Impact of Removable Partial Denture Type on Patient Satisfaction and Abutment Survival Rate-RCT

BACKGROUND: Patient’s satisfaction and the preservation of abutments is the most important outcomes that the clinician seeks during fabrication of any dental treatment, especially when it is concerned with removable prosthodontic rehabilitation. AIM: The present study evaluates three different Removable Partial Denture (RPD) types restoring mandibular class II modification I edentulous cases with regards to patient’s satisfaction and abutments survival. METHODS: Forty-two partially edentulous patients were divided into three groups (Group I rehabilitated with Vitallium RPD, Group II rehabilitated with Vitallium RPD where the modification area restored with the surveyed bridge, Group III rehabilitated with Thermopress RPD). The patients were followed up for twenty-four months. Using a questionnaire, prosthodontic maintenance required was documented at the delivery and after 3 months. RESULTS: There was a significant difference regarding patient satisfaction for group III (P-value <0.05) while for groups I and II there was a non-significant difference (P-value >0.05). Regarding the survival rate, there was a non-significant difference between the three groups (P-value >0.05) at the end of twenty-four months of follow up. CONCLUSION: Patient satisfaction and abutment survival were better with Thermopress RPD than conventional Vitallium RPD or Vitallium RPD with a surveyed bridge restoring the modification area. Although a non-statistically significant difference was found in the survival rate of abutments between groups, a clinically important result was revealed as no abutments failures were reported in the Thermopress group

Comparative Study Clarifying the Usage of PEEK as Suitable Material to Be Used as Partial Denture Attachment and Framework

BACKGROUND: Utilization of attachments in a removable partial denture is highly essential not only as a line of treatment but also as it has a remarkable impact on the denture’s durability during the function. The attachment should act as a stress breaking system preserving the abutment teeth. AIM: This consideration aimed to verify the convention of polyether ether ketone (PEEK) material as an attachment. MATERIAL AND METHODS: Four groups of different materials for both attachments and partial denture framework were fabricated and tested using strain gauges to compare between them according to the strains originated around both the abutment teeth and edentulous area. RESULTS: PEEK material is one of the esthetic materials used for fabrication of the framework of the RPD. On using it as a precision attachement is shows favorable stress distribution decreasing the strains around the abutment teeth and the alveolar ridge especially distal to the abutment teeth that was significantly reduced in comparison with the other treatment options. CONCLUSION: Utilization of PEEK material as both an attachment and framework decline the strains performed around the abutment teeth and over the edentulous ridge

Jednonukleotidni polimorfizmi gena za β-laktoglobulin, k-kazein i DGAT1 kao kandidati za stroge selekcijske kriterije holštajnskih krava s obzirom na sastav i proizvodnost mlijeka

The aim of this study was to investigate β-Lactoglobulin, k-casein and DGAT1 gene polymorphism and to associate this polymorphism with milk composition and performance traits in Holstein cattle using the PCR-DNA sequencing approach. On the basis of farm records, accurate phenotypic data for milk composition and performance traits were obtained for seventy Holstein dairy cows. Blood samples were collected from each animal into tubes containing disodium EDTA as an anticoagulant for DNA extraction. PCR was carried out for amplification of fragments of exon 4 (301-bp) of β-Lactoglobulin, exon 4 (373-bp) of k-casein, and exon 7 (321-bp) of DGAT1 genes. DNA sequencing assessment elaborated single nucleotide polymorphisms (SNPs) in the investigated genes amongst the enrolled dairy cows. On the basis of the dairy cows that harbored identified SNPs in each gene, the animals were allocated into different groups. The least square means of the groups revealed a significant association (P ≤ 0.05) between SNPs and milk production and performance traits. Logistic regression model confirmed a highly significant effect of the identified SNPs on the studied traits, where a moderate to strong relationship was detected between the predictor (SNPs) and the grouping variable (Milk composition and performance traits). Consequently, the identified SNPs in β-Lactoglobulin, k-casein and DGAT1 genes could be used as candidates for developing marker assisted selection (MAS) for milk composition and performance traits in Holstein dairy cattle.Cilj rada bio je, primjenom PCR-DNA metode i analize sljedova, istražiti polimorfizme gena za β-Lactoglobulin, k-kazein i DGAT1 te procijeniti njihovu povezati sa sastavom mlijeka i svojstvima proizvodnosti goveda holštajnske pasmine. Na temelju evidencija s farmi dobiveni su točni fenotipski podaci o sastavu mlijeka i proizvodnosti 70 muznih krava. Za ekstrakciju DNK prikupljeni su uzorci krvi pojedinačnih krava u epruvete koje su sadržavale dinatrijev EDTA kao antikoagulans. PCR je proveden za amplifikaciju fragmenata egzona 4 (301-bp) β-laktoglobulina, egzona 4 (373-bp) k-kazeina i egzona 7 (321-bp) gena DGAT1. Analiza sljedova DNK prikazala je jednonukleotidne polimorfizme (SNPs) u istraženim genima. Uzevši u obzir krave kod kojih su utvrđeni SNP-ove u svakom genu, životinje su raspoređene u različite skupine. Srednje vrijednosti (LSM) skupina pokazale su znakovitu povezanost (P<0,05) između SNP-ova i svojstava proizvodnosti mlijeka. Model logističke regresije potvrdio je visoko znakovit učinak identificiranih SNP-ova na istraživana svojstva, pri čemu je ustanovljena umjerena do jaka povezanost između prediktora (SNP-ovi) i varijabli grupiranja (sastav mlijeka i proizvodnost mlijeka). Posljedično, identificirani SNP-ovi u genima β-Lactoglobulina, k-kazeina i DGAT1 mogli bi se koristiti kao kandidatni pri razvoju postupaka selekcije uz pomoć markera (MAS) za sastav mlijeka i svojstva proizvodnosti u mliječnih goveda pasmine holštajn

High Octane Number Gasoline-ether Blend

Gasoline produced in Egypt is a low-grade gasoline that contains high concentration of harmful components that are having a toll on our environment. In addition, those pollutants cause countless diseases and deaths annually to the Egyptian population. This paper targets two main sectors in the production of commercial gasoline. The improvement engine efficiency through the upgrading of octane number is first experimented by using a blend stock that ranges from gasoline fractions and Isomerates. An optimum was then chosen depending on the results obtained from different tests. Through those experiments, it was determined which samples obeyed the EU regulation for transportation emissions. Having an excellent gasoline with a high-octane number but produced large quantities of harmful emissions was unacceptable. This leads to the section aim of this research, which was to produce an environmental gasoline. This meant that once the gasoline sample is combusted, it should produce limited amounts of emissions such as 1% benzene since benzene is carcinogenic. A sample with euro 3 specification was produced and showed excellent gasoline properties such as an RON value of around 95 without the use of octane enhancers. A second sample showed better results satisfied euro 5 regulations and produced an even higher-octane number than the euro 3 sample. This sample was the optimum environmental ETBE-gasoline high octane number blend. By understanding the composition of those samples, maximum yield of commercial gasoline could be produced. This would also lead to the reduction of pollutants in the environment. Completing this task with successful results means that this environmental high octane number gasoline could be produced and used in Egypt. Such blends should be produced on a large scale by exercising euro 3 and/or 5 regulations

Comparative Study Clarifying the Most Suitable Material to Be Used as Partial Denture Clasps

BACKGROUND: Removable partial denture’s clasp is of particular importance as it affects the denture longevity during the function. The key of successful clasp selection is to select a direct retainer that will control tipping and torquing forces on the abutment teeth, provide retention against reasonable dislodging forces and are compatible with both tooth and tissue contour and the aesthetic desire of the patient. In this consideration, different materials employed for the clasp construction were compared mechanically.AIM: This study aims to compare the most usable esthetic clasps mechanically to clarify the most suitable material to be used as partial denture clasps.METHODS: Evaluation of surface roughness, retention and deformation has been investigated utilising different in-vitro methods. All these techniques provide valuable information regarding the mechanical properties of the materials tested. However, none of the in-vitro techniques can expose the tested materials to conditions similar to that of the oral environment (in-vivo) such as pH value and temperature variations.RESULTS: Most commonly, RPD clasps are fabricated from the same alloy of the metal framework, as cobalt-chromium (CoCr) alloy although it is unaesthetic. Other methods consumed to avoid such esthetic mystery have included coating retainers with tooth-coloured resin or introduction of esthetic materials as Thermoplastic Acetal, Versacryl, and Thermopress.CONCLUSION: It has been concluded that the non-metal Acetal resin retainer reveals superior mechanical properties

Different Materials Used as Denture Retainers and Their Colour Stability

BACKGROUND: Retainers are of great importance for the longevity of the prosthetic removable partial denture during various functions especially the esthetic one. The key of successful clasp selection is to select a direct retainer that will control tipping and torquing forces on the abutment teeth, provide retention against reasonable dislodging forces and are compatible with both tooth and tissue contour together with the aesthetic desire of the patient. AIM: This study aims to compare different clasp material to enhance the choice of the clasp based on the aesthetic point of view. METHODS: The colour evaluation of the tested materials had been evaluated by computer aided technique with digital camera with 3 Mega Pixels of resolution. RESULTS: In the current research, the technique of colour evaluation was carried out to compare different clasp materials to enhance the choice of the clasp based on the aesthetic point of view. Most commonly, Removable Partial Denture (RPD) retainers are fabricated identically from the metal framework’s alloy as Cobalt Chromium (CoCr) alloy although it is unaesthetic. This esthetic problem has been overcome by other methods and by utilising different materials, these included covering the retainers with tooth-coloured acrylic resin, as well as the introduction of esthetic materials as; Thermoplastic Acetal, Versacryl, and Thermopress. CONCLUSION: It has been concluded that the non-metallic Acetal resin clasp shows superior physical properties regarding colour stability

Microwave Assisted Synthesis Of Binary Metallic Oxides For Catalysis Applications

Herein, versatile, and reproducible method to prepare binary metal oxides via microwave assisted synthesis. Catalysts are substances that basically speeds up chemical reactions. Ideally, bonds are formed between the catalysts and the reactants. Also, catalysts permit formation of products from the reactants. These formed products, splits off the catalyst without affecting or changing it. Catalytic kinetics studies the correlate chemical reaction rate with some properties of reactants and/or products for instance, temperature, concentration and pressure. The aim of the project is to prepare pure and bi-metal iron-based catalyst by co-precipitation method and to characterize the prepared sample using X-ray diffraction. Metal oxides nanoparticles is a field of interest in catalysis, such that these oxides are used to oxidize carbon monoxide. The samples were prepared through co-precipitation method in laboratory scale. The metals used was copper, iron and cobalt. After preparing pure sample of each metal a mix of two metals were introduced in different ratios. The samples were characterized via X-ray diffraction (XRD) and then the results were compared to exist data introduced from others research, the prepared samples XRD was having a great matching with the data retrieved from internet and we found that the metal could exist in two form of oxides and even could exist as pure metal. Each peak in the XRD figure could indicate one or more phase of the metal

Direct cord implantation in brachial plexus avulsions: revised technique using a single stage combined anterior (first) posterior (second) approach and end-to-side side-to-side grafting neurorrhaphy

<p>Abstract</p> <p>Background</p> <p>The superiority of a single stage combined anterior (first) posterior (second) approach and end-to-side side-to-side grafting neurorrhaphy in direct cord implantation was investigated as to providing adequate exposure to both the cervical cord and the brachial plexus, as to causing less tissue damage and as to being more extensible than current surgical approaches.</p> <p>Methods</p> <p>The front and back of the neck, the front and back of the chest up to the midline and the whole affected upper limb were sterilized while the patient was in the lateral position; the patient was next turned into the supine position, the plexus explored anteriorly and the grafts were placed; the patient was then turned again into the lateral position, and a posterior cervical laminectomy was done. The grafts were retrieved posteriorly and side grafted to the anterior cord. Using this approach, 5 patients suffering from complete traumatic brachial plexus palsy, 4 adults and 1 obstetric case were operated upon and followed up for 2 years. 2 were C5,6 ruptures and C7,8T1 avulsions. 3 were C5,6,7,8T1 avulsions. C5,6 ruptures were grafted and all avulsions were cord implanted.</p> <p>Results</p> <p>Surgery in complete avulsions led to Grade 4 improvement in shoulder abduction/flexion and elbow flexion. Cocontractions occurred between the lateral deltoid and biceps on active shoulder abduction. No cocontractions occurred after surgery in C5,6 ruptures and C7,8T1 avulsions, muscle power improvement extended into the forearm and hand; pain disappeared.</p> <p>Limitations include</p> <p>spontaneous recovery despite MRI appearance of avulsions, fallacies in determining intraoperative avulsions (wrong diagnosis, wrong level); small sample size; no controls rule out superiority of this technique versus other direct cord reimplantation techniques or other neurotization procedures; intra- and interobserver variability in testing muscle power and cocontractions.</p> <p>Conclusion</p> <p>Through providing proper exposure to the brachial plexus and to the cervical cord, the single stage combined anterior (first) and posterior (second) approach might stimulate brachial plexus surgeons to go more for direct cord implantation. In this study, it allowed for placing side grafts along an extensive donor recipient area by end-to-side, side-to-side grafting neurorrhaphy and thus improved results.</p> <p>Level of evidence</p> <p>Level IV, prospective case series.</p

Irritable Bowel Syndrome and Inflammatory Bowel Disease: Is There a Link?

Abstract: Background: Symptoms of irritable bowel syndrome and inflammatory bowel disease can overlap. Whether irritable bowel syndrome can hide an organic disorder as inflammatory bowel disease is still questionable. We aimed to estimate the frequency of detection of inflammatory bowel disease in Egyptian patients with clinically diagnosed irritable bowel syndrome. Materials and Methods: We prospectively included 90 patients with clinically diagnosed irritable bowel syndrome according to Rome III criteria. For all included patients, complete blood count, erythrocyte sedimentation rate, C-reactive protein, stool analysis and stool culture were done. Besides these laboratory investigations, abdominal ultrasonography and colonoscopy with colonic biopsies were performed