Study protocol for a multi-center, randomized controlled trial to develop Japanese denture adhesive guidelines for patients with complete dentures : the Denture Adhesive Guideline trial : study protocol for a randomized controlled trial

Background: Denture adhesives, characterized as medical products in 1935 by the American Dental Association, have been considered useful adjuncts for improving denture retention and stability. However, many dentists in Japan are hesitant to acknowledge denture adhesives in daily practice because of the stereotype that dentures should be inherently stable, without the aid of adhesives. The aim of this study is to verify the efficacy of denture adhesives to establish guidelines for Japanese users. The null hypothesis is that the application of denture adhesives, including the cream and powder types, or a control (isotonic sodium chloride solution) would not produce different outcomes nor would they differentially improve the set outcomes between baseline and day 4 post-application. Methods: This ten-center, randomized controlled trial with parallel groups is ongoing. Three hundred edentulous patients with complete dentures will be allocated to three groups (cream-type adhesive, powder-type adhesive, and control groups). The participants will wear their dentures with the denture adhesive for 4 days, including during eight meals (three breakfasts, two lunches, and three dinners). The baseline measurements and final measurements for the denture adhesives will be performed on the first day and after breakfast on the fourth day. The primary outcome is a general satisfaction rating for the denture. The secondary outcomes are denture satisfaction ratings for various denture functions, occlusal bite force, resistance to dislodgement, masticatory performance, perceived chewing ability, and oral health-related quality of life. Between-subjects comparisons among the three groups and within-subjects comparisons of the pre- and post-intervention measurements will be performed. Furthermore, a multiple regression analysis will be performed. The main analyses will be based on the intention-to-treat principle. A sample size of 100 subjects per group, including an assumed dropout rate of 10 %, will be required to achieve 80 % power with a 5 % alpha level. Discussion: This randomized clinical trial will provide information about denture adhesives to complete denture wearers, prosthodontic educators, and dentists in Japan. We believe this new evidence on denture adhesive use from Japan will aid dentists in their daily practice even in other countries

Controlling Engine System : a Low-Dimensional Dynamics in a Spark Ignition Engine of a Motorcycle

We analyze a time series of the combustion pressure in the idle state, measured from a spark ignition engine of a motorcycle. It is clarified that the engine system can be described by a lowdimensional deterministic dynamics perturbed by some stochastic process.We also propose a method to stabilize the chaotic behaviour of engine’s data by adopting the Pyragas’ method. We actually use this method in a computer experiment for the control of combustion pressure data to demonstrate the efficiency of the proposed method. As a result of the experiment, we eliminate the fluctuations in the combustion pressure data and obtain a periodic orbit

Application of Chaos Theory to Engine Systems

We focus on the control issue for engine systems from the perspective of chaos theory, which is based on the fact that engine systems have a low-dimensional chaotic dynamics. Two approaches are discussed: controlling chaos and harnessing chaos, respectively. We apply Pyragas' chaos control method to an actual engine system. The experimental results show that the chaotic motion of an engine system may be stabilized to a periodic motion. Alternatively, harnessing chaos for engine systems is addressed, which regards chaos as an essential dynamic mode for the engine.2008-32-0010 (SAE) / 20084710 (JSAE

Familial Mediterranean Fever Is Important in the Differential Diagnosis of Recurrent Aseptic Meningitis in Japan

ArticleInternal Medicine. 59(1): 125-128 (2020)journal articl