Marginal adaptation, fracture load and macroscopic failure mode of adhesively luted PMMA-based CAD/CAM inlays.

Science.gov (United States)

Ender, Andreas; Bienz, Stefan; Mörmann, Werner; Mehl, Albert; Attin, Thomas; Stawarczyk, Bogna

2016-02-01

To evaluate marginal adaptation, fracture load and failure types of CAD/CAM polymeric inlays. Standardized prepared human molars (48) were divided into four groups (n=12): (A) PCG (positive control group); adhesively luted glass-ceramic inlays, (B) TRX; CAD/CAM polymeric inlays luted using a self-adhesive resin cement, (C) TAC; CAD/CAM polymeric inlays luted using a conventional resin cement, and (D) NCG (negative control group); direct-filled resin-based composite restorations. All specimens were subjected to a chewing simulator. Before and after chewing fatigue, marginal adaptation was assessed at two interfaces: (1) between dental hard tissues and luting cement and (2) between luting cement and restoration. Thereafter, the specimens were loaded and the fracture loads, as well as the failure types, were determined. The data were analysed using three- and one-way ANOVA with post hoc Scheffé test, two sample Student's t-test (pmarginal adaptation for interface 1 showed significantly better results for TRX and PCG than for TAC (p=0.001-0.02) and NCG (p=0.001-0.047). For interface 2, marginal adaptation for TAC was significantly inferior to TRX (pmarginal adaptation of TAC and NCG. No significant differences in fracture load were found between all tested groups. Self-adhesive luted polymeric CAD/CAM inlays showed similar marginal adaptation and fracture load values compared to adhesively luted glass-ceramic inlays. Copyright © 2015 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Microleakage of different provisionalization techniques for class I inlays

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Selim Erkut

2013-03-01

Conclusion: The microleakage in class I inlay cavities could be reduced by the application of dentin-bonding agents after cavity preparation followed by the placement of light-polymerized provisional restorative materials.

IPS Empress inlays luted with a self-adhesive resin cement after 1 year.

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Taschner, Michael; Frankenberger, Roland; García-Godoy, Franklin; Rosenbusch, Silke; Petschelt, Anselm; Krämer, Norbert

2009-02-01

To prospectively compare the clinical performance of two different resin composites for luting IPS Empress inlays and onlays. 83 IPS Empress restorations were placed in 30 subjects. All restorations were inserted under rubber dam. 43 inlays/onlays were luted with a self-adhesive resin cement [RelyX Unicem (RX)]. A multistep adhesive (Syntac) was used with Variolink II low viscosity (SV) and served as control (n=40). The restorations were evaluated after 2 weeks: Baseline = 1st recall (R1), after 6 months (R2) and after 1 year (R3) by two calibrated examiners using the modified USPHS criteria. From R1 to R3, one failure was noticed in the SV group (R2) due to marginal enamel chipping. After 1 year of clinical service, SV revealed significantly better results regarding color match and integrity inlay (Mann-Whitney U-test, P0.05).

Photothermal coherence tomography for 3-D visualization and structural non-destructive imaging of a wood inlay

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Tavakolian, Pantea; Sfarra, Stefano; Gargiulo, Gianfranco; Sivagurunathan, Koneshwaran; Mandelis, Andreas

2018-06-01

The aim of this research is to investigate the suitability of truncated correlation photothermal coherence tomography (TC-PCT) for the non-destructive imaging of a replica of a real inlay to identify subsurface features that often are invisible areas of vulnerability and damage. Defects of inlays involve glue-rich areas, glue-starved areas, termite attack, insect damage, and laminar splitting. These defects have the potential to result in extensive damage to the art design layers of inlays. Therefore, there is a need for an imaging technique to visualize and determine the location of defects within the sample. The recently introduced TC-PCT modality proved capable of providing 3-D images of specimens with high axial resolution, deep subsurface depth profiling capability, and high signal-to-noise ratio (SNR). Therefore, in this study the authors used TC-PCT to image a fabricated inlay sample with various natural and artificial defects in the middle and top layers. The inlay in question reproduces to scale a piece of art preserved in the "Mirror room" of the Castle Laffitte in France. It was built by a professional restorer following the ancient procedure named element by element. Planar TC-PCT images of the inlay were stacked coherently to provide 3-D visualization of areas with known defects in the sample. The experimental results demonstrated the identification of defects such as empty holes, a hole filled with stucco, subsurface delaminations and natural features such as a wood knot and wood grain in different layers of the sample. For this wooden sample that has a very low thermal diffusivity, a depth range of 2 mm was achieved.

Ventral inlay buccal mucosal graft urethroplasty: a novel surgical technique for the management of urethral stricture disease.

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Kovell, Robert Caleb; Terlecki, Ryan Patrick

2015-02-01

To describe the novel technique of ventral inlay substitution urethroplasty for the management of male anterior urethral stricture disease. A 58-year-old gentleman with multifocal bulbar stricture disease measuring 7 cm in length was treated using a ventral inlay substitution urethroplasty. A dorsal urethrotomy was created, and the ventral urethral plated was incised. The edges of the urethral plate were mobilized without violation of the ventral corpus spongiosum. A buccal mucosa graft was harvested and affixed as a ventral inlay to augment the caliber of the urethra. The dorsal urethrotomy was closed over a foley catheter. No intraoperative or postoperative complications occurred. Postoperative imaging demonstrated a widely patent urethra. After three years of follow-up, the patient continues to do well with no voiding complaints and low postvoid residuals. Ventral inlay substitution urethroplasty appears to be a safe and feasible technique for the management of bulbar urethral strictures.

Human skulls with turquoise inlays: pre hispanic origin or replicas?

International Nuclear Information System (INIS)

Silva V, Y.; Castillo M, M.T.; Bautista M, J.P.; Arenas A, J.

2006-01-01

The lack of archaeological context determining if the manufacture of two human skulls adorned with turquoise inlays have pre-Columbian origin or not (replicas), led to perform other studies. Under these conditions, besides orthodox methodology commonly used to assign chronology and cultural aspects as form, style, decoration, iconography, etc., it was necessary to obtain more results based on the use of characterization techniques. The techniques employed were Scanning Electron Microscopy (SEM), X-Ray Energy Dispersive Spectroscopy (EDS), Transmission Electron Microscopy (TEM) and Fourier Transform Infrared Spectroscopy (FTIR), in order to determine the manufacture techniques and chemical composition of the materials used for the cementant. SEM analysis showed the presence of zones composed by Ca, O, C and Al. In some cases Mg, Cl, Fe and Pb were identified. High concentration of Cu was present in all samples, due to residues of turquoise inlays (CuAI 6 (PO 4 ) 4 (OH) 8 (H 2 O) 4 ) with which the skulls were decorated. In the cementant was identified the Ca as base element of the cementant, as well as particles < 100 nm with irregular morphology and other amorphous zones. FTIR spectrums indicated the presence of organic substances that could be used as agglutinating in the cementant. The current work shows a progress identifying involved techniques in the manufacturing of two human skulls with turquoise inlays. (Author)

Comparison of the marginal adaptation of direct and indirect composite inlay restorations with optical coherence tomography.

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Türk, Ayşe Gözde; Sabuncu, Metin; Ünal, Sena; Önal, Banu; Ulusoy, Mübin

2016-01-01

The purpose of the study was to use the photonic imaging modality of optical coherence tomography (OCT) to compare the marginal adaptation of composite inlays fabricated by direct and indirect techniques. Class II cavities were prepared on 34 extracted human molar teeth. The cavities were randomly divided into two groups according to the inlay fabrication technique. The first group was directly restored on cavities with a composite (Esthet X HD, Dentsply, Germany) after isolating. The second group was indirectly restored with the same composite material. Marginal adaptations were scanned before cementation with an invisible infrared light beam of OCT (Thorlabs), allowing measurement in 200 µm intervals. Restorations were cemented with a self-adhesive cement resin (SmartCem2, Dentsply), and then marginal adaptations were again measured with OCT. Mean values were statistically compared by using independent-samples t-test and paired samples t-test (pmarginal discrepancy values than indirect inlays, before (p=0.00001442) and after (p=0.00001466) cementation. Marginal discrepancy values were increased for all restorations after cementation (p=0.00008839, p=0.000000952 for direct and indirect inlays, respectively). The mean marginal discrepancy value of the direct group increased from 56.88±20.04 µm to 91.88±31.7 µm, whereas the indirect group increased from 107.54±35.63 µm to 170.29±54.83 µm. Different techniques are available to detect marginal adaptation of restorations, but the OCT system can give quantitative information about resin cement thickness and its interaction between tooth and restoration in a nondestructive manner. Direct inlays presented smaller marginal discrepancy than indirect inlays. The marginal discrepancy values were increased for all restorations that refer to cement thickness after cementation.

Two-year clinical evaluation of IPS Empress II ceramic onlays/inlays.

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Tagtekin, D A; Ozyöney, G; Yanikoglu, F

2009-01-01

The stronger the ceramic material, the longer the restoration stays in the mouth. The current study evaluated the two-year clinical performance of a strong ceramic system, IPS Empress II, with increased strength on onlay/inlay restorations of molars. Teeth from 35 patients, including three premolars and 32 molars, were prepared for 28 onlay and seven inlay restorations with IPS Empress II ceramics. The restorations were cemented with a highly viscous, dual-curing luting composite cement (Bifix) and evaluated by two examiners using USPHS criteria at baseline (one week following insertion), six months, one year and two years. The baseline scores and recalls were assessed by Wilcoxon signed rank test. Statistically significant marginal discoloration at the Bravo level was found at the 12- and 24-month recalls (p=0.046). One debonding was statistically insignificant. No changes were observed with respect to anamnesis, such as any symptom from the TMJ or masticatory muscles. No restorations were replaced due to hypersensitivity or were missing at the two-year evaluation. Any wear on the restoration, antagonist tooth or any changes of proximal contacts were not observed. IPS Empress II Ceramics were found to be appropriate as onlay/inlay restorations for clinical use under the conditions of the current study.

A clinical trial of Empress II porcelain inlays luted to vital teeth with a dual-curing adhesive system and a self-curing resin cement.

Science.gov (United States)

Fabianelli, Andrea; Goracci, Cecilia; Bertelli, Egidio; Davidson, Carel L; Ferrari, Marco

2006-12-01

The aim of the study was to clinically evaluate Empress II inlays cemented with a dual-curing bonding agent and a self-curing luting system. Forty patients were selected to receive one Empress II inlay. Empress II is a heat-pressed glass ceramic containing lithium disilicate and lithium orthophosphate crystals, purported to provide higher stress resistance and improved strength. The restorations were placed between March and May 2000. Recalls were performed after 6, 12, 24, and 36 months. At the 3-year recall, 7 patients were lost to follow-up. Inlays were evaluated for postoperative sensitivity, marginal integrity, marginal leakage, color stability, surface staining, retention, and surface crazing (microcracks). At the 3-year recall, all the restorations were in place and only one showed postoperative sensitivity (at the first recall, 1 week after placement). Only 3 inlays showed slight marginal staining, and 4 inlays showed gaps, with little surface staining or microcracks. No inlay debonded or fractured during theobservation period. All the evaluated inlays were in place and acceptable.

Analysis of Vector Models in Quantification of Artifacts Produced by Standard Prosthetic Inlays in Cone-Beam Computed Tomography (CBCT – a Preliminary Study

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Ingrid Różyło-Kalinowska

2014-11-01

Full Text Available Cone-beam computed tomography (CBCT is a relatively new, but highly efficient imaging method applied first in dentistry in 1998. However, the quality of the obtained slices depends among other things on artifacts generated by dental restorations as well as orthodontic and prosthetic appliances. The aim of the study was to quantify the artifacts produced by standard prosthetic inlays in CBCT images. The material consisted of 17 standard prosthetic inlays mounted in dental roots embedded in resin. The samples were examined by means of a large field of view CBCT unit, Galileos (Sirona, Germany, at 85 kV and 14 mAs. The analysis was performed using Able 3DDoctor software for data in the CT raster space as well as by means of Materialise Magics software for generated vector models (STL. The masks generated in the raster space included the area of the inlays together with image artifacts. The region of interest (ROI of the raster space is a set of voxels from a selected range of Hounsfield units (109-3071. Ceramic inlay with zirconium dioxide (Cera Post as well as epoxy resin inlay including silica fibers enriched with zirconium (Easy Post produced the most intense artifacts. The smallest image distortions were created by titanium inlays, both passive (Harald Nordin and active (Flexi Flange. Inlays containing zirconium generated the strongest artifacts, thus leading to the greatest distortions in the CBCT images. Carbon fiber inlay did not considerably affect the image quality.

Accuracy of optical scanning methods of the Cerec®3D system in the process of making ceramic inlays

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Trifković Branka

2010-01-01

Full Text Available Background/Aim. One of the results of many years of Cerec® 3D CAD/CAM system technological development is implementation of one intraoral and two extraoral optical scanning methods which, depending on the current indications, are applied in making fixed restorations. The aim of this study was to determine the degree of precision of optical scanning methods by the use of the Cerec®3D CAD/CAM system in the process of making ceramic inlays. Methods. The study was conducted in three experimental groups of inlays prepared using the procedure of three methods of scanning Cerec ®3D system. Ceramic inlays made by conventional methodology were the control group. The accuracy of optical scanning methods of the Cerec®3D system computer aided designcomputer aided manufacturing (CAD/CAM was indirectly examined by measuring a marginal gap size between inlays and demarcation preparation by scanning electron microscope (SEM. Results. The results of the study showed a difference in the accuracy of the existing methods of scanning dental CAD/CAM systems. The highest level of accuracy was achieved by the extraoral optical superficial scanning technique. The value of marginal gap size inlays made with the technique of extraoral optical superficial scanning was 32.97 ± 13.17 μ. Techniques of intraoral optical superficial and extraoral point laser scanning showed a lower level of accuracy (40.29 ± 21.46 μ for inlays of intraoral optical superficial scanning and 99.67 ± 37.25 μ for inlays of extraoral point laser scanning. Conclusion. Optical scanning methods in dental CAM/CAM technologies are precise methods of digitizing the spatial models; application of extraoral optical scanning methods provides the hightest precision.

Luting of CAD/CAM ceramic inlays: direct composite versus dual-cure luting cement.

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Kameyama, Atsushi; Bonroy, Kim; Elsen, Caroline; Lührs, Anne-Katrin; Suyama, Yuji; Peumans, Marleen; Van Meerbeek, Bart; De Munck, Jan

2015-01-01

The aim of this study was to investigate bonding effectiveness in direct restorations. A two-step self-etch adhesive and a light-cure resin composite was compared with luting with a conventional dual-cure resin cement and a two-step etch and rinse adhesive. Class-I box-type cavities were prepared. Identical ceramic inlays were designed and fabricated with a computer-aided design/computer-aided manufacturing (CAD/CAM) device. The inlays were seated with Clearfil SE Bond/Clearfil AP-X (Kuraray Medical) or ExciTE F DSC/Variolink II (Ivoclar Vivadent), each by two operators (five teeth per group). The inlays were stored in water for one week at 37°C, whereafter micro-tensile bond strength testing was conducted. The micro-tensile bond strength of the direct composite was significantly higher than that from conventional luting, and was independent of the operator (P<0.0001). Pre-testing failures were only observed with the conventional method. High-power light-curing of a direct composite may be a viable alternative to luting lithium disilicate glass-ceramic CAD/CAM restorations.

Fracture resistance of prepared premolars restored with bonded new lab composite and all-ceramic inlay/onlay restorations: Laboratory study.

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Wafaie, Ramy Ahmed; Ibrahim Ali, Ashraf; Mahmoud, Salah Hasab

2018-01-25

To assess the influence of new light curing lab composite, lithium-disilicate glass-ceramic and yttrium-stabilized zirconia-based ceramic on the fracture resistance of maxillary premolars with class II inlay and onlay preparations. Seventy sound maxillary premolars were divided randomly into seven main groups. The first group was left intact (control group). The remaining six groups were prepared with inlay and onlay cavities and restored with lab composite (SR Nexco), lithium-disilicate glass-ceramic (IPS e.max Press) and yttrium-stabilized zirconia-based ceramic (ICE Zirkon). The restorations were cemented with luting resin composite (Variolink N). All specimens were thermocycled 5000 cycles between 5°C ± 2°C and 55°C ± 2°C and were then cyclic loaded for 500 000 cycles. The specimens were subjected to a compressive load in a universal testing machine using a metal sphere until fracture occurred. The results were analyzed by 2-way ANOVA and Tukey HSD post hoc tests. The level of significance was set at P  .05). However, statistically significant differences were found among the means of control group and the groups restored with lab composite inlays, lab composite onlays, pressable glass ceramic inlays and pressable glass ceramic onlays (P lab composite is used. Conversely, when a ceramic material being used, the prepared teeth for inlay and onlay restorations showed a comparable strength to the intact teeth especially zirconia ceramic. Premolar teeth restored with zirconia ceramic inlays and onlays exhibited fracture resistance comparable to intact teeth. © 2018 Wiley Periodicals, Inc.

Evaluation of concrete inlay for continuously reinforced concrete pavement rehabilitation.

Science.gov (United States)

2010-06-01

In 1996, WisDOT constructed a concrete inlay test section on I43 in Manitowoc County. The existing pavement was CRCP constructed in 1978 and was badly deteriorated with punchouts. In the area of the 2777foot test section, the existing paveme...

A comparison of the accuracy of patterns processed from an inlay casting wax, an auto-polymerized resin and a light-cured resin pattern material.

Science.gov (United States)

Rajagopal, Praveen; Chitre, Vidya; Aras, Meena A

2012-01-01

Traditionally, inlay casting waxes have been used to fabricate patterns for castings. Newer resin pattern materials offer greater rigidity and strength, allowing easier laboratory and intraoral adjustment without the fear of pattern damage. They also claim to possess a greater dimensional stability when compared to inlay wax. This study attempted to determine and compare the marginal accuracy of patterns fabricated from an inlay casting wax, an autopolymerized pattern resin and a light polymerized pattern resin on storage off the die for varying time intervals. Ten patterns each were fabricated from an inlay casting wax (GC Corp., Tokyo, Japan), an autopolymerized resin pattern material (Pattern resin, GC Corp, Tokyo, Japan) and a light-cured resin pattern material (Palavit GLC, Hereaus Kulzer GmbH, Germany). The completed patterns were stored off the die at room temperature. Marginal gaps were evaluated by reseating the patterns on their respective dies and observing it under a stereomicroscope at 1, 12, and 24 h intervals after pattern fabrication. The results revealed that the inlay wax showed a significantly greater marginal discrepancy at the 12 and 24 h intervals. The autopolymerized resin showed an initial (at 1 h) marginal discrepancy slightly greater than inlay wax, but showed a significantly less marginal gap (as compared to inlay wax) at the other two time intervals. The light-cured resin proved to be significantly more dimensionally stable, and showed minimal change during the storage period. The resin pattern materials studied, undergo a significantly less dimensional change than the inlay waxes on prolonged storage. They would possibly be a better alternative to inlay wax in situations requiring high precision or when delayed investment (more than 1 h) of patterns can be expected.

Veneered zirconia inlay-retained fixed dental prostheses: 10-Year results from a prospective clinical study.

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Rathmann, Friederike; Bömicke, Wolfgang; Rammelsberg, Peter; Ohlmann, Brigitte

2017-09-01

The purpose of this study was to evaluate the 10-year clinical performance of zirconia-based inlay-retained fixed dental prostheses (IRFDP). For replacement of a molar in 27 patients, 30 IRFDP were luted by use of different cements, Panavia F (Kuraray Europe GmbH) or Multilink Automix (Ivoclar Vivadent GmbH), with use of inlay/inlay, inlay/full-crown, or inlay/partial-crown retainers for anchorage. Frameworks were milled from yttria-stabilized zirconia (IPS e.maxZirCAD; Ivoclar Vivadent GmbH) and fully veneered with pressable ceramic (IPS e.max ZirPress; Ivoclar Vivadent GmbH). Before luting, the IRFDP were silica-coated (Rocatec; 3M Espe) and silanized (Monobond S; Ivoclar Vivadent GmbH). Complications (for example, chipping or delamination of the veneering ceramic, debonding, secondary caries, endodontic treatment, and abutment tooth fracture) and failure were reported, by use of standardized report forms, 2 weeks, 6 months, and 1, 2, and 10 years after cementation. Statistical analysis included Kaplan-Meier survival and success (complication-free survival) and Cox regression analysis (α=0.05 for all). During the 10-year observation period, the complications most often observed were chipping of the veneer and debonding. Twenty-five restorations failed and one participant dropped out. Cumulative 10-year survival and success were 12.1% and 0%, respectively. The design of the retainer, use of a dental dam, choice of cement, and location in the dental arch had no statistically significant effect on the occurrence of complications. Use of fully veneered zirconia-based IRFDP with this technique cannot be recommended. A large incidence of complications and poor survival were observed for fully veneered zirconia-based IRFDP, revealing an urgent need for further design improvements for this type of restoration. This, again, emphasizes the need for testing of new restoration designs in clinical trials before implementation in general dental practice. Copyright © 2017

Dorsal onlay (Barbagli technique) versus dorsal inlay (Asopa technique) buccal mucosal graft urethroplasty for anterior urethral stricture: a prospective randomized study.

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Aldaqadossi, Hussein; El Gamal, Samir; El-Nadey, Mohamed; El Gamal, Osama; Radwan, Mohamed; Gaber, Mohamed

2014-02-01

To compare both the dorsal onlay technique of Barbagli and the dorsal inlay technique of Asopa for the management of long anterior urethral stricture. From January 2010 to May 2012, a total of 47 patients with long anterior urethral strictures were randomized into two groups. The first group included 25 patients who were managed by dorsal onlay buccal mucosal graft urethroplasty. The second group included 22 patients who were managed by dorsal inlay buccal mucosal graft urethroplasty. Different clinical parameters, postoperative complications and success rates were compared between both groups. The overall success rate in the dorsal onlay group was 88%, whereas in the dorsal inlay group the success rate was 86.4% during the follow-up period. The mean operative time was significantly longer in the dorsal onlay urethroplasty group (205 ± 19.63 min) than in the dorsal inlay urethroplasty group (128 ± 4.9 min, P-value <0.0001). The average blood loss was significantly higher in the dorsal onlay urethroplasty group (228 ± 5.32 mL) than in the dorsal inlay urethroplasty group (105 ± 12.05 mL, P-value <0.0001). The dorsal onlay technique of Barbagli and the dorsal inlay technique of Asopa buccal mucosal graft urethroplasty provide similar success rates. The Asopa technique is easy to carry out, provides shorter operative time and less blood loss, and it is associated with fewer complications for anterior urethral stricture repair. © 2013 The Japanese Urological Association.

Dorsal inlay buccal mucosal graft (Asopa) urethroplasty for anterior urethral stricture.

Science.gov (United States)

Marshall, Stephen D; Raup, Valary T; Brandes, Steven B

2015-02-01

Asopa described the inlay of a graft into Snodgrass's longitudinal urethral plate incision using a ventral sagittal urethrotomy approach in 2001. He claimed that this technique was easier to perform and led to less tissue ischemia due to no need for mobilization of the urethra. This approach has subsequently been popularized among reconstructive urologists as the dorsal inlay urethroplasty or Asopa technique. Depending on the location of the stricture, either a subcoronal circumferential incision is made for penile strictures, or a midline perineal incision is made for bulbar strictures. Other approaches for penile urethral strictures include the non-circumferential penile incisional approach and a penoscrotal approach. We generally prefer the circumferential degloving approach for penile urethral strictures. The penis is de-gloved and the urethra is split ventrally to exposure the stricture. It is then deepened to include the full thickness of the dorsal urethra. The dorsal surface is made raw and grafts are fixed on the urethral surface. Quilting sutures are placed to further anchor the graft. A Foley catheter is placed and the urethra is retubularized in two layers with special attention to the staggering of suture lines. The skin incision is then closed in layers. We have found that it is best to perform an Asopa urethroplasty when the urethral plate is ≥1 cm in width. The key to when to use the dorsal inlay technique all depends on the width of the urethral plate once the urethrotomy is performed, stricture etiology, and stricture location (penile vs. bulb).

Structural dynamics of shroudless, hollow fan blades with composite in-lays

Science.gov (United States)

Aiello, R. A.; Hirschbein, M. S.; Chamis, C. C.

1982-01-01

Structural and dynamic analyses are presented for a shroudless, hollow titanium fan blade proposed for future use in aircraft turbine engines. The blade was modeled and analyzed using the composite blade structural analysis computer program (COBSTRAN); an integrated program consisting of mesh generators, composite mechanics codes, NASTRAN, and pre- and post-processors. Vibration and impact analyses are presented. The vibration analysis was conducted with COBSTRAN. Results show the effect of the centrifugal force field on frequencies, twist, and blade camber. Bird impact analysis was performed with the multi-mode blade impact computer program. This program uses the geometric model and modal analysis from the COBSTRAN vibration analysis to determine the gross impact response of the fan blades to bird strikes. The structural performance of this blade is also compared to a blade of similar design but with composite in-lays on the outer surface. Results show that the composite in-lays can be selected (designed) to substantially modify the mechanical performance of the shroudless, hollow fan blade.

Bioceramic inlays do not improve mechanical incorporation of grit-blasted titanium stems in the proximal sheep femur.

Science.gov (United States)

Keränen, Pauli; Koort, Jyri; Itälä, Ari; Ylänen, Heimo; Dalstra, Michel; Hupa, Mikko; Kommonen, Bertel; Aro, Hannu T

2010-03-15

The aim of the present study was to determine, if bioactive glass (BG) surface inlays improve osseointegration of titanium implants in the proximal femur of adult sheep. In simulation of uncemented primary stems (nine animals), only the proximal part of the implants was grit-blasted and three surface slots of the grit-blasted region were filled with sintered BG microspheres. Primary stems were implanted using press-fit technique. In revision stem simulation (eight animals), grit-blasting was extended over the whole implant and seven perforating holes of the stem were filled by sintered BG granules. Revision stems were implanted with a mixture of autogenous bone graft and BG granules. Comparison with solid partially or fully grit-blasted control stems implanted in the contralateral femurs was performed in the primary and revision stem experiments at 12 and 25 weeks, respectively. Implant incorporation was evaluated by torsional failure testing and histomorphometry. Only one-third of the primary stems anchored mechanically to bone. The revision stems incorporated better and the BG inlays of the revision stems showed ingrowth of new bone. However, there were no significant differences in the torsional failure loads between the stems with BG inlays and the control stems. In conclusion, surface BG inlays gave no measurable advantage in mechanical incorporation of grit-blasted titanium implants. Overall, the proximal sheep femur, characterized by minimal amount of cancellous bone and the presence of adipocytic bone marrow, seemed to present compromised bone healing conditions. (c) 2009 Wiley Periodicals, Inc.

Tactile shoe inlays for high speed pressure monitoring

DEFF Research Database (Denmark)

Drimus, Alin; Mátéfi-Tempfli, Stefan

2015-01-01

This work describes the development of flexible tactile sensor shoe inlays for humanoid robots. Their design is based on a sandwich structure of flexible layers with a thin sheet of piezoresistive rubber as main transducer element. The layout and patterning of top and bottom electrodes give 1024...... pressure sensitive cells and the use of high speed electronics and multiplexing algorithms provides frame rates of 100 Hz. The sensors tolerate overloads while showing a consistent output. The developed prototypes show a high potential not only for robotics, but also for use in sensorised human prosthetics....

Marginal adaptation of four inlay casting waxes on stone, titanium, and zirconia dies.

Science.gov (United States)

Michalakis, Konstantinos X; Kapsampeli, Vassiliki; Kitsou, Aikaterini; Kirmanidou, Yvone; Fotiou, Anna; Pissiotis, Argirios L; Calvani, Pasquale Lino; Hirayama, Hiroshi; Kudara, Yukio

2014-07-01

Different inlay casting waxes do not produce copings with satisfactory marginal accuracy when used on different die materials. The purpose of this study was to evaluate the marginal accuracy of 4 inlay casting waxes on stone dies and titanium and zirconia abutments and to correlate the findings with the degree of wetting between the die specimens and the inlay casting waxes. The inlay casting waxes tested were Starwax (Dentaurum), Unterziehwachs (Bredent), SU Esthetic wax (Schuler), and Sculpturing wax (Renfert). The marginal opening of the waxes was measured with a stereomicroscope on high-strength stone dies and on titanium and zirconia abutments. Photographic images were obtained, and the mean marginal opening for each specimen was calculated. A total of 1440 measurements were made. Wetting between die materials and waxes was determined after fabricating stone, titanium, and zirconia rectangular specimens. A calibrated pipette was used to place a drop of molten wax onto each specimen. The contact angle was calculated with software after an image of each specimen had been made with a digital camera. Collected data were subjected to a 2-way analysis of variance (α=.05). Any association between marginal accuracy and wetting of different materials was found by using the Pearson correlation. The wax factor had a statistically significant effect both on the marginal discrepancy (F=158.31, P<.001) and contact angle values (F=68.09, P<.001). A statistically significant effect of the die material factor both on the marginal adaptation (F=503.47, P<.001) and contact angle values (F=585.02, P<.001) was detected. A significant correlation between the marginal accuracy and the contact angle values (Pearson=0.881, P=.01) was also found. Stone dies provided wax copings with the best marginal integrity, followed by titanium and zirconia abutments. Unterziehwachs (Bredent), wax produced the best marginal adaptation on different die materials. A significant correlation was found

[Comparative analysis of one- and two-stage augmentation urethroplasty with dorsal INLAY buccal graft for extended stricturesof spongious urethra].

Science.gov (United States)

Kogan, M I; Glukhov, V P; Mitusov, V V; Krasulin, V V; Ilyash, A V

2018-03-01

Urethral reconstructive surgery is in constant development. At present, reconstructive urethroplasty with buccal mucosa is increasingly being used. The study aimed to compare the results of a one- and two-stage augmentation urethroplasty with dorsal inlay buccal graft for strictures of the spongious urethra. The study comprised 72 patients aged 19-64 with urethral strictures 3-18 cm long. In 34 (47.2%) patients, the stricture was localized in the penile urethra, in 30 patients (41.6%) in the penile-bulbous urethra and in 8 patients (11%) in the bulbous urethra. All patients underwent augmentation urethroplasty with dorsal inlay buccal graft. The results were evaluated separately in 55 (76.4%, group 1) and 17 (23.6%, group 2) patients who underwent one-stage and two-stage surgery, respectively. The incidence rate of early postoperative complications was higher after one-stage (23.6%) compared two-stage surgery (11.8%) (purethroplasty with dorsal inlay buccal graft was achieved in 88.9% of patients; treatment effectiveness in the group 1 was 89.1%, in the group 2 - 88.2% (p>0.05). The final effectiveness of the operation, achieved with the use of additional surgical interventions, is estimated at 98.6%. The results of augmentation urethroplasty with dorsal inlay buccal graft do not depend on the number of stages, but fewer complications accompany two-stage surgery.

Comparative Evaluation of Marginal Adaptation and Fracture Strength of Different Ceramic Inlays Produced by CEREC Omnicam and Heat-Pressed Technique

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F. D. Oz

2018-01-01

Full Text Available Objective. The aim of this in vitro study was to evaluate marginal adaptation and fracture strength of inlays produced by CEREC Omnicam using different types of blocs and heat-pressed technique. Methods: Seventy-five extracted human mandibular molars were divided randomly into 5 groups (n=15. 60 molars in four groups received MOD inlay preparations. Experimental groups were CO: Intact teeth, EC: IPS e.max CAD and CEREC, LU: Lava Ultimate and CEREC, EL: IPS Empress CAD and CEREC, EP: IPS Empress Esthetic ingots and heat-pressed technique. Marginal gap measurements were taken with a stereomicroscope. Restorations were cemented with Variolink N and stored in distilled water at 37°C for 24 hours. All samples were subjected to thermocycling. The fracture strength of specimens was determined at a 0.5 mm/min crosshead speed until fracture. Fracture modes were determined. Statistical analyses were performed using one-way analysis of variance for fracture strength data and Kruskal–Wallis for marginal gap data (p=0.05. Results. The mean marginal gap size of EC, LU, EL, and EP were 33.54 µm, 33.77 µm, 34.23 µm, and 85.34 µm, respectively. EP had statistically higher values than other groups. The fracture strength values were significantly higher in the intact teeth group (3959,00 ± 1279,79 N than those of restored groups EC (2408,00 ± 607,97 N, LU (2206,73 ± 675,16, EL (2573.27 ± 644,73 ve EP (2879,53 ± 897,30. Conclusion. Inlays fabricated using CEREC Omnicam demonstrated better marginal adaptation than inlays produced with heat-pressed technique, whereas fracture strength values of inlays fabricated with different type of blocks using CEREC Omnicam exhibited similarity to those fabricated with heat-pressed technique.

Comparative Evaluation of Marginal Adaptation and Fracture Strength of Different Ceramic Inlays Produced by CEREC Omnicam and Heat-Pressed Technique.

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Oz, F D; Bolay, S

2018-01-01

The aim of this in vitro study was to evaluate marginal adaptation and fracture strength of inlays produced by CEREC Omnicam using different types of blocs and heat-pressed technique. Methods: Seventy-five extracted human mandibular molars were divided randomly into 5 groups ( n =15). 60 molars in four groups received MOD inlay preparations. Experimental groups were CO: Intact teeth, EC: IPS e.max CAD and CEREC, LU: Lava Ultimate and CEREC, EL: IPS Empress CAD and CEREC, EP: IPS Empress Esthetic ingots and heat-pressed technique. Marginal gap measurements were taken with a stereomicroscope. Restorations were cemented with Variolink N and stored in distilled water at 37°C for 24 hours. All samples were subjected to thermocycling. The fracture strength of specimens was determined at a 0.5 mm/min crosshead speed until fracture. Fracture modes were determined. Statistical analyses were performed using one-way analysis of variance for fracture strength data and Kruskal-Wallis for marginal gap data ( p =0.05). The mean marginal gap size of EC, LU, EL, and EP were 33.54  µ m, 33.77  µ m, 34.23  µ m, and 85.34  µ m, respectively. EP had statistically higher values than other groups. The fracture strength values were significantly higher in the intact teeth group (3959,00 ± 1279,79 N) than those of restored groups EC (2408,00 ± 607,97 N), LU (2206,73 ± 675,16), EL (2573.27 ± 644,73) ve EP (2879,53 ± 897,30). Inlays fabricated using CEREC Omnicam demonstrated better marginal adaptation than inlays produced with heat-pressed technique, whereas fracture strength values of inlays fabricated with different type of blocks using CEREC Omnicam exhibited similarity to those fabricated with heat-pressed technique.

Comparative Evaluation of Marginal Adaptation and Fracture Strength of Different Ceramic Inlays Produced by CEREC Omnicam and Heat-Pressed Technique

OpenAIRE

Oz, F. D.; Bolay, S.

2018-01-01

Objective. The aim of this in vitro study was to evaluate marginal adaptation and fracture strength of inlays produced by CEREC Omnicam using different types of blocs and heat-pressed technique. Methods: Seventy-five extracted human mandibular molars were divided randomly into 5 groups (n=15). 60 molars in four groups received MOD inlay preparations. Experimental groups were CO: Intact teeth, EC: IPS e.max CAD and CEREC, LU: Lava Ultimate and CEREC, EL: IPS Empress CAD and CEREC, EP: IPS Empr...

Comparison of FDA safety and efficacy data for KAMRA and Raindrop corneal inlays

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Majid Moshirfar

2017-09-01

Full Text Available AIM: To provide a side-by-side analysis of the summary of safety and effectiveness data (SSED submitted to the FDA for the KAMRA and Raindrop corneal inlays for the correction of presbyopia. METHODS: SSED reports submitted to the FDA for KAMRA and Raindrop were compared with respect to loss of corrected distance visual acuity (CDVA, adverse event rates, induction of astigmatism, retention of contrast sensitivity, stability of manifest refractive spherical equivalent (MRSE, and achieved monocular uncorrected near visual acuity (UNVA at 24mo. RESULTS: Totally 442/508 of KAMRA patients and 344/373 Raindrop patients remained enrolled in the clinical trials at 24mo. The proportion of KAMRA and Raindrop patients who lost ≥2 lines of CDVA at 24mo was 3.4% and 1%, respectively. The adverse event rate was comparable between the devices. No significant inductions of astigmatism were noted. Both technologies induced a transient myopic shift in MRSE followed by a hyperopic shift and subsequent stabilization. Totally 87% of KAMRA and 98% of Raindrop patients attained a monocular UNVA of J5 (20/40 or better at 24mo, 28% of KAMRA and 67% of Raindrop patients attained a monocular UNVA of J1 (20/20 or better at 24mo. CONCLUSION: Both devices can be considered safe and effective, however, the results of corneal inlay implantation are mixed, and long-term patient satisfaction will likely depend on subjective expectations about the capabilities of the inlays. Variability in surgical technique and postoperative care within and between the two clinical trials diminishes the comparative power of this article.

Ceramic inlays : effect of mechanical cycling and ceramic type on restoration-dentin bond strength

NARCIS (Netherlands)

Trindade, F.Z.; Kleverlaan, C.J.; da Silva, L.H.; Feilzer, A.J.; Cesar, P.F.; Bottino, M.A.; Valandro, L.F.

2016-01-01

This study aimed to evaluate the bond strength between dentin and five different ceramic inlays in permanent maxillary premolars, with and without mechanical cycling. One hundred permanent maxillary premolars were prepared and divided into 10 groups (n=10) according to the ceramic system (IPS e.Max

Marginal and internal fit of pressed lithium disilicate inlays fabricated with milling, 3D printing, and conventional technologies.

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Homsy, Foudda R; Özcan, Mutlu; Khoury, Marwan; Majzoub, Zeina A K

2017-09-29

The subtractive and additive computer-aided design and computer-aided manufacturing (CAD-CAM) of lithium disilicate partial coverage restorations is poorly documented. The purpose of this in vitro study was to compare the marginal and internal fit accuracy of lithium disilicate glass-ceramic inlays fabricated with conventional, milled, and 3-dimensional (3D) printed wax patterns. A dentoform mandibular first molar was prepared for a mesio-occlusal ceramic inlay. Five groups of 15 inlays were obtained through conventional impression and manual wax pattern (group CICW); conventional impression, laboratory scanning of the stone die, CAD-CAM milled wax blanks (group CIDW) or 3D printed wax patterns (group CI3DW); and scanning of the master preparation with intraoral scanner and CAD-CAM milled (group DIDW) or 3D printed wax patterns (group DI3DW). The same design was used to produce the wax patterns in the last 4 groups. The replica technique was used to measure marginal and internal adaptation by using stereomicroscopy. Mixed-model ANOVA was used to assess differences according to the groups and discrepancy location (α=.05). Group DIDW showed the smallest marginal discrepancy (24.3 μm) compared with those of groups CICW (45.1 μm), CIDW (33.7 μm), CI3DW (39.8 μm), and DI3DW (39.7 μm) (Pimpressions and subtractive milling of wax patterns resulted in better marginal and internal fit accuracy than either conventional impression/fabrication or additive 3D manufacturing. Three-dimensional printed wax patterns yielded fit values similar to those of the conventionally waxed inlays. Copyright © 2017 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

THE MARGINAL FIT OF MILLED-CERAMIC INLAYS – A COMPARATIVE THREE DIMENSIONAL AND MICROSCOPIC RESEARCH

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Sorana BACIU

2017-03-01

Full Text Available Objective: The main goal of the present study is to compare two methods for evaluating the marginal fit of fixed prosthetic restorations. For this purpose we used a milled ceramic material, out of which we obtained class I inlays. The marginal gap was analyzed using micro CT and electronic microscopy. Materials and methods: After extraction of four caries-free mandibular first molars, first class inlay cavities were prepared. The marginal gap was analyzed circumferentially at the occlusal margin using a Bruker micro CT, by measuring the distance at the occlusal limit of the cavities, between the restoration and the tooth in several points for every surface of each tooth before cementing. For the second method SEM technology was used, and measurements were made at the occlusal limit of the cavities, between the restoration and the tooth in 50 microns steps. The data were compared with One–way ANOVA with Tukey’s Multiple Comparison Test performed using 5.00 for Windows (GraphPad Prism 5.00 Software, San Diego, California USA. Results and discussion: For both methods we obtained clinical acceptable values of the marginal gap for the milled ceramic inlays. The null hypothesis was rejected. We obtained statistical significant differences of the measured gaps using the two above mentioned methods. Conclusions: Both evaluation methods are reliable for measuring the marginal gap of fixed prosthetic restorations, each method having specific indications, advantages and disadvantages. They offer indispensable information which lead to improvement of the restorative treatments.

In vitro evaluation of fracture resistance of Fiber-Reinforced Composite inlay bridges in upper anterior and lower posterior teeth

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Jalalian E.

2007-07-01

Full Text Available Background and Aim: Considering flexural strength of fiber-reinforced composites (FRC and also the role of conservative cavities in protecting sound tissue of abutments, the aim of this study was to evaluate the fracture resistance of these bridges by handmade samples in vitro.Materials and Methods: In this experimental in vitro study, 44 sound newly extracted teeth were used to make 22 fixed inlay bridges including 11 three unit anterior upper inlay bridges substituting clinical model of upper central and 11 three unit posterior lower inlay bridges substituting clinical model of lower first molar. Specimens were prepared with FRC and mounted with artificial PDL in acryl. Cases were exposed to final load by using Universal Testing Machine (Instron 1195 with the speed of 1 mm/min. Statistical analysis was performed by Kolmogorov- Smirnov, independent sample T and Kaplan-Meier tests with p<0.05 as the level of significance.Results: Based on the statistical tests, the 95% confidence interval of mean was 450-562 N in anterior and  1473- 1761 N in posterior area. Fracture strength was high in the studied groups. Fractures in both groups occurred on composite facing, and the framework remained intact. The highest percentage of fracture in posterior teeth was in the middle of pontic towards the distal connector and in the anterior teeth in the lateral connector, between central pontic and lateral abutment. Using the independent sample T  test a significant statistical difference was observed between two groups (P<0.001. The fracture resistance of anterior samples was lower than the posterior ones.Conclusion: Based on the results of this study regarding the high fracture resistance in both areas FRC inlay bridges could be recommended for upper anterior and lower posterior teeth in clinical dentistry certainly more studies are needed to ascertain this treatment option.

Aesthetic guidelines for second-generation indirect inlay and onlay composite restorations.

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Miara, P

1998-05-01

Recent innovations in indirect composite technology and adhesive bonding procedures have resulted in the development of advanced materials particularly suited for inlay and onlay restorations. Microhybrid composite resins are characterized by a filler/matrix ratio that is significantly greater than that of earlier materials. This article reviews the physical properties and clinical application of these "second-generation" composite resins, with emphasis on a system that utilizes a heat-curing process in conjunction with nitrogen pressure to fabricate a material with improved mechanical and aesthetic properties.

High mid-term revision rate after treatment of large, full-thickness cartilage lesions and OA in the patellofemoral joint using a large inlay resurfacing prosthesis

DEFF Research Database (Denmark)

Laursen, Jens Ole

2017-01-01

PURPOSE: The HemiCAP-Wave® implant for the patellofemoral resurfacing treatment of large cartilage lesions and osteoarthritis (OA) was introduced in 2009. The outcome of a prospective cohort study of 18 patients with large trochlea lesions or isolated OA treated with the HemiCAP-Wave® implant...... pain but high mid-term revision rate after patellofemoral inlay resurfacing using the HemiCAP-Wave® implant. Patellofemoral resurfacing implantation treatment with a large inlay prosthesis can offer temporary treatment for large isolated patellofemoral cartilage lesions or OA in younger patients...

A comparison of stresses in molar teeth restored with inlays and direct restorations, including polymerization shrinkage of composite resin and tooth loading during mastication.

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Dejak, Beata; Młotkowski, Andrzej

2015-03-01

Polymerization shrinkage of composites is one of the main causes of leakage around dental restorations. Despite the large numbers of studies there is no consensus, what kind of teeth reconstruction--direct or indirect composite restorations are the most beneficial and the most durable. The aim was to compare equivalent stresses and contact adhesive stresses in molar teeth with class II MOD cavities, which were restored with inlays and direct restorations (taking into account polymerization shrinkage of composite resin) during simulated mastication. The study was conducted using the finite elements method with the application of contact elements. Three 3D models of first molars were created: model A was an intact tooth; model B--a tooth with a composite inlay, and model C--a tooth with a direct composite restoration. Polymerization linear shrinkage 0.7% of a direct composite restoration and resin luting cement was simulated (load 1). A computer simulation of mastication was performed (load 2). In these 2 situations, equivalent stresses according to the modified von Mises criterion (mvM) in the materials of mandibular first molar models with different restorations were calculated and compared. Contact stresses in the luting cement-tooth tissue adhesive interface around the restorations were also assessed and analyzed. Equivalent stresses in a tooth with a direct composite restoration (the entire volume of which was affected by polymerization shrinkage) were many times higher than in the tooth restored with a composite inlay (where shrinkage was present only in a thin layer of the luting cement). In dentin and enamel the stress values were 8-14 times higher, and were 13 times higher in the direct restoration than in the inlay. Likewise, contact stresses in the adhesive bond around the direct restoration were 6.5-7.7 times higher compared to an extraorally cured restoration. In the masticatory simulation, shear contact stresses in the adhesive bond around the direct

Early results of patellofemoral inlay resurfacing arthroplasty using the HemiCap Wave prosthesis.

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Patel, Akash; Haider, Zakir; Anand, Amarjit; Spicer, Dominic

2017-01-01

Common surgical treatment options for isolated patellofemoral osteoarthritis include arthroscopic procedures, total knee replacement and patellofemoral replacement. The HemiCap Wave patellofemoral resurfacing prosthesis is a novel inlay design introduced in 2009 with scarce published data on its functional outcomes. We aim to prospectively evaluate early functional outcomes and complications, for patients undergoing a novel inlay resurfacing arthroplasty for isolated patellofemoral arthrosis in an independent centre. From 2010 to 2013, 16 consecutive patients underwent patellofemoral resurfacing procedures using HemiCap Wave (Arthrosurface Inc., Franklin, Massachusetts, USA) for anterior knee pain with confirmed radiologically and/or arthroscopically isolated severe patellofemoral arthrosis. Standardized surgical technique, as recommended by the implant manufacturer, was followed. Outcome measures included range of movement, functional knee scores (Oxford Knee Score (OKS), Knee Injury and Osteoarthritis Outcome Score (KOOS) and Short Form-36 (SF-36)), radiographic disease progression, revision rates and complications. Eight men and eight women underwent patellofemoral HemiCap Wave resurfacing, with an average age of 63 years (range: 46-83). Average follow-up was 24.1 months (6-34). Overall, post-operative scores were excellent. There was a statistically significant improvement in the post-operative OKS, KOOS and SF-36 scores ( p patellofemoral resurfacing prosthesis has excellent early results in terms of functional outcomes, radiological outcomes and low complication rates. At the very least, early results show that the HemiCap Wave is comparable to more established onlay prostheses. The HemiCap Wave thus provides a safe and effective surgical option in the treatment of isolated patellofemoral osteoarthritis in selected patients.

Transurethral ventral buccal mucosa graft inlay urethroplasty for reconstruction of fossa navicularis and distal urethral strictures: surgical technique and preliminary results.

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Nikolavsky, Dmitriy; Abouelleil, Mourad; Daneshvar, Michael

2016-11-01

To introduce a novel surgical technique for the reconstruction of distal urethral strictures using buccal mucosal graft (BMG) through a transurethral approach. A retrospective institution chart review was conducted of all the patients who underwent a transurethral ventral BMG inlay urethroplasty from March 2014 to March 2016. Patients with greater than one-year follow-up were included. Steps of the procedure: transurethral ventral wedge resection of the stenosed segment and transurethral delivery and spread fixation of appropriate BMG inlay into the resultant urethrotomy. The patients were followed for post-operative complications and stricture recurrence with uroflow, PVR, cystoscopy and outcome questionnaires. Three patients with a minimum of 12-month follow-up are included in this case series. The mean age of the patients was 42 years (35-53); mean stricture length was 2.1 cm (1-4). All patients had at least 2 previous failed procedures. Mean follow-up was 18 months (12-24). There were no stricture recurrences or fistula. Mean pre- and post-operative uroflow values were 4.3 (0-8) and 19 (16-26), respectively. Neither penile chordee nor changes in sexual function were noted in patients on follow-up. Transurethral ventral BMG inlay urethroplasty is a feasible option for treatment of fossa navicularis strictures. This single-stage technique allows for avoiding skin incision or urethral mobilization. It helps to prevent glans dehiscence, fistula formation and avoids the use of genital skin flaps in all patients, especially those affected with LS. This novel surgical technique is an effective treatment alternative for men with distal urethral strictures.

Microleakage of IPS empress 2 inlay restorations luted with self-adhesive resin cements.

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Cal, E; Celik, E U; Turkun, M

2012-01-01

To assess the microleakage of three self-adhesive and one etch-and-rinse resin cements when luting IPS Empress 2 (Ivoclar Vivadent, Liechtenstein) all-ceramic inlay restorations to the prepared cavities in extracted human molars. The cylindrical Class V cavities were prepared on the buccal surfaces of 40 extracted human third molars using diamond burs. The IPS Empress 2 ceramic inlays were placed with Multilink Sprint (Ivoclar Vivadent), RelyX Unicem (3M ESPE, USA), G-Cem (GC, Japan), or Variolink II (Ivoclar Vivadent) as the control group. After storage in distilled water at 37°C for 24 hours, samples were subjected to 1000 thermal cycles between baths of 5°C and 55°C, with a dwell time of 30 seconds. The microleakage scores were examined on the occlusal and gingival margins at 30× magnification after each sample was stained with 0.5% basic fuchsin and sectioned into three parts using a thin diamond blade (Isomet, Buehler, USA) (n=40). The extent of microleakage on both occlusal and gingival margins of the restorations was scored and recorded. The microleakage data were analyzed using Kruskall-Wallis and Mann-Whitney U-tests. Statistically significant differences were observed between the groups in both margins according to the Kruskall-Wallis and Mann-Whitney U-tests (p<0.05). Microleakage scores on the occlusal margins were Variolink II < RelyX Unicem < G-Cem = Multilink Sprint. Microleakage scores on the gingival margins are Variolink II = RelyX Unicem < G-Cem < Multilink Sprint. Self-adhesive resin cements displayed higher microleakage scores on the occlusal margins, whereas on the gingival margins RelyX Unicem showed comparable microleakage results with the control samples.

Ceramic Inlays: Effect of Mechanical Cycling and Ceramic Type on Restoration-dentin Bond Strength.

Science.gov (United States)

Trindade, F Z; Kleverlaan, C J; da Silva, L H; Feilzer, A J; Cesar, P F; Bottino, M A; Valandro, L F

2016-01-01

This study aimed to evaluate the bond strength between dentin and five different ceramic inlays in permanent maxillary premolars, with and without mechanical cycling. One hundred permanent maxillary premolars were prepared and divided into 10 groups (n=10) according to the ceramic system (IPS e.Max Press; IPS e.Max CAD; Vita PM9; Vita Mark II; and Vita VM7) and the mechanical cycling factor (with and without [100 N, 2 Hz, 1.2×10(6) cycles]). The inlays were adhesively cemented, and all of the specimens were cut into microbars (1×1 mm, nontrimming method), which were tested under microtensile loading. The failure mode was classified and contact angle, roughness, and microtopographic analyses were performed on each ceramic surface. The mechanical cycling had a significant effect (p=0.0087) on the bond strength between dentin and IPS e.max Press. The Vita Mark II group had the highest bond strength values under both conditions, with mechanical cycling (9.7±1.8 MPa) and without (8.2±1.9 MPa), while IPS e.Max CAD had the lowest values (2.6±1.6 and 2.2±1.4, respectively). The adhesive failure mode at the ceramic/cement interface was the most frequent. Vita Mark II showed the highest value of average roughness. IPS e.max Press and Vita Mark II ceramics presented the lowest contact angles. In conclusion, the composition and manufacturing process of ceramics seem to have an influence on the ceramic surface and resin cement bond strength. Mechanical cycling did not cause significant degradation on the dentin and ceramic bond strength under the configuration used.

Elastic Properties of Lithium Disilicate Versus Feldspathic Inlays: Effect on the Bonding by 3D Finite Element Analysis.

Science.gov (United States)

Trindade, Flávia Zardo; Valandro, Luiz Felipe; de Jager, Niek; Bottino, Marco Antônio; Kleverlaan, Cornelis Johannes

2016-10-03

To determine the elastic properties of five ceramic systems with different compositions (lithium disilicate vs. feldspathic ceramics) and processing methods and compare the stress distribution in premolars in the interface with inlays made with these systems loaded with the maximum normal bite force (665 N) using 3D finite element analysis (FEA). The elastic properties of five ceramic restoration materials (IPS e.max Press, IPS e.max CAD, Vita PM9, Vita Mark II, Vita VM7) were obtained using the ultrasonic pulse-echo method. Three-dimensional FEA simplified models of maxillary premolars restored with these ceramic materials were created. The models were loaded with a load at the two nodes on the occlusal surface in the middle of the tooth, 2 mm from the outside of the tooth, simulating a loading ball with a radius of 6 mm. The means values of density (g/cm³), Young's modulus (GPa), and Poison's ratio was 2.6 ± 0.3, 82.3 ± 18.3, and 0.22 ± 0.01 for IPS e.max Press; 2.3 ± 0.1, 83.5 ± 15.0, and 0.21 ± 0.01 for IPS e.max CAD; 2.5 ± 0.1, 44.4 ± 11.5, and 0.26 ± 0.08 for PM9; 2.4 ± 0.1, 70.6 ± 4.9, and 0.22 ± 0.01 for Vitamark II; 2.4 ± 0.1, 63.3 ± 3.9, and 0.23 ± 0.01 for VM7, respectively. The 3D FEA showed the tensile stress at the interface between the tooth and the inlay was dependent on the elastic properties of the materials, since the Vita PM9 and IPS e.max CAD ceramics presented the lowest and the highest stress concentration in the interface, respectively. The elastic properties of ceramic materials were influenced by composition and processing methods, and these differences influenced the stress concentration at the bonding interface between tooth and restoration. The lower the elastic modulus of inlays, the lower is the stress concentration at the bonding interfaces. © 2016 by the American College of Prosthodontists.

Inlay-Retained Fixed Dental Prosthesis: A Clinical Option Using Monolithic Zirconia

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Davide Augusti

2014-01-01

Full Text Available Different indirect restorations to replace a single missing tooth in the posterior region are available in dentistry: traditional full-coverage fixed dental prostheses (FDPs, implant-supported crowns (ISC, and inlay-retained FDPs (IRFDP. Resin bonded FDPs represent a minimally invasive procedure; preexisting fillings can minimize tooth structure removal and give retention to the IRFDP, transforming it into an ultraconservative option. New high strength zirconia ceramics, with their stiffness and high mechanical properties, could be considered a right choice for an IRFDP rehabilitation. The case report presented describes an IRFDP treatment using a CAD/CAM monolithic zirconia IRFDP; clinical and laboratory steps are illustrated, according to the most recent scientific protocols. Adhesive procedures are focused on the Y-TZP and tooth substrate conditioning methods. Nice esthetic and functional integration of indirect restoration at two-year follow-up confirmed the success of this conservative approach.

All-ceramic inlay-retained fixed dental prostheses for replacing posterior missing teeth: A systematic review.

Science.gov (United States)

Castillo-Oyagüe, Raquel; Sancho-Esper, Rocío; Lynch, Christopher D; Suárez-García, María-Jesús

2018-01-01

To evaluate the current status of all-ceramic inlay-retained fixed dental prostheses (CIR-FDPs) for the replacement of posterior teeth. Screening of titles and abstracts, full-text analysis for inclusion eligibility, quality assessment, data extraction and evaluation of the scientific evidence were performed independently by two reviewers. The electronic databases MEDLINE/PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Compludoc were searched with no restriction to publication date or language. The quality of the studies was evaluated through: the original 'QDP' ('Questionnaire for selecting articles on Dental Prostheses') (for research papers); the 'Guidelines for managing overviews' of the Evidence-Based Medicine Working Group (for reviews); the Cochrane risk of bias tool; and the GRADE scale for grading scientific evidence. This review started with 4942 articles, which were narrowed down to 23 according to the selection criteria. The data was not statistically treated because of the heterogeneity of the studies. Zirconia-based CIR-FDPs may be recommended for restoring posterior single missing teeth, although the prosthesis/tooth bonded interface has yet to be improved. The addition of lateral wings to the classical inlay preparation seems promising. The weakest parts of CIR-FDPs are the connectors and retainers, while caries and endodontic problems are the most common biological complications. The fabrication of CIR-FDPs with monolithic zirconia may eliminate chipping problems. A three-unit CIR-FDP is a viable treatment option for replacing a posterior missing tooth. Appropriate case selection, abutment preparation and luting procedures may be decisive for clinical success. Copyright © 2017 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

Uso de incrustaciones de resina compuesta tipo onlay en molares estructuralmente comprometidos Use of onlay-type composite resin inlays in structurally involved molars

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Alberto Carlos Cruz González

2012-03-01

Full Text Available Las incrustaciones en resina compuesta son una alternativa de bajo costo ante los métodos de obturación directos, frente a las dificultades de la adaptación marginal y la ubicación de contactos proximales, porque permiten otorgar una mejor anatomía dental a la restauración y superar el fenómeno de contracción al polimerizar grandes capas de material por fuera de la cavidad dental. El objetivo del presente artículo fue exponer el uso de la resina compuesta bajo técnica indirecta como una alternativa de fácil manipulación y resultados clínicos considerables ante la afectación estructural de molares. Se presentaron dos casos clínicos de incrustaciones con resina compuesta de tipo inlay onlay en dos molares permanentes afectados estructuralmente, uno de ellos fue tratado endodónticamente. Para la obtención de un troquel de trabajo sobre el que se confecciona la incrustación bajo técnica incremental se obtienen modelos al impresionar con alginato la arcada de los dientes seleccionados, se realiza vaciado en silicona liviana del diente preparado y el resto en yeso piedra tipo III. El proceso de cementación en la cavidad bucal se lleva a cabo con cemento resinoso de doble curado. Las incrustaciones fueron sometidas a un control a los seis meses para evaluar los signos de filtración o desadaptación marginal mediante el secado con aire de la jeringa triple, explorador y radiografías periapicales, que mostraron ausencia de desadaptación o pigmentación marginal. Se concluyó que ante la afectación estructural de molares, las incrustaciones con resina compuesta bajo técnica indirecta fueron de fácil manipulación y se obtuvieron satisfactorios resultados clínicos.The composite resin inlays are a low cost alternative which seeks improvements to the direct filling methods meet the challenges of the marginal adaptation, location of proximal contacts, allows us to improve the restoration dental anatomy and overcome the phenomenon of

Inlay buccal mucosal graft for reoperative posterior urethroplasty.

Science.gov (United States)

Tang, Shou-Hung; Kao, Chien-Chang; Wu, Seng-Tang; Meng, En; Cha, Tai-Lung

2012-04-01

Posterior urethral distraction injury following major pelvic trauma is a surgical challenge. Although rarely seen, cases of failure after formal urethral reconstruction are even more problematic. We adapted the concept of augmented free buccal mucosal grafts, which have been successful in anterior urethroplasty, for repairing the posterior urethra in these rare cases with the aim of reducing the likelihood of penile chordee postoperatively. During 2007-2009, four patients were candidates for the proposed procedure because they had received formal transperineal urethral reconstruction but were unable to urinate through the urethra. The urethra was approached transperineally and opened in the midline, rather than divided. Buccal mucosal grafts of an appropriate size were placed in the created urethral groove from 4- to 8 o'clock in the lithotomy view. After the procedure, the urethral catheter was kept for 3 weeks. All patients voided through the urethra after the procedure. The maximal postoperative urinary flow rates were between 12-15 ml/seconds in all cases for a follow-up period of 18-30 months. The recurrence rate was 50% (2/4). Recurrent strictures were minor, and they showed a web-like stricture ring near the suture line. Restricture within 6 months of surgery responded well to endoscopic internal urethrotomy plus dilatations. In conclusion, without further compromising urethral length, reoperative posterior urethroplasty with the inlay grafting technique can be considered in selective cases. Copyright © 2012. Published by Elsevier B.V.

Inlay buccal mucosal graft for reoperative posterior urethroplasty

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Shou-Hung Tang

2012-04-01

Full Text Available Posterior urethral distraction injury following major pelvic trauma is a surgical challenge. Although rarely seen, cases of failure after formal urethral reconstruction are even more problematic. We adapted the concept of augmented free buccal mucosal grafts, which have been successful in anterior urethroplasty, for repairing the posterior urethra in these rare cases with the aim of reducing the likelihood of penile chordee postoperatively. During 2007–2009, four patients were candidates for the proposed procedure because they had received formal transperineal urethral reconstruction but were unable to urinate through the urethra. The urethra was approached transperineally and opened in the midline, rather than divided. Buccal mucosal grafts of an appropriate size were placed in the created urethral groove from 4- to 8 o’clock in the lithotomy view. After the procedure, the urethral catheter was kept for 3 weeks. All patients voided through the urethra after the procedure. The maximal postoperative urinary flow rates were between 12–15 ml/seconds in all cases for a follow-up period of 18–30 months. The recurrence rate was 50% (2/4. Recurrent strictures were minor, and they showed a web-like stricture ring near the suture line. Restricture within 6 months of surgery responded well to endoscopic internal urethrotomy plus dilatations. In conclusion, without further compromising urethral length, reoperative posterior urethroplasty with the inlay grafting technique can be considered in selective cases.

A comparative evaluation of the marginal adaptation of a thermoplastic resin, a light cured wax and an inlay casting wax on stone dies: An in vitro study.

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Gopalan, Reji P; Nair, Vivek V; Harshakumar, K; Ravichandran, R; Lylajam, S; Viswambaran, Prasanth

2018-01-01

Different pattern materials do not produce copings with satisfactory, marginal accuracy when used on stone dies at varying time intervals. The purpose of this study was to evaluate and compare the vertical marginal accuracy of patterns formed from three materials, namely, thermoplastic resin, light cured wax and inlay casting wax at three-time intervals of 1, 12, and 24 h. A master die (zirconia abutment mimicking a prepared permanent maxillary central incisor) and metal sleeve (direct metal laser sintering crown #11) were fabricated. A total of 30 stone dies were obtained from the master die. Ten patterns were made each from the three materials and stored off the die at room temperature. The vertical marginal gaps were measured using digital microscope at 1, 12, and 24 h after reseating with gentle finger pressure. The results revealed a significant statistical difference in the marginal adaptation of three materials at all the three-time intervals. Light cured wax was found to be most accurate at all time intervals, followed by thermoplastic resin and inlay casting wax. Furthermore, there was a significant difference between all pairs of materials. The change in vertical marginal gap from 1 to 24 h between thermoplastic resin and light cured wax was not statistically significant. The marginal adaptation of all the three materials used, was well within the acceptable range of 25-70 μm. The resin pattern materials studied revealed significantly less dimensional change than inlay casting wax on storage at 1, 12, and 24 h time intervals. They may be employed in situations where high precision and delayed investing is expected.

Optical modeling of a corneal inlay in real eyes to increase depth of focus: optimum centration and residual defocus.

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Tabernero, Juan; Artal, Pablo

2012-02-01

To determine the optimum position to center a small-aperture corneal inlay and the effect of residual defocus in the surgical eye to maximize depth of focus. Laboratorio de Óptica, Universidad de Murcia, Murcia, Spain. Cohort study. Personalized eye models were built using actual data (corneal topography, eye length, ocular aberrations, and eye alignment). A small aperture 1.6 mm in diameter was placed at the corneal plane in each model. The monochromatic and polychromatic Strehl ratios were calculated as a function of the pinhole position. Different residual defocus values were also incorporated into the models, and the through-focus Strehl ratios were calculated. Sixteen eye models were built. For most subjects, the optimum location of the aperture for distance vision was close to the corneal reflex position. For a given optimized centration of the aperture, the best compromise of depth of focus was obtained when the eyes had some residual myopic defocus (range -0.75 to -1.00 diopter [D]). Strehl ratio values were over 0.1 for far distance, which led to visual acuities better than 20/20. The depth of focus was 2.50 D with a mean near visual acuity of Jaeger 1 or better. In eyes with little astigmatism and aberrations, the optimum centration of the small aperture was near the corneal reflex position. To improve optical outcomes with the inlay, some small residual myopia and correction of corneal astigmatism might be required. Copyright © 2011 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

A comparative evaluation of the marginal adaptation of a thermoplastic resin, a light cured wax and an inlay casting wax on stone dies: An in vitro study

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Reji P Gopalan

2018-01-01

Conclusion: The marginal adaptation of all the three materials used, was well within the acceptable range of 25–70 μm. The resin pattern materials studied revealed significantly less dimensional change than inlay casting wax on storage at 1, 12, and 24 h time intervals. They may be employed in situations where high precision and delayed investing is expected.

Internal and Marginal Fit of Modern Indirect Class II Composite Inlays

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Philipp C. Pott

2014-06-01

Full Text Available Introduction: This in vitro study investigates the marginal and internal fit of indirect class II composite restorations. Two different processes for chair-side restorations were compared. In group A, the restorations were fabricated using CAD/CAM technology (Cerec, Sirona, Germany, Bernsheim and in group B they were made by hand (GrandioSO Inlay System, VOCO GmbH, Germany, Cuxhaven. Methods: For a metal tooth with a MOD cavity each 10 restorations were made for groups A and B. For each restoration, a replica of the cement-gap made from light body silicone was produced by placing the restoration into the cavity of the metal tooth. For this purpose, a special restoration-positioning machine was developed. Each replica was sectioned off in the longitudinal axis (L and in the cross axis (C. The thickness of the replicas was measured in both directions, using picture analysis software under a light reflection microscope. To evaluate the fit of the restorations, a special fitting parameter was calculated. Statistical analysis was performed with the t test. Results: The fitting-parameter in group B (L: 97.6µm±73.0µm; C: 71.8µm±46.4µm was significantly lower than that of group A (L: 155.1µm±102.3.0µm; C: 168.2µm±91.9µm (P

Short-term visual result after simultaneous photorefractive keratectomy and small-aperture cornea inlay implantation

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Moshirfar M

2016-11-01

Full Text Available Majid Moshirfar,1,2 Ryan T Wallace,3 David F Skanchy,4 Jordan D Desautels,5 Steven H Linn,1 Phillip C Hoopes Jr,1 Daniel S Durrie1,6 1Hoopes, Durrie, Rivera, Research Center, Hoopes Vision, Draper, UT, 2Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT, 3Brigham Young University, Provo, UT, 4McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, 5Tufts University School of Medicine, Boston, MA, 6Durrie Vision, Overland Park, KS, USA Purpose: To report the short-term results of simultaneous photorefractive keratectomy (PRK and small-aperture cornea inlay implantation (KAMRA surgery in treating presbyopia. Methods: Simultaneous PRK and KAMRA inlay surgery was performed on 21 patients from July 2015 to March 2016. Follow-up exams were conducted at 1, 3, and 6 months postoperatively. Our patients were also divided preoperatively into three categories: myopic, hyperopic, and emmetropic. Over the 6-month period, the main outcome measures were uncorrected near visual acuity (UNVA, changes in best-corrected distance visual acuity, and mean spherical equivalent refraction. Results: At 6-month follow-up, 83% (10/12 of patients had a monocular UNVA of 20/40 or better, and 75% had a binocular UNVA of 20/40 (J5 or better. At 6 months, the overall mean refractive spherical equivalent (MRSE was -0.60 D (±0.42 standard deviation [SD], range: -1.38 to -0.13 with a mean change of -0.43 D (±1.19 SD, range: -1.5 to 2.63 compared to preoperative data. Overall, 91% (10/11 of patients were within a ±0.5 D range of our target -0.75 D for KAMRA use. One-hundred percent (5/5 of the hyperopes, 50% (1/2 of emmetropes, and 100% (4/4 of myopes met the targeted range. At 6 months, the MRSE for the hyperopic subgroup (n=5 was 0.33 D (±0.20 SD, the MRSE for the emmetropic subgroup (n=2 was -1.19 D (±0.19 SD, and the MRSE for the myopic

Survival of inlays and partial crowns made of IPS empress after a 10-year observation period and in relation to various treatment parameters.

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Stoll, Richard; Cappel, I; Jablonski-Momeni, Anahita; Pieper, K; Stachniss, V

2007-01-01

This study evaluated the long-term survival of inlays and partial crowns made of IPS Empress. For this purpose, the patient data of a prospective study were examined in retrospect and statistically evaluated. All of the inlays and partial crowns fabricated of IPS-Empress within the Department of Operative Dentistry at the School of Dental Medicine of Philipps University, Marburg, Germany were systematically recorded in a database between 1991 and 2001. The corresponding patient files were revised at the end of 2001. The information gathered in this way was used to evaluate the survival of the restorations using the method described by Kaplan and Meyer. A total of n = 1624 restorations were fabricated of IPS-Empress within the observation period. During this time, n = 53 failures were recorded. The remaining restorations were observed for a mean period of 18.77 months. The failures were mainly attributed to fractures, endodontic problems and cementation errors. The last failure was established after 82 months. At this stage, a cumulative survival probability of p = 0.81 was registered with a standard error of 0.04. At this time, n = 30 restorations were still being observed. Restorations on vital teeth (n = 1588) showed 46 failures, with a cumulative survival probability of p = 0.82. Restorations performed on non-vital teeth (n = 36) showed seven failures, with a cumulative survival probability of p = 0.53. Highly significant differences were found between the two groups (p < 0.0001) in a log-rank test. No significant difference (p = 0.41) was found between the patients treated by students (n = 909) and those treated by qualified dentists (n = 715). Likewise, no difference (p = 0.13) was established between the restorations seated with a high viscosity cement (n = 295) and those placed with a low viscosity cement (n = 1329).

Digital radiographic evaluation of optical density of porcelains used for fabrication of inlay/onlay prosthesis Avaliação da densidade óptica de porcelanas usadas para confecção de próteses inlay/onlay por meio de radiografia digital

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Júlio Cezar de Melo Castilho

2006-01-01

Full Text Available The purpose of this article was to compare the mean value of optical density of four porcelains commonly used for fabrication of inlay/onlay prostheses using direct digital radiograph. The sample consisted of 20 2-mm thick porcelain specimens (measured by digital pachymeter: Empress (Ivoclair, Simbios (Degussa, Vita Omega 900 and Vitadur Alpha (Vita Zahnfabrik. The values of optical density of the specimens were expressed in millimeters aluminum equivalent (mm eq Al. The samples were X-rayed using two charge coupled devices (CCD - RVG (Trophy - Visualix (Gendex and a phosphor plate system - Digora (Soredex. The optical density reading was performed with Image Tool 1.28 in a total of 110 measurements. Statistical analysis showed that there were statistically significant differences in all materials studied (p Objetivo desse trabalho é comparar valores médios de densidade óptica de quatro porcelanas comumente utilizadas para confecção de inlay/onlay por meio da densidade óptica usando radiografia digital. A amostra constou de 20 corpos de prova com espessura de 2mm (mensurados em paquímetro digital das porcelanas: Empress (Ivoclair, Simbios (Degussa, Vita Omega 900 e Vitadur Alpha (Vita Zahnfabrik. Os valores de densidade óptica das amostras foram expressos em milímetros equivalente em alumínio (mm eq Al. Os espécimes foram radiografados, utilizando dois sistemas de dispositivo de carga acoplada (CCD - RVG (Trophy - Visualix (Gendex e um sistema de placa de fósforo - Digora (Soredex. A leitura da densidade óptica foi realizada no programa Image Tool 1.28 totalizando 110 medições. As leituras de densidade ópticas foram feitas no programa Image Tool 1.28 totalizando 110 mensurações. A análise estatística demonstrou que houve diferença estatisticamente significante entre a densidade óptica das porcelanas estudadas independentemente do sistema de radiografia empregado (p < 0,05. A porcelana Omega 900 obteve 1,8988mmeq

Clinical evaluation of two types of ceramic inlays and onlays after 6 months Avaliação clínica de inlays e onlays confeccionadas com dois tipos de cerâmica, após 06 meses

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Maria Jacinta M. Coelho Santos

2004-09-01

Full Text Available The aim of the present study was to evaluate the clinical performance of two types of ceramics: a slurry-powder ceramic (Duceram Plus, Degussa - D and a hot-pressed leucite-based glass-ceramic (IPS Empress, Ivoclar Vivadent - IPS. Eighty-six restorations, 44 IPS and 42 D, were made by one operator. A total of 33 onlays and 53 inlays on twenty-seven premolars and 59 molars were cemented in 35 patients of both sexes, mean age 35 years. All restorations were cemented with the dual-resin cement (Variolink, Ivoclar-Vivadent under rubber dam and were evaluated at the baseline and after six months, using the modified U.S.P.H.S. criteria for postoperative sensitivity, secondary caries, fracture, color match, marginal discoloration, marginal integrity and surface texture. Additionally radiographs and intraoral photographs were carried out. At baseline 86 restorations were analyzed and all of them received Alfa rating, except for the following that received Bravo rating for postoperative sensitivity - IPS (2.27%; D (7.14%; for color match - IPS (2.27%; D (2.38% and for surface texture - IPS (2.27%; D (11.90%. After 6 months 100% of the restorations were analyzed and the following received Bravo rating: color match - IPS (4.55% and D (9.52%; surface texture - IPS (2.27% and D (11.9%; marginal discoloration - IPS (6.82% and D (4.76% and marginal integrity - IPS (4.55% and D (7.14%. The results were submitted to the Fisher and McNemar Statistical Tests. No significant differences were noticed between the two ceramics. Both ceramics demonstrated satisfactory clinical performance after six months.Este trabalho se propôs a avaliar a performance clínica de dois tipos de cerâmica: IPS Empress, Ivoclar-Vivadent - IPS e Duceram Plus, Degussa - D. Foram realizadas 86 restaurações por apenas um operador, sendo 44 IPS e 42 D. Vinte e sete pré-molares e 59 molares, num total de 33 onlays e 53 inlays, foram cimentadas em 35 pacientes de ambos os sexos, com idade m

Reconstrução do L.C.P. do joelho: técnica de fixação no leito tibial ("INLAY". Avaliação objetiva e subjetiva de 30 casos Knee P.C.L. reconstruction: a tibial bed fixation ("INLAY" technique. Objective and subjective evaluation of a 30-cases series

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Sérgio Rocha Piedade

2006-01-01

Full Text Available A reconstrução cirúrgica do ligamento cruzado posterior (L.C.P. do joelho ainda permanece como um grande desafio terapêutico. Neste trabalho avaliamos 30 pacientes submetidos à reconstrução cirúrgica do L.C.P. com a técnica de fixação do enxerto tendíneo no leito tibial por abordagem direta ("INLAY". 28 pacientes eram do sexo masculino e 2 do feminino, com idade média de 31,10 anos. O tempo médio de lesão foi de 34,24 meses Em 67% dos casos a lesão foi secundária a acidente motociclístico. As lesões condrais e do ligamento cruzado anterior (L.C.A. do joelho estavam presentes em 67% e 33% dos casos, respectivamente. Os pacientes foram avaliados objetivamente (teste de gaveta posterior e subjetivamente (Escala de Lysholm. O seguimento pós-operatório médio foi de 21,7 meses. Cerca de 66% dos casos foram classificados como bom e excelente na avaliação subjetiva e objetiva. A análise estatística apresentou comportamento semelhante para as duas avaliações.Os resultados clínicos pós-operatórios obtidos neste trabalho têm nos encorajado a seguir com esta técnica cirúrgica.Surgical reconstruction of the knee posterior cruciate ligament (P.C.L. still remains as a major therapeutic challenge. In this paper, we assessed 30 patients submitted to surgical reconstruction of the P.C.L. with a technique of tendinous graft fixation on tibial bed by direct approach ("INLAY". Twentyeight male patients and 2 female patients, with mean age of 31.10 years, participated on the study. The average injury time was 34.24 months. In 67% of the cases, injury was secondary to motorcycle accidents. Chondral injuries and knee anterior cruciate ligament (ACL injuries were present in 67% and 33% of the cases, respectively. Patients were assessed objectively (posterior drawer test and subjectively (Lysholm's Scale. Mean post-operative follow-up time was 21.7 months. About 66% of the cases were rated as good and excellent at the subjective and

Evidence-based concepts and procedures for bonded inlays and onlays. Part II. Guidelines for cavity preparation and restoration fabrication.

Science.gov (United States)

Rocca, Giovanni Tommaso; Rizcalla, Nicolas; Krejci, Ivo; Dietschi, Didier

2015-01-01

The second part of this article series presents an evidence-based update of clinical protocols and procedures for cavity preparation and restoration selection for bonded inlays and onlays. More than ever, tissue conservation dictates preparation concepts, even though some minimal dimensions still have to be considered for all restorative materials. In cases of severe bruxism or tooth fragilization, CAD/CAM composite resins or pressed CAD/CAM lithium disilicate glass ceramics are often recommended, although this choice relies mainly on scarce in vitro research as there is still a lack of medium- to long-term clinical evidence. The decision about whether or not to cover a cusp can only be made after a multifactorial analysis, which includes cavity dimensions and the resulting tooth biomechanical status, as well as occlusal and esthetic factors. The clinical impact of the modern treatment concepts that were outlined in the previous article - Dual Bonding (DB)/Immediate Dentin Sealing (IDS), Cavity Design Optimization (CDO), and Cervical Margins Relocation (CMR) - are described in detail in this article and discussed in light of existing clinical and scientific evidence for simpler, more predictable, and more durable results. Despite the wide choice of restorative materials (composite resin or ceramic) and techniques (classical or CAD/CAM), the cavity for an indirect restoration should meet five objective criteria before the impression.

A pre-anodized inlaying ultrathin carbon paste electrode for simultaneous determination of uric acid and folic acid

International Nuclear Information System (INIS)

Huo, Jing’e; Shangguan, Enbo; Li, Quanmin

2013-01-01

Graphical abstract: In 0.10 mol/L PBS (pH 6.00), oxidation reaction occurred at the PAIUCPE owing to uric acid (UA) loss electrons, while oxygen dissolved in the feed was reduced at the platinum electrode. Furthermore, the effect of electrode reaction at the platinum electrode on that of working electrode is detailedly discussed. Highlights: ► The simultaneous determination of UA and FA is achieved at the PAIUCPE. ► The effect of reaction at the Pt electrode on that of working electrode is discussed. ► The effect of pH on peak currents is detailedly explained for the first time. -- Abstract: A pre-anodized inlaying ultrathin carbon paste electrode (PAIUCPE) was prepared by electrochemical pretreatment. The scanning electron microscope (SEM) was applied to characterize the surface morphology of PAIUCPE and the performance of the electrode was characterized by cyclic voltammetry (CV). The results indicated that PAIUCPE displayed excellent electrocatalysis for the oxidation of uric acid (UA) and folic acid (FA). The separated extent between the two oxidation peaks of UA and FA was 324 mV, which was enough for the simultaneous detection. In 0.10 mol/L PBS (pH 6.00), the linear scan voltammetry (LSV) response of UA and FA increased linearly with the concentration in the range of 4.0 × 10 −6 –3.5 × 10 −4 mol/L and 3.0 × 10 −6 –2.0 × 10 −4 mol/L with the detection limits of 1.1 × 10 −7 mol/L and 1.5 × 10 −7 mol/L, respectively. It was successfully used to determine UA and FA in human urine simultaneously

Influence of different cusp coverage methods for the extension of ceramic inlays on marginal integrity and enamel crack formation in vitro.

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Krifka, Stephanie; Stangl, Martin; Wiesbauer, Sarah; Hiller, Karl-Anton; Schmalz, Gottfried; Federlin, Marianne

2009-09-01

No information is available to date about cusp design of thin (1.0 mm) non-functional cusps and its influence upon (1) marginal integrity of ceramic inlays (CI) and partial ceramic crowns (PCC) and (2) crack formation of dental tissues. The aim of this in vitro study was to investigate the effect of cusp coverage of thin non-functional cusps on marginal integrity and enamel crack formation. CI and PCC preparations were performed on extracted human molars. Non-functional cusps were adjusted to 1.0-mm wall thickness and 1.0-mm wall thickness with horizontal reduction of about 2.0 mm. Ceramic restorations (Vita Mark II, Cerec3 System) were adhesively luted with Excite/Variolink II. The specimens were exposed to thermocycling and central mechanical loading. Marginal integrity was assessed by evaluating dye penetration after thermal cycling and mechanical loading. Enamel cracks were documented under a reflective-light microscope. The data were statistically analysed with the Mann-Whitney U test, the Fishers exact test (alpha = 0.05) and the error rates method. PCC with horizontal reduction of non-functional cusps showed statistically significant less microleakage than PCC without such a cusp coverage. Preparation designs with horizontal reduction of non-functional cusps showed a tendency to less enamel crack formation than preparation designs without cusp coverage. Thin non-functional cusp walls of adhesively bonded restorations should be completely covered or reduced to avoid enamel cracks and marginal deficiency.

IPS-Empress II inlay-retained fixed partial denture reinforced with zirconia bar: three-dimensional finite element and in-vitro studies.

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Kermanshah, Hamid; Geramy, Allahyar; Ebrahimi, Shahram Farzin; Bitaraf, Tahereh

2012-12-01

This study evaluated von Mises stress distribution, flexural strength and interface micrographs of IPS-Empress II (IPS) inlay-retained fixed partial dentures (IRFPD) reinforced with Zirconia bars (Zb). In the Finite element analysis, six three-dimensional models of IRFPD were designed using Solid Works 2006. Five models were reinforced with different Zb and a model without Zb was considered as a control. The bridges were loaded by 200 and 500 N forces at the middle of the pontic on the occlusal surface. Subsequently, von Mises stress and displacement of the models were evaluated along a defined path. In the experimental part, 21 bar shape specimens were fabricated from lithium disilicate and zirconia ceramic in three different designs. The zirconia-IPS interfaces and the fractured surfaces of flexural test were observed using SEM. In the connector area, von Mises stress and displacement of the models with Zb under a load of 500 N were decreased compared to the model without the Zb; however, this difference was not considerable at a load of 200 N. In the mesial connector, Von Mises stress and displacement was decreased from 12.5 Mpa for the control model tested at 500 N to 7.0 Mpa for the model with Zb and from 0.0050-0.0041 mm, respectively. SEM analyses showed that, before fracture, interfacial gaps were not observed along the interfaces, but initiated cracks propagated along the interfaces after flexural loading. IPS IRFPD reinforced by Zb can tolerate higher stresses while still functioning effectively and the interfaces may have desirable adaption.

Detection of Schistosoma Antibodies and exploration of associated factors among local residents around Inlay Lake, Southern Shan State, Myanmar.

Science.gov (United States)

Soe, Htin Zaw; Oo, Cho Cho; Myat, Tin Ohn; Maung, Nay Soe

2017-03-01

Schistosomiasis is a chronic parasitic disease caused by blood flukes (trematode worms) of the genus Schistosoma. Its transmission has been reported in 78 countries affecting at least 258 million people world-wide. It was documented that S. japonicum species was prevalent in Shan State, Myanmar, but the serological study was not conducted yet. General objective of the present study was to detect schistosoma antibodies and explore associated factors among local residents living around Inlay Lake, Nyaung Shwe Township, and Southern Shan State, Myanmar. An exploratory and cross-sectional analytic study was conducted among local residents (n = 315) in selected rural health center (RHC) areas from December 2012 through June 2013. The participants were interviewed with pretested semi-structured questionnaires and their blood samples (serum) were tested using Schistosomiasis Serology Microwell ELISA test kits (sensitivity 100% and specificity 85%) which detected IgG antibodies but could not distinguish between a new and past infection. Data collected were analysed by SPSS software 16.0 and associations of variables were determined by Chi-squared test with a significant level set at 0.05. Schistosoma seroprevalence (IgG) in study area was found to be 23.8% (95% CI: 18.8-28.8%). The present study is the first and foremost study producing serological evidence of schistosoma infection-one of the neglected tropical diseases-in local people of Myanmar. The factors significantly associated with seropositivity were being male [OR = 2.6 (95% CI: 1.5-4.49), P Myanmar, and this should be further confirmed parasitologically and kept under surveillance. Proper trainings on diagnosis, treatment, prevention and control of schistosomiasis should be provided to the healthcare providers. ISRCTN ISRCTN73824458 . Registered 28 September 2014, retrospectively registered.

75 FR 27991 - Notice of Petitions by Firms for Determination of Eligibility To Apply for Trade Adjustment...

Science.gov (United States)

2010-05-19

..., varnish, glue, inlay, sawing, planing, sanding equipment. Process: Plane and sand wood, cut wood pieces, do inlay, glue, sand, stain, varnish, add hardware, inspect, ship. Sioux Corporation One Sioux Plaza.... Quality Rolling & Deburring Inc....... 135 South Main Street, 5/5/2010 Quality Rolling & Deburring...

Radiologic study of peridontal and periapical changes for the restorated teeth

International Nuclear Information System (INIS)

Ahn, Hyung Kyu

1978-01-01

The purpose of this study is to investigate the effect of dental restorations on the periodontal and periapical tissues. The author examined 620 cases of amalgam, 390 cases of fold inlay, 442 cases of crown and 644 cases of bridge through the standard intraoral films being appended in the charts that gad been kept at the Dept. of Oral Diagnosis in Seoul National University Hospital. This study obtained the following results; 1. The restorations of amalgam, gold inlay crown and bridge were found more frequently in female than in male. 2. The restorations of amalgam, gold inlay and crown were found more numerously in mandibular teeth than in maxillary teeth in both sexes. But in the case of crown, the fact is quite the reverse especially in anterior teeth. 3. On the contrary, tn the case of bridge, the restorations of bridge were much more distributed in the maxillary teeth than in the mandibular teeth. 4. Roentgenographic changes of periodontal tissues whose teeth were treated with any type of four restorations were periodontal space widening, lamina dura discontinuity and periapical lesion in the order described in both sexes. 5. On the occasion of between amalgam and gold inlay or between crown and bridge, the differences of periodontal changes were of no consequence. On the other hand, the differences of periodontal changes were apparent between the group of amalgam and gold inlay and the group of crown and bridge.

[Patellofemoral arthroplasty].

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Cotic, M; Forkel, P; Imhoff, A B

2017-02-01

Isolated resurfacing of the trochlea using an inlay prosthesis without changing the complex kinematics of the patellofemoral joint. Symptomatic, isolated patellofemoral osteoarthritis or isolated osteochondral lesions, failed conservative and cartilage regeneration procedures. No or concurrently corrected ligament instability, tibiofemoral and patellofemoral malalignment. Symptomatic patellofemoral osteoarthritis, inflammatory joint disease, chondrocalcinosis, chronic pain syndromes, active infections or knee ankylosis. Following a medial arthrotomy, coronal and sagittal curvatures of the trochlea are measured. Based on these measurements, corresponding surface reamers create an implant bed by removing damaged cartilage of the trochlea. A central fixation screw is placed to the desired depth and the inlay prosthesis is tapped carefully onto it. Final placement of the prosthesis is targeted slightly recessed to the surrounding joint surface. Free passive range of motion exercises of the knee joint are recommended starting on postoperative day 1. Depending on symptoms (e.g., pain and joint effusion), partial weight-bearing of 20 kg is allowed during postoperative weeks 1 and 2, which is increased by 20 kg/week thereafter. In a prospective study of 29 patients (mean age: 42 years) treated with inlay arthroplasty, 2‑year follow-up results showed significant improvements (p patellofemoral overstuffing using a more physiological placement of the inlay prosthesis.

Gemstones

OpenAIRE

Harrell, James

2012-01-01

The gemstones of ancient Egypt, broadly defined, include all rocks, minerals, and biogenic materials used for jewelry (beads, pendants, ring stones, and cloisonné inlays), amulets, seals, and other small decorative items (figurines, cosmetic vessels, and inlays in furniture and sculpture). At least 38 gemstone varieties were used by the Egyptians, but ancient mines in Egypt are known for only nine of these. Some of the gemstones were imported from sources in Asia while others certainly came f...

Designs of Langmuir probes for W7-X

International Nuclear Information System (INIS)

Laube, Ralph; Laux, Michael; Ye, Min You; Greuner, Henri; Lindig, Stefan

2011-01-01

Several designs of Langmuir probes for the stellarator Wendelstein 7-X (W7-X) are described. Different types of probes are proposed for the different divertors to be used during different operational phases of W7-X. Comb-like arrays of stiff probes, arrays of flexible probes, and fixed inlay probes are reviewed. For the initial phase of W7-X it was decided to install arrays of fixed inlay probes. Two mockups were manufactured and one of them was tested with success in the high heat flux test facility GLADIS. For long-pulse operation of W7-X different conceptual designs are proposed and are still developed further. This paper summarizes the different design constrains for the Langmuir probes in the different divertor surroundings, describes the design of the array of inlay probes for the initial phase and the result of the GLADIS test, and gives a preview of the conceptual designs of probes for the long-pulse operational phase of W7-X.

Ceramic inlays and partial ceramic crowns: influence of remaining cusp wall thickness on the marginal integrity and enamel crack formation in vitro.

Science.gov (United States)

Krifka, Stephanie; Anthofer, Thomas; Fritzsch, Marcus; Hiller, Karl-Anton; Schmalz, Gottfried; Federlin, Marianne

2009-01-01

No information is currently available about what the critical cavity wall thickness is and its influence upon 1) the marginal integrity of ceramic inlays (CI) and partial ceramic crowns (PCC) and 2) the crack formation of dental tissues. This in vitro study of CI and PCC tested the effects of different remaining cusp wall thicknesses on marginal integrity and enamel crack formation. CI (n = 25) and PCC (n = 26) preparations were performed in extracted human molars. Functional cusps of CI and PCC were adjusted to a 2.5 mm thickness; for PCC, the functional cusps were reduced to a thickness of 2.0 mm. Non-functional cusps were adjusted to wall thicknesses of 1) 1.0 mm and 2) 2.0 mm. Ceramic restorations (Vita Mark II, Cerec3 System) were fabricated and adhesively luted to the cavities with Excite/Variolink II. The specimens were exposed to thermocycling and central mechanical loading (TCML: 5000 x 5 degrees C-55 degrees C; 30 seconds/cycle; 500000 x 72.5N, 1.6Hz). Marginal integrity was assessed by evaluating a) dye penetration (fuchsin) on multiple sections after TCML and by using b) quantitative margin analysis in the scanning electron microscope (SEM) before and after TCML. Ceramic- and tooth-luting agent interfaces (LA) were evaluated separately. Enamel cracks were documented under a reflective light microscope. The data were statistically analyzed with the Mann Whitney U-test (alpha = 0.05) and the Error Rates Method (ERM). Crack formation was analyzed with the Chi-Square-test (alpha = 0.05) and ERM. In general, the remaining cusp wall thickness, interface, cavity design and TCML had no statistically significant influence on marginal integrity for both CI and PCC (ERM). Single pairwise comparisons showed that the CI and PCC of Group 2 had a tendency towards less microleakage along the dentin/LA interface than Group 1. Cavity design and location had no statistically significant influence on crack formation, but the specimens with 1.0 mm of remaining wall

One-stage dorsal lingual mucosal graft urethroplasty for the treatment of failed hypospadias repair

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Hong-Bin Li

2016-01-01

Full Text Available The aim of this study was to retrospectively investigate the outcomes of patients who underwent one-stage onlay or inlay urethroplasty using a lingual mucosal graft (LMG after failed hypospadias repairs. Inclusion criteria included a history of failed hypospadias repair, insufficiency of the local skin that made a reoperation with skin flaps difficult, and necessity of an oral mucosal graft urethroplasty. Patients were excluded if they had undergone a failed hypospadias repair using the foreskin or a multistage repair urethroplasty. Between January 2008 and December 2012, 110 patients with failed hypospadias repairs were treated in our center. Of these patients, 56 underwent a one-stage onlay or inlay urethroplasty using LMG. The median age was 21.8 years (range: 4-45 years. Of the 56 patients, one-stage onlay LMG urethroplasty was performed in 42 patients (group 1, and a modified Snodgrass technique using one-stage inlay LMG urethroplasty was performed in 14 (group 2. The median LMG urethroplasty length was 5.6 ± 1.6 cm (range: 4-13 cm. The mean follow-up was 34.7 months (range: 10-58 months, and complications developed in 12 of 56 patients (21.4%, including urethrocutaneous fistulas in 7 (6 in group 1, 1 in group 2 and neourethral strictures in 5 (4 in group 1, 1 in group 2. The total success rate was 78.6%. Our survey suggests that one-stage onlay or inlay urethroplasty with LMG may be an effective option to treat the patients with less available skin after failed hypospadias repairs; LMG harvesting is easy and safe, irrespective of the patient′s age.

Durability of cermet ionomer cement conditioned in different media.

Science.gov (United States)

el-Din, I M

1992-01-01

The glass ionomer cement has exhibited significant adhesion to hard tooth structures, and good cariostatic properties. The sintering of the silver alloy powder and glass ionomer cement "cermet cement" has provided additional improvement in the physical properties of the restorative material. These were flexural resistance, wear resistance, increased radio-opacity, hardness and porosity. The improvement in the physical properties of the cermet glass cements has provided an extension in their clinical use as core build up, lining for inlays, amalgam and composite restoratives, fissure filling, restoration of primary teeth, class II tunnel preparation, treatment of root caries and repair of defective metal margins in crown and inlays.

Effects of layering technique on the shade of resin overlays and the microhardness of dual cure resin cement

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Hoon-Sang Chang

2014-06-01

Full Text Available The purpose of this study was to assess the color of layered resin overlays and to test the early microhardness of dual cure resin cement (DCRC light cured through the layered resin overlays. Resin overlays of 1.5 mm thickness were fabricated with the A3 shade of Z350 (Group 1L, the A3B and A3E shades of Supreme XT (Group 2L, and the A3, E3, and T1 shades of Sinfony (Group 3L using one, two, and three layers, respectively (n = 7. Each layer of the resin overlays was set in equal thickness. The color of the resin overlays was measured with a colorimeter and compared with an A3 shade resin denture tooth. DCRC was light cured through the resin overlays, and the early microhardness of the DCRC was measured. The ΔE value between the denture tooth and the resin overlays and the Vickers hardness number (VHN of the DCRC were analyzed with one-way ANOVA and Tukey’s HSD test. The color differences were 8.9 ± 0.5, 5.3 ± 1.0, and 7.3 ± 0.5 and the VHNs were 19.4 ± 1.1, 21.1 ± 0.9, and 29.3 ± 0.6 for Groups 1L, 2L, and 3L, respectively. Therefore, to match the designated tooth color of resin inlays and to increase the early microhardness of DCRC, layered resin inlays are more appropriate than single-dentin-layer resin inlays. However, the translucent layer should be used cautiously because the color difference of resin inlays with a translucent layer was affected more than those without a translucent layer.

Textile sensors for stab and cut detection

Science.gov (United States)

Graßmann, C.; Obermann, M.; Lempa, E.; Bache, T.; Siegel, P. K.; Freyer, T.; Paschko, S.; Beyer, T.; Kirsche, M.; Schwarz-Pfeiffer, A.

2017-10-01

Manufacturers are aiming for more flexible and lightweight protective clothing to increase wearing comfort. A cardigan with a knitted stab-resistant inlay and an alarm system is presented. The stab-resistant inlay is based on a multilayer ultra-high molecular weight poly ethylene (UHMW-PE) fabric. Stab resistance was evaluated according to the standard of the Association of Test Laboratories for Bullet, Stab or Pike Resistant Materials and Construction Standard (VPAM 2011). Furthermore sensors for the detection of cuts and pressure were integrated. Both sensors can trigger alarms if the wearer is attacked. Normal pressure occurring through leaning on a wall or sitting is filtered out and does not trigger an alarm.

Do the monomers release from the composite resins after artificial aging?

Science.gov (United States)

Tokay, Ugur; Koyuturk, Alp Erdin; Aksoy, Abdurrahman; Ozmen, Bilal

2015-04-01

The aim of this study is to measure the effect of thermal cycling on the amount of monomer released from three different composite materials by HPLC analysis method. Three different composite materials, inlay composite, posterior composite and micro-hybrid composite were used. Sixty cylinder specimens each with a dimension of approximately 1 cm width and 3 mm depth, were prepared before experiments were carried out. Inlay composite material was polymerized according to manufacturers' instructions. Thermal cycling device was used to simulate thermal differences which occur in the mouth media. Monomers were analyzed using HPLC technic after thermal cycling process. The amount of ethoxylated Bis-GMA and urethane dimethacrylate (UDMA) in inlay composite material, the amount of ethoxylated Bis-GMA in posterior composite material, the amount of ethoxylated Bis-GMA and triethyleneglycol dimethacrylate (TEGDMA) in micro-hybrid composite material were investigated. Monomer release of thermal cycles levels showed a linear increase in UDMA and TEGDMA (P < 0.05). In terms of thermal cycles levels, Bis-EMA released from posterior composite showed a cubic change (P < 0.001). It was observed that use of additional polymerization processes might have positive effect on the decrease of residual monomer. In the light of the results, we suggest that indirect composite resins have more outstanding features than direct composite resins in terms of biocompatibility. © 2015 Wiley Periodicals, Inc.

Investigation on thixojoining to produce hybrid components with intermetallic phase

Science.gov (United States)

Seyboldt, Christoph; Liewald, Mathias

2018-05-01

Current research activities at the Institute for Metal Forming Technology of the University of Stuttgart are focusing on the manufacturing of hybrid components using semi-solid forming strategies. One process investigated is the joining of different materials in the semi-solid state and is so called "thixojoining". In this process, metallic inlays are inserted into the semi-solid forming die before the actual forming process and are then joined with a material which was heated up to its semi-solid state. Earlier investigations have shown that using this process a very well-shaped form closure can be produced. Furthermore, it was found that sometimes intermetallic phases are built between the different materials, which decisively influence the part properties of such hybrid components for its future application. Within the framework presented in this paper, inlays made of aluminum, brass and steel were joined with aluminum in the semi-solid state. The aim of the investigations was to create an intermetallic bond between the different materials. For this investigations the liquid phase fraction of the aluminum and the temperature of the inlay were varied in order to determine the influence on the formation of the intermetallic phase. Forming trials were performed using a semi-solid forming die with a disk shaped design. Furthermore, the intermetallic phase built was investigated using microsections.

Influence of occlusal contact area on cusp defection and stress distribution.

Science.gov (United States)

Costa, Anna Karina Figueiredo; Xavier, Thaty Aparecida; Paes-Junior, Tarcisio José Arruda; Andreatta-Filho, Oswaldo Daniel; Borges, Alexandre Luiz Souto

2014-11-01

The purpose of this study was to evaluate the effect of occlusal contact area for loading on the cuspal defection and stress distribution in a first premolar restored with a high elastic modulus restorative material. The Rhinoceros 4.0 software was used for modeling the three-dimensional geometries of dental and periodontal structures and the inlay restoration. Thus, two different models, intact and restored teeth with three occlusal contact areas, 0.1, 0.5 and 0.75 mm(2), on enamel at the occlusal surface of buccal and lingual cusps. Finite element analysis (FEA) was performed with the program ANSYS (Workbench 13.0), which generated a mesh with tetrahedral elements with greater refinement in the regions of interest, and was constrained at the bases of cortical and trabecular bone in all axis and loaded with 100 N normal to each contact area. To analysis of maximum principal stress, the smaller occlusal contact area showed greater compressive stress in region of load application for both the intact and inlay restored tooth. However, tensile stresses at the occlusal isthmus were similar for all three tested occlusal contact areas (60 MPa). To displacement of the cusps was higher for teeth with inlay (0.46-0.48 mm). For intact teeth, the smaller contact area showed greater displacement (0.10 mm). For teeth with inlays, the displacement of the cusps were similar in all types of occlusal area. Cuspal displacement was higher in the restored tooth when compared to the intact tooth, but there were no significant variations even with changes in the occlusal contact area. RELEVANCE CLINICAL: Occlusal contacts have a great influence on the positioning of teeth being able to maintain the position and stability of the mandible. Axial loads would be able to generate more uniform stress at the root presenting a greater concentration of load application in the point and the occlusal surface. Thus, is necessary to analyze the relationship between these occlusal contacts as dental

Comparative X-ray studies on the behaviour of amalgam and gold fillings at the margins in the approximal space as a function of time of residence

International Nuclear Information System (INIS)

Hansen, R.

1982-01-01

Within the framework of this thesis, X-ray pictures have been made of 430 gold or amalgam fillings in order to measure the gap between approximal cavity margin and filling margin. With amalgam fillings, the gap width measured after a residence time of half a year was 9.3 μm and widened to 136.9 μm after 8 years, which represents an increase to the 14-fold. The gap widths measured with gold inlays only doubled within this period, increasing from 38.8 μm after half a year to 77.4 μm after 8 years. The number of retention spots found in the approximal-cervical space with amalgam fillings was at least twice that found for gold fillings. From this it is concluded that gold inlays are by far the better solution for dental restorations. (orig./MG) [de

Effect of Imaging Powders on the Bond Strength of Resin Cement

Science.gov (United States)

2016-09-19

cast gold inlays and onlays. The principle reasons for failure were secondary caries, fracture, marginal deficiencies, wear, and post-operative...comprised of glass, silica, calcium hydroxide , pyrimidine, peroxy compound and initiator; and a liquid comprised of methacrylated phosphoric ester

Esthetic Rehabilitation of Anterior Teeth with Porcelain Laminates and Sectional Veneers

NARCIS (Netherlands)

Gresnigt, Marco; Ozcan, Mutlu

2011-01-01

Full-coverage bonded porcelain restorations offer predictable treatment options in dentistry, but a certain amount of tooth material must be removed to allow space for the required thickness of the restorative material. Laminate veneers and inlays are considered minimally invasive, but they also

Marginal and internal fit of nano-composite CAD/CAM restorations

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So-Hyun Park

2016-02-01

Full Text Available Objectives The purpose of this study was to compare the marginal and internal fit of nano-composite CAD-CAM restorations. Materials and Methods A full veneer crown and an mesio-occluso-distal (MOD inlay cavity, which were prepared on extracted human molars, were used as templates of epoxy resin replicas. The prepared teeth were scanned and CAD-CAM restorations were milled using Lava Ultimate (LU and experimental nano-composite CAD/CAM blocks (EB under the same milling parameters. To assess the marginal and internal fit, the restorations were cemented to replicas and were embedded in an acrylic mold for sectioning at 0.5 mm intervals. The measured gap data were pooled according to the block types and measuring points for statistical analysis. Results Both the block type and measuring point significantly affected gap values, and their interaction was significant (p = 0.000. In crowns and inlays made from the two blocks, gap values were significantly larger in the occlusal area than in the axial area, while gap values in the marginal area were smallest (p < 0.001. Among the blocks, the restorations milled from EB had a significantly larger gap at all measuring points than those milled from LU (p = 0.000. Conclusions The marginal and internal gaps of the two nano-composite CAD/CAM blocks differed according to the measuring points. Among the internal area of the two nano-composite CAD/CAM restorations, occlusal gap data were significantly larger than axial gap data. The EB crowns and inlays had significantly larger gaps than LU restorations.

[Ceramic posts].

Science.gov (United States)

Mainjot, Amélie; Legros, Caroline; Vanheusden, Alain

2006-01-01

As a result of ceramics and all-ceram technologies development esthetic inlay core and abutments flooded the market. Their tooth-colored appearance enhances restoration biomimetism principally on the marginal gingiva area. This article reviews indications and types of cores designed for natural teeth and implants.

SYMBOLISM IN THE SAMARIA IVORIES AND ARCHITECTURE

African Journals Online (AJOL)

Solomon “made a great throne of ivory, and overlaid it with the best gold” (1 Kings. 10:18). “And when the queen of ... pears that the possession of ivory inlay work, combined with gold, conveyed notions of wealth, luxury and ..... (latter-rain.

Physiological joint line total knee arthroplasty designs are especially sensitive to rotational placement - A finite element analysis.

Science.gov (United States)

Moewis, Philippe; Checa, Sara; Kutzner, Ines; Hommel, Hagen; Duda, Georg N

2018-01-01

Mechanical and kinematical aligning techniques are the usual positioning methods during total knee arthroplasty. However, alteration of the physiological joint line and unbalanced medio-lateral load distribution are considered disadvantages in the mechanical and kinematical techniques, respectively. The aim of this study was to analyse the influence of the joint line on the strain and stress distributions in an implanted knee and their sensitivity to rotational mal-alignment. Finite element calculations were conducted to analyse the stresses in the PE-Inlay and the mechanical strains at the bone side of the tibia component-tibia bone interface during normal positioning of the components and internal and external mal-rotation of the tibial component. Two designs were included, a horizontal and a physiological implant. The loading conditions are based on internal knee joint loads during walking. A medialization of the stresses on the PE-Inlay was observed in the physiological implant in a normal position, accompanied by higher stresses in the mal-rotated positions. Within the tibia component-tibia bone interface, similar strain distributions were observed in both implant geometries in the normal position. However, a medialization of the strains was observed in the physiological implant in both mal-rotated conditions with greater bone volume affected by higher strains. Although evident changes due to mal-rotation were observed, the stresses do not suggest a local plastic deformation of the PE-Inlay. The strains values within most of the tibia component-tibia bone interface were in the physiological strain zone and no significant bone changes would be expected. The physiological cut on the articular aspect showed no detrimental effect compared to the horizontal implant.

March 2010 Final for Publicat...

African Journals Online (AJOL)

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14. Letko E, Stechschulte SU, Kenyon KR,. Sadeq N, Romero T, Samson M, et al. 15. Hanada K, Shimazaki J, Shimmura S,. Tsubota K. Amniotic membrane inlays and overlay grafting for corneal epithelial defects and stromal ulcers. Arch Ophthalmol. 2001; 131: 324-331. Multi layered amniotic membrane transplantation for ...

Fiber-reinforced Composite Resin Prosthesis to Restore Missing ...

African Journals Online (AJOL)

A fiber-reinforced composite inlay-onlay FPD was used for a single posterior tooth replacement in a patient refusing implant for psychological reasons. The FRC-FPD was made of pre-impregnated E-glass fibers (everStick, StickTeck, Turku, Finland) embedded in a resin matrix (Stick Resin, StickTeck, Turku, Finland).

Effect of Resin Coating and Chlorhexidine on Microleakage of Two Resin Cements after Storage

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F. Shafie

2010-03-01

Full Text Available Objective: Evaluating the effect of resin coating and chlorhexidine on microleakage of two resin cements after water storage.Materials and Methods: Standardized class V cavities were prepared on facial and lingual surfaces of one hundred twenty intact human molars with gingival margins placed 1mm below the cemento-enamel junction. Indirect composite inlays were fabricated and thespecimens were randomly assigned into 6 groups. In Groups 1 to 4, inlays were cemented with Panavia F2.0 cement. G1: according to the manufacturer’s instruction. G2: with light cured resin on the ED primer. G3: chlorhexidine application before priming. G4: withchlorhexidine application before priming and light cured resin on primer. G5: inlays were cemented with Nexus 2 resin cement. G6: chlorhexidine application after etching. Each group was divided into two subgroups based on the 24-hour and 6-month water storagetime. After preparation for microleakage test, the teeth were sectioned and evaluated at both margins under a 20×stereomicroscope. Dye penetration was scored using 0-3 criteria.The data was analyzed using Kruskal-Wallis and complementary Dunn tests.Results: There was significantly less leakage in G2 and G4 than the Panavia F2.0 control group at gingival margins after 6 months (P<0.05. There was no significant differences in leakage between G1 and G3 at both margins after 24 hours and 6 months storage. After 6months, G6 revealed significantly less leakage than G5 at gingival margins (P=0.033. In general, gingival margins showed more leakage than occlusal margins.Conclusion: Additionally, resin coating in self-etch (Panavia F2.0 and chlorhexidine application in etch-rinse (Nexus resin cement reduced microleakage at gingival margins after storage.

Effect of resin coating and occlusal loading on microleakage of Class II computer-aided design/computer-aided manufacturing fabricated ceramic restorations: a confocal microscopic study.

Science.gov (United States)

Kitayama, Shuzo; Nasser, Nasser A; Pilecki, Peter; Wilson, Ron F; Nikaido, Toru; Tagami, Junji; Watson, Timothy F; Foxton, Richard M

2011-05-01

To evaluate the effect of resin coating and occlusal loading on microleakage of class II computer-aided design/computer-aided manufacturing (CAD/CAM) ceramic restorations. Molars were prepared for an mesio-occlusal-distal (MOD) inlay and were divided into two groups: non-coated (controls); and resin-coated, in which the cavity was coated with a combination of a dentin bonding system (Clearfil Protect Bond) and a flowable resin composite (Clearfil Majesty Flow). Ceramic inlays were fabricated using the CAD/CAM technique (CEREC 3) and cemented with resin cement (Clearfil Esthetic Cement). After 24 h of water storage, the restored teeth in each group were divided into two subgroups: unloaded or loaded with an axial force of 80 N at a rate of 2.5 cycles/s for 250,000 cycles while stored in water. After immersion in 0.25% Rhodamine B solution, the teeth were sectioned bucco-lingually at the mesial and distal boxes. Tandem scanning confocal microscopy (TSM) was used for evaluation of microleakage. The locations of the measurements were assigned to the cavity walls and floor. Loading did not have a significant effect on microleakage in either the resin-coated or non-coated group. Resin coating significantly reduced microleakage regardless of loading. The cavity floor exhibited greater microleakage compared to the cavity wall. TSM observation also revealed that microleakage at the enamel surface was minimal regardless of resin coating. In contrast, non-coated dentin showed extensive leakage, whereas resin-coated dentin showed decreased leakage. Resin coating with a combination of a dentin-bonding system and a flowable resin composite may be indicated prior to impression-taking when restoring teeth with CAD/CAM ceramic inlays in order to reduce microleakage at the tooth-resin interface.

Patellofemoral arthritis treated with resurfacing implant: Clinical outcome and complications at a minimum two-year follow-up.

Science.gov (United States)

Zicaro, Juan Pablo; Yacuzzi, Carlos; Astoul Bonorino, Juan; Carbo, Lisandro; Costa-Paz, Matias

2017-12-01

This study evaluated the clinical and radiographic outcomes of a series of patients treated with an anatomic inlay resurfacing implant, with a minimum two-year follow-up. Fifteen patients underwent patellofemoral-resurfacing procedures using a HemiCAP Wave Patellofemoral Inlay Resurfacing implant from 2010 to 2013. Clinical outcomes included: Visual Analog Scale (VAS), Lysholm score, Knee Society Score (KSS), and evaluation of Kujala, and Hospital for Special Surgery Patellofemoral score (HSS-PF). The postoperative complications were analyzed. Nineteen knees were evaluated; the average follow-up was 35.2months. Fourteen were women, with an average age of 54years. The pre-operative/postoperative clinical results presented a significant improvement: VAS 8/2.5, Lysholm 31.9/85.8, KSS 39.8/82.5, Kujala 32.1/79.3 and Hospital for Special Surgery Patellofemoral score (HSS-PF) 15.9/90.6. A total of 87% of patients were either satisfied or very satisfied with the overall outcome. There were no radiographic signs of loosening. Seven postoperative complications were recorded: two presented ongoing knee pain, one postoperative stiffness, one patellar bounce due to maltracking, two ilio-tibial band syndrome, and one tibial anterior tuberosity osteotomy nonunion. Two patients underwent a total knee arthroplasty conversion and were considered a failure. None of these complications were implant related. Patellofemoral inlay resurfacing for isolated patellofemoral arthritis was an effective and safe procedure with high levels of patient satisfaction. No mechanical implant failure was seen at a minimum two-year follow-up. This implant design appeared to be an alternative to the traditional patellofemoral prostheses. Concomitant osteochondral lesions, patellofemoral dysplasia or patellar maltracking might be poor prognostic factors for this type of implant. Copyright © 2017 Elsevier B.V. All rights reserved.

[Posterior ceramic bonded partial restorations].

Science.gov (United States)

Mainjot, Amélie; Vanheusden, Alain

2006-01-01

Posterior ceramic bonded partial restorations are conservative and esthetic approaches for compromised teeth. Overlays constitute a less invasive alternative for tooth tissues than crown preparations. With inlays and onlays they are also indicated in case of full arch or quadrant rehabilitations including several teeth. This article screens indications and realization of this type of restorations.

Restoration of the endodontically treated posterior tooth

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Andrea Polesel

2014-06-01

Results and conclusions: Direct adhesive restorations, indirect bonded restorations and traditional full crown are three therapeutic options for the single posterior endodontically treated teeth. The amount of remaining sound tooth structure is the most significant factor influencing the therapeutic approach. The clinician's operative skill is a determining aspect for long-term success of adhesive inlays.

Resorbable and running suture for stable fixation of amniotic membrane multilayers: A useful modification in deep or perforating sterile corneal ulcers

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Constantin E. Uhlig

2018-06-01

Full Text Available Purpose: To present a modified technique for secure tightening and fixing of multilayer amniotic membranes in deep or perforating corneal ulcers. Observations: The modified procedure for application and fixation of multilayer amniotic membranes is retrospectively described step by step, and the results of three patients treated with this technique were retrospectively analysed and presented.The modification consists basically in fixing the inlays with one mini-overlay that is sutured intracorneally with resorbable and running Vicryl 10.0, before a corneoscleral overlay is fixed on top conjunctivally with a running nylon 10.0 suture. The resorbable Vicryl suture is left in place permanently. Conclusions and Importance: The method described avoids any risk of destroying or displacing the inlays by removing sutures later. In each of the three patients demonstrated as case reports the cornea remained stable throughout the 3- to 5-month follow-up period. This modified technique represents a very useful auxiliary means of treating deep or perforating non-infectious corneal ulcers. Keywords: Amniotic membrane transplantation, Corneal ulcer, Corneal perforation, Multilayer, Keratoplasty

Longevity and clinical performance of IPS-Empress ceramic restorations--a literature review.

Science.gov (United States)

El-Mowafy, Omar; Brochu, Jean-François

2002-04-01

A literature review of longevity and clinical performance of IPS-Empress restorations is presented. A MEDLINE search was conducted in fall 2000. Selection criteria were set so as to identify suitable clinical trials that were published in full and that had lasted more than 2 years. A total of 6 clinical trials on the performance of IPS-Empress inlays and onlays and a total of 3 clinical trials on the performance of IPS-Empress crowns were identified. Survival rates for IPS-Empress inlays and onlays ranged from 96% at 4.5 years to 91% at 7 years; most failures were due to bulk fracture. IPS-Empress crowns had a survival rate ranging from 92% to 99% at 3 to 3.5 years; crown failure was also mainly due to fracture. Dentists should inform their patients about these survival rates when offering such treatment. The use of IPS-Empress crowns in the posterior of the mouth is not recommended until the results of more long-term clinical trials are available.

In vitro compressive fracture resistance of human maxillary first premolar with different mesial occlusal distal cavity

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Wen-Chou Wu

2014-09-01

Conclusion: A bonded ceramic restoration restores the fracture load of a tooth comparable to an intact tooth independent of the examined design parameters, whereas the fracture loads of composite-resin-restored teeth were dependent on cavity widths. Cavity pulpal floor depth is not a significant factor of cusp fracture resistance in a tooth restored with either a ceramic inlay or composite resin.

Reduction of metal artifacts from hip prostheses on CT images of the pelvis: value of iterative reconstructions.

Science.gov (United States)

Morsbach, Fabian; Bickelhaupt, Sebastian; Wanner, Guido A; Krauss, Andreas; Schmidt, Bernhard; Alkadhi, Hatem

2013-07-01

To assess the value of iterative frequency split-normalized (IFS) metal artifact reduction (MAR) for computed tomography (CT) of hip prostheses. This study had institutional review board and local ethics committee approval. First, a hip phantom with steel and titanium prostheses that had inlays of water, fat, and contrast media in the pelvis was used to optimize the IFS algorithm. Second, 41 consecutive patients with hip prostheses who were undergoing CT were included. Data sets were reconstructed with filtered back projection, the IFS algorithm, and a linear interpolation MAR algorithm. Two blinded, independent readers evaluated axial, coronal, and sagittal CT reformations for overall image quality, image quality of pelvic organs, and assessment of pelvic abnormalities. CT attenuation and image noise were measured. Statistical analysis included the Friedman test, Wilcoxon signed-rank test, and Levene test. Ex vivo experiments demonstrated an optimized IFS algorithm by using a threshold of 2200 HU with four iterations for both steel and titanium prostheses. Measurements of CT attenuation of the inlays were significantly (P algorithm for CT image reconstruction significantly reduces metal artifacts from hip prostheses, improves the reliability of CT number measurements, and improves the confidence for depicting pelvic abnormalities.

Remakes of Colorlogic and IPS Empress ceramic restorations in general practice.

Science.gov (United States)

Hekland, Helge; Riise, Trond; Berg, Einar

2003-01-01

The aim of this article was to study frequencies and distribution of remakes of all-ceramic inlays/onlays, veneers, and crowns occurring before and after cementation. A total of 2,069 sintered feldspathic ceramic restorations (Colorlogic) and 1,136 pressure-molded ceramic restorations (IPS Empress 1 and 2) were produced during the study period by one dental laboratory. The laboratory gave an unqualified and unlimited guarantee for their ceramic restorations. The outcome variable was reports from the clinicians to the dental laboratory about any problems related to the restoration, necessitating remake. Problems occurring before cementation occurred in 4.4% of the restorations. Veneers were remade more frequently than the other types of restorations (6.6%). After cementation, the overall 2-year rate of remakes was 1%, indicating a survival rate of the ceramic restorations of 99%, with inlays/onlays exhibiting the highest (99.8%) and crowns the lowest (98.4%) rates. This difference in rates was significant. No significant differences in remakes between ceramics or tooth categories were found. There were few problems in a short- to medium-term perspective that, in the opinion of general practitioners, necessitated remakes of all-ceramic restorations.

Pacific Northwest National Laboratory Investigation of the Stress Corrosion Cracking in Nickel-Base Alloys, Volume 2

Energy Technology Data Exchange (ETDEWEB)

Bruemmer, Stephen M.; Toloczko, Mychailo B.; Olszta, Matthew J.

2012-03-01

The objective of this program is to evaluate the primary water stress corrosion cracking (PWSCC) susceptibility of high chromium alloy 690 and its weld metals, establish quantitative measurements of crack-growth rates and determine relationships among cracking susceptibility, environmental conditions and metallurgical characteristics. Stress-corrosion, crack-growth rates have been determined for 12 alloy 690 specimens, 11 alloy 152/52/52M weld metal specimens, 4 alloy 52M/182 overlay specimens and 2 alloy 52M/82 inlay specimens in simulated PWR primary water environments. The alloy 690 test materials included three different heats of extruded control-rod-drive mechanism (CRDM) tubing with variations in the initial material condition and degree of cold work for one heat. Two cold-rolled (CR) alloy 690 plate heats were also obtained and evaluated enabling comparisons to the CR CRDM materials. Weld metal, overlay and inlay specimens were machined from industry mock ups to provide plant-representative materials for testing. Specimens have been tested for one alloy 152 weld, two alloy 52 welds and three alloy 52M welds. The overlay and inlay specimens were prepared to propagate stress-corrosion cracks from the alloy 182 or 82 material into the more resistant alloy 52M. In all cases, crack extension was monitored in situ by direct current potential drop (DCPD) with length resolution of about +1 µm making it possible to measure extremely low growth rates approaching 5x10-10 mm/s. Most SCC tests were performed at 325-360°C with hydrogen concentrations from 11-29 cc/kg; however, environmental conditions were modified during a few experiments to evaluate the influence of temperature, water chemistry or electrochemical potential on propagation rates. In addition, low-temperature (~50°C) cracking behavior was examined for selected alloy 690 and weld metal specimens. Extensive characterizations have been performed on material microstructures and stress-corrosion cracks by

Endoscopic endonasal skull base surgery: advantages, limitations, and our techniques to overcome cerebrospinal fluid leakage: technical note.

Science.gov (United States)

Ishii, Yudo; Tahara, Shigeyuki; Teramoto, Akira; Morita, Akio

2014-01-01

In recent years, resections of midline skull base tumors have been conducted using endoscopic endonasal skull base (EESB) approaches. Nevertheless, many surgeons reported that cerebrospinal fluid (CSF) leakage is still a major complication of these approaches. Here, we report the results of our 42 EESB surgeries and discuss the advantages and limits of this approach for resecting various types of tumors, and also report our technique to overcome CSF leakage. All 42 cases involved midline skull base tumors resected using the EESB technique. Dural incisions were closed using nasoseptal flaps and fascia patch inlay sutures. Total removal of the tumor was accomplished in seven pituitary adenomas (33.3%), five craniopharyngiomas (62.5%), five tuberculum sellae meningiomas (83.3%), three clival chordomas (100%), and one suprasellar ependymoma. Residual regions included the cavernous sinus, the outside of the intracranial part of the internal carotid artery, the lower lateral part of the posterior clivus, and the posterior pituitary stalk. Overall incidence of CSF leakage was 7.1%. Even though the versatility of the approach is limited, EESB surgery has many advantages compared to the transcranial approach for managing mid-line skull base lesions. To avoid CSF leakage, surgeons should have skills and techniques for complete closure, including use of the nasoseptal flap and fascia patch inlay techniques.

Automatic measurement of cusps in 2.5D dental images

Science.gov (United States)

Wolf, Mattias; Paulus, Dietrich W.; Niemann, Heinrich

1996-01-01

Automatic reconstruction of occlusal surfaces of teeth is an application which might become more and more urgent due to the toxicity of amalgam. Modern dental chairside equipment is currently restricted to the production of inlays. The automatic reconstruction of the occlusal surface is presently not possible. For manufacturing an occlusal surface it is required to extract features from which it is possible to reconstruct destroyed teeth. In this paper, we demonstrate how intact upper molars can be automatically extracted in dental range and intensity images. After normalization of the 3D location, the sizes of the cusps are detected and the distances between them are calculated. In the presented approach, the detection of the upper molar is based on a knowledge-based segmentation which includes anatomic knowledge. After the segmentation of the interesting tooth the central fossa is calculated. The normalization of the spatial location is archieved by aligning the detected fossa with a reference axis. After searching the cusp tips in the range image the image is resized. The methods have been successfully tested on 60 images. The results have been compared with the results of a dentist's evaluation on a sample of 20 images. The results will be further used for automatic production of tooth inlays.

The Use of Percutaneous Lumbar Fixation Screws for Bilateral Pedicle Fractures with an Associated Dislocation of a Lumbar Disc Prosthesis

Directory of Open Access Journals (Sweden)

William D. Harrison

2013-01-01

Full Text Available Study Design. Case report. Objective. To identify a safe technique for salvage surgery following complications of total disc replacement. Summary of Background Data. Lumbar total disc replacement (TDR is considered by some as the gold standard for discogenic back pain. Revision techniques for TDR and their complications are in their infancy. This case describes a successful method of fixation for this complex presentation. Methods and Results. A 48-year-old male with lumbar degenerative disc disease and no comorbidities. Approximately two weeks postoperatively for a TDR, the patient represented with acute severe back pain and the TDR polyethylene inlay was identified as dislocated anteriorly. Subsequent revision surgery failed immediately as the polyethylene inlay redislocated intraoperatively. Further radiology identified bilateral pedicle fractures, previously unseen on the plain films. The salvage fusion of L5/S1 reutilized the anterior approach with an interbody fusion cage and bone graft. The patient was then turned intraoperatively and redraped. The percutaneous pedicle screws were used to fix L5 to the sacral body via the paracoccygeal corridor. Conclusion. The robust locking screw in the percutaneous screw allowed a complete fixation of the pedicle fractures. At 3-year followup, the patient has an excellent result and has returned to playing golf.

Marginal Integrity of Glass Ionomer and All Ceramic Restorations

Science.gov (United States)

2015-06-01

North Carolina), scanned by the CEREC Omnicam , and milled by CEREC inLab MC XL system. 15 List of Procedures in Chronological Order 1. The...Fuji II LC, GC America, Alsip, Illinois). Forty lithium disilicate porcelain ceramic inlays will be milled from CEREC Block PC (Sirona, Charlotte...evolution of the CEREC system. Journal of the American Dental Association, 137, 7s-13s. Mount G.J. (1991). Adhesion of glass-ionomer cement in the clinical

Provisional Restorations – A Permanent Problem?

Science.gov (United States)

Keys, William F; Keirby, Naomi; Ricketts, David N J

2016-12-01

Provisional restorations play an important role when providing indirect restorations. There are a number of materials and techniques available for their construction. Careful planning and construction can protect the prepared tooth surface, improve the periodontal condition and help plan for the definitive restoration. A good provisional restoration can save time, money and effort. Clinical relevance: Provisional restoration construction is an integral part of the indirect restorative process for inlays, onlays, crowns and bridges.

Composite resin fillings and inlays: An 11-year evaluation

DEFF Research Database (Denmark)

Pallesen, U.; Qvist, V.

2003-01-01

Clinical trial, composite resin, direct restorations, indirect restorations, long-term behaviour, posterior teeth......Clinical trial, composite resin, direct restorations, indirect restorations, long-term behaviour, posterior teeth...

Mechanical properties and internal fit of 4 CAD-CAM block materials.

Science.gov (United States)

Goujat, Alexis; Abouelleil, Hazem; Colon, Pierre; Jeannin, Christophe; Pradelle, Nelly; Seux, Dominique; Grosgogeat, Brigitte

2018-03-01

Recent polymer-based computer-assisted design and computer-assisted manufacturing (CAD-CAM) materials have been commercialized for inlay restorations, a polymer-infiltrated ceramic-network (PICN) and composite resin nanoceramics. Little independent evidence regarding their mechanical properties exists. Internal adaptation is an important factor for the clinical success and longevity of a restoration, and data concerning this parameter for inlays made with these blocks are scarce. The purpose of this in vitro study was to evaluate and compare the mechanical properties (flexural strength, flexural modulus, Vickers hardness, fracture toughness) and the internal adaptation of these recent polymer-based blocks with a lithium disilicate glass-ceramic block. The materials tested in this study were a PICN material (Vita Enamic), 2 composite resin nanoceramics (Lava Ultimate; 3M ESPE and Cerasmart; GCDental Products), and a lithium disilicate glass-ceramic (IPS e.max CAD). Mechanical properties were evaluated according to ISO norm DIS 6872:2013. Bar-shaped specimens (18×3×3 mm) were prepared and submitted to a 3-point bend test using a universal testing machine at a cross-head speed of 0.5 mm/min. In addition, identical cavities were prepared in 60 human mandibular extracted molars (n=15) and optically scanned to receive mesioocclusodistal inlays milled with the 4 materials tested in a CEREC Inlab milling machine. The replica technique and a stereomicroscope (×20) were used to measure the internal fit of the inlays at 9 preselected locations. All data were statistically analyzed using 1-way ANOVA and the post hoc Tukey multiple comparison or Games-Howell test (α=.05). The mean flexural strength of the tested blocks ranged from 148.7 ±9.5 MPa (Vita Enamic) to 216.5 ±28.3 MPa (Cerasmart). The mean flexural modulus ranged from 23.3 ±6.4 GPa (Vita Enamic) to 52.8 ±10.5 GPa (IPS e.max CAD). The mean Vickers hardness ranged from 0.66 ±0.02 GPa (Cerasmart) to 5.98 ±0

Mechanical behavior of bulk direct composite versus block composite and lithium disilicate indirect Class II restorations by CAD-FEM modeling.

Science.gov (United States)

Ausiello, Pietro; Ciaramella, Stefano; Fabianelli, Andrea; Gloria, Antonio; Martorelli, Massimo; Lanzotti, Antonio; Watts, David C

2017-06-01

To study the influence of resin based and lithium disilicate materials on the stress and strain distributions in adhesive class II mesio-occlusal-distal (MOD) restorations using numerical finite element analysis (FEA). To investigate the materials combinations in the restored teeth during mastication and their ability to relieve stresses. One 3D model of a sound lower molar and three 3D class II MOD cavity models with 95° cavity-margin-angle shapes were modelled. Different material combinations were simulated: model A, with a 10μm thick resin bonding layer and a resin composite bulk filling material; model B, with a 70μm resin cement with an indirect CAD-CAM resin composite inlay; model C, with a 70μm thick resin cement with an indirect lithium disilicate machinable inlay. To simulate polymerization shrinkage effects in the adhesive layers and bulk fill composite, the thermal expansion approach was used. Shell elements were employed for representing the adhesive layers. 3D solid CTETRA elements with four grid points were employed for modelling the food bolus and tooth. Slide-type contact elements were used between the tooth surface and food. A vertical occlusal load of 600 N was applied, and nodal displacements on the bottom cutting surfaces were constrained in all directions. All the materials were assumed to be isotropic and elastic and a static linear analysis was performed. Displacements were different in models A, B and C. Polymerization shrinkage hardly affected model A and mastication only partially affected mechanical behavior. Shrinkage stress peaks were mainly located marginally along the enamel-restoration interface at occlusal and mesio-distal sites. However, at the internal dentinal walls, stress distributions were critical with the highest maximum stresses concentrated in the proximal boxes. In models B and C, shrinkage stress was only produced by the 70μm thick resin layer, but the magnitudes depended on the Young's modulus (E) of the inlay

A comparative study of additive and subtractive manufacturing for dental restorations.

Science.gov (United States)

Bae, Eun-Jeong; Jeong, Il-Do; Kim, Woong-Chul; Kim, Ji-Hwan

2017-08-01

Digital systems have recently found widespread application in the fabrication of dental restorations. For the clinical assessment of dental restorations fabricated digitally, it is necessary to evaluate their accuracy. However, studies of the accuracy of inlay restorations fabricated with additive manufacturing are lacking. The purpose of this in vitro study was to evaluate and compare the accuracy of inlay restorations fabricated by using recently introduced additive manufacturing with the accuracy of subtractive methods. The inlay (distal occlusal cavity) shape was fabricated using 3-dimensional image (reference data) software. Specimens were fabricated using 4 different methods (each n=10, total N=40), including 2 additive manufacturing methods, stereolithography apparatus and selective laser sintering; and 2 subtractive methods, wax and zirconia milling. Fabricated specimens were scanned using a dental scanner and then compared by overlapping reference data. The results were statistically analyzed using a 1-way analysis of variance (α=.05). Additionally, the surface morphology of 1 randomly (the first of each specimen) selected specimen from each group was evaluated using a digital microscope. The results of the overlap analysis of the dental restorations indicated that the root mean square (RMS) deviation observed in the restorations fabricated using the additive manufacturing methods were significantly different from those fabricated using the subtractive methods (Padditive manufacturing methods (P=.466). Similarly, no significant differences were found between wax and zirconia, the subtractive methods (P=.986). The observed RMS values were 106 μm for stereolithography apparatus, 113 μm for selective laser sintering, 116 μm for wax, and 119 μm for zirconia. Microscopic evaluation of the surface revealed a fine linear gap between the layers of restorations fabricated using stereolithography apparatus and a grooved hole with inconsistent weak scratches

[Two years clinical observation of a kind of castable ceramic--IPS Empress].

Science.gov (United States)

Liu, Y; Li, Y; Nie, Y

1999-03-01

We used this material in clinic since 1995. Discussion on the prosthetic effects of the above-mentioned material to spreat it clinically. Through half to two years clinical observations to evaluate the effect of IPS Empress crowns in anterior teeth and inlays in posteriors. and Prosthesis made of this kind of material IPS Empress is one kind of excellent all-ceramic prosthetic material. IPS Empress also could be used in post crowns and the clinical effect was satisfactory.

Locking mechanisms in degree-4 vertex origami structures

Science.gov (United States)

Fang, Hongbin; Li, Suyi; Xu, Jian; Wang, K. W.

2016-04-01

Origami has emerged as a potential tool for the design of mechanical metamaterials and metastructures whose novel properties originate from their crease patterns. Most of the attention in origami engineering has focused on the wellknown Miura-Ori, a folded tessellation that is flat-foldable for folded sheet and stacked blocks. This study advances the state of the art and expands the research field to investigate generic degree-4 vertex (4-vertex) origami, with a focus on facet-binding. In order to understand how facet-binding attributes to the mechanical properties of 4-vertex origami structures, geometries of the 4-vertex origami cells are analyzed and analytically expressed. Through repeating and stacking 4-vertex cells, origami sheets and stacked origami blocks can be constructed. Geometry analyses discover four mechanisms that will lead to the self-locking of 4-vertex origami cells, sheets, and stacked blocks: in-cell facet-binding, inlayer facet-binding, inter-layer facet binding, and in-layer and inter-layer facet-bindings. These mechanisms and the predicted self-locking phenomena are verified through 3D simulations and prototype experiments. Finally, this paper briefly introduces the unusual mechanical properties caused by the locking of 4-vertex origami structures. The research reported in this paper could foster a new breed of self-locking structures with various engineering applications.

Differential bacterial load on components of total knee prosthesis in patients with prosthetic joint infection.

Science.gov (United States)

Holinka, Johannes; Pilz, Magdalena; Hirschl, Alexander M; Graninger, Wolfgang; Windhager, Reinhard; Presterl, Elisabeth

2012-10-01

The purpose of our study was to evaluate and quantify the bacterial adherence on different components of total knee prosthesis with the sonication culture method. Explanted components of all patients with presumptive prosthetic or implant infection were treated by sonication separately in sterile containers to dislodge the adherent bacteria from the surfaces and cultured. The bacterial load of the different knee components (femur, tibia, PE-inlay and patella) was evaluated by counting of colony-forming units (CFU) dislodged from the components surfaces using the sonication culture method. Overall, 27 patients had positive sonication cultures of explanted total knee prostheses. Microorganisms were detected from 88 of 100 explanted components. Twenty femoral components were culture positive and 7 negative, 23 tibial components as well as 23 polyethylene (PE) platforms had positive microorganism detection from the surface. Staphylococcus epidermidis adhered to the highest number of components whereas Staphylococcus aureus yielded the highest load of CFU in the sonication cultures. Although not significant, PE-inlays and tibial components were most often affected. The highest CFU count was detected in polyethylene components. The sonication culture method is a reliable method to detect bacteria from the components. Additionally, the results demonstrate that bacterial adherence is not affecting a single component of knee prosthesis only. Thus, in septic revision surgery partial prosthetic exchange or exchange of single polyethylene components alone may be not sufficient.

Esthetic double-structure fixed partial dentures.

Science.gov (United States)

Ravasini, G; Ugolini, G; Ravasini, F

1996-04-01

A new technical procedure for fixed partial dentures and single inlays allows the use of a metal supporting structure with independent ceramic coverage. The advantages of the technique are the bonding of metal to beveled dentinal margins with conventional cement and the acid-etched resin composite cementation of the ceramic, which permits more conservative preparation of the teeth. The complexity of the structure, the laboratory costs, and the doubling of the cementation procedures are the main disadvantages of the technique.

Untersuchungen zur Genauigkeit digitaler intraoraler Scans

OpenAIRE

Benedickt, Christopher Roland

2017-01-01

Ziel der hier vorliegenden In-vitro-Studie war es, zu untersuchen, ob es bei digitalen int-raoralen Scans zu Verzerrungen, Streckungen, Stauchungen, Verdrillungen oder Biegun-gen, kommt. Als Prüfmodell diente ein vollbezahntes Oberkiefermodell aus einer Chrom-Kobalt-Molybdän-Legierung. Auf diesem waren die Zähne 11, 15, 24 und 26 zur Auf-nahme eines Veneers, einer Vollkrone, eines Inlays präpariert, und auf inzisalen bezie-hungsweise okklusalen Mulden der Zähne 13, 23, 17 und 27 waren Metallk...

The effect of an occlusal interference on the masticatory system. An experimental investigation.

Science.gov (United States)

Randow, K; Carlsson, K; Edlund, J; Oberg, T

1976-01-01

An experimental short term study on the effect of an occlusal interference on the path of closure of the mandible was carried out on 8 persons. The interference consisted of a gold inlay placed unilaterally in one of the mandibular first molars. Clinical and electromyographic studies revealed functional disturbances or pain in all subjects. The masticatory musculature was tender to palpation and showed coordinational disturbances; the TMJ showed tenderness to palpation, clicking and irregular movements and the interfering teeth periodontal tenderness.

Compatibility and testing of electronic components

CERN Document Server

Jowett, C E

2013-01-01

Compatibility and Testing of Electronic Components outlines the concepts of component part life according to thresholds of failure; the advantages that result from identifying such thresholds; their identification; and the various tests used in their detection. The book covers topics such as the interconnection of miniature passive components; the integrated circuit compatibility and its components; the semiconductor joining techniques; and the thin film hybrid approach in integrated circuits. Also covered are topics such as thick film resistors, conductors, and insulators; thin inlays for el

Clinical effectiveness and cost-effectiveness of surgical options for the management of anterior and/or posterior vaginal wall prolapse: two randomised controlled trials within a comprehensive cohort study - results from the PROSPECT Study.

Science.gov (United States)

Glazener, Cathryn; Breeman, Suzanne; Elders, Andrew; Hemming, Christine; Cooper, Kevin; Freeman, Robert; Smith, Anthony; Hagen, Suzanne; Montgomery, Isobel; Kilonzo, Mary; Boyers, Dwayne; McDonald, Alison; McPherson, Gladys; MacLennan, Graeme; Norrie, John

2016-12-01

The use of mesh in prolapse surgery is controversial, leading to a number of enquiries into its safety and efficacy. To compare synthetic non-absorbable mesh inlay, biological graft and mesh kit with a standard repair in terms of clinical effectiveness, adverse effects, quality of life (QoL), costs and cost-effectiveness. Two randomised controlled trials within a comprehensive cohort (CC) study. Allocation was by a remote web-based randomisation system in a 1 :1 : 1 ratio (Primary trial) or 1 : 1 : 2 ratio (Secondary trial), and was minimised on age, type of prolapse repair planned, need for a concomitant continence procedure, need for a concomitant upper vaginal prolapse procedure and surgeon. Participants and outcome assessors were blinded to randomisation; participants were unblinded if they requested the information. Surgeons were not blinded to allocated procedure. Thirty-five UK hospitals. Primary study : 2474 women in the analysis (including 1348 randomised) having primary anterior or posterior prolapse surgery. Secondary study : 398 in the analysis (including 154 randomised) having repeat anterior or posterior prolapse surgery. CC3 : 215 women having either uterine or vault prolapse repair. Anterior or posterior repair alone, or with mesh inlay, biological graft or mesh kit. Prolapse symptoms [Pelvic Organ Prolapse Symptom Score (POP-SS)]; prolapse-specific QoL; cost-effectiveness [incremental cost per quality-adjusted life-year (QALY)]. Primary trials : adjusting for baseline and minimisation covariates, mean POP-SS was similar for each comparison {standard 5.4 [standard deviation (SD) 5.5] vs. mesh 5.5 (SD 5.1), mean difference (MD) 0.00, 95% confidence interval (CI) -0.70 to 0.71; standard 5.5 (SD 5.6) vs. graft 5.6 (SD 5.6), MD -0.15, 95% CI -0.93 to 0.63}. Serious non-mesh adverse effects rates were similar between the groups in year 1 [standard 7.2% vs. mesh 7.8%, risk ratio (RR) 1.08, 95% CI 0.68 to 1.72; standard 6.3% vs. graft 9.8%, RR 1

Characterization and electrochemical performance of lithium-active titanium dioxide inlaid LiNi0.5Co0.2Mn0.3O2 material prepared by lithium residue-assisted method

International Nuclear Information System (INIS)

Li, Lingjun; Chen, Zhaoyong; Song, Liubin; Xu, Ming; Zhu, Huali; Gong, Li; Zhang, Kaili

2015-01-01

Highlights: • LiTiO 2 -inlaid LiNi 0.5 Co 0.2 Mn 0.3 O 2 is prepared by lithium residue-assisted method. • The unique inlaid architecture inherits the advantages of coating and doping. • LiTiO 2 inlaying enhances the pristine at high cyclability and rate properties. • Excess LiTiO 2 modification results in low Li + diffusion coefficient. • The 3 mol% LiTiO 2 inlaid sample exhibits the best electrochemical performance. - Abstract: The lithium residues are consumed as raw materials to in-situ synthesize the LiTiO 2 -inlaid LiNi 0.5 Co 0.2 Mn 0.3 O 2 composites. The effects of various LiTiO 2 contents on the morphology, structure, and electrochemical properties of LiNi 0.5 Co 0.2 Mn 0.3 O 2 materials are investigated in detail. Energy dispersive spectrometer mapping, high-resolution transmission electron microscopy and fast Fourier transform analysis confirm that the spherical particles of LiNi 0.5 Co 0.2 Mn 0.3 O 2 are completely coated by crystalline LiTiO 2 phase; X-ray diffraction, cross-section SEM and corresponding EDS results indicate that Ti ions are also doped into the bulk LiNi 0.5 Co 0.2 Mn 0.3 O 2 with gradient distribution. Electrochemical tests show that the LiTiO 2 -inlaid samples exhibit excellent reversible capacity, enhanced cyclability, superior lithium diffusion coefficient and rate properties. Specially, the 3 mol% LiTiO 2 inlaid sample maintains 153.7 mA h g −1 with 94.4% capacity retention after 100 cycles between 2.7–4.4 V at 1 C, take 30% advantage than that of the pristine one (118.2 mA h g −1 ). This improvement can be attributed to the removal of lithium residues and suitable LiTiO 2 inlaying. The absence of lithium residue is helpful to retard the decomposition of LiPF 6 . While, suitable LiTiO 2 inlaying can protect the bulk from directly contacting the electrolyte, buffer the volume change of core and shell during cycles, increase the surface electronic conductivity and offer a 3D path for Li + diffusion from the bulk to

Incrustations detection system for petroleum transport pipes based on gamma transmission; Sistema de deteccao de incrustacoes em dutos de transporte de petroleo pela tecnica de transmissao gama

Energy Technology Data Exchange (ETDEWEB)

Soares, Milton

2014-07-01

The scale formed over the inner walls of the ducts conveying the extracted product from offshore oil wheels is a major cause of losses to companies and in some cases even the safety is affected. The consequence of such fouling is the duct's square section reduction that causes extraction flow decrease and can also cause an increase in pressure inside the wheel, with serious consequences for safety. The objective of this work is to propose a mobile inspection system, which can be transported by underwater robots to inspect the lines of ducts in the outputs of the oil wheels. The measurement method to be adopted will be the gamma rays' beam attenuation at a predetermined position of the pipe. This transmission value compared to a clear pipe reading will show if the thickness of the inlay is larger or smaller than an assumed thickness. To carry out the measurements it was designed and built an electronic system comprising power supply, amplifier, single channel analyzer and a counter timer that was connected to a CsI scintillator detector coupled to a PIN photodiode. The system was set up to perform measurements with constant accuracy of ±1%. Tests during the study demonstrated the effectiveness of the proposed method with the obtained results with a carbon steel duct section of 270 mm diameter, removed from the field, with asymmetric BaSO4 inlay. (author)

Incrustations detection system for petroleum transport pipes based on gamma transmission

International Nuclear Information System (INIS)

Soares, Milton

2014-01-01

The scale formed over the inner walls of the ducts conveying the extracted product from offshore oil wheels is a major cause of losses to companies and in some cases even the safety is affected. The consequence of such fouling is the duct's square section reduction that causes extraction flow decrease and can also cause an increase in pressure inside the wheel, with serious consequences for safety. The objective of this work is to propose a mobile inspection system, which can be transported by underwater robots to inspect the lines of ducts in the outputs of the oil wheels. The measurement method to be adopted will be the gamma rays' beam attenuation at a predetermined position of the pipe. This transmission value compared to a clear pipe reading will show if the thickness of the inlay is larger or smaller than an assumed thickness. To carry out the measurements it was designed and built an electronic system comprising power supply, amplifier, single channel analyzer and a counter timer that was connected to a CsI scintillator detector coupled to a PIN photodiode. The system was set up to perform measurements with constant accuracy of ±1%. Tests during the study demonstrated the effectiveness of the proposed method with the obtained results with a carbon steel duct section of 270 mm diameter, removed from the field, with asymmetric BaSO4 inlay. (author)

Evaluation of marginal and internal gaps of metal ceramic crowns obtained from conventional impressions and casting techniques with those obtained from digital techniques.

Science.gov (United States)

Rai, Rathika; Kumar, S Arun; Prabhu, R; Govindan, Ranjani Thillai; Tanveer, Faiz Mohamed

2017-01-01

Accuracy in fit of cast metal restoration has always remained as one of the primary factors in determining the success of the restoration. A well-fitting restoration needs to be accurate both along its margin and with regard to its internal surface. The aim of the study is to evaluate the marginal fit of metal ceramic crowns obtained by conventional inlay casting wax pattern using conventional impression with the metal ceramic crowns obtained by computer-aided design and computer-aided manufacturing (CAD/CAM) technique using direct and indirect optical scanning. This in vitro study on preformed custom-made stainless steel models with former assembly that resembles prepared tooth surfaces of standardized dimensions comprised three groups: the first group included ten samples of metal ceramic crowns fabricated with conventional technique, the second group included CAD/CAM-milled direct metal laser sintering (DMLS) crowns using indirect scanning, and the third group included DMLS crowns fabricated by direct scanning of the stainless steel model. The vertical marginal gap and the internal gap were evaluated with the stereomicroscope (Zoomstar 4); post hoc Turkey's test was used for statistical analysis. One-way analysis of variance method was used to compare the mean values. Metal ceramic crowns obtained from direct optical scanning showed the least marginal and internal gap when compared to the castings obtained from inlay casting wax and indirect optical scanning. Indirect and direct optical scanning had yielded results within clinically acceptable range.

Two incrusted medieval swords from Zbaszyn, Lubusz voivodship

Directory of Open Access Journals (Sweden)

Głosek, Marian

2007-12-01

Full Text Available This paper presents two interesting medieval swords that can be dated between the end of the 12th century to the beginning of the 14th century AD. Both display, engraved in the fuller, inscriptions in silver and copper inlay, one of them a Latin text, the other heraldic symbols.

Se presentan dos espadas medievales fechables entre finales del S. XII y principios del XIV, decoradas con damasquinados en plata y aleación de cobre. Una presenta un texto latino y mativos ornamentales; la otra, elementos heráldicos.

[Comparative study of retention of a Zn phosphate cement and 4-META].

Science.gov (United States)

Maroto Garcia, J

1990-12-01

The recent appearance, in the market of the supercements, suggest to us, news concepts of retention-adhesion, of our preparations, that they are going to put in to the mouth. Between his applications, we have the cementation of crowns, post or dowels, adhesive-prosthesis, and inlays. According to the manufactures, the long duration of the bond power, his great physiques properties, and his easy management, gives to this products a good conditions, to use in the mouth. The present report to prove in vitro, the retentive capacity on the dentine without treatment, and metal.

Combined radiation and chemical method of protection against organic pests of wooden objects

International Nuclear Information System (INIS)

Santar, I.; Urban, J.

Radiation disinsection and fungus removal are considered to be two suitable methods of protecting wooden historical objects. A dose of 500 Gy (from a 60 Co source) has no harmful effect on oil or tempera polychromy, on inlays or other surface finishes of such objects. Radiation disinsection does not protect the treated article from future insect attack and is therefore supplemented with a preservation procedure in which a solution of pentachlorophenol and tributyl tin oxide in an aromatic solvent is used. A unit for preservation by radiation at Roztoky near Prague is described. (H.S.)

Dental lesions and restorative treatment in molars

Directory of Open Access Journals (Sweden)

Gheorghiu Irina-Maria

2017-08-01

Full Text Available This article review specific clinical issues of the molar teeth, as well as the therapeutic approach of their pathology. The dental pathology we face in the group of molars is related to: dental caries, dental trauma (crown and crown-root fractures, dental wear phenomena. The therapeutic approach of the molar teeth is represented by: restoration of the loss of hard dental tissues; endodontic treatments of pulpal and periapical complications; surgical treatment. The restorative treatments in molars are: direct restorations, with or without supplementary anchorage for obturations; inlay, onlay; prosthetic crown.

The application of CAD / CAM technology in Dentistry

Science.gov (United States)

Susic, I.; Travar, M.; Susic, M.

2017-05-01

Information and communication technologies have found their application in the healthcare sector, including the frameworks of modern dentistry. CAD / CAM application in dentistry is the process by which is attained finished dental restoration through fine milling process of ready ceramic blocks. CAD / CAM is an acronym of english words Computer-Aided-Design (CAD) / Computer-Aided-Manufacture (CAM), respectively dental computer aided design and computer aided manufacture of inlays, onlays, crowns and bridges. CAD / CAM technology essentially allows you to create a two-dimensional and three-dimensional models and their materialization by numerical controlled machines. In order to operate more efficiently, reduce costs, increase user/patient satisfaction and ultimately achieve profits, many dental offices in the world have their attention focused on implementation of modern IT solutions in everyday practice. In addition to the specialized clinic management software, inventory control, etc., or hardware such as the use of lasers in cosmetic dentistry or intraoral scanning, recently the importance is given to the application of CAD / CAM technology in the field of prosthetic. After the removal of pathologically altered tooth structure, it is necessary to achieve restoration that will be most similar to the anatomy of a natural tooth. Applying CAD / CAM technology on applicable ceramic blocks it can be obtained very quick, but also very accurate restoration, in the forms of inlays, onlays, bridges and crowns. The paper presents the advantages of using this technology as well as satisfaction of the patients and dentists by using systems as: Cercon, Celay, Cerec, Lava, Everest, which represent imperative of modern dentistry in creating fixed dental restorations.

Evaluation of marginal and internal gaps of metal ceramic crowns obtained from conventional impressions and casting techniques with those obtained from digital techniques

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Rathika Rai

2017-01-01

Full Text Available Background: Accuracy in fit of cast metal restoration has always remained as one of the primary factors in determining the success of the restoration. A well-fitting restoration needs to be accurate both along its margin and with regard to its internal surface. Aim: The aim of the study is to evaluate the marginal fit of metal ceramic crowns obtained by conventional inlay casting wax pattern using conventional impression with the metal ceramic crowns obtained by computer-aided design and computer-aided manufacturing (CAD/CAM technique using direct and indirect optical scanning. Materials and Methods: This in vitro study on preformed custom-made stainless steel models with former assembly that resembles prepared tooth surfaces of standardized dimensions comprised three groups: the first group included ten samples of metal ceramic crowns fabricated with conventional technique, the second group included CAD/CAM-milled direct metal laser sintering (DMLS crowns using indirect scanning, and the third group included DMLS crowns fabricated by direct scanning of the stainless steel model. The vertical marginal gap and the internal gap were evaluated with the stereomicroscope (Zoomstar 4; post hoc Turkey's test was used for statistical analysis. One-way analysis of variance method was used to compare the mean values. Results and Conclusion: Metal ceramic crowns obtained from direct optical scanning showed the least marginal and internal gap when compared to the castings obtained from inlay casting wax and indirect optical scanning. Indirect and direct optical scanning had yielded results within clinically acceptable range.

Comparison of marginal and internal adaptation of copings fabricated from three different fabrication techniques: An in vitro study.

Science.gov (United States)

Arora, Aman; Yadav, Avneet; Upadhyaya, Viram; Jain, Prachi; Verma, Mrinalini

2018-01-01

The purpose of this study was to compare the marginal and internal adaptation of cobalt-chromium (Co-Cr) copings fabricated from conventional wax pattern, three-dimensional (3D)-printed resin pattern, and laser sintering technique. A total of thirty copings were made, out of which ten copings were made from 3D-printed resin pattern (Group A), ten from inlay wax pattern (Group B), and ten copings were obtained from direct metal laser sintering (DMLS) technique (Group C). All the thirty samples were seated on their respective dies and sectioned carefully using a laser jet cutter and were evaluated for marginal and internal gaps at the predetermined areas using a stereomicroscope. The values were then analyzed using one-way ANOVA test and post hoc Bonferroni test. One-way ANOVA showed lowest mean marginal discrepancy for DMLS and highest value for copings fabricated from inlay wax. The values for internal discrepancy were highest for DMLS (169.38) and lowest for 3D-printed resin pattern fabricated copings (133.87). Post hoc Bonferroni test for both marginal and internal discrepancies showed nonsignificant difference when Group A was compared to Group B ( P > 0.05) and significant when Group A was compared with Group C ( P < 0.05). Group B showed significant difference ( P < 0.05) when compared with Group C. Marginal and internal discrepancies of all the three casting techniques were within clinically acceptable values. Marginal fit of DMLS was superior as compared to other two techniques, whereas when internal fit was evaluated, conventional technique showed the best internal fit.

Multi-channel peristaltic pump for microfluidic applications featuring monolithic PDMS inlay

DEFF Research Database (Denmark)

Skafte-Pedersen, Peder; Sabourin, David; Dufva, Martin

2009-01-01

pumping system at lower flow rates. The small footprint, 40 mm by 80 mm, of the micropump renders it portable, and allows its use on microscope stages adjacent to microfluidic devices, thus reducing system dead volumes. The micropump's design allows potential use in remote and resource-limited locations...

A bendable and wearable cardiorespiratory monitoring device fusing two noncontact sensor principles.

Science.gov (United States)

Teichmann, Daniel; De Matteis, Dennis; Bartelt, Thorsten; Walter, Marian; Leonhardt, Steffen

2015-05-01

A mobile device is presented for monitoring both respiration and pulse. The device is developed as a bendable/flexible inlay that can be placed in a shirt pocket or the inside pocket of a jacket. To achieve optimum monitoring performance, the device combines two sensor principles, which work in a safe noncontact way through several layers of cotton or other textiles. One sensor, based on magnetic induction, is intended for respiratory monitoring, and the other is a reflective photoplethysmography sensor intended for pulse detection. Because each sensor signal has some dependence on both physiological parameters, fusing the sensor signals allows enhanced signal coverage.

Reoperative surgical stabilization of a painful nonunited rib fracture using bone grafting and a metal plate.

Science.gov (United States)

Cho, Yang Hyun; Kim, Hyun Koo; Kang, Du-Young; Choi, Young Ho

2009-09-01

We report a case of a nonunited sixth rib in a patient with multiple rib fractures who underwent internal fixation using a wire and Judet strut 3 times. During the following 3 years, the patient continued to complain of pain and instability. At surgery, a pseudarthrosis between the ends of the sixth rib was excised. A longitudinal gutter crossing the fracture site was fashioned and splinted with an inlay block of cancellous bone grafted from the iliac crest; stabilization was accomplished with a reconstruction plate and screws. The following 2 years of follow-up demonstrated no instability or pain.

Characterization and electrochemical performance of lithium-active titanium dioxide inlaid LiNi{sub 0.5}Co{sub 0.2}Mn{sub 0.3}O{sub 2} material prepared by lithium residue-assisted method

Energy Technology Data Exchange (ETDEWEB)

Li, Lingjun [School of Physics and Electronic Science, Changsha University of Science and Technology, Changsha 410114 (China); Department of Mechanical and Biomedical Engineering, City University of Hong Kong, 83 Tat Chee Avenue, Kowloon (Hong Kong); Chen, Zhaoyong, E-mail: csullj@hotmail.com [School of Physics and Electronic Science, Changsha University of Science and Technology, Changsha 410114 (China); Song, Liubin [Hunan Provincial Key Laboratory of Materials Protection for Electric Power and Transportation, School of Chemistry and Biological Engineering, Changsha University of Science and Technology, Changsha 410004, Hunan (China); Xu, Ming; Zhu, Huali; Gong, Li [School of Physics and Electronic Science, Changsha University of Science and Technology, Changsha 410114 (China); Zhang, Kaili, E-mail: kaizhang@cityu.edu.hk [Department of Mechanical and Biomedical Engineering, City University of Hong Kong, 83 Tat Chee Avenue, Kowloon (Hong Kong)

2015-07-25

Highlights: • LiTiO{sub 2}-inlaid LiNi{sub 0.5}Co{sub 0.2}Mn{sub 0.3}O{sub 2} is prepared by lithium residue-assisted method. • The unique inlaid architecture inherits the advantages of coating and doping. • LiTiO{sub 2} inlaying enhances the pristine at high cyclability and rate properties. • Excess LiTiO{sub 2} modification results in low Li{sup +} diffusion coefficient. • The 3 mol% LiTiO{sub 2} inlaid sample exhibits the best electrochemical performance. - Abstract: The lithium residues are consumed as raw materials to in-situ synthesize the LiTiO{sub 2}-inlaid LiNi{sub 0.5}Co{sub 0.2}Mn{sub 0.3}O{sub 2} composites. The effects of various LiTiO{sub 2} contents on the morphology, structure, and electrochemical properties of LiNi{sub 0.5}Co{sub 0.2}Mn{sub 0.3}O{sub 2} materials are investigated in detail. Energy dispersive spectrometer mapping, high-resolution transmission electron microscopy and fast Fourier transform analysis confirm that the spherical particles of LiNi{sub 0.5}Co{sub 0.2}Mn{sub 0.3}O{sub 2} are completely coated by crystalline LiTiO{sub 2} phase; X-ray diffraction, cross-section SEM and corresponding EDS results indicate that Ti ions are also doped into the bulk LiNi{sub 0.5}Co{sub 0.2}Mn{sub 0.3}O{sub 2} with gradient distribution. Electrochemical tests show that the LiTiO{sub 2}-inlaid samples exhibit excellent reversible capacity, enhanced cyclability, superior lithium diffusion coefficient and rate properties. Specially, the 3 mol% LiTiO{sub 2} inlaid sample maintains 153.7 mA h g{sup −1} with 94.4% capacity retention after 100 cycles between 2.7–4.4 V at 1 C, take 30% advantage than that of the pristine one (118.2 mA h g{sup −1}). This improvement can be attributed to the removal of lithium residues and suitable LiTiO{sub 2} inlaying. The absence of lithium residue is helpful to retard the decomposition of LiPF{sub 6}. While, suitable LiTiO{sub 2} inlaying can protect the bulk from directly contacting the electrolyte

Applications of RIGAKU Dmax Rapid II micro-X-ray diffractometer in the analysis of archaeological metal objects

Science.gov (United States)

Mozgai, Viktória; Szabó, Máté; Bajnóczi, Bernadett; Weiszburg, Tamás G.; Fórizs, István; Mráv, Zsolt; Tóth, Mária

2017-04-01

During material analysis of archaeological metal objects, especially their inlays or corrosion products, not only microstructure and chemical composition, but mineralogical composition is necessary to be determined. X-ray powder diffraction (XRD) is a widely-used method to specify the mineralogical composition. However, when sampling is not or limitedly allowed due to e.g. the high value of the object, the conventional XRD analysis can hardly be used. Laboratory micro-XRD instruments provide good alternatives, like the RIGAKU Dmax Rapid II micro-X-ray diffractometer, which is a unique combination of a MicroMax-003 third generation microfocus, sealed tube X-ray generator and a curved 'image plate' detector. With this instrument it is possible to measure as small as 10 µm area in diameter on the object. Here we present case studies for the application of the micro-XRD technique in the study of archaeological metal objects. In the first case niello inlay of a Late Roman silver augur staff was analysed. Due to the high value of the object, since it is the only piece known from the Roman Empire, only non-destructive analyses were allowed. To reconstruct the preparation of the niello, SEM-EDX analysis was performed on the niello inlays to characterise their chemical composition and microstructure. Two types of niello are present: a homogeneous, silver sulphide niello (acanthite) and an inhomogeneous silver-copper sulphide niello (exsolution of acanthite and jalpaite or jalpaite and stromeyerite). The micro-X-ray diffractometer was used to verify the mineralogical composition of the niello, supposed on the base of SEM results. In the second case corrosion products of a Late Roman copper cauldron with uncertain provenance were examined, since they may hold clues about the burial conditions (pH, Eh, etc.) of the object. A layer by layer analysis was performed in cross sections of small metal samples by using electron microprobe and micro-X-ray diffractometer. The results

Microleakage of two self-adhesive cements in the enamel and dentin after 24 hours and two months.

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Zahra Jaberi Ansari

2014-08-01

Full Text Available Microleakage is a main cause of restorative treatment failure. In this study, we compared occlusal and cervical microleakage of two self-adhesive cements after 24 hours and two months.In this in-vitro experimental study, class II inlay cavities were prepared on 60 sound human third molars. Composite inlays were fabricated with Z100 composite resin. The teeth were randomly assigned to six groups. RelyX-Arc (control, RelyX-Unicem and Maxcem were used for the first three groups and specimens were stored in distilled water at 37°C for 24 hours. The same cements were used for the remaining three groups, but the specimens were stored for 2 months. The teeth were subjected to 500 thermal cycles (5°C and 55°C and immersed in 0.5% basic fuchsin for 24 hours and then sectioned mesiodistally and dye penetration was evaluated in a class II cavity with occlusal and cervical margins using X20 magnification stereomicroscope. Data were analyzed using Kruskal Wallis and Mann-Whitney U tests.After 24 hours, cements had significant differences only in cervical margin microleakage (P=0.0001 and microleakage of RelyX-Unicem and Maxcem was significantly more than that of RelyX-Arc (both P=0.0001. Cervical microleakage in RelyX-Unicem and Maxcem was greater than occlusal (P=0.0001 and P=0.001, respectively. Microleakage was not significantly different between the occlusal and cervical margins after 2 months.Cervical microleakage was greater than occlusal in RelyX-Unicem and Maxcem after 24h. The greatest microleakage was reported for the cervical margin of RelyX-Unicem after 24 hours.

Stress analysis of two methods of ceramic inlay preparation by finite element

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Leila Pishevar

2014-01-01

Conclusion: Cements with minimum shrinkage and as thin layer as possible should be used. Filling the undercut with glass ionomer cement decreases the stress. Other experimental and clinical studies must follow this research.

El vidrio en la civilización egipcia. Descripción de piezas de vidrio del tipo incrustaciones de una colección de la Universidad de Sevilla

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Seco Álvarez, M.

2003-08-01

Full Text Available In this work, the authors emphasize the importance that the manufacture and art of glass making represented for the Egyptian civilization. It is described the historical evolution of glass in Egypt and the main fabrication methods. Next, it is pointed out the existence of a particular class of materials, named as glass inlays. For the Egyptian period, these materials had several applications, all these of high art level, such as small amulets, jewellry, pieces and components of masks and cardboard articles.These materials could be the precursors of glass mosaics. As examples of the relevant interest in this kind of manufacture, it has been selected a particular Egyptian Collection of the University of Sevilla containing some pieces of glass inlays. The objective of this work is to provide valuable information to a broad community concerning these materials. Selected pieces are described and a critical discussion is performed considering the characteristics of each one. The results obtained in the description of these glass materials have been related with the information provided from selected bibliography concerning important glass collections, in particular of glass inlays. Between them, the authors included the monochromatic glass collection of The Greco-Roman Museum of Alexandria (Egypt, British Museum (United Kingdom and Egyptian Museum of Cairo (Egypt.

En el presente trabajo, se destaca la importancia que la manufactura y el arte del vidrio tuvo para la civilización egipcia. Se describe a grandes rasgos su evolución histórica y los principales métodos de fabricación. A continuación, se resalta la existencia de una serie de materiales vítreos, denominados genéricamente incrustaciones, que en la época egipcia tuvieron diversos fines, todos ellos de elevado nivel artístico, como son pequeños amuletos, piezas de joyería y otras aplicaciones, entre ellos las máscaras y los cartonajes. Dichos materiales podrían ser

Respons Antibodi Sekunder Terhadap Penyakit Tetelo pada Ayam Petelur Pascavaksinasi Ulangan dengan Vaksin Tetelo Aktif (NEWCASTLE DISEASESECONDARY ANTIBODY RESPONSE AFTER REVACCINATION IN LAYER WITH THE ACTIVE ND VACCINE

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Andika Budi Kurnianto

2016-11-01

Full Text Available Revaccination is required in order to preventNewcastle Disease (ND reccurence inlayers chickens. Oneof vaccine for ND revaccination is freeze-died ND active vaccine containing e” 106,5EID50. Revaccinationisdone to trigger a faster secondary antibody responses in layers and can achieve protective antibody titersagainst ND that can be monitored by a hemagglutinationinhibition (HI. The aim of this study was todetermine the ND secondary antibody responses in layers after revaccination with ND active vaccine.Antibody titer of 20 layers chickens of 20 week old were determined before revaccinations (week 0 andafter revaccinations (week 1 until week 9. The first vaccination was conducted using ND-IB (NewcastleDisease-Infectious Bronchitis at the age of 2 days through eye drops and subcutaneous injection at the ageof 5 days using a dose of 1 ampoule.Vaccination is repeated at the age of 20 weeks at a dose of 1 ½ ampoule through drinking water. Blood samples were collected on the wing vein (venous cutane ulnar and left for 5-10 minutes at room temperature.Sera were then collected and stored at -20oC until use. HI antibody titerwas determined by micro titeration system. The HI mean titers were analyzed by Duncan test. The studyresults showed that antibody titer before revaccination was3,47 HI log 2 and the HI titers after revaccinationwere 4,02; 5,22; 6,52; 7,85; 8,4; 8,6; 7,7; 5,92; dan 3,87 HI log 2 respectivelly at weeks 1, 2, 3, 4, 5, 6, 7, 8, and9.The NDV revaccination with ND active vaccine significantly (P <0.01 increased in antibody titer inlayers starting from week 1 to week 6, but decreased following week 7 to week-9. It can be concluded thatrevaccinantion with ND active vaccine increases the antibody titers in layer chickens.

Long-term effects of vertical bone augmentation: a systematic review

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Johan Anton Jochum Keestra

2016-02-01

Full Text Available ABSTRACT Extraction, periodontitis, or trauma can cause a reduction on the alveolar ridge. This could result in an insufficient alveolar bone width and height. Different techniques of vertical bone augmentation are described in literature. However, nowadays there is not enough evidence against lateral augmentation procedures to verify if these techniques are stable over a long period of time. Objective This review analyses the different techniques that are used to vertically augment the bone and evaluate if these techniques are stable over a long period of time. Material and Methods The MEDLINE-PubMed database was searched from its earliest records until December 22, 2014. The following search term was used: Alveolar Ridge augmentation [MESH]. Several journals were hand searched and some authors were contacted for additional information. The primary outcome measure that was analyzed was marginal bone level change around dental implants in the augmented sites, and the secondary outcomes were survival and success rates of dental implants placed in the augmented sites. Results The search yielded 203 abstracts. Ultimately, 90 articles were selected, describing 51 studies meeting the eligibility criteria. The marginal bone level change for the inlay technique and vertical guided bone regeneration are in agreement with the success criteria. Alveolar distraction showed more marginal bone level change after the first year of loading, and for the inlay technique very few studies were available. Conclusions Based on the available data in the current existing studies with a follow-up period of at least 4 to 5 years, one can summarize that there seems to be a trend that the onlay technique, alveolar distraction, and vertical guided bone regeneration are stable for at least 4 to 5 years.

Focal femoral condyle resurfacing.

LENUS (Irish Health Repository)

Brennan, S A

2013-03-01

Focal femoral inlay resurfacing has been developed for the treatment of full-thickness chondral defects of the knee. This technique involves implanting a defect-sized metallic or ceramic cap that is anchored to the subchondral bone through a screw or pin. The use of these experimental caps has been advocated in middle-aged patients who have failed non-operative methods or biological repair techniques and are deemed unsuitable for conventional arthroplasty because of their age. This paper outlines the implant design, surgical technique and biomechanical principles underlying their use. Outcomes following implantation in both animal and human studies are also reviewed. Cite this article: Bone Joint J 2013;95-B:301-4.

Traumatic structures of the prostatomembranous urethra in children: Radiologic evaluation before and after urethral reconstruction

International Nuclear Information System (INIS)

Haller, J.O.; Kassner, E.G.; Waterhouse, K.; Glassberg, K.I.

1979-01-01

Impassible strictures of the posterior urethra are frequent sequelae of injuries of the prostatomembranous urethra. To select the appropriate type of urethral reconstructive procedure, the surgeon must know the length of the stricture, whether local complications are present, and whether the anterior urethra is strictured or bound down by fibrosis. The authors describe the radiographic techniques they use to plan urethral reconstruction and evaluate the operative result. The principles of the one-stage transperineal and combined transpubic-transperineal repairs and the two-stage Turner-Warwick scrotal skin inlay urethroplasty are presented to enable radiologists and urologists to interpret contrast studies of the lower urinary tract in patients who have undergone these operation. (orig.) [de

Sancta Maria Nursing Home, Parke, Kinnegad, Meath.

LENUS (Irish Health Repository)

Brennan, S A

2013-03-01

Focal femoral inlay resurfacing has been developed for the treatment of full-thickness chondral defects of the knee. This technique involves implanting a defect-sized metallic or ceramic cap that is anchored to the subchondral bone through a screw or pin. The use of these experimental caps has been advocated in middle-aged patients who have failed non-operative methods or biological repair techniques and are deemed unsuitable for conventional arthroplasty because of their age. This paper outlines the implant design, surgical technique and biomechanical principles underlying their use. Outcomes following implantation in both animal and human studies are also reviewed. Cite this article: Bone Joint J 2013;95-B:301-4.

Localized ridge augmentation in the anterior maxilla using titanium mesh, an alloplast, and a nano-bone graft: a case report.

Science.gov (United States)

Alagl, Adel S; Madi, Marwa

2018-05-01

Alveolar ridge deficiency is considered a major limitation for successful implant placement, as well as for the long-term success rate, especially in the anterior maxillary region. Various approaches have been developed to increase bone volume. Among those approaches, inlay and onlay grafts, alveolar ridge distraction, and guided bone regeneration have been suggested. The use of titanium mesh is a reliable method for ridge augmentation. We describe a patient who presented with a localized, combined, horizontal and vertical ridge defect in the anterior maxilla. The patient was treated using titanium mesh and alloplast material mixed with a nano-bone graft to treat the localized ridge deformity for future implant installation. The clinical and radiographic presentation, as well as relevant literature, are presented.

Re-interventions after restoring teeth-Mining an insurance database.

Science.gov (United States)

Raedel, Michael; Hartmann, Andrea; Priess, Heinz-Werner; Bohm, Steffen; Samietz, Stefanie; Konstantinidis, Ioannis; Walter, Michael H

2017-02-01

The aim of this study was to examine re-interventions after restorative treatment. The data was collected from the digital database of a major German national health insurance company. Only permanent teeth were observed. Placing a permanent restoration other than a crown regardless of involved surfaces and material was the study intervention. The data did not allow for a differentiation between fillings and inlays that were estimated only a very small portion of the restorations. Success was defined as not undergoing any restorative re-intervention with fillings or inlays on the same tooth (primary outcome) and assessed with Kaplan-Meier survival analyses over four years. An additional analysis was conducted rating "crowning" and "extraction" of respective teeth as target events. Differences were tested with the Log-Rank-test. A multivariate Cox regression analyses was carried out. A total of 17,024,344 restorations placed in 4,825,408 anterior teeth and 9,973,177 posterior teeth could be traced. Focussing on the primary outcome re-intervention, the cumulative four-year success rate was 69.9% for one surface restorations, 74.8% for two surface restorations, 66.6% for three surface restorations and 61.0% for four surface and more extended restorations. These differences were significant (prestorations, 67.5% for two surface restorations, 63.0% for three surface restorations and 55.8% for four surface and more extended restorations. The number of restoration surfaces as well as the tooth position remained significant in the multivariate Cox regression. The sustainability of restorative dental treatment under the terms and conditions of the German national health insurance system shows room for improvement. From a public health perspective, special focus should be laid on primary and secondary prevention to minimize the restorative treatment need. This study shows that re-interventions are observed regularly after restorative treatment. Therefore, preventive and

Substrate and p-layer effects on polymorphous silicon solar cells

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Abolmasov S.N.

2014-07-01

Full Text Available The influence of textured transparent conducting oxide (TCO substrate and p-layer on the performance of single-junction hydrogenated polymorphous silicon (pm-Si:H solar cells has been addressed. Comparative studies were performed using p-i-n devices with identical i/n-layers and back reflectors fabricated on textured Asahi U-type fluorine-doped SnO2, low-pressure chemical vapor deposited (LPCVD boron-doped ZnO and sputtered/etched aluminum-doped ZnO substrates. The p-layers were hydrogenated amorphous silicon carbon and microcrystalline silicon oxide. As expected, the type of TCO and p-layer both have a great influence on the initial conversion efficiency of the solar cells. However they have no effect on the defect density of the pm-Si:H absorber layer.

Avance al estudio radiológico del armamento de la necrópolis ibérica del Cabecico del Tesoro (Verdolay, Murcia. I. - Las Falcatas

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García Cano, José Miguel

2006-12-01

Full Text Available

We present a new study of the falcata swords decorated with silver inlay from the Iberian Iron Age cemetery at Cabecico del Tesoro (Murcia. Already known pieces are re-studied, while we also present new examples of previously unknown decorations, hidden under the corrosion layers but visible under radiographic examination.

Reconstruction of highly contracted socket after irradiation with antral mucosa

International Nuclear Information System (INIS)

Tanabe, Yosihiko; Masaki, Michiyosi; Kato, Hisakazu

1999-01-01

We have repaired 3 cases of the highly contracted socket after irradiation by lining it using antral mucosa and obtained excellent results. Although this procedure requires rhinological skill to obtain the mucosa, it has an advantage leaving no visible scar at the donor site. Usually it is not difficult to obtain a sufficient quantity of the mucous membrane to line a whole socket from one antrum. Besides, it is also easy to line its surface since the shape of antral mucosa is originally in a sac form. All we have to do is making 20 mm long incision to the mucosa, putting a silicone conformer into it, and inlaying it into the graft bed. Thus, having once obtained the mucous membrane, the surgical procedure itself is a quite simple one. (author)

Orthotropic Piezoelectricity in 2D Nanocellulose.

Science.gov (United States)

García, Y; Ruiz-Blanco, Yasser B; Marrero-Ponce, Yovani; Sotomayor-Torres, C M

2016-10-06

The control of electromechanical responses within bonding regions is essential to face frontier challenges in nanotechnologies, such as molecular electronics and biotechnology. Here, we present Iβ-nanocellulose as a potentially new orthotropic 2D piezoelectric crystal. The predicted in-layer piezoelectricity is originated on a sui-generis hydrogen bonds pattern. Upon this fact and by using a combination of ab-initio and ad-hoc models, we introduce a description of electrical profiles along chemical bonds. Such developments lead to obtain a rationale for modelling the extended piezoelectric effect originated within bond scales. The order of magnitude estimated for the 2D Iβ-nanocellulose piezoelectric response, ~pm V -1 , ranks this material at the level of currently used piezoelectric energy generators and new artificial 2D designs. Such finding would be crucial for developing alternative materials to drive emerging nanotechnologies.

Orthotropic Piezoelectricity in 2D Nanocellulose

Science.gov (United States)

García, Y.; Ruiz-Blanco, Yasser B.; Marrero-Ponce, Yovani; Sotomayor-Torres, C. M.

2016-10-01

The control of electromechanical responses within bonding regions is essential to face frontier challenges in nanotechnologies, such as molecular electronics and biotechnology. Here, we present Iβ-nanocellulose as a potentially new orthotropic 2D piezoelectric crystal. The predicted in-layer piezoelectricity is originated on a sui-generis hydrogen bonds pattern. Upon this fact and by using a combination of ab-initio and ad-hoc models, we introduce a description of electrical profiles along chemical bonds. Such developments lead to obtain a rationale for modelling the extended piezoelectric effect originated within bond scales. The order of magnitude estimated for the 2D Iβ-nanocellulose piezoelectric response, ~pm V-1, ranks this material at the level of currently used piezoelectric energy generators and new artificial 2D designs. Such finding would be crucial for developing alternative materials to drive emerging nanotechnologies.

Polymer Micro- and Nanofabrication for On-Chip Immune Cell Handling

DEFF Research Database (Denmark)

Hobæk, Thor Christian

, disposable polymer chips were fabricated by injection molding and ultrasonic welding for the generation of a large number of mature DCs in a closed microfluidic perfusion culture. By using low gas permeable tubings and chip materials, a constant pH and bubble-free culture medium was maintained for 7 days...... olefin copolymer (COC) over large surface areas by injection molding, using nanostructured mold inlays patterned by high-throughput deep-UV stepper photolithography. Injection molding at constant mold temperature below the glass transition point was significantly improved using nanostructured ceramic...... outside a CO2 cell incubator. Numerical simulations of oxygen transport were performed to establish guidelines for medium exchange rates in an impermeable culture system. Maturation of CD83+ mature DCs generated from CD14+ monocytes was demonstrated inside the disposable culture chip, with a yield almost...

Stability and electronic properties of low-dimensional nanostructures

Science.gov (United States)

Guan, Jie

As the devices used in daily life become smaller and more concentrated, traditional three-dimensional (3D) bulk materials have reached their limit in size. Low-dimensional nanomaterials have been attracting more attention in research and getting widely applied in many industrial fields because of their atomic-level size, unique advanced properties, and varied nanostructures. In this thesis, I have studied the stability and mechanical and electronic properties of zero-dimensional (0D) structures including carbon fullerenes, nanotori, metallofullerenes and phosphorus fullerenes, one-dimensional (1D) structures including carbon nanotubes and phosphorus nanotubes, as well as two-dimensional (2D) structures including layered transition metal dichalcogenides (TMDs), phosphorene and phosphorus carbide (PC). I first briefly introduce the scientific background and the motivation of all the work in this thesis. Then the computational techniques, mainly density functional theory (DFT), are reviewed in Chapter 2. In Chapter 3, I investigate the stability and electronic structure of endohedral rare-earth metallofullerene La C60 and the trifluoromethylized La C60(CF3)n with n ≤ 5. Odd n is preferred due to the closed-shell electronic configuration or large HOMO-LUMO gap, which is also meaningful for the separation of C 60-based metallofullerenes. Mechanical and electronic properties of layered materials including TMDs and black phosphorus are studied in Chapter 4 and 5. In Chapter 4, a metallic NbSe2/semiconducting WSe2 bilayer is investigated and besides a rigid band shift associated with charge transfer, the presence of NbSe2 does not modify the electronic structure of WSe2. Structural similarity and small lattice mismatch results in the heterojunction being capable of efficiently transferring charge acrossthe interface. In Chapter 5, I investigate the dependence of stability and electronic band structure on the in-layer strain in bulk black phosphorus. In Chapters 6, 7 and

Coeficientes de transferencia de calor experimental para el enfriamiento de licor en intercambiadores de placas//Experimental heat transfer coefficients for the liquor cooling in plate heat exchanger

Directory of Open Access Journals (Sweden)

Enrique Torres‐Tamayo

2014-01-01

Full Text Available La pérdida de eficiencia del proceso de enfriamiento del licor amoniacal, mediante el uso de intercambiadores de calor de placas, está asociada a imprecisiones en la estimación de los coeficientes de transferencia de calor y la acumulación de incrustaciones en la superficie de intercambio. El objetivo de la investigación es determinar los coeficientes de transferencia de calor y la influencia de lasincrustaciones en la pérdida de eficiencia de la instalación. Mediante un procedimiento iterativo se estableció la ecuación del número de Nusselt y su relación con el número de Reynolds y Prandtl. Se utilizó un diseño experimental multifactorial. Los resultados predicen el conocimiento de los coeficientespara el cálculo del número de Nusselt en ambos fluidos. Los valores de los coeficientes del licor amoniacal son inferiores, ello se debe a la presencia de componentes gaseosos. La ecuación obtenida muestra correspondencia con el modelo de Buonapane, el error comparativo es del 3,55 %.Palabras claves: intercambiador de calor de placas, coeficientes de transferencia de calor, eficiencia térmica.______________________________________________________________________________AbstractThe loss of efficiency of the ammonia liquor cooling process, by means of the plate heat exchanger, is associated to the incorrect estimate of the heat transfer coefficients and the accumulation of inlays in the exchange surface. The objective of the investigation is to determine the transfer coefficients and the influence of the inlays in the efficiency loss of the installation. By means of an iterative procedure was obtained the Nusselt number equation and the relationship with the Reynolds and Prandtl number, for it was used it a design experimental multifactorial. The results predict the knowledge of the coefficients forthe calculation of the Nusselt number for both fluids. The ammonia liquor coefficients values are inferior, due to the presence of gassy

The effect of zirconia on flexural strength of IPS Empress 2 ceramic

Directory of Open Access Journals (Sweden)

Kermanshah H

2007-06-01

Full Text Available Background and Aim: All ceramic, inlay-retained resin bonded fixed partial denture is a conservative method for replacement of missing teeth, because of minimal tooth reduction. The connector between the retainer and the pontic is the weak point of these bridges. Reinforcement of ceramic core will increase the clinical longevity. The aim of this study was to determine the effect of zirconia on flexural strength of IPS Empress 2 core ceramic.Materials and Methods: In this experimental in vitro study, twenty eight bar shape specimens (17´3.1´3.1 mm were made of four different materials: (1 Slip casting in-ceram alumina core (control group (2 Hot-pressed lithium disilicate core ceramic (IPS Empress 2 (3 IPS Empress 2 with cosmopost (zirconia post inserted longitudinally in the center of the bar (4 IPS Empress 2 with cosmopost (zirconia post inserted longitudinally in bottom of the bar. Specimens were subjected to three-point flexure loading with the span of 15mm, at a cross-head speed of 0.5 mm/min. Failure loads were recorded and analyzed using one-way ANOVA and Tomhane Post-hoc tests and p<0.05 was set as the level of significance. Fractured surfaces were then observed by scanning electron microscope (SEM. Four additional samples were made as the third group, and zirconia-IPS interface was observed by SEM before fracture.Results: Mean values and standard deviations of three point flexural strengths of groups 1 to 4, were: 378.4±44.6, 258.6±27.5, 144.3±51.7, 230±22.3 MPa respectively. All the groups were statistically different from each other (P<0.05, except groups 2 and 4. The flexural strengths of groups 2, 3, 4 were significantly lower than group 1. Group 3 had the lowest flexural strength. SEM analysis showed that the initiated cracks propagated in the interface of zirconia post and IPS Empress 2 ceramic.Conclusion: Based on the results of this study, inserting zirconia post (cosmopost in IPS Empress 2 ceramic does not reinforce all

Direct or indirect - that is the question!

DEFF Research Database (Denmark)

Pallesen, Ulla

2016-01-01

Time has passed since the prevention of caries was performed by extending cavity preparations wide in the tooth and below the gingiva. In the same period adhesive techniques have improved and nowadays made it possible to extend the indications for direct composite resin restorations, also when...... rather destroyed teeth need to be restored. Although much can be solved by direct fillings and thereby make treatments less invasive for the tooth and less expensive for the patient, there still will be teeth, where the prognosis is improved, if an indirect restoration in terms of an inlay, onlay...... or crown is made. Factors as remaining tooth structure, endodontic treatment, number of teeth, caries risk, para-functional habits, material properties, economy etc. will all have an influence, when the dentist guides the patient to choose the best solution. What is best for the tooth – direct or indirect...

Tooth structure and fracture strength of cavities

DEFF Research Database (Denmark)

Mondelli, José; Sene, Fábio; Ramos, Renata Pereira

2007-01-01

This study evaluated, in vitro, the loss of tooth substance after cavity preparation for direct and indirect restorations and its relationship with fracture strength of the prepared teeth. Sixty sound human maxillary first premolars were assigned to 6 groups (n=10). MOD direct composite cavities......) or 1/2 (Groups III and VI) of the intercuspal distance. Teeth were weighed (digital balance accurate to 0.001 g) before and after preparation to record tooth substance mass lost during cavity preparation. The prepared teeth were submitted to occlusal loading to determine their fracture strength using...... mass loss (13.91%) than composite resin preparations with the same width (10.02%). 1/2-inlay cavities had 21.34% of mass loss versus 16.19% for the 1/2-composite resin cavities. Fracture strength means (in kgf) were: GI = 187.65; GII = 143.62; GIII = 74.10; GIV = 164.22; GV = 101.92; GVI = 50...

Understanding dental CAD/CAM for restorations--the digital workflow from a mechanical engineering viewpoint.

Science.gov (United States)

Tapie, L; Lebon, N; Mawussi, B; Fron Chabouis, H; Duret, F; Attal, J-P

2015-01-01

As digital technology infiltrates every area of daily life, including the field of medicine, so it is increasingly being introduced into dental practice. Apart from chairside practice, computer-aided design/computer-aided manufacturing (CAD/CAM) solutions are available for creating inlays, crowns, fixed partial dentures (FPDs), implant abutments, and other dental prostheses. CAD/CAM dental solutions can be considered a chain of digital devices and software for the almost automatic design and creation of dental restorations. However, dentists who want to use the technology often do not have the time or knowledge to understand it. A basic knowledge of the CAD/CAM digital workflow for dental restorations can help dentists to grasp the technology and purchase a CAM/CAM system that meets the needs of their office. This article provides a computer-science and mechanical-engineering approach to the CAD/CAM digital workflow to help dentists understand the technology.

Surgical treatment for giant incisional hernia

DEFF Research Database (Denmark)

Eriksson, A; Rosenberg, J; Bisgaard, T

2014-01-01

INTRODUCTION: Repair for giant incisional hernias is a challenge due to unacceptable high morbidity and recurrence rates. Several surgical techniques are available, but all are poorly documented. This systematic review was undertaken to evaluate the existing literature on repair for giant...... % with a wide range between studies of 4-100 %. The mortality ranged from 0 to 5 % (median 0 %) and recurrence rate ranged from 0 to 53 % (median 5 %). Study follow-up ranged from 15 to 97 months (median 36 months). Mesh repair should always be used for patients undergoing repair for a giant hernia......, and the sublay position may have advantages over onlay positioning. To avoid tension, it may be advisable to use a mesh in combination with a component separation technique. Inlay positioning of the mesh and repair without a mesh should be avoided. CONCLUSIONS: Evidence to optimise repair for giant hernias...

The use of a prosthetic inlay resurfacing as a salvage procedure for a failed cartilage repair.

Science.gov (United States)

Dhollander, Aad Alfons Maria; Almqvist, Karl Fredrik; Moens, Kris; Vandekerckhove, Pieter-Jan; Verdonk, René; Verdonk, Peter; Victor, Jan

2015-08-01

This study was designed to describe the clinical and radiographical outcome of the HemiCAP(®) resurfacing system as a salvage treatment for a failed index cartilage procedure. Fourteen patients were treated consecutively and clinically prospectively followed for a mean period of 26.1 ± 12.8 months. All patients were previously treated for their cartilage lesion. Radiographical data were analysed based on the Kellgren and Lawrence system. The patients involved in this study demonstrated a gradual clinical improvement in time. However, radiographically significant osteoarthritic changes were observed during the follow-up period. The position of the HemiCAP(®) resurfacing system was adequate in all cases, and no signs of loosening were observed during the follow-up period. The HemiCAP(®) resurfacing system is feasible as a salvage treatment for a failed index cartilage procedure and resulted in a gradual clinical improvement. However, the favourable clinical outcome was not confirmed by the radiographical findings. IV.

The golden age of the Neapolitan lutherie (1750-1800): new insights on the varnishes and decorations of ten historic mandolins

Science.gov (United States)

Rovetta, T.; Canevari, C.; Festa, L.; Licchelli, M.; Prati, S.; Malagodi, M.

2015-01-01

This paper reports the results of several scientific analyses carried out on ten mandolins made in the second half of the eighteenth century by the most important Neapolitan mandolin manufacturers such as the Filano, Fabricatore, Gagliano and Vinaccia families. Various elements of decoration were characterized for each mandolin: the resins of the sound hole decorations, the black wood strips of the purflings, the varnishes and the glues. Thanks to microscopy observations SEM-EDX, µFT-IR and µRaman analysis, a multi-technique approach was used in order to fully characterize and compare some of the decoration-making techniques peculiar of each family of makers. Shellac was the main organic material used both in the sound hole decorations and in the varnishes. Inorganic fillers such as aluminosilicates, particles of iron oxides/hydroxides and microfossils of diatoms were found within the false inlays. Black iron-based dyes were identified as dyes for the black wood strips of the purflings.

Determination of phosphorus traces in platinum alloys by two-phase isotope exchange

International Nuclear Information System (INIS)

Vlacil, F.

1980-01-01

The method of ZEMAN and KRATZER for the determination of phosphorus traces by means of two-phase isotope exchange was modified for the determination of phosphorus in pure platinum or pure platinum alloys. It was found that Pt, Rh, Ag and As do not interfere with the determination. Among the elements usually present in platinum metal or platinum alloys, only gold interferes. It was removed by extraction from 7M HCl by MIBK and AmOAc. Hydrochloric acid also interferes but it can be removed by evaporation. The analytical procedure is given for the solution obtained by pressure decomposition of the sample (0.5 g) in a steel bomb with PTFE inlay. It is possible to determine > 2 ppm P (approximate error -10%). If using calibration dependence instead of the well known equation for isotope exchange it is not necessary to know the content of P in the standard solution labelled with 32 P. (author)

A Study on the Residual Stress Improvement of PWSCC(Primary Water Stress Corrosion Cracking) in DMW(Dissimilar Metal Weld)

International Nuclear Information System (INIS)

Kang, Sung Sik; Kim, Seok Hun; Lee, Seung Gun; Park, Heung Bae

2010-01-01

Since 2000s, most of the cracks are found in welds, especially in (DMW) dissimilar metal welds such as pressurizer safety relief nozzle, reactor head penetration, reactor bottom mounted instrumentation (BMI), and reactor nozzles. Even the cracks are revealed as a primary water stress corrosion cracking (PWSCC), it is difficult to find the cracks by current non destructive examination. The PWSCC is occurred by three incident factors, such as susceptible material, environmental corrosive condition, and welding residual stress. If one of the three factors can be erased or decreased, the PWSCC could be prevented. In this study, we performed residual stress analysis for DMW and several residual stress improvement methods. As the preventive methods of PWSCC, we used laser peening(IP) method, inlay weld(IW) method, and induction heating stress improvement(IHSI) method. The effect of residual stress improvement for preventive methods was compared and discussed by finite element modeling and residual stress of repaired DMW

Computational analysis of acoustic transmission through periodically perforated interfaces

Directory of Open Access Journals (Sweden)

Rohan E.

2009-06-01

Full Text Available The objective of the paper is to demonstrate the homogenization approach applied to modelling the acoustic transmission on perforated interfaces embedded in the acoustic fluid. We assume a layer, with periodically perforated obstacles, separating two half-spaces filled with the fluid. The homogenization method provides limit transmission conditions which can be prescribed at the homogenized surface representing the "limit" interface. The conditions describe relationship between jump of the acoustic pressures and the transversal acoustic velocity, on introducing the "in-layer pressure" which describes wave propagation in the tangent directions with respect to the interface.This approach may serve as a relevant tool for optimal design of devices aimed at attenuation of the acoustic waves, such as the engine exhaust mufflers or other structures fitted with sieves and grillages. We present numerical examples of wave propagation in a muffler-like structure illustrating viability of the approach when complex 3D geometries of the interface perforation are considered.

Effect of Annealing Temperature on Microstructure and Mechanical Properties of Hot-Dip Galvanizing DP600 Steel

Science.gov (United States)

Hai-yan, Sun; Zhi-li, Liu; Yang, Xu; Jian-qiang, Shi; Lian-xuan, Wang

Hot-dip galvanizing dual phase steel DP600 steel grade with low Si was produced by steel plant and experiments by simulating galvanizing thermal history. The microstructure was observed and analyzed by scanning electron microscopy (SEM) and transmission electron microscopy (TEM). The effect of different annealing temperatures on the microstructure and mechanical properties of dual-phase steel was also discussed. The experimental results show that the dual-phase steel possesses excellent strength and elongation that match EN10346 600MPa standards. The microstructure is ferrite and martensite. TEM micrograph shows that white ferrite with black martensite islands inlay with a diameter of around 1um and the content of 14 18%. The volume will expand and phase changing take the form of shear transformation when ferrite converted to martensite. So there are high density dislocations in ferrite crystalline grain near martensite. The martensite content growing will be obvious along with annealing temperature going up. But the tendency will be weak when temperature high.

[The Predictive Factors of Stent Failure in the Treatment of Malignant Extrinsc Ureteral Obstruction Using Internal Ureteral Stents].

Science.gov (United States)

Matsuura, Hiroshi; Arase, Shigeki; Hori, Yasuhide; Tochigi, Hiromi

2017-12-01

In this study, we retrospectively reviewed the experiences at our single institute in the treatment of malignant extrinsic ureteral obstruction (MUO) using ureteral stents to investigate the clinical outcomes and the predictive factors of stent failure. In 52 ureters of 38 patients who had radiologically significant hydronephrosis due to MUO, internal ureteral stents (The BARD(R) INLAY(TM) ureteral stent set) were inserted. The median follow-up interval after the initial stent insertion was 124.5 days (4-1,120). Stent failure occurred in 8 ureters (15.4%) of the 7 patients. The median interval from the first stent insertion to stent failure was 88 days (1-468). A Cox regression multivariate analysis showed that the significant predictors of stent failure were bladder invasion. Based on the possibility of stent failure, the adaptation of the internal ureteral stent placement should be considered especially in a patient with MUO combined with bladder invasion.

Linear segmentation algorithm for detecting layer boundary with lidar.

Science.gov (United States)

Mao, Feiyue; Gong, Wei; Logan, Timothy

2013-11-04

The automatic detection of aerosol- and cloud-layer boundary (base and top) is important in atmospheric lidar data processing, because the boundary information is not only useful for environment and climate studies, but can also be used as input for further data processing. Previous methods have demonstrated limitations in defining the base and top, window-size setting, and have neglected the in-layer attenuation. To overcome these limitations, we present a new layer detection scheme for up-looking lidars based on linear segmentation with a reasonable threshold setting, boundary selecting, and false positive removing strategies. Preliminary results from both real and simulated data show that this algorithm cannot only detect the layer-base as accurate as the simple multi-scale method, but can also detect the layer-top more accurately than that of the simple multi-scale method. Our algorithm can be directly applied to uncalibrated data without requiring any additional measurements or window size selections.

Biomechanical Comparison of Five Posterior Cruciate Ligament Reconstruction Techniques.

Science.gov (United States)

Nuelle, Clayton W; Milles, Jeffrey L; Pfeiffer, Ferris M; Stannard, James P; Smith, Patrick A; Kfuri, Mauricio; Cook, James L

2017-07-01

No surgical technique recreates native posterior cruciate ligament (PCL) biomechanics. We compared the biomechanics of five different PCL reconstruction techniques versus the native PCL. Cadaveric knees ( n  = 20) were randomly assigned to one of five reconstruction techniques: Single bundle all-inside arthroscopic inlay, single bundle all-inside suspensory fixation, single bundle arthroscopic-assisted open onlay (SB-ONL), double bundle arthroscopic-assisted open inlay (DB-INL), and double bundle all-inside suspensory fixation (DB-SUSP). Each specimen was potted and connected to a servo-hydraulic load frame for testing in three conditions: PCL intact, PCL deficient, and PCL reconstructed. Testing consisted of a posterior force up to 100 N at a rate of 1 N/s at four knee flexion angles: 10, 30, 60, and 90 degrees. Three material properties were measured under each condition: load to 5 mm displacement, maximal displacement, and stiffness. Data were normalized to the native PCL, compared across techniques, compared with all PCL-intact knees and to all PCL-deficient knees using one-way analysis of variance. For load to 5 mm displacement, intact knees required significantly ( p  < 0.03) more load at 30 degrees of flexion than all reconstructions except the DB-SUSP. At 60 degrees of flexion, intact required significantly ( p  < 0.01) more load than all others except the SB-ONL. At 90 degrees, intact, SB-ONL, DB-INL, and DB-SUSP required significantly more load ( p  < 0.05). Maximal displacement testing showed the intact to have significantly ( p  < 0.02) less laxity than all others except the DB-INL and DB-SUSP at 60 degrees. At 90 degrees the intact showed significantly ( p  < 0.01) less laxity than all others except the DB-SUSP. The intact was significantly stiffer than all others at 30 degrees ( p  < 0.03) and 60 degrees ( p  < 0.01). Finally, the intact was significantly ( p  < 0.05) stiffer than all others except the DB

Investigation of the material flow and texture evolution in friction-stir welded aluminum alloy

Science.gov (United States)

Kang, Suk Hoon; Han, Heung Nam; Oh, Kyu Hwan; Cho, Jae-Hyung; Lee, Chang Gil; Kim, Sung-Joon

2009-12-01

The material flow and crystallographic orientation in aluminum alloy sheets joined by friction stir welding (FSW) were investigated by electron back scattered diffraction (EBSD). The microstructure and microtexture of the material near the stir zone was found to be influenced by the rotational behavior of the tool pin. It was found that, during FSW, the forward movement of the tool pin resulted in loose contact between the tool pin and the receding material at the advancing side. This material behavior inside the joined aluminum plates was also observed by an X-ray micrograph by inlaying a gold marker into the plates. As the advancing speed of the tool increases at a given rotation speed, the loose contact region widens. As the microtexture of the material near the stir zone is very close to the simple shear texture on the basis of the frame of the tool pin in the normal and tangent directions, the amount of incompletely rotated material due to the loose contact could be estimated from the tilt angle of the shear texture in the pole figure around the key hole.

Prosthodontic rehabilitation in patient with ectodermal dysplasia combining preprosthetic techniques: a case report.

Science.gov (United States)

Pombo Castro, María; Luaces Rey, Ramón; Arenaz Búa, Jorge; Santana-Mora, Urbano; López-Cedrún Cembranos, José Luís

2013-10-01

Oral manifestations in ectodermal dysplasia include oligodontia, alveolar ridges hypoplasia, and others. Due to the special conditions in terms of unhealthy teeth and lack of bone, implant-supported rehabilitation seems to offer the most satisfactory outcome. A 27-year-old male diagnosed with ectodermal dysplasia was referred to our department for oral rehabilitation. Oral manifestations included oligodontia, maxillary and mandibular atrophy, mandibular alveolar ridge with knife-edge morphology, and conical teeth. Treatment planning consisted of a Le Fort I osteotomy with interpositional grafts, bilateral sinus lift, and placement of maxillary and mandibular inlay and onlay corticocancellous grafts, using autologous iliac crest bone. In the second surgery, all remaining teeth were removed and 11 endosteal implants were placed. Six months after implant placement, a bimaxillary fixed implant-supported prosthesis was delivered, maintaining a satisfactory esthetic and functional result after a 2-year follow-up. The use of combined preprosthetic techniques allows the placement of endosteal implants and a fixed implant-supported prosthesis in patients with oligodontia and ectodermal dysplasia, providing an esthetic and functional oral rehabilitation.

A multi-technique chemical characterization of a Stradivari decorated violin top plate

Science.gov (United States)

Malagodi, M.; Canevari, C.; Bonizzoni, L.; Galli, A.; Maspero, F.; Martini, M.

2013-08-01

This paper focuses on the characterization of the materials of a violin top plate made by Antonio Stradivari (17th century), with different diagnostic techniques and with an integrated and non-destructive analytical methodology to study surface coatings and decorations. The UV-induced visible fluorescence, optical digital microscopy, ED-XRF associated with micro-FTIR spectroscopy analysis, and dendrochronology were performed. The investigations were aimed to identify the presence of original varnish layers and to characterize the composition of the decorations, either the inlaid purflings or the composite false-inlay strip between them. Several results were achieved: (i) evidence of the absence of varnish layers on the surface as a result of extended and inappropriate restoring; (ii) identification of the dye used for the black layers of the purflings; (iii) characterization of the black matrix and the white elements of the decoration. Furthermore, a dendrochronological dating was performed. A copy of the top plate was realized with materials similar to those identified on the Stradivari original; the same analyses performed on the original model were carried out on the same areas of the copy.

Properties and Clinical Application of Three Types of Dental Glass-Ceramics and Ceramics for CAD-CAM Technologies

Science.gov (United States)

Ritzberger, Christian; Apel, Elke; Höland, Wolfram; Peschke, Arnd; Rheinberger, Volker M.

2010-01-01

The main properties (mechanical, thermal and chemical) and clinical application for dental restoration are demonstrated for three types of glass-ceramics and sintered polycrystalline ceramic produced by Ivoclar Vivadent AG. Two types of glass-ceramics are derived from the leucite-type and the lithium disilicate-type. The third type of dental materials represents a ZrO2 ceramic. CAD/CAM technology is a procedure to manufacture dental ceramic restoration. Leucite-type glass-ceramics demonstrate high translucency, preferable optical/mechanical properties and an application as dental inlays, onlays and crowns. Based on an improvement of the mechanical parameters, specially the strength and toughness, the lithium disilicate glass-ceramics are used as crowns; applying a procedure to machine an intermediate product and producing the final glass-ceramic by an additional heat treatment. Small dental bridges of lithium disilicate glass-ceramic were fabricated using a molding technology. ZrO2 ceramics show high toughness and strength and were veneered with fluoroapatite glass-ceramic. Machining is possible with a porous intermediate product.

The application of silicon and silicates in dentistry: a review.

Science.gov (United States)

Lührs, A-K; Geurtsen, Werner

2009-01-01

Silicates and silicate-based compounds are frequently used materials in dentistry. One of their major applications is their use as fillers in different dental filling materials such as glass-ionomer cements, compomers, composites, and adhesive systems. In these materials, the fillers react with acids during the setting process or they improve the mechanical properties by increasing physical resistance, thermal expansion coefficient and radiopacity in acrylic filling materials. They also reduce polymerization shrinkage, and increase esthetics as well as handling properties. Furthermore, silicates are used for the tribochemical silication of different surfaces such as ceramics or alloys. The silicate layer formed in this process is the chemical basis for silanes that form a bond between this layer and the organic composite matrix. It also provides a micromechanical bond between the surface of the material and the composite matrix. Silicates are also a component of dental ceramics, which are frequently used in dentistry, for instance for veneers, inlays, and onlays, for denture teeth, and for full-ceramic crowns or as crown veneering materials.

Understanding dental CAD/CAM for restorations--accuracy from a mechanical engineering viewpoint.

Science.gov (United States)

Tapie, Laurent; Lebon, Nicolas; Mawussi, Bernardin; Fron-Chabouis, Hélène; Duret, Francois; Attal, Jean-Pierre

2015-01-01

As is the case in the field of medicine, as well as in most areas of daily life, digital technology is increasingly being introduced into dental practice. Computer-aided design/ computer-aided manufacturing (CAD/CAM) solutions are available not only for chairside practice but also for creating inlays, crowns, fixed partial dentures (FPDs), implant abutments, and other dental prostheses. CAD/CAM dental practice can be considered as the handling of devices and software processing for the almost automatic design and creation of dental restorations. However, dentists who want to use dental CAD/CAM systems often do not have enough information to understand the variations offered by such technology practice. Knowledge of the random and systematic errors in accuracy with CAD/CAM systems can help to achieve successful restorations with this technology, and help with the purchasing of a CAD/CAM system that meets the clinical needs of restoration. This article provides a mechanical engineering viewpoint of the accuracy of CAD/ CAM systems, to help dentists understand the impact of this technology on restoration accuracy.

[Influence of retainer design on fixation strength of resin-bonded glass fiber reinforced composite fixed cantilever dentures].

Science.gov (United States)

Petrikas, O A; Voroshilin, Iu G; Petrikas, I V

2013-01-01

Fiber-reinforced composite (FRC) fixed partial dentures (FPD) have become an accepted part of the restorative dentist's armamentarium. The aim of this study was to evaluate in vitro the influence of retainer design on the strength of two-unit cantilever resin-bonded glass FRC-FPDs. Four retainer designs were tested: a dual wing, a dual wing + horizontal groove, a dual wing + occlusal rest and a step-box. Of each design on 7 human mandibular molars, FRC-FPDs of a premolar size were produced. The FRC framework was made of resin Revolution (Kerr) impregnated glass fibers (GlasSpan, GlasSpan) and veneered with hybrid resin composite (Charisma, Kulzer). Revolution (Kerr) was used as resin luting cement. FRC-FPDs were loaded to failure in a universal testing machine. T (Student's)-test was used to evaluate the data. The four designs were analyzed with finite element analysis (FEA) to reveal the stress distribution within the tooth/restoration complex. Significantly lower fracture strengths were observed with inlay-retained FPDs (step-box: 172±11 N) compared to wing-retained FPDs (poptimal design for replacement of a single premolar by means of a two-unit cantilever FRC-FPDs.

Influence of retainer design on two-unit cantilever resin-bonded glass fiber reinforced composite fixed dental prostheses: an in vitro and finite element analysis study.

Science.gov (United States)

Keulemans, Filip; De Jager, Niek; Kleverlaan, Cornelis J; Feilzer, Albert J

2008-10-01

The aim of this study was to evaluate in vitro the influence of retainer design on the strength of two-unit cantilever resin-bonded glass fiber-reinforced composite (FRC) fixed dental prostheses (FDP). Four retainer designs were tested: a proximal box, a step-box, a dual wing, and a step-box-wing. Of each design on 8 human mandibular molars, FRC-FDPs of a premolar size were produced. The FRC framework was made of resin impregnated unidirectional glass fibers (Estenia C&B EG Fiber, Kuraray) and veneered with hybrid resin composite (Estenia C&B, Kuraray). Panavia F 2.0 (Kuraray) was used as resin luting cement. FRC-FDPs were loaded to failure in a universal testing machine. One-way ANOVA and Tukey's post-hoc test were used to evaluate the data. The four designs were analyzed with finite element analysis (FEA) to reveal the stress distribution within the tooth/restoration complex. Significantly lower fracture strengths were observed with inlay-retained FDPs (proximal box: 300 +/- 65 N; step-box: 309 +/- 37 N) compared to wing-retained FDPs (p optimal design for replacement of a single premolar by means of a two-unit cantilever FRC-FDPs.

Coke fouling monitoring by electrical resistivity

Energy Technology Data Exchange (ETDEWEB)

Bombardelli, Clovis; Mari, Livia Assis; Kalinowski, Hypolito Jose [Universidade Tecnologica Federal do Parana (UTFPR), Curitiba, PR (Brazil). Programa de Pos-Graduacao em Engenharia Eletrica e Informatica Industrial (CPGEI)

2008-07-01

An experimental method to simulate the growth of the coke fouling that occurs in the oil processing is proposed relating the thickness of the encrusted coke to its electrical resistivity. The authors suggest the use of the fouling electrical resistivity as a transducer element for determining its thickness. The sensor is basically two electrodes in an electrically isolated device where the inlay can happen in order to compose a purely resistive transducer. Such devices can be easily constructed in a simple and robust form with features capable to face the high temperatures and pressures found in relevant industrial processes. For validation, however, it is needed a relationship between the electrical resistivity and the fouling thickness, information not yet found in the literature. The present work experimentally simulates the growth of a layer of coke on an electrically insulating surface, equipped with electrodes at two extremities to measure the electrical resistivity during thermal cracking essays. The method is realized with a series of consecutive runs. The results correlate the mass of coke deposited and its electrical resistivity, and it can be used to validate the coke depositions monitoring employing the resistivity as a control parameter. (author)

Reattachment techniques - Few case reports

Directory of Open Access Journals (Sweden)

Nitin Shah

2009-01-01

Full Text Available Anterior crown fractures are a common form of injury that mainly affects children and adolescents. In the pre-adhesive era fractured teeth needed to be restored either with pin-retained inlays or cast restorations that sacrificed healthy tooth structure. Achieving aesthetic requirements were also a challenge for the clinicians. The development of adhesive dentistry has allowed dentists to use the broken fragment to restore the fractured tooth. The acid etch adhesive technique may be used to restore function and esthetics of fractured anterior teeth. Reattachment of the fractured segment offers some advantages over composite restorations. The original enamel translucency is maintained, and the incisal edge will wear at the same rate as the adjacent teeth. Esthetic, biologic and restorative problems may occur as a result of the fracture extending subgingivally and impinging on the biologic width. The treatment options depend on the relationship of the fracture to the alveolar crest, degree of pulpal involvement, amount of eruption, apex formation and esthetic requirement of the patient. This article presents two clinical reports describing the treatment modalities of patients who sustained fractures of maxillary anterior teeth due to trauma.

Spine imaging after lumbar disc replacement: pitfalls and current recommendations

Directory of Open Access Journals (Sweden)

Sandén Bengt

2009-07-01

Full Text Available Abstract Background Most lumbar artificial discs are still composed of stainless steel alloys, which prevents adequate postoperative diagnostic imaging of the operated region when using magnetic resonance imaging (MRI. Thus patients with postoperative radicular symptoms or claudication after stainless steel implants often require alternative diagnostic procedures. Methods Possible complications of lumbar total disc replacement (TDR are reviewed from the available literature and imaging recommendations given with regard to implant type. Two illustrative cases are presented in figures. Results Access-related complications, infections, implant wear, loosening or fracture, polyethylene inlay dislodgement, facet joint hypertrophy, central stenosis, and ankylosis of the operated segment can be visualised both in titanium and stainless steel implants, but require different imaging modalities due to magnetic artifacts in MRI. Conclusion Alternative radiographic procedures should be considered when evaluating patients following TDR. Postoperative complications following lumbar TDR including spinal stenosis causing radiculopathy and implant loosening can be visualised by myelography and radionucleotide techniques as an adjunct to plain film radiographs. Even in the presence of massive stainless steel TDR implants lumbar radicular stenosis and implant loosening can be visualised if myelography and radionuclide techniques are applied.

Splinting of Longitudinal Fracture: An Innovative Approach

Directory of Open Access Journals (Sweden)

Rashmi Bansal

2016-01-01

Full Text Available Trauma may result in craze lines on the enamel surface, one or more fractured cusps of posterior teeth, cracked tooth syndrome, splitting of posterior teeth, and vertical fracture of root. Out of these, management of some fractures is of great challenge and such teeth are generally recommended for extraction. Literature search reveals attempts to manage such fractures by full cast crown, orthodontic wires, and so forth, in which consideration was given to extracoronal splinting only. However, due to advancement in materials and technologies, intracoronal splinting can be achieved as well. In this case report, longitudinal fractures in tooth #27, tooth #37, and tooth #46 had occurred. In #27, fracture line was running mesiodistally involving the pulpal floor resulting in a split tooth. In teeth 37 and 46, fractures of the mesiobuccal cusp and mesiolingual cusp were observed, respectively. They were restored with cast gold inlay and full cast crown, respectively. Longitudinal fracture of 27 was treated with an innovative approach using intracanal reinforced composite with Ribbond, external reinforcement with an orthodontic band, and full cast metal crown to splint the split tooth.

Development and validation of technique for in-vivo 3D analysis of cranial bone graft survival

Science.gov (United States)

Bernstein, Mark P.; Caldwell, Curtis B.; Antonyshyn, Oleh M.; Ma, Karen; Cooper, Perry W.; Ehrlich, Lisa E.

1997-05-01

Bone autografts are routinely employed in the reconstruction of facial deformities resulting from trauma, tumor ablation or congenital malformations. The combined use of post- operative 3D CT and SPECT imaging provides a means for quantitative in vivo evaluation of bone graft volume and osteoblastic activity. The specific objectives of this study were: (1) Determine the reliability and accuracy of interactive computer-assisted analysis of bone graft volumes based on 3D CT scans; (2) Determine the error in CT/SPECT multimodality image registration; (3) Determine the error in SPECT/SPECT image registration; and (4) Determine the reliability and accuracy of CT-guided SPECT uptake measurements in cranial bone grafts. Five human cadaver heads served as anthropomorphic models for all experiments. Four cranial defects were created in each specimen with inlay and onlay split skull bone grafts and reconstructed to skull and malar recipient sites. To acquire all images, each specimen was CT scanned and coated with Technetium doped paint. For purposes of validation, skulls were landmarked with 1/16-inch ball-bearings and Indium. This study provides a new technique relating anatomy and physiology for the analysis of cranial bone graft survival.

Mechanical performance of a biocompatible biocide soda-lime glass-ceramic.

Science.gov (United States)

López-Esteban, S; Bartolomé, J F; Dí Az, L A; Esteban-Tejeda, L; Prado, C; López-Piriz, R; Torrecillas, R; Moya, J S

2014-06-01

A biocompatible soda-lime glass-ceramic in the SiO2-Na2O-Al2O3-CaO-B2O3 system containing combeite and nepheline as crystalline phases, has been obtained at 750°C by two different routes: (i) pressureless sintering and (ii) Spark Plasma Sintering. The SPS glass-ceramic showed a bending strength, Weibull modulus, and toughness similar values to the cortical human bone. This material had a fatigue limit slightly superior to cortical bone and at least two times higher than commercial dental glass-ceramics and dentine. The in vitro studies indicate that soda-lime glass-ceramic is fully biocompatible. The in vivo studies in beagle jaws showed that implanted SPS rods presented no inflammatory changes in soft tissues surrounding implants in any of the 10 different cases after four months implantation. The radiological analysis indicates no signs of osseointegration lack around implants. Moreover, the biocide activity of SPS glass-ceramic versus Escherichia coli, was found to be >4log indicating that it prevents implant infections. Because of this, the SPS new glass-ceramic is particularly promising for dental applications (inlay, crowns, etc). Copyright © 2014 Elsevier Ltd. All rights reserved.

Aesthetical Study of Patterns and Forms in the Metalworks during Seljuk Dynasty

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Ashraf Sadat Mousavi Lar

2017-06-01

Full Text Available One of the brightest periods of Iranian art begins with the entrance of the Seljuk dynasty in the land. Metalwork and particularly the use of statues, gold and silver faces restrictions in the Islamic society which have influenced the basis of Seljuk traditional aesthetics. Metalwork is worth to be studied in order to understand basis of aesthetics of Seljuk figures and forms. This study has chosen twenty samples of metal works from Seljuk and Sasanid eras to get to know the aesthetic principles of Seljuk metalwork. Another inquiry of the paper is to grasp the differences between the metalwork of this era and pre-Islamic period. Research method has been a historical-descriptive and analytic-comparative one. The results show that tribal traditions rules Iranian-Islamic Seljuk metalwork and Islamic tradition has obtained the most frequency after comparisons were implemented. Used metals by the Seljuk respectively are silver, bronze, brass and copper. Construction and decoration techniques include chasing, [casting, engraving, niello (with equal statistics], inlaying, hammering, [embossing and open working]. Decorative figures include [floral and geometric figures along with inscriptions], animal, legendary and human figures.

Studies on the air distribution and thermal performance of the air circulation wall. Part 4. Study on the thermal emissivity of the air circulation layer`s surfaces; Gaidannetsu tsuki koho ni okeru tsuki sonai no netsu tsuki tokusei ni kansuru kenkyu. 4. Tsuki sonai hyomen no hosha tokusei ni kansuru kosatsu

Energy Technology Data Exchange (ETDEWEB)

Kamimori, K; Sakai, K; Ishihara, O [Kumamoto University, Kumamoto (Japan)

1996-10-27

The thermal and air distribution characteristics of the air circulation wall in a heat-insulated system were grasped using an experimental model. In this paper, the difference in the heat exchange between the wall and air was confirmed based on the radiation on the circulation layer`s surface. In this system, thin air circulation layers with ventilating holes at the top and bottom are attached to the south and north outer walls of a wooden building. This system is a kind of passive solar house that achieves the insolation screening effect and the temperature rising effect based on solar collection. The heat flow in a circulation layer is eliminated by the natural convection heat transfer on the outer wall. The heat flow passing through insulating materials is the heat transfer by radiation. The heat flow based on the in-layer natural convection is increasingly eliminated by the decrease in temperature on the air circulation layer`s surface. The decrease in room surface temperature using aluminum foil and the reflective heat-insulated effect showed that the heat passing through the wall surface decreases as the convection heat transfer in an air circulation layer increases. 6 refs., 20 figs., 3 tabs.

Three-dimensional computer code for the nonlinear dynamic response of an HTGR core

International Nuclear Information System (INIS)

Subudhi, M.; Lasker, L.; Koplik, B.; Curreri, J.; Goradia, H.

1979-01-01

A three-dimensional dynamic code has been developed to determine the nonlinear response of an HTGR core. The HTGR core consists of several thousands of hexagonal core blocks. These are arranged inlayers stacked together. Each layer contains many core blocks surrounded on their outer periphery by reflector blocks. The entire assembly is contained within a prestressed concrete reactor vessel. Gaps exist between adjacent blocks in any horizontal plane. Each core block in a given layer is connected to the blocks directly above and below it via three dowell pins. The present analystical study is directed towards an invesstigation of the nonlinear response of the reactor core blocks in the event of a seismic occurrence. The computer code is developed for a specific mathemtical model which represents a vertical arrangement of layers of blocks. This comprises a block module of core elements which would be obtained by cutting a cylindrical portion consisting of seven fuel blocks per layer. It is anticipated that a number of such modules properly arranged could represent the entire core. Hence, the predicted response of this module would exhibit the response characteristics of the core

A custom-made temporomandibular joint prosthesis for fabrication by selective laser melting: Finite element analysis.

Science.gov (United States)

Xu, Xiangliang; Luo, Danmei; Guo, Chuanbin; Rong, Qiguo

2017-08-01

A novel and custom-made selective laser melting (SLM) 3D-printed alloplastic temporomandibular joint (TMJ) prosthesis is proposed. The titanium-6aluminium-4vanadium (Ti-6Al-4V) condyle component and ultra-high molecular weight polyethylene (UHMWPE) fossa component comprised the total alloplastic TMJ replacement prosthesis. For the condyle component, an optimized tetrahedral open-porous scaffold with combined connection structures, i.e. an inlay rod and an onlay plate, between the prosthesis and remaining mandible was designed. The trajectory of movement of the intact condyle was assessed via kinematic analysis to facilitate the design of the fossa component. The behaviours of the intact mandible and mandible with the prosthesis were compared. The biomechanical behaviour was analysed by assessing the stress distribution on the prosthesis and strain distribution on the mandible. After muscle force was applied, the magnitude of the compressive strain on the condyle neck of the mandible with the prosthesis was lower than that on the condyle neck of the intact mandible, with the exception of the area about the screws; additionally, the magnitude of the strain at the scaffold-bone interface was relatively high. Copyright © 2017. Published by Elsevier Ltd.

Modification of the method of Figgie for determination of joint line shifting in total knee arthroplasty; Modifizierung der Messmethode nach Figgie zur Bestimmung der Gelenklinienverschiebung in der Knieendoprothetik

Energy Technology Data Exchange (ETDEWEB)

Classen, T.; Wegner, A.; Knoch, M. von [Universitaet Duisburg-Essen, Klinik fuer Orthopaedie, Essen (Germany)

2009-06-15

An important factor for a good result after total knee arthroplasty is the position of the patella in relation to the tibiofemoral joint line. The position of the patella itself is not influenced by arthroplasty, therefore any changes in the position of the tibiofemoral joint line are of special interest. The Figgie method to describe patella height delivers only absolute measurements, which makes it difficult to compare different radiographs. For this reason we developed a new JL/P quotient (JL: distance from the tibial plateau to the tibial tubercle, P: distance from the inferior pole of the patella to the tibial plateau) to enable better comparison. Furthermore, we modified the JL/P quotient and instead of taking the tibial plateau as the reference line, we constructed a tangent on the femoral condyle. With this modification, problems such as tibial inlays of different heights which have to be taken into account in the measurements, the slope of the tibial component or difficult assessment of the tibial joint surface in osteoarthritic knees do not arise. The JL/P quotient shows massive shift to cranialisation of the tibiofemoral joint line which does not correspond to reality. The modified method also shows cranialisation of the tibiofemoral joint line, but in a realistic way. Both methods show a minimal interobserver variability. The modified JL/P quotient seems to be a good method for determining the shift in the tibiofemoral joint line after total knee arthroplasty. (orig.) [German] Ein bedeutender Faktor fuer ein gutes postoperatives Ergebnis nach einer Knieendoprothesenimplantation ist die Stellung der Patella in Relation zur tibiofemoralen Gelenklinie. Da die Stellung der Patella durch den operativen Eingriff primaer nicht beeinflusst wird, liegt besonderes Augenmerk auf den Veraenderungen der Gelenklinie des Tibiofemoralgelenks. Die Messmethode zur Bestimmung der Patellahoehe nach Figgie liefert dafuer nur absolute Werte, was eine Vergleichbarkeit von

Heavy vehicle simulator (HVS) evaluation of load transfer efficiency and continuously reinforced concrete inlays on the N3 near Pietermartizburg

CSIR Research Space (South Africa)

Du Plessis, L

2006-07-01

Full Text Available The paper addresses two different heavy Vehicle Simulator (HVS) studies conducted on concrete: Load transfer through aggregate interlock and the use of dowels and the evaluation of the performance of an in-service continuously reinforced concrete...

Supercritical Water Gasification of Biomass in a Ceramic Reactor: Long-Time Batch Experiments

Directory of Open Access Journals (Sweden)

Daniele Castello

2017-10-01

Full Text Available Supercritical water gasification (SCWG is an emerging technology for the valorization of (wet biomass into a valuable fuel gas composed of hydrogen and/or methane. The harsh temperature and pressure conditions involved in SCWG (T > 375 °C, p > 22 MPa are definitely a challenge for the manufacturing of the reactors. Metal surfaces are indeed subject to corrosion under hydrothermal conditions, and expensive special alloys are needed to overcome such drawbacks. A ceramic reactor could be a potential solution to this issue. Finding a suitable material is, however, complex because the catalytic effect of the material can influence the gas yield and composition. In this work, a research reactor featuring an internal alumina inlay was utilized to conduct long-time (16 h batch tests with real biomasses and model compounds. The same experiments were also conducted in batch reactors made of stainless steel and Inconel 625. The results show that the three devices have similar performance patterns in terms of gas production, although in the ceramic reactor higher yields of C2+ hydrocarbons were obtained. The SEM observation of the reacted alumina surface revealed a good resistance of such material to supercritical conditions, even though some intergranular corrosion was observed.

Jewellery from Burials Located in the Southern Part of Bolgar Fortifi ed Settlement (Excavations CLXXIV and CCXIV of 2012 and 2015

Directory of Open Access Journals (Sweden)

Rudenko Konstantin A.

2017-12-01

Full Text Available The article presents jewellery from three burials discovered in the course of archaeological works in the southern part of Bolgar fortified settlement (excavations CLXXIV and CCXIV. The major part of the area studied in 2012 and 2015 is occupied by a 14th century cemetery encircling a stone mausoleum. Of particular interest is a complex of silver jewellery discovered inside a silk pouch (? in the filling materials of the pit of burial No. 52/2012 near the eastern pylon of the mausoleum. The complex includes seven plate bracelets decorated with lion's faces, three pins, two pendants in the form of boxes with eyelets for hanging decorated with grains and filigree, and inlays composed of glazed ceramic fragments. In addition, the complex features a pendant made of a silver coin minted by khan Janibek (1341–1357. A unique headdress decorated with round gold rings was discovered in burial No. 89/2012 inside the mausoleum. Two pendant rings made of gold wire were discovered in a child burial No. 16/2015 located west of the mausoleum. The authors conclude that the jewellery was generally produced locally and used by the population of Bolgar town in 14th century.

Design of Complete Dentures by Adopting CAD Developed for Fixed Prostheses.

Science.gov (United States)

Li, Yanfeng; Han, Weili; Cao, Jing; Iv, Yuan; Zhang, Yue; Han, Yishi; Shen, Yi; Ma, Zheng; Liu, Huanyue

2018-02-01

The demand for complete dentures is expected to increase worldwide, but complete dentures are mainly designed and fabricated manually involving a broad series of clinical and laboratory procedures. Therefore, the quality of complete dentures largely depends on the skills of the dentist and technician, leading to difficulty in quality control. Computer-aided design and manufacturing (CAD/CAM) has been used to design and fabricate various dental restorations including dental inlays, veneers, crowns, partial crowns, and fixed partial dentures (FPDs). It has been envisioned that the application of CAD/CAM technology could reduce intensive clinical/laboratory work for the fabrication of complete dentures; however, CAD/CAM is seldom used to fabricate complete dentures due to the lack of suitable CAD software to design virtual complete dentures although the CAM techniques are in a much advanced stage. Here we report the successful design of virtual complete dentures using CAD software of 3Shape Dental System 2012, which was developed for designing fixed prostheses instead of complete dentures. Our results demonstrated that complete dentures could be successfully designed by the combination of two modeling processes, single coping and full anatomical FPD, available in the 3Shape Dental System 2012. © 2016 by the American College of Prosthodontists.

Vertical Ridge Augmentation of the Atrophic Posterior Mandible with Sandwich Technique: Bone Block from the Chin Area versus Corticocancellous Bone Block Allograft—Clinical and Histological Prospective Randomized Controlled Study

Directory of Open Access Journals (Sweden)

Luigi Laino

2014-01-01

Full Text Available The aim of the present study is to compare the histological aspects of bone formation in atrophic posterior mandibles augmented by autologous bone block from chin area with corticocancellous bone block allograft used as inlays with the sandwich technique. Materials and Methods. Sixteen patients with bilateral partial edentulism in the posterior mandible were selected. The residual bone height, preliminarily measured by computed tomography scans, ranged between 5 and 7 mm from the inferior alveolar nerve. All patients required regeneration procedure with autologous bone block from chin area (control group versus bone block allograft Puros (Zimmer Dental, 1900 Aston Avenue, Carlsbad, CA, USA (test group. Histological and histomorphometric samples were collected at the time of implant positioning in order to analyze the percentage of newly formed bone, the residual graft material, and marrow spaces/soft tissue. Results. No statistically significant differences between the two groups were found regarding the percentage of newly formed bone. The percentage of residual grafted material was significantly higher in the test group, whilst the percentage of marrow spaces was higher in control group. Conclusions. In conclusion, both procedures supported good results, although the use of bone blocks allograft was less invasive and preferable than harvesting bone from the mental symphysis.

The structure of organic langmuir films on liquid metal surfaces

International Nuclear Information System (INIS)

Kraack, H.; Deutsch, M.; Ocko, B.M.; Pershan, P.S.

2003-01-01

Langmuir films (LFs) on water have long been studied for their interest for basic science and their numerous applications in chemistry, physics, materials science and biology. We present here A-resolution synchrotron X-ray studies of the structure of stearic acid LFs on a liquid mercury surface. At low coverage, ≥110 A 2 /mol, a 2D gas phase of flat-lying molecules is observed. At high coverage, ≤23 A 2 /mol, two different hexatic phases of standing-up molecules are observed. At intermediate coverage, 52≤A≤110 A 2 /mol, novel single- and double-layered phases of flat-lying molecular dimers are found, exhibiting a 1D in-layer order. Such flat-lying phases were not hitherto observed in any LF. Measurements on LFs of fatty acids of other chain lengths indicate that this structure is generic to chain molecules on mercury, although the existence of some of the flat-lying phases, and the observed phase sequence, depend on the chain length. Organic LFs on Hg, and in particular the new flat-lying phases, should provide a broader nano-structural tunability range for molecular electronic device construction than most solid-supported self-assembled monolayers used at present

Phosphorene: an unexplored 2D semiconductor with a high hole mobility.

Science.gov (United States)

Liu, Han; Neal, Adam T; Zhu, Zhen; Luo, Zhe; Xu, Xianfan; Tománek, David; Ye, Peide D

2014-04-22

We introduce the 2D counterpart of layered black phosphorus, which we call phosphorene, as an unexplored p-type semiconducting material. Same as graphene and MoS2, single-layer phosphorene is flexible and can be mechanically exfoliated. We find phosphorene to be stable and, unlike graphene, to have an inherent, direct, and appreciable band gap. Our ab initio calculations indicate that the band gap is direct, depends on the number of layers and the in-layer strain, and is significantly larger than the bulk value of 0.31-0.36 eV. The observed photoluminescence peak of single-layer phosphorene in the visible optical range confirms that the band gap is larger than that of the bulk system. Our transport studies indicate a hole mobility that reflects the structural anisotropy of phosphorene and complements n-type MoS2. At room temperature, our few-layer phosphorene field-effect transistors with 1.0 μm channel length display a high on-current of 194 mA/mm, a high hole field-effect mobility of 286 cm(2)/V·s, and an on/off ratio of up to 10(4). We demonstrate the possibility of phosphorene integration by constructing a 2D CMOS inverter consisting of phosphorene PMOS and MoS2 NMOS transistors.

Comparison of digital intraoral scanners by single-image capture system and full-color movie system.

Science.gov (United States)

Yamamoto, Meguru; Kataoka, Yu; Manabe, Atsufumi

2017-01-01

The use of dental computer-aided design/computer-aided manufacturing (CAD/CAM) restoration is rapidly increasing. This study was performed to evaluate the marginal and internal cement thickness and the adhesive gap of internal cavities comprising CAD/CAM materials using two digital impression acquisition methods and micro-computed tomography. Images obtained by a single-image acquisition system (Bluecam Ver. 4.0) and a full-color video acquisition system (Omnicam Ver. 4.2) were divided into the BL and OM groups, respectively. Silicone impressions were prepared from an ISO-standard metal mold, and CEREC Stone BC and New Fuji Rock IMP were used to create working models (n=20) in the BL and OM groups (n=10 per group), respectively. Individual inlays were designed in a conventional manner using designated software, and all restorations were prepared using CEREC inLab MC XL. These were assembled with the corresponding working models used for measurement, and the level of fit was examined by three-dimensional analysis based on micro-computed tomography. Significant differences in the marginal and internal cement thickness and adhesive gap spacing were found between the OM and BL groups. The full-color movie capture system appears to be a more optimal restoration system than the single-image capture system.

New markers to identify the provenance of lapis lazuli: trace elements in pyrite by means of micro-PIXE

Energy Technology Data Exchange (ETDEWEB)

Re, A. [Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Torino, Torino (Italy); Angelici, D. [Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Torino, Torino (Italy); Universita di Torino, Dipartimento di Fisica, Torino (Italy); Universita di Torino, Dipartimento di Scienze della Terra, Torino (Italy); Lo Giudice, A. [Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Torino, Torino (Italy); Universita di Torino, Dipartimento di Fisica, Torino (Italy); Maupas, E. [Universita di Torino, Dipartimento di Fisica, Torino (Italy); Giuntini, L.; Calusi, S.; Massi, M.; Mando, P.A. [Universita di Firenze, Dipartimento di Fisica, Sesto Fiorentino, Firenze (Italy); Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Firenze, Sesto Fiorentino, Firenze (Italy); Gelli, N. [Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Firenze, Sesto Fiorentino, Firenze (Italy); Borghi, A. [Universita di Torino, Dipartimento di Scienze della Terra, Torino (Italy); Gallo, L.M. [Museo Regionale di Scienze Naturali, Torino (Italy); Pratesi, G. [Universita di Firenze, Dipartimento di Scienze della Terra, Firenze (Italy); Museo di Storia Naturale, Firenze (Italy)

2013-04-15

Lapis lazuli has been used for glyptics and carving since the fifth millennium BC to produce jewels, amulets, seals, inlays, etc; the identification of the origin of the stone used for carving artworks may be valuable for reconstructing old trade routes. Since ancient lapis lazuli art objects are precious, only non-destructive techniques can be used to identify their provenance, and ion beam analysis (IBA) techniques allow us to characterise this stone in a fully non-invasive way. In addition, by using an ion microprobe, we have been able to focus the analysis on single crystals, as their typical dimensions may range from a few microns to hundreds of microns. Provenance markers, identified in previous IBA studies and already presented elsewhere, were based on the presence/absence of mineral phases, on the presence/quantity of trace elements inside a phase and on characteristic features of the luminescence spectra. In this work, a systematic study on pyrite crystals, a common accessory mineral in lapis lazuli, was carried out, following a multi-technique approach: optical microscopy and SEM-EDX to select crystals for successive trace element micro-PIXE measurements at two Italian facilities, the INFN Laboratori Nazionali di Legnaro and the INFN LABEC laboratory in Firenze. The results of this work allowed us to obtain new markers for lapis lazuli provenance identification. (orig.)

Deterioration of exchange bias in CoO-Co bilayers by the roughness of the ZnO substrates

Directory of Open Access Journals (Sweden)

Stamopoulos D.

2014-07-01

Full Text Available The Exchange Bias (EB effect is observed at the interface of Antiferromagnet/Ferromagnet (AF/FM structures and depends on the interface roughness (IR. Until today, only low IR values, usually below 10 nm, have been investigated. Here we investigate an extended range of IR through controlling the surface roughness (SR of the employed substrates. We employ CoO/Co bilayers (thickness within 10-60 nm, a classic AF/FM structure that exhibits intense EB. ZnO was employed as the substrate in both film and bulk forms, enabling us to vary the SR up to 840 nm. Our data reveal a strong relative decrease, ranging within 20-65%, of both the shift HshiftEB and coercive HcEB fields upon increase of SR (IR, for both parallel and normal magnetic field-sample configurations. For the explanation of these findings we propose that in thin AF/FM structures deposited on rough substrates the local magnetization, Mf of the FM is ‘locked’ mainly in-layer due to shape anisotropy, thus it is forced to follow the morphologically rough landscape of the substrate. This imposes misalignment between Mf, that is ‘directionally random’, and Hex, that is ‘directionally oriented’. This weakens the biasing potential of Hex on Mf and reduces the relative macroscopic parameters Hshift EB amd Hc EB.

Synthesis, characterization and thermal properties of paraffin microcapsules modified with nano-Al2O3

International Nuclear Information System (INIS)

Jiang, Xiang; Luo, Ruilian; Peng, Feifei; Fang, Yutang; Akiyama, Tomohiro; Wang, Shuangfeng

2015-01-01

Highlights: • Novel MEPCM modified with nano-Al 2 O 3 was prepared via emulsion polymerization. • The paraffin microcapsules presented a well-defined microstructure. • The composite achieved high encapsulation efficiency. • The thermal conductivity of MEPCM was enhanced due to the nano-Al 2 O 3 particles. - Abstract: A sort of new microencapsulated phase change materials (MEPCM) based on paraffin wax core and poly(methyl methacrylate-co-methyl acrylate) shell with nano alumina (nano-Al 2 O 3 ) inlay was synthesized through emulsion polymerization. Various techniques were used to characterize the as-prepared products so as to investigate the effect of nano-Al 2 O 3 on morphology and thermal performance, including scanning electron microscopy (SEM), differential scanning calorimetry (DSC), thermogravimetric analysis (TGA) and thermal conductivity measurement. The results showed that the products achieved the best performance with 16% (monomer mass) nano-Al 2 O 3 added under the optimal preparation conditions. The DSC results indicated that the phase change temperature of the composite exhibited appropriate phase change temperature and achieved high encapsulation efficiency. The thermal conductivity of the paraffin microcapsules is also significantly improved owing to the presence of high thermal conductive nano-Al 2 O 3 . This synthetic technique can be a perspective way to prepare the MEPCM with enhanced thermal transfer and phase change properties for potential applications to energy-saving building materials

Combining structural-thermal coupled field FE analysis and the Taguchi method to evaluate the relative contributions of multi-factors in a premolar adhesive MOD restoration.

Science.gov (United States)

Lin, Chun-Li; Chang, Yen-Hsiang; Lin, Yi-Feng

2008-08-01

The aim of this study was to determine the relative contribution of changes in restorative material, cavity dimensions, adhesive layer adaptation, and load conditions on the biomechanical response of an adhesive Class II MOD restoration during oral temperature changes. A validated finite-element (FE) model was used to perform the structural-thermal coupled field analyses and the Taguchi method was employed to identify the significance of each design factor in controlling the stress. The results indicated that thermal expansion in restorative material amplified the thermal effect and dominated the tooth stress value (69%) at high temperatures. The percentage contributions of the load conditions, cavity depth, and cement modulus increased the effect on tooth stress values 46%, 32%, and 14%, respectively, when the tooth temperature was returned to 37 degrees C. Load conditions were also the main factor influencing the resin cement stress values, irrespective of temperature changes. Increased stress values occurred with composite resin, lateral force, a deeper cavity, and a higher luting cement modulus. The combined use of FE analysis and the Taguchi method efficiently identified that a deeper cavity might increase the risk of a restored tooth fracture, as well as a ceramic inlay with a lower thermal expansion, attaining a proper occlusal adjustment to reduce the lateral occlusal force and low modulus luting material application to obtain a better force-transmission mechanism are recommended.

Surgical treatment of penetrating atherosclerotic ulcer of the descending aorta

Directory of Open Access Journals (Sweden)

Kovačević Pavle

2013-01-01

Full Text Available Introduction. The term “penetrating atherosclerotic ulcer” (PAU of the aorta describes the condition in which ulceration of an aortic atherosclerotic lesion penetrates the internal elastic lamina into media. PAU is a high-risk lesion due to its deleterious effects on the integrity of aortic wall, with potentially fatal outcome. Case report. A patient with intensive, sharp chest pain irradiating to the back but with no signs of myocardial ischemia on an electrocardiogram was referred to our hospital. Transthoracic echocardiography showed no pathological changes of the ascending aorta. However, multislice computed tomography (CT showed an aortic ulcer with varying degree of the subadventitial hemorrhage in the region of the thoracic aorta at the level of Th 8-9. Due to imminent rupture of the penetrating aortic ulcer, the patient was promptly prepared for surgery. A 15 cm long subadventitial hematoma was found intraoperatively in the right posterolateral aspect of the descending aorta, 5 cm above the diaphragm and 7 cm below the origin of the left subclavial artery. The affected segment of the aorta was resected, followed by an inlay aortic reconstruction with a Dacron tube graft of 24 mm. Control CT revealed satisfactory reconstruction of the descending aorta. Conclusion. PAU is a rare, but potentially fatal disease. Open surgery in patients with PAU is an effective treatment strategy, although endovascular treatment options are emerging.

Monitoring of NORM in the offshore production of oil and gas; Monitoramento de NORM na producao offshore de oleo e gas

Energy Technology Data Exchange (ETDEWEB)

Jesus, Joao Mario Fernandes de, E-mail: jmfjesus@petrobras.com.br [Petroleo Brasileiro S. A. (UO-ES/PETROBRAS), Vitoria, ES (Brazil). Unidade de Operacoes de Exploracao e Producao do Espirito Santo

2013-07-01

This paper evaluates the levels of radioactivity (dose rates of gamma radiation) in the elements of the production unit FPSO (floating production, storage and offloading) process that show the presence of fouling and / or radioactive waste and its evolution over time, comparing with previous reviews. The radioactivity is detected due to the presence of NORM - Naturally Occurring Radioactive Material, consisting predominantly of BaSO4, containing radio, radioactive natural element, which presents itself as the Ra-226 and Ra-228 isotopes. The detection of radioactivity in equipment/piping indicates the presence of scaling and/or sludge containing naturally radioactive material (NORM), but the absence of radioactivity does not exclude the presence of scale or sludge, as this may consist of non-radioactive material, as CaCO3. Gamma radiation has the property to pass through the construction element (steel) of the lines and equipment, allowing detection of radioactive material within them without the need of opening. This monitoring was implemented due to the history of radioactive inlays in the Espirito Santo basin. These data contribute to decision-making on strategy of dosage of anti-fouling applied in the production system, enable the classification of areas according to the norm CNEN-NN-3.01, as well as guide to the occupational safety and hygiene procedures during interventions (openings, entrances and cleaning) on the elements of process.

Comparative Evaluation of Marginal and Internal Gap of Co-Cr Copings Fabricated from Conventional Wax Pattern, 3D Printed Resin Pattern and DMLS Tech: An In Vitro Study.

Science.gov (United States)

Bhaskaran, Eswaran; Azhagarasan, N S; Miglani, Saket; Ilango, T; Krishna, G Phani; Gajapathi, B

2013-09-01

Accuracy of the fit of the restoration has always remained as one of the primary factors in determining success of the restoration. A well fitting restoration needs to be accurate both along its margins and internal surface. This study was conducted to comparatively evaluate the marginal gap and internal gap of cobalt-chromium (Co-Cr) copings fabricated by conventional casting procedures and with direct metal laser sintering (DMLS) technique. Among the total of 30 test samples 10 cast copings were made from inlay casting wax and 10 from 3D printed resin pattern. 10 copings were obtained from DMLS technique. All the 30 test samples were then cemented sequentially on stainless steel model using pressure indicating paste and evaluated for vertical marginal gap in 8 predetermined reference areas. All copings were then removed and partially sectioned and cemented sequentially on same master model for evaluation of internal gap at 4 predetermined reference areas. Both marginal gap and internal gap were measured in microns using video measuring system (VMS2010F). The results obtained for both marginal and internal gap were statistically analyzed and the values fall within the clinically acceptable range. The DMLS technique had an edge over the other two techniques used, as it exhibited minimal gap in the marginal region which is an area of chief concern.

Endoscopic endonasal double flap technique for reconstruction of large anterior skull base defects: technical note.

Science.gov (United States)

Dolci, Ricardo Landini Lutaif; Todeschini, Alexandre Bossi; Santos, Américo Rubens Leite Dos; Lazarini, Paulo Roberto

2018-04-19

One of the main concerns in endoscopic endonasal approaches to the skull base has been the high incidence and morbidity associated with cerebrospinal fluid leaks. The introduction and routine use of vascularized flaps allowed a marked decrease in this complication followed by a great expansion in the indications and techniques used in endoscopic endonasal approaches, extending to defects from huge tumours and previously inaccessible areas of the skull base. Describe the technique of performing endoscopic double flap multi-layered reconstruction of the anterior skull base without craniotomy. Step by step description of the endoscopic double flap technique (nasoseptal and pericranial vascularized flaps and fascia lata free graft) as used and illustrated in two patients with an olfactory groove meningioma who underwent an endoscopic approach. Both patients achieved a gross total resection: subsequent reconstruction of the anterior skull base was performed with the nasoseptal and pericranial flaps onlay and a fascia lata free graft inlay. Both patients showed an excellent recovery, no signs of cerebrospinal fluid leak, meningitis, flap necrosis, chronic meningeal or sinonasal inflammation or cerebral herniation having developed. This endoscopic double flap technique we have described is a viable, versatile and safe option for anterior skull base reconstructions, decreasing the incidence of complications in endoscopic endonasal approaches. Copyright © 2018 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

Salvaging a cultural identity through reintegration

Directory of Open Access Journals (Sweden)

Marta Gomez Ubierna

2010-11-01

Pietre Dure” in 2009 - lay in the recovery of the black and white polychromy, of the quintessentially Florentine marble inlay through various interventions involving the integration of the stone. Study of the techniques and materials used has provided a unique opportunity to map out the various stages of restoration that the piece underwent, identifying the materials used in each intervention, allowing choices to be made regarding the conservation methods. The aim of the current project was the integration of new, completely reversible and compatible elements into the polychromatic marble inlay, elements that were created on the basis of the results of an experiment  with synthetic materials and their various methods of application.

Geometrical accuracy of metallic objects produced with additive or subtractive manufacturing: A comparative in vitro study.

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Braian, Michael; Jönsson, David; Kevci, Mir; Wennerberg, Ann

2018-04-06

To evaluate the accuracy and precision of objects produced by additive manufacturing systems (AM) for use in dentistry and to compare with subtractive manufacturing systems (SM). Ten specimens of two geometrical objects were produced by five different AM machines and one SM machine. Object A mimics an inlay-shaped object, while object B imitates a four-unit bridge model. All the objects were sorted into different measurement dimensions (x, y, z), linear distances, angles and corner radius. None of the additive manufacturing or subtractive manufacturing groups presented a perfect match to the CAD file with regard to all parameters included in the present study. Considering linear measurements, the precision for subtractive manufacturing group was consistent in all axes for object A, presenting results of additive manufacturing groups had consistent precision in the x-axis and y-axis but not in the z-axis. With regard to corner radius measurements, the SM group had the best overall accuracy and precision for both objects A and B when compared to the AM groups. Within the limitations of this in vitro study, the conclusion can be made that subtractive manufacturing presented overall precision on all measurements below 0.050mm. The AM machines also presented fairly good precision, additive techniques are now being implemented. Thus all these production techniques need to be tested, compared and validated. Copyright © 2018 The Academy of Dental Materials. Published by Elsevier Inc. All rights reserved.

Phase diagram of a symmetric electron–hole bilayer system: a variational Monte Carlo study

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Sharma, Rajesh O.; Saini, L. K.; Prasad Bahuguna, Bhagwati

2018-05-01

We study the phase diagram of a symmetric electron–hole bilayer system at absolute zero temperature and in zero magnetic field within the quantum Monte Carlo approach. In particular, we conduct variational Monte Carlo simulations for various phases, i.e. the paramagnetic fluid phase, the ferromagnetic fluid phase, the anti-ferromagnetic Wigner crystal phase, the ferromagnetic Wigner crystal phase and the excitonic phase, to estimate the ground-state energy at different values of in-layer density and inter-layer spacing. Slater–Jastrow style trial wave functions, with single-particle orbitals appropriate for different phases, are used to construct the phase diagram in the (r s , d) plane by finding the relative stability of trial wave functions. At very small layer separations, we find that the fluid phases are stable, with the paramagnetic fluid phase being particularly stable at and the ferromagnetic fluid phase being particularly stable at . As the layer spacing increases, we first find that there is a phase transition from the ferromagnetic fluid phase to the ferromagnetic Wigner crystal phase when d reaches 0.4 a.u. at r s   =  20, and before there is a return to the ferromagnetic fluid phase when d approaches 1 a.u. However, for r s   Wigner crystal is stable over the considered range of r s and d. We also find that as r s increases, the critical layer separations for Wigner crystallization increase.

Phase diagram of a symmetric electron-hole bilayer system: a variational Monte Carlo study.

Science.gov (United States)

Sharma, Rajesh O; Saini, L K; Bahuguna, Bhagwati Prasad

2018-05-10

We study the phase diagram of a symmetric electron-hole bilayer system at absolute zero temperature and in zero magnetic field within the quantum Monte Carlo approach. In particular, we conduct variational Monte Carlo simulations for various phases, i.e. the paramagnetic fluid phase, the ferromagnetic fluid phase, the anti-ferromagnetic Wigner crystal phase, the ferromagnetic Wigner crystal phase and the excitonic phase, to estimate the ground-state energy at different values of in-layer density and inter-layer spacing. Slater-Jastrow style trial wave functions, with single-particle orbitals appropriate for different phases, are used to construct the phase diagram in the (r s , d) plane by finding the relative stability of trial wave functions. At very small layer separations, we find that the fluid phases are stable, with the paramagnetic fluid phase being particularly stable at [Formula: see text] and the ferromagnetic fluid phase being particularly stable at [Formula: see text]. As the layer spacing increases, we first find that there is a phase transition from the ferromagnetic fluid phase to the ferromagnetic Wigner crystal phase when d reaches 0.4 a.u. at r s   =  20, and before there is a return to the ferromagnetic fluid phase when d approaches 1 a.u. However, for r s   Wigner crystal is stable over the considered range of r s and d. We also find that as r s increases, the critical layer separations for Wigner crystallization increase.

Vaginal-sparing ventral buccal mucosal graft urethroplasty for female urethral stricture: A novel modification of surgical technique.

Science.gov (United States)

Hoag, Nathan; Gani, Johan; Chee, Justin

2016-07-01

To present a novel modification of surgical technique to treat female urethral stricture (FUS) by a vaginal-sparing ventral buccal mucosal urethroplasty. Recurrent FUS represents an uncommon, though difficult clinical scenario to manage definitively. A variety of surgical techniques have been described to date, yet a lack of consensus on the optimal procedure persists. We present a 51-year-old female with urethral stricture involving the entire urethra. Suspected etiology was iatrogenic from cystoscopy 17 years prior. Since then, the patient had undergone at least 25 formal urethral dilations and periods of self-dilation. In lithotomy position, the urethra was dilated to accommodate forceps, and ventral urethrotomy carried out sharply, exposing a bed of periurethral tissue. Buccal mucosa was harvested, and a ventral inlay technique facilitated by a nasal speculum, was used to place the graft from the proximal urethra/bladder neck to urethral meatus without a vaginal incision. Graft was sutured into place, and urethral Foley catheter inserted. The vaginal-sparing ventral buccal mucosal graft urethroplasty was deemed successful as of last follow-up. Flexible cystoscopy demonstrated patency of the repair at 6 months. At 10 months of follow-up, the patient was voiding well, with no urinary incontinence. No further interventions have been required. This case describes a novel modification of surgical technique for performing buccal mucosal urethroplasty for FUS. By avoiding incision of the vaginal mucosa, benefits may include reduced: morbidity, urinary incontinence, and wound complications including urethro-vaginal fistula.

Urethroplasty after Urethral Urolume Stent: an International Multicenter Experience.

Science.gov (United States)

Angulo, Javier C; Kulkarni, Sanjay; Pankaj, Joshi; Nikolavsky, Dmitriy; Suarez, Pedro; Belinky, Javier; Virasoro, Ramón; DeLong, Jessica; Martins, Francisco E; Lumen, Nicolaas; Giudice, Carlos; Suárez, Oscar A; Menéndez, Nicolás; Capiel, Leandro; López-Alvarado, Damian; Ramirez, Erick A; Venkatesan, Krishnan; Husainat, Maha M; Esquinas, Cristina; Arance, Ignacio; Gómez, Reynaldo; Santucci, Richard

2018-05-08

To evaluate the outcomes and factors affecting success of urethroplasty in patients with stricture recurrence after Urolume® urethral stent. Retrospective international multicenter study on patients treated with urethral reconstruction after Urolume® stent. Stricture and stent length, time between urethral stent insertion and urethroplasty, age, mode of stent retrieval, type of urethroplasty, complications and baseline and post-urethroplasty voiding parameters were analyzed. Successful outcome was defined as standard voiding, without need of any postoperative adjunctive procedure. Sixty-three patients were included. Stent was removed at urethroplasty in 61 patients. Reconstruction technique was excision and primary anastomosis in 14(22.2%), dorsal onlay buccal mucosa graft (BMG) 9(14.3%), ventral onlay BMG 6(9.5%), dorso-lateral onlay BMG 9(14.3%), ventral onlay plus dorsal inlay BMG 3(4.8%), augmented anastomosis 5(7.9%), pedicled flap urethroplasty 6(9.5%), 2-stage procedure 4(6.4%) and perineal urethrostomy 7(11.1%). Success rate was 81% at a mean 59.7+63.4months. Dilatation and/or internal urethrotomy was performed in 10(15.9%), redo-urethroplasty in 5(7.9%). Total IPSS, QoL, Qmax and PVR significantly improved (pUrethroplasty in patients with Urolume® urethral stents is a viable option of reconstruction with a high success rate and very acceptable complication rate. Numerous techniques are viable, however, urethral preservation, tine-by-tine stent extraction and use of BMG augmentation produced significantly better outcomes. Copyright © 2018 Elsevier Inc. All rights reserved.

Clinical treatment approach of a child with molar incisor hypomineralization (MIH combined with malocclusion.

Directory of Open Access Journals (Sweden)

Rossitza Kabaktchieva

2012-04-01

Full Text Available Introduction. Molar incisor hypomineralization (MIH was defined as "hypomineralisation of systemic origin of permanent first molars, frequently associated with affected incisors". MIH includes the presence of demarcated opacity, post eruptive enamel breakdown, atypical restoration. Тhe approach to management suggested: risk identification, early diagnosis, remineralization for prevention of caries and post eruption breakdown, restorations. The clinicians very seldom notice that children with MIH usually have both- hypomineralisation and malocclusions, and they do not discuss combine treatment plan.Aim. To present our interdisciplinary approach to a patient with MIH, combined with malocclusion.Material and methods. We are presenting 9 year old child with contusio and fractura coronae dentis noncomplicata, distal occlusion, overjet, overbite and retrusion. Two consecutive stages were defined: First stage:- Professional oral hygiene and local remineralisation therapy- Vital pulp therapy of tooth 21 - Space gaining for restoration of the lost height of the molars by the means of posterior bite-plane removable appliance- Restoration of the molars with metal inlays- Lingual tipping of the lower incisorsSecond stage:- Class II correction- Growth control Results.First phase: - The tooth 21 was restored with aesthetic composite material;- Occlusion was raised with occlusal restorations (inleys and orthodontic appliance. Second phase:Medialisation of mandible and holding maxillary growth with functional appliance and occipital EOA until class one occlusal relations.Conclusion. Children with MIH should be examined and treated complex in collaboration with orthodontist and if necessary by other specialists too.

[The thermoformable spiral metallic stents in the treatment of localized ureteral stenosis: an alternative to JJ stent? Prospective multicenter study].

Science.gov (United States)

Bonniol, R; Meria, P; Safsaf, A; Albouy, B; Sibert, L

2011-06-01

Evaluation of the effectiveness and tolerance of thermoformable metallic spiral stents Memokath(®) 051 (Bard, Pnn Medical) in the treatment of localized ureteral stenosis in non-operable patients who have JJ ureteral stents. Prospective, descriptive and multicenter study of patients with ureteral strictures treated with metallic ureteral stents Memokath(®) 051. Assessment criteria (recurrent stenotic, permeability, tolerance) were measured by clinical, biological and radiological examination at 1 month, and then every 3 months. Fifteen stents (average length: 9.15 cm, range 6-15 cm) were implanted in 14 patients (mean age: 55 years, range: 38-72 years) with secondary suspended ureteral stenosis during 2 years in two centers. The median follow-up was 11 months (range 6 to 24 months). Technical difficulty was observed with two patients. Stents are still up in four patients. The stenosis recurred in four patients with spontaneous progression of stenosis but without endoprosthetics tissue invasion. Two and three migration were observed with spontaneous expulsions. Two lower urinary infections and one high occurred, resolved on antibiotic therapy, no inlay or hematuria, no pain (mean VAS score=3/10) or urinary disorders of the lower unit have been identified. Stents Memokath(®) 051 are well tolered and seem to position themselves as an interesting alternative to JJ ureteral stent in some frails patients. The refinement of contraindication should help to improve the stent's efficacity and to reduce the risk of migration and expulsion. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

[Osteosynthesis and cup revision in periprosthetic acetabulum fractures using a Kocher-Langenbeck approach].

Science.gov (United States)

Schwabe, P; Märdian, S; Perka, C; Schaser, K-D

2016-04-01

Reconstruction/stable fixation of the acetabular columns to create an adequate periacetabular requirement for the implantation of a revision cup. Displaced/nondisplaced fractures with involvement of the posterior column. Resulting instability of the cup in an adequate bone stock situation. Periprosthetic acetabulum fractures with inadequate bone stock. Extended periacetabular defects with loss of anchorage options. Isolated periprosthetic fractures of the anterior column. Septic loosening. Dorsal approach. Dislocation of hip. Mechanical testing of inlaying acetabular cup. With unstable cup situation explantation of the cup, fracture fixation of acetabulum with dorsal double plate osteosynthesis along the posterior column. Cup revision. Hip joint reposition. Early mobilization; partial weight bearing for 12 weeks. Thrombosis prophylaxis. Clinical and radiological follow-ups. Periprosthetic acetabular fracture in 17 patients with 9 fractures after primary total hip replacement (THR), 8 after revision THR. Fractures: 12 due to trauma, 5 spontaneously; 7 anterior column fractures, 5 transverse fractures, 4 posterior column fractures, 1 two column fracture after hemiendoprosthesis. 5 type 1 fractures and 12 type 2 fractures. Operatively treated cases (10/17) received 3 reinforcement ring, 2 pedestal cup, 1 standard revision cup, cup-1 cage construct, 1 ventral plate osteosynthesis, 1 dorsal plate osteosynthesis, and 1 dorsal plate osteosynthesis plus cup revision (10-month Harris Hip Score 78 points). Radiological follow-up for 10 patients: consolidation of fractures without dislocation and a fixed acetabular cup. No revision surgeries during follow-up; 2 hip dislocations, 1 transient sciatic nerve palsy.

Palateless custom bar supported overdenture: a treatment modality to treat patient with severe gag reflex.

Science.gov (United States)

Singh, Kunwarjeet; Gupta, Nidhi

2012-01-01

To suggest a custom bar supported overdenture treatment modality for prosthodontic management of patients with severe gag reflex. Some patients have a severe gag reflex and cannot tolerate conventional maxillary complete dentures with maximum palatal coverage and extensions of all borders. The condition further gets complicated in patients suffering from respiratory problems along with severe gag reflex. Severe gagging acts as a barrier to treat such patients with accepted clinical procedures and prevent patients from wearing the prosthesis. By saving some of the remaining natural teeth and fabricating, a horse shoe shape palateless simple tooth or bar supported overdenture can be successfully used for treating such patients. The remaining maxillary right and left canines were prepared with the tapered round end diamond bur to receive copings of custom bar after intentional root canal treatment of same teeth. Impression was made with light body and putty of the polyvinyl siloxane elastomer with double step putty wash technique. Impression was poured with die stone. Wax pattern of copings with bar was fabricated with inlay wax which was invested and casted. After retrieving the bar, it was finished and its fit was evaluated. The coping-bar assembly was finally cemented with the glass ionomer cement. Palateless overdenture was fabricated by conventional technique used for the fabrication of complete denture. Palateless custom bar supported overdenture procedure can be successfully used for the management of patients with severe gag reflex with improved denture retention, stability, chewing efficiency and comfort of the patient.

Characterisation and discrimination of various types of lac resin using gas chromatography mass spectrometry techniques with quaternary ammonium reagents.

Science.gov (United States)

Sutherland, K; del Río, J C

2014-04-18

A variety of lac resin samples obtained from artists' suppliers, industrial manufacturers, and museum collections were analysed using gas chromatography mass spectrometry (GCMS) and reactive pyrolysis GCMS with quaternary ammonium reagents. These techniques allowed a detailed chemical characterisation of microgram-sized samples, based on the detection and identification of derivatives of the hydroxy aliphatic and cyclic (sesquiterpene) acids that compose the resin. Differences in composition could be related to the nature of the resin, e.g. wax-containing (unrefined), bleached, or aged samples. Furthermore, differences in the relative abundances of aliphatic hydroxyacids appear to be associated with the biological source of the resin. The diagnostic value of newly characterised lac components, including 8-hydroxyacids, is discussed here for the first time. Identification of derivatised components was aided by AMDIS deconvolution software, and discrimination of samples was enhanced by statistical evaluation of data using principal component analysis. The robustness of the analyses, together with the minimal sample size required, make these very powerful approaches for the characterisation of lac resin in museum objects. The value of such analyses for enhancing the understanding of museum collections is illustrated by two case studies of objects in the collection of the Philadelphia Museum of Art: a restorer's varnish on a painting by Luca Signorelli, and a pictorial inlay in an early nineteenth-century High Chest by George Dyer. Copyright © 2014 Elsevier B.V. All rights reserved.

Zirconia toughened mica glass ceramics for dental restorations.

Science.gov (United States)

Gali, Sivaranjani; K, Ravikumar; Murthy, B V S; Basu, Bikramjit

2018-03-01

The objective of the present study is to understand the role of yttria stabilized zirconia (YSZ) in achieving the desired spectrum of clinically relevant mechanical properties (hardness, elastic modulus, fracture toughness and brittleness index) and chemical solubility of mica glass ceramics. The glass-zirconia mixtures with varying amounts of YSZ (0, 5, 10, 15 and 20wt.%) were ball milled, compacted and sintered to obtain pellets of glass ceramic-YSZ composites. Phase analysis was carried out using X-ray diffraction and microstructural characterization with SEM revealed the crystal morphology of the composites. Mechanical properties such as Vickers hardness, elastic modulus, indentation fracture toughness and chemical solubility were assessed. Phase analysis of sintered pellets of glass ceramic-YSZ composites revealed the characteristic peaks of fluorophlogopite (FPP) and tetragonal zirconia. Microstructural investigation showed plate and lath-like interlocking mica crystals with embedded zirconia. Vickers hardness of 9.2GPa, elastic modulus of 125GPa, indentation toughness of 3.6MPa·m 1/2 , and chemical solubility of 30μg/cm 2 (well below the permissible limit) were recorded with mica glass ceramics containing 20wt.% YSZ. An increase in hardness and toughness of the glass ceramic-YSZ composites with no compromise on their brittleness index and chemical solubility has been observed. Such spectrum of properties can be utilised for developing a machinable ceramic for low stress bearing inlays, onlays and veneers. Copyright © 2018 The Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Preparation of a durable superhydrophobic membrane by electrospinning poly (vinylidene fluoride) (PVDF) mixed with epoxy-siloxane modified SiO2 nanoparticles: a possible route to superhydrophobic surfaces with low water sliding angle and high water contact angle.

Science.gov (United States)

Wang, Shuai; Li, Yapeng; Fei, Xiaoliang; Sun, Mingda; Zhang, Chaoqun; Li, Yaoxian; Yang, Qingbiao; Hong, Xia

2011-07-15

A durable superhydrophobic surface with low water sliding angle (SA) and high water contact angle (CA) was obtained by electrospinning poly (vinylidene fluoride) (PVDF) which was mixed with epoxy-siloxane modified SiO(2) nanoparticles. To increase the roughness, modified SiO(2) nanoparticles were introduced into PVDF precursor solution. Then in the electrospinning process, nano-sized SiO(2) particles irregularly inlayed (it could also be regard as self-assembly) in the surface of the micro-sized PVDF mini-islands so as to form a dual-scale structure. This structure was responsible for the superhydrophobicity and self-cleaning property. In addition, epoxy-siloxane copolymer was used to modify the surface of SiO(2) nanoparticles so that the SiO(2) nanoparticles could stick to the surface of the micro-sized PVDF mini-islands. Through the underwater immersion test, the SiO(2) nanoparticles cannot be separated from PVDF easily so as to achieve the effect of durability. We chiefly explore the surface wettability and the relationship between the mass ratio of modified SiO(2) nanoparticles/PVDF and the CA, SA of electrospun mat. As the content of modified SiO(2) nanoparticles increased, the value of CA increased, ranging from 145.6° to 161.2°, and the water SA decreased to 2.17°, apparently indicating that the membrane we fabricated has a perfect effect of superhydrophobicity. Copyright © 2011 Elsevier Inc. All rights reserved.

Double-pulse laser-induced breakdown spectroscopy analysis of scales from petroleum pipelines

International Nuclear Information System (INIS)

o – CEP 24210-346 – Niterói, Rio de Janeiro (Brazil))" data-affiliation=" (Physics Department of University Federal Fluminense, Av. Gal. Milton Tavares de Souza, s/no – CEP 24210-346 – Niterói, Rio de Janeiro (Brazil))" >Cavalcanti, G.H.; Rocha, A.A.; Damasceno, R.N.; Legnaioli, S.; Lorenzetti, G.; Pardini, L.; Palleschi, V.

2013-01-01

Pipeline scales from the Campos Bay Petroleum Field near Rio de Janeiro, Brazil have been analyzed by both Raman spectroscopy and by laser-induced breakdown spectroscopy (LIBS) using a double-pulse, calibration-free approach. Elements that are characteristic of petroleum (e.g. C, H, N, O, Mg, Na, Fe and V) were detected, in addition to the Ca, Al, and Si which form the matrix of the scale. The LIBS results were compared with the results of micro-Raman spectroscopy, which confirmed the nature of the incrustations inferred by the LIBS analysis. Results of this preliminary study suggest that diffusion of pipe material into the pipeline intake column plays an important role in the growth of scale. Thanks to the simplicity and relative low cost of equipment and to the fact that no special chemical pre-treatment of the samples is needed, LIBS can offer very fast acquisition of data and the possibility of in situ measurements. LIBS could thus represent an alternative or complementary method for the chemical characterization of the scales by comparison to conventional analytical techniques, such as X-ray diffraction or X-ray fluorescence. - Highlights: • Samples of scales from petroleum pipelines were analyzed using double pulse LIBS. • LIBS is proposed as an alternative method to conventional analytical techniques. • The scale growth is influenced by the product of corrosion in the column of production. • The diffusion of pipe material into the inlay is important for the growth of scale

Towards clinical implementation of ultrafast combined kV-MV CBCT for IGRT of lung cancer. Evaluation of registration accuracy based on phantom study

Energy Technology Data Exchange (ETDEWEB)

Arns, Anna; Blessing, Manuel; Fleckenstein, Jens; Stsepankou, Dzmitry; Boda-Heggemann, Judit; Simeonova-Chergou, Anna; Hesser, Juergen; Lohr, Frank; Wenz, Frederik; Wertz, Hansjoerg [University Medical Center Mannheim, University of Heidelberg, Department of Radiation Oncology, Mannheim (Germany)

2016-05-15

Combined kV-MV cone-beam CT (CBCT) is a promising approach to accelerate imaging for patients with lung tumors treated with deep inspiration breath-hold. During a single breath-hold (15 s), a 3D kV-MV CBCT can be acquired, thus minimizing motion artifacts and increasing patient comfort. Prior to clinical implementation, positioning accuracy was evaluated and compared to clinically established imaging techniques. An inhomogeneous thorax phantom with four tumor-mimicking inlays was imaged in 10 predefined positions and registered to a planning CT. Novel kV-MV CBCT imaging (90 arc) was compared to clinically established kV-chest CBCT (360 ) as well as nonclinical kV-CBCT and low-dose MV-CBCT (each 180 ). Manual registration, automatic registration provided by the manufacturer and an additional in-house developed manufacturer-independent framework based on the MATLAB registration toolkit were applied. Systematic setup error was reduced to 0.05 mm by high-precision phantom positioning with optical tracking. Stochastic mean displacement errors were 0.5 ± 0.3 mm in right-left, 0.4 ± 0.4 mm in anteroposterior and 0.0 ± 0.4 mm in craniocaudal directions for kV-MV CBCT with manual registration (maximum errors of no more than 1.4 mm). Clinical kV-chest CBCT resulted in mean errors of 0.2 mm (other modalities: 0.4-0.8 mm). Similar results were achieved with both automatic registration methods. The comparison study of repositioning accuracy between novel kV-MV CBCT and clinically established volume imaging demonstrated that registration accuracy is maintained below 1 mm. Since imaging time is reduced to one breath-hold, kV-MV CBCT is ideal for image guidance, e.g., in lung stereotactic ablative radiotherapy. (orig.) [German] Kombiniertes kV-MV-Cone-Beam-CT (CBCT) ist ein vielversprechender Ansatz zur Beschleunigung der Bildgebung bei Patienten mit Lungentumoren, die mit wiederholter Atemanhaltetechnik in tiefer Inspiration behandelt werden. Waehrend einer einzigen

Real-time phase contrast magnetic resonance imaging for assessment of haemodynamics: from phantom to patients

Energy Technology Data Exchange (ETDEWEB)

Traber, Julius; Wurche, Lennart; Dieringer, Matthias A.; Utz, Wolfgang; Knobelsdorff-Brenkenhoff, Florian von; Schulz-Menger, Jeanette [Max-Delbrueck-Centrum and Charite -Medical University Berlin and HELIOS Klinikum Berlin-Buch, Department of Cardiology and Nephrology, Working Group on Cardiovascular Magnetic Resonance Imaging, Experimental and Clinical Research Center, Berlin (Germany); Greiser, Andreas [Siemens AG Healthcare Sector, Erlangen (Germany); Jin, Ning [Siemens Medical Solutions USA, Inc., Columbus, OH (United States)

2016-04-15

Assessment of haemodynamics is crucial in many cardiac diseases. Phase contrast MRI (PC-MRI) can accurately access it. Arrhythmia is a major limitation in conventional segmented PC-MRI (SEG). A real-time PC-MRI sequence (RT) could overcome this. We validated RT by comparing to SEG. A prototype RT using shared velocity encoding was tested against SEG at 1.5 T in a flow phantom and consecutively included patients with (n = 55) or without (n = 59) aortic valve disease. In patients with atrial fibrillation (Afib, n = 15), only RT was applied. Phantom: PC images were acquired in front of and behind an interchangeable aortic-stenosis-like inlay. Mean velocity and flow were quantified. Patients: PC images were acquired in the ascending aorta, pulmonary trunk and superior caval vein. Peak velocity, stroke volume and regurgitant fraction were quantified. Phantom: Mean velocities (11 ± 1 to 207 ± 10 cm/s) and flow correlated closely between SEG and RT (r ≥ 0.99, ICC ≥ 0.98, p < 0.0005). Patients without AVD or with aortic regurgitation: Concordance of SEG and RT was excellent regarding peak velocities, stroke volumes (r ≥ 0.91, ICC ≥ 0.94, p < 0.0005) and regurgitant fractions (r = 0.95, ICC = 0.95, p < 0.0005). RT was feasible in all patients with Afib. The real-time sequence is accurate compared to conventional segmented PC-MRI. Its applicability in Afib was shown. Real-time PC-MRI might become a valuable tool in arrhythmia. (orig.)

Substitution urethroplasty using oral mucosa graft for male anterior urethral stricture disease: Current topics and reviews.

Science.gov (United States)

Horiguchi, Akio

2017-07-01

Male anterior urethral stricture is scarring of the subepithelial tissue of the corpus spongiosum that constricts the urethral lumen, decreasing the urinary stream. Its surgical management is a challenging problem, and has changed dramatically in the past several decades. Open surgical repair using grafts or flaps, called substitution urethroplasty, has become the gold standard procedure for anterior urethral strictures that are not amenable to excision and primary anastomosis. Oral mucosa harvested from the inner cheek (buccal mucosa) is an ideal material, and is most commonly used for substitution urethroplasty, and lingual mucosa harvested from the underside of the tongue has recently emerged as an alternative material with equivalent outcome. Onlay augmentation of oral mucosa graft on the ventral side (ventral onlay) or dorsal side (dorsal onlay, Barbagli procedure) has been widely used for bulbar urethral stricture with comparable success rates. In bulbar urethral strictures containing obliterative or nearly obliterative segments, either a two-sided dorsal plus ventral onlay (Palminteri technique) or a combination of excision and primary anastomosis and onlay augmentation (augmented anastomotic urethroplasty) are the procedures of choice. Most penile urethral strictures can be repaired in a one-stage procedure either by dorsal inlay with ventral sagittal urethrotomy (Asopa technique) or dorsolateral onlay with one-sided urethral dissection (Kulkarni technique); however, staged urethroplasty remains the procedure of choice for complex strictures, including strictures associated with genital lichen sclerosus or failed hypospadias. This article presents an overview of substitution urethroplasty using oral mucosa graft, and reviews current topics. © 2017 The Japanese Urological Association.

Redo-urethroplasty in pelvic fracture urethral distraction defect: an audit.

Science.gov (United States)

Bhagat, Suresh K; Gopalakrishnan, Ganesh; Kumar, Santosh; Devasia, Antony; Kekre, Nitin S

2011-02-01

To predict the outcome of redo-urethroplasty after failed single or multiple open urethral procedures for pelvic fracture urethral distraction defects. From January 1997 to December 2006, 43 patients underwent redo-urethroplasty for pelvic fracture urethral distraction defect. Forty-one were referred from other centers. All had undergone open surgery along with an endoscopic procedure (one or more procedures in each patient) which included endoscopic internal urethrotomy, urethral stenting or urethral dilations. There were 43 men with mean age of 29 (range 11-52). Eleven had associated injuries: intraperitoneal bladder rupture (3), bladder neck (2), rectum (3), anal sphincter (2), combined bladder, rectum and anal sphincter (1). Trocar suprapubic cystostomy was performed in 22, rail-road procedures in 10 and open suprapubic cystostomy in 11 along with the management of associated injuries as immediate treatment. Of 43 patients, 28 had progressive perineal, and 12 had transpubic repair. Three patients had total bulbar necrosis, and they underwent prepuceal tube reconstruction (1) and staged substitution with BMG and standard scrotal inlay (2). Analysis of various factors like number of attempts at previous surgery and stricture length did not affect the outcome. A successful result was achieved in 36 (83.72%), improved and stable in five and failure in two. The overall result of redo-urethroplasty for pelvic fracture urethral distraction defect continues to be gratifying. Failures happen usually within the first 3 months. Substitution urethroplasty can be reserved for those who have long distraction defect. Long-term follow-up is essential using stringent criteria to measure success.

To have and to hold: possessing the sacred in the late renaissance

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Erin E. Benay

2015-02-01

Full Text Available Private devotional art of the early 17th century often found its place in the galleries of noblemen and women whose diverse collections were symbols not only of stylistic taste, but of their owners’ exhaustive curiosity. In these domestic settings, boundaries between sacred and secular were permeable, as the unprecedented physical intimacy portrayed in popular religious subjects such as St Matthew and the Angel, the Stigmatisation of St Francis, or Christ’s Agony in the Garden reveal. Representations of the latter reminded viewers of Christ’s human, corporal suffering and suggested a model of resolve strengthened by prayer. The Agony in the Garden appears on the interior of Jacopo Ligozzi’s virtuosic Portable Altar with Carrying Case (1608, likely a Medici gift presented to the Austrian court in anticipation of the marriage of archduchess Maria Maddalena to soon-to-be grand duke Cosimo II. Adorned with lavish botanical motifs on its exterior, the Altar’s potency as a sacred possession was redoubled by the owner’s tactile revelation of the portrayal of Christ supported by an Angel contained inside the case. Comprised of wood, oil on copper, and pietre dure inlay, it is an object intended to be held, opened, and experienced. This paper suggests that Ligozzi’s selective combination of sumptuous materials and choice of subject matter – botanical illustration and Christological iconography – allowed the object to appeal to the full sensorium, and therefore to function as efficaciously as a devotional aid as it did as a curiosity among other rare collectibles.

Morphology and volatile compounds of metathoracic scent gland in Tessaratoma papillosa (Drury) (Hemiptera: Tessaratomidae).

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Zhao, D; Gao, J; Wang, Y; Jiang, J; Li, R

2012-08-01

Tessaratoma papillosa (Drury) (Hemiptera: Tessaratomidae) is a serious insect pest of litchi and longan in South China. When disturbed, this insect could release large quantities of disagreeable odorous volatiles from its scent gland. Knowledge on the scent gland and its secretion is crucial for developing the semiochemical methods to manage this pest. Morphology and ultrastructure of the metathoracic scent glands (MTGs) were studied under stereo and scanning electron microscopy, and the volatile compounds of MTGs from both male and female T. papillosa were analyzed with coupled gas chromatography-mass spectrometry (GC-MS). The MTG complex is located between the metathorax and the first abdominal segment at the ventral surface of the insect, which has a well-developed single double valve cystic-shaped orange median reservoir, paired colorless lateral glands in both sides, and a long and wavy tubular accessory gland that inlays tightly into the ventral edge around the median reservoir. The MTG opens to the body surface through paired ostioles located between the meso- and metacoxae of the evaporatorium with mushroom bodies. The GC-MS analyses showed that female and male adults have nine major volatile components in common. Tridecane is the most abundant in both females and males, reaching up to 47.1% and 51.8% of relative amount, respectively. The minor component is benzophenone with only 0.28% and 0.14%. Furthermore, undecane, tetradecane, 3-methyl-tridecane, and cyclopentadecane were found only in males. The possible function of volatile compounds of MTG contents in T. papillosa is addressed.

Freeze dried bone allografts in dental and maxillofacial reconstructive surgery - experience in Malaysia

International Nuclear Information System (INIS)

Abd Rani Samsudin; Meor Zaidi Meor Kamal

1999-01-01

The utilisation of vascularised and free bone autografts remain the goal standard in maxillofacial reconstructive surgery in Malaysia, but the use of freeze dried bone allograft is still widely practiced in many centres with variable results. This study evaluate the effectiveness and clinical efficacy of using radiation sterilised freeze dried bone allografts in oral and maxillofacial reconstructive surgery. The bone grafts were prepared at the Malaysian National Tissue Bank. Seventy eight patients who had undergone oral and Maxillofacial surgical procedures with reconstruction using bone allografts were included in this study. 50 patients were male and 28 patients were female and their age ranged from 14 to 75 years. Forty two patients underwent enucleation of benign cystic lesions in the jaws, 15 patients underwent repair of orbital floor fractures, 6 patients of jaw fractures with partial loss of bone while 8 patients underwent augmentation of depressed cheek bone. Another 4 patients had partial resection of the mandible because of cancer and 3 patients had facial osteotomies. A follow up period of 12 months up to 4 years was carried out. The patients were assessed both clinically and radiologically throughout their follow up visits. Clinical assessment showed no evidence of rejection of the implanted freeze dried allografts. Bone allografts implanted as inlay grafts demonstrated a better clinical performance than onlay grafts and the poorest results were obtained following bridging bony defects in the jaws. Radiation sterilised freeze dried bone allografts produced at the Malaysian National Tissue Bank are bio-compatible, functional, and provide predictable results when applied to selected areas of the facial skeleton

Minimally invasive piezosurgery for a safe placement of blade dental implants in jaws with severe bone loss

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F. Rossi

2014-10-01

Full Text Available Aim :Severe atrophies of edentulous jaws require major reconstructive bone surgery in order to allow the placement of root-form implants with standard diameter. These bone augmentation techniques represent the best option reported in the literature, but they are often rejected by patients because of their high economic and biological costs in addition to the possibility of failure in the short and/or long term. In the maxilla regenerative methods (onlay, inlay, and distraction have high success rates, whereas in the mandible, especially in the distal atrophic area, they are not so predictable. In such situations an alternative technique for fixed prosthethic rebilitation is the insertion of platform blade implants, which have their elective indication for atrophic bone ridges with reduced width, owing to their reduced thickness. The aim of this study is to assess the effectiveness of the use of piezoelectric ultrasonic handpieces, in order to simplify the placement of blade implants, making it safer and less traumatic than with conventional surgical procedures. Materials and methods: Platform blade implants are extension implant functionally and aesthetically reliable, even if they require a more difficult surgical technique compared with the one currently in use for screw implants. A minimally invasive procedure by means of piezosurgery that was performed on 142 subjects is presented and a case is reported which highlights the successful results. Results: and conclusion The use of piezoelectric ultrasonic handpieces simplifies the surgical procedure for the placement of blade implant, making it safer and less traumatic.

Dentistry investigations of teeth and dental prostheses using OCT

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Sinescu, C.; Duma, V.-F.; Canjau, S.; Dobre, G.; Demian, D.; Cernat, R.; Negrutiu, M. L.; Todea, C.; Topala, F. I.; Hutiu, Gh.; Bradu, A.; Podoleanu, A. G.

2016-04-01

We present some of our recent investigations in Dental Medicine using Optical Coherence Tomography (OCT). Time Domain (TD), Spectral Domain (SD), and Swept Source (SS) OCT in-house developed systems are being used, for both ex vivo and in vivo investigations in the oral cavity. We study ex vivo the interface between the tooth and the dental sealant and demonstrate the limitations of the X-rays investigations that are now the gold standard for such procedures. Using OCT, defects in the interface that cannot be identified in radiographs can be determined both as position and magnitude. The drilling process of teeth can also be characterized in real time using OCT, to monitor the remaining dentin thickness (RDT) in order to avoid opening the pulp chamber. We demonstrate in this respect that an RDT of 0.5 mm is the minimum value to assure the integrity of the dentin wall between the drilled cavity and the pulp chamber; at an RDT of 0.3 mm or less a fracture is initiated, the dentin is punctured and endodontic treatment must follow. In vivo OCT investigations in the oral cavity were also performed (i.e., for metalloceramic prostheses and for ceramic inlay tooth interfaces), with the low cost, light weight and versatile handheld probes with 1D galvoscanners that we have developed and applied for a range of in-house developed OCT systems, in various clinical applications. They are briefly discussed, as well as some of our current and future work in the field, including for studies of soft tissue in the mouth.

Vaginal-sparing ventral buccal mucosal graft urethroplasty for female urethral stricture: A novel modification of surgical technique

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Nathan Hoag

2016-07-01

Full Text Available Purpose: To present a novel modification of surgical technique to treat female urethral stricture (FUS by a vaginal-sparing ventral buccal mucosal urethroplasty. Recurrent FUS represents an uncommon, though difficult clinical scenario to manage definitively. A variety of surgical techniques have been described to date, yet a lack of consensus on the optimal procedure persists. Materials and Methods: We present a 51-year-old female with urethral stricture involving the entire urethra. Suspected etiology was iatrogenic from cystoscopy 17 years prior. Since then, the patient had undergone at least 25 formal urethral dilations and periods of self-dilation. In lithotomy position, the urethra was dilated to accommodate forceps, and ventral urethrotomy carried out sharply, exposing a bed of periurethral tissue. Buccal mucosa was harvested, and a ventral inlay technique facilitated by a nasal speculum, was used to place the graft from the proximal urethra/bladder neck to urethral meatus without a vaginal incision. Graft was sutured into place, and urethral Foley catheter inserted. Results: The vaginal-sparing ventral buccal mucosal graft urethroplasty was deemed successful as of last follow-up. Flexible cystoscopy demonstrated patency of the repair at 6 months. At 10 months of follow-up, the patient was voiding well, with no urinary incontinence. No further interventions have been required. Conclusions: This case describes a novel modification of surgical technique for performing buccal mucosal urethroplasty for FUS. By avoiding incision of the vaginal mucosa, benefits may include reduced: morbidity, urinary incontinence, and wound complications including urethro-vaginal fistula.

Long Term Survivorship of a Severely Notched Femoral Stem after Replacing the Fractured Ceramic head with a Cobalt-Chromium Head.

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Panagopoulos, Andreas; Tatani, Irini; Megas, Panagiotis

2016-01-01

Although ceramic head fracture occurs infrequently today, in the event of a fracture, the resulting revision surgery can prove very challenging, since the ceramic particles lodge into the surrounding soft tissue and can cause rapid implant failure. A case of long term survivorship of a severed notched femoral stem after replacing the fractured femoral head with a cobalt-chromium one is reported in a 40-year old woman with hip dysplasia who underwent an uncomplicated total hip arthroplasty. The incident of ceramic femoral head fracture occurred 14 months postoperatively without reporting any significant trauma. Intraoperative findings at revision were a multifragmented femoral head and a damaged polyethylene insert along with diffuse metallosis and excessive wear of the cone of the stem. Both the stem and the acetabular component were stable. After removal of ceramic fragments, metallotic tissue excision and careful lavage of the joint, the inlay was replaced by a similar one and a cobalt-chromium femoral head was placed to the existing notched taper of the firmly incorporated stem. At the 13 th year follow up examination, the patient had no pain, used no walking aids, and had normal activity with no signs of wearing or loosening in the plain x-rays. Despite current recommendations of using ceramic femoral heads in cases of fracture or to revise the severely damaged stems we were able to provide a long term survivorship up to 13 years postoperatively of a cobalt-chromium femoral head applied to a severe damaged stem.

The Validity of Subjects in Korean Dental Technicians' Licensing Examination

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Woong-chul Kim

2005-06-01

Full Text Available This study prepared a basic framework for the development and improvement of Korean Dental Technicians' Licensing Examination, based on actual test questions. A peer review was conducted to ensure relevance to current practices in dental technology. For the statistical analysis, 1000 dental laboratory technicians were selected; specialists in dental laboratory technology (laboratory owners, educators, etc. were involved in creating valid and reliable questions. Results indicated that examination subjects should be divided into three categories: basic dental laboratory theory, dental laboratory specialties, and a practical examination. To ensure relevance to current practice, there should be less emphasis on basic dental laboratory theory, including health-related laws, and more emphasis on dental laboratory specialties. Introduction to dental anatomy should be separated from oral anatomy and tooth morphology; and fixed prosthodontics should be separated from crown and bridge technology and dental ceramics technology. Removable orthodontic appliance technology should be renamed 'orthodontic laboratory technology'. There should be less questions related to health related law, oral anatomy, dental hygiene, dental materials science and inlay, while the distribution ratio of questions related to tooth morphology should be maintained. There should be a decrease in the distribution ratio of questions related to crown and bridge technology, dental ceramics technology, complete dentures and removable partial dentures technology, and orthodontic laboratory technology. In the practical examination, the current multiple choice test should be replaced with tooth carving using wax or plaster. In dental laboratory specialties, subjects related to contemporary dental laboratory technology should be included in the test items.

Marginal accuracy of nickel chromium copings fabricated by conventional and accelerated casting procedures, produced with ringless and metal ring investment procedures: A comparative in vitro study.

Science.gov (United States)

Alex, Deepa; Shetty, Y Bharath; Miranda, Glynis Anita; Prabhu, M Bharath; Karkera, Reshma

2015-01-01

Conventional investing and casting techniques are time-consuming and usually requires 2-4 h for completion. Accelerated nonstandard, casting techniques have been reported to achieve similar quality results in significantly less time, namely, in 30-40 min. During casting, it is essential to achieve compensation for the shrinkage of solidifying alloy by investment expansion. The metal casting ring restricts the thermal expansion of investment because the thermal expansion of the ring is lesser than that of the investment. The use of casting ring was challenged with the introduction of the ringless technique. A total of 40 test samples of nickel chromium (Ni-Cr) cast copings were obtained from the patterns fabricated using inlay casting wax. The 20 wax patterns were invested using metal ring and 20 wax patterns were invested using the ringless investment system. Of both the groups, 10 samples underwent conventional casting, and the other 10 underwent accelerated casting. The patterns were casted using the induction casting technique. All the test samples of cast copings were evaluated for vertical marginal gaps at four points on the die employing a stereo optical microscope. The vertical marginal discrepancy data obtained were tabulated. Mean and standard deviations were obtained. Vertical discrepancies were analyzed using analysis of variance and Tukey honestly significantly different. The data obtained were found to be very highly significant (P cast copings fabricated with the conventional casting using ringless investment system showed significantly better marginal fit than that of cast copings fabricated from conventional and accelerated casting with metal ring investment and accelerated casting using ringless investment since those copings had shown the least vertical marginal discrepancies among the four methods evaluated in this study.

Wetting-dewetting films: the role of structural forces.

Science.gov (United States)

Nikolov, Alex; Wasan, Darsh

2014-04-01

The liquid wetting and dewetting of solids are ubiquitous phenomena that occur in everyday life. Understanding the nature of these phenomena is beneficial for research and technological applications. However, despite their importance, the phenomena are still not well understood because of the nature of the substrate's surface energy non-ideality and dynamics. This paper illustrates the mechanisms and applications of liquid wetting and dewetting on hydrophilic and hydrophobic substrates. We discuss the classical understanding and application of wetting and film stability criteria based on the Frumkin-Derjaguin disjoining pressure model. The roles of the film critical thickness and capillary pressure on the film instability based on the disjoining pressure isotherm are elucidated, as are the criteria for stable and unstable wet films. We consider the film area in the model for the film stability and the applicable experiments. This paper also addresses the two classic film instability mechanisms for suspended liquid films based on the conditions of the free energy criteria originally proposed by de Vries (nucleation hole formation) and Vrij-Scheludko (capillary waves vs. van der Waals forces) that were later adapted to explain dewetting. We include a discussion of the mechanisms of nanofilm wetting and dewetting on a solid substrate based on nanoparticles' tendency to form a 2D layer and 2D inlayer in the film under the wetting film's surface confinement. We also present our view on the future of wetting-dewetting modeling and its applications in developing emerging technologies. We believe the review and analysis presented here will benefit the current and future understanding of the wetting-dewetting phenomena, as well as aid in the development of novel products and technologies. © 2013.

Evaluating tooth restorations: micro-computed tomography in practical training for students in dentistry

Science.gov (United States)

Deyhle, Hans; Schmidli, Fredy; Krastl, Gabriel; Müller, Bert

2010-09-01

Direct composite fillings belong to widespread tooth restoration techniques in dental medicine. The procedure consists of successive steps, which include etching of the prepared tooth surface, bonding and placement of composite in incrementally built up layers. Durability and lifespan of the composite inlays strongly depend on the accurate completion of the individual steps to be also realized by students in dental medicine. Improper handling or nonconformity in the bonding procedure often lead to air enclosures (bubbles) as well as to significant gaps between the composite layers or at the margins of the restoration. Traditionally one analyzes the quality of the restoration cutting the tooth in an arbitrarily selected plane and inspecting this plane by conventional optical microscopy. Although the precision of this established method is satisfactory, it is restricted to the selected two-dimensional plane. Rather simple micro computed tomography (μCT) systems, such as SkyScan 1174™, allows for the non-destructive three-dimensional imaging of restored teeth ex vivo and virtually cutting the tomographic data in any desired direction, offering a powerful tool for inspection of the restored tooth with micrometer resolution before cutting and thus also to select a two-dimensional plane with potential defects. In order to study the influence of the individual steps on the resulted tooth restoration, direct composite fillings were placed in mod cavities of extracted teeth. After etching, an adhesive was applied in half of the specimens. From the tomographic datasets, it becomes clear that gaps occur more frequently when bonding is omitted. The visualization of air enclosures offers to determine the probability to find a micrometer-sized defect using an arbitrarily selected cutting plane for inspection.

Comparison of denture models by means of micro computed tomography

Science.gov (United States)

Vögtlin, Christoph; Schulz, Georg; Deyhle, Hans; Jäger, Kurt; Liebrich, Thomas; Weikert, Sascha; Müller, Bert

2012-10-01

The production of dental inlays and crowns requires precise information on patients' teeth morphology. The conventional method is the preparation of impressions using mold materials, e.g. a silicone impression material. The disadvantage of this technique is the human choke impulse and the flavor of the material. These discomforts can be avoided by methods where a three-dimensional scanner is used for recording the teeth morphology. The present study reveals the accuracy of three model types, namely conventional impression, rapid prototyping using an oral scanner C.O.S., 3M (Schweiz) AG and milling from a proprietary resin using the oral scanner iTero, Straumann Holding AG. For each method five models were fabricated from a steel reference (standard). Using a nanotom m (phoenixǀx-ray, GE Sensing and Inspection Technologies GmbH), three-dimensional micro computed tomography data sets of the standard and the 15 models were recorded and landmark distances within the data sets were measured with sub-pixel accuracy. To verify these results a coordinate measuring machine (Leitz PMM 864, Hexagon Metrology GmbH) based on tactile detection was used for the measurement of the landmark distances, and a correction of the distances measured by the nanotom m was arranged. The nanotom data sets of the 15 models were also compared to the standard by means of a non-rigid registration algorithm. The calculated deformation field exhibited mean pixel displacement values of (0.19 +/- 0.09) mm for the C.O.S. models, (0.12 +/- 0.07) mm for the gypsum models and (0.19 +/- 0.12) mm for the i-Tero models.

Marginal accuracy of nickel chromium copings fabricated by conventional and accelerated casting procedures, produced with ringless and metal ring investment procedures: A comparative in vitro study

Science.gov (United States)

Alex, Deepa; Shetty, Y. Bharath; Miranda, Glynis Anita; Prabhu, M. Bharath; Karkera, Reshma

2015-01-01

Background: Conventional investing and casting techniques are time-consuming and usually requires 2–4 h for completion. Accelerated nonstandard, casting techniques have been reported to achieve similar quality results in significantly less time, namely, in 30–40 min. During casting, it is essential to achieve compensation for the shrinkage of solidifying alloy by investment expansion. The metal casting ring restricts the thermal expansion of investment because the thermal expansion of the ring is lesser than that of the investment. The use of casting ring was challenged with the introduction of the ringless technique. Materials and Methods: A total of 40 test samples of nickel chromium (Ni-Cr) cast copings were obtained from the patterns fabricated using inlay casting wax. The 20 wax patterns were invested using metal ring and 20 wax patterns were invested using the ringless investment system. Of both the groups, 10 samples underwent conventional casting, and the other 10 underwent accelerated casting. The patterns were casted using the induction casting technique. All the test samples of cast copings were evaluated for vertical marginal gaps at four points on the die employing a stereo optical microscope. Results: The vertical marginal discrepancy data obtained were tabulated. Mean and standard deviations were obtained. Vertical discrepancies were analyzed using analysis of variance and Tukey honestly significantly different. The data obtained were found to be very highly significant (P marginal fit than that of cast copings fabricated from conventional and accelerated casting with metal ring investment and accelerated casting using ringless investment since those copings had shown the least vertical marginal discrepancies among the four methods evaluated in this study. PMID:26929488

[Studies on a sequential injection renewable surface reflectance spectrophotometric system using a microchip flow cell].

Science.gov (United States)

Wang, Jian-ya; Fang, Zhao-lun

2002-02-01

A microchip flow cell was developed for flow injection renewable surface assay by reflectance spectrophotometry. The flow cell was coupled to a sequential injection system and optical fiber photometric detection system. The flow cell featured a three-layer structure. The flow channel was cut into a silicone rubber membrance which formed the middle layer, and a porous filter was inlayed across a widened section of the channel to trap microbeads introduced into the flow cell. The area of the detection window of the flow cell was approximately 3.6 mm2, the volume of the bead trapped in the flow cell was 2.2 microL, the depth of the bead layer was 600 microns. A multistrand bifurcated optical fiber was coupled with incident light, detector and flow cell. The chromogenic reaction of Cr(VI) with 1,5-diphenylcarbohydrazide (DPC) which was adsorbed on trapped Polysorb C-18 beads was used as a model reaction to optimize the flow cell design and the experimental system. The reflectance of the renewable reaction surface was monitored at 540 nm. With 100 microL sample loaded and 1.0 mL.min-1 carrier flow rate, the linear response range was 0-0.6 microgram.mL-1 Cr(VI). A detection limit (3 sigma) of 6 ng.mL-1, precision of 1.5% RSD(n = 11), and a throughput of 64 samples per hour were achieved. Considerations in system and flow cell design, the influence of depth of the bead layer, weight of beads used, and the flow rates of carrier stream on the performance were discussed.

Frontal plane stability following UKA in a biomechanical study.

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Heyse, Thomas J; Tucker, Scott M; Rajak, Yogesh; Kia, Mohammad; Lipman, Joseph D; Imhauser, Carl W; Westrich, Geoffrey H

2015-06-01

Function and kinematics following unicondylar knee arthroplasty (UKA) have been reported to be close to the native knee. Gait, stair climbing and activities of daily living expose the knee joint to a combination of varus and valgus moments. Replacement of the medial compartment via UKA is likely to change the physiologic knee stability and its ability to respond to varus and valgus moments. It was hypothesized that UKA implantation would stiffen the knee and decrease range of motion in the frontal plane. Six fresh frozen cadaver knees were prepared and mounted in a six-degrees-of-freedom robot. An axial load of 200 N was applied with the knee in 15°, 45° and 90° of flexion. Varus and valgus moments were added, respectively, before and after implantation of medial UKA. Tests were than redone with a thicker polyethylene inlay to simulate overstuffing of the medial compartment. Range of motion in the frontal plane and the tibial response to moments were recorded via the industrial robot. The range of motion in the frontal plane was decreased with both, balanced and overstuffed UKA and shifted towards valgus. When exposed to valgus moments, knees following UKA were stiffer in comparison with the native knee. The effect was even more pronounced with medial overstuffing. In UKA, the compressive anatomy is replaced by much stiffer components. This lack of medial compression and relative overstuffing leads to a tighter medial collateral ligament. This drives the trend towards a stiffer joint as documented by a decrease in frontal plane range of motion. Overstuffing should strictly be avoided when performing UKA.

PWSCC Preventive Maintenance Activities for Alloy 600 in Japanese PWR Plants

International Nuclear Information System (INIS)

Yamamoto, K.; Sugimoto, N.; Onishi, K.; Okimura, K.

2012-01-01

Because many nuclear plants have been in operation for ages, the importance of preventive maintenance technologies is getting higher. One conspicuous problem found in pressurized water reactor (PWR) plants is the primary water stress corrosion cracking (PWSCC) observed in Alloy 600 (a kind of high nickel based alloy) parts. Alloy 600 was used for butt welds between low alloy steel and stainless steel of nozzles of Reactor Vessel (RV), Steam Generator (SG), and Pressurizer (Pz). As PWSCC occurred at these parts may cause Loss of Coolant Accident (LOCA), preventive maintenance is necessary. PWSCC is considered to be caused by a mixture of three elements: high residual tensile stress on surface, material (Alloy 600) and environment. PWSCC can be prevented by improving one of the elements. MHI has been developing stress improvement methods, for example, Water Jet Peening (WJP), Shot Peening by Ultrasonic vibration (USP), and Laser Stress Improvement Process (L-SIP). According to the situation, appropriate method is applied for each part. WJP has been applied for RV nozzles of a lot of plants in Japan. However PWSCC was observed in RV nozzles during the inspection before WJP in recent years, MHI developed the Advanced INLAY system to improve the material from Alloy 600 to Alloy 690. Alloy 600 on the inner surface of the nozzles is removed and welding with Alloy 690 is performed. In addition, heat treatments for the nozzles are difficult for its structural situation, so ambient temperature temper bead welding technique for RV nozzles was developed to make the heat treatments unnecessary. This paper describes countermeasures against PWSCC and introduces the maintenance activities performed in Japan. (author)

Endoscopic Endonasal Resection of Retrochiasmatic Craniopharyngioma with Fascia Lata Button and Nasoseptal Flap Reconstruction.

Science.gov (United States)

Kshettry, Varun R; Nyquist, Gurston; Evans, James J

2018-02-01

Surgery for craniopharyngiomas can be challenging due to the involvement of multiple critical neurovascular structures. The expanded endoscopic endonasal approach can provide superior access to suprasellar craniopharyngiomas, particularly with retrochiasmatic extension and significant hypothalamic involvement. We describe the surgical technique used to treat a 30-year-old patient who presented with 4 weeks of worsening vision, fatigue, and memory loss. His vision was counting fingers at 1 feet on the right and 20/800 on the left with a temporal hemianopsia. Laboratory evaluation demonstrated central hypoadrenalism, hypothyroidism, and hypogonadism. Imaging showed a large solid and cystic suprasellar mass. The transtubercular approach with removal of the lateral tubercular strut can provide wide bilateral access to the opticocarotid region. The superior intercavernous sinus must be coagulated and ligated. Initial arachnoid dissection is centered at the midline, mobilizing the superior hypophyseal branches to the optic apparatus laterally. The cyst capsule is opened and care is taken to minimize spillage of cyst fluid into the subarachnoid space. Central debulking and then extracapsular dissection is performed under direct visualization using sharp dissection. Reconstruction of the dura is performed with an inlay/onlay fascia lata button that is held together with four sutures that hold the graft edges against the native dural edges. This is followed by vascularized nasoseptal flap reconstruction. No lumbar drain or nonabsorbable packing is required. The patient's vision had dramatic improvement and by 1 week postoperatively was 20/20 with full visual fields. Postoperative diabetes insipidus was managed with nasal desmopressin. Postoperative MRI demonstrated complete removal. The link to the video can be found at: https://youtu.be/QQxCNUcq1qg .

Bandgap engineering in van der Waals heterostructures of blue phosphorene and MoS{sub 2}: A first principles calculation

Energy Technology Data Exchange (ETDEWEB)

Zhang, Z.Y. [Key Laboratory for Magnetism and Magnetic Materials of the Ministry of Education, Lanzhou University, Lanzhou 730000 (China); Si, M.S., E-mail: sims@lzu.edu.cn [Key Laboratory for Magnetism and Magnetic Materials of the Ministry of Education, Lanzhou University, Lanzhou 730000 (China); Peng, S.L. [Key Laboratory for Magnetism and Magnetic Materials of the Ministry of Education, Lanzhou University, Lanzhou 730000 (China); Zhang, F. [Key Lab of Photovoltaic Materials of Henan Province, Henan University, Kaifeng 475001 (China); Wang, Y.H.; Xue, D.S. [Key Laboratory for Magnetism and Magnetic Materials of the Ministry of Education, Lanzhou University, Lanzhou 730000 (China)

2015-11-15

Blue phosphorene (BP) was theoretically predicted to be thermally stable recently. Considering its similar in-layer hexagonal lattice to MoS{sub 2}, MoS{sub 2} could be an appropriate substrate to grow BP in experiments. In this work, the van der Waals (vdW) heterostructures are constructed by stacking BP on top of MoS{sub 2}. The thermal stability and electronic structures are evaluated based on first principles calculations with vdW-corrected exchange-correlation functional. The formation of the heterostructures is demonstrated to be exothermic and the most stable stacking configuration is confirmed. The heterostructures BP/MoS{sub 2} preserve both the properties of BP and MoS{sub 2} but exhibit relatively narrower bandgaps due to the interlayer coupling effect. The band structures can be further engineered by applying external electric fields. An indirect–direct bandgap transition in bilayer BP/MoS{sub 2} is demonstrated to be controlled by the symmetry property of the built-in electric dipole fields. - Graphical abstract: An indirect-direct band gap transition occurs in van der Waals heterostructure of MoS{sub 2}/BP under external electric fields which is demonstrated to be controlled by the symmetry of the built-in electric dipole fields. - Highlights: • The stacking of heterostructures of BP/MoS{sub 2} is demonstrated to be exothermic. • This suggests that it is possible to grow BP using MoS{sub 2} as the substrate. • The band structures of the heterostructures are exploited. • It realizes an indirect–direct gap transition under external electric fields. • The symmetry of the built-in electric dipole fields controls such gap transition.

Securing radioactive sources into disuse, NORM, management, security assessment, exclusion, exemption and clearance

International Nuclear Information System (INIS)

Bastidas Pazmino, Jorge

2008-01-01

Full text: The Ecuadorian Atomic Energy Commission, through the unity of Radiation Protection Services, with the area of Radioactive Waste Management, has made the study of disused radioactive sources at the national level and are kept in the Temporary Storage of Radioactive Waste; has been made joint efforts with the Department of Energy of the United States for the repatriation of sources originating in that country; similarly, the use of radioactive materials in medicine, industry and research has had a significant increase in the country in the recent years, resulting in the generation of radioactive wastes requiring proper management, to ensure protection to human health and the environment now and into the future. Ecuador, through the Ecuadorian Atomic Energy Commission ensures that the Radioactive Waste Management is done by ensuring an adequate level of protection to human beings and the environment, seeks to meet the objectives of protection of human health, environmental protection, protection beyond national borders; protection of future generations; charges imposed on future generations; national legal framework; control of the production of radioactive wastes; unit interplay between production and radioactive waste management; security installations; in the same way within this framework are the NORM of which has been carried out preliminary studies in the Ecuador Orient, which is part of the lung that Amazon uses oxygen to the whole world, have been submitted NORM as a result of oil hidden within the operation, which has presented measures of exposure high inlays within hose from the wells operating and currently looking to move to the next stage, which are considering different alternatives for managing radioactive waste as more appropriate. (author)

Friction in total hip joint prosthesis measured in vivo during walking.

Science.gov (United States)

Damm, Philipp; Dymke, Joern; Ackermann, Robert; Bender, Alwina; Graichen, Friedmar; Halder, Andreas; Beier, Alexander; Bergmann, Georg

2013-01-01

Friction-induced moments and subsequent cup loosening can be the reason for total hip joint replacement failure. The aim of this study was to measure the in vivo contact forces and friction moments during walking. Instrumented hip implants with Al2O3 ceramic head and an XPE inlay were used. In vivo measurements were taken 3 months post operatively in 8 subjects. The coefficient of friction was calculated in 3D throughout the whole gait cycle, and average values of the friction-induced power dissipation in the joint were determined. On average, peak contact forces of 248% of the bodyweight and peak friction moments of 0.26% bodyweight times meter were determined. However, contact forces and friction moments varied greatly between individuals. The friction moment increased during the extension phase of the joint. The average coefficient of friction also increased during this period, from 0.04 (0.03 to 0.06) at contralateral toe off to 0.06 (0.04 to 0.08) at contralateral heel strike. During the flexion phase, the coefficient of friction increased further to 0.14 (0.09 to 0.23) at toe off. The average friction-induced power throughout the whole gait cycle was 2.3 W (1.4 W to 3.8 W). Although more parameters than only the synovia determine the friction, the wide ranges of friction coefficients and power dissipation indicate that the lubricating properties of synovia are individually very different. However, such differences may also exist in natural joints and may influence the progression of arthrosis. Furthermore, subjects with very high power dissipation may be at risk of thermally induced implant loosening. The large increase of the friction coefficient during each step could be caused by the synovia being squeezed out under load.

Shallow aquifer storage and recovery (SASR): Initial findings from the Willamette Basin, Oregon

Science.gov (United States)

Neumann, P.; Haggerty, R.

2012-12-01

A novel mode of shallow aquifer management could increase the volumetric potential and distribution of groundwater storage. We refer to this mode as shallow aquifer storage and recovery (SASR) and gauge its potential as a freshwater storage tool. By this mode, water is stored in hydraulically connected aquifers with minimal impact to surface water resources. Basin-scale numerical modeling provides a linkage between storage efficiency and hydrogeological parameters, which in turn guides rulemaking for how and where water can be stored. Increased understanding of regional groundwater-surface water interactions is vital to effective SASR implementation. In this study we (1) use a calibrated model of the central Willamette Basin (CWB), Oregon to quantify SASR storage efficiency at 30 locations; (2) estimate SASR volumetric storage potential throughout the CWB based on these results and pertinent hydrogeological parameters; and (3) introduce a methodology for management of SASR by such parameters. Of 3 shallow, sedimentary aquifers in the CWB, we find the moderately conductive, semi-confined, middle sedimentary unit (MSU) to be most efficient for SASR. We estimate that users overlying 80% of the area in this aquifer could store injected water with greater than 80% efficiency, and find efficiencies of up to 95%. As a function of local production well yields, we estimate a maximum annual volumetric storage potential of 30 million m3 using SASR in the MSU. This volume constitutes roughly 9% of the current estimated summer pumpage in the Willamette basin at large. The dimensionless quantity lag #—calculated using modeled specific capacity, distance to nearest in-layer stream boundary, and injection duration—exhibits relatively high correlation to SASR storage efficiency at potential locations in the CWB. This correlation suggests that basic field measurements could guide SASR as an efficient shallow aquifer storage tool.

Photocatalytic Conversion of Carbon Dioxide Using Zn–Cu–Ga Layered Double Hydroxides Assembled with Cu Phthalocyanine: Cu in Contact with Gaseous Reactant is Needed for Methanol Generation

Directory of Open Access Journals (Sweden)

Kawamura Shogo

2015-09-01

Full Text Available Photocatalytic conversion of CO2 into fuels is an attractive option in terms of both reducing the increased concentration of atmospheric CO2 as well as generating renewable hydrocarbon fuels. It is necessary to investigate good catalysts for CO2 conversion and to clarify the mechanism irradiated by natural light. Layered Double Hydroxides (LDH have been attracting attention for CO2 photoreduction with the expectation of sorption capacity for CO2 in the layered space and tunable semiconductor properties as a result of the choice of metal cations. This study first clarifies the effects of Cu doping to LDH comprising Zn and Al or Ga. Cu could be incorporated in the cationic layers of LDH as divalent metal cations and/or interlayer anions as Cu(OH42−. The formation rates of methanol and CO were optimized for [Zn1.5Cu1.5Ga(OH8]+2Cu(OH42−·mH2O at a total rate of 560 nmol h−1 gcat−1 irradiated by UV–visible light. Cu phthalocyanine tetrasulfonate hydrate (CuPcTs4− and silver were effective as promoters of LDH for CO2 photoreduction. Especially, the total formation rate using CuPcTs-[Zn3Ga(OH8]+2CO32−·mH2O irradiated by visible light was 73% of that irradiated by UV–visible light. The promotion was based on HOMO–LUMO excitation of CuPcTs4− by visible light. The LUMO was distributed on N atoms of pyrrole rings bound to central Cu2+ ions. The photogenerated electrons diffused to the Cu site would photoreduce CO2 progressively in a similar way to inlayer and interlayer Cu sites in the LDH in this study.

Posterior indirect adhesive 
restorations: updated indications 
and the Morphology Driven 
Preparation Technique.

Science.gov (United States)

Veneziani, Marco

The aim of this article is to identify the indications for adhesively cemented restorations and to provide a correct step-by-step protocol for clinicians. New cavity preparation principles are based on morphological considerations in terms of geometry (maximum profile line and inclination of cusp lines), and structure (dentin concavity and enamel convexity). In this article, we discuss previous preparation concepts that were not designed purely for adhesive restorations and were therefore not conservative enough or suitable for adhesive procedures. The novel cavity shape consists of continuous inclined plane cavity margins (hollow chamfer or concave bevel) on axial walls, whenever they are coronal to the equatorial tooth line. A 1.2 mm-thick butt-joint preparation is performed in the interproximal box and on the axial walls when the margins are apical to the equatorial line. The occlusal surface is anatomically prepared, free of slots and angles. The author's suggestion is to avoid shoulder finish line preparation around cusps, occlusal slots, and pins, as they are less conservative, incompatible with adhesive procedures, and involve unnecessary dentin exposure. The clinical advantages of this new "anatomic" preparation design are 1) improving adhesion quality (optimizing the cutting of enamel prisms, and increasing the available enamel surface); 2) minimizing dentin exposure; 3) maximizing hard tissue preservation (the cavity being designed for cementation with reinforced composite resins, improvement of flow, and removal of excess material); 4) optimization of esthetic integration due to the inclined plane design, which permits a better blending at the transition area between tooth and restoration. These preparation principles may be effectively used for all adhesively cemented restorations, both according to traditional concepts (inlay, onlay, overlay) and new ones (additional overlay, occlusal-veneer, overlay-veneer, long-wrap overlay, adhesive crown). Thus, a

Friction in total hip joint prosthesis measured in vivo during walking.

Directory of Open Access Journals (Sweden)

Philipp Damm

Full Text Available Friction-induced moments and subsequent cup loosening can be the reason for total hip joint replacement failure. The aim of this study was to measure the in vivo contact forces and friction moments during walking. Instrumented hip implants with Al2O3 ceramic head and an XPE inlay were used. In vivo measurements were taken 3 months post operatively in 8 subjects. The coefficient of friction was calculated in 3D throughout the whole gait cycle, and average values of the friction-induced power dissipation in the joint were determined. On average, peak contact forces of 248% of the bodyweight and peak friction moments of 0.26% bodyweight times meter were determined. However, contact forces and friction moments varied greatly between individuals. The friction moment increased during the extension phase of the joint. The average coefficient of friction also increased during this period, from 0.04 (0.03 to 0.06 at contralateral toe off to 0.06 (0.04 to 0.08 at contralateral heel strike. During the flexion phase, the coefficient of friction increased further to 0.14 (0.09 to 0.23 at toe off. The average friction-induced power throughout the whole gait cycle was 2.3 W (1.4 W to 3.8 W. Although more parameters than only the synovia determine the friction, the wide ranges of friction coefficients and power dissipation indicate that the lubricating properties of synovia are individually very different. However, such differences may also exist in natural joints and may influence the progression of arthrosis. Furthermore, subjects with very high power dissipation may be at risk of thermally induced implant loosening. The large increase of the friction coefficient during each step could be caused by the synovia being squeezed out under load.

Structural and spectral properties of undoped and tungsten doped Zn3(PO4)2ZnO nanopowders

Science.gov (United States)

Satyavathi, K.; Subba Rao, M.; Nagabhaskararao, Y.; Cole, Sandhya

2018-01-01

Pure and tungsten doped Zn3(PO4)2ZnO nanopowders (NPs) are prepared using sol-gel method. It has the longest track record of used in dentistry. It is used for cementation of inlays, crowns and orthodontic appliances. The systematic investigations like X-ray Diffraction (XRD), Scanning electron microscope (SEM) with energy dispersive X-ray (EDX) spectroscope, Transmission electron microscope (TEM), Fourier transform infrared (FT-IR) spectroscopy, Optical absorption, Photoluminescence (PL) and Electron Paramagnetic Resonance (EPR) spectroscopic techniques are carried out for the prepared NPs. XRD pattern reveals that the prepared samples are in crystalline nature in which Zn3(PO4)2 corresponding to monoclinic phase and ZnO corresponding to hexagonal wurtzite phase, the average crystallite size of prepared nanopowders is in the range of 20-30 nm. The lattice strain, lattice cell parameters, unit cell volume and dislocation density of the prepared NPs are also calculated. The morphology of the prepared NPs is analyzed with SEM and TEM images. The distribution of Zn, P, O and W species in the prepared samples are identified by the chemical composition mapping through EDX. IR spectra of prepared samples exhibit the characteristic sharp absorption band peaks. The sharp absorption bands observed in the region 1200-900 cm-1 are due to complex stretching of characteristic PO43- groups. The absorption spectra exhibit a broad band around 696 nm is recognized due to 2B2g → 2B1g (dxy → dx2- y2) transition of tungsten ions. The PL spectra exhibit four emission peaks in the visible region indicating the quantum-confinement-induced photoluminescence. The CIE chromaticity diagram suggests that the prepared NPs have good color purity. The EPR spectra indicate that the W5+ ions occupy octahedral site symmetry in the host lattice.

Mitigation of stress corrosion cracking in pressurized water reactor (PWR) piping systems using the mechanical stress improvement process (MSIPR) or underwater laser beam welding

International Nuclear Information System (INIS)

Rick, Grendys; Marc, Piccolino; Cunthia, Pezze; Badlani, Manu

2009-01-01

A current issue facing pressurized water reactors (PWRs) is primary water stress corrosion cracking (PWSCC) of bi metallic welds. PWSCC in a PWR requires the presence of a susceptible material, an aggressive environment and a tensile stress of significant magnitude. Reducing the potential for SCC can be accomplished by eliminating any of these three elements. In the U.S., mitigation of susceptible material in the pressurizer nozzle locations has largely been completed via the structural weld overlay (SWOL) process or NuVision Engineering's Mechanical Stress Improvement Process (MSIP R) , depending on inspectability. The next most susceptible locations in Westinghouse designed power plants are the Reactor Vessel (RV) hot leg nozzle welds. However, a full SWOL Process for RV nozzles is time consuming and has a high likelihood of in process weld repairs. Therefore, Westinghouse provides two distinctive methods to mitigate susceptible material for the RV nozzle locations depending on nozzle access and utility preference. These methods are the MSIP and the Underwater Laser Beam Welding (ULBW) process. MSIP applies a load to the outside diameter of the pipe adjacent to the weld, imposing plastic strains during compression that are not reversed after unloading, thus eliminating the tensile stress component of SCC. Recently, Westinghouse and NuVision successfully applied MSIP on all eight RV nozzles at the Salem Unit 1 power plant. Another option to mitigate SCC in RV nozzles is to place a barrier between the susceptible material and the aggressive environment. The ULBW process applies a weld inlay onto the inside pipe diameter. The deposited weld metal (Alloy 52M) is resistant to PWSCC and acts as a barrier to prevent primary water from contacting the susceptible material. This paper provides information on the approval and acceptance bases for MSIP, its recent application on RV nozzles and an update on ULBW development

Survival of the Scandinavian total ankle replacement (STAR): results of ten to nineteen years follow-up.

Science.gov (United States)

Frigg, Arno; Germann, Ursula; Huber, Martin; Horisberger, Monika

2017-10-01

The purpose of this study was to evaluate survival and clinical outcome of the Scandinavian total ankle replacement (STAR) prosthesis after a minimum of ten years up to a maximum of 19 years. Fifty STAR prostheses in 46 patients with end stage ankle osteoarthritis operated between 1996 and 2006 by the same surgeon (MH) were included. Minimal follow-up was ten years (median 14.6 years, 95% confidence interval [CI] 12.9-16.4). Clinical (Kofoed score) and radiological assessments were taken before the operation and at one, ten (+2), and 16 (±3) years after implantation. The primary endpoint was defined as exchange of the whole prosthesis or conversion to arthrodesis (def. 1), exchange of at least one metallic component (def. 2), or exchange of any component including the inlay (due to breakage or wear) (def. 3). Survival was estimated according to Kaplan-Meier. Further reoperations related to STAR were also recorded. The ten year survival rate was (def. 1) 94% (CI 82-98%), (def. 2) 90% (CI, 77-96%), and (def. 3) 78% (CI 64-87%). The 19-year survival rate was (def. 1) 91% (CI 78-97%), (def. 2) 75% (CI 53-88%), and (def. 3) 55% (CI 34-71%). Considering any re-operations related to STAR, 52% (26/50) of prostheses were affected by re-operations. Mean pre-operative Kofoed score was 49, which improved to 84 after one year (n = 50), to 90 after ten years (n = 46), and to 89 after 16 years (n = 28). The survival rate for def. 1 and 2 was high. However, re-operations occurred in 52% of all STAR prosthesis. Retrospective cohort study, evidence Level 4.

Surgical management of pelvic organ prolapse in women.

Science.gov (United States)

Maher, Christopher; Feiner, Benjamin; Baessler, Kaven; Schmid, Corina

2013-04-30

(absorbable) mesh inlay (RR 1.39, 95% CI 1.02 to 1.90) or porcine dermis mesh inlay (RR 2.08, 95% CI 1.08 to 4.01), however there was no difference in post-operative awareness of prolapse after absorbable mesh (RR 0.96, 95% CI 0.33 to 2.81) or a biological graft (RR 1.21, 95% CI 0.64 to 2.30). Data on morbidity and other clinical outcomes were lacking. Standard anterior repair was associated with more anterior compartment prolapse on examination than for any polypropylene (permanent) mesh repair (RR 3.15, 95% CI 2.50 to 3.96). Awareness of prolapse was also higher after the anterior repair as compared to polypropylene mesh repair (28% versus 18%, RR 1.57, 95% CI 1.18 to 2.07). However, the reoperation rate for prolapse was similar at 14/459 (3%) after the native tissue repair compared to 6/470 (1.3%) (RR 2.18, 95% CI 0.93 to 5.10) after the anterior polypropylene mesh repair and no differences in quality of life data or de novo dyspareunia were identified. Blood loss (MD 64 ml, 95% CI 48 to 81), operating time (MD 19 min, 95% CI 16 to 21), recurrences in apical or posterior compartment (RR 1.9, 95% CI 1.0 to 3.4) and de novo stress urinary incontinence (RR 1.8, 95% CI 1.0 to 3.1) were significantly higher with transobturator meshes than for native tissue anterior repair. Mesh erosions were reported in 11.4% (64/563), with surgical interventions being performed in 6.8% (32/470).Data from three trials compared native tissue repairs with a variety of total, anterior, or posterior polypropylene kit meshes for vaginal prolapse in multiple compartments. While no difference in awareness of prolapse was able to be identified between the groups (RR 1.3, 95% CI 0.6 to 1.7) the recurrence rate on examination was higher in the native tissue repair group compared to the transvaginal polypropylene mesh group (RR 2.0, 95% CI 1.3 to 3.1). The mesh erosion rate was 35/194 (18%), and 18/194 (9%) underwent surgical correction for mesh erosion. The reoperation rate after transvaginal

Tissue Engineering of the Urethra: A Systematic Review and Meta-analysis of Preclinical and Clinical Studies.

Science.gov (United States)

Versteegden, Luuk R M; de Jonge, Paul K J D; IntHout, Joanna; van Kuppevelt, Toin H; Oosterwijk, Egbert; Feitz, Wout F J; de Vries, Rob B M; Daamen, Willeke F

2017-10-01

Urethra repair by tissue engineering has been extensively studied in laboratory animals and patients, but is not routinely used in clinical practice. To systematically investigate preclinical and clinical evidence of the efficacy of tissue engineering for urethra repair in order to stimulate translation of preclinical studies to the clinic. A systematic search strategy was applied in PubMed and EMBASE. Studies were independently screened for relevance by two reviewers, resulting in 80 preclinical and 23 clinical studies of which 63 and 13 were selected for meta-analysis to assess side effects, functionality, and study completion. Analyses for preclinical and clinical studies were performed separately. Full circumferential and inlay procedures were assessed independently. Evaluated parameters included seeding of cells and type of biomaterial. Meta-analysis revealed that cell seeding significantly reduced the probability of encountering side effects in preclinical studies. Remarkably though, cells were only sparsely used in the clinic (4/23 studies) and showed no significant reduction of side effects. ln 21 out of 23 clinical studies, decellularized templates were used, while in preclinical studies other biomaterials showed promising outcomes as well. No direct comparison to current clinical practice could be made due to the limited number of randomized controlled studies. Due to a lack of controlled (pre)clinical studies, the efficacy of tissue engineering for urethra repair could not be determined. Meta-analysis outcome measures were similar to current treatment options described in literature. Surprisingly, it appeared that favorable preclinical results, that is inclusion of cells, were not translated to the clinic. Improved (pre)clinical study designs may enhance clinical translation. We reviewed all available literature on urethral tissue engineering to assess the efficacy in preclinical and clinical studies. We show that improvements to (pre)clinical study

Periodontal wound healing/regeneration following the application of rhGDF-5 in a beta-TCP/PLGA carrier in critical-size supra-alveolar periodontal defects in dogs.

Science.gov (United States)

Kwon, David H; Bisch, Frederick C; Herold, Robert W; Pompe, Cornelius; Bastone, Patrizia; Rodriguez, Nancy A; Susin, Cristiano; Wikesjö, Ulf M E

2010-07-01

The objective of this study was to evaluate the effect of a novel recombinant human GDF-5 (rhGDF-5) construct intended for onlay and inlay indications on periodontal wound healing/regeneration. Contralateral, surgically created, critical-size, 6-mm, supra-alveolar periodontal defects in five adult Hound Labrador mongrel dogs received rhGDF-5 coated onto beta-tricalcium phosphate (beta-TCP) particles and immersed in a bioresorbable poly(lactic-co-glycolic acid) (PLGA) composite or the beta-TCP/PLGA carrier alone (control). The rhGDF-5 and control constructs were moulded around the teeth and allowed to set. The gingival flaps were then advanced; flap margins were adapted 3-4 mm coronal to the teeth and sutured. The animals were euthanized at 8 weeks post-surgery when block biopsies were collected for histometric analysis. Healing was generally uneventful. A few sites exhibited minor exposures. Three control sites and one rhGDF-5 site (in separate animals) experienced more extensive wound dehiscencies. The rhGDF-5 and control constructs were easy to apply and exhibited adequate structural integrity to support the mucoperiosteal flaps in this challenging onlay model. Limited residual beta-TCP particles were observed at 8 weeks for both rhGDF-5/beta-TCP/PLGA and beta-TCP/PLGA control sites. The rhGDF-5/beta-TCP/PLGA sites showed significantly greater cementum (2.34 +/- 0.44 versus 1.13 +/- 0.25 mm, p=0.02) and bone (2.92 +/- 0.66 versus 1.21 +/- 0.30 mm, p=0.02) formation compared with the carrier control. Limited ankylosis was observed in four of five rhGDF-5/beta-TCP/PLGA sites but not in control sites. Within the limitations of this study, the results suggest that rhGDF-5 is a promising candidate technology in support of periodontal wound healing/regeneration. Carrier and rhGDF-5 dose optimization are necessary before further advancement of the technology towards clinical evaluation.

Advances in elemental imaging of rocks using the AGLAE external microbeam

Energy Technology Data Exchange (ETDEWEB)

Calligaro, T., E-mail: thomas.calligaro@culture.gouv.fr [Centre de Recherche et de Restauration des musees de France, CNRS UMR171, Palais du Louvre, 75001 Paris (France); Coquinot, Y.; Pichon, L.; Moignard, B. [Centre de Recherche et de Restauration des musees de France, CNRS UMR171, Palais du Louvre, 75001 Paris (France)

2011-10-15

Rocks are widely represented in cultural heritage materials. They constitute the major part of archaeological artefacts like stone carvings, tools and weapons, and are present in art works in various forms, such as precious stone inlays or paint pigments. The study of such geomaterials, which are usually constituted of a complex aggregate of mineral phases, aims at determining their exact nature, their provenance and at understanding their possible alteration. Since minerals are often composed of light elements, IBA techniques such as PIXE and PIGE, thanks to their ability to measure with high sensitivity elements down to lithium, should be well adapted to their analysis. However, the bulk composition classically obtained using macro-IBA on pelletized samples or using a broad beam hides the multi-phased nature of the rocks and considerably blurs the searched chemical fingerprint. In contrast, the small size of a nuclear microprobe allows imaging the chemical composition at a finer scale and, when implemented in air, appears ideally suited to analyse without sampling these often precious items. This paper illustrates chemical micro-imaging of rocks with examples performed with the AGLAE external nuclear microprobe: characterisation of microscopic inclusions in gems and detailed chemical mapping of rocks with special emphasis to lapis lazuli. Lapis lazuli is of particular interest in both archaeology and art history: after being employed in Asia since the 7th millennium BC to make carvings and beads, it was used in Medieval Europe as a precious blue painting pigment known as ultramarine. The chemical imaging of major and trace elements in lapis lazuli using external {mu}-PIXE has permitted to identify its mineral phases, to assign their trace elements and to evidence undetected elements. In combination with {mu}-XRD and {mu}-Raman spectrometry, this approach provides a clear mineralogical fingerprint useful to determine rock provenance and to authenticate artefacts

Characterization of the lapis lazuli from the Egyptian treasure of Tôd and its alteration using external μ-PIXE and μ-IBIL

International Nuclear Information System (INIS)

Calligaro, T.; Coquinot, Y.; Pichon, L.; Pierrat-Bonnefois, G.; Campos, P. de; Re, A.; Angelici, D.

2014-01-01

Lapis lazuli is among the earliest and most priced ornamental stone worked to produce carvings, beads and inlays as early as the 4th millennium BC. It is an heterogeneous rock composed of blue lazurite Na 3 Ca(Si 3 Al 3 O 12 )S mixed with other minerals like calcite, diopside and pyrite. The historical source of lapis lazuli in antiquity is supposedly located in Afghanistan, in the Sar-e-Sang district, while other sources are known in Tajikistan and Russia (Baïkal area). This work focuses on the lapis-lazuli of the Egyptian treasure of Tôd dated from Middle Kingdom (20th c. BC). Deposited in four copper boxes, it consists of thousands of blocks of raw lapis lazuli, minute fragments, beads and carvings stylistically dated to various periods. This discovery raises the question of the use of lapis lazuli in ancient Egypt because there is no source of lapis in this country. In addition, most of the lapis lazuli artefacts are strongly weathered. The aim of this work is to understand the alteration process and to verify if its provenance can still be determined. A few artefacts were analysed using the new external microbeam line of the AGLAE facility of the C2RMF. The mineral phases were identified and corresponding trace elements (e.g. Ti, As, Ni, Ba) were ascribed using the quantitative PIXE elemental maps collected on the entire artefacts or on cross-sections. In parallel, the IBIL spectrum recorded for each point in the image provided an additional fingerprint of the luminescent phases, notably mineral species belonging to the cancrinite group. Most alteration products appeared to derive from the oxidation of the pyrite FeS 2 . It was observed that the alteration process extends to the core of most investigated artefacts. Despite such a strong alteration state, the chemical fingerprints recorded on the studied artefacts proved to be consistent with that of lapis lazuli from historical deposit of Badakshan, Afghanistan, previously investigated using the same �

Characteristic MR and CT imaging findings of hepatobiliary paragonimiasis and their pathologic correlations

Energy Technology Data Exchange (ETDEWEB)

Lu, Chunyan; Hu, Yajun; Chen, Weixia [Dept of Radiology, West China Hospital of Sichuan Univ., Sichuan (China)], e-mail: wxchen25@126.com

2012-06-15

Background: Hepatobiliary paragonimiasis (HP) is not commonly encountered and may be confused with hepatobiliary tumors; however, computed tomography (CT) and magnetic resonance imaging (MRI) features of HP allow this entity to be distinguished from other diseases. Purpose: To present the CT and MRI findings in patients with HP and to describe some specific imaging findings along with their pathological correlations. Material and Methods: Imaging and clinical findings of 21 patients (9 boys/men and 12 girls/women; age range 3-67 years; mean age 40 years) who were diagnosed with HP were retrospectively evaluated. Among these patients, 16 underwent CT examination only, two had MR examination only, and three underwent both CT and MR. All patients underwent surgery, and the HP diagnosis was confirmed by the surgical and histopathologic results. Results: Chronic abdominal pain or back pain was reported by 14 patients, severe abdominal pain with acute onset was reported by one patient, and six patients were asymptomatic and were discovered incidentally. Peripheral eosinophilia was present in 14 patients (14/21, 66.7%), and abnormal liver function tests were found in 16 patients (16/21, 76.2%). Of the 19 patients who underwent CT imaging, 17 patients showed multiple mixed hypodense lesions or multiple cysts with inlaying septation with separate irregular rims or circular enhancement on post-contrast CT images. Tunnel-shaped micro abscesses and necrotic cavities were found in the lesions of 12 of those 17 patients. The other two patients showed smaller cystic masses. MRI showed faveolate T1 hypointense and T2 hyperintense areas in the liver parenchyma with rim or peripheral enhancement. Nodular or circular hyperintense materials were found scattered in the lesions on T1-weighted imaging. Conclusion: CT and MRI can reveal the radiological-pathological features of HP. Together with laboratory findings, MRI and CT findings may provide diagnostic clues, especially in endemic

Advances in elemental imaging of rocks using the AGLAE external microbeam

International Nuclear Information System (INIS)

Calligaro, T.; Coquinot, Y.; Pichon, L.; Moignard, B.

2011-01-01

Rocks are widely represented in cultural heritage materials. They constitute the major part of archaeological artefacts like stone carvings, tools and weapons, and are present in art works in various forms, such as precious stone inlays or paint pigments. The study of such geomaterials, which are usually constituted of a complex aggregate of mineral phases, aims at determining their exact nature, their provenance and at understanding their possible alteration. Since minerals are often composed of light elements, IBA techniques such as PIXE and PIGE, thanks to their ability to measure with high sensitivity elements down to lithium, should be well adapted to their analysis. However, the bulk composition classically obtained using macro-IBA on pelletized samples or using a broad beam hides the multi-phased nature of the rocks and considerably blurs the searched chemical fingerprint. In contrast, the small size of a nuclear microprobe allows imaging the chemical composition at a finer scale and, when implemented in air, appears ideally suited to analyse without sampling these often precious items. This paper illustrates chemical micro-imaging of rocks with examples performed with the AGLAE external nuclear microprobe: characterisation of microscopic inclusions in gems and detailed chemical mapping of rocks with special emphasis to lapis lazuli. Lapis lazuli is of particular interest in both archaeology and art history: after being employed in Asia since the 7th millennium BC to make carvings and beads, it was used in Medieval Europe as a precious blue painting pigment known as ultramarine. The chemical imaging of major and trace elements in lapis lazuli using external μ-PIXE has permitted to identify its mineral phases, to assign their trace elements and to evidence undetected elements. In combination with μ-XRD and μ-Raman spectrometry, this approach provides a clear mineralogical fingerprint useful to determine rock provenance and to authenticate artefacts of

Characteristic MR and CT imaging findings of hepatobiliary paragonimiasis and their pathologic correlations

International Nuclear Information System (INIS)

Lu, Chunyan; Hu, Yajun; Chen, Weixia

2012-01-01

Background: Hepatobiliary paragonimiasis (HP) is not commonly encountered and may be confused with hepatobiliary tumors; however, computed tomography (CT) and magnetic resonance imaging (MRI) features of HP allow this entity to be distinguished from other diseases. Purpose: To present the CT and MRI findings in patients with HP and to describe some specific imaging findings along with their pathological correlations. Material and Methods: Imaging and clinical findings of 21 patients (9 boys/men and 12 girls/women; age range 3-67 years; mean age 40 years) who were diagnosed with HP were retrospectively evaluated. Among these patients, 16 underwent CT examination only, two had MR examination only, and three underwent both CT and MR. All patients underwent surgery, and the HP diagnosis was confirmed by the surgical and histopathologic results. Results: Chronic abdominal pain or back pain was reported by 14 patients, severe abdominal pain with acute onset was reported by one patient, and six patients were asymptomatic and were discovered incidentally. Peripheral eosinophilia was present in 14 patients (14/21, 66.7%), and abnormal liver function tests were found in 16 patients (16/21, 76.2%). Of the 19 patients who underwent CT imaging, 17 patients showed multiple mixed hypodense lesions or multiple cysts with inlaying septation with separate irregular rims or circular enhancement on post-contrast CT images. Tunnel-shaped micro abscesses and necrotic cavities were found in the lesions of 12 of those 17 patients. The other two patients showed smaller cystic masses. MRI showed faveolate T1 hypointense and T2 hyperintense areas in the liver parenchyma with rim or peripheral enhancement. Nodular or circular hyperintense materials were found scattered in the lesions on T1-weighted imaging. Conclusion: CT and MRI can reveal the radiological-pathological features of HP. Together with laboratory findings, MRI and CT findings may provide diagnostic clues, especially in endemic

Marginal and internal fit of heat pressed versus CAD/CAM fabricated all-ceramic onlays after exposure to thermo-mechanical fatigue

Science.gov (United States)

Guess, Petra C.; Vagopoulou, Thaleia; Zhang, Yu; Wolkewitz, Martin; Strub, Joerg R.

2015-01-01

Objectives The aim of the study was to evaluate the marginal and internal fit of heat-pressed and CAD/CAM fabricated all-ceramic onlays before and after luting as well as after thermo-mechanical fatigue. Materials and Methods Seventy-two caries-free, extracted human mandibular molars were randomly divided into three groups (n=24/group). All teeth received an onlay preparation with a mesio-occlusal-distal inlay cavity and an occlusal reduction of all cusps. Teeth were restored with heat-pressed IPS-e.max-Press* (IP, *Ivoclar-Vivadent) and Vita-PM9 (VP, Vita-Zahnfabrik) as well as CAD/CAM fabricated IPS-e.max-CAD* (IC, Cerec 3D/InLab/Sirona) all-ceramic materials. After cementation with a dual-polymerizing resin cement (VariolinkII*), all restorations were subjected to mouth-motion fatigue (98N, 1.2 million cycles; 5°C/55°C). Marginal fit discrepancies were examined on epoxy replicas before and after luting as well as after fatigue at 200x magnification. Internal fit was evaluated by multiple sectioning technique. For the statistical analysis, a linear model was fitted with accounting for repeated measurements. Results Adhesive cementation of onlays resulted in significantly increased marginal gap values in all groups, whereas thermo-mechanical fatigue had no effect. Marginal gap values of all test groups were equal after fatigue exposure. Internal discrepancies of CAD/CAM fabricated restorations were significantly higher than both press manufactured onlays. Conclusions Mean marginal gap values of the investigated onlays before and after luting as well as after fatigue were within the clinically acceptable range. Marginal fit was not affected by the investigated heat-press versus CAD/CAM fabrication technique. Press fabrication resulted in a superior internal fit of onlays as compared to the CAD/CAM technique. Clinical Relevance Clinical requirements of 100 μm for marginal fit were fulfilled by the heat-press as well as by the CAD/CAM fabricated all-ceramic onlays

Determination of Pt, Pd and Rh in Brassica Napus using solid sampling electrothermal vaporization inductively coupled plasma optical emission spectrometry

International Nuclear Information System (INIS)

Nischkauer, Winfried; Herincs, Esther; Puschenreiter, Markus; Wenzel, Walter; Limbeck, Andreas

2013-01-01

Conventional approaches for the analysis of platinum group elements (PGEs) in plant material suffer from sample digestion which results in sample dilution and therefore requires high sample intakes to maintain the sensitivity. The presented solid-sampling method avoids sample digestion while improving sensitivity when compared to digestion-based inductively coupled plasma optical emission spectrometry (ICP-OES) methods and allows the analysis of sample masses of 5 mg or less. Detection limits of 0.38 μg g −1 , 0.14 μg g −1 and 0.13 μg g −1 were obtained for Pt, Pd and Rh, respectively using a sample intake of 5 mg. The reproducibility of the procedure ranged between 4.7% (Pd) relative standard deviation (RSD, n = 7) and 7.1% (Rh) RSD for 25 ng analytes. For quantification, aqueous standards were applied on paper filter strips and dried. Only the dried filters were introduced into the electrothermal vaporization unit. This approach successfully removed memory-effects observed during analysis of platinum which occurred only if liquid standards came into contact with the graphite material of the furnace. The presented method for overcoming the Pt-memory-effects may be of further interest for the analysis of other carbide-forming analytes as it does not require any technical modification of the graphite furnace (e.g., metal inlays, pyrolytic coating). Owing to lack of suitable certified reference materials, the proposed method was compared with conventional ICP-OES analysis of digested samples and a good agreement was obtained. As a result of the low sample consumption, it was possible to determine the spatial distribution of PGEs within a single plant. Significant differences in PGE concentrations were observed between the shoots (stem, leaves) and the roots. Pd was mainly found in the roots, whereas Pt and Rh were also found in higher concentrations in the shoots. - Highlights: • The uptake of Pt, Pd and Rh by hydroponically grown plants was investigated

Determination of Pt, Pd and Rh in Brassica Napus using solid sampling electrothermal vaporization inductively coupled plasma optical emission spectrometry

Energy Technology Data Exchange (ETDEWEB)

Nischkauer, Winfried [Vienna University of Technology, Institute of Chemical Technologies and Analytics, Division of Instrumental Analytical Chemistry, Getreidemarkt 9/164-IAC, A-1060 Vienna (Austria); Herincs, Esther [Vienna University of Technology, Institute of Chemical Technologies and Analytics, Division of Instrumental Analytical Chemistry, Getreidemarkt 9/164-IAC, A-1060 Vienna (Austria); University of Natural Resources and Life Sciences, Department of Forest and Soil Sciences, Institute of Soil Research, Konrad Lorenz Straße 24, A-3430 Tulln (Austria); Puschenreiter, Markus; Wenzel, Walter [University of Natural Resources and Life Sciences, Department of Forest and Soil Sciences, Institute of Soil Research, Konrad Lorenz Straße 24, A-3430 Tulln (Austria); Limbeck, Andreas, E-mail: A.Limbeck@tuwien.ac.at [Vienna University of Technology, Institute of Chemical Technologies and Analytics, Division of Instrumental Analytical Chemistry, Getreidemarkt 9/164-IAC, A-1060 Vienna (Austria)

2013-11-01

Conventional approaches for the analysis of platinum group elements (PGEs) in plant material suffer from sample digestion which results in sample dilution and therefore requires high sample intakes to maintain the sensitivity. The presented solid-sampling method avoids sample digestion while improving sensitivity when compared to digestion-based inductively coupled plasma optical emission spectrometry (ICP-OES) methods and allows the analysis of sample masses of 5 mg or less. Detection limits of 0.38 μg g{sup −1}, 0.14 μg g{sup −1} and 0.13 μg g{sup −1} were obtained for Pt, Pd and Rh, respectively using a sample intake of 5 mg. The reproducibility of the procedure ranged between 4.7% (Pd) relative standard deviation (RSD, n = 7) and 7.1% (Rh) RSD for 25 ng analytes. For quantification, aqueous standards were applied on paper filter strips and dried. Only the dried filters were introduced into the electrothermal vaporization unit. This approach successfully removed memory-effects observed during analysis of platinum which occurred only if liquid standards came into contact with the graphite material of the furnace. The presented method for overcoming the Pt-memory-effects may be of further interest for the analysis of other carbide-forming analytes as it does not require any technical modification of the graphite furnace (e.g., metal inlays, pyrolytic coating). Owing to lack of suitable certified reference materials, the proposed method was compared with conventional ICP-OES analysis of digested samples and a good agreement was obtained. As a result of the low sample consumption, it was possible to determine the spatial distribution of PGEs within a single plant. Significant differences in PGE concentrations were observed between the shoots (stem, leaves) and the roots. Pd was mainly found in the roots, whereas Pt and Rh were also found in higher concentrations in the shoots. - Highlights: • The uptake of Pt, Pd and Rh by hydroponically grown plants was

Satisfactory outcomes following combined unicompartmental knee replacement and anterior cruciate ligament reconstruction.

Science.gov (United States)

Volpin, Andrea; Kini, S G; Meuffels, D E

2017-03-31

There exist limited options for treatment of patients with combined medial compartment arthritis and anterior cruciate ligament (ACL) deficiency. Ideal treatment is one that offers lasting relief of symptoms not compromising any future surgery. Unicompartmental knee replacement has shown consistently good results in the relatively young and active population, but there is a high reported incidence of failure up to 20%, if performed in ACL-deficient knees. One of the recognized treatment modality is combined ACL reconstruction and unicompartmental arthroplasty. A systematic review was conducted looking at the demographics, techniques, complications and outcome of combined ACL reconstruction with unicompartmental knee arthroplasty. A systematic literature search within the online Medline, PubMed Database, EMBASE, Web of Science, Cochrane and Google Scholar was carried out until October 2016 to identify relevant articles. A study was defined eligible if it met the following inclusion criteria: the surgical procedure combined unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction; patient's clinical and/or functional outcomes were reported; any complications intra-operatively and post-operatively were reported; and the full-text articles, written in English, German, Italian, Dutch or Spanish, were available. Quality and risk of bias assessments were done using standardized criteria set. A total of 8 studies met the inclusion criteria encompassing 186 patients who were treated with simultaneous ACL reconstruction and unicompartmental knee arthroplasty. The mean age was 50.5 years (range from 44 to 56) with a mean follow-up of 37.6 months (range from 24 to 60). There was an improvement in mean Oxford Score from 27.5 to 36.8. Complications reported included tibial inlay dislocation (n = 3), conversion to a total knee arthroplasty (n = 1), infection requiring two-stage revision (n = 2), deep-vein thrombosis (n = 1), stiffness requiring

An Evaluation on the Residual Stresses Induced by EFR Welding of CEDM Nozzle

Energy Technology Data Exchange (ETDEWEB)

Lee, Sang Ho; Park, Gi Yeol; Kim, Tae Ryong [KEPCO International Nuclear Graduate School, Ulsan (Korea, Republic of)

2015-10-15

In this paper, carried out the welding analysis to use the SYSWELD as welding interpretation code based on the reactor upper head nozzle. In this paper, evaluated the residual stress in CEDM nozzle by EFR through the SYSWELD which is the welding interpretation code. The conclusion are same as below. 1) When comparing with Hoop Stress and Axial Stress by J-Groove and EFR, after welding residual stress by EFR is lower than after J-Groove. 2) After EFR, it was confirmed that the tensile stress is reduced after increasing over the point3. The PWSCC of Dissimilar Metal Zone of reactor can degrade the integrity of the main device in nuclear power plant, and according to the power plant stopped for inspection, it can cause an enormous amount of lost sales when the crack is occurred. Various methods have been developed to reduce residual stress to prevent the PWSCC like Weld Overlay (WOL), Mechanical Stress Improvement Process (Msp), Laser Peening, Inlay Weld, etc. Among them, Wol is the most commonly used welding method in nuclear power plant. When performing a Wol, structure rigidity will be increase, and residual stress of welding zone will be changed into compressive stress from the tensile stress. This has the advantage that improved resistance to PWSCC. The most commonly used material in nuclear power plant is Inconel 600. Inconel 600 consist of a Ni-Cr-Fe and it has 14-17% of Cr content, 10% of Fe content and susceptible to PWSCC. The more Cr content is more stronger against PWSCC. Inconel 690 which has 2 times more Cr content than Inconel 600 has very strong resistance to PWSCC than Inconel 600. Embedded Flaw Repair (EFR) has been developed in Westinghouse by 1994. The welding metal with high corrosion resistance is embedded on the surface of component, and could protect cracking part from the PWSCC. It is permanent repair method that isolates the flaw from the environment, eliminating further crack propagation due to PWSCC. EFR method is that at least three layers

Design and pilot testing of the DVA/Seattle Footwear System for diabetic patients with foot insensitivity.

Science.gov (United States)

Reiber, G E; Smith, D G; Boone, D A; del Aguila, M; Borchers, R E; Mathews, D; Joseph, A W; Burgess, E M

1997-01-01

Clinical epidemiology studies suggest the majority of lower limb amputations were preceded by a minor traumatic event, often footwear-related, and lower limb ulcers. To reduce foot trauma and ulcers, the diabetic patient with foot insensitivity has unique footwear needs. To address these needs for patients not requiring custom shoes, the DVA/Seattle Footwear System was developed. The six components of this system include: 1) a specially designed shoe last based on the geometry of the diabetic foot and research findings on foot regions at highest risk of ulceration, 2) a depth-inlay shoe, "Custom Stride by PRS," designed to be paired with either a custom-fabricated cork insole or a preformed polyurethane insole, 3) a laser digitizing system that captures 3-D plantar foot contours, 4) DVA/Seattle ShapeMaker software adaptation for modifying plantar surface contours and applying free-form and template modifications to increase or relieve loading, 5) software that translates files into code used by a milling machine to define the cutting path and carve cork blockers into custom insoles, and 6) a preformed polyurethane insole thicker than a typical insole to accommodate the extra volume and the interior dimensions of the shoe. A 6-month pilot cross-over trial of 24 diabetic male veterans without prior foot ulcers was conducted to determine the feasibility of producing, and the safety of wearing, these depthinlay shoes and both types of insoles. During the first 4 weeks, patients were assigned to the study shoes and one type of insole. During the next 4 weeks, they wore the other type of insole, and during the final 4 months, they chose which pair of insoles to wear with the study shoes. Over 150 person-months of footwear observation revealed no breaks in the cutaneous barrier with use of either cork or polyurethane insoles and the study shoes. Patient compliance with the footwear was 88%. Patients were highly satisfied with the appearance, stability, and comfort of the

Measurements of Tenorm in an enterprise related with the petroleum industry

International Nuclear Information System (INIS)

Gnoni, G.; Canoba, A.

2006-01-01

Some industries in its processes concentrate natural radionuclides. Among these industries are the industry of the gas and the petroleum. These materials naturally radioactive concentrated by certain industries are known as TENORM (technologically enhanced naturally occurring radioactive material). As part of a project that has by objective to determine possible contaminations with TENORM materials in the industry, it was carried out an evaluation to a company related with the oil industry. The company provides teams and systems used in the production wells. In the plant it proceeds to the armed one with new components or with recovered parts of used equipment. Its were carried out measurements of dose rate in the place. In the first place it was carried out a screening monitoring, in order to detect hot points. In those cases in that hot points were not detected, pieces were selected to measure in contact, considering it origin, function and visual inspection of the same ones. The measured dose rate in most of the pieces was inside the radiation bottom levels. Its were found some pieces with greater dose rates at the bottom and only isolated cases that were up to ten times greater to the same one. The annual effective dose estimated in preservative form, only considering the external exposure via, starting from the most high value measured was similar to 0.6 mSv.a -1 , value far from the one dose limit settled down for workers (20 mSv.a -1 ) and also smaller to the one dose limit settled down for public (1 mSv.a -1 ). Its took oily crusts samples, wash water, and cleaning sands for the later analysis in the laboratory. The samples were analyzed by gamma spectrometry and the uranium concentration by fluorimetry. Starting from the measurements carried out in the laboratories, it was confirmed that the involved radionuclides are the Ra-226 and Ra-228 and that the uranium doesn't concentrate on the present inlays in the pieces analyzed, in agreement with the fact that

Mechanical fatigue degradation of ceramics versus resin composites for dental restorations.

Science.gov (United States)

Belli, Renan; Geinzer, Eva; Muschweck, Anna; Petschelt, Anselm; Lohbauer, Ulrich

2014-04-01

. From all materials, e.max Press and Clearfil Majesty Posterior showed the lowest strength loss (29.6% and 32%, respectively), whereas the other materials lost between 41% and 62% of their flexural strength after cyclic loading. Dental ceramics and resin composite materials show equivalent fatigue strength degradation at loads around 0.5σin values. Apart from the zirconium oxide and the lithium disilicate ceramics, resin composites generally showed better σff after 10,000 cycles than the fluorapatite glass-ceramic and the feldspathic porcelain. Resin composite restorations may be used as an equivalent alternative to glass-rich-ceramic inlays regarding mechanical performance. Copyright © 2014 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Measurements of Tenorm in an enterprise related with the petroleum industry; Mediciones de Tenorm en una empresa relacionada con la industria petrolera

Energy Technology Data Exchange (ETDEWEB)

Gnoni, G.; Canoba, A. [Autoridad Regulatoria Nuclear, Av. Del Libertador 8250 Ciudad de Buenos Aires (1429) (Argentina)]. e-mail: ggnoni@cae.arn.gov.ar

2006-07-01

Some industries in its processes concentrate natural radionuclides. Among these industries are the industry of the gas and the petroleum. These materials naturally radioactive concentrated by certain industries are known as TENORM (technologically enhanced naturally occurring radioactive material). As part of a project that has by objective to determine possible contaminations with TENORM materials in the industry, it was carried out an evaluation to a company related with the oil industry. The company provides teams and systems used in the production wells. In the plant it proceeds to the armed one with new components or with recovered parts of used equipment. Its were carried out measurements of dose rate in the place. In the first place it was carried out a screening monitoring, in order to detect hot points. In those cases in that hot points were not detected, pieces were selected to measure in contact, considering it origin, function and visual inspection of the same ones. The measured dose rate in most of the pieces was inside the radiation bottom levels. Its were found some pieces with greater dose rates at the bottom and only isolated cases that were up to ten times greater to the same one. The annual effective dose estimated in preservative form, only considering the external exposure via, starting from the most high value measured was similar to 0.6 mSv.a{sup -1}, value far from the one dose limit settled down for workers (20 mSv.a{sup -1}) and also smaller to the one dose limit settled down for public (1 mSv.a{sup -1}). Its took oily crusts samples, wash water, and cleaning sands for the later analysis in the laboratory. The samples were analyzed by gamma spectrometry and the uranium concentration by fluorimetry. Starting from the measurements carried out in the laboratories, it was confirmed that the involved radionuclides are the Ra-226 and Ra-228 and that the uranium doesn't concentrate on the present inlays in the pieces analyzed, in agreement

Engineering mechanical gradients in next generation biomaterials - Lessons learned from medical textile design.

Science.gov (United States)

Ng, Joanna L; Collins, Ciara E; Knothe Tate, Melissa L

2017-07-01

facilitate transport of molecules and cells during tissue genesis within tissue defects (surgical membranes). External and internal biomaterial membranes prescribe boundary conditions for treatment of medical disorders, from oedema to tissue defects. Studies are needed to guide the design of next generation biomaterials and devices that incorporate gradient engineering approaches, which offer great potential to enhance function in a dynamic and physiological context. Mechanical gradients intrinsic to currently implemented biomaterials such as medical textiles and surgical interface membranes are poorly understood. Here we characterise quantitatively the mechanics of textile and nonwoven biomaterial membranes for external and internal use. The lack of seamless gradients in compression medical textiles contrasts with the graded mechanical effects achieved by elastomeric exercise bands, which are designed to deliver controlled, incremental increases in loading to facilitate healing as injured tissues return to normal structure and function. Engineering textiles with a prescient choice of fibre composition/size, type of knit/weave and inlay fibres, and weave density/anisotropy will enable creation of fabrics that can deliver spatially and temporally controlled mechanical gradients to maintain force balances at tissue boundaries, e.g. to treat oedema or tissue defects. Copyright © 2017 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.

Retrospective study on radiotherapy efficacy in case of painful heel spur

International Nuclear Information System (INIS)

Klossok-Niethammer, Ruth Giuliana

2011-01-01

Objective: The effect of radiotherapy in context of a plantar fasciitis in order to reduce pain was evaluated in this retrospective study. Patients and methods: The data of 188 patients who suffered of heel spur pain and who were irradiated in the period from 1994 to 2009 were evaluated in this study. All of them had at least one follow up examination after radiatiotherapy. The mean age amounted to 57 years. 76.5% of the patients were female. All patients described a local pain which was the basis for the indication. 74.4 % of the patients described pain especially under stress. The duration of anamnesis was averaged as follows: 15 % of the patients had pain for some weeks to 3 months, 43 % for 4 to 6 months, 28% even for 7 to 12 months. The period of medical history was longer than 12 months for 12 % of the patients in this study. 122 of 188 patients received orthopedic arch support (shoe inlays) as first therapy method. Most of the patients were irradiated using regular lateral opposing fields with photons of the energy 4 MV and 6 MV of a linear accelerator, applying a total dose of 6Gy in 6 fractions to 1,0Gy twice weekly. Only one patient was irradiated using a Co 60 machine. The acquisition of data regarding the effect was performed on the last day of the radiotherapy and in 3 to 6 monthly follow ups. Additionally the doctors who attended the patients beyond the radiotherapy received a special questionnaire about the pain reduction, so that the follow up data could be completed. Results: On the last day of radiotherapy 120/188 patients (63,8%)reported an improvement of pain reduction, 7/188 patients (3,7%) absence of pain. For 52/188 patients (27.6 %) pain remained constant. At the second follow up examination after in the median 100 days the effect of radiotherapy of 165 patients could be evaluated, 43/165 patients (26 %) were pain free, 79/165 patients (47,8 %) reported an obvious pain reduction, and for 33/165 patients there was no pain improvement. At the

Retrospective study on radiotherapy efficacy in case of painful heel spur; Retrospektive Studie ueber die Wirksamkeit der Strahlentherapie beim schmerzhaftem Fersensporn

Energy Technology Data Exchange (ETDEWEB)

Klossok-Niethammer, Ruth Giuliana

2011-07-01

Objective: The effect of radiotherapy in context of a plantar fasciitis in order to reduce pain was evaluated in this retrospective study. Patients and methods: The data of 188 patients who suffered of heel spur pain and who were irradiated in the period from 1994 to 2009 were evaluated in this study. All of them had at least one follow up examination after radiatiotherapy. The mean age amounted to 57 years. 76.5% of the patients were female. All patients described a local pain which was the basis for the indication. 74.4 % of the patients described pain especially under stress. The duration of anamnesis was averaged as follows: 15 % of the patients had pain for some weeks to 3 months, 43 % for 4 to 6 months, 28% even for 7 to 12 months. The period of medical history was longer than 12 months for 12 % of the patients in this study. 122 of 188 patients received orthopedic arch support (shoe inlays) as first therapy method. Most of the patients were irradiated using regular lateral opposing fields with photons of the energy 4 MV and 6 MV of a linear accelerator, applying a total dose of 6Gy in 6 fractions to 1,0Gy twice weekly. Only one patient was irradiated using a Co{sup 60} machine. The acquisition of data regarding the effect was performed on the last day of the radiotherapy and in 3 to 6 monthly follow ups. Additionally the doctors who attended the patients beyond the radiotherapy received a special questionnaire about the pain reduction, so that the follow up data could be completed. Results: On the last day of radiotherapy 120/188 patients (63,8%)reported an improvement of pain reduction, 7/188 patients (3,7%) absence of pain. For 52/188 patients (27.6 %) pain remained constant. At the second follow up examination after in the median 100 days the effect of radiotherapy of 165 patients could be evaluated, 43/165 patients (26 %) were pain free, 79/165 patients (47,8 %) reported an obvious pain reduction, and for 33/165 patients there was no pain improvement. At

The measure in the reading of the Romanesque churches of Pistoia

Directory of Open Access Journals (Sweden)

Erica Ganghereti

2015-07-01

Full Text Available The ancient built-up area inPistoiais dotted with Romanesque churches that, with their facades covered with white and green inlays, make the ancient streets a view into the Romanesque style . This heritage, studied in the past from an historical point of view, has not been given the due importance inTuscany. The case ofPistoiahas always been underestimated, if compared to the neighboring towns ofPisaandLucca. The survey and thorough study of these handmade works highlighted an unexpected socio-cultural environment capable of relating to the great issues in history.The research is based on accurate surveying carried out through the latest technologies. Direct surveying was supported by a total station survey in order to map a close mesh of dots so as to describe all the components of the architectural structures examined. No laser scanner was required since such architectural works do not consist of complex architectonic systems that require its use. Modern surveying and graphic rendering technologies have been essential for working out the graphic drawings (plans, elevations and cross-sections on which exact analyses could be carried out in order to find out the processes according to which these handmade buildings were designed and built. By overlapping grids and simple geometric constructions, on the basis of plane geometry calculations, the drawings showed the logic processes that produced these monuments, as the expression of a cultural context well above what the early medieval society ofPistoiahad been supposed to be according to the simple documentary analysis.            The design system shown is based on high mathematical principles which allow all features to be related to a single, simple scheme, easy to remember. Those aspects, which are codified today according to the modern language and seem to be disconnected, are on the contrary strictly related to one another by geometries and numbers typical of the early medieval

Ecological paradigm of legionella: a revision. New strategy and its implication in public health Revisión del paradigma ecológico de la 'legionella'. Estrategia ecológica y su implicación en salud pública

Directory of Open Access Journals (Sweden)

José Bernardo Ferrer Simó

2008-12-01

fundamental, in order to find block substances .Regarding the relation with the biofilm (authentic critical point of the system its elimination or decrease to minimal levels by the utilization of specific materials, the design of devices or systems of easy cleanliness (curved corners, accessible spaces, suitable maintenance of the facilities (inlays, corroded surfaces, etc. with frequent (physics cleanliness and the continuously utilization of substances against the film are necessary.Algunos aspectos difícilmente explicados por el modelo ecológico descrito por Rowbothan en 1980, como son: la dosis infecciosa anormalmente baja, las largas distancias en las cuales la bacteria permanece viable en el seno del aerosol difundido, la dificultad de crecimiento en los medios de cultivo estándar, la poca eficacia de los desinfectantes antilegionela en el control de los brotes, la reinfección o sencillamente la ausencia de transmisión persona-persona, son analizados bajo el prisma de la microbiología ecológica. Centrados en la relación bacteria-protozoo, diversos estudios sugieren que la amplificación o crecimiento bacteriano podría tener lugar en dos fases o etapas, funcionalmente distintas, según la proporción o ratio bacteria-ameba (MOI- multiplicity of infection. En una primera fase de crecimiento rápido, en la que esta relación es sustancialmente baja, la entrada de una bacteria de legionela en la ameba originaría una única vacuola, que tras la lisis amebiana, liberaría al medio formas libres infectantes para otras amebas. La segunda etapa, de diseminación o colonización de otros nichos ecológicos, con relaciones MOI altas, se producen varias vesículas de crecimiento en el interior de la ameba que serían expulsadas por la misma sin necesidad de lisar. El enquistamiento de la ameba en esta fase, se produce tras la liberación masiva al medio de las vesículas que hubiera en el interior. Algunos autores sugieren que estas vesículas por sus características de

Mesh, graft, or standard repair for women having primary transvaginal anterior or posterior compartment prolapse surgery: two parallel-group, multicentre, randomised, controlled trials (PROSPECT).

Science.gov (United States)

Glazener, Cathryn Ma; Breeman, Suzanne; Elders, Andrew; Hemming, Christine; Cooper, Kevin G; Freeman, Robert M; Smith, Anthony Rb; Reid, Fiona; Hagen, Suzanne; Montgomery, Isobel; Kilonzo, Mary; Boyers, Dwayne; McDonald, Alison; McPherson, Gladys; MacLennan, Graeme; Norrie, John

2017-01-28

The use of transvaginal mesh and biological graft material in prolapse surgery is controversial and has led to a number of enquiries into their safety and efficacy. Existing trials of these augmentations are individually too small to be conclusive. We aimed to compare the outcomes of prolapse repair involving either synthetic mesh inlays or biological grafts against standard repair in women. We did two pragmatic, parallel-group, multicentre, randomised controlled trials for our study (PROSPECT [PROlapse Surgery: Pragmatic Evaluation and randomised Controlled Trials]) in 35 centres (a mix of secondary and tertiary referral hospitals) in the UK. We recruited women undergoing primary transvaginal anterior or posterior compartment prolapse surgery by 65 gynaecological surgeons in these centres. We randomly assigned participants by a remote web-based randomisation system to one of the two trials: comparing standard (native tissue) repair alone with standard repair augmented with either synthetic mesh (the mesh trial) or biological graft (the graft trial). We assigned women (1:1:1 or 1:1) within three strata: assigned to one of the three treatment options, comparison of standard repair with mesh, and comparison of standard repair with graft. Participants, ward staff, and outcome assessors were masked to randomisation where possible; masking was obviously not possible for the surgeon. Follow-up was for 2 years after the surgery; the primary outcomes, measured at 1 year and 2 years, were participant-reported prolapse symptoms (i.e. the Pelvic Organ Prolapse Symptom Score [POP-SS]) and condition-specific (ie, prolapse-related) quality-of-life scores, analysed in the modified intention-to-treat population. This trial is registered as an International Standard Randomised Controlled Trial, number ISRCTN60695184. Between Jan 8, 2010, and Aug 30, 2013, we randomly allocated 1352 women to treatment, of whom 1348 were included in the analysis. 865 women were included in the mesh

The Crimea and Rum in the 13th–14th centuries: The Anatolian Diaspora and Urban Culture of Solkhat »

Directory of Open Access Journals (Sweden)

Mark Kramarovsky

2016-01-01

under Izz ad-Dīn Kaykāwūs I (1210–1219, who was caliph an-Nasir’s son-in-law. The Seljuk tradition is also visible in the shape and decorations of two groups of rings. The first one comprises niello silver rings characterized by a stirrup-shaped outline with a flat diamond-shaped plate whose angles are decorated with fake settings without inlay. The second one is represented by a ring of goldish bronze dating back to the fourteenth–fifteenth centuries. Another group of findings is represented by the end plates of silver belt sets. Most of them were found in the barrows of Belorechinsk burial ground in Northern Caucasus. If we take into consideration the similarities between the decorations and the dragon-head motives of the end plates on one hand and those of the belt plate from Belorechinsk barrow, we’ll come to the conclusion that a new seam of artistic metalwork following the Seljuk tradition has been discovered not only in the Caucasus, but also in the Crimea. The fittings of Belorechinsk barrow №8 are among the most outstanding monuments of the kind. A similar belt set was discovered in 2005 in a male tomb in the central nave of the Mangup basilica (the Mountainous Crimea. The shooting belt (dated by Keldibek khan’s paiza at 1361 from the Simferopol treasure belongs to the same group of findings. I believe that this golden belt set, as well as a number of other findings, could have been made in Solkhat. These belt sets were ordered by the elite of the Golden Horde (including those in Solkhat, and the Simpheropol treasure itself belonged to the ruler of Solkhat, Kutlugh Buga. Let me remind you that it was his mother, Injebek Khatun, who invited a building crew in the early 1330s to build the madrasa in Solkhat. Thus, our findings from the South-Eastern Crimea and the Northern Caucasus mostly dating back to the fourteenth or fifteenth centuries demonstrate that the Seljuk cultural and artistic traditions were kept in the towns and regions of the