiosondes containing multiple thermistors with different coatings were flown at Goddard Space Flight Center/Wallops Flight Facility. The coatings employed had different spectral characteristics and, therefore, different adsorption and emissivity properties. Discrimination of the recorded temperatures enabled day and night correction values to be determined for the US standard white-coated rod thermistor. The correction magnitudes are given and a comparison of US measured temperatures before and after correction are compared with temperatures measured with the Vaisala radiosonde. The corrections are in the proper direction, day and night, and reduce day-night temperature differences to less than 0.5 C between surface and 30 hPa. The present uncorrected temperatures used with the Viz radiosonde have day-night differences that exceed 1 C at levels below 90 hPa. Additional measurements are planned to confirm these preliminary results and determine the solar elevation angle effect on the corrections. The technique used to obtain the corrections may also be used to recover a true absolute value and might be considered a valuable contribution to the meteorological community for use as a reference instrument

In vitro tooth cleaning efficacy of electric toothbrushes around brackets

This in vitro study assessed the cleaning efficacy of different electric toothbrushes around upper incisor brackets. Standard and Mini Diamond™ brackets were fixed on black-stained teeth. The teeth were coated with white titanium oxide and brushed in a machine twice for 1 minute each. Twelve different brush heads with either a wiping or an oscillating-rotating action were tested. After brushing, the teeth were scanned, the black surfaces were assessed planimetrically and a modified plaque index for orthodontic patients (PIOP) was introduced. Tooth areas, which were black again after brushing indicated tooth surface contact of the filaments and were expressed as a percentage of total area. The remaining white areas around the brackets indicated 'plaque-retentive' niches. Analysis of variance was used for individual comparison of the brush types. Bonferroni/Dunn adjustment was applied for multiple testing. The Sonicare® toothbrush handle with the brush head 'Compact ProResults' (81.7 per cent) and the brush head 'Standard ProResults' (80.8 per cent), as well as the sonic Waterpik® toothbrush SR 800E with the standard brush head (78.2 per cent), showed statistically significantly better cleaning efficacy than all others. The poorest cleaning efficacy was observed for the oscillating-rotating Braun Oral-B Professional Care with the brush head 'Ortho' (less than 50 per cent). The planimetric findings were in correspondence with the results of the PIOP assessment. Cleaning efficacy of electric toothbrushes around brackets on upper incisors was different between the tested brushes. The PIOP was practicable, effective, and easy to use, although it has to be verified in a clinical stud

Time series comparisons of satellite and rocketsonde temperatures in 1978-1979

The Limb Infrared Monitor of the Stratosphere (LIMS) experiment on Nimbus 7 yielded temperature-versus-pressure (T(p)) profiles for each radiance scan. The present report describes time series comparisons between LIMS and rocketsonde T(p) values at rocketsonde station locations. Sample size has increased up to 665 by this new approach, leading to better statistics for a T(p) validation. The results indicate no clearly significant bias for LIMS versus Datasonde from 10 kPa at low and mid latitudes. There is a positive LIMS bias of 2 to 3 K in the upper stratosphere at high latitudes for the Northern Hemisphere in both winter and spring. LIMS is progressively colder than Datasonde from 0.4 kPa (about -3 K) to 0.1 kPa (about -9 K) at all latitudes. A similar comparison between LIMS and the more accurate falling sphere measurements reveals an equivalent mid-latitude LIMS bias at 0.4 kPa but a much smaller bias at 0.1 kPa (-4.6 K). Because the biases do not vary noticeably with season, it is concluded that they are not a function of atmospheric state. This result confirms the robustness of the LIMS temperature retrieval technique

Comparative effectiveness of hand scaling by undergraduate dental students following a two-week pre-clinical training course

BACKGROUND The Bologna reform resulted in a drastic restructuring of pre-clinical training courses at the University of Zurich. The aim of this study was to assess student pre-clinical scaling/root planning skills after just 8.5 hours of manual training. MATERIAL AND METHODS Three consecutive classes of dental students (n = 41; n = 34; n = 48) were tasked with removing lacquer concrement from the maxillary left canine on a typodont using Gracey and universal (Deppeler M23A) curettes. At baseline (prior to instruction), a timed five-minute session of scaling/root planning was undertaken. The second scaling/root planning session was held immediately following training. Eight experienced dental hygienists and eight lay people served as positive and negative controls, using the same instruments and time limit, respectively. Instrumented teeth were collected, scanned and planimetrically analysed for the percentage of tooth surface cleaned. Statistical analyses were performed to assess the dental students' improvement after the training (Wilcoxon signed-rank test) and to compare it to that of laypeople and dental hygienists (Kruskal-Wallis rank sum test followed by Conover's post hoc test). RESULTS At baseline, the dental students' mean scaling scores of the cleaned surfaces were not significantly different than those of laypeople (29.8%, 31.0%, 42% vs 27.9%). However, after 8.5 hours of manual training, the students' ability to clean the maxillary tooth improved significantly and they achieved mean removal values of 61.7%, 79.5% and 76% compared to the 67.4% (P < .001) of the experienced dental hygienists (Tables Tables  and ). There were no statistically significant differences between the scores achieved by students after training and those achieved by experienced dental hygienists. CONCLUSION A shortened pre-clinical training time was sufficient for students to acquire the basic scaling/root planning skills needed in preparation for clinical training. Further research is needed to identify ways to help students consistently reach highest skill levels

Creating a rapid response design, assembly, integration, and test facility in a non-repetitive environment

Thesis (S.M.)--Massachusetts Institute of Technology, Sloan School of Management; and, (S.M.)--Massachusetts Institute of Technology, Dept. of Mechanical Engineering; in conjunction with the Leaders for Manufacturing Program at MIT, 2002."June 2002."Includes bibliographical references (p. 129-130).by Eric P. Schmidlin.S.M

In Vitro Evaluation of the Permeability of Different Resorbable Xenogeneic Membranes after Collagenolytic Degradation

In this in vitro study, we compare the penetration of cells through different resorbable collagen membranes, which were collagenolytically degraded over different time periods. Three different resorbable collagen membranes were evaluated, including two non-cross-linked (NCL) membranes-namely, a porcine (NCL-P) and an equine (NCL-E) membrane-and an enzymatically cross-linked porcine (ECL-B) membrane. A special two-chamber model was fabricated, allowing for the placement of separating membranes, and a non-porous polyester membrane was used as a negative control (C), in order to verify the impermeability of the experimental chamber device. Round membrane samples with a diameter of 16 mm were fabricated. Eighteen membranes of each type were punched and placed on polyethylene nets as carriers. The membranes were then biodegraded-each on its carrier-in 12-well polystyrene plates: three samples of each membrane type were degraded for 1.5, 3, 6, or 12 h in 2 mL of a buffered collagenase solution, at 37 °C. For control purposes, three samples of each membrane type were not degraded, but only immersed in buffer solution for 1.5, 3, 6, or 12 h, at 37 °C. Another three samples of each type of membrane were degraded until complete dissolution, in order to determine the full hydroxyproline content for comparison. Liquid-preserved boar semen (containing at least 120 million sperm cells per milliliter) was used to test the cell occlusivity of the degraded membranes. At baseline and initial degradation, all tested membranes were tight, and no penetration was observed with up to 30 min of incubation time (results not shown). After 1.5 h, cells were partially capable of penetrating the NCL-E membrane only. One sample showed leakage, with a sperm volume of 1.7 million cells/mL over all samples. No penetration occurred in the test, NCL-P, and ECL-B groups. After a degradation time of 3 h, the NCL-P and ECL-B membranes remained occlusive to cells. All the membranes and measurements indicated leakage in the NCL-E group. After 6 h, four NCL-P measurements showed the first signs of cell penetration, as boar spermatozoa were detectable in the lower chamber (64 million cells/mL). The ECL-B membranes remained completely cell occlusive. After 12 h, four NCL-P measurements were cell penetration positive (14.6 million cells/mL), while the ECL-B group remained tight and showed no cell penetration. As the findings of our study are well in accordance with the results of several previous animal studies, it can be concluded that the surrogate model is capable of performing rapid and cheap screening of cell occlusivity for different collagen membranes in a very standardized manner. In particular, claims of long degradation resistance can be easily proven and compared. As the boar spermatozoa used in the present report had a size of 9 × 5 μm, smaller bacteria are probably also able to penetrate the leaking membranes; in this regard, our proposed study set-up may provide valuable information, although it must be acknowledged that sperm cells show active mobility and do not only translocate by growth

Anatomic Relationships Between the Coronary Venous System, Surrounding Structures, and the Site of Origin of Epicardial Ventricular Arrhythmias

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/109967/1/jce12497.pd