Evaluation of the accuracy of working length determination and automatic apical reverse function accuracy of endodontic rotary motor integrated apex locator: an in-vitro study

Background: The outcome of a Root canal therapy depends upon complete cleaning of the root canal system without damaging periapical integrity. Accurate determination of working length determination is essential. The development of Endodontic motor integrated apex locators (EALs) for locating canal terminus has been significant innovation in the field of Endodontics. Aim: To evaluate the accuracy of Endomotor integrated electronic apex locator in determining the working length before and after cleaning and shaping with Automatic Apical Reverse action set at the "0.5mm" mark. Methodology: Forty extracted premolars were decoronated, patency was verified. The actual length of tooth measured and teeth were embedded in alginate and file was advanced. Readings at the apex and 0.5mm short of the apex was recorded using Dentaport ZX (DZ group) and EConnect S (ES group) apex locator. Cleaning and shaping were done with rotary files with Automatic Apical Reverse action set at 0.5mm short of apex and reading recorded as Automatic Apical Reverse Length (AARL), and actual tooth length is measured. The data obtained were statistically analyzed. Results: Within the limitations of the study, the EALs readings of the DZ group & ES group provided an acceptable determination of working length within range ± 0.5mm, and AAR function set at 0.5mm mark of Endomotor integrated apex locator (E Connect S) provided an adequate apical limit. Conclusion: Under the invitro conditions of this study, both Electronic Apex Locators showed an acceptable determination of working length within range ± 0.5mm from the actual length. The AAR function set at the 0.5mm mark of Econnect S provided an adequate apical limit

Severe androgenetic alopecia as a maker of metabolic syndrome in male patients of androgenetic alopecia: a hospital based case control study

Background: Several previous studies have investigated the association between androgenetic alopecia (AGA) and metabolic syndrome (MS), with inconsistent results. Objectives of the study were to study the prevalence of metabolic syndrome in male patients of androgenetic alopecia and compare with control population and study the relationship of metabolic syndrome with different grades of AGA.Methods: This prospective hospital based case control study included 100 new clinically diagnosed males of androgenetic alopecia, and age and sex matched control group. Assessment for presence of various components of metabolic syndrome was done following a uniform protocol in cases and controls. AGA was classified as per Hamilton –Narwood classification, grade I to III was classified as mild –moderate and grade IV and higher as severe AGA.Results: Of the 100 male AGA patients (age range 21-50, mean 34.49), 36 had grade II AGA, 24 had grade III AGA, 20 had grade IV AGA, 15 had grade V AGA and 5 had grade VI AGA. Among AGA patients, 60 of patients had mild-moderate AGA and 40 patients had severe AGA. Metabolic syndrome was statistically significantly more common in patients with AGA compared to controls. Among patients of AGA, metabolic syndrome was statistically significantly present in severe AGA compared to mild-moderate AGA. Among the evaluated parameters, like blood pressure, fasting blood sugar, dyslipedemia, abdominal obesity, all were significantly more common in AGA patients compared to controls except abdominal obesity.Conclusions: In the present study, metabolic syndrome was found to be 4.6 times more common in patients of androgenetic alopecia as compared to controls, being statistically significant, and more common in those with severe grades. This suggests that androgenetic alopecia patients especially with severe grades are at risk of metabolic syndrome and other cardiovascular diseases

The Generative Office Building

The Space Syntax concept of the generative and conservative building describes the effect of spatial configuration on knowledge creation: a building that acts generatively allows new relationships, new ideas, new products and new knowledge to emerge by maximising random encounters between people. In contrast, a building that acts conservatively preserves and mirrors existing relationships, existing ideas and existing knowledge by reinforcing a specific interface between people. A key criterion for the generativity of a building was proposed to be an integrative layout. However, evidence of patterns of encounter, movement flows and organisational behaviour suggests that not every building with high levels of integration is automatically generative of new knowledge. What is more, looking at a spatial layout it is difficult to judge whether the level of integration is rather high or low given size and structure of the space (e.g. number of floors, size of floor plate). Therefore the question of what constitutes a generative office building remains unanswered. Using a large sample of 62 different organisations and their office spaces, this paper therefore aims to create a better understanding of what renders an office building generative or conservative, by expanding on the original theory of generativity and including a more detailed articulation of the spatial qualities that are influential. For the analysis, results of a VGA of each of the office buildings in the sample are compared, investigating not only overall levels of integration, but also the distribution of integration and the relationship between integration levels and structural features. This allows the construction of a benchmark of possible ranges of integration for office buildings. It is further investigated which of the buildings are deemed generative by the inhabitants and how this relates to various spatial characteristics. The paper finally proposes a variety of different factors that may have a bearing on the generativity of an office building. This list of factors combines suggestions from the original theory of generative and conservative buildings with additional syntactical, spatial and organisational aspects of space usage. The paper concludes that the generativity of an office space depends on several factors and features, including but not limited to integration and syntactical measures that can be analysed on the basis of a floor plan. Implications for theory and workplace consultancy practice are discussed and reflected on

Production of green mussel seed using micron-meshed cages for spat rearing

Vizhinjam Research Centre of ICAR-CMFRI has developed a cost effective nursery rearing technique for growing green mussel, spat to seed size suitable for mussel, farming using micron meshed cages. This will bring livelihood security for thousands of mussel farmers and fishermen in coastal areas of India

Accuracy and repeatability of wrist joint angles in boxing using an electromagnetic tracking system

© 2019, The Author(s). The hand-wrist region is reported as the most common injury site in boxing. Boxers are at risk due to the amount of wrist motions when impacting training equipment or their opponents, yet we know relatively little about these motions. This paper describes a new method for quantifying wrist motion in boxing using an electromagnetic tracking system. Surrogate testing procedure utilising a polyamide hand and forearm shape, and in vivo testing procedure utilising 29 elite boxers, were used to assess the accuracy and repeatability of the system. 2D kinematic analysis was used to calculate wrist angles using photogrammetry, whilst the data from the electromagnetic tracking system was processed with visual 3D software. The electromagnetic tracking system agreed with the video-based system (paired t tests) in both the surrogate ( 0.9). In the punch testing, for both repeated jab and hook shots, the electromagnetic tracking system showed good reliability (ICCs > 0.8) and substantial reliability (ICCs > 0.6) for flexion–extension and radial-ulnar deviation angles, respectively. The results indicate that wrist kinematics during punching activities can be measured using an electromagnetic tracking system

Varadia, a new helicarionoidean semi-slug genus from India’s Western ghats (Stylommatophora: Helicarionoidea)

We here describe a new Indian helicarionoidean genus, Varadia Bhosale & Raheem gen. nov., containing the single species Varadia amboliensis Bhosale, Thackeray, Muley & Raheem gen. et sp. nov. This new semi-slug is endemic to the northern and central Western Ghats and is primarily a forest living species. We describe and figure the shell, reproductive system, radula, spermatophore and external morphology of this new species, and detail its known distribution. We explore its relationships to other helicarionoideans using phylogenetic analyses of DNA sequence data for part of the ribosomal RNA gene cluster and discuss the morphology of the new genus in relation to other, primarily South Indian, helicarionoidean taxa. Based on characters of the reproductive system, particularly the male genitalia and the gametolytic sac, we provisionally place Varadia gen. nov. in the Macrochlamydinae (Ariophantidae). This is consistent with the results of our molecular phylogenetic analyses. The combination of large size, broad, densely tuberculated shell lobes and a shell with ca 4 whorls and a disproportionately large body whorl makes V. amboliensis gen. et sp. nov. unique among the helicarionoidean taxa of the Western Ghats. The new semi-slug is also highly distinctive in the morphology of its male genitalia

Varadia, a new helicarionoidean semi-slug genus from India’s Western ghats (Stylommatophora: Helicarionoidea)

We here describe a new Indian helicarionoidean genus, Varadia Bhosale & Raheem gen. nov., containing the single species Varadia amboliensis Bhosale, Thackeray, Muley & Raheem gen. et sp. nov. This new semi-slug is endemic to the northern and central Western Ghats and is primarily a forest living species. We describe and figure the shell, reproductive system, radula, spermatophore and external morphology of this new species, and detail its known distribution. We explore its relationships to other helicarionoideans using phylogenetic analyses of DNA sequence data for part of the ribosomal RNA gene cluster and discuss the morphology of the new genus in relation to other, primarily South Indian, helicarionoidean taxa. Based on characters of the reproductive system, particularly the male genitalia and the gametolytic sac, we provisionally place Varadia gen. nov. in the Macrochlamydinae (Ariophantidae). This is consistent with the results of our molecular phylogenetic analyses. The combination of large size, broad, densely tuberculated shell lobes and a shell with ca 4 whorls and a disproportionately large body whorl makes V. amboliensis gen. et sp. nov. unique among the helicarionoidean taxa of the Western Ghats. The new semi-slug is also highly distinctive in the morphology of its male genitalia

Surface functionalization of titanium with silver nanoparticles

This study aims to investigate the most efficient ways for metallic samples functionalization with silver nanoparticles (AgNPs). Three different techniques of surface functionalization have been used for the coating of titanium metal, i.e. the sessile drop method (evaporation), dip-coating and electrophoretic deposition (EPD). AgNPs stabilized with polyvinylpyrrolidone had a spherical shape and the metallic core diameter, charge and polydispersity index were 70±20 nm, -15 mV and 0.192, respectively. SEM analysis revealed that AgNPs were homogeneously distributed over the entire surface and did not form the particle agglomerates only in case of EPD. Thus, EPD method and spherical AgNPs can be used for further investigation concerning the preparation of biocomposites with antibacterial and bioactive properties

Renal Trauma in the West of Ireland — A Regional Review

There is a paucity of data regarding renal trauma. The majority of cases of renal trauma are amenable to conservative management. We sought to streamline the management of renal trauma in the west of Ireland. Patients presenting with a computerised tomogram–confirmed renal injury were assessed over 5 years. Patient demographics, injury details, initial emergency department management, definitive management, and follow-up were assessed. Renal trauma was graded in a blind fashion (I-V). Twenty-five patients were identified; male:female (23:2). The mean age was 26 years. The majority of renal traumas were managed conservatively (92%); 8% patients underwent nephrectomy. The common mechanisms of renal injuries were road traffic accidents (44%). The majority of cases of renal injuries occur as a result of blunt trauma and can be conservatively treated. Two nephrectomies (8%) were performed. We believe this study potentially can be beneficial as part of an all-Ireland trauma database to improve patient outcome

Outcomes of minimally invasive partial nephrectomy among very elderly patients: Report from the resurge collaborative international database

The aim of the study was to perform a comprehensive investigation of clinical outcomes of robot-assisted partial nephrectomy (RAPN) or laparoscopic partial nephrectomy (LPN) in elderly patients presenting with a renal mass.The REnal SURGery in Elderly (RESURGE) collaborative database was queried to identify patients aged 75 or older diagnosed with cT1-2 renal mass and treated with RAPN or LPN. Study outcomes were: overall complications (OC); warm ischemia time (WIT) and 6-month estimated glomerular filtration rate (eGFR); positive surgical margins (PSM), disease recurrence (REC), cancer-specific mortality (CSM) and other-cause mortality (OCM). Descriptive statistics, Kaplan-Meier, smoothed Poisson plots and logistic and linear regression models (MVA) were used.Overall, 216 patients were included in this analysis. OC rate was 34%, most of them being of low Clavien grade. Median WIT was 17 minutes and median 6-month eGFR was 54 ml/min/1.73 m(2). PSM rate was 5%. After a median follow-up of 20 months, the 5-year rates of REC, CSM and OCM were 4, 4 and 5%, respectively. At MVA predicting perioperative morbidity, RAPN relative to LPN (odds ratio [OR] 0.33; p <0.0001) was associated with lower OC rate. At MVA predicting functional outcomes, RAPN relative to LPN was associated with shorter WIT (estimate [EST]-4.09; p <0.0001), and with higher 6-month eGFR (EST 6.03; p = 0.01).In appropriately selected patients with small renal masses, minimally-invasive PN is associated with acceptable perioperative outcomes. The use of a robotic approach over a standard laparoscopic approach can be advantageous with respect to clinically relevant outcomes, and it should be preferred when available