Science.gov

Sample records for applied occlusal load

  1. Determining a relationship between applied occlusal load and articulating paper mark area.

    PubMed

    Carey, Jason P; Craig, Mark; Kerstein, Robert B; Radke, John

    2007-01-01

    Articulating paper mark size has been widely accepted in the dental community to be descriptive of occlusal load. The objective of this study is to determine if any direct relationship exists between articulating paper mark area and applied occlusal load. A uniaxial testing machine repeatedly applied a compressive load, beginning at 25N and incrementally continuing up to 450N, to a pair of epoxy dental casts with articulating paper interposed. The resultant paper markings (n = 600) were photographed, and analyzed the mark area using a photographic image analysis and sketching program. A two-tailed Student's t-test for unequal variances compared the measured size of the mark area between twelve different teeth (p < 0.05). Graphical interpretation of the data indicated that the mark area increased non-linearly with increasing load. When the data was grouped to compare consistency of the mark area between teeth, a high variability of mark area was observed between different teeth at the same applied load. The Student's t-test found significant differences in the size of the mark area approximately 80% of the time. No direct relationship between paper mark area and applied load could be found, although the trend showed increasing mark area with elevating load. When selecting teeth to adjust, an operator should not assume the size of paper markings, accurately describing the markings' occlusal contact force content.

  2. Determining a Relationship Between Applied Occlusal Load and Articulating Paper Mark Area

    PubMed Central

    Carey, Jason P; Craig, Mark; Kerstein, Robert B; Radke, John

    2007-01-01

    Articulating paper mark size has been widely accepted in the dental community to be descriptive of occlusal load. The objective of this study is to determine if any direct relationship exists between articulating paper mark area and applied occlusal load. A uniaxial testing machine repeatedly applied a compressive load, beginning at 25N and incrementally continuing up to 450N, to a pair of epoxy dental casts with articulating paper interposed. The resultant paper markings (n = 600) were photographed, and analyzed the mark area using a photographic image analysis and sketching program. A two-tailed Student’s t-test for unequal variances compared the measured size of the mark area between twelve different teeth (p < 0.05). Graphical interpretation of the data indicated that the mark area increased non-linearly with increasing load. When the data was grouped to compare consistency of the mark area between teeth, a high variability of mark area was observed between different teeth at the same applied load. The Student’s t-test found significant differences in the size of the mark area approximately 80% of the time. No direct relationship between paper mark area and applied load could be found, although the trend showed increasing mark area with elevating load. When selecting teeth to adjust, an operator should not assume the size of paper markings, accurately describing the markings’ occlusal contact force content. PMID:19088874

  3. Effects of occlusal load on cervical lesions.

    PubMed

    Litonjua, L A; Bush, P J; Andreana, S; Tobias, T S; Cohen, R E

    2004-03-01

    Toothbrush abrasion has been considered to cause cervical lesions. However, some investigators have proposed that occlusal loading factors direct tensile stresses at the cervical area, resulting in wedge-shaped abfraction defects. The purpose of this study is to investigate the role of axial and non-axial load on the development of cervical lesions. Matched paired premolars, extracted for orthodontic purposes, were used in a custom-fabricated toothbrushing apparatus. A periodontal sulcus width of 0b1 mm with 1 mm gingival recession was simulated with denture base resin. In phase 1, eight matched premolar pairs were subjected to 80 h (1b4 million strokes) of brushing and 300 g of toothbrush force. Toothpaste slurry was applied continuously through the toothbrush. One specimen in each pair was subjected to 250 h and 45 kg of continuous axial load, while the other unloaded tooth served as a negative control. In phase 2, 10 matched premolar pairs were subjected to the same conditions; however, the experimental teeth were subjected to 250 h and 45 kg of intermittent non-axial load, directed at a 45 degrees angle to the buccal cusp. Rubber impressions were made of the cervical lesions, then trimmed, weighed, and compared to determine the amount of tooth material lost. When teeth were loaded axially, there was significantly less tooth material loss (P < 0b02); however, when teeth were loaded non-axially, there was no significant difference (P =0b80) when compared with controls. Optical and scanning electron microscopy did not reveal any significant differences in the morphology between pairs. Our data suggest that the application of occlusal load may not necessarily play a significant role in the progression of cervical tooth wear commonly referred to as abfraction.

  4. Effects of vascular occlusion on muscular endurance in dynamic knee extension exercise at different submaximal loads.

    PubMed

    Wernbom, Mathias; Augustsson, Jesper; Thomeé, Roland

    2006-05-01

    Strength training with low load under conditions of vascular occlusion has been proposed as an alternative to heavy-resistance exercise in the rehabilitation setting, when large forces acting upon the musculoskeletal system are unwanted. Little is known, however, about the relative intensity at which occlusion of blood flow significantly reduces dynamic muscular endurance and, hence, when it may increase the training effect. The purpose of this study was to investigate endurance during dynamic knee extension at different loads with and without cuff occlusion. Sixteen subjects (20-45 years of age) with strength-training experience were recruited. At 4 test sessions, the subjects performed unilateral knee extensions to failure with and without a pressure cuff around the thigh at 20, 30, 40, and 50% of their 1 repetition maximum (1RM). The pressure cuff was inflated to 200 mm Hg during exercise with occlusion. Significant differences in the number of repetitions performed were found between occluded and nonoccluded conditions for loads of 20, 30, and 40% of 1RM (p < 0.01) but not for the 50% load (p = 0.465). Thus, the application of a pressure cuff around the thigh appears to reduce dynamic knee extension endurance more at a low load than at a moderate load. These results may have implications regarding when it could be useful to apply a tourniquet in order to increase the rate of fatigue and perhaps also the resulting training effect. However, the short- and long-term safety of training under ischemic conditions needs to be addressed in both healthy and less healthy populations. Furthermore, the high acute pain ratings and the delayed-onset muscle soreness associated with this type of training may limit its potential use to highly motivated individuals.

  5. Evaluation of the cervical integrity during occlusal loading of Class II restorations.

    PubMed

    Campos, Paulo Eduardo Gomes de Almeida; Barceleiro, Marcos de Oliveira; Sampaio-Filho, Helio Rodrigues; Martins, Luis Roberto Marcondes

    2008-01-01

    There are many concerns regarding the clinical behavior of packable composite restorations in Class II cavities, particularly when those restorations are subjected to axial mechanical loads. This study evaluated microleakage in vitro in proximal vertical "slot"-type cavities with walls located in enamel and dentin, filled with packable composite, associated or not associated with a flowable composite, a reinforced light-curing glass-ionomer or a compomer, after being submitted to occlusal load cycling. These preparations were subjected to either occlusal load cycling or no occlusal load cycling. Eighty human molars with enamel and dentin margins were treated with standardized cavity preparations (proximal vertical "slot" preparations). After completing the filling process using a packable composite (Filtek P60) with or without a cervical increment of flowable composite (Filtek flow), light-curing glass-ionomer (Vitremer) or compomer (Dyract AP), the molars were separated into two groups: control (without occlusal loading) and test, in which 4,000 one-second cycles of 150 N occlusal loading were applied. All 80 teeth were submitted to a microleakage test, then evaluated utilizing silver nitrate dye penetration. Significant statistical differences (Wilcoxon test, p<0.05) in the amount of leakage in enamel and dentin were found in both the control and test groups. After a paired comparison of the control and test groups, a significant statistical difference was found at the enamel level (Mann-Whitney test, p<0.05). In dentin, the only statistically significant difference found was the relation to the flow material. The Kruskal-Wallis test did not detect any statistically significant difference in the amount of leakage among the four materials studied, with a 5% level of significance for both enamel and dentin. Based on this data, it was concluded that restorations with margins located in dentin had greater microleakage than those restorations with margins located in

  6. The effect of variation in occlusal loading on the development of abfraction lesions: a finite element study.

    PubMed

    Rees, J S

    2002-02-01

    Abfraction or non-carious cervical tooth loss is poorly understood and one factor thought to contribute to the development of these lesions is the effect of occlusal loading. The aim of this study was to examine the effect that varying the position of an occlusal load would have on the stress contour in the cervical region of a lower second premolar using a two-dimensional plane strain finite element model. A 500 N load was applied vertically to either of the cusp tips or in various positions along the cuspal inclines. It was found that loads applied to the inner aspects of the buccal or the lingual cuspal inclines produced maximum principal stress values of up to 358 MPa that exceed the known failure stresses for enamel.

  7. Load-bearing properties of minimal-invasive monolithic lithium disilicate and zirconia occlusal onlays: finite element and theoretical analyses

    PubMed Central

    Ma, Li; Guess, Petra C.; Zhang, Yu

    2013-01-01

    Objectives The aim of this study was to test the hypothesis that monolithic lithium disilicate glass-ceramic occlusal onlay can exhibit a load-bearing capacity that approaches monolithic zirconia, due to a smaller elastic modulus mismatch between the lithium disilicate and its supporting tooth structure relative to zirconia. Methods Ceramic occlusal onlays of various thicknesses cemented to either enamel or dentin were considered. Occlusal load was applied through an enamel-like deformable indenter or a control rigid indenter. Flexural tensile stress at the ceramic intaglio (cementation) surface—a cause for bulk fracture of occlusal onlays—was rigorously analyzed using finite element analysis and classical plate-on-foundation theory. Results When bonded to enamel (supported by dentin), the load-bearing capacity of lithium disilicate can approach 75% of that of zirconia, despite the flexural strength of lithium disilicate (400 MPa) being merely 40% of zirconia (1000 MPa). When bonded to dentin (with the enamel completely removed), the load-bearing capacity of lithium disilicate is about 57% of zirconia, still significantly higher than the anticipated value based on its strength. Both ceramics show slightly higher load-bearing capacity when loaded with a deformable indenter (enamel, glass-ceramic, or porcelain) rather than a rigid indenter. Significance When supported by enamel, the load-bearing property of minimally invasive lithium disilicate occlusal onlays (0.6 to 1.4 mm thick) can exceed 70% of that of zircona. Additionally, a relatively weak dependence of fracture load on restoration thickness indicates that a 1.2 mm thin lithium disilicate onlay can be as fracture resistant as its 1.6 mm counterpart. PMID:23683531

  8. Occlusal loading and cross-linking effects on dentin collagen degradation in physiological conditions.

    PubMed

    Turco, Gianluca; Frassetto, Andrea; Fontanive, Luca; Mazzoni, Annalisa; Cadenaro, Milena; Di Lenarda, Roberto; Tay, Franklin R; Pashley, David H; Breschi, Lorenzo

    2016-02-01

    This study evaluated the ability of 1-ethyl-3-(3-dimethylaminopropyl)-carbodiimide hydrochloride (EDC) to improve the stability of demineralized dentin collagen matrices when subjected to mechanical cycling by means of Chewing Simulation (CS). Demineralized dentin disks were randomly assigned to four groups (N=4): (1) immersion in artificial saliva at 37°C for 30 days; (2) pre-treatment with 0.5 M EDC for 60 s, then stored as in Group 1; (3) CS challenge (50 N occlusal load, 30 s occlusal time plus 30 s with no load, for 30 days); (4) pre-treatment with 0.5 M EDC as in Group 2 and CS challenge as in Group 3. Collagen degradation was evaluated by sampling storage media for ICTP and CTX telopeptides. EDC treated specimens showed no significant telopeptides release, irrespective of the aging method. Cyclic stressing of EDC-untreated specimens caused significantly higher ICTP release at day 1, compared to static storage, while by days 3 and 4, the ICTP release in the cyclic group fell significantly below the static group, and then remained undetectable from 5 to 30 days. CTX release in the cyclic groups, on EDC-untreated control specimens was always lower than in the static group in days 1-4, and then fell to undetectable for 30 days. This study showed that chewing stresses applied to control untreated demineralized dentin increased degradation of collagen in terms of CTX release, while collagen crosslinking agents may prevent dentin collagen degradation, irrespective of simulated occlusal function. Copyright © 2015 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

  9. Finite element analysis on tooth and periodontal stress under simulated occlusal loads.

    PubMed

    Zhang, H; Cui, J-W; Lu, X L; Wang, M-Q

    2017-07-01

    The tooth stress elicited by occluding contact represents critical biomechanical information about dental health during chewing. Effects of occlusal contact on tooth stress remain obscure. In this study, a mandibular first molar finite element model was built from CT images. The effects of area size, location and direction of occlusal loading on both tooth and periodontal stresses were analysed. Results showed tooth and periodontal stress had drastically different patterns. Tooth stress value was much higher than periodontal stress value under the same task. Tooth stress concentration area and its value decreased from outside to inside. The Maximum Tooth Stress (MTS) always occurred at the loading site and a larger loading area elicited a smaller MTS value. The variation of MTS was larger when the fossa bottoms were inclined loaded than when the cusp tips were inclined loaded, larger when lingually loaded than when buccally loaded and larger when mesially loaded than when distally loaded. Distal loadings generally induced smaller Maximum Periodontal Stress (MPS) variations than the mesial loadings. These findings indicated exposure of the rational site(s) to occlusal contact should be helpful to achieve proper tooth and periodontal stress, thus to diminish loading associated structure problems. © 2017 John Wiley & Sons Ltd.

  10. Influence of occlusal loading on peri-implant clinical parameters. A pilot study

    PubMed Central

    Pellicer-Chover, Hilario; Viña-Almunia, José; Romero-Millán, Javier; Peñarrocha-Oltra, David; Peñarrocha-Diago, María

    2014-01-01

    Objectives: To investigate the relation between occlusal loading and peri-implant clinical parameters (probing depth, bleeding on probing, gingival retraction, width of keratinized mucosa, and crevicular fluid volume) in patients with implant-supported complete fixed prostheses in both arches. Material and Methods: This clinical study took place at the University of Valencia (Spain) dental clinic. It included patients attending the clinic for regular check-ups during at least 12 months after rehabilitation of both arches with implant-supported complete fixed ceramo-metallic prostheses. One study implant and one control implant were established for each patient using the T-Scan®III computerized system (Tesco, South Boston, USA). The maxillary implant closest to the point of maximum occlusal loading was taken as the study implant and the farthest (with least loading) as the control. Occlusal forces were registered with the T-Scan® III and then occlusal adjustment was performed to distribute occlusal forces correctly. Peri-implant clinical parameters were analyzed in both implants before and two and twelve months after occlusal adjustment. Results: Before occlusal adjustment, study group implants presented a higher mean volume of crevicular fluid (51.3±7.4 UP) than the control group (25.8±5.5 UP), with statistically significant difference. Two months after occlusal adjustment, there were no significant differences between groups (24.6±3.8 UP and 26±4.5 UP respectively) (p=0.977). After twelve months, no significant differences were found between groups (24.4±11.1 UP and 22.5±8.9 UP respectively) (p=0.323). For the other clinical parameters, no significant differences were identified between study and control implants at any of the study times (p>0.05). Conclusions: Study group implants receiving higher occlusal loading presented significantly higher volumes of crevicular fluid than control implants. Crevicular fluid volumes were similar in both groups two and

  11. Influence of occlusal loading on peri-implant clinical parameters. A pilot study.

    PubMed

    Pellicer-Chover, Hilario; Viña-Almunia, José; Romero-Millán, Javier; Peñarrocha-Oltra, David; García-Mira, Berta; Peñarrocha-Diago, María

    2014-05-01

    To investigate the relation between occlusal loading and peri-implant clinical parameters (probing depth, bleeding on probing, gingival retraction, width of keratinized mucosa, and crevicular fluid volume) in patients with implant-supported complete fixed prostheses in both arches. This clinical study took place at the University of Valencia (Spain) dental clinic. It included patients attending the clinic for regular check-ups during at least 12 months after rehabilitation of both arches with implant-supported complete fixed ceramo-metallic prostheses. One study implant and one control implant were established for each patient using the T-Scan®III computerized system (Tesco, South Boston, USA). The maxillary implant closest to the point of maximum occlusal loading was taken as the study implant and the farthest (with least loading) as the control. Occlusal forces were registered with the T-Scan® III and then occlusal adjustment was performed to distribute occlusal forces correctly. Peri-implant clinical parameters were analyzed in both implants before and two and twelve months after occlusal adjustment. Before occlusal adjustment, study group implants presented a higher mean volume of crevicular fluid (51.3 ± 7.4 UP) than the control group (25.8 ± 5.5 UP), with statistically significant difference. Two months after occlusal adjustment, there were no significant differences between groups (24.6 ± 3.8 UP and 26 ± 4.5 UP respectively) (p=0.977). After twelve months, no significant differences were found between groups (24.4 ± 11.1 UP and 22.5 ± 8.9 UP respectively) (p=0.323). For the other clinical parameters, no significant differences were identified between study and control implants at any of the study times (p>0.05). Study group implants receiving higher occlusal loading presented significantly higher volumes of crevicular fluid than control implants. Crevicular fluid volumes were similar in both groups two and twelve months after occlusal adjustment.

  12. The effect of occlusal loading on the microleakage of class V restorations.

    PubMed

    Arisu, Hacer Deniz; Uçtasli, Mine Betül; Eligüzeloglu, Evrim; Ozcan, Suat; Omürlü, Hüma

    2008-01-01

    This in vitro study evaluated the microleakage of Class V cavities restored with a resin composite and different adhesive systems after occlusal loading. Standardized box-shaped Class V cavities were prepared on the buccal side of 135 non-carious human premolars. The teeth were randomly divided into three groups of 45 premolars each and restored as follows: Group 1-two-step total-etch adhesive (Single Bond, 3M) + resin composite (Supreme, 3M ESPE); Group 2-two-step self-etch adhesive (Clearfil SE, Kuraray) + resin composite and Group 3-one-step self-etch adhesive (Xeno III, Dentsply) + resin composite. The restorations were finished with aluminum oxide discs (Sof-Lex, 3M). Fifteen teeth in each group received 10,000 x 100 N and 250 N occlusal loads, respectively, and the remaining 15 teeth served as the control. The premolars were immersed in 2% methylene blue for 24 hours. The dye penetration was examined under a stereomicroscope, and the results were statistically analyzed by Kruskal Wallis, Mann-Whitney U and Wilcoxon Signed Rank tests to determine differences between the groups. Gingival margins showed more dye penetration than occlusal margins in all the tested groups (p<0.05). In all the tested adhesive systems, 100 N occlusal loading did not change dye penetration; however, Groups 1 and 2 exhibited better marginal sealing than Group 3 at the enamel margins under 250 N occlusal loading. Within the limitations of this in vitro study, it may be concluded that enamel margins provided better marginal sealing than dentin/cementum margins and the two-step self-etch adhesive exhibited better marginal sealing than an all-in-one adhesive at the enamel margins under 250 N occlusal loading.

  13. Contact fracture of full-ceramic crowns subjected to occlusal loads.

    PubMed

    Zhang, Dongsheng; Lu, Chenglin; Zhang, Xiuyin; Mao, Shuangshuang; Arola, Dwayne

    2008-10-20

    The mechanisms contributing to failure of full dental ceramic crowns under occlusal loads were studied using a unique optical approach. Model specimens comprising triple-layered crowns (veneer, core and substrate) were developed with both flat and curved occlusal surfaces and then subjected to simulated quasi-static occlusal loading using a spherical indenter. Deformation within the specimens during loading was analyzed by means of digital image correlation (DIC). Finite element models were also developed and used to examine the mechanics of contact. Results of the experiments with flat dental crowns indicated three typical modes of failure, i.e. cone cracks, plastic yielding and radial cracks. Fracture of the specimens with curved dental crowns was complicated by contributions from competing and multiple modes of failure. Both experimental and numerical results conclude that the dominant fracture mode in the full-ceramic crowns was radial cracking in the core beneath the contact area. However, displacement fields obtained using DIC showed that debonding developed near the shoulder of the crown, particularly during off-axis loading, and initiated under substantially lower occlusal loads than those required for crack initiation.

  14. Estrogen Receptor beta mediates decreased occlusal loading induced inhibition of chondrocyte maturation in female mice

    PubMed Central

    Polur, Ilona; Kamiya, Yosuke; Xu, Manshan; Cabri, Bianca S.; Alshabeeb, Marwa; Wadhwa, Sunil; Chen, Jing

    2015-01-01

    Objective Temporomandibular joint (TMJ) disorders predominantly afflict women, suggesting that estrogen may play a role in the disease process. Defects in mechanical loading-induced TMJ remodeling are believed to be a major etiological factor in TMJ degenerative disease. Previously, we found that, decreased occlusal loading caused a significant decrease in early chondrocyte maturation markers (Sox9 and Col 2) in female, but not male, C57BL/6 wild type mice (1). The goal of this study was to examine the role of Estrogen Receptor (ER) beta in mediating these effects. Design 21-day-old male (n=24) and female (n=25) ER beta KO mice were exposed to decreased occlusal loading (soft diet administration and incisor trimming) for 4 weeks. At 49 days of age the mice were sacrificed. Proliferation, gene expression, Col 2 immunohistochemistry and micro-CT analysis were performed on the mandibular condyles. Results Decreased occlusal loading triggered similar effects in male and female ER beta KO mice; specifically, significant decreases in Col 10 expression, subchondral total volume, bone volume, and trabecular number. Conclusion Decreased occlusal loading induced inhibition of chondrocyte maturation markers (Sox9 and Col 2) did not occur in female ER beta deficient mice. PMID:25791327

  15. Low-Load Resistance Training with Blood Flow Occlusion as a Countermeasure to Disuse Atrophy

    NASA Technical Reports Server (NTRS)

    Ploutz-Snyder, L. L.; Cook, S. B.

    2009-01-01

    Decreases in strength and neuromuscular function are observed following prolonged disuse. Exercise countermeasures to prevent muscle dysfunction during disuse typically involve high intensity resistance training. The purpose of the study is to evaluate the effectiveness of low-load resistance training with a blood flow occlusion to mitigate muscle loss and dysfunction during 30 days of unilateral lower limb suspension (ULLS).

  16. Retention of complete maxillary dentures measured as resistance against unilateral occlusal loading.

    PubMed

    Fløystrand, F; Orstavik, J S

    1984-02-01

    Complete maxillary dentures were tested for their ability to remain in place when subjected to unilateral occlusal loads. The test material comprised five persons, each supplied with three identical dentures. The denture design was based on the principles of 1) functionally determined filling-in of the vestibular sulcus, 2) palatal coverage to the vibration line without post dam, 3) aesthetically governed positioning of the front teeth, and 4) positioning of the lateral teeth in the plane connecting the top of the residual ridge with the central part of the occlusal surface of the antagonizing natural teeth. Resistance to unilateral occlusal loads was measured by means of a miniature bite force sensor. In the pooled material, an average load of 70 N was tolerated before the dentures were dislodged. For a given participant/denture combination, the resistance against dislodgment varied considerably when tested on different days. Marked differences were also found among three identical dentures in one person. The tolerance against unilateral occlusal loads could feasibly be quantified. However, the influence of specific clinical and/or technological factors on denture retention during function should be studied only if strict definitions as to the test conditions are given. These conditions must include the time, person, and denture tested.

  17. Immediate non-occlusal loading of single implants in the aesthetic zone: a randomized clinical trial.

    PubMed

    den Hartog, Laurens; Raghoebar, Gerry M; Stellingsma, Kees; Vissink, Arjan; Meijer, Henny J A

    2011-02-01

    this study compared the outcome of immediate non-occlusal loading with conventional loading for single implants in the maxillary aesthetic zone. It was hypothesized that immediate non-occlusal loading is not inferior to conventional loading. sixty-two patients with a missing maxillary anterior tooth were randomly assigned to be treated with an implant that was either restored with a non-occluding temporary crown within 24 h after implant placement (the "immediate group") or was restored according to a two-stage procedure after 3 months (the "conventional group"). All implants were installed in healed sites. Follow-up visits were conducted after 6 and 18 months post-implant placement. Outcome measures were radiographic marginal bone-level changes, survival, soft tissue aspects (probing depth, plaque, bleeding, soft tissue level), aesthetics and patient satisfaction. no significant differences were found between both study groups regarding marginal bone loss (immediate group 0.91 ± 0.61 mm, conventional group 0.90 ± 0.57 mm), survival (immediate group 96.8%: one implant lost, conventional group 100%), soft tissue aspects, aesthetic outcome and patient satisfaction. within the limitations of this study (sample size, follow-up duration), it was demonstrated that, for single implants in the anterior maxilla, the outcome of immediate non-occlusal loading was not less favourable than conventional loading.

  18. The effect of lateral eccentricity on failure loads, kinematics, and canal occlusions of the cervical spine in axial loading.

    PubMed

    Van Toen, C; Melnyk, A D; Street, J; Oxland, T R; Cripton, P A

    2014-03-21

    Current neck injury criteria do not include limits for lateral bending combined with axial compression and this has been observed as a clinically relevant mechanism, particularly for rollover motor vehicle crashes. The primary objectives of this study were to evaluate the effects of lateral eccentricity (the perpendicular distance from the axial force to the centre of the spine) on peak loads, kinematics, and spinal canal occlusions of subaxial cervical spine specimens tested in dynamic axial compression (0.5 m/s). Twelve 3-vertebra human cadaver cervical spine specimens were tested in two groups: low and high eccentricity with initial eccentricities of 1 and 150% of the lateral diameter of the vertebral body. Six-axis loads inferior to the specimen, kinematics of the superior-most vertebra, and spinal canal occlusions were measured. High speed video was collected and acoustic emission (AE) sensors were used to define the time of injury. The effects of eccentricity on peak loads, kinematics, and canal occlusions were evaluated using unpaired Student t-tests. The high eccentricity group had lower peak axial forces (1544 ± 629 vs. 4296 ± 1693 N), inferior displacements (0.2 ± 1.0 vs. 6.6 ± 2.0 mm), and canal occlusions (27 ± 5 vs. 53 ± 15%) and higher peak ipsilateral bending moments (53 ± 17 vs. 3 ± 18 Nm), ipsilateral bending rotations (22 ± 3 vs. 1 ± 2°), and ipsilateral displacements (4.5 ± 1.4 vs. -1.0 ± 1.3 mm, p<0.05 for all comparisons). These results provide new insights to develop prevention, recognition, and treatment strategies for compressive cervical spine injuries with lateral eccentricities. © 2013 Published by Elsevier Ltd.

  19. Bonding of flowable resin composite restorations to class 1 occlusal cavities with and without cyclic load stress.

    PubMed

    Kawai, Takatoshi; Maseki, Toshio; Nara, Yoichiro

    2016-01-01

    To examine the bonding of flowable resin composite restorations (F-restoration) to class 1 occlusal cavities with and without cyclic load stress, compared with that of a universal resin composite restoration (U-restoration). Two flowable composites and one universal composite (control) were applied with an adhesive system to 42 standardized class 1 occlusal cavities. The restored specimens were subjected to cyclic load stress and no stress modes. The microtensile bond strength (μ-TBS) of the dentin floor was measured. The U-restoration did not show pretesting failure. The F-restorations exhibited pretesting failure, regardless of the stress mode. The μ-TBS was not significantly different among the three restorations, regardless of the stress mode. The cyclic load stress did not influence the μ-TBS of the F-restorations; however, it significantly reduced μ-TBS in the U-restoration. The bonding reliability of the F-restorations was inferior to that of the U-restoration, for both stress modes.

  20. Micro-tensile bond strength of adhesive systems applied on occlusal primary enamel.

    PubMed

    Ramires-Romito, Ana Cláudia; Reis, Alessandra; Loguercio, Alessandro Dourado; de Góes, Mario Fernando; Grande, Rosa Helena Miranda

    2004-01-01

    The aim of this study was to evaluate the micro-tensile bond strength of adhesive systems (OptiBond Solo, Kerr; Prime & Bond NT, Dentsply) on occlusal surface of primary molars. The adhesives were tested under manufacturers' specifications and after contamination of the bonding site with saliva. Hourglass cylindrical-shaped samples were obtained and subjected to a tensile force. No significant difference was observed among the groups. OptiBond Solo and Prime & Bond NT showed similar values of bond strengths when applied on occlusal enamel of primary molar under either saliva contamination or not.

  1. Biomechanical factors related to occlusal load transfer in removable complete dentures.

    PubMed

    Żmudzki, Jarosław; Chladek, Grzegorz; Kasperski, Jacek

    2015-08-01

    Owing to economic conditions, removable dentures remain popular despite the discomfort and reduced chewing efficiency experienced by most denture wearers. However, there is little evidence to confirm that the level of mucosal load exceeds the pressure pain threshold. This discrepancy stimulated us to review the current state of knowledge on the biomechanics of mastication with complete removable dentures. The loading beneath dentures was analyzed in the context of denture foundation characteristics, salivary lubrication, occlusal forces, and the biomechanics of mastication. The analysis revealed that the interpretation of data collected in vivo is hindered due to the simultaneous overlapping effects of many variables. In turn, problems with determining the pressure beneath a denture and analyzing frictional processes constitute principal limitations of in vitro model studies. Predefined conditions of finite element method simulations should include the effects of oblique mastication forces, simultaneous detachment and sliding of the denture on its foundation, and the stabilizing role of balancing contacts. This review establishes that previous investigations may have failed because of their unsubstantiated assumption that, in a well-working balanced occlusion, force is only exerted perpendicular to the occlusal plane, allowing the denture to sit firmly on its foundation. Recent improvements in the simulation of realistic biomechanical denture behavior raise the possibility of assessing the effects of denture design on the pressures and slides beneath the denture.

  2. Microstructural properties of the mid-facial bones in relation to the distribution of occlusal loading.

    PubMed

    Janovic, Aleksa; Milovanovic, Petar; Saveljic, Igor; Nikolic, Dalibor; Hahn, Michael; Rakocevic, Zoran; Filipovic, Nenad; Amling, Michael; Busse, Bjoern; Djuric, Marija

    2014-11-01

    Although the concept of the occlusal load transfer through the facial skeleton along the buttresses has been extensively studied, there has been no study to link microarchitecture of the mid-facial bones to the occlusal load distribution. The aim of this study was to analyze micro-structural properties of the mid-facial bones in relation to occlusal stress. The study was performed by combining the three-dimensional finite element analysis (3D FEA) and micro-computed tomography analysis (micro-CT). Clenching was simulated on the computer model of the adult male human skull which was also used as a source of bone specimens. After the FEA was run, stress was measured at the specific sites in cortical shell and trabecular bone of the model along and between the buttresses. From the corresponding sites on the skull, twenty-five cortical and thirteen cancellous bone specimens were harvested. The specimens were classified into high stress or low stress group based on the stress levels measured via the FEA. Micro-architecture of each specimen was assessed by micro-CT. In the high stress group, cortical bone showed a tendency toward greater thickness and density, lower porosity, and greater pore separation. Stress-related differences in microstructure between the groups were more pronounced in trabecular bone, which showed significantly greater bone volume fraction (BV/TV) and trabecular thickness (Tb.Th) in the high stress group. Our results suggest that the mid-facial bones in the adult dentate male skull exhibit regional variations in cortical and trabecular bone micro-architecture that could be a consequence of different occlusal stress. Copyright © 2014 Elsevier Inc. All rights reserved.

  3. Effect of transient occlusal loading on the threshold of tooth tactile sensation perception for tapping like the impulsive stimulation.

    PubMed

    Morimoto, Yuta; Oki, Kazuhiro; Iida, Sachiyo; Shirahige, Chieko; Maeda, Naoto; Kawakami, Shigehisa; Matsunaga, Tadashi; Minagi, Shogo

    2013-07-01

    The objectives of this study were (1) to establish a reliable method for detecting the force threshold of the tooth tactile sensation while avoiding experimenter bias and (2) to examine the effect of occlusal force loading on the threshold for impulsive force stimulation in subjects with normal dentition. Twenty volunteers participated in this study (10 males and 10 females; mean age, 26.6 ± 2.9 years). To simulate the bite force during occlusal tapping, a force-loading device was designed to exert impulsive force to the occlusal surface in the direction parallel to the tooth axis. The impulsive force detection threshold of the periodontal sensation was measured before and after loading 98 N of occlusal force on the left upper first molar for 1 min. Transient mechanical loading of the upper first molar caused an increase in the absolute threshold for impulsive force. This increase did not vanish immediately, and the increment of the threshold was maintained during the remainder of the experiment. A computer-controlled method for the evaluation of tooth tactile sensation using impulsive stimulation was established. Transient occlusal force loading parallel to the tooth axis increases the threshold of periodontal sensation for mechanical impulsive stimulation.

  4. Effects of low-load resistance training with vascular occlusion on the mechanical properties of muscle and tendon.

    PubMed

    Kubo, Keitaro; Komuro, Teruaki; Ishiguro, Noriko; Tsunoda, Naoya; Sato, Yoshiaki; Ishii, Naokata; Kanehisa, Hiroaki; Fukunaga, Tetsuo

    2006-05-01

    The present study aimed to investigate the effects of low-load resistance training with vascular occlusion on the specific tension and tendon properties by comparing with those of high-load training. Nine participants completed 12 weeks (3 days/week) of a unilateral isotonic training program on knee extensors. One leg was trained using low load (20% of 1 RM) with vascular occlusion (LLO) and other leg using high load (80% of 1 RM) without vascular occlusion (HL). Before and after training, maximal isometric knee extension torque (MVC) and muscle volume were measured. Specific tension of vastus lateralis muscle (VL) was calculated from MVC, muscle volume, and muscle architecture measurements. Stiffness of tendon-aponeurosis complex in VL was measured using ultrasonography during isometric knee extension. Both protocols significantly increased MVC and muscle volume of quadriceps femoris muscle. Specific tension of VL increased significantly 5.5% for HL, but not for LLO. The LLO protocol did not alter the stiffness of tendon-aponeurosis complex in knee extensors, while the HL protocol increased it significantly. The present study demonstrated that the specific tension and tendon properties were found to remain following low-load resistance training with vascular occlusion, whereas they increased significantly after high-load training.

  5. Effects of partial vascular occlusion on irisin responses to loaded muscle contractions.

    PubMed

    Kraemer, Robert R; Goldfarb, Allan H; Reeves, Greg V; Meachum, William A; Castracane, V Daniel

    2016-03-01

    The purpose of the study was to determine the effects of partial vascular occlusion on irisin responses. Eight males completed trials of light (30% 1-repetition maximum (1RM)) resistance exercise (single biceps curls and calf presses) with partial vascular occlusion (LRO), moderate resistance (70% 1RM) with no occlusion (MR), and occlusion only (OO). Blood was collected before, after, and 15 min after exercise. Changes in circulating irisin were more affected during LRO than MR and OO trials.

  6. Occlusion of experimental aneurysms with heparin-loaded, microporous stent grafts.

    PubMed

    Nishi, Shogo; Nakayama, Yasuhide; Ishibashi-Ueda, Hatsue; Matsuda, Takehisa

    2003-12-01

    An embolization technique using a stent graft has been developed to replace the conventional type of direct surgery or neurointervention with platinum coils and/or bare stents. The utility of a commercially available metal stent wrapped with a microporous elastomeric film coated with a thin, heparin-loaded, photocured gelatinous layer for the treatment of experimental carotid artery sidewall aneurysms in dogs was evaluated. The stent graft was used for embolization of experimental carotid artery aneurysms in dogs. The aneurysms were prepared bilaterally in canine carotid arteries with branching of an external jugular vein patch. The entries into all of the aneurysms were occluded immediately after placement of the stent grafts, and the aneurysms were embolized by thrombus formation even 1 week after deployment. All of the parent carotid arteries in which stent grafts were placed were patent, without severe stenosis, immediately (n = 2), 1 week (n = 4), 1 month (n = 3), and 3 months (n = 4) after placement. Scanning electron microscopy demonstrated that the luminal surfaces of the stent grafts were entirely endothelialized as soon as 1 week after placement, via transmural tissue ingrowth through the micropores formed in the covering film. The stent graft we have developed seems to be highly promising for the treatment of aneurysms, especially with respect to immediate termination of blood inflow for aneurysm occlusion and rapid endothelialization in the aneurysm neck.

  7. Viral load: Roche applies for marketing approval for ultrasensitive test.

    PubMed

    1998-08-07

    Roche Molecular Systems has applied for FDA permission to market a more sensitive viral load test. The Amplicor HIV-1 Monitor UltraSensitive Method tests viral load as low as 50 copies; current tests are only accurate to 400 copies. There is a widespread consensus among physicians that testing below 400 copies would be a valuable treatment tool.

  8. Blood flow occlusion pressure at rest and immediately after a bout of low load exercise.

    PubMed

    Barnett, Brian E; Dankel, Scott J; Counts, Brittany R; Nooe, Allison L; Abe, Takashi; Loenneke, Jeremy P

    2016-11-01

    The purpose of this study was to determine whether arm circumference is predictive of arterial occlusion in the standing position and to determine the change in pressure before and immediately after exercise. Thirty-one participants had their arm circumference, blood pressure and standing arterial occlusion determined before exercise. Participants then completed elbow flexions at 40% of resting arterial occlusion at 30% of their one repetition maximum (1RM). The goal repetitions for the exercise included one set of 30 repetitions followed by 3 sets of 15, with 30s rest between sets. Immediately following the last set, postexercise arterial occlusion was determined. Two different models of hierarchical linear regression were used to determine the greatest predictor of standing arterial occlusion. Our final model explained 69% of the variance in arterial occlusion with arm circumference (β = 0·639, part = 0·568) explaining more than brachial systolic blood pressure (β = 0·312, part = 0·277). Standing arterial occlusion increased from pre- [138 (15) mmHg] to post- [169 (20) mmHg] exercise (P<0·001). In conclusion, the cardiovascular response to blood flow restriction (BFR) in the upper arm following 4 sets of elbow flexion exercise decreases the relative arterial occlusion pressure. In addition, we confirm previous data that circumference explains the most unique variance in arterial occlusion pressure in the upper body. These findings are important as they provide additional insight into making the pressure more uniform between participants throughout exercise. © 2015 Scandinavian Society of Clinical Physiology and Nuclear Medicine. Published by John Wiley & Sons Ltd.

  9. Occlusal load distribution through the cortical and trabecular bone of the human mid-facial skeleton in natural dentition: a three-dimensional finite element study.

    PubMed

    Janovic, Aleksa; Saveljic, Igor; Vukicevic, Arso; Nikolic, Dalibor; Rakocevic, Zoran; Jovicic, Gordana; Filipovic, Nenad; Djuric, Marija

    2015-01-01

    Understanding of the occlusal load distribution through the mid-facial skeleton in natural dentition is essential because alterations in magnitude and/or direction of occlusal forces may cause remarkable changes in cortical and trabecular bone structure. Previous analyses by strain gauge technique, photoelastic and, more recently, finite element (FE) methods provided no direct evidence for occlusal load distribution through the cortical and trabecular bone compartments individually. Therefore, we developed an improved three-dimensional FE model of the human skull in order to clarify the distribution of occlusal forces through the cortical and trabecular bone during habitual masticatory activities. Particular focus was placed on the load transfer through the anterior and posterior maxilla. The results were presented in von Mises stress (VMS) and the maximum principal stress, and compared to the reported FE and strain gauge data. Our qualitative stress analysis indicates that occlusal forces distribute through the mid-facial skeleton along five vertical and two horizontal buttresses. We demonstrated that cortical bone has a priority in the transfer of occlusal load in the anterior maxilla, whereas both cortical and trabecular bone in the posterior maxilla are equally involved in performing this task. Observed site dependence of the occlusal load distribution may help clinicians in creating strategies for implantology and orthodontic treatments. Additionally, the magnitude of VMS in our model was significantly lower in comparison to previous FE models composed only of cortical bone. This finding suggests that both cortical and trabecular bone should be modeled whenever stress will be quantitatively analyzed.

  10. Stability of EB when cryostat load is applied.

    SciTech Connect

    Guarino, V. J.

    2004-09-03

    The cryostat load will be transferred to the EB with 24 modules in place. It is important to know that the EB is stable in this situation and during the subsequent assembly of the remaining modules. Appendix 1 describes a static 2D analysis that was done to examine the stability of the EB with the cryostat load applied. The paper below discussed the implications of this analysis.

  11. Buckling of circular cylindrical shells under dynamically applied axial loads

    NASA Technical Reports Server (NTRS)

    Tulk, J. D.

    1972-01-01

    A theoretical and experimental study was made of the buckling characteristics of perfect and imperfect circular cylindrical shells subjected to dynamic axial loading. Experimental data included dynamic buckling loads (124 data points), high speed photographs of buckling mode shapes and observations of the dynamic stability of shells subjected to rapidly applied sub-critical loads. A mathematical model was developed to describe the dynamic behavior of perfect and imperfect shells. This model was based on the Donnell-Von Karman compatibility and equilibrium equations and had a wall deflection function incorporating five separate modes of deflection. Close agreement between theory and experiment was found for both dynamic buckling strength and buckling mode shapes.

  12. A comparison of atmospheric loading models applied to SLR data

    NASA Astrophysics Data System (ADS)

    Koenig, Rolf; Dill, Robert; Raimondo, Jean-Claude; Vei, Margarita

    2016-04-01

    We compute displacements of global SLR station coordinates by atmospheric loading based on surface pressure data from European Centre for Medium-Range Weather Forecasts (ECMWF) ERA-interim data. Inhouse we generate two branches: firstly straightforward following Farrel's theory but using updated load Love numbers, secondly from utilizing localized Green's functions instead of global ones. Externally provided displacements are available f.i. from the International Mass Loading Service (IMLS) based on different input data and modeling. We compare these displacements and apply them to Satellite Laser Ranging (SLR) data processing of a recent six years period of the LAGEOS, LARES, AJISAI, STARLETTE and STELLA geodetic missions. We assess the impact of the loading models on precise orbit determination and Earth parameters of interest.

  13. Exercise, muscle, and the applied load-bone strength balance.

    PubMed

    Giangregorio, L; El-Kotob, R

    2017-01-01

    A fracture occurs when the applied load is greater than the bone can withstand. Clinical practice guidelines for the management of osteoporosis include recommendations for exercise; one of the few therapies where the proposed anti-fracture mechanisms that include effects on both bone strength and applied loads, where applied loads can come in the form of a fall, externally applied loads, body weight, or muscle forces. The aim of this review is to provide an overview of the clinical evidence pertaining to the potential efficacy of exercise for preventing fractures in older adults, including its direct effects on outcomes along the causal pathway to fractures (e.g., falls, posture, bone strength) and the indirect effects on muscle or the muscle-bone relationship. The evidence is examined as it pertains to application in clinical practice. Considerations for future research are discussed, such as the need for trials in individuals with low bone mass or students that evaluate whether changes in muscle mediate changes in bone. Future trials should also consider adequacy of calorie or protein intake, the confounding effect of exercise-induced weight loss, or the most appropriate therapeutic goal (e.g., strength, weight bearing, or hypertrophy) and outcome measures (e.g., fracture, disability, cost-effectiveness).

  14. Influence of inflammatory reactions vs. occlusal loading on peri-implant marginal bone level.

    PubMed

    van Steenberghe, D; Naert, I; Jacobs, R; Quirynen, M

    1999-06-01

    Plaque accumulation on abutments or implant surfaces induces an inflammatory reaction in the gingiva/alveolar mucosa just as around teeth. The longevity of oral implants can be jeopardized by either peri-implantitis and/or an occlusal overload. In the partially edentulous patient in whom pockets around teeth act as a reservoir for the colonization of the pockets around implants, the risk for inflammatory reactions of the peri-implant soft tissues seems especially more plausible than in the fully edentulous patient. This is especially true for implants with a very rough surface (e.g., plasma-sprayed), because of the positive relationship between surface roughness and supra- as well as subgingival plaque formation. Several medium-term (from 5 to 10 years) clinical studies support this hypothesis, through the observation of ongoing bone loss and subsequent decreasing success/survival percentages. Occlusal overload increases the risk for microfractures at the implant-bone interface in two-stage implants, which can result in significant marginal bone loss and even failure. There is ample evidence that occlusal factors are related to marginal angular defects around two-stage implants.

  15. Impact of Applied Loads on Guided Wave Structural Health Monitoring

    NASA Astrophysics Data System (ADS)

    Michaels, Jennifer E.; Lee, Sang Jun; Michaels, Thomas E.

    2011-06-01

    Guided wave structural health monitoring is a challenging problem, in part because of the complexity of signals received in a real structure containing geometrical features and boundaries. Signals scattered from damage can be one or two orders of magnitude smaller in amplitude than the direct arrival. Detection of these small, scattered signals is often accomplished by comparing signals of interest to one or more baseline signals recorded from the undamaged structure. Previous work by many researchers has shown that homogeneous temperature changes as small as a few degrees Celsius can mask damage unless compensation is made. Here we consider the impact of applied loads on complex guided wave signals because such loading effects may be unavoidable in the in situ environment. Experiments were performed and are described where data from a spatially distributed array of piezoelectric sensors are recorded as a function of applied uniaxial load before and after introduction of simulated damage via an attached mass. Load-dependent signal changes in both short and long time regimes are considered, and their impact on structural health monitoring is discussed.

  16. In situ estimation of applied biaxial loads with Lamb waves.

    PubMed

    Shi, Fan; Michaels, Jennifer E; Lee, Sang Jun

    2013-02-01

    Spatially distributed arrays of piezoelectric disks are being applied to monitor structural integrity using Lamb waves. Applied loads directly affect waves propagating between array elements because of dimensional changes and the acoustoelastic effect. Resulting changes in phase velocity depend upon the propagation direction as well as the Lamb wave mode and frequency. This paper shows from numerical solutions of the acoustoelastic wave equation for an isotropic plate that it is possible to decouple the effects of a homogeneous biaxial stress into its two principal components. As a consequence of both this decoupling and material isotropy, the acoustoelastic response of a specific mode and frequency is described by only two constants, which can be determined from a uniaxial loading experiment. Using this formulation, a method is developed and verified via simulations to estimate an arbitrary biaxial load from phase velocity changes measured along multiple directions of propagation. Results from uniaxial loading experiments on two different plates further demonstrate the efficacy of the method. It is also shown that opening fatigue cracks may significantly degrade results by interfering with Lamb wave direct arrivals, but that this degradation can be mitigated by using a reduced set of data from unaffected paths of propagation.

  17. Occlusion Calculator

    PubMed Central

    Hiremath, Anand; Aluckal, Eby

    2015-01-01

    Start with end in mind’ is a popular cliché in orthodontics. This aptly applies to the therapeutic occlusion the orthodontist strives to achieve. Predicting the post treatment occlusion is an essential component of treatment planning. When no extractions or symmetric extractions are done predicting the final occlusion is somewhat easy. Prediction is challenging when we do unconventional and/or asymmetric extractions. To aid this decision Kesling proposed the ‘Kesling Setup’. Though it serves the purpose acceptably; it is time, energy and money consuming. We have developed a model which can help us visualize the final occlusion in matter of seconds. Although this model is primarily intended for orthodontic postgraduate teaching, it can be of considerable use even to a seasoned orthodontist. The regular use of “Orthodontic Calculator” in our department is a testimony to its usefulness. PMID:25738101

  18. Effects of non-carious cervical lesion size, occlusal loading and restoration on biomechanical behaviour of premolar teeth.

    PubMed

    Zeola, L F; Pereira, F A; Machado, A C; Reis, B R; Kaidonis, J; Xie, Z; Townsend, G C; Ranjitkar, S; Soares, P V

    2016-12-01

    Information on fracture biomechanics has implications in materials research and clinical practice. The aim of this study was to analyse the influence of non-carious cervical lesion (NCCL) size, restorative status and direction of occlusal loading on the biomechanical behaviour of mandibular premolars, using finite element analysis (FEA), strain gauge tests and fracture resistance tests. Ten buccal cusps were loaded on the outer and inner slopes to calculate the strain generated cervically. Data were collected for healthy teeth at baseline and progressively at three lesion depths (0.5 mm, 1.0 mm and 1.5 mm), followed by restoration with resin composite. The magnitude and distribution of von Mises stress and maximum principal stress were simulated at all stages using FEA, and fracture strength was also determined (n = 7 per group). There were significant effects of the lesion size and loading directions on stress, strain and fracture resistance (p < 0.05). Fracture resistance values decreased with increase in lesion size, but returned to baseline with restorations. Combined assessment of computer-based and experimental techniques provide an holistic approach to characterize the biomechanical behaviour of teeth with both unrestored and restored NCCLs. © 2016 Australian Dental Association.

  19. Occlusal cranial balancing technique.

    PubMed

    Smith, Gerald H

    2007-01-01

    The acronym for Occlusal Cranial Balancing Technique is OCB. The OCB concept is based on the architectural principle of a level foundation. The principles of Occlusal Cranial Balancing are a monumental discovery and if applied will enhance total body function.

  20. Effects of Decreased Occlusal Loading during Growth on the Mandibular Bone Characteristics

    PubMed Central

    Hichijo, Natsuko; Tanaka, Eiji; Kawai, Nobuhiko; van Ruijven, Leo J.; Langenbach, Geerling E. J.

    2015-01-01

    Background Bone mass and mineralization are largely influenced by loading. The purpose of this study was to evaluate the reaction of the entire mandibular bone in response to decreased load during growth. It is hypothesized that decreased muscular loading will lead to bone changes as seen during disuse, i.e. loss of bone mass. Methods and Findings Ten 21-day-old Wistar strain male rats were divided into two groups (each n=5) and fed on either a hard- or soft-diet for 11 weeks. Micro-computed tomography was used for the investigation of bone mineralization, bone volume, bone volume fraction (BV/TV) and morphological analysis. Mandibular mineralization patterns were very consistent, showing a lower degree of mineralization in the ramus than in the corpus. In the soft-diet group, mineralization below the molars was significantly increased (p<0.05) compared to the hard diet group. Also, bone volume and BV/TV of the condyle and the masseter attachment were decreased in the soft-diet group (p<0.05). Morphological analysis showed inhibited growth of the ramus in the soft-diet group (p<0.05). Conclusion Decreased loading by a soft diet causes significant changes in the mandible. However, these changes are very region-specific, probably depending on the alterations in the local loading regime. The results suggest that muscle activity during growth is very important for bone quality and morphology. PMID:26062027

  1. An ultrasonic guided wave method to estimate applied biaxial loads

    NASA Astrophysics Data System (ADS)

    Shi, Fan; Michaels, Jennifer E.; Lee, Sang Jun

    2012-05-01

    Guided waves propagating in a homogeneous plate are known to be sensitive to both temperature changes and applied stress variations. Here we consider the inverse problem of recovering homogeneous biaxial stresses from measured changes in phase velocity at multiple propagation directions using a single mode at a specific frequency. Although there is no closed form solution relating phase velocity changes to applied stresses, prior results indicate that phase velocity changes can be closely approximated by a sinusoidal function with respect to angle of propagation. Here it is shown that all sinusoidal coefficients can be estimated from a single uniaxial loading experiment. The general biaxial inverse problem can thus be solved by fitting an appropriate sinusoid to measured phase velocity changes versus propagation angle, and relating the coefficients to the unknown stresses. The phase velocity data are obtained from direct arrivals between guided wave transducers whose direct paths of propagation are oriented at different angles. This method is applied and verified using sparse array data recorded during a fatigue test. The additional complication of the resulting fatigue cracks interfering with some of the direct arrivals is addressed via proper selection of transducer pairs. Results show that applied stresses can be successfully recovered from the measured changes in guided wave signals.

  2. An Experimental Study of Applied Ground Loads in Landing

    NASA Technical Reports Server (NTRS)

    Milwitzky, Benjamin; Lindquist, Dean C; Potter, Dexter M

    1955-01-01

    Results are presented of an experimental investigation made of the applied ground loads and the coefficient of friction between the tire and the ground during the wheel spin-up process in impacts of a small landing gear under controlled conditions on a concrete landing strip in the Langley impact basin. The basic investigation included three major phases: impacts with forward speed at horizontal velocities up to approximately 86 feet per second, impacts with forward speed and reverse wheel rotation to simulate horizontal velocities up to about 273 feet per second, and spin-up drop tests for comparison with the other tests. In addition to the basic investigation, supplementary tests were made to evaluate the drag-load alleviating effects of prerotating the wheel before impact so as to reduce the relative velocity between the tire and ground. In the presentation of the results, an attempt has been made to interpret the experimental data so as to obtain some insight into the physical phenomena involved in the wheel spin-up process.

  3. [PRP-therapy and regular physical load in complex treatment of patients with distal form of arterial occlusion].

    PubMed

    Nikonenko, A S; Gubka, A V; Voloshin, A N

    2013-10-01

    In a structure of the cardio-vascular system diseases in Ukraine the part of chronical ischemia of the lower extremities tissues constitutes more than 20%. Due to diffuse affection of the distal parts of arterial bed it is impossible to succeed in performance of a direct" revascularization in 40% of patients. In 60-87% of such patients a severe ischemia of the lower extremities tissues occurs, causing the necessity of their high amputation performance on the hip level. The results of surgical treatment of 36 patients, suffering inoperable types of the peripheral arteries occlusion were analyzed. In 18 patients the algorithm of intraoperative ultrasound duplex scanning was applied, surgical interventions were performed using optimized procedures. As a second stage the PRP-therapy was conducted, since the second post-operative day all the patients have had performed the elaborated complex of physical exercises, directed on the shin and hip muscles strengthening. Optimization of the lower extremities indirect revascularization methods have permitted to increase the rate of the treatment positive results from 55.6 to 88.9%, to reduce the unsatisfactory results rate--from 44.4 to 11.1%. The PRP-therapy and complex of regular physical exercises conduction have promoted the VEGF content enhancement in the blood serum by 15.6%. malleolar-brachial index--by 28.9% in the patients, suffering occlusion of femoro-popliteo-tibial segment. PRP-concentrate constitutes a potent cell biological activator of the VEGF, improves metabolism and microcirculation in muscles and cells of the skin.

  4. Applying modern measurements of Pleistocene loads to model lithospheric rheology

    NASA Astrophysics Data System (ADS)

    Beard, E. P.; Hoggan, J. R.; Lowry, A. R.

    2011-12-01

    The remnant shorelines of Pleistocene Lake Bonneville provide a unique opportunity for building a dataset from which to infer rheological properties of the lower crust and upper mantle. Multiple lakeshores developed over a period of around 30 kyr which record the lithosphere's isostatic response to a well-constrained load history. Bills et al. (1994) utilized a shoreline elevation dataset compiled by Currey (1982) in an attempt to model linear (Maxwell) viscosity as a function of depth beneath the basin. They estimated an effective elastic thickness (Te) for the basin of 20-25 km which differs significantly from the 5-15 km estimates derived from models of loading on geologic timescales (e.g., Lowry and Pérez-Gussinyé, 2011). We propose that the discrepancy in Te modeled by these two approaches may be resolved with dynamical modeling of a common rheology, using a more complete shoreline elevation dataset applied to a spherical Earth model. Where Currey's (1982) dataset was compiled largely from observations of depositional shoreline features, we are developing an algorithm for estimating elevation variations in erosional shorelines based on cross-correlation and stacking techniques similar to those used to automate picking of seismic phase arrival times. Application of this method to digital elevation models (DEMs) will increase the size and accuracy of the shoreline elevation dataset, enabling more robust modeling of the rheological properties driving isostatic response to unloading of Lake Bonneville. Our plan is to model these data and invert for a relatively small number of parameters describing depth- and temperature-dependent power-law rheology of the lower crust and upper mantle. These same parameters also will be used to model topographic and Moho response to estimates of regional mass variation on the longer loading timescales to test for inconsistencies. Bills, B.G., D.R. Currey, and G.A. Marshall, 1994, Viscosity estimates for the crust and upper

  5. Immediate occlusal loading in edentulous jaws, CT-guided surgery and fixed provisional prosthesis: a maxillary arch clinical report.

    PubMed

    Drago, Carl; del Castillo, Robert; Peterson, Thomas

    2011-04-01

    Immediate occlusal loading (IOL) in edentulous jaws has been reported in numerous publications with implant cumulative survival rates consistent with conventional, unloaded healing protocols. Computed Tomography (CT)-guided surgery has more recently been developed and accepted as an additional treatment modality for maxillary and mandibular implant placement, with or without IOL. Reports as to the accuracy of planned versus actual implant placement in CT-guided surgeries have indicated that CT-guided surgery is not 100% accurate; standard deviations have been reported with values between 1 and 2 mm in terms of actual versus planned placement. The purpose of this article is to review the clinical parameters associated with IOL, and CT-guided surgery in edentulous jaws; and to present a clinical case illustrating the clinical and laboratory phases of treatment. The illustrated treatment was accomplished with an IOL protocol and includes fabrication and placement of a laboratory-processed provisional maxillary prosthesis. This particular protocol had slightly increased costs relative to conventional implant placement; however, the clinicians and patient benefited from improved accuracy of the provisional prostheses and decreased chairtime for the clinical procedures. The benefits and limitations of this treatment protocol are also discussed.

  6. Prevention of occlusive arterial thrombus formation by a single loading dose of prasugrel suppresses neointimal hyperplasia in mice.

    PubMed

    Ohno, Kousaku; Tomizawa, Atsuyuki; Jakubowski, Joseph A; Mizuno, Makoto; Sugidachi, Atsuhiro

    2015-12-01

    The present study examined the effects of prasugrel in a mouse model of thrombosis-induced neointimal hyperplasia. Following carotid artery injury by application of ferric chloride solution, thrombus formation was assessed on Day 1 and neointimal thickening was assessed on Day 21. Single administrations of prasugrel at 0.3-3mg/kg (p.o.) resulted in a dose-related and sustained inhibition of ADP-induced platelet aggregation through 24h. Single and multiple (1 and 3 weeks) administration of prasugrel (3mg/kg loading and 1mg/kg/day maintenance doses) resulted in a marked inhibition of neointimal thickening in the injured artery. In the dose-response study, a single administration of prasugrel at 0.3-3mg/kg (p.o.) dose-relatedly inhibited thrombus formation and neointimal thickening on Days 1 and 21, respectively. The degree of neointimal hyperplasia in the injured artery correlated significantly with the thrombus indices, time to occlusion and patency rate. To explore possible mechanisms of inhibition of neointimal hyperplasia by prasugrel, mRNA expression levels of inflammatory and fibrosis markers were determined in injured arteries. Prasugrel treatment resulted in reduced MCP-1, ICAM-1 and TGF-β mRNA levels on Day 2 (24h after the injury) and Day 8 (1 week after the injury) in the target arteries. In conclusion, we found that a single oral loading dose of prasugrel markedly prevented neointimal hyperplasia by inhibiting platelet activation and thrombus formation and was associated with inhibition of the expression of inflammatory and fibrosis markers, including MCP-1, ICAM-1 and TGF-β, in the injured arteries. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. Percutaneous absorption of pimecrolimus is not increased in patients with moderate to severe atopic dermatitis when pimecrolimus cream 1% is applied under occlusion.

    PubMed

    Thaçi, Diamant; Kaufmann, Roland; Bieber, Thomas; Hanfland, Julia; Hauffe, Suzanne; Koehne-Voss, Stephan; Waldmeier, Felix

    2010-01-01

    To evaluate the systemic exposure of pimecrolimus cream 1% applied under occlusion in atopic dermatitis (AD) patients. A noncomparative, open-label study conducted in 3 groups of moderate to severe AD patients: A (adults, n = 9), B (adolescents, n = 4) and C (children, n = 6). Pimecrolimus cream 1% was applied twice daily for 8.5 days with overnight occlusion in patients with investigator's global assessment scores of ≥3 and AD involving at least 30% of their body surface area. Pimecrolimus blood concentrations were analyzed. The highest pimecrolimus blood concentrations observed in adults, adolescents and children were 1.84, 0.55 and 1.29 ng/ml, respectively. Pimecrolimus blood concentrations and affected body surface area showed no apparent correlation. No measurable differences were found in pimecrolimus blood concentrations, efficacy and safety profile when pimecrolimus cream 1% was applied under occlusion versus application without occlusion. These findings reflect the high lipophilic properties of pimecrolimus. Copyright © 2010 S. Karger AG, Basel.

  8. Occlusion of carotid artery and hypergravity loading of animals caused similar effects on L-[14C]glutamate uptake in rat brain nerve terminals

    NASA Astrophysics Data System (ADS)

    Borisova, Tatiana; Sivko, Roman; Krisanova, Natalia

    Changes in sodium-dependent L-[14C]glutamate uptake in rat brain nerve terminals was com-paratively analysed after hypergravity loading of animals (centrifugation of rats in special con-tainers at 10 G for 1 hour) and unilateral occlusion of carotid artery (20 min). The initial velocity of L-[14C]glutamate uptake was decreased from 2.5 ± 0.2 nmol x min-1 x mg-1 of proteins to 2.05 ± 0.1 nmol x min-1 x mg-1 of proteins after hypergravity and after occlusion -up to 2.25 ± 0.1 nmol x min-1 x mg-1 of proteins. Recently, we have shown that a decrease in L-[14C]glutamate uptake was at least partially caused by the redaction in the membrane potential of nerve terminals and the proton gradient of synaptic vesicles. These parameters were analysed after unilateral occlusion of carotid artery, where one brain hemisphere was used as a control, whereas the second one as subjected to ischemic/hypoxic conditions. Similarly with hypergravity, we revealed a decrease in the membrane potential of nerve terminals by ˜ 10 % and a reduction of the proton gradient of synaptic vesicles by ˜ 5 % after occlusion of carotid artery. Thus, a decrease in the activity of glutamate transporters after hypergrav-ity and unilateral occlusion of carotid artery was at least partially caused by changes in the membrane potential of nerve terminals and the proton gradient of synaptic vesicles. This fact may be considered in support of the suggestion that ischemia/hypoxia was a main unspecific stressor, which caused the alterations in glutamatergic neurotransmission under conditions of hypergravity.

  9. Immediate Placement and Occlusal Loading of Single-Tooth Restorations on Partially Threaded, Titanium-Tantalum Combined Dental Implants: 1-Year Results.

    PubMed

    Peron, Cristian; Romanos, Georgios

    2016-01-01

    Single nonrestorable teeth were atraumatically extracted and hybrid titanium implants with tantalum-based midsections (TM) were placed in fresh extraction sockets. Provisional acrylic crowns were delivered (in occlusion) immediately after surgery. Occlusal contacts were present in the maximal intercuspation but not in the lateral movements of the mandible. Two weeks after placement, the implants were finally restored with screw-retained or cemented lithium disilicate crowns. A total of 25 patients were treated (26 implants). Most implants were placed in maxillary premolar locations and in lower-density bone. Mean crestal bone loss was 0.58 ± 0.34 mm. Implant survival and success rates were 100%, respectively (follow-up: 14.1 ± 1.5 months). Within the limitations of this study, immediate placement and loading of TM implants resulted in predictable clinical, functional, and esthetic outcomes.

  10. Class I and Class II restorations of resin composite: an FE analysis of the influence of modulus of elasticity on stresses generated by occlusal loading.

    PubMed

    Asmussen, Erik; Peutzfeldt, Anne

    2008-05-01

    It was the aim of the study to analyze by the FE method stresses generated in tooth and restoration by occlusal loading of Class I and Class II restorations of resin composite. On the basis of available information on the influence of the modulus of elasticity, the research hypothesis was that the marginal stresses would decrease with increasing modulus of elasticity of the restoration. A cylindrical tooth was modelled in enamel and dentin and fitted with a Class I or a Class II restoration of resin composite. In one scenario the restoration was bonded to the tooth, in another the restoration was left nonbonded. The resin composite was modelled with a modulus of elasticity of 5, 10, 15 or 20 GPa and loaded occlusally with 100 N. By means of the soft-ware program ABAQUS the von Mises stresses in enamel and dentin were calculated. In the bonded scenario, the maximum stresses in the enamel were located at the occlusal margins (range 7-11 MPa), and in the dentin centrally at the pulpal floor (range 3.4-5.5MPa). The stresses decreased with increasing modulus of elasticity of the resin composite. In the nonbonded scenario, the stresses were higher in the dentin and lower in the enamel than in the bonded cases, and the influence of the modulus of elasticity was less pronounced. The marginal stresses in the restoration were below 6 MPa in the bonded scenario and below 3 MPa in the nonbonded scenario. Occlusal restorations of resin composite should have a high modulus of elasticity in order to reduce the risk of marginal deterioration.

  11. Applying Cognitive Load Theory Principles to Library Instructional Guidance

    ERIC Educational Resources Information Center

    Pickens, Kathleen E.

    2017-01-01

    If the goal of library instructional guidance is to provide students with the knowledge needed to acquire new skills in order to accomplish their learning objectives, then it is prudent to consider factors that impact learning. Cognitive load theory addresses several of these factors and is applicable to a wide-range of instructional devices used…

  12. Determination of permissible applied load stress in structural elements

    NASA Technical Reports Server (NTRS)

    Loy, R. E.; Posever, F. C.

    1969-01-01

    Graphic method is used to select allowable stresses in thermally loaded structures. Equations are used for determining the mode of failure for specific materials in order to plot a range of stress curves. Linear assumption and iterative calculations are eliminated resulting in comparatively high accuracy.

  13. Control of bone remodelling by applied dynamic loads

    NASA Technical Reports Server (NTRS)

    Lanyon, L. E.; Rubin, C. T.

    1984-01-01

    The data showing the relationship between bone mass and peak strain magnitude prepared and submitted for publication. The data from experiments relating remodelling activity with static or dynamic loads were prepared and submitted for publication. Development of programs to relate the location of remodelling activity with he natural and artificial dynamic strain distributions continued. Experiments on the effect of different strain rates on the remodelling response continued.

  14. Effect of material properties of composite restoration on the strength of the restoration-dentine interface due to polymerization shrinkage, thermal and occlusal loading.

    PubMed

    Borkowski, Krzysztof; Kotousov, Andrei; Kahler, Bill

    2007-07-01

    The purpose of this investigation was to adopt an analytical approach to analyse stresses at the restoration-dentine interface caused by polymerization shrinkage, occlusal and thermal loading with the primary focus on evaluating the effect of the material properties of the composite restoration on the strength of the interface. Some essential simplifications were employed to derive an explicit analytical solution. The results confirm previous findings that interfacial stresses due to polymerization shrinkage are increased with the higher modulus of elasticity of the restoration, while Poisson's ratio of the restorative material has a very small influence on these stresses. Occlusal loading resulted in much lower interfacial stresses when compared to shrinkage and thermal loads. The obtained results were in a good agreement with other numerical and clinical studies. From the modelling analysis it was found that the majority of commercially available composite restorative materials are expected to create significant interfacial stresses when subjected to cold temperatures. In addition, it was shown that there is a considerable potential for interfacial stresses to be minimised by an appropriate selection of thermo-mechanical properties of the restorative material especially with the new finding on the negative temperature variation effect.

  15. 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.

    PubMed

    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.

  16. Effect of resin coating on adhesion and microleakage of computer-aided design/computer-aided manufacturing fabricated all-ceramic crowns after occlusal loading: a laboratory study.

    PubMed

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

    2009-08-01

    This study investigated the effect of resin coating and occlusal loading on adhesion and microleakage of all-ceramic crowns. Molars were prepared for an all-ceramic crown and were divided into two groups: non-coated (control) and resin-coated with Clearfil Tri-S Bond. Crowns were fabricated using CEREC 3 and cemented using Clearfil Esthetic Cement. After 24 h of storage in water, the restored teeth in each group were divided into two subgroups: unloaded, or loaded while stored in water. Mechanical loading was achieved with an axial force of 80 N at 2.5 cycles s(-1) for 250,000 cycles. After immersion in Rhodamine B, the specimens were sectioned and processed for microleakage evaluation by confocal microscopy, which was followed by further sectioning for microtensile bond testing. Loading had no significant effect on microleakage in either the resin-coated or non-resin-coated groups. Resin coating did not reduce the microleakage at the dentine interface but increased the microleakage at the enamel interface. All the beams fractured during slicing when non-coated and loaded. The bond strengths of non-coated and unloaded, resin-coated and unloaded, and resin-coated and loaded groups were 15.82 +/- 4.22, 15.17 +/- 5.24, and 12.97 +/- 5.82 MPa, respectively. Resin coating with Clearfil Tri-S Bond improved the bonding of resin cement to dentine for loaded specimens. However, it was not effective in reducing the microleakage, regardless of whether it was loaded or unloaded.

  17. Temporomandibular disorders and occlusion.

    PubMed

    Badel, Tomislav; Marotti, Miljenko; Pavicin, Ivana Savić; Basić-Kes, Vanja

    2012-09-01

    Occlusion has an important place within the multifactorial concept of the temporomandibular disorder (TMD) etiopathogenesis as well as in every form of dental treatment. The modern concept of treatment of these disorders differentiates initial and definitive forms of treatment. The aim of this paper is to analyze recent viewpoints on the role of occlusion in the etiopathogenesis and treatment ofTMDs. Masticatory muscles and temporomandibular joints are directly connected with occlusal relations and TMDs are traditionally linked with occlusal disorders. The initial occlusal treatment can be applied to all TMD patients, regardless of their having intact teeth with respect to physiological occlusal relations and in patients in need of orthodontic or prosthodontic treatment or an oral surgical procedure. On managing TMD patients, there are doubts about the indications for definitive treatment and whether there has been a possibility of treating a painful TMD by reversible treatment modalities, that is, by initial treatment. Other types of orofacial pain such as trigeminal neuralgia can be comorbid with TMDs but also result in unnecessary procedures on the teeth and prosthodontic work if they are not recognized. Although dental profession mainly recognizes the importance of occlusal treatment of TMD problems, their relationship is controversial because it is not strictly demonstrated in numerous scientific studies. Occlusion is not the dominant cause of TMD problems.

  18. Effect of applied load on the nondestructive measurement of concrete strength

    NASA Astrophysics Data System (ADS)

    Mahmoudabadi, E.; Amjad, U.; Kundu, T.; Saadatmanesh, H.

    2014-03-01

    Nondestructive measurement of the concrete strength is an important topic of research. Among different nondestructive testing (NDT) methods the ultrasonic pulse velocity (UPV) technique is the most popular method for concrete strength estimation. While measuring concrete strength by this method almost all researchers have neglected the effect of applied stress or load on the concrete member. In this investigation attempts were made to properly incorporate the effect of the applied load on the strength prediction of concrete specimens from UPV value. To achieve this goal, 4 groups of concrete specimens with different values of final strength were made. Materials used for making cylindrical specimens of 3 inch diameter and 6 inch height included regular Portland cement, water and two types of aggregate - fine and coarse. After applying the load on the specimen in multiple steps - up to 70% of its failure strength fc'- the time of flight (TOF) value was measured for every loading step. The recorded results showed that applied load on the member has significant effect on the measured UPV value on concrete specimens. Therefore, to find the strength of the concrete from the UPV value, the applied load on the sample should be considered as an important factor that cannot be neglected.

  19. Effect of thermocycling on the shear bond strength of different resins bonded to thermoplastic foil applied in occlusal splint therapy.

    PubMed

    Wieckiewicz, Mieszko; Boening, Klaus W; Richter, Gert; Wieckiewicz, Wlodzimierz

    2015-04-01

    Temporomandibular disorders are a group of symptoms related to the impaired function of the temporomandibular joints and associated muscles. Occlusal splint therapy is a common treatment in the aforementioned syndrome. One of the methods of manufacturing occlusal splints is to place a polymer on thermoplastic foil. The aim of this study was to evaluate the shear bond strength of light- and self-cured resins bonded to thermoplastic foil dependent on artificial aging. Thirty cylinders composed of light-cured resin and 30 cylinders made of self-cured resin were attached to 60 rectangular thermoplastic plates. All specimens were divided into six groups. A control study was conducted for groups 1 and 2. The other preparation groups were subjected to thermocycling by setting appropriately 1000 cycles for groups 3 and 4 and 3000 cycles for groups 5 and 6 in distilled water. Bond strength was measured in a universal testing machine. The results were subjected to statistical analysis using the Mann-Whitney U test (p ≤ 0.05). The statistics revealed that the values of the shear bond strength for specimens composed of self-cured resin after 1000 and 3000 thermocycles were significantly higher than on those made of light-cured resin (p = 0.003 and p = 0.002). The shear bond strength between the self-cured resin and the thermoplastic foil was higher and more resistant to aging than the shear bond strength between the light-cured resin and the thermoplastic foil. © 2014 by the American College of Prosthodontists.

  20. Elastic-Plastic Strain Acceptance Criteria for Structures Subject to Rapidly Applied Transient Dynamic Loading

    SciTech Connect

    W.R. Solonick

    2003-04-01

    Rapidly applied transient dynamic loads produce stresses and deflections in structures that typically exceed those from static loading conditions. Previous acceptance criteria for structures designed for rapidly applied transient dynamic loading limited stresses to those determined from elastic analysis. Different stress limits were established for different grades of structure depending upon the amount of permanent set considered acceptable. Structure allowed to sustain very limited permanent set is designed to stress limits not significantly greater than yield stress. Greater permanent set in structure under rapidly applied transient dynamic loading conditions is permitted by establishing stress limits that are significantly greater than yield stress but still provide adequate safety margin (with respect to failure). This paper presents a strain-based elastic-plastic (i.e., inelastic) analysis criterion developed as an alternative to the more conservative stress-based elastic analysis stress criterion for structures subjected to rapidly applied transient dynamic loading. The strain limits established are based on material ductility considerations only and are set as a fraction of the strain at ultimate stress obtained from an engineering stress/strain curve of the material. Strains limits are categorized by type as membrane or surface and by region as general, local , or concentrated. The application of the elastic-plastic criterion provides a more accurate, less conservative design/analysis basis for structures than that used in elastic stress-based analysis criteria, while still providing adequate safety margins.

  1. Elastic-plastic strain acceptance criterion for structures subject to rapidly applied transient dynamic loading

    SciTech Connect

    Solonick, W.

    1996-11-01

    Rapidly applied transient dynamic loads produce stresses and deflections in structures that typically exceed those from static loading conditions. Previous acceptance criteria for structures designed for rapidly applied transient dynamic loading limited stresses to those determined from elastic analysis. Different stress limits were established for different grades of structure depending upon the amount of permanent set considered acceptable. Structure allowed to sustain very limited permanent set is designed to stress limits not significantly greater than yield stress. Greater permanent set in structure under rapidly applied transient dynamic loading conditions is permitted by establishing stress limits that are significantly greater than yield stress but still provide adequate safety margin (with respect to failure). This paper presents a strain-based elastic-plastic (i.e., inelastic) analysis criterion developed as an alternative to the more conservative stress-based elastic analysis stress criterion for structures subjected to rapidly applied transient dynamic loading. The strain limits established are based on a fraction of the strain at ultimate stress obtained from an engineering stress/strain curve of the material. Strains limits are categorized by type as membrane or surface and by region as general, local, or concentrated. The application of the elastic-plastic criterion provides a more accurate, less conservative design/analysis basis for structures than that used in elastic stress-based analysis criteria, while still providing adequate safety margins.

  2. Effect of different lateral occlusion schemes on peri-implant strain: A laboratory study.

    PubMed

    Lo, Jennifer; Abduo, Jaafar; Palamara, Joseph

    2017-02-01

    This study aims to investigate the effects of four different lateral occlusion schemes and different excursions on peri-implant strains of a maxillary canine implant. Four metal crowns with different occlusion schemes were attached to an implant in the maxillary canine region of a resin model. The included schemes were canine-guided (CG) occlusion, group function (GF) occlusion, long centric (LC) occlusion, and implant-protected (IP) occlusion. Each crown was loaded in three sites that correspond to maximal intercuspation (MI), 1 mm excursion, and 2 mm excursion. A load of 140 N was applied on each site and was repeated 10 times. The peri-implant strain was recorded by a rosette strain gauge that was attached on the resin model buccal to the implant. For each loading condition, the maximum shear strain value was calculated. The different schemes and excursive positions had impact on the peri-implant strains. At MI and 1 mm positions, the GF had the least strains, followed by IP, CG, and LC. At 2 mm, the least strains were associated with GF, followed by CG, LC, and IP. However, regardless of the occlusion scheme, as the excursion increases, a linear increase of peri-implant strains was detected. The peri-implant strain is susceptible to occlusal factors. The eccentric location appears to be more influential on peri-implant strains than the occlusion scheme. Therefore, adopting an occlusion scheme that can reduce the occurrence of occlusal contacts laterally may be beneficial in reducing peri-implant strains.

  3. Effect of different lateral occlusion schemes on peri-implant strain: A laboratory study

    PubMed Central

    Lo, Jennifer; Palamara, Joseph

    2017-01-01

    PURPOSE This study aims to investigate the effects of four different lateral occlusion schemes and different excursions on peri-implant strains of a maxillary canine implant. MATERIALS AND METHODS Four metal crowns with different occlusion schemes were attached to an implant in the maxillary canine region of a resin model. The included schemes were canine-guided (CG) occlusion, group function (GF) occlusion, long centric (LC) occlusion, and implant-protected (IP) occlusion. Each crown was loaded in three sites that correspond to maximal intercuspation (MI), 1 mm excursion, and 2 mm excursion. A load of 140 N was applied on each site and was repeated 10 times. The peri-implant strain was recorded by a rosette strain gauge that was attached on the resin model buccal to the implant. For each loading condition, the maximum shear strain value was calculated. RESULTS The different schemes and excursive positions had impact on the peri-implant strains. At MI and 1 mm positions, the GF had the least strains, followed by IP, CG, and LC. At 2 mm, the least strains were associated with GF, followed by CG, LC, and IP. However, regardless of the occlusion scheme, as the excursion increases, a linear increase of peri-implant strains was detected. CONCLUSION The peri-implant strain is susceptible to occlusal factors. The eccentric location appears to be more influential on peri-implant strains than the occlusion scheme. Therefore, adopting an occlusion scheme that can reduce the occurrence of occlusal contacts laterally may be beneficial in reducing peri-implant strains. PMID:28243391

  4. Tensile-strength apparatus applies high strain-rate loading with minimum shock

    NASA Technical Reports Server (NTRS)

    Cotrill, H. E., Jr.; Mac Glashan, W. F., Jr.

    1966-01-01

    Tensile-strength testing apparatus employs a capillary bundle through which a noncompressible fluid is extruded and a quick-release valve system. This apparatus applies the test loads at relatively constant very high strain rates with minimal shock and vibration to the tensile specimen and apparatus.

  5. Using occlusal wear information and finite element analysis to investigate stress distributions in human molars.

    PubMed

    Benazzi, Stefano; Kullmer, Ottmar; Grosse, Ian R; Weber, Gerhard W

    2011-09-01

    Simulations based on finite element analysis (FEA) have attracted increasing interest in dentistry and dental anthropology for evaluating the stress and strain distribution in teeth under occlusal loading conditions. Nonetheless, FEA is usually applied without considering changes in contacts between antagonistic teeth during the occlusal power stroke. In this contribution we show how occlusal information can be used to investigate the stress distribution with 3D FEA in lower first molars (M(1)). The antagonistic crowns M(1) and P(2)-M(1) of two dried modern human skulls were scanned by μCT in maximum intercuspation (centric occlusion) contact. A virtual analysis of the occlusal power stroke between M(1) and P(2)-M(1) was carried out in the Occlusal Fingerprint Analyser (OFA) software, and the occlusal trajectory path was recorded, while contact areas per time-step were visualized and quantified. Stress distribution of the M(1) in selected occlusal stages were analyzed in strand7, considering occlusal information taken from OFA results for individual loading direction and loading area. Our FEA results show that the stress pattern changes considerably during the power stroke, suggesting that wear facets have a crucial influence on the distribution of stress on the whole tooth. Grooves and fissures on the occlusal surface are seen as critical locations, as tensile stresses are concentrated at these features. Properly accounting for the power stroke kinematics of occluding teeth results in quite different results (less tensile stresses in the crown) than usual loading scenarios based on parallel forces to the long axis of the tooth. This leads to the conclusion that functional studies considering kinematics of teeth are important to understand biomechanics and interpret morphological adaptation of teeth.

  6. Using occlusal wear information and finite element analysis to investigate stress distributions in human molars

    PubMed Central

    Benazzi, Stefano; Kullmer, Ottmar; Grosse, Ian R; Weber, Gerhard W

    2011-01-01

    Simulations based on finite element analysis (FEA) have attracted increasing interest in dentistry and dental anthropology for evaluating the stress and strain distribution in teeth under occlusal loading conditions. Nonetheless, FEA is usually applied without considering changes in contacts between antagonistic teeth during the occlusal power stroke. In this contribution we show how occlusal information can be used to investigate the stress distribution with 3D FEA in lower first molars (M1). The antagonistic crowns M1 and P2–M1 of two dried modern human skulls were scanned by μCT in maximum intercuspation (centric occlusion) contact. A virtual analysis of the occlusal power stroke between M1 and P2–M1 was carried out in the Occlusal Fingerprint Analyser (OFA) software, and the occlusal trajectory path was recorded, while contact areas per time-step were visualized and quantified. Stress distribution of the M1 in selected occlusal stages were analyzed in strand7, considering occlusal information taken from OFA results for individual loading direction and loading area. Our FEA results show that the stress pattern changes considerably during the power stroke, suggesting that wear facets have a crucial influence on the distribution of stress on the whole tooth. Grooves and fissures on the occlusal surface are seen as critical locations, as tensile stresses are concentrated at these features. Properly accounting for the power stroke kinematics of occluding teeth results in quite different results (less tensile stresses in the crown) than usual loading scenarios based on parallel forces to the long axis of the tooth. This leads to the conclusion that functional studies considering kinematics of teeth are important to understand biomechanics and interpret morphological adaptation of teeth. PMID:21615398

  7. Vertical accelerator device to apply loads simulating blast environments in the military to human surrogates.

    PubMed

    Yoganandan, Narayan; Pintar, Frank A; Schlick, Michael; Humm, John R; Voo, Liming; Merkle, Andrew; Kleinberger, Michael

    2015-09-18

    The objective of the study was to develop a simple device, Vertical accelerator (Vertac), to apply vertical impact loads to Post Mortem Human Subject (PMHS) or dummy surrogates because injuries sustained in military conflicts are associated with this vector; example, under-body blasts from explosive devices/events. The two-part mechanically controlled device consisted of load-application and load-receiving sections connected by a lever arm. The former section incorporated a falling weight to impact one end of the lever arm inducing a reaction at the other/load-receiving end. The "launch-plate" on this end of the arm applied the vertical impact load/acceleration pulse under different initial conditions to biological/physical surrogates, attached to second section. It is possible to induce different acceleration pulses by using varying energy absorbing materials and controlling drop height and weight. The second section of Vertac had the flexibility to accommodate different body regions for vertical loading experiments. The device is simple and inexpensive. It has the ability to control pulses and flexibility to accommodate different sub-systems/components of human surrogates. It has the capability to incorporate preloads and military personal protective equipment (e.g., combat helmet). It can simulate vehicle roofs. The device allows for intermittent specimen evaluations (x-ray and palpation, without changing specimen alignment). The two free but interconnected sections can be used to advance safety to military personnel. Examples demonstrating feasibilities of the Vertac device to apply vertical impact accelerations using PMHS head-neck preparations with helmet and booted Hybrid III dummy lower leg preparations under in-contact and launch-type impact experiments are presented.

  8. Analytical Compliance Modeling of Serial Flexure-Based Compliant Mechanism Under Arbitrary Applied Load

    NASA Astrophysics Data System (ADS)

    Wang, Li-Ping; Jiang, Yao; Li, Tie-Min

    2017-07-01

    Analytical compliance model is vital to the flexure- based compliant mechanism in its mechanical design and motion control. The matrix is a common and effective approach in the compliance modeling while it is not well developed for the closed-loop serial and parallel compliant mechanisms and is not applicable to the situation when the external loads are applied on the flexure members. Concise and explicit analytical compliance models of the serial flexure-based compliant mechanisms under arbitrary loads are derived by using the matrix method. An equivalent method is proposed to deal with the situation when the external loads are applied on the flexure members. The external loads are transformed to concentrated forces applied on the rigid links, which satisfy the equations of static equilibrium and also guarantee that the deformations at the displacement output point remain unchanged. Then the matrix method can be still adopted for the compliance analysis of the compliant mechanism. Finally, several specific examples and an experimental test are given to verify the effectiveness of the compliance models and the force equivalent method. The research enriches the matrix method and provides concise analytical compliance models for the serial compliant mechanism.

  9. Anticipatory responses to a self-applied load in normal subjects and hemiparetic patients.

    PubMed

    Bennis, N; Roby-Brami, A; Dufossé, M; Bussel, B

    1996-01-01

    A bimanual loading task was studied in eight right-handed normal subjects and nine hemiparetic patients in order to detect anticipatory adjustments and to analyse the reflex and voluntary, responses induced by the perturbation. The left forearm (or the impaired side in patients) was flexed at approximately 90 degrees and free to rotate in a vertical sagittal plane. It was held to resist a load (2-3 kg) dropped either by an experimenter (control situation), or by the subject himself with no visual control (self-applied situation). The load was dropped from the right hand by normal subjects and from the unimpaired hand by hemiparetic patients. The initial distance the load fell was 0.05-0.35 m. The elbow movements of the limb receiving the load were recorded with a linear accelerometer at the wrist, a potentiometer at the elbow and via the EMG signals from flexor muscles. Normal subjects always made an anticipatory flexion movement prior to the impact in the self-applied situation, but not in the control situation. The anticipatory flexion of hemiparetic patients was slower and longer. The amplitude of the anticipatory flexion at the time of impact and its duration were correlated with the mass of the load and the initial distance between the two hands in both groups. The anticipatory flexion reduced the distance through which the load fell and thus its kinetic energy at impact. The impact induced a brisk extension which was always smaller in the self-applied situation for a given kinetic energy. In normal subjects, the amplitude of the monosynaptic reflex (MSR) following the impact in flexor muscles was usually greater in the self-applied situation, but its gain was either reduced or unchanged. The gain of the functional stretch reflex (FSR) was consistently reduced in the self-applied situation. Depression of the FSR gain occurred in only two hemiparetic patients who had the best recovered motor function. Anticipation always ended up minimizing the perturbation

  10. Tank Applied Testing of Load-Bearing Multilayer Insulation (LB-MLI)

    NASA Technical Reports Server (NTRS)

    Johnson, Wesley L.; Valenzuela, Juan G.; Feller, Jerr; Plachta, Dave

    2014-01-01

    The development of long duration orbital cryogenic storage systems will require the reduction of heat loads into the storage tank. In the case of liquid hydrogen, complete elimination of the heat load at 20 K is currently impractical due to the limitations in lift available on flight cryocoolers. In order to reduce the heat load, without having to remove heat at 20 K, the concept of Reduced Boil-Off uses cooled shields within the insulation system at approximately 90 K. The development of Load-Bearing Multilayer Insulation (LB-MLI) allowed the 90 K shield with tubing and cryocooler attachments to be suspended within the MLI and still be structurally stable. Coupon testing both thermally and structurally were performed to verify that the LB-MLI should work at the tank applied level. Then tank applied thermal and structural (acoustic) testing was performed to demonstrate the functionality of the LB-MLI as a structural insulation system. The LB-MLI showed no degradation of thermal performance due to the acoustic testing and showed excellent thermal performance when integrated with a 90 K class cryocooler on a liquid hydrogen tank.

  11. Tank Applied Testing of Load-Bearing Multilayer Insulation (LB-MLI)

    NASA Technical Reports Server (NTRS)

    Johnson, Wesley L.; Valenzuela, Juan G.; Feller, Jeffrey R.; Plachta, David W.

    2014-01-01

    The development of long duration orbital cryogenic storage systems will require the reduction of heat loads into the storage tank. In the case of liquid hydrogen, complete elimination of the heat load at 20 K is currently impractical due to the limitations in lift available on flight cryocoolers. In order to reduce the heat load, without having to remove heat at 20 K, the concept of Reduced Boil-Off uses cooled shields within the insulation system at approximately 90 K. The development of Load-Bearing Multilayer Insulation (LB-MLI) allowed the 90 K shield with tubing and cryocooler attachments to be suspended within the MLI and still be structurally stable. Coupon testing, both thermal and structural was performed to verify that the LB-MLI should work at the tank applied level. Then tank applied thermal and structural (acoustic) testing was performed to demonstrate the functionality of the LB-MLI as a structural insulation system. The LB-MLI showed no degradation of thermal performance due to the acoustic testing and showed excellent thermal performance when integrated with a 90 K class cryocooler on a liquid hydrogen tank.

  12. Effects of Applied Load on 6061-T6 Aluminum Joined Employing a Novel Friction Bonding Process

    SciTech Connect

    Douglas E. Burkes; Neil P. Hallinan; Karen L. Shropshire; Peter B. Wells

    2008-12-01

    Friction bonding is under consideration for use in mass production of plate-type nuclear fuels for research reactors. This article discusses the effects of applied load (the most important process parameter for fabrication of these fuels) on temperature distribution, microstructure, and mechanical properties. Friction bonding experiments showed that tool geometry caused temperature gradients across the tool surface. Temperatures at the joint interface suggested the advancing side of the tool produced a majority of the frictional heat, while the retreating side of the tool mainly forged the plasticized material while bonding increased with applied load. The microstructure across the tool surface was also altered and, as a function of applied load, affected the mechanical properties. The 6061 aluminum alloy had mechanical properties close to a T4 temper after processing. Results documented in this article will aid in continual enhancement of friction bonding for nuclear fuel plate fabrication, and will hopefully contribute to continued advancement of friction stir welding (FSW) state of the art.

  13. Formation of metalsbnd F bonds during frictional sliding: Influence of water and applied load

    NASA Astrophysics Data System (ADS)

    Shen, J. T.; Pei, Y. T.; De Hosson, J. Th. M.

    2016-04-01

    Effects of water lubrication and applied load on the formation of PTFE transfer films and metalsbnd F bonds during sliding when PTFE filled composites sliding against steel and Al2O3 are investigated. In water-lubricated conditions, XPS analysis reveals that a thin layer of water molecules at the sliding interface inhibits the formation of PTFE transfer films and Alsbnd F bonds on the Al2O3 ball, leading to a detrimental effect on the tribo-performance. Under various normal loads in dry sliding condition, it is found that the smearing of PTFE onto the wear surface of the composite and the transfer of PTFE onto the surface of the steel counterpart are stimulated by a high load. During sliding, the contact pressure is found to be the driving force of the reaction between steel and PTFE. It is concluded that under various loads, the total amount of PTFE transfer films has a larger impact on the friction behavior than the formation of Fesbnd F bonds.

  14. Immediate non-occlusal loading of immediate post-extractive versus delayed placement of single implants in preserved sockets of the anterior maxilla: 1-year post-loading outcome of a randomised controlled trial.

    PubMed

    Felice, Pietro; Pistilli, Roberto; Barausse, Carlo; Trullenque-Eriksson, Anna; Esposito, Marco

    2015-01-01

    To compare the effectiveness of immediate post-extractive single implants with delayed implants placed in preserved sockets after 4 months of healing. Implants that achieved an insertion torque of at least 35 Ncm were immediately non-occlusally loaded. Just after tooth extraction, and in the presence of less than 4 mm of vertical loss of the buccal bone in relation to the palatal wall, 50 patients requiring a single immediate post-extractive implant in the maxilla from second to second premolar were randomly allocated for either immediate implant placement (immediate group; 25 patients) or for socket preservation using an algae-derived (phycogenic) bone substitute, covered by a resorbable collagen barrier (delayed group; 25 patients), according to a parallel group design in one centre. Bone-to-implant gaps were filled with an algae-derived bone substitute. Four months after socket preservation, delayed implants were placed. Implants inserted with an insertion torque of at least 35 Ncm were immediately loaded with non-occluding provisional single crowns, then replaced, after 4 months, by definitive crowns. Patients were followed up to 1 year after loading. Outcome measures were implant failures, complications, aesthetics assessed using the pink esthetic score (PES), peri-implant marginal bone level changes and patient satisfaction, recorded by blinded assessors. Nine (36%) implants were not immediately loaded in the immediate group versus 19 (76%) implants in the delayed placement group, because an insertion torque superior to 35 Ncm could not be obtained, the difference being statistically significant (difference = - 0.40, 95% CI: -0.652 to -0.148, P = 0.010). Two patients dropped out 4 months after loading in the delayed group versus none in the immediate group. Two implants failed in the immediate group (8%) versus none in the delayed group, with the difference showing no statistical significance (considering 25 and 23 patients, the difference in proportions was

  15. Primary and coupled motions of the native knee in response to applied varus and valgus load.

    PubMed

    Gladnick, Brian P; Boorman-Padgett, James; Stone, Kyle; Kent, Robert N; Cross, Michael B; Mayman, David J; Pearle, Andrew D; Imhauser, Carl W

    2016-06-01

    Knowledge of the complex kinematics of the native knee is a prerequisite for a successful reconstructive procedure. The aim of this study is to describe the primary and coupled motions of the native knee throughout the range of knee flexion, in response to applied varus and valgus loads. Twenty fresh-frozen cadaver knees were affixed to a six degree of freedom robotic arm with a universal force-moment sensor, and loaded with a 4Nm moment in varus and valgus at 0, 15, 30, 45, and 90° of knee flexion. The resulting tibiofemoral angulation, displacement, and rotation were recorded. For each parameter investigated, the knee joint demonstrated more laxity at higher flexion angles. Varus angulation increased progressively from zero (2.0° varus) to 90 (5.2° varus) degrees of knee flexion (p<0.001). Valgus angulation also increased progressively, from zero (1.5° valgus) to 90 (3.9° valgus) degrees of knee flexion (p<0.001). At all flexion angles, the magnitude of tibiofemoral angle deviation was larger with varus than with valgus loading (p<0.05). We conclude that the native knee exhibits small increases in coronal plane laxity as the flexion angle increases, and that the knee has generally more laxity under varus load than with valgus load throughout the Range of Motion (ROM). Larger differences in laxity of more than 2 to 3°, or peak laxity specifically during the range of mid-flexion, were not found in our cadaver model and are not likely to represent normal coronal plane kinematics. Level V, biomechanical cadaveric study. Copyright © 2016 Elsevier B.V. All rights reserved.

  16. On the relationship between matched filter theory as applied to gust loads and phased design loads analysis

    NASA Technical Reports Server (NTRS)

    Zeiler, Thomas A.; Pototzky, Anthony S.

    1989-01-01

    A theoretical basis and example calculations are given that demonstrate the relationship between the Matched Filter Theory approach to the calculation of time-correlated gust loads and Phased Design Load Analysis in common use in the aerospace industry. The relationship depends upon the duality between Matched Filter Theory and Random Process Theory and upon the fact that Random Process Theory is used in Phased Design Loads Analysis in determining an equiprobable loads design ellipse. Extensive background information describing the relevant points of Phased Design Loads Analysis, calculating time-correlated gust loads with Matched Filter Theory, and the duality between Matched Filter Theory and Random Process Theory is given. It is then shown that the time histories of two time-correlated gust load responses, determined using the Matched Filter Theory approach, can be plotted as parametric functions of time and that the resulting plot, when superposed upon the design ellipse corresponding to the two loads, is tangent to the ellipse. The question is raised of whether or not it is possible for a parametric load plot to extend outside the associated design ellipse. If it is possible, then the use of the equiprobable loads design ellipse will not be a conservative design practice in some circumstances.

  17. Histologic and histomorphometric evaluation of peri-implant bone of immediate or delayed occlusal-loaded non-splinted implants in the posterior mandible--an experimental study in monkeys.

    PubMed

    Stokholm, Rie; Isidor, Flemming; Nyengaard, Jens R

    2014-11-01

    The primary aim of this study was to compare the bone reaction around immediate-loaded non-splinted single implants vs. delayed loaded non-splinted single implants placed in healed ridges in the posterior mandible. Six adult Macaca Fascicularis monkeys were used in this study. The first and second premolars and the first molar were extracted in both sides of the mandible. After 3 months of healing, four implants (Replace Select Tapered; Nobel Biocare, Gothenburg, Sweden) with a moderately rough surface (TiUnite, Nobel Biocare) were placed in the edentulous areas of each monkey, two in each side. The implants had a length of 10 mm and a diameter of 3.5 mm. Four groups of varying time and occlusal loading aspects were created: (i) control group: implant placed non-loaded for 3 months; (ii) immediate loaded: implant placed and loaded immediately for 3 months; (iii) immediate loaded: implant placed and loaded immediately for 6 months; and (iv) delayed loaded: implant placed submerged for 3 months and then loaded for 3 months. At the loaded implants, after a second stage surgery, a composite crown was made directly on an abutment mounted on the implant reinsuring simultaneous occlusal contact on the implant crown and the neighboring teeth. After euthanization of the animals, histologic specimens were quantified in the light microscope. All implants were clinically, radiographically, and histologically osseointegrated at the time of euthanization and with only mild signs of inflammation in the peri-implant mucosa. The histologic marginal bone level was located on average 1.14-1.74 mm apical to the margin of the implants in the various groups. The average bone-to-implant contact (BIC) varied between 55% and 65% and the average bone density (i.e., the proportion of mineralized bone tissue from the implant surface and to a distance of 1 mm lateral to the implant) varied between 30.6% and 34.2%. No statistical significant differences between groups were observed in

  18. Occlusion on implants - is there a problem?

    PubMed

    Klineberg, I J; Trulsson, M; Murray, G M

    2012-07-01

    Oral rehabilitation restores form and function and impacts on general health. Teeth provide a discriminating sense of touch and directional specificity for occlusal perception, management of food with mastication and swallowing, and awareness of its texture and hardness. Peripheral feedback for control of jaw muscles includes the enamel-dentine-pulp complex and mechanoreceptors in the periodontal tissues. The implications of feedback from periodontal and other intra-oral mechanoreceptors as well as changes in central representation are significant for function and adaptation to oral rehabilitation. With implants, in the absence of the periodontium and periodontal mechanoreceptor feedback, fine motor control of mastication is reduced, but patients are still able to function adequately. Further, there is no significant difference in function with full-arch fixed prostheses on teeth in comparison with implants. Predictable implant outcomes depend on bone support. Optimum restoration design appears to be significant for bone remodelling and bone strains around implants with occlusal loading. Finite element analysis data confirmed load concentrations at the coronal bone around the upper section of the implant where bone loss is commonly observed clinically. Load concentration increased with steeper cusp inclination and broader occlusal table and decreased with central fossa loading and narrower occlusal table size. It is recommended that occlusal design should follow a narrow occlusal table, with central fossa loading in intercuspal contact and low cusp inclination to minimise lateral loading in function and parafunction. Acknowledging these features should address potential problems associated with the occlusion in implant therapy. © 2012 Blackwell Publishing Ltd.

  19. Phase-shifting real-time holographic interferometry applied to load transmission evaluation in dried human skull.

    PubMed

    Gesualdi, Marcos R R; Mori, Matsuyoshi; Muramatsu, Mikiya; Liberti, Edson A; Munin, Egberto

    2007-08-01

    Phase-shifting real-time holography with photorefractive Bi(12)SiO(20) crystal as holographic recording medium applied to load transmission evaluation and tension dissipation on a dried human skull under loading is presented. The applied loading stands as a simulation of isolated contraction (SIC) of some masticatories muscles. The four-frames phase-shifting technique and the unwrapping branch-cut technique were used to obtain the phase map. The quantitative results show the feasibility of the employed system in the study of microdisplacements in the skull structure provided by SIC.

  20. Fully Transradial Versus Transfemoral Approach for Percutaneous Intervention of Coronary Chronic Total Occlusions Applying the Hybrid Algorithm: Insights From RECHARGE Registry.

    PubMed

    Bakker, Erik Jan; Maeremans, Joren; Zivelonghi, Carlo; Faurie, Benjamin; Avran, Alexandre; Walsh, Simon; Spratt, James C; Knaapen, Paul; Hanratty, Colm G; Bressollette, Erwan; Kayaert, Peter; Bagnall, Alan J; Egred, Mohaned; Smith, David; McEntegart, Margaret B; Smith, William H T; Kelly, Paul; Irving, John; Smith, Elliot J; Strange, Julian W; Dens, Joseph; Agostoni, Pierfrancesco

    2017-09-01

    Small observational studies demonstrate the feasibility of transradial approach for chronic total occlusion (CTO) percutaneous coronary intervention. The aim of the current study is to assess technical success, complication rates, and procedural efficiency in fully transradial approach (fTRA) and transfemoral approach (TFA) in a large prospective European registry adopting the hybrid algorithm for CTO percutaneous coronary intervention (Registry of CrossBoss and Hybrid Procedures in France, the Netherlands, Belgium and United Kingdom, RECHARGE registry). We analyzed 1253 CTO percutaneous coronary intervention procedures performed according to the hybrid protocol in 17 European centers, comparing fTRA (single or biradial access) and TFA (single or bifemoral or combined radial and femoral access). fTRA was applied in 306 (24%) and TFA in 947 (76%) cases. The average Japanese CTO score was 2.1±1.2 in fTRA and 2.3±1.1 in TFA (P=0.06). Technical success was achieved in 85% in fTRA and 86% in TFA (P=0.51). Technical success was comparable for fTRA and TFA in different Japanese CTO score subgroups after multivariable analysis and after propensity adjustment. In-hospital major adverse cardiac and cerebral events occurred in 2.0% in fTRA and 2.9% in TFA (P=0.40). Major access site bleeding occurred in 0.3% in fTRA and 0.5% in TFA (P=0.66). fTRA compared with TFA had similar procedural duration (80 minutes [54-120 minutes] versus 90 minutes [60-121 minutes]; P=0.07), similar radiation dose (dose area product 89 Gray×cm(2) [52-163 Gray×cm(2)] versus 101 Gray×cm(2) [59-171 Gray×cm(2)]; P=0.06), and lower contrast agent use (200 mL [150-310 mL] versus 250 mL [200-350 mL]; P<0.01). fTRA CTO percutaneous coronary intervention is a valid alternative to TFA with a high rate of success, low complication rates, and no decrease in procedural efficiency. © 2017 American Heart Association, Inc.

  1. Non Linear Effects of Applied Loads and Large Deformations on Aircraft Normal Modes

    DTIC Science & Technology

    2000-05-01

    the sBams secteo lia base for the solution of many structural dynamics and static dermations. aeroelastic problems (flutter, response to gust and 0...manufacturing and certification of the Horizontal Tailplanes (HTP). In the case of a megaliner, the Figure 1. Beam with static axial load and dynamic...method. The effect of in-plane loading is considered large static deformations. in two parts. First, effects of direct in-plane loading only Most of the

  2. Applying graph partitioning methods in measurement-based dynamic load balancing

    SciTech Connect

    Bhatele, Abhinav; Fourestier, Sebastien; Menon, Harshitha; Kale, Laxmikant V.; Pellegrini, Francois

    2011-09-26

    Load imbalance leads to an increasing waste of resources as an application is scaled to more and more processors. Achieving the best parallel efficiency for a program requires optimal load balancing which is a NP-hard problem. However, finding near-optimal solutions to this problem for complex computational science and engineering applications is becoming increasingly important. Charm++, a migratable objects based programming model, provides a measurement-based dynamic load balancing framework. This framework instruments and then migrates over-decomposed objects to balance computational load and communication at runtime. This paper explores the use of graph partitioning algorithms, traditionally used for partitioning physical domains/meshes, for measurement-based dynamic load balancing of parallel applications. In particular, we present repartitioning methods developed in a graph partitioning toolbox called SCOTCH that consider the previous mapping to minimize migration costs. We also discuss a new imbalance reduction algorithm for graphs with irregular load distributions. We compare several load balancing algorithms using microbenchmarks on Intrepid and Ranger and evaluate the effect of communication, number of cores and number of objects on the benefit achieved from load balancing. New algorithms developed in SCOTCH lead to better performance compared to the METIS partitioners for several cases, both in terms of the application execution time and fewer number of objects migrated.

  3. Cervical spine injuries, mechanisms, stability and AIS scores from vertical loading applied to military environments.

    PubMed

    Yoganandan, Narayan; Pintar, Frank A; Humm, John R; Maiman, Dennis J; Voo, Liming; Merkle, Andrew

    2016-07-01

    The purpose of this study was to determine injuries to osteo-ligamentous structures of cervical column, mechanisms, forces, severities and AIS scores from vertical accelerative loading. Seven human cadaver head-neck complexes (56.9 ± 9.5 years) were aligned based on seated the posture of military soldiers. Army combat helmets were used. Specimens were attached to a vertical accelerator to apply caudo-cephalad g-forces. They were accelerated with increasing insults. Intermittent palpation and radiography were done. A roof structure mimicking military vehicle interior was introduced after a series of tests and experiments were conducted following similar protocols. Upon injury detection, CT and dissection were done. Temporal force responses were extracted, peak forces and times of occurrence were obtained, injury severities were graded, and spine stability was determined. Injuries occurred in tests only when the roof structure was included. Responses were tri-phasic: initial thrust, secondary tensile, tertiary roof contact phases. Peak forces: 1364-4382 N, initial thrust, 165-169 N, secondary tensile, 868-3368 N tertiary helmet-head roof contact phases. Times of attainments: 5.3-9.6, 31.7-42.6, 55.0-70.8 ms. Injuries included fractures and joint disruptions. Multiple injuries occurred in all but one specimen. A majority of injury severities were AIS = 2. Spines were considered unstable in a majority of cases. Spine response was tri-phasic. Injuries occurred in roof contact tests with the helmeted head-neck specimen. Multiplicity and unstable nature of AIS = 2 level injuries, albeit at lower severities, might predispose the spine to long-term accelerated degenerative changes. Clinical protocols should include a careful evaluation of sub-catastrophic injuries in military patients.

  4. Does increasing applied load lead to contact changes indicative of knee osteoarthritis? A subject-specific FEA study.

    PubMed

    Boyd, Jennifer L; Zavatsky, Amy B; Gill, Harinderjit S

    2016-04-01

    This study investigated whether increased loading (representing obesity) in the extended knee and flexed knee led to increased stresses in areas of typical medial and lateral osteoarthritis cartilage lesions, respectively. We created two paired sets of subject-specific finite element models; both sets included models of extended knees and of flexed knees. The first set represented normal loading; the second set represented increased loading. All other variables were held constant. The von Mises stresses and contact areas calculated on the tibial cartilage surfaces of the paired models were then compared. In the extended knee models, applying a larger load led to increased stress in the anterior and central regions of the medial tibial cartilage. These are the typical locations of medial osteoarthritis cartilage lesions. Therefore, the results support that increased loading in the extended knee may result in medial osteoarthritis. In the flexed knee models, applying a larger load increased stress in the anterior and central regions of the lateral tibial cartilage. Lateral osteoarthritis cartilage lesions typically occur centrally and posteriorly. Therefore, these results do not support our hypothesis. Shear stress was increased in areas of typical lateral lesions, however, and should be investigated in future studies.

  5. Occlusion in implant dentistry. A review of the literature of prosthetic determinants and current concepts.

    PubMed

    Gross, M D

    2008-06-01

    Today the clinician is faced with widely varying concepts regarding the number, location, distribution and inclination of implants required to support the functional and parafunctional demands of occlusal loading. Primary clinical dilemmas of planning for maximal or minimal numbers of implants, their axial inclination, lengths and required volume and quality of supporting bone remain largely unanswered by adequate clinical outcome research. Planning and executing optimal occlusion schemes is an integral part of implant supported restorations. In its wider sense this includes considerations of multiple inter-relating factors of ensuring adequate bone support, implant location number, length, distribution and inclination, splinting, vertical dimension aesthetics, static and dynamic occlusal schemes and more. Current concepts and research on occlusal loading and overloading are reviewed together with clinical outcome and biomechanical studies and their clinical relevance discussed. A comparison between teeth and implants regarding their proprioceptive properties and mechanisms of supporting functional and parafunctional loading is made and clinical applications made regarding current concepts in restoring the partially edentulous dentition. The relevance of occlusal traumatism and fatigue microdamage alone or in combination with periodontal or peri-implant inflammation is reviewed and applied to clinical considerations regarding splinting of adjacent implants and teeth, posterior support and eccentric guidance schemes. Occlusal restoration of the natural dentition has classically been divided into considerations of planning for sufficient posterior support, occlusal vertical dimension and eccentric guidance to provide comfort and aesthetics. Mutual protection and anterior disclusion have come to be considered as acceptable therapeutic modalities. These concepts have been transferred to the restoration of implant-supported restoration largely by default. However, in

  6. Finite element analysis to characterize how varying patellar loading influences pressure applied to cartilage: model evaluation.

    PubMed

    Shah, Kushal S; Saranathan, Archana; Koya, Bharath; Elias, John J

    2015-01-01

    A finite element analysis (FEA) modeling technique has been developed to characterize how varying the orientation of the patellar tendon influences the patellofemoral pressure distribution. To evaluate the accuracy of the technique, models were created from MRI images to represent five knees that were previously tested in vitro to determine the influence of hamstrings loading on patellofemoral contact pressures. Hamstrings loading increased the lateral and posterior orientation of the patellar tendon. Each model was loaded at 40°, 60°, and 80° of flexion with quadriceps force vectors representing the experimental loading conditions. The orientation of the patellar tendon was represented for the loaded and unloaded hamstrings conditions based on experimental measures of tibiofemoral alignment. Similar to the experimental data, simulated loading of the hamstrings within the FEA models shifted the center of pressure laterally and increased the maximum lateral pressure. Significant (p < 0.05) differences were identified for the center of pressure and maximum lateral pressure from paired t-tests carried out at the individual flexion angles. The ability to replicate experimental trends indicates that the FEA models can be used for future studies focused on determining how variations in the orientation of the patellar tendon related to anatomical or loading variations or surgical procedures influence the patellofemoral pressure distribution.

  7. High-load resistance exercise with superimposed vibration and vascular occlusion increases critical power, capillaries and lean mass in endurance-trained men.

    PubMed

    Mueller, Sandro Manuel; Aguayo, David; Lunardi, Fabio; Ruoss, Severin; Boutellier, Urs; Frese, Sebastian; Petersen, Jens A; Jung, Hans H; Toigo, Marco

    2014-01-01

    It is a widely accepted premise in the scientific community and by athletes alike, that adding resistance exercise to a regular regimen of endurance training increases endurance performance in endurance-trained men. However, critical power (CP), capillarization, and myofiber size remain unaffected by this addition. Therefore, we tested whether the superimposition of resistance exercise with whole-body vibration and vascular occlusion (vibroX) would improve these variables in endurance-trained males relative to resistance exercise alone. Twenty-one young, endurance-trained males were randomly assigned either to a vibroX (n = 11) or resistance (n = 10) training group. Both groups trained in a progressive mode twice a week for 8 weeks. Pre and post training, histochemical muscle characteristics, thigh muscle size, endurance and strength parameters were determined. vibroX increased CP (P = 0.001), overall capillary-to-fiber ratio (P = 0.001) and thigh lean mass (P < 0.001), while these parameters were unaffected by resistance training. The gain in CP by vibroX was positively correlated with the gain in capillarization (R(2) = 0.605, P = 0.008), and the gain in thigh lean mass was paralleled by increases in MyHC-1 and MyHC-2 fiber cross-sectional areas and strength. Maximum voluntary torque and the finite work capacity above CP (W') increased significantly only following resistance training. We achieved a proof of concept by demonstrating that modification of resistance exercise by superimposing side-alternating whole-body vibration and sustained vascular occlusion induced further improvements in CP, capillarization and hypertrophy, all of which were not observed with resistance training alone.

  8. The cost of chronic stress in childhood: understanding and applying the concept of allostatic load.

    PubMed

    Katz, Debra A; Sprang, Ginny; Cooke, Circe

    2012-09-01

    This article explores the concept of allostatic load and its utility as an integrative framework for thinking about the impact of chronic stress on children and adolescents. Allostatic load refers to the failure or exhaustion of normal physiologic processes that occurs in response to severe, frequent, or chronic stressors. This persistent physiologic dysregulation may lead to secondary health problems such as immunosuppression, obesity, atherosclerosis, and hypertension. Allostatic load can be measured and followed as a composite index of a group of physiologic parameters which fall outside of a normal range. Although research regarding allostatic load in children is limited, this article explores relevant studies and identifies ways in which the concept of allostatic load can be used to broaden approaches to assessment, case formulation, and treatment in children. The concept of allostatic load may be of particular interest to psychodynamic psychiatrists in recognizing the ways in which chronic stress and adverse childhood experiences lead not only to negative psychological sequelae but also to long-term health consequences including the possibility of premature death. It underscores the importance of monitoring patients' physical as well as psychological health and thinking about the complex interrelations between the two.

  9. Thermomechanical loading applied on the cladding tube during the pellet cladding mechanical interaction phase of a rapid reactivity initiated accident

    NASA Astrophysics Data System (ADS)

    Hellouin de Menibus, Arthur; Sercombe, Jerome; Auzoux, Quentin; Poussard, Christophe

    2014-10-01

    Calculations of the CABRI REP-Na5 pulse were performed with the ALCYONE code in order to determine the evolution of the thermomechanical loading applied on the cladding tube during the Pellet-Cladding Mechanical Interaction (PCMI) phase of a rapid Reactivity Initiated Accident (RIA) initiated at 280 °C that lasted 8.8 ms. The evolution of the following parameters are reported: the cladding temperature, heating rate, strain rate and loading biaxiality. The impact of these parameters on the cladding mechanical behavior and fracture are then briefly reviewed.

  10. Lingualized occlusion. An occlusion for all reasons.

    PubMed

    Parr, G R; Ivanhoe, J R

    1996-01-01

    This authors make practical recommendations for a wide variety of clinical situations, including various anteroposterior and buccolingual arch discrepancies. Many of the ideals of the anatomical and mechanical schools of thought are blended. In addition to being a valuable clinical adjunct, Lingualized Occlusion also has great application in undergraduate dental education. It is a simpler occlusal scheme to teach and learn.

  11. The Reusable Load Cell with Protection Applied for Online Monitoring of Overhead Transmission Lines Based on Fiber Bragg Grating.

    PubMed

    Ma, Guoming; Mao, Naiqiang; Li, Yabo; Jiang, Jun; Zhou, Hongyang; Li, Chengrong

    2016-06-21

    Heavy ice coating of high-voltage overhead transmission lines may lead to conductor breakage and tower collapse causing the unexpected interrupt of power supply. The optical load cell applied in ice monitoring systems is immune to electromagnetic interference and has no need of a power supply on site. Therefore, it has become a hot research topic in China and other countries. In this paper, to solve the problem of eccentric load in measurement, we adopt the shearing structure with additional grooves to improve the strain distribution and acquire good repeatability. Then, the fiber Bragg grating (FBG) with a permanent weldable package are mounted onto the front/rear groove of the elastic element by spot welding, the direction deviation of FBGs is 90° from each other to achieve temperature compensation without an extra FBG. After that, protection parts are designed to guarantee high sensitivity for a light load condition and industrial safety under a heavy load up to 65 kN. The results of tension experiments indicate that the sensitivity and resolution of the load cell is 0.1285 pm/N and 7.782 N in the conventional measuring range (0-10 kN). Heavy load tension experiments prove that the protection structure works and the sensitivity and resolution are not changed after several high load (65 kN) cycles. In addition, the experiment shows that the resolution of the sensor is 87.79 N in the large load range, allowing the parameter to be used in heavy icing monitoring.

  12. The Reusable Load Cell with Protection Applied for Online Monitoring of Overhead Transmission Lines Based on Fiber Bragg Grating

    PubMed Central

    Ma, Guoming; Mao, Naiqiang; Li, Yabo; Jiang, Jun; Zhou, Hongyang; Li, Chengrong

    2016-01-01

    Heavy ice coating of high–voltage overhead transmission lines may lead to conductor breakage and tower collapse causing the unexpected interrupt of power supply. The optical load cell applied in ice monitoring systems is immune to electromagnetic interference and has no need of a power supply on site. Therefore, it has become a hot research topic in China and other countries. In this paper, to solve the problem of eccentric load in measurement, we adopt the shearing structure with additional grooves to improve the strain distribution and acquire good repeatability. Then, the fiber Bragg grating (FBG) with a permanent weldable package are mounted onto the front/rear groove of the elastic element by spot welding, the direction deviation of FBGs is 90° from each other to achieve temperature compensation without an extra FBG. After that, protection parts are designed to guarantee high sensitivity for a light load condition and industrial safety under a heavy load up to 65 kN. The results of tension experiments indicate that the sensitivity and resolution of the load cell is 0.1285 pm/N and 7.782 N in the conventional measuring range (0–10 kN). Heavy load tension experiments prove that the protection structure works and the sensitivity and resolution are not changed after several high load (65 kN) cycles. In addition, the experiment shows that the resolution of the sensor is 87.79 N in the large load range, allowing the parameter to be used in heavy icing monitoring. PMID:27338403

  13. Applying Cognitive Load Theory to the Redesign of a Conventional Database Systems Course

    ERIC Educational Resources Information Center

    Mason, Raina; Seton, Carolyn; Cooper, Graham

    2016-01-01

    Cognitive load theory (CLT) was used to redesign a Database Systems course for Information Technology students. The redesign was intended to address poor student performance and low satisfaction, and to provide a more relevant foundation in database design and use for subsequent studies and industry. The original course followed the conventional…

  14. Runoff and phosphorus loads from two Iowa fields with and without applied manure, 2000-2011

    USDA-ARS?s Scientific Manuscript database

    Understanding the dynamics of field-edge runoff water quality and responses to changes in management practices and climate through monitoring will probably require decade-duration data sets. This study compared runoff volumes and phosphorus loads from two fields in central Iowa, where the glacial la...

  15. Applying Cognitive Load Theory to the Redesign of a Conventional Database Systems Course

    ERIC Educational Resources Information Center

    Mason, Raina; Seton, Carolyn; Cooper, Graham

    2016-01-01

    Cognitive load theory (CLT) was used to redesign a Database Systems course for Information Technology students. The redesign was intended to address poor student performance and low satisfaction, and to provide a more relevant foundation in database design and use for subsequent studies and industry. The original course followed the conventional…

  16. Efficacy of standard (SLA) and modified sandblasted and acid-etched (SLActive) dental implants in promoting immediate and/or early occlusal loading protocols: a systematic review of prospective studies.

    PubMed

    Chambrone, Leandro; Shibli, Jamil Awad; Mercúrio, Carlos Eduardo; Cardoso, Bruna; Preshaw, Philip M

    2015-04-01

    To assess the survival percentage, clinical and radiographic outcomes of sandblasted and acid-etched (SLA) dental implants and its modified surface (SLActive) in protocols involving immediate and early occlusal loading. MEDLINE, EMBASE and the Cochrane Oral Health Group's Trials Register CENTRAL were searched in duplicate up to, and including, June 2013 to include randomised controlled trials (RCTs) and prospective observational studies of at least 6-month duration published in all languages. Studies limited to patients treated with SLA and/or SLActive implants involving a treatment protocol describing immediate and early loading of these implants were eligible for inclusion. Data on clinical and/or radiographic outcomes following implant placement were considered for inclusion. Of the 447 potentially eligible publications identified by the search strategy, seven RCTs comprising a total of 853 implants (8% titanium plasma-sprayed, 41.5% SLA and 50.5% SLActive) and 12 prospective observational studies including 1394 SLA and 145 SLActive implants were included in this review. According to the Cochrane Collaboration's tool for assessing risk of bias, one of the studies was considered to be at a low risk of bias, whereas the remaining studies were considered to be at an unclear risk. Regarding the observational studies, all of them presented a medium methodological quality based on the Modified Newcastle-Ottawa scale. There were no significant differences reported in the studies in relation to implant loss or clinical parameters between the immediate/early loading and delayed loading protocols. Overall, 95% of SLA and 97% of SLActive implants still survive at the end of follow-up. Despite of the positive findings achieved by the included studies, few RCTs were available for analysis for SLActive implants. Study heterogeneity, scarcity of data and the lack of pooled estimates represent a limitation between studies' comparisons and should be considered when interpreting

  17. Structural Load Alleviation Applied to Next Generation Aircraft and Wind Turbines

    NASA Technical Reports Server (NTRS)

    Frost, Susan

    2011-01-01

    Reducing the environmental impact of aviation is a goal of the Subsonic Fixed Wing Project under the Fundamental Aeronautics Program of NASAs Aeronautics Research Mission Directorate. Environmental impact of aviation is being addressed by novel aircraft configurations and materials that reduce aircraft weight and increase aerodynamic efficiency. NASA is developing tools to address the challenges of increased airframe flexibility created by wings constructed with reduced structural material and novel light-weight materials. This talk will present a framework and demonstration of a flight control system using optimal control allocation with structural load feedback and constraints to achieve safe aircraft operation. As wind turbines age, they become susceptible to many forms of blade degradation. Results will be presented on work in progress that uses adaptive contingency control for load mitigation in a wind turbine simulation with blade damage progression modeled.

  18. Optimizing physicians' instruction of PACS through e-learning: cognitive load theory applied.

    PubMed

    Devolder, P; Pynoo, B; Voet, T; Adang, L; Vercruysse, J; Duyck, P

    2009-03-01

    This article outlines the strategy used by our hospital to maximize the knowledge transfer to referring physicians on using a picture archiving and communication system (PACS). We developed an e-learning platform underpinned by the cognitive load theory (CLT) so that in depth knowledge of PACS' abilities becomes attainable regardless of the user's prior experience with computers. The application of the techniques proposed by CLT optimizes the learning of the new actions necessary to obtain and manipulate radiological images. The application of cognitive load reducing techniques is explained with several examples. We discuss the need to safeguard the physicians' main mental processes to keep the patient's interests in focus. A holistic adoption of CLT techniques both in teaching and in configuration of information systems could be adopted to attain this goal. An overview of the advantages of this instruction method is given both on the individual and organizational level.

  19. In Situ Estimation of Applied Biaxial Loads with Lamb Waves (Preprint)

    DTIC Science & Technology

    2012-07-01

    axis. Approved for public release; distribution unlimited. Load estimation with Lamb waves Page 6 Gandhi et al. [19] have developed theory to...Using software developed by Gandhi [20], dispersion curves for different propagating angles are plotted in Fig. 2(a) over a narrow frequency range for...phase velocity with respect to propagation angle for this same mode and a frequency of 400 kHz. As noted by Gandhi [20], it can be seen that there is a

  20. Sensing Applied Load and Damage Effects in Composites with Nondestructive Techniques

    DTIC Science & Technology

    2017-05-01

    and correlated . This report summarizes experimental setups involving the various NDE methods and technics and provide results on the effects of load... Correlating and validating NDE strategies for sensing damage and operational effects on composite materials will add to the knowledge of composites and...multiple NDE Approved for public release; distribution is unlimited. 5 techniques are used in this study for mutual correlation and verification

  1. Code to Optimize Load Sharing of Split-Torque Transmissions Applied to the Comanche Helicopter

    NASA Technical Reports Server (NTRS)

    1995-01-01

    Most helicopters now in service have a transmission with a planetary design. Studies have shown that some helicopters would be lighter and more reliable if they had a transmission with a split-torque design instead. However, a split-torque design has never been used by a U.S. helicopter manufacturer because there has been no proven method to ensure equal sharing of the load among the multiple load paths. The Sikorsky/Boeing team has chosen to use a split-torque transmission for the U.S. Army's Comanche helicopter, and Sikorsky Aircraft is designing and manufacturing the transmission. To help reduce the technical risk of fielding this helicopter, NASA and the Army have done the research jointly in cooperation with Sikorsky Aircraft. A theory was developed that equal load sharing could be achieved by proper configuration of the geartrain, and a computer code was completed in-house at the NASA Lewis Research Center to calculate this optimal configuration.

  2. Occlusion: an orthodontic perspective.

    PubMed

    Kasrovi, P M; Meyer, M; Nelson, G D

    2000-10-01

    In recent years, orthodontists have examined their concepts of occlusion. In current literature, at professional meetings, and in continuing education courses, one hears an ongoing discussion of condylar position and mandibular border movements in relation to occlusion. There is a wide variation in opinion as to whether dental occlusion and TMJ function are interdependent. The authors have adopted a dynamic concept of dental function to replace the traditional static view of molar relationship and incisor overlap. This article discusses how occlusion has evolved in orthodontics and reviews Andrews' six keys to ideal static occlusion, the goals of ideal dynamic occlusion, and the six signs of developing malocclusions. The authors also review the literature on the relationship between orthodontics, occlusion, and TMD.

  3. Experimental characterization and constitutive modeling of the mechanical behavior of molybdenum under electromagnetically applied compression-shear ramp loading

    NASA Astrophysics Data System (ADS)

    Alexander, C. S.; Ding, J. L.; Asay, J. R.

    2016-03-01

    Magnetically applied pressure-shear (MAPS) is a new experimental technique that provides a platform for direct measurement of material strength at extreme pressures. The technique employs an imposed quasi-static magnetic field and a pulsed power generator that produces an intense current on a planar driver panel, which in turn generates high amplitude magnetically induced longitudinal compression and transverse shear waves into a planar sample mounted on the drive panel. In order to apply sufficiently high shear traction to the test sample, a high strength material must be used for the drive panel. Molybdenum is a potential driver material for the MAPS experiment because of its high yield strength and sufficient electrical conductivity. To properly interpret the results and gain useful information from the experiments, it is critical to have a good understanding and a predictive capability of the mechanical response of the driver. In this work, the inelastic behavior of molybdenum under uniaxial compression and biaxial compression-shear ramp loading conditions is experimentally characterized. It is observed that an imposed uniaxial magnetic field ramped to approximately 10 T through a period of approximately 2500 μs and held near the peak for about 250 μs before being tested appears to anneal the molybdenum panel. In order to provide a physical basis for model development, a general theoretical framework that incorporates electromagnetic loading and the coupling between the imposed field and the inelasticity of molybdenum was developed. Based on this framework, a multi-axial continuum model for molybdenum under electromagnetic loading is presented. The model reasonably captures all of the material characteristics displayed by the experimental data obtained from various experimental configurations. In addition, data generated from shear loading provide invaluable information not only for validating but also for guiding the development of the material model for

  4. Experimental characterization and constitutive modeling of the mechanical behavior of molybdenum under electromagnetically applied compression-shear ramp loading

    SciTech Connect

    Alexander, C. Scott; Ding, Jow -Lian; Asay, James Russell

    2016-03-09

    Magnetically applied pressure-shear (MAPS) is a new experimental technique that provides a platform for direct measurement of material strength at extreme pressures. The technique employs an imposed quasi-static magnetic field and a pulsed power generator that produces an intense current on a planar driver panel, which in turn generates high amplitude magnetically induced longitudinal compression and transverse shear waves into a planar sample mounted on the drive panel. In order to apply sufficiently high shear traction to the test sample, a high strength material must be used for the drive panel. Molybdenum is a potential driver material for the MAPS experiment because of its high yield strength and sufficient electrical conductivity. To properly interpret the results and gain useful information from the experiments, it is critical to have a good understanding and a predictive capability of the mechanical response of the driver. In this work, the inelastic behavior of molybdenum under uniaxial compression and biaxial compression-shear ramp loading conditions is experimentally characterized. It is observed that an imposed uniaxial magnetic field ramped to approximately 10 T through a period of approximately 2500 μs and held near the peak for about 250 μs before being tested appears to anneal the molybdenum panel. In order to provide a physical basis for model development, a general theoretical framework that incorporates electromagnetic loading and the coupling between the imposed field and the inelasticity of molybdenum was developed. Based on this framework, a multi-axial continuum model for molybdenum under electromagnetic loading is presented. The model reasonably captures all of the material characteristics displayed by the experimental data obtained from various experimental configurations. Additionally, data generated from shear loading provide invaluable information not only for validating but also for guiding the development of the material model for

  5. Experimental characterization and constitutive modeling of the mechanical behavior of molybdenum under electromagnetically applied compression-shear ramp loading

    DOE PAGES

    Alexander, C. Scott; Ding, Jow -Lian; Asay, James Russell

    2016-03-09

    Magnetically applied pressure-shear (MAPS) is a new experimental technique that provides a platform for direct measurement of material strength at extreme pressures. The technique employs an imposed quasi-static magnetic field and a pulsed power generator that produces an intense current on a planar driver panel, which in turn generates high amplitude magnetically induced longitudinal compression and transverse shear waves into a planar sample mounted on the drive panel. In order to apply sufficiently high shear traction to the test sample, a high strength material must be used for the drive panel. Molybdenum is a potential driver material for the MAPSmore » experiment because of its high yield strength and sufficient electrical conductivity. To properly interpret the results and gain useful information from the experiments, it is critical to have a good understanding and a predictive capability of the mechanical response of the driver. In this work, the inelastic behavior of molybdenum under uniaxial compression and biaxial compression-shear ramp loading conditions is experimentally characterized. It is observed that an imposed uniaxial magnetic field ramped to approximately 10 T through a period of approximately 2500 μs and held near the peak for about 250 μs before being tested appears to anneal the molybdenum panel. In order to provide a physical basis for model development, a general theoretical framework that incorporates electromagnetic loading and the coupling between the imposed field and the inelasticity of molybdenum was developed. Based on this framework, a multi-axial continuum model for molybdenum under electromagnetic loading is presented. The model reasonably captures all of the material characteristics displayed by the experimental data obtained from various experimental configurations. Additionally, data generated from shear loading provide invaluable information not only for validating but also for guiding the development of the material

  6. Identification of spinal tissues loaded by manual therapy: a robot-based serial dissection technique applied in porcine motion segments

    PubMed Central

    Kawchuk, Gregory N; Carrasco, Alejandro; Beecher, Grayson; Goertzen, Darrell; Prasad, Narasimha

    2010-01-01

    Study Design: Serial dissection of porcine motion segments during robotic control of vertebral kinematics. Objectives: To identify which spinal tissues are loaded in response to manual therapy (manipulation and mobilization) and to what magnitude. Summary of Background Data: Various theoretical constructs attempt to explain how manual therapies load specific spinal tissues. By using a parallel robot to control vertebral kinematics during serial dissection, it is possible to quantify the loads experienced by discrete spinal tissues undergoing common therapeutic procedures such as manual therapy. Methods In nine porcine cadavers, manual therapy was provided to L3 and the kinematic response of L3-4 recorded. The exact kinematic trajectory experienced by L3-4 in response to manual therapy was then replayed to the isolated segment by a parallel robot equipped with a 6 axis load cell. Discrete spinal tissues were then removed and the kinematic pathway replayed. The change in forces and moments following tissue removal were considered to be those applied to that specific tissue by manual therapy. Results: In this study, both manual therapies affected spinal tissues. The intervertebral disc experienced the greatest forces and moments arising from both manipulation and mobilization. Conclusions: This study is the first to identify which tissues are loaded in response to manual therapy. The observation that manual therapy loads some tissues to a much greater magnitude than others offers a possible explanation for its modest treatment effect; only conditions involving these tissues may be influenced by manual therapy. Future studies are planned to determine if manual therapy can be altered to target (or avoid) specific spinal tissues. PMID:20881661

  7. Identification of spinal tissues loaded by manual therapy: a robot-based serial dissection technique applied in porcine motion segments.

    PubMed

    Kawchuk, Gregory N; Carrasco, Alejandro; Beecher, Grayson; Goertzen, Darrell; Prasad, Narasimha

    2010-10-15

    Serial dissection of porcine motion segments during robotic control of vertebral kinematics. To identify which spinal tissues are loaded in response to manual therapy (manipulation and mobilization) and to what magnitude. Various theoretical constructs attempt to explain how manual therapies load specific spinal tissues. By using a parallel robot to control vertebral kinematics during serial dissection, it is possible to quantify the loads experienced by discrete spinal tissues undergoing common therapeutic procedures such as manual therapy. In 9 porcine cadavers, manual therapy was provided to L3 and the kinematic response of L3-L4 recorded. The exact kinematic trajectory experienced by L3-L4 in response to manual therapy was then replayed to the isolated segment by a parallel robot equipped with a 6-axis load cell. Discrete spinal tissues were then removed and the kinematic pathway replayed. The change in forces and moments following tissue removal were considered to be those applied to that specific tissue by manual therapy. In this study, both manual therapies affected spinal tissues. The intervertebral disc experienced the greatest forces and moments arising from both manipulation and mobilization. This study is the first to identify which tissues are loaded in response to manual therapy. The observation that manual therapy loads some tissues to a much greater magnitude than others offers a possible explanation for its modest treatment effect; only conditions involving these tissues may be influenced by manual therapy. Future studies are planned to determine if manual therapy can be altered to target (or avoid) specific spinal tissues.

  8. Healing efficiency of shape memory polyurethane fiber reinforced syntactic foam under applied load

    NASA Astrophysics Data System (ADS)

    Ogunmekan, Babatunde

    Shape memory composite materials have received a great deal of interest in recent structural developments, both in sandwich and in lightweight structures. Experimental procedures involving the free body healing of these materials have been carried out; however, it is important to investigate the healing behaviors of these SMP materials while under load. In this study, syntactic foams reinforced with strain-hardened short-shape memory polyurethane fibers (SMPUFs) were prepared to evaluate their ability to heal wide-opened cracks using the two-step biomimetic close-then-heal (CTH) self-healing scheme while under varying loads. The syntactic foam samples manufactured consisted of an epoxy matrix with dispersed thermoplastic particles, glass microballoons and short SMPUFs. The SMPUF strands were cold-drawn (stretched-then-released) for up to four cycles and then cut to 10 mm short fibers before casting the polymer matrix. Three types of syntactic foam specimens, consisting of 5%, 10%, and 15% thermoplastic particle volume fraction compositions, respectively, were manufactured, and notched beam samples were then prepared. Fracture-healing by uniaxial tension was conducted for five cycles on each sample. Material characterization techniques, such as scanning electron microscopy (SEM) and differential scanning calorimetry (DSC), were utilized to highlight the crack healing characteristics and thermal properties. In addition, a high-resolution charge-coupled device (CCD) camera with a resolution of 3.7 x 3.7 μm/pixel was used to capture the crack tip opening displacement (CTOD). It is seen that the healing ability of the composite varies with changes in both the load carried and the volume fraction of thermoplastic particles. As the thermoplastic volume fraction increased from 5% to 10% to 15%, the tensile strength values recorded decreased, but there was also an increase in the healing efficiency. Moreover, SEM images revealed partial healing in samples with lower

  9. Nonlinear Loading-Rate-Dependent Force Response of Individual Vimentin Intermediate Filaments to Applied Strain

    NASA Astrophysics Data System (ADS)

    Block, Johanna; Witt, Hannes; Candelli, Andrea; Peterman, Erwin J. G.; Wuite, Gijs J. L.; Janshoff, Andreas; Köster, Sarah

    2017-01-01

    The mechanical properties of eukaryotic cells are to a great extent determined by the cytoskeleton, a composite network of different filamentous proteins. Among these, intermediate filaments (IFs) are exceptional in their molecular architecture and mechanical properties. Here we directly record stress-strain curves of individual vimentin IFs using optical traps and atomic force microscopy. We find a strong loading rate dependence of the mechanical response, supporting the hypothesis that IFs could serve to protect eukaryotic cells from fast, large deformations. Our experimental results show different unfolding regimes, which we can quantitatively reproduce by an elastically coupled system of multiple two-state elements.

  10. Applying diffuse ultrasound under dynamic loading to improve closed crack characterization in concrete.

    PubMed

    Payan, C; Quiviger, A; Garnier, V; Chaix, J F; Salin, J

    2013-08-01

    Recent studies show the ability of diffuse ultrasound to characterize surface breaking cracks in concrete. However, derived parameters are sensitive to the presence of partially opened zones along the crack whose pattern may differ from one sample to another. The aim of this letter is to study the variation of diffuse ultrasound parameters while the sample is driven by a low frequency bending load which alternatively opens and closes the crack, allowing to access supplementary information about its morphology. The results show the sensitivity of the method for various crack depths and highlight its potential for concrete nondestructive evaluation.

  11. Disk-loaded RF waveguide matching techniques applied to silicon woodpile accelerator

    SciTech Connect

    Wu Ziran; England, Joel; Ng, Cho; Tantawi, Sami

    2012-12-21

    Silicon woodpile photonic crystal provides a three-dimensional dielectric waveguide system for high-gradient laser driven acceleration. The woodpile waveguide is periodically loaded in the longitudinal direction; therefore simple cross-sectional mode profile matching is not sufficient to launch the accelerating mode appropriately and will result in significant scattering loss. Hinted by the common nature of longitudinal periodicity between disk-loaded waveguide and woodpile waveguide, several coupler design schemes developed for multi-cell RF cavity are implemented in the woodpile accelerator design. Among them there are the travelling-wave match method based on S-matrix, the periodic VSWR method, and the TE-to-TM coupling iris design. This paper presents design procedures and simulation results using these methods. According to simulations, nearly 100% power transmission between SOI and woodpile waveguides with a travelling-wave match is achieved with a specially designed mode-launching coupler. Constructed by silicon rods extruding into the defect waveguide, the coupling iris provides necessary transition from TE mode to TM accelerating mode, also with negligible coupling loss.

  12. Traditional Periodization versus Optimum Training Load Applied to Soccer Players: Effects on Neuromuscular Abilities.

    PubMed

    Loturco, I; Nakamura, F Y; Kobal, R; Gil, S; Pivetti, B; Pereira, L A; Roschel, H

    2016-12-01

    It is unknown whether traditional periodization of strength-power training involving accumulation, transformation and realization blocks is superior to other simpler and more practical training schemes. The purpose of this study was thus to investigate changes in strength/power/speed characteristics of elite soccer players in response to either classic strength-power periodization (TSP) or optimum power load (OPL). 23 professional soccer players were randomly assigned to TSP or OPL for 6 weeks in-season regular training (3 times per week). TSP involved half squats or jump squats, depending on the respective training block, while OPL involved only jump squats at the optimum power load. Results revealed that both groups presented similar significant (P<0.05) improvements in squat one repetition maximum, squat and countermovement jump heights and change of direction speed. In addition, although both groups reported significant increases in sprinting speed (P<0.05); delta change scores demonstrated a superior effect of OPL to improve 10- and 20-m speed. Similarly, OPL presented greater delta change in mean propulsive power in the jump squat. Therefore, training continuously at the optimum power zone resulted in superior performance improvements compared to training under classic strength-power periodization. © Georg Thieme Verlag KG Stuttgart · New York.

  13. Pin Load Control Applied to Retractable Pin Tool Technology and Its Characterization

    NASA Technical Reports Server (NTRS)

    Olegoetz, P.

    1999-01-01

    Until the development of retractable pin tool (RPT) technology, friction stir welding (FSW) was limited to constant thickness joining of aluminum materials and the choices of keyhole elimination focused on traditional fusion and plug weld repair techniques. An invention, US Patent Number 5,893,507, "Auto-Adjustable Pin Tool for Friction Stir Welding" assigned to NASA, demonstrated an approach to resolve these serious drawbacks. This approach brings forth a technique that allows the crater, or keyhole, to be closed out automatically at the end of the weld joint without adding any additional equipment or material. Also the probe length can be varied automatically in the weld joint to compensate for material thickness changes, such as, in a tapered joint. This paper reports the effects of pin extension and retraction rates in the weld joint and its correlation to weld quality. The investigation utilized a pin load-detecting device that was integrated in the Phase IIA RPT designed by Boeing for NASA/MSFC. The RPT modification provided pin load data that was accessed and used to eliminate root side indications and determine pin manipulation rates necessary to produce consistence homogeneous joints.

  14. Pin Load Control Applied to Retractable Pin Tool Technology and its Characterization

    NASA Technical Reports Server (NTRS)

    Oelgoetz, Peter

    2000-01-01

    Until the development of retractable pin tool (RPT) technology, friction stir welding (FSW) was limited to constant thickness joining of aluminum materials and the choices of keyhole elimination focused on traditional fusion and plug weld repair techniques. An invention, US Patent Number 5,893.507, "Auto-Adjustable Pin Tool for Friction Stir Welding" assigned to NASA, demonstrated an approach to resolve these serious drawbacks. This approach brings forth a technique that allows the crater, or keyhole, to be closed out automatically at the end of the weld joint without adding any additional equipment or material. Also the probe length can be varied automatically in the weld joint to compensate for material thickness changes, such as, in a tapered joint. This paper reports the effects of pin extension and retraction rates in the weld joint and its correlation to weld quality. The investigation utilized a pin load-detecting device that was integrated in the Phase 2A RPT designed by Boeing for NASA/MSFC. The RPT modification provided pin load data that was accessed and used to eliminate root side indications and determine pin manipulation rates necessary to produce consistence homogeneous joints.

  15. Pin Load Control Applied to Retractable Pin Tool Technology and its Characterization

    NASA Technical Reports Server (NTRS)

    Oelgoetz, Peter A.

    2000-01-01

    Until the development of retractable pin tool (RPT) technology, friction stir welding (FSW) was limited to constant thickness joining of aluminum materials and the choices of keyhole elimination focused on traditional fusion and plug weld repair techniques. An invention, US Patent Number 5,893,507, "Auto-Adjustable Pin Tool for Friction Stir Welding" assigned to NASA, demonstrated an approach to resolve these serious drawbacks. This approach brings forth a technique that allows the crater, or keyhole, to be closed out automatically at the end of the weld joint without adding any additional equipment or material. Also the probe length can be varied automatically in the weld joint to compensate for material thickness changes, such as, in a tapered joint. This paper reports the effects of pin extension and retraction rates in the weld joint and its correlation to weld quality. The investigation utilized a pin load-detecting device that was integrated in the Phase 2A RPT designed by Boeing for NASA/MSFC. The RPT modification provided pin load data that was accessed and used to eliminate root side indications and determine pin manipulation rates necessary to produce consistence homogeneous joints.

  16. Model of the hydrodynamic loads applied on a rotating halfbridge belonging to a circular settling tank

    NASA Astrophysics Data System (ADS)

    Dascalescu, A. E.; Lazaroiu, G.; Scupi, A. A.; Oanta, E.

    2016-08-01

    The rotating half-bridge of a settling tank is employed to sweep the sludge from the wastewater and to vacuum and sent it to the central collector. It has a complex geometry but the main beam may be considered a slender bar loaded by the following category of forces: concentrated forces produced by the weight of the scrapping system of blades, suction pipes, local sludge collecting chamber, plus the sludge in the horizontal sludge transporting pipes; forces produced by the access bridge; buoyant forces produced by the floating barrels according to Archimedes’ principle; distributed forces produced by the weight of the main bridge; hydrodynamic forces. In order to evaluate the hydrodynamic loads we have conceived a numerical model based on the finite volume method, using the ANSYS-Fluent software. To model the flow we used the equations of Reynolds Averaged Navier-Stokes (RANS) for liquids together with Volume of Fluid model (VOF) for multiphase flows. For turbulent model k-epsilon we used the equation for turbulent kinetic energy k and dissipation epsilon. These results will be used to increase the accuracy of the loads’ sub-model in the theoretical models, e. the finite element model and the analytical model.

  17. Applying Model-based Diagnosis to a Rapid Propellant Loading System

    NASA Technical Reports Server (NTRS)

    Goodrich, Charlie H.; Narasimhan, Sriram; Daigle, Matthew J.; Hatfield, Walter H.; Johnson, Robert G.

    2009-01-01

    The overall objective of the US Air Force Research Laboratory (AFRL) Rapid Propellant Loading (RPL) Program is to develop a launch vehicle, payload and ground support equipment that can support a rapid propellant load and launch within one hour. NASA Kennedy Space Center (KSC) has been funded by AFRL to develop hardware and software to demonstrate this capability. The key features of the software would be the ability to recognize and adapt to failures in the physical hardware components, advise operators of equipment faults and workarounds, and put the system in a safe configuration if unable to fly. In December 2008 NASA KSC and NASA Ames Research Center (ARC) demonstrated model based simulation and diagnosis capabilities for a scaled-down configuration of the RPL hardware. In this paper we present a description of the model-based technologies that were included as part of this demonstration and the results that were achieved. In continuation of this work we are currently testing the technologies on a simulation of the complete RPL system. Later in the year, when the RPL hardware is ready, we will be integrating these technologies with the real-time operation of the system to provide live state estimates. In future years we will be developing the capability to recover from faulty conditions via redundancy and reconfiguration.

  18. Study for the Effect of Continuously Applied Load on a Compressed Ag Nanoparticle at Room Temperature by Atomic Scale Simulations

    NASA Astrophysics Data System (ADS)

    Zhang, Lin

    2016-05-01

    Molecular dynamics calculations are reported for structural transition of a compressed Ag nanoparticle containing 2123 atoms with a crystal structure during the processes of continuously applied load at room temperature. Analytical tools are used to demonstrate the effect of the load on the packing patterns in this deformed particle including internal energy per atom, pair distribution functions, coordination number, pair number as well as the cross-sectional images, and mean square displacements. The simulation results show that the deformation processes of this particle include different stages. Owing to the atom sliding in the (111) plane in different regions of this particle, some interfaces are formed between these regions, and they are barriers of atom movements. With increasing the load, the interfaces in the middle of this particle are disappeared, and the deformation is able to carry out. At larger load, new interfaces are formed in the different regions of this heavily compressed particle with several atom layers, and these interfaces again become obstacles for the further deformation.

  19. A multi-phase Equation of State diagnostic applied to the study of shock loaded tin

    NASA Astrophysics Data System (ADS)

    Shenton-Taylor, Caroline; Glauser, Antony; Ota, Thomas; Price, Ed

    2011-06-01

    The accurate detection of shock driven material phase transitions demands a multiple diagnostic capable of simultaneously measuring temperature, emissivity, pressure and velocity. By combining optical pyrometry with reflectivity based emissivity diagnostics we report shock loaded tin temperatures from 820 K to 1780 K with associated probable errors down to +/- 12.8 K. In addition simultaneous Class 4 laser heterodyne velocimetry recorded the tin surface velocity as viewed through a LiF anvil. Constraining the tin pressure with lithium fluoride generated microsecond experiment time durations; thermal diffusion models identified the tin/glue/LiF layer as advantageous for temperature measurement. Across a range of pressures, the emissivity corrected temperature data were found to be well aligned with a single tin Equation of State model. AWE Crown Owned Copyright (2011).

  20. Tissue loads applied by a novel medical device for closing large wounds.

    PubMed

    Katzengold, Rona; Topaz, Moris; Gefen, Amit

    2016-02-01

    Closure of large soft tissue defects following surgery or trauma as well as closure of large chronic wounds constitutes substantial but common reconstructive challenges. In such cases, an attempt to use conventional suturing will result in high-tension closure, therefore alternative external skin stretching systems were developed. These types of devices were meant to reduce local mechanical loads in the skin and the underlying tissues, taking advantage of the viscoelastic properties of the skin, especially mechanical creep, for primary wound closure. Studies have shown the clinical advantages of skin stretching systems, however, quantitative bioengineering models, demonstrating closure of large wounds, are lacking. Here we present finite element (FE) modeling of the TopClosure(®) tension relief system (TRS) and its biomechanical efficacy in three (real) wound cases, compared with the alternative of a conventional surgical suturing closure technique. Our simulations showed that peak effective stresses on the skin were at least an order of magnitude greater (and sometimes nearly 2 orders-of-magnitude greater) when tension sutures were used with respect to the corresponding TRS data. For the tension suture simulations, the tensile stress was in the range of 415-648 MPa and in the TRS simulations, it was 16-30 MPa. Based on the present computational FE modeling, the TRS reduces localized tissue deformations and stress concentrations in skin and underlying tissues while closing large wounds, compared to the deformations and stresses that are inflicted during the process of suturing. This substantial reduction of loads allows surgeons to better employ the viscoelastic properties of the skin for primary wound closure. Copyright © 2015 Tissue Viability Society. Published by Elsevier Ltd. All rights reserved.

  1. Novelty detection applied to vibration data from a CX-100 wind turbine blade under fatigue loading

    NASA Astrophysics Data System (ADS)

    Dervilis, N.; Choi, M.; Antoniadou, I.; Farinholt, K. M.; Taylor, S. G.; Barthorpe, R. J.; Park, G.; Worden, K.; Farrar, C. R.

    2012-08-01

    The remarkable evolution of new generation wind turbines has led to a dramatic increase of wind turbine blade size. In turn, a reliable structural health monitoring (SHM) system will be a key factor for the successful implementation of such systems. Detection of damage at an early stage is a crucial issue as blade failure would be a catastrophic result for the entire wind turbine. In this study the SHM analysis will be based on experimental measurements of Frequency Response Functions (FRFs) extracted by using an input/output acquisition technique under a fatigue loading of a 9m CX-100 blade at the National Renewable Energy Laboratory (NREL) and National Wind Technology Center (NWTC) performed in the Los Alamos National Laboratory. The blade was harmonically excited at its first natural frequency using a Universal Resonant Excitation (UREX) system. For analysis, the Auto-Associative Neural Network (AANN) is a non-parametric method where a set of damage sensitive features gathered from the measured structure are used to train a network that acts as a novelty detector. This traditionally has a highly complex "bottleneck" structure with five layers in the AANN. In the current paper, a new attempt is also exploited based on an AANN with one hidden layer in order to reduce the theoretical and computational difficulties. Damage detection of composite bodies of blades is a "grand challenge" due to varying aerodynamic and gravitational loads and environmental conditions. A study of the noise tolerant capability of the AANN which is associated to its generalisation capacity is addressed. It will be shown that vibration response data combined with AANNs is a robust and powerful tool, offering novelty detection even when operational and environmental variations are present. The AANN is a method which has not yet been widely used in the structural health monitoring of composite blades.

  2. Risk of onlay fracture during pre-cementation functional occlusal tapping.

    PubMed

    Magne, Pascal; Schlichting, Luis H; Paranhos, Maria P G

    2011-09-01

    To evaluate in vitro the pre-cementation resistance of CAD/CAM onlays subjected to functional occlusal tapping. An extracted tooth model (molar and premolar) with simulated bone and periodontal ligament was used to make a mesio-occlusal onlay preparation (two mesial cusps covered). Immediate dentin sealing was applied to the prepared tooth. The corresponding onlays were fabricated with Cerec either using composite resin (Paradigm MZ100) or ceramic (e.max CAD and Mark II) (n=14). An elevated marginal ridge was designed with the intention of generating hyper-occlusion. Pre-cementation occlusal tapping was simulated using closed-loop servo-hydraulics at 2 Hz, starting with a load of 40 N, followed by 80, 120, 160, 200, 240 and 280 N (10 cycles each). All samples were loaded until fracture or to a maximum of 70 cycles. Groups were compared using the life table survival analysis (p=.016, Bonferroni method). Survival probability was MZ100>e.max CAD>Mark II. The restorations made from e.max CAD and Mark II failed at an average load of 157 N and 123 N, respectively with no specimen withstanding all 70 load cycles (survival 0%); with MZ100 the survival rate was 36%. Material selection has a significant effect on the risk of CAD/CAM onlay fracture during pre-cementation functional occlusal tapping with composite resin onlays showing the minimum risk compared to ceramic ones. Copyright © 2011 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

  3. Quantitative Microbial Risk Assessment Tutorial: Land-applied Microbial Loadings within a 12-Digit HUC

    EPA Science Inventory

    This tutorial reviews screens, icons, and basic functions of the SDMProjectBuilder (SDMPB). It demonstrates how one chooses a 12-digit HUC for analysis, performs an assessment of land-applied microbes by simulating microbial fate and transport using HSPF, and analyzes and visuali...

  4. Quantitative Microbial Risk Assessment Tutorial: Land-applied Microbial Loadings within a 12-Digit HUC

    EPA Science Inventory

    This tutorial reviews screens, icons, and basic functions of the SDMProjectBuilder (SDMPB). It demonstrates how one chooses a 12-digit HUC for analysis, performs an assessment of land-applied microbes by simulating microbial fate and transport using HSPF, and analyzes and visuali...

  5. Controversies in occlusion.

    PubMed

    Chasens, A I

    1990-01-01

    The tissues and structures of the stomatognathic system adapt in different ways but in a coordinated manner to functional forces. This adaptive capacity differs from individual to individual and tends to cloud the picture as to how these mechanisms function. This leads to many areas of disagreement as to the role of occlusal trauma in the etiology of periodontal disease; the importance of centric, bite collapse versus arch collapse; the role of incisal guidance in maintaining occlusal stability; canine protected-guided occlusion versus group function; the use of appliances in occlusal therapy; prophylactic versus interceptive occlusal adjustment; and the role of bruxism and other parafunctional habits in occlusal trauma. An attempt is made in this article to clarify these issues.

  6. Lower Arm Muscle Activation during Indirect-Localized Vibration: The Influence of Skill Levels When Applying Different Acceleration Loads.

    PubMed

    Padulo, Johnny; Di Giminiani, Riccardo; Dello Iacono, Antonio; Zagatto, Alessandro M; Migliaccio, Gian M; Grgantov, Zoran; Ardigò, Luca P

    2016-01-01

    We investigated the electromyographic response to synchronous indirect-localized vibration interventions in international and national table tennis players. Twenty-six male table tennis players, in a standing position, underwent firstly an upper arms maximal voluntary contraction and thereafter two different 30-s vibration interventions in random order: high acceleration load (peak acceleration = 12.8 g, frequency = 40 Hz; peak-to-peak displacement = 4.0 mm), and low acceleration load (peak acceleration = 7.2 g, frequency = 30 Hz, peak-to-peak displacement = 4.0 mm). Surface electromyography root mean square from brachioradialis, extensor digitorum, flexor carpi radialis, and flexor digitorum superficialis recorded during the two vibration interventions was normalized to the maximal voluntary contraction recording. Normalized surface electromyography root mean square was higher in international table tennis players with respect to national ones in all the interactions between muscles and vibration conditions (P < 0.05), with the exception of flexor carpi radialis (at low acceleration load, P > 0.05). The difference in normalized surface electromyography root mean square between international table tennis players and national ones increased in all the muscles with high acceleration load (P < 0.05), with the exception of flexor digitorum superficialis (P > 0.05). The muscle activation during indirect-localized vibration seems to be both skill level and muscle dependent. These results can optimize the training intervention in table tennis players when applying indirect-localized vibration to lower arm muscles. Future investigations should discriminate between middle- and long-term adaptations in response to specific vibration loads.

  7. Lower Arm Muscle Activation during Indirect-Localized Vibration: The Influence of Skill Levels When Applying Different Acceleration Loads

    PubMed Central

    Padulo, Johnny; Di Giminiani, Riccardo; Dello Iacono, Antonio; Zagatto, Alessandro M.; Migliaccio, Gian M.; Grgantov, Zoran; Ardigò, Luca P.

    2016-01-01

    We investigated the electromyographic response to synchronous indirect-localized vibration interventions in international and national table tennis players. Twenty-six male table tennis players, in a standing position, underwent firstly an upper arms maximal voluntary contraction and thereafter two different 30-s vibration interventions in random order: high acceleration load (peak acceleration = 12.8 g, frequency = 40 Hz; peak-to-peak displacement = 4.0 mm), and low acceleration load (peak acceleration = 7.2 g, frequency = 30 Hz, peak-to-peak displacement = 4.0 mm). Surface electromyography root mean square from brachioradialis, extensor digitorum, flexor carpi radialis, and flexor digitorum superficialis recorded during the two vibration interventions was normalized to the maximal voluntary contraction recording. Normalized surface electromyography root mean square was higher in international table tennis players with respect to national ones in all the interactions between muscles and vibration conditions (P < 0.05), with the exception of flexor carpi radialis (at low acceleration load, P > 0.05). The difference in normalized surface electromyography root mean square between international table tennis players and national ones increased in all the muscles with high acceleration load (P < 0.05), with the exception of flexor digitorum superficialis (P > 0.05). The muscle activation during indirect-localized vibration seems to be both skill level and muscle dependent. These results can optimize the training intervention in table tennis players when applying indirect-localized vibration to lower arm muscles. Future investigations should discriminate between middle- and long-term adaptations in response to specific vibration loads. PMID:27378948

  8. Dental and skeletal relationships to attritional occlusion.

    PubMed

    Fishman, L S

    1976-01-01

    Dental attrition has been investigated in depth. Besides alterations in arch length due to attrition, skeletal and intra-arch differences were discovered. It is felt that these findings do have value in helping us realize that present-day concepts of proper occlusion cannot necessarily be applied to dentitions that existed at another time. A more thorough knowledge of occlusions exhibiting dental attrition provides information that is helpful in understanding more fully the nature of tooth eruption and associated dental arch occlusion and the interrelationships of these factors with supporting skeletal structures.

  9. Effect of cell and microvillus mechanics on the transmission of applied loads to single bonds in dynamic force spectroscopy

    NASA Astrophysics Data System (ADS)

    Gupta, V. K.; Eggleton, C. D.

    2011-07-01

    Receptor-ligand interactions that mediate cellular adhesion are often subjected to forces that regulate their detachment via modulating off-rates. Although the dynamics of detachment is primarily controlled by the physical chemistry of adhesion molecules, cellular features such as cell deformability and microvillus viscoelasticity have been shown to affect the rolling velocity of leukocytes in vitro through experiments and simulation. In this work, we demonstrate via various micromechanical models of two cells adhered by a single (intramolecular) bond that cell deformability and microvillus viscoelasticity modulate transmission of an applied external load to an intramolecular bond, and thus the dynamics of detachment. Specifically, it is demonstrated that the intermolecular bond force is not equivalent to the instantaneous applied force and that the instantaneous bond force decreases with cellular and microvillus compliance. As cellular compliance increases, not only does the time lag between the applied load and the bond force increase, an initial response time is observed during which cell deformation is observed without transfer of force to the bond. It is further demonstrated that following tether formation the instantaneous intramoleular bond force increases linearly at a rate dependent on microvillus viscosity. Monte Carlo simulations with fixed kinetic parameters predict that both cell and microvillus compliance increase the average rupture time, although the average rupture force based on bond length remains nearly unchanged.

  10. Study of the strength of molybdenum under high pressure using electromagnetically applied compression-shear ramp loading

    NASA Astrophysics Data System (ADS)

    Ding, Jow; Alexander, C. Scott; Asay, James

    2015-06-01

    MAPS (Magnetically Applied Pressure Shear) is a new technique that has the potential to study material strength under mega-bar pressures. By applying a mixed-mode pressure-shear loading and measuring the resultant material responses, the technique provides explicit and direct information on material strength under high pressure. In order to apply sufficient shear traction to the test sample, the driver must have substantial strength. Molybdenum was selected for this reason along with its good electrical conductivity. In this work, the mechanical behavior of molybdenum under MAPS loading was studied. To understand the experimental data, a viscoplasticity model with tension-compression asymmetry was also developed. Through a combination of experimental characterization, model development, and numerical simulation, many unique insights were gained on the inelastic behavior of molybdenum such as the effects of strength on the interplay between longitudinal and shear stresses, potential interaction between the magnetic field and molybdenum strength, and the possible tension-compression asymmetry of the inelastic material response. Sandia National Labs is a multi-program laboratory managed and operated by Sandia Corporation, a wholly owned subsidiary of Lockheed Martin Corp., for the U.S. Dept. of Energy's National Nuclear Security Administration under Contract DE-AC04-94AL85000.

  11. Follicular occlusion tetrad

    PubMed Central

    Vasanth, Vani; Chandrashekar, Byalakere Shivanna

    2014-01-01

    Follicular occlusion tetrad is a symptom complex consisting of four conditions having a similar pathophysiology. It includes Hidradenitis suppurativa, acne conglobata, dissecting cellulitis of the scalp and pilonidal sinus. The exact pathogenesis of this group of disease is unknown but evidence suggests that they share the same pathological process initiated by follicular occlusion in apocrine gland bearing areas. Though each of these conditions is commonly encountered singly, follicular occlusion tetrad as a symptom complex has been rarely reported in the literature. PMID:25396138

  12. Fundamental Study on Improvement of Power Load Characteristics Applying High Temperature Superconductor Motor for Electrified Railway

    NASA Astrophysics Data System (ADS)

    Konishi, Takeshi; Nakamura, Taketsune; Nishimura, Toshiharu; Amemiya, Naoyuki

    Induction motor instead of dc one has been applied widely for dc electric rolling stock because of the advantage of its utility and efficiency. However, further improvement of motor characteristics will be required to realize environment-friendly dc railway system in the future. Therefore, it is important to study more efficient machine applying dc electric rolling stock for next generation high performance system. For the first step, we reproduced torque characteristics of a dc motor that is utilized in an electric rolling stock, by analyzing specific current waveforms of dc substations. And then, we tried to reflect such torque characteristic to the conventional squirrel-cage induction motor based on the equivalent circuit. Furthermore, we tried to obtain the specification of high temperature superconductor induction/synchronous motor (HTS-ISM), which performance is similar with that of the above-mentioned conventional motors. We succeeded in showing the effectiveness of the introduction of HTS-ISM in DC electrified railway system.

  13. Occlusion and facial pain.

    PubMed

    Klineberg, I

    1978-02-01

    The role of the occlusion in the aetiology of reflex jaw muscle hyperactivity and myofacial pain is analysed. Neurological mechanisms are proposed to explain how variations in occlusal morphology of sufficient magnitude (segmental influences), and the presence of anxiety states (suprasegmental influences) affect jaw muscle activity and contribute to myofascial pain. Controlled occlusal therapy may alter the segmental neurological control of jaw muscle activity to facilitate resolution of muscle hyperactivity in acute myofascial pain. Chronic myofascial pain dysfunction is not primarily related to occlusal factors and a complex psychophysiological mechanism is involved in this type of pain problem.

  14. Applying a Stitched, Rod-Stiffened Concept to Heavily Loaded Structure

    NASA Technical Reports Server (NTRS)

    Jegley, Dawn C.

    2013-01-01

    NASA and the Boeing Company have worked to develop new low-cost, light-weight composite structures for aircraft. A stitched carbon-epoxy material system was developed to reduce the weight and cost of transport aircraft wing structure, first in the NASA Advanced Composites Technology (ACT) program in the 1990's and now in the Environmentally Responsible Aviation (ERA) Project. By stitching through the thickness of a dry carbon fiber material prior to cure, the labor associated with panel fabrication and assembly can be significantly reduced and the need for mechanical fasteners is almost eliminated. Stitching provides the benefit of reducing or eliminating delaminations, including those between stiffener flanges and skin. Stitching also reduces part count, and therefore, cost of the structure. The stitched panel concept used in the ACT program in the 1990's used simple blade-stiffeners as stringers, caps and clips. Today, the Pultruded Rod Stitched Efficient Unitized Structure (PRSEUS) concept is being developed for application to advanced vehicle configurations. PRSEUS provides additional weight savings through the use of a stiffener with a thin web and a unidirectional carbon rod at the top of the web which provides structurally efficient stiffening. A comparison between the blade-stiffened structure and PRSEUS is presented focusing on highly loaded structure and demonstrating improved weight reduction.

  15. Observation of multipactor suppression in a dielectric-loaded accelerating structure using an applied axial magnetic field

    SciTech Connect

    Jing, C.; Konecny, R.; Antipov, S.; Chang, C.; Gold, S. H.; Schoessow, P.; Kanareykin, A.; Gai, W.

    2013-11-18

    Efforts by a number of institutions to develop a Dielectric-Loaded Accelerating (DLA) structure capable of supporting high gradient acceleration when driven by an external radio frequency source have been ongoing over the past decade. Single surface resonant multipactor has been previously identified as one of the major limitations on the practical application of DLA structures in electron accelerators. In this paper, we report the results of an experiment that demonstrated suppression of multipactor growth in an X-band DLA structure through the use of an applied axial magnetic field. This represents an advance toward the practical use of DLA structures in many accelerator applications.

  16. Original analytical model of the hydrodynamic loads applied on the half-bridge of a circular settling tank

    NASA Astrophysics Data System (ADS)

    Oanta, Emil M.; Dascalescu, Anca-Elena; Sabau, Adrian

    2016-12-01

    The paper presents an original analytical model of the hydrodynamic loads applied on the half-bridge of a circular settling tank. The calculus domain is defined using analytical geometry and the calculus of the local dynamic pressure is based on the radius from the center of the settling tank to the current area, i.e. the relative velocity of the fluid and the depth where the current area is located, i.e. the density of the fluid. Calculus of the local drag forces uses the discrete frontal cross sectional areas of the submerged structure in contact with the fluid. In the last stage is performed the reduction of the local drag forces in the appropriate points belonging to the main beam. This class of loads is producing the flexure of the main beam in a horizontal plane and additional twisting moments along this structure. Taking into account the hydrodynamic loads, the results of the theoretical models, i.e. the analytical model and the finite element model, may have an increased accuracy.

  17. The occlusal guard: a simplified technique for fabrication and equilibration.

    PubMed

    Antonelli, John; Hottel, Timothy L; Siegel, Sharon C; Brandt, Robert; Silva, Gladston

    2013-01-01

    Hard occlusal guards have been used effectively to treat myofacial pain originating from parafunctional activities. Also, they can protect the natural dentition when it opposes porcelain restorations, help to evaluate changes in occlusal vertical dimension during full mouth rehabilitation, minimize further tooth loss in patients with abfraction lesions, and redirect occlusal loads more favorably onto dental implant-supported prostheses. A simplified technique is described to fabricate a properly designed wax model of an occlusal guard that can be processed in acrylic in the same manner used to construct a complete denture.

  18. Applied and engineering versions of the theory of elastoplastic processes of active complex loading part 2: Identification and verification

    NASA Astrophysics Data System (ADS)

    Peleshko, V. A.

    2016-06-01

    The deviator constitutive relation of the proposed theory of plasticity has a three-term form (the stress, stress rate, and strain rate vectors formed from the deviators are collinear) and, in the specialized (applied) version, in addition to the simple loading function, contains four dimensionless constants of the material determined from experiments along a two-link strain trajectory with an orthogonal break. The proposed simple mechanism is used to calculate the constants of themodel for four metallic materials that significantly differ in the composition and in the mechanical properties; the obtained constants do not deviate much from their average values (over the four materials). The latter are taken as universal constants in the engineering version of the model, which thus requires only one basic experiment, i. e., a simple loading test. If the material exhibits the strengthening property in cyclic circular deformation, then the model contains an additional constant determined from the experiment along a strain trajectory of this type. (In the engineering version of the model, the cyclic strengthening effect is not taken into account, which imposes a certain upper bound on the difference between the length of the strain trajectory arc and the module of the strain vector.) We present the results of model verification using the experimental data available in the literature about the combined loading along two- and multi-link strain trajectories with various lengths of links and angles of breaks, with plane curvilinear segments of various constant and variable curvature, and with three-dimensional helical segments of various curvature and twist. (All in all, we use more than 80 strain programs; the materials are low- andmedium-carbon steels, brass, and stainless steel.) These results prove that the model can be used to describe the process of arbitrary active (in the sense of nonnegative capacity of the shear) combine loading and final unloading of originally

  19. A comparative analysis of restorative materials used in abfraction lesions in tooth with and without occlusal restoration: Three-dimensional finite element analysis

    PubMed Central

    Srirekha, A; Bashetty, Kusum

    2013-01-01

    Objectives: The present comparative analysis aimed at evaluating the mechanical behavior of various restorative materials in abfraction lesion in the presence and absence of occlusal restoration. Materials and Methods: A three-dimensional finite-element analysis was performed. Six experimental models of mandibular first premolar were generated and divided into two groups (groups A and B) of three each. All the groups had cervical abfraction lesion restored with materials and in addition group A had class I occlusal restoration. A load of 90 N, 200 N, and 400 N were applied at 45° loading angle on the buccal inclines of buccal cusp and Von Mises stresses was chosen for analysis. Results: In all the models, the values of stress recorded at the cervical margin of the restorations were at their maxima. Irrespective of the occlusal restoration, all the materials performed well at 90 N and 200 N. At 400 N, only low-shrink composite showed stresses lesser than its tensile strength indicating its success even at higher load. Conclusion: Irrespective of occlusal restoration, restorative materials with low modulus of elasticity are successful in abfraction lesions at moderate tensile stresses; whereas materials with higher modulus of elasticity and mechanical properties can support higher loads and resist wear. Significance: The model allows comparison of different restorative materials for restoration of abfraction lesions in the presence and absence of occlusal restoration. The model can be used to validate more sophisticated computational models as well as to conduct various optimization studies. PMID:23716970

  20. Assessment of functional conditions of basketball and football players during the load by applying the model of integrated evaluation.

    PubMed

    Zumbakytė-Šermukšnienė, Renata; Kajėnienė, Alma; Vainoras, Alfonsas; Berškienė, Kristina; Augutienė, Viktorija

    2010-01-01

    We consider the human body as an adaptable, complex, and dynamic system capable of organizing itself, though there is none, the only one, factor inside the system capable of doing this job. Making use of the computerized ECG analysis system "Kaunas-load" with parallel registration of ECG carrying out body motor characteristics, ABP, or other processes characterizing hemodynamics enable one to reveal and evaluate the synergistic aspects of essential systems of the human body what particularly extends the possibilities of functional diagnostics. The aim of the study was to determine the features of alterations in the functional condition of basketball and football players and nonathletes during the bicycle ergometry test by applying the model of evaluation of the functional condition of the human body. The study population consisted of 266 healthy athletes and nonathletes. Groups of male basketball players, male football players, male nonathletes, female basketball players, and female nonathletes were studied. A computerized ECG analysis system "Kaunas-load" that is capable of both registering and analyzing the power developed by the subject and 12-lead ECG synchronically were used for evaluating the functional condition of the CVS. The subject did a computer-based bicycle ergometry test. The following ECG parameters at rest and throughout the load - HR, JT interval, and the deduced JT/RR ratio index that reflects the condition between regulatory and supplying systems - were evaluated. After measuring ABP, the pulse amplitude (S-D) was evaluated. The pulse blood pressure ratio amplitude (S-D)/S that depicts the connection between the periphery and regulatory systems was also evaluated. Speeds of changes in physiological parameters during physical load were evaluated too. Heart rate and JT/RR ratio of athletes at the rest and during load were lower, and JT interval of rest was longer and became shorter more slowly during load, compared to that of healthy nonathletes

  1. Numerical simulation on the biomechanical interactions of tooth/implant-supported system under various occlusal forces with rigid/non-rigid connections.

    PubMed

    Lin, Chun-Li; Wang, Jen-Chyan; Kuo, Yu-Chan

    2006-01-01

    The aim of this study was to analyze the biomechanics in an implant/tooth-supported system under different occlusal forces with rigid/non-rigid connectors by adopting a 3D non-linear finite element (FE) approach. A 3D FE model containing one Frialit-2 implant splinted to the mandibular second premolar was constructed. Contact elements (frictional surface) were used to simulate the realistic interface condition within the implant system and the sliding keyway stress-breaker function. The stress distributions in the splinting system and dissimilar mobility between natural tooth and implant with rigid and non-rigid connectors were observed for six loading types. The simulated results indicated that the lateral occlusal forces significantly increased the implant (sigma(I, max)), alveolar bone (sigma(AB, max)) and prosthesis (sigma(P, max)) stress values when compared with the axial occlusal forces. The sigma(I, max) and sigma(AB, max) values did not exhibit significant differences regardless of the connector type used. However, the sigma(P, max) values with a non-rigid connection increased more than two times those of the rigid connection. The sigma(I, max), sigma(AB, max) and sigma(P, max) stress values were significantly reduced in centric or lateral contact situations once the occlusal forces on the pontic were decreased. Moreover, the vertical-tooth-to-implant displacement ratios with a non-rigid connection were 23 and 9.9 times that for axial and lateral loads, respectively, applied on the premolar. However, the compensated non-rigid connector capabilities were not significant when occlusal forces acted on the complete prosthesis. The non-rigid connector (keyway device) only significantly exploited its function when the occlusal forces acted on a natural tooth. Minimizing the occlusal loading force on the pontic area through occlusal adjustment procedures to redistribute stress in the maximum intercuspation or lateral working position for an implant

  2. Immediate occlusal loading of single lower molars using Brånemark System® Wide Platform TiUnite™ implants: a 5-year follow-up report of a prospective clinical multicenter study.

    PubMed

    Calandriello, Roberto; Tomatis, Massimiliano

    2011-12-01

    Although not essential, molars hold their importance in terms of functional jaw stability, antagonist opposition, and support of facial height. Therefore, implant therapy is an attractive concept in molar areas. However, especially in the posterior mandible, the conventional two-stage surgical approach to implant therapy was reported to cause higher bone loss and/or higher implant failures with machined implants because of the peculiar anatomic and physiologic conditions of this area. As the TiUnite™ (Nobel Biocare AB, Göteborg, Sweden) surface results in faster bone healing than with machined-surface implants, it was hypothesized that this surface would also improve the performance of wide implants in posterior mandibles. Based on these assumptions, a protocol for immediately loaded implants for single molar replacement was developed. This paper aimed to report on the clinical and radiological performance of Brånemark System® TiUnite Wide Platform implants supporting single molars in the lower jaw, loaded immediately and followed for up to 5 years, and to assess if the benefit delivered by oxidized surfaces in the short run is also present after 5 years. The study includes 33 consecutive patients treated between March 2001 and September 2003 and monitored until September 2008 in two private dental offices. A total of 40 Brånemark System TiUnite Wide Platform MK III implants were placed. All implants were provided with provisional crowns in full centric occlusion at the time of surgery. Patients were clinically and radiologically followed up for up to 5 years. Two implant failed so that the cumulative success rate at 5 years was 95.0%. The mean marginal bone remodeling (n = 38) expressed as mesial plus distal value averages was -1.17 mm (SD ± 0.90) at the 5-year time point. Although limited by the number of patients treated in accordance with the protocol described, 5-year results encourage the use of immediately loaded single lower molars supported by Br

  3. Detecting natural occlusion boundaries using local cues

    PubMed Central

    DiMattina, Christopher; Fox, Sean A.; Lewicki, Michael S.

    2012-01-01

    Occlusion boundaries and junctions provide important cues for inferring three-dimensional scene organization from two-dimensional images. Although several investigators in machine vision have developed algorithms for detecting occlusions and other edges in natural images, relatively few psychophysics or neurophysiology studies have investigated what features are used by the visual system to detect natural occlusions. In this study, we addressed this question using a psychophysical experiment where subjects discriminated image patches containing occlusions from patches containing surfaces. Image patches were drawn from a novel occlusion database containing labeled occlusion boundaries and textured surfaces in a variety of natural scenes. Consistent with related previous work, we found that relatively large image patches were needed to attain reliable performance, suggesting that human subjects integrate complex information over a large spatial region to detect natural occlusions. By defining machine observers using a set of previously studied features measured from natural occlusions and surfaces, we demonstrate that simple features defined at the spatial scale of the image patch are insufficient to account for human performance in the task. To define machine observers using a more biologically plausible multiscale feature set, we trained standard linear and neural network classifiers on the rectified outputs of a Gabor filter bank applied to the image patches. We found that simple linear classifiers could not match human performance, while a neural network classifier combining filter information across location and spatial scale compared well. These results demonstrate the importance of combining a variety of cues defined at multiple spatial scales for detecting natural occlusions. PMID:23255731

  4. A New Crank Arm-Based Load Cell for the 3D Analysis of the Force Applied by a Cyclist

    PubMed Central

    Balbinot, Alexandre; Milani, Cleiton; Nascimento, Jussan da Silva Bahia

    2014-01-01

    This report describes a new crank arm-based force platform designed to evaluate the three-dimensional force applied to the pedals by cyclists in real conditions. The force platform was designed to be fitted on a conventional competition bicycle crankset while data is transmitted wirelessly through a BluetoothTM module and also stored on a SD card. A 3D solid model is created in the SolidWorks (Dassault Systèmes SOLIDWORKS Corp.) to analyze the static and dynamic characteristics of the crank arm by using the finite elements technique. Each crankset arm is used as a load cell based on strain gauges configured as three Wheatstone bridges. The signals are conditioned on a printed circuit board attached directly to the structure. The load cell showed a maximum nonlinearity error between 0.36% and 0.61% and a maximum uncertainty of 2.3% referred to the sensitivity of each channel. A roller trainer equipped with an optical encoder was also developed, allowing the measurement of the wheel's instantaneous velocity. PMID:25479325

  5. A new crank arm-based load cell for the 3D analysis of the force applied by a cyclist.

    PubMed

    Balbinot, Alexandre; Milani, Cleiton; Nascimento, Jussan da Silva Bahia

    2014-12-03

    This report describes a new crank arm-based force platform designed to evaluate the three-dimensional force applied to the pedals by cyclists in real conditions. The force platform was designed to be fitted on a conventional competition bicycle crankset while data is transmitted wirelessly through a Bluetooth™ module and also stored on a SD card. A 3D solid model is created in the SolidWorks (Dassault Systèmes SOLIDWORKS Corp.) to analyze the static and dynamic characteristics of the crank arm by using the finite elements technique. Each crankset arm is used as a load cell based on strain gauges configured as three Wheatstone bridges. The signals are conditioned on a printed circuit board attached directly to the structure. The load cell showed a maximum nonlinearity error between 0.36% and 0.61% and a maximum uncertainty of 2.3% referred to the sensitivity of each channel. A roller trainer equipped with an optical encoder was also developed, allowing the measurement of the wheel's instantaneous velocity.

  6. An Enhanced Drought-Tolerant Method Using SA-Loaded PAMPS Polymer Materials Applied on Tobacco Pelleted Seeds

    PubMed Central

    Guan, Yajing; Cui, Huawei; Ma, Wenguang; Zheng, Yunye; Tian, Yixin; Hu, Jin

    2014-01-01

    Drought is one of the most important stress factors limiting the seed industry and crop production. Present study was undertaken to create novel drought-resistant pelleted seeds using the combined materials with superabsorbent polymer, poly(2-acrylamide-2-methyl propane sulfonic acid) (PAMPS) hydrogel, and drought resistance agent, salicylic acid (SA). The optimized PAMPS hydrogel was obtained as the molar ratio of 2-acrylamido-2-methyl-propanesulfonic acid (AMPS) to potassium peroxydisulfate (KPS) and N, N′-methylene-bis-acrylamide (MBA) was 1 : 0.00046 : 0.00134. The hydrogel weight after swelling in deionized water for 24 h reached 4306 times its own dry weight. The water retention ratio (RR) of PAMPS was significantly higher as compared with the control. It could keep as high as 85.3% of original weight after 30 min at 110°C; even at 25°C for 40 d, the PAMPS still kept RR at 33.67%. PAMPS disintegration ratio increased gradually and reached around 30% after embedding in soil or activated sludge for 60 d. In addition, there were better seed germination performance and seedling growth in the pelleted treatments with SA-loaded PAMPS hydrogel under drought stress than control. It suggested that SA-loaded PAMPS hydrogel, a nontoxic superabsorbent polymer, could be used as an effective drought resistance material applied to tobacco pelleted seeds. PMID:25250387

  7. An enhanced drought-tolerant method using SA-loaded PAMPS polymer materials applied on tobacco pelleted seeds.

    PubMed

    Guan, Yajing; Cui, Huawei; Ma, Wenguang; Zheng, Yunye; Tian, Yixin; Hu, Jin

    2014-01-01

    Drought is one of the most important stress factors limiting the seed industry and crop production. Present study was undertaken to create novel drought-resistant pelleted seeds using the combined materials with superabsorbent polymer, poly(2-acrylamide-2-methyl propane sulfonic acid) (PAMPS) hydrogel, and drought resistance agent, salicylic acid (SA). The optimized PAMPS hydrogel was obtained as the molar ratio of 2-acrylamido-2-methyl-propanesulfonic acid (AMPS) to potassium peroxydisulfate (KPS) and N, N'-methylene-bis-acrylamide (MBA) was 1 : 0.00046 : 0.00134. The hydrogel weight after swelling in deionized water for 24 h reached 4306 times its own dry weight. The water retention ratio (RR) of PAMPS was significantly higher as compared with the control. It could keep as high as 85.3% of original weight after 30 min at 110 °C; even at 25 °C for 40 d, the PAMPS still kept RR at 33.67%. PAMPS disintegration ratio increased gradually and reached around 30% after embedding in soil or activated sludge for 60 d. In addition, there were better seed germination performance and seedling growth in the pelleted treatments with SA-loaded PAMPS hydrogel under drought stress than control. It suggested that SA-loaded PAMPS hydrogel, a nontoxic superabsorbent polymer, could be used as an effective drought resistance material applied to tobacco pelleted seeds.

  8. Finite element modeling of occlusal variation in durophagous tooth systems.

    PubMed

    Crofts, Stephanie

    2015-09-01

    In addition to breaking hard prey items, the teeth of durophagous predators must also resist failure under high loads. To understand the effects of morphology on tooth resistance to failure, finite element models were used to examine differences in total strain energy (J), first principal strain and the distribution of strains in a diversity of canonical durophagous tooth morphologies. By changing the way loads were applied to the models, I was also able to model the effects of large and small prey items. Tooth models with overall convex morphologies have higher in-model strains than those with a flat or concave occlusal surface. When a cusp is added to the tooth model, taller or thinner cusps increase in-model strain. While there is little difference in the relationships between tooth morphology and strain measurements for most models, there is a marked difference between effects of the large and small prey loads on the concave and flat tooth morphologies. Comparing these data with measurements of force required by these same morphologies to break prey items illustrates functional trade-offs between the need to prevent tooth failure under high loads by minimizing in-tooth strain versus the drive to reduce the total applied force. © 2015. Published by The Company of Biologists Ltd.

  9. Acute arterial occlusion - kidney

    MedlinePlus

    Acute renal arterial thrombosis; Renal artery embolism; Acute renal artery occlusion; Embolism - renal artery ... kidneys need a good blood supply. The main artery to the kidney is called the renal artery. ...

  10. Impact of short term forced oral breathing induced by nasal occlusion on respiratory function in mice.

    PubMed

    Xie, Jiaxing; Xi, Yin; Zhang, Qingling; Lai, Kefang; Zhong, Nanshan

    2015-01-01

    Inconsistent findings regarding the experimental nasal obstruction on respiratory functions in small animals have been reported. The purpose of this study was to investigate the impact of short term forced oral breathing on respiratory functions as well as the therapeutic implication of esophageal intubation in BALB/c mice. Thirty BALB/c mice were randomized equally to two groups: an experimental group and control group. Oral breathing was induced by applying petrolatum ointment in nostrils for occlusion both nasal cavities. Esophageal tube was inserted to enlarge the oropharyngeal airway in the experimental mice. Respiratory parameters were measured by barometric whole-body plethysmography (WBP) in the following condition: normal nasal breathing; nasal breathing loading in a soft bag; forced oral breathing loading in a soft bag; forced oral breathing loading in a soft bag after undergoing esophageal intubation. After applying petrolatum ointment of nostrils, all the mice switch to oral breathing with apparent discomfort (bradypnea). Nasal occlusion was associated with a decrease in the average respiratory rate (268±36 vs. 90±10 breaths/min; P<0.01) and an increase in Penh (0.67±0.14 vs. 19.23±2.12; P<0.01). After undergoing esophagus intubation, these mice switched to oral breathing with less discomfort. Compared with the control mice, respiratory rate (175±25 vs. 90±10) was higher; the Penh (8.84±1.05 vs. 18.09±2.03; P<0.01) was lower. Short term forced oral breathing induced by nasal occlusion caused respiratory insufficiency in mice. Stenotic oropharyngeal airway was supposed to be one of the most important factors. Enlarging oropharyngeal airway by esophagus intubation could improve the respiratory insufficiency under nasal occlusion. Copyright © 2014 Elsevier B.V. All rights reserved.

  11. Removable partial denture occlusion.

    PubMed

    Ivanhoe, John R; Plummer, Kevin D

    2004-07-01

    No single occlusal morphology, scheme, or material will successfully treat all patients. Many patients have been treated, both successfully and unsuccessfully, using widely varying theories of occlusion, choices of posterior tooth form, and restorative materials. Therefore, experience has demonstrated that there is no one righ r way to restore the occlusion of all patients. Partially edentulous patients have many and varied needs. Clinicians must understand the healthy physiologic gnathostomatic system and properly diagnose what is or may become pathologic. Henderson [3] stated that the occlusion of the successfully treated patient allows the masticating mechanism to carry out its physiologic functions while the temporomandibular joints, the neuromuscular mechanism, the teeth and their supporting structures remain in a good state of health. Skills in diagnosis and treatment planning are of utmost importance in treating these patients, for whom the clinician's goals are not only an esthetic and functional restoration but also a lasting harmonious state. Perhaps this was best state by DeVan [55] more than 60 years ago in his often-quoted objective. "The patient's fundamental need is the continued meticulous restoration of what is missing, since what is lost is in a sense irretrievably lost." Because it is clear that there is no one method, no one occlusal scheme, or one material that guarantees success for all patients, recommendations for consideration when establishing or reestablishing occlusal schemes have been presented. These recommendations must be used in conjunction with other diagnostic and technical skills.

  12. Current possibilities in occlusal caries management.

    PubMed

    Jurić, Hrvoje

    2013-11-01

    Dental caries is a multifactorial disease that affects most populations throughout the world and it is still the primary cause of oral pain and tooth loss. The occlusal surfaces of posterior teeth are the most vulnerable sites for dental caries due to their anatomy. Therefore, the aim of the following article is to summarize current knowledge on occlusal caries development and the possibilities of its prevention. Although the overall caries rate today has fallen for populations in industrialized countries, the rate of occlusal surface caries has not decreased. This may be explained with fact that topically applied fluorides and their mode of action prevent caries better on smooth than on occlusal surfaces. As we know, tooth decay of first permanent molars causes a great deal of different short and long term difficulties for patients. Therefore, there is a continuous need for implementation of programs for caries prevention in permanent teeth. Nowadays, we like to treat our patients by minimally invasive methods. A very important step in our effective preventive treatment is sealing pits and fissures as a cornerstone of occlusal caries management. Reliable assessment of caries activity is also very important for defining treatment needs and plans. A very important decision, which should be made during occlusal caries management, is the selection of restorative material according to the treatment plan. Current possibilities in occlusal caries prevention and management are very effective. Therefore, dentists today do not have any excuse for avoiding the philosophy of Minimally Invasive Dentistry, especially when we talk about caries management of occlusal surfaces in permanent molars. Copyright © 2013 by Academy of Sciences and Arts of Bosnia and Herzegovina.

  13. Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale.

    PubMed

    Kim, Yongsik; Oh, Tae-Ju; Misch, Carl E; Wang, Hom-Lay

    2005-02-01

    Due to lack of the periodontal ligament, osseointegrated implants, unlike natural teeth, react biomechanically in a different fashion to occlusal force. It is therefore believed that dental implants may be more prone to occlusal overloading, which is often regarded as one of the potential causes for peri-implant bone loss and failure of the implant/implant prosthesis. Overloading factors that may negatively influence on implant longevity include large cantilevers, parafunctions, improper occlusal designs, and premature contacts. Hence, it is important to control implant occlusion within physiologic limit and thus provide optimal implant load to ensure a long-term implant success. The purposes of this paper are to discuss the importance of implant occlusion for implant longevity and to provide clinical guidelines of optimal implant occlusion and possible solutions managing complications related to implant occlusion. It must be emphasized that currently there is no evidence-based, implant-specific concept of occlusion. Future studies in this area are needed to clarify the relationship between occlusion and implant success.

  14. [Occlusal contact principles in prosthodontics].

    PubMed

    Wang, Meiqing

    2012-12-01

    The occlusion contact, which is engaged in many dental clinical scopes, is the primary subject in the field of dental occlusion. Prosthodontics is one of the fields that are involved in with this subject, including the static relation (the occlusal contacts in intercuspal occlusion) and the dynamic relation (such as that in chewing movement). Not only the restorations, but also the abutments, that have to be properly managed to obtain a harmony occlusal contact relationship.

  15. Direct observation of crack opening as a function of applied load in the interior of a notched tensile sample of Al-Li 2090

    SciTech Connect

    Guvenilir, A.; Breunig, T.M.; Stock, S.R.; Kinney, J.H.

    1997-05-01

    Results of in situ high resolution X-ray computed tomography are reported for a notched tensile sample of Al-Li 2090 T841. The fatigue crack within the interior of the sample is imaged with 6 {micro}m voxels as a function of applied load, and the crack face morphology is found to be similar to that observed in compact tension samples of this alloy. The loads and approximate stress intensities at which the tomography data were obtained were 82, 50, 25 and 5 kg and 7.1, 4.3, 2.2 and 0.4 MPa{radical}m, respectively. Crack openings measured during unloading as a function of position show that physical closure at portions of the crack tip and at positions behind the crack tip precedes (during unloading) the bend in the sample`s load-displacement curve. The three-dimensional pattern of crack opening shows substantial mixed mode I-III contact on the faces of asperities behind the crack tip, even at the maximum load of the fatigue cycle. Mixed mode I-II contact is also observed at loads above the bend in the load-displacement curve. The fraction of voxels open remains nearly constant for the loads immediately above and below the nominal closure load, as determined from the load-displacement curve, of 41 kg; and this suggests that these mixed mode I-III surfaces begin to carry significant load at the point where the load-displacement curve starts to deflect, and is the source of the apparent stiffening of the sample at loads below the nominal closure load.

  16. The use of ultrasonic pulse velocity tests for the diagnosis of ancient masonries: the influence of the applied load

    NASA Astrophysics Data System (ADS)

    Leucci, Giovanni; Vasanelli, Emilia; Calia, Angela; Micelli, Francesco; Aiello, Maria Antonietta

    2014-05-01

    Sophisticated non destructive techniques for the diagnosis of existing masonry structures have been developed and improved throughout the years, such as ground penetrating radar, thermography, sonic and ultrasonic tomography, laser scanner survey, etc.: by using an integrated approach it is possible to reconstruct the morphology of the masonry walls, to detect the presence of cracks and voids, achieving an accurate and reliable diagnosis of the construction, which is the basis for the restoration design. The ultrasonic pulse velocity (UPV) method can be conveniently used to check the quality of stones, but it can be used also for material characterization. Both the intrinsic characteristic of the stone (porosity, grain size, anisotropy, etc.) and the external factors (humidity, stress, temperature, presence of cracks) may affect the elastic wave propagation, thus in order to correctly estimate the ultrasonic behaviour of the material investigated it is important to know in what manner and how much the variation of the experimental conditions may modify the characteristics of the waves being measured. This aspect is of crucial importance when in situ measurements are made. In this work the influence of the applied load on UPV results has been investigated. In particular, the research has been carried out on ashlars and on sample masonry panels made of lime mortar joints and Lecce stone, a soft calcarenitic stone traditionally used in the Lecce district, South of Italy. The presence of load strongly influenced the UPV measures, due to the particular microstructural characteristic of the stone. The work aim at quantify this influence in order to correctly interpret in situ measurements.

  17. Holographic measurement on deformation of mandible with dental implants due to occlusion

    NASA Astrophysics Data System (ADS)

    Matsumoto, Toshiro; Tamamura, Kentaro; Sugimura, Tadataka; Inada, Joji

    1996-12-01

    To consider the dynamic response of implant bridge caused by occlusion, the deformation of the bridge and the near mandible subjected to occlusional force was measured by holographic interferometry. In the study, the mandibles of Japanese monkeys were used. A screw type ceramic implant was placed in the site of the second molar, when it was about one year since the mandibular first and second molars were extracted. An implant bridge was then fabricated and placed between the implant and the first and second premolars. After the mandibular bone was extracted, double exposure holographic interferograms were recorded under various loads for the mandible. It was found that the stress on the implant bridge concentrated on the mesial of the pontic when the vertical load was applied to the second premolar. This shows that the mandible near the implant receives most of stress and suffers frequent damage such as the bone resorption, when the loads were applied to its mesial side.

  18. H{sub {infinity}} Control Theory Applied to Xenon Control for Load-Following Operation of a Nuclear Reactor

    SciTech Connect

    Chi, Sung Goo; Cho, Nam Zin

    2002-02-15

    A robust controller is designed by applying the H{sub {infinity}} optimal control theory to the xenon control for the load-following operation of a nuclear reactor. The set of reactor model equations for controller design is a stiff system. This singularly perturbed system arises from the interaction of slow dynamics modes (iodine and xenon concentrations) and fast dynamics modes (neutron density, fuel and coolant temperatures). The singular perturbation technique is used to overcome this stiffness problem. The design specifications are incorporated by the frequency weights using the mixed-sensitivity problem approach. The robustness of H{sub {infinity}} control is demonstrated by comparing it with linear quadratic Gaussian (LQG) control in the case of a measurement delay of the power measurement system.Since the gains and phase margins of H{sub {infinity}} control are larger than those of LQG control, the H{sub {infinity}} control is expected to provide excellent stability robustness and performance robustness against external disturbances and noises, model parameter variations, and modeling errors as well as hardware failures. It may also provide a practical design method because the design specifications can be easily implemented by the frequency weights.

  19. Simple model of dissolved oxygen consumption in a bay within high organic loading: an applied remediation tool.

    PubMed

    Ahumada, Ramón; Vargas, José; Pagliero, Liliana

    2006-07-01

    San Vicente Bay is a coastal shallow embayment in Central Chile with multiple uses, one of which is receiving wastewater from industrial fisheries, steel mill effluents, and domestic sewage. A simulation model was developed and applied to dissolved oxygen consumption by organic residues released into this embayment. Three compartments were established as function of: depth, circulation and outfall location. The model compartments had different volumes, and their oxygen saturation value was used as baseline. The parameters: (a) BOD5 of the industrial and urban effluents, (b) oxygen demand by organic sediments, (c) respiration, (d) photosynthesis and (e) re-aeration were included in the model. Iteration results of the model showed severe alterations in Compartment 1, with a decrease of 65% in the oxygen below saturation. Compartment 2 showed a small decline (10%) and compartment 3 did not show apparent changes in oxygen values. Measures recommended for remediation were to decrease the BOD5 loading by 30% in the affected sector. Iteration of the model for 200 h following recommendations derived from the preceding results produced an increase in saturation of 60% (5 ml O2 L(-1)), which suggested an improvement of the environmental conditions.

  20. Splinting effect on posterior implants under various loading modes: a 3D finite element analysis.

    PubMed

    Hauchard, Erwan; Fournier, Benjamin Philippe; Jacq, Romain; Bouton, Antoine; Pierrisnard, Laurent; Naveau, Adrien

    2011-09-01

    This three-dimensional finite element study compared stresses, intensities and displacements of three mandibular posterior implants restored with cemented crowns (two molars and a premolar in straight line), splinted versus non-splinted. Hundred newton occlusal loads were vertically or horizontally applied, either on one single crown or on all of them. Maximal stresses and implants displacements were higher under horizontal loading. Splinting major effects appeared under single horizontal load with a decrease in stresses (34-49%) and displacements (16-19%) of the loaded crown. Splinting seems more appropriate for implant-supported restorations submitted to frequent single horizontal or oblique loads than vertical ones.

  1. Load cell

    DOEpatents

    Spletzer, Barry L.

    2001-01-01

    A load cell combines the outputs of a plurality of strain gauges to measure components of an applied load. Combination of strain gauge outputs allows measurement of any of six load components without requiring complex machining or mechanical linkages to isolate load components. An example six axis load cell produces six independent analog outputs which can be combined to determine any one of the six general load components.

  2. Load cell

    DOEpatents

    Spletzer, Barry L.

    1998-01-01

    A load cell combines the outputs of a plurality of strain gauges to measure components of an applied load. Combination of strain gauge outputs allows measurement of any of six load components without requiring complex machining or mechanical linkages to isolate load components. An example six axis load cell produces six independent analog outputs, each directly proportional to one of the six general load components.

  3. AnSBBR applied to the treatment of metalworking fluid wastewater: effect of organic and shock load.

    PubMed

    Carvalhinha, Pedro P; Flôres, Anderson; Rodrigues, José A D; Ratusznei, Suzana M; Zaiat, Marcelo; Foresti, Eugenio

    2010-11-01

    An investigation was performed regarding the application of a mechanically stirred anaerobic sequencing batch biofilm reactor containing immobilized biomass on inert polyurethane foam (AnSBBR) to the treatment of soluble metalworking fluids to remove organic matter and produce methane. The effect of increasing organic matter and reactor fill time, as well as shock load, on reactor stability and efficiency have been analyzed. The 5-L AnSBBR was operated at 30 degrees C in 8-h cycles, agitation of 400 rpm, and treated 2.0 L effluent per cycle. Organic matter was increased by increasing the influent concentration (500, 1,000, 2,000, and 3,000 mg chemical oxygen demand (COD)/L). Fill times investigated were in the batch mode (fill time 10 min) and fed-batch followed by batch (fill time 4 h). In the batch mode, organic matter removal efficiencies were 87%, 86%, and 80% for influent concentrations of 500, 1,000, and 2,000 mgCOD/L (1.50, 3.12, and 6.08 gCOD/L.d), respectively. At 3,000 mgCOD/L (9.38 gCOD/L.d), operational stability could not be achieved. The reactor managed to maintain stability when a shock load twice as high the feed concentration was applied, evidencing the robustness of the reactor to potential concentration variations in the wastewater being treated. Increasing the fill time to 4 h did not improve removal efficiency, which was 72% for 2,000 mgCOD/L. Thus, gradual feeding did not improve organic matter removal. The concentration of methane formed at 6.08 gCOD/L was 5.20 mmolCH(4), which corresponded to 78% of the biogas composition. The behavior of the reactor during batch and fed-batch feeding could be explained by a kinetic model that considers organic matter consumption, production, and consumption of total volatile acids and methane production.

  4. Collagen Fibrils in Skin Orient in the Direction of Applied Uniaxial Load in Proportion to Stress while Exhibiting Differential Strains around Hair Follicles

    PubMed Central

    Nesbitt, Sterling; Scott, Wentzell; Macione, James; Kotha, Shiva

    2015-01-01

    We determined inhomogeneity of strains around discontinuities as well as changes in orientation of collagen fibrils under applied load in skin. Second Harmonic Generation (SHG) images of collagen fibrils were obtained at different strain magnitudes. Changes in collagen orientation were analyzed using Fast Fourier Transforms (FFT) while strain inhomogeneity was determined at different distances from hair follicles using Digital Image Correlation (DIC). A parameter, defined as the Collagen Orientation Index (COI), is introduced that accounts for the increasingly ellipsoidal nature of the FFT amplitude images upon loading. We show that the COI demonstrates two distinct mechanical regimes, one at low strains (0%, 2.5%, 5% strain) in which randomly oriented collagen fibrils align in the direction of applied deformation. In the second regime, beginning at 5% strain, collagen fibrils elongate in response to applied deformation. Furthermore, the COI is also found to be linearly correlated with the applied stress indicating that collagen fibrils orient to take the applied load. DIC results indicated that major principal strains were found to increase with increased load at all locations. In contrast, minimum principal strain was dependent on distance from hair follicles. These findings are significant because global and local changes in collagen deformations are expected to be changed by disease, and could affect stem cell populations surrounding hair follicles, including mesenchymal stem cells within the outer root sheath. PMID:28788035

  5. Comparison of the respiratory responses to external resistive loading and bronchoconstriction.

    PubMed Central

    Kelsen, S G; Prestel, T F; Cherniack, N S; Chester, E H; Deal, E C

    1981-01-01

    The effects of resistive loads applied at the mouth were compared to the effects of bronchospasm on ventilation, respiratory muscle force (occlusion pressure), and respiratory sensations in 6 normal and 11 asthmatic subjects breathing 100% O2. External resistive loads ranging from 0.65 to 13.33 cm H2O/liter per s were applied during both inspiration and expiration. Bronchospasm was induced by inhalation of aerosolized methacholine. Bronchospasm increased ventilation, inspiratory airflow, respiratory rate, and lowered PACO2. External resistive loading, on the other hand, reduced respiratory rate and inspiratory flow, but left ventilation and PACO2 unaltered. FRC increased to a greater extent with bronchospasm than external flow resistive loads. With both bronchospasm and external loading, occlusion pressure increased in proportion to the rise in resistance to airflow. However, the change in occlusion pressure produced by a given change in resistance and the absolute level of occlusion pressure at comparable levels of airway resistance were greater during bronchospasm than during external loading. These differences in occlusion pressure responses to the two forms of obstruction were not explained by differences in chemical drive or respiratory muscle mechanical advantage. Although the subjects' perception of the effort involved in breathing was heightened during both forms of obstruction to airflow, at any given level of resistance the sense of effort was greater with bronchospasm than external loading. Inputs from mechanoreceptors in the lungs (e.g., irritant receptors) and/or greater stimulation of chest wall mechanoreceptors as a result of increases in lung elastance may explain the differing responses elicited by the two forms of resistive loading. PMID:6787083

  6. Accuracy of 3-D reconstruction with occlusions.

    PubMed

    Begon, Mickaël; Lacouture, Patrick

    2010-02-01

    A marker has to be seen by at least two cameras for its three-dimensional (3-D) reconstruction, and the accuracy can be improved with more cameras. However, a change in the set of cameras used in the reconstruction can alter the kinematics. The purpose of this study was to quantify the harmful effect of occlusions on two-dimensional (2-D) images and to make recommendations about the signal processing. A reference kinematics data set was collected for a three degree-of-freedom linkage with three cameras of a commercial motion analysis system without any occlusion on the 2-D images. In the 2-D images, some occlusions were artificially created based on trials of real cyclic motions. An interpolation of 2-D trajectories before the 3-D reconstruction and two filters (Savitsky-Golay and Butterworth filters) after reconstruction were successively applied to minimize the effect of the 2-D occlusions. The filter parameters were optimized by minimizing the root mean square error between the reference and the filtered data. The optimal parameters of the filters were marker dependent, whereas no filter was necessary after a 2-D interpolation. As the occlusions cause systematic error in the 3-D reconstruction, the interpolation of the 2-D trajectories is more appropriate than filtering the 3-D trajectories.

  7. Progression of Diabetic Capillary Occlusion: A Model

    PubMed Central

    Gens, John Scott; Glazier, James A.; Burns, Stephen A.; Gast, Thomas J.

    2016-01-01

    An explanatory computational model is developed of the contiguous areas of retinal capillary loss which play a large role in diabetic maculapathy and diabetic retinal neovascularization. Strictly random leukocyte mediated capillary occlusion cannot explain the occurrence of large contiguous areas of retinal ischemia. Therefore occlusion of an individual capillary must increase the probability of occlusion of surrounding capillaries. A retinal perifoveal vascular sector as well as a peripheral retinal capillary network and a deleted hexagonal capillary network are modelled using Compucell3D. The perifoveal modelling produces a pattern of spreading capillary loss with associated macular edema. In the peripheral network, spreading ischemia results from the progressive loss of the ladder capillaries which connect peripheral arterioles and venules. System blood flow was elevated in the macular model before a later reduction in flow in cases with progression of capillary occlusions. Simulations differing only in initial vascular network structures but with identical dynamics for oxygen, growth factors and vascular occlusions, replicate key clinical observations of ischemia and macular edema in the posterior pole and ischemia in the retinal periphery. The simulation results also seem consistent with quantitative data on macular blood flow and qualitative data on venous oxygenation. One computational model applied to distinct capillary networks in different retinal regions yielded results comparable to clinical observations in those regions. PMID:27300722

  8. Failure characteristics of two porous sandstones subjected to true triaxial stresses: Applied through a novel loading path

    NASA Astrophysics Data System (ADS)

    Ma, Xiaodong; Rudnicki, John W.; Haimson, Bezalel C.

    2017-04-01

    We performed an extensive suite of true triaxial experiments in two porous sandstones, Bentheim (porosity ≈ 24%) and Coconino (17%). The experiments were conducted using a novel loading path, which maintains constant Lode angle (Θ) throughout the test. This path enabled the examination of the effects of Lode angle and mean stress on failure (σoct,f). Our tests covered σ3 magnitudes between 0 and 150 MPa and of Θ at -30° (axisymmetric extension), -16°, 0°, +11°, +21°, and +30° (axisymmetric compression). Test results revealed the respective contribution of each of the two stress invariants to failure stress, failure plane angle, and failure mode. In both sandstones, the shear stress required for failure increases with mean stress but decreases with Θ when shear failure mode dominates. However, the dependence of failure stress on mean stress and Θ is reversed when the compactive failure mode is in control. The compactive failure mode was evident in Bentheim sandstone when compaction bands were observed under high mean stress. The Coconino sandstone did not reach the compactive failure regime within the maximum confinement applied. The failure plane angle monotonically decreases with increasing mean stress and Θ. For Coconino sandstone, failure plane angle varies between 80° and 50° for σoct,f between 50 and 450 MPa whereas it drops to 0° as σoct,f, approaches 250 MPa in Bentheim sandstone. We employed the bifurcation theory to relate the stress conditions at failure to the development of failure planes. The theory is in qualitative agreement with the experimental data.

  9. Effects of applied stress ratio on the fatigue behavior of additively manufactured porous biomaterials under compressive loading.

    PubMed

    de Krijger, Joep; Rans, Calvin; Van Hooreweder, Brecht; Lietaert, Karel; Pouran, Behdad; Zadpoor, Amir A

    2016-12-07

    Additively manufactured (AM) porous metallic biomaterials are considered promising candidates for bone substitution. In particular, AM porous titanium can be designed to exhibit mechanical properties similar to bone. There is some experimental data available in the literature regarding the fatigue behavior of AM porous titanium, but the effect of stress ratio on the fatigue behavior of those materials has not been studied before. In this paper, we study the effect of applied stress ratio on the compression-compression fatigue behavior of selective laser melted porous titanium (Ti-6Al-4V) based on the diamond unit cell. The porous titanium biomaterial is treated as a meta-material in the context of this work, meaning that R-ratios are calculated based on the applied stresses acting on a homogenized volume. After morphological characterization using micro computed tomography and quasi-static mechanical testing, the porous structures were tested under cyclic loading using five different stress ratios, i.e. R = 0.1, 0.3, 0.5, 0.7 and 0.8, to determine their S-N curves. Feature tracking algorithms were used for full-field deformation measurements during the fatigue tests. It was observed that the S-N curves of the porous structures shift upwards as the stress ratio increases. The stress amplitude was the most important factor determining the fatigue life. Constant fatigue life diagrams were constructed and compared with similar diagrams for bulk Ti-6Al-4V. Contrary to the bulk material, there was limited dependency of the constant life diagrams to mean stress. The notches present in the AM biomaterials were the sites of crack initiation. This observation and other evidence suggest that the notches created by the AM process cause the insensitivity of the fatigue life diagrams to mean stress. Feature tracking algorithms visualized the deformation during fatigue tests and demonstrated the root cause of inclined (45°) planes of specimen failure. In conclusion, the R

  10. The Research on the Bionic Friction Layers of TiAl-10wt.%V2O5 Nanowires at the Applied Loads of 6-24 N

    NASA Astrophysics Data System (ADS)

    Yang, Kang; Shi, Xiaoliang; Zou, Jialiang; Radwan, Amr Rady; Ibrahim, Ahmed Mohamed Mahmoud; Li, Xuewu; Huang, Yuchun; Shen, Qiao

    2016-12-01

    The objective of searching the optimum applied load was to minimize friction and decrease wear in mechanical moving components. The friction and wear behaviors of TiAl-10wt.%V2O5 nanowires (TiAl-10wt.%V2O5) were evaluated sliding against the fixed Al2O3 balls with the Vickers hardness of 18.07 GPa at the applied loads of 6-24 N. The testing results showed that the smaller friction coefficient and wear rate of TiAl-10wt.%V2O5 were obtained at 18 N, if compared to those at 6, 12 and 24 N. The smaller friction coefficient and wear rate were mainly attributed to the forming of cambiform structure of large crystalline grain, the higher totals of oxide interionic potential and the higher thickness of friction layer at 18 N, if compared to those at the other applied loads. It was obvious that the applied load of 18 N was reasonable for obtaining the lower sliding friction coefficient and the less wear rate of TiAl-10wt.%V2O5.

  11. Evaluation of constraint methodologies applied to a shallow-flaw cruciform bend specimen tested under biaxial loading conditions

    SciTech Connect

    Bass, B.R.; McAfee, W.J.; Williams, P.T.; Pennell, W.E.

    1998-01-01

    A technology to determine shallow-flaw fracture toughness of reactor pressure vessel (RPV) steels is being developed for application to the safety assessment of RPVs containing postulated shallow surface flaws. Matrices of cruciform beam tests were developed to investigate and quantify the effects of temperature, biaxial loading, and specimen size on fracture initiation toughness of two-dimensional (constant depth), shallow surface flaws. The cruciform beam specimens were developed at Oak Ridge National Laboratory (ORNL) to introduce a prototypic, far-field. out-of-plane biaxial stress component in the test section that approximates the nonlinear stresses resulting from pressurized-thermal-shock or pressure-temperature loading of an RPV. Tests were conducted under biaxial load ratios ranging from uniaxial to equibiaxial. These tests demonstrated that biaxial loading can have a pronounced effect on shallow-flaw fracture toughness in the lower transition temperature region for RPV materials. The cruciform fracture toughness data were used to evaluate fracture methodologies for predicting the observed effects of biaxial loading on shallow-flaw fracture toughness. Initial emphasis was placed on assessment of stress-based methodologies. namely, the J-Q formulation, the Dodds-Anderson toughness scaling model, and the Weibull approach. Applications of these methodologies based on the hydrostatic stress fracture criterion indicated an effect of loading-biaxiality on fracture toughness, the conventional maximum principal stress criterion indicated no effect.

  12. Cognitive Load and Self-Determination Theories Applied to E-Learning: Impact on Students' Participation and Academic Performance.

    PubMed

    de Araujo Guerra Grangeia, Tiago; de Jorge, Bruno; Franci, Daniel; Martins Santos, Thiago; Vellutini Setubal, Maria Silvia; Schweller, Marcelo; de Carvalho-Filho, Marco Antonio

    2016-01-01

    Emergency clerkships expose students to a stressful environment that require multiple tasks, which may have a direct impact on cognitive load and motivation for learning. To address this challenge, Cognitive Load Theory and Self Determination Theory provided the conceptual frameworks to the development of a Moodle-based online Emergency Medicine course, inspired by real clinical cases. Three consecutive classes (2013-2015) of sixth-year medical students (n = 304) participated in the course, during a curricular and essentially practical emergency rotation. "Virtual Rounds" provided weekly virtual patients in narrative format and meaningful schemata to chief complaints, in order to simulate real rounds at Emergency Unit. Additional activities such as Extreme Decisions, Emergency Quiz and Electrocardiographic challenge offered different views of emergency care. Authors assessed student´s participation and its correlation with their academic performance. A survey evaluated students´ opinions. Students graduating in 2015 answered an online questionnaire to investigate cognitive load and motivation. Each student produced 1965 pageviews and spent 72 hours logged on. Although Clinical Emergency rotation has two months long, students accessed the online course during an average of 5.3 months. Virtual Rounds was the most accessed activity, and there was positive correlations between the number of hours logged on the platform and final grades on Emergency Medicine. Over 90% of students felt an improvement in their clinical reasoning and considered themselves better prepared for rendering Emergency care. Considering a Likert scale from 1 (minimum load) to 7 (maximum load), the scores for total cognitive load were 4.79±2.2 for Virtual Rounds and 5.56±1.96 for real medical rounds(p<0,01). A real-world inspired online course, based on cognitive and motivational conceptual frameworks, seems to be a strong tool to engage students in learning. It may support them to manage the

  13. Deficient Attention Is Hard to Find: Applying the Perceptual Load Model of Selective Attention to Attention Deficit Hyperactivity Disorder Subtypes

    ERIC Educational Resources Information Center

    Huang-Pollock, Cynthia L.; Nigg, Joel T.; Carr, Thomas H.

    2005-01-01

    Background: Whether selective attention is a primary deficit in childhood Attention Deficit Hyperactivity Disorder (ADHD) remains in active debate. Methods: We used the "perceptual load" paradigm to examine both early and late selective attention in children with the Primarily Inattentive (ADHD-I) and Combined subtypes (ADHD-C) of ADHD. Results:…

  14. Runoff and phosphorus loads from two row-cropped fields with and without applied manure, 2000-2011

    USDA-ARS?s Scientific Manuscript database

    Adequate characterization of runoff water quality from agricultural fields under a changing climate will require years of monitoring. This study compared runoff volumes and phosphorus loads from two fields in central Iowa. Both fields were in corn-soybean rotation, but with only one receiving swine ...

  15. Deficient Attention Is Hard to Find: Applying the Perceptual Load Model of Selective Attention to Attention Deficit Hyperactivity Disorder Subtypes

    ERIC Educational Resources Information Center

    Huang-Pollock, Cynthia L.; Nigg, Joel T.; Carr, Thomas H.

    2005-01-01

    Background: Whether selective attention is a primary deficit in childhood Attention Deficit Hyperactivity Disorder (ADHD) remains in active debate. Methods: We used the "perceptual load" paradigm to examine both early and late selective attention in children with the Primarily Inattentive (ADHD-I) and Combined subtypes (ADHD-C) of ADHD. Results:…

  16. The influence of walking with an orthosis on bone mineral density by determination of the absolute values of the loads applied on the limb.

    PubMed

    Karimi, Mohammad Taghi

    2012-03-01

    Spinal cord injury is damage to the spinal cord that results in loss of mobility and sensation below the level of injury. Most patients use various types of orthoses to stand and walk. It has been claimed that walking and standing with orthosis reduces bone osteoporosis, improves joint range of motion and decreases muscle spasm. Unfortunately, there are discrepancies regarding the clinical effects of walking and standing on bone mineral density. The aim of this research was to find the absolute values of the loads transmitted by body and orthosis in walking with use of an orthosis. 5 normal subjects were recruited to stand and walk with a new design of reciprocal gait orthosis. The loads transmitted through the orthosis and anatomy was measured by use of strain gauge and motion analysis systems. It has been shown that the loads applied on the anatomy were significantly more than that transmitted through the orthosis. Moreover, the patterns of the forces and moments of the orthosis and body completely differed from each other. As the most part of the loads applied on the complex transmitted by anatomy in walking with an orthosis, walking with orthosis can influence bone mineral density.

  17. Cognitive Load and Self-Determination Theories Applied to E-Learning: Impact on Students' Participation and Academic Performance

    PubMed Central

    de Araujo Guerra Grangeia, Tiago; de Jorge, Bruno; Franci, Daniel; Martins Santos, Thiago; Vellutini Setubal, Maria Silvia; Schweller, Marcelo; de Carvalho-Filho, Marco Antonio

    2016-01-01

    Background Emergency clerkships expose students to a stressful environment that require multiple tasks, which may have a direct impact on cognitive load and motivation for learning. To address this challenge, Cognitive Load Theory and Self Determination Theory provided the conceptual frameworks to the development of a Moodle-based online Emergency Medicine course, inspired by real clinical cases. Methods Three consecutive classes (2013–2015) of sixth-year medical students (n = 304) participated in the course, during a curricular and essentially practical emergency rotation. “Virtual Rounds” provided weekly virtual patients in narrative format and meaningful schemata to chief complaints, in order to simulate real rounds at Emergency Unit. Additional activities such as Extreme Decisions, Emergency Quiz and Electrocardiographic challenge offered different views of emergency care. Authors assessed student´s participation and its correlation with their academic performance. A survey evaluated students´ opinions. Students graduating in 2015 answered an online questionnaire to investigate cognitive load and motivation. Results Each student produced 1965 pageviews and spent 72 hours logged on. Although Clinical Emergency rotation has two months long, students accessed the online course during an average of 5.3 months. Virtual Rounds was the most accessed activity, and there was positive correlations between the number of hours logged on the platform and final grades on Emergency Medicine. Over 90% of students felt an improvement in their clinical reasoning and considered themselves better prepared for rendering Emergency care. Considering a Likert scale from 1 (minimum load) to 7 (maximum load), the scores for total cognitive load were 4.79±2.2 for Virtual Rounds and 5.56±1.96 for real medical rounds(p<0,01). Conclusions A real-world inspired online course, based on cognitive and motivational conceptual frameworks, seems to be a strong tool to engage students in

  18. The EMG activity-acceleration relationship to quantify the optimal vibration load when applying synchronous whole-body vibration.

    PubMed

    Di Giminiani, Riccardo; Masedu, Francesco; Padulo, Johnny; Tihanyi, Jozsef; Valenti, Marco

    2015-12-01

    To date are lacking methodological approaches to individualizing whole-body vibration (WBV) intensity. The aim of this study was: (1) to determine the surface-electromyography-root-mean-square (sEMG(RMS))-acceleration load relationship in the vastus lateralis (VL), vastus medialis (VM), rectus femoris (RF), lateral gastrocnemius (LG) muscles during synchronous WBV, and (2) to assess the reliability of the acceleration corresponding to the maximal sEMG(RMS). Twenty-five sportsman voluntarily took part in this study with a single-group, repeated-measures design. All subjects postured themselves in an isometric half-squat during nine trials in the following conditions: no vibrations and random vibrations of different acceleration loads (from 0.12 to 5.72 g). The sEMG(RMS) were dependent on the acceleration loads in the VL (p = 0.0001), LG (p = 0.0001) and VM (p = 0.011) muscles; while RF was not affected by the acceleration loads (p = 0.508). The comparisons among the sEMG(RMS)-accelerations relationships revealed a significant difference between the LG and the others muscles (p = 0.001). No significant difference was found between the different thigh muscles (p > 0.05). The intra-class correlation coefficient ranged from 0.87 to 0.99 for the measurements performed on the LG, VL and VM. The sEMG(RMS)-acceleration relationship in the VL, VM and LG is a reliable test to individualize the WBV intervention. Copyright © 2015 Elsevier Ltd. All rights reserved.

  19. Investigation of the impact of transient heat loads applied by laser irradiation on ITER-grade tungsten

    NASA Astrophysics Data System (ADS)

    Huber, A.; Arakcheev, A.; Sergienko, G.; Steudel, I.; Wirtz, M.; Burdakov, A. V.; Coenen, J. W.; Kreter, A.; Linke, J.; Mertens, Ph; Philipps, V.; Pintsuk, G.; Reinhart, M.; Samm, U.; Shoshin, A.; Schweer, B.; Unterberg, B.; Zlobinski, M.

    2014-04-01

    Cracking thresholds and crack patterns in tungsten targets after repetitive ITER-like edge localized mode (ELM) pulses have been studied in recent simulation experiments by laser irradiation. The tungsten specimens were tested under selected conditions to quantify the thermal shock response. A Nd:YAG laser capable of delivering up to 32 J of energy per pulse with a duration of 1 ms at the fundamental wavelength λ = 1064 nm has been used to irradiate ITER-grade tungsten samples with repetitive heat loads. The laser exposures were performed for targets at room temperature (RT) as well as for targets preheated to 400 °C to measure the effects of the ELM-like loading conditions on the formation and development of cracks. The magnitude of the heat loads was 0.19, 0.38, 0.76 and 0.90 MJ m-2 (below the melting threshold) with a pulse duration of 1 ms. The tungsten surface was analysed after 100 and 1000 laser pulses to investigate the influence of material modification by plasma exposures on the cracking threshold. The observed damage threshold for ITER-grade W lies between 0.38 and 0.76 GW m-2. Continued cycling up to 1000 pulses at RT results in enhanced erosion of crack edges and crack edge melting. At the base temperature of 400 °C, the formation of cracks is suppressed.

  20. Cyclic Tensile Stress During Physiological Occlusal Force Enhances Osteogenic Differentiation of Human Periodontal Ligament Cells via ERK1/2-Elk1 MAPK Pathway

    PubMed Central

    Li, Lu; Han, Minxuan; Li, Sheng

    2013-01-01

    Physiological occlusal force constitutively exists in the oral environment and is important for periodontal homeostasis and remodeling. Cyclic tensile stress (CTS) triggers the biological response of periodontal ligament (PDL). However, a few reports have studied the correlation between CTS during physiological occlusal force and PDL cell activities such as osteogenic differentiation. In the present study, human PDL cells (hPDLCs) were subjected to 10% elongation CTS loading at 0.5 Hz for 24 h, which represents the physiological conditions of occlusal force. Gene expression microarray was used to investigate the mechano-induced differential gene profile and pathway analysis in vitro. The osteogenic relative factors, that is, SPP1, RUNX2, and SP7, were assessed by real-time PCR and Western blot. The involvement of mitogen-activated protein kinase (MAPK) signaling pathways was investigated by Western blot with a specific inhibitor. The expressions of SPP1, RUNX2, SP7, p-ERK1/2, and p-Elk1 were up-regulated after 10% CTS exposure. However, these up-regulated expressions were prevented by ERK1/2 inhibitor U0126 in the physiological occlusal force-applied hPDLCs. These results showed that 10% CTS could enhance osteogenic differentiation of hPDLCs via ERK1/2-Elk1 MAPK pathway, indicating that CTS during physiological occlusal force is a potent agent for PDL remodeling. PMID:23781879

  1. Occlusal designs on masticatory ability and patient satisfaction with complete denture: a systematic review.

    PubMed

    Zhao, Ke; Mai, Qing-Qing; Wang, Xiao-Dong; Yang, Wen; Zhao, Li

    2013-11-01

    To systematically review clinical outcomes of different occlusal designs of complete dentures. Using a various key words, an electronic search of clinical trials published in English and Chinese literature was performed from four databases: Medline/PubMed, EMBASE, Cochrane Library, and CBM. Furthermore, a manual searching of the relevant journals and the bibliographies of reviews was performed. General satisfaction, masticatory ability, retention, and stability were major criteria for the evaluation of the outcomes. Studies met these criteria were selected for a full-text reading. The whole processes were performed by two reviewers independently. This systematic review started with 1030 articles, which were finally narrowed down to seven, according to the inclusion criteria. The following occlusal designs were included and analyzed: anatomic occlusion, balanced occlusion, canine guidance occlusion, lingualized occlusion, monoplane occlusion, and bilateral-balanced and canine-guided design. Three of the seven studies showed that lingualized occlusion had ratings of higher patients' satisfaction than other occlusion designs. On the other hand, the canine-guided occlusion dentures demonstrated equal or better clinical performances than bilateral-balanced dentures. Because of the heterogeneity and bias of the studies, it was not possible to analyze the data statistically. Lingualized occlusion and canine-guided occlusion can be successfully applied in the fabrication of complete dentures. Canine guided occlusion has also been shown to be satisfactory. More well-controlled randomized trials are needed regarding canine-guided occlusion and the relationship between alveolar ridge resorption, different occlusal schemes and patient satisfaction. The conventional prosthodontic wisdom that complete dentures require a balanced occlusal design is not supported by the included literature. A suitable occlusal scheme would be a critical factor for a successful complete denture

  2. Crack initiation at high loading rates applying the four-point bending split Hopkinson pressure bar technique

    NASA Astrophysics Data System (ADS)

    Henschel, Sebastian; Krüger, Lutz

    2015-09-01

    Dynamic crack initiation with crack-tip loading rates of K˙ ≈ 2.106MPa√ms-1 in a high strength G42CrMoS4 steel was investigated. To this end, a previously developed split Hopkinson pressure bar with four-point bending was utilised. V-notched and pre-cracked Charpy specimens were tested. The detection of dynamic crack initiation was performed by analysing the dynamic force equilibrium between the incident and the transmission bar. Additionally, the signal of a near-field strain gauge and high-speed photography were used to determine the instant of crack initiation. To account for vibrations of the sample, a dynamic analysis of the stress intensity factor was performed. The dynamic and static analyses of the tests produced nearly the same results when a force equilibrium was achieved. Fracture-surface analysis revealed that elongated MnS inclusions strongly affected both the dynamic crack initiation and growth. Blunting of the precrack did not take place when a group of MnS inclusions was located directly at the precrack tip. Due to the direction of the elongated MnS inclusions perpendicular to the direction of crack growth, the crack could be deflected. The comparison with a 42CrMo4 steel without elongated MnS inclusions revealed the detrimental effect in terms of resistance to crack initiation. Taking the loading-rate dependency into consideration, it was shown that there was no pronounced embrittlement due to the high loading rates.

  3. Nonlinear dynamic response of a 'flexible-and-heavy' printed circuit board (PCB) to an impact load applied to its support contour

    NASA Astrophysics Data System (ADS)

    Suhir, E.; Vujosevic, M.; Reinikainen, T.

    2009-02-01

    Based on the developed simple and physically meaningful analytical ('mathematical') stress model, we evaluate some major parameters (amplitude, frequency, maximum acceleration, stresses and strains) of the response of a 'flexible-and-heavy' square simply supported printed circuit board (PCB) to an impact drop load applied to its support contour. The analysis is restricted to the first mode of vibrations and is carried out in application to the PCB design employed in an advanced accelerated test setup (test vehicle). This setup is aimed at the assessment of the performance, in accelerated test conditions on the board level, of packaging materials (and, first of all, BGA solder joint interconnections) subjected to dynamic (drop or shock) loading. It is anticipated that heavy masses could be mounted on the PCB to accelerate its dynamic response to an impact load. These masses are expected to be small in size, so that while changing the total mass of the board and generating significant inertia forces, they do not affect the board's flexural rigidity or its stiffness with respect to the in-plane loading. The PCB's contour is considered non-deformable, which is indeed the case in many practical situations. This circumstance, if the drop height and/or the induced inertia forces are significant, leads to elevated in-plane ('membrane') stresses in the PCB and, as a result of that, to the nonlinear response of the board to the impact load: the relationship between the magnitude of the load (determined by the initial impact velocity) and the induced PCB deflections becomes geometrically nonlinear, with a rigid cubic characteristic of the restoring force. The carried out numerical example, although reflects the characteristics of the PCB and loading conditions in an actual experimental setup, is merely an illustration of the general concept and is intended to demonstrate the abilities of the suggested method. Predictions based on this method agree well with the finite element

  4. A finite element study to determine the occurrence of abfraction and displacement due to various occlusal forces and with different alveolar bone height

    PubMed Central

    Vandana, Kharidhi Laxman; Deepti, Mittal; Shaimaa, Muneer; Naveen, Karnath; Rajendra, Desai

    2016-01-01

    Background: Noncarious cervical lesions (NCCLs) are rarely described in the periodontal literature, perhaps because no direct link between NCCLs and periodontal lesions has been demonstrated. Aim: The aim of this study is to determine the stress and displacement produced in the tooth at different bone levels under different occlusal load using finite element model (FEM) study. Materials and Methods: Four FEMs of maxillary incisor were designed consisting of the tooth, pulp, periodontal ligament, and alveolar bone at the various level of bone height (25%, 50%, and 75%). Different occlusal load (5 kg, 15 kg, 24 kg, and 29 kg) at an angle of 50° to the long axis of the tooth was applied on the palatal surface at the level of middle third of the crown. All the models were assumed to be isotropic, linear and elastic, and the analysis was performed on a Pentium IV processor computer using the ANSYS software. Results: The maximum stress in the tooth was seen in the cervical region and to a greater extent at the apex for all models. The maximum tooth displacement for all the occlusal loads applied in this study was at the incisal edge with the minimum tooth displacement at the cervical third of the root which shifted apically with the reduction of alveolar bone support. Conclusion: The cumulative effect of increased stress and displacement at the cervical region of the tooth would result in abfraction as the age advances along with other wasting diseases. PMID:27041831

  5. A finite element study to determine the occurrence of abfraction and displacement due to various occlusal forces and with different alveolar bone height.

    PubMed

    Vandana, Kharidhi Laxman; Deepti, Mittal; Shaimaa, Muneer; Naveen, Karnath; Rajendra, Desai

    2016-01-01

    Noncarious cervical lesions (NCCLs) are rarely described in the periodontal literature, perhaps because no direct link between NCCLs and periodontal lesions has been demonstrated. The aim of this study is to determine the stress and displacement produced in the tooth at different bone levels under different occlusal load using finite element model (FEM) study. Four FEMs of maxillary incisor were designed consisting of the tooth, pulp, periodontal ligament, and alveolar bone at the various level of bone height (25%, 50%, and 75%). Different occlusal load (5 kg, 15 kg, 24 kg, and 29 kg) at an angle of 50° to the long axis of the tooth was applied on the palatal surface at the level of middle third of the crown. All the models were assumed to be isotropic, linear and elastic, and the analysis was performed on a Pentium IV processor computer using the ANSYS software. The maximum stress in the tooth was seen in the cervical region and to a greater extent at the apex for all models. The maximum tooth displacement for all the occlusal loads applied in this study was at the incisal edge with the minimum tooth displacement at the cervical third of the root which shifted apically with the reduction of alveolar bone support. The cumulative effect of increased stress and displacement at the cervical region of the tooth would result in abfraction as the age advances along with other wasting diseases.

  6. Ball's motion, sliding friction, and internal load distribution in a high-speed ball bearing subjected to a combined radial, thrust, and moment load, applied to the inner ring's center of mass: Numerical procedure

    NASA Astrophysics Data System (ADS)

    César Ricci, Mário

    2015-10-01

    In a companion paper of this was introduced a set of non-linear algebraic equations for ball's motion, sliding friction and internal loading distribution computation in a high-speed, single-row, angular-contact ball bearing, subjected to a known combined radial, thrust and moment load, which must be applied to the inner ring's center of mass. It was shown there that it is required the iterative solution of 9Z + 3 simultaneous non-linear equations - where Z is the number of balls - to yield exact solution for contact angles, ball attitude angles, rolling radii, normal contact deformations and axial, radial, and angular deflections of the inner ring with respect the outer ring. The Newton-Rhapson method is to be used to solve the problem. This paper deals with the numerical procedure description. The numerical results derived from the described procedure shall be published later.

  7. Occlusal trauma--periodontal concerns.

    PubMed

    Hallmon, W W

    2001-10-01

    While there is evidence that suggests that occlusal trauma is a risk factor for periodontal destruction, there is no evidence that indicates that occlusal trauma will initiate periodontal destruction. Effective plaque control and compliance with periodontal maintenance recommendations are key and essential factors necessary to assure successful treatment and control of periodontal disease.

  8. Comparison of load-fatigue performance of posterior ceramic onlay restorations under different preparation designs.

    PubMed

    Kois, Dean E; Chaiyabutr, Yada; Kois, John C

    2012-06-01

    The objective of this study was to evaluate the load-fatigue performance of posterior ceramic onlay restorations relative to two variables: preparation design (with or without buccal veneers); and the existing amount of tooth structure (non-worn tooth, worn tooth). Sixty extracted third molars were divided into five groups. One group received a mesial-occlusal-distal (MOD) gold onlay restoration (control). The other four experimental groups were prepared for ceramic onlay restorations. Two of the groups additionally received 2-mm occlusal reduction to simulate occlusal wear. All restored teeth were subjected to thermocycling prior to fatigue testing. A fatigue load of 150 N was applied on the occlusal surface at a frequency of 1.2 hz, at an angle of 135 degrees to the long axis of the tooth. Specimen failure was defined as the occurrence of crack propagation in the luting cement layer. This was monitored by the strain gauge on the specimen. All specimens restored on worn tooth had significantly lower fatigue failure cycle counts than those of non-worn tooth. The fracture mode analysis revealed that ceramic fracture tended to be demonstrated only in the group of worn tooth groups. The addition of a buccal veneer component had no significant effect on the load-fatigue performance of posterior ceramic onlay restorations, but the existing amount of tooth structure did have a significant effect on the load-fatigue performance of posterior ceramic onlay restorations. Catastrophic failures (ceramic fracture) occurred only in the group of worn tooth.

  9. [Temporomandibular joint, occlusion and bruxism].

    PubMed

    Orthlieb, J D; Ré, J P; Jeany, M; Giraudeau, A

    2016-09-01

    Temporomandibular joint and dental occlusion are joined for better and worse. TMJ has its own weaknesses, sometimes indicated by bad functional habits and occlusal disorders. Occlusal analysis needs to be addressed simply and clearly. The term "malocclusion" is not reliable to build epidemiological studies, etiologic mechanisms or therapeutic advice on this "diagnosis". Understanding the impact of pathogenic malocclusion is not just about occlusal relationships that are more or less defective, it requires to locate them within the skeletal framework, the articular and behavioural context of the patient, and above all to assess their impact on the functions of the masticatory system. The TMJ-occlusion couple is often symbiotic, developing together in relation to its environment, compensating for its own shortcomings. However, a third partner may alter this relationship, such as bruxism, or more generally oral parafunctions, trauma or an interventionist practitioner.

  10. Effect of adhesive applied to the tooth-wood interface on metal-plate connections loaded in tension

    Treesearch

    Leslie H. Groom

    1991-01-01

    The structural behavior of metal-plate connections (MPCs) is affected not only by the isolated properties of the adjoining wood members and metal plate but also by the interfacial region between individual teeth and the surrounding wood. This study looked at maintaining a good interface by applying an epoxy adhesive to metal-plate teeth immediately preceding joint...

  11. Basilar Occlusion Syndromes

    PubMed Central

    Broderick, Joseph P.

    2015-01-01

    Basilar artery occlusions (BAOs) are a subset of posterior circulation strokes. Particular issues relevant to BAOs include variable and stuttering symptoms at onset resulting in delays in diagnosis, high morbidity and mortality, and uncertain best management. Despite better imaging techniques, diagnosis, and therefore treatment, is often delayed. We will present the most common signs and symptoms of posterior circulation strokes. Data on optimal treatment strategies are gathered from multiple case series, registries, and one randomized trial, which was stopped early. Possible etiologies of BAOs, acute, and subacute treatment strategies and special topics in neuroimaging of the posterior fossa are discussed. This review may be helpful to neurohospitalists who are managing patients with acute stroke as well as emergency room physicians and neurologists. PMID:26288672

  12. Lateral occlusion schemes in natural and minimally restored permanent dentition: a systematic review.

    PubMed

    Abduo, J; Tennant, M; McGeachie, J

    2013-10-01

    Clinicians commonly encounter the dilemma of which lateral occlusion schemes is most suitable for a specific patient. The aim of this review is to evaluate the prevalence of the lateral occlusion schemes that exist naturally. An electronic search was completed through PubMed (MEDLINE), Google Scholar and Cochrane Library. The search was confined to peer-reviewed studies published in English, up to April 2013. The literature search was supplemented by manual searching through the bibliography lists of the selected studies. The initial search retrieved a total of 575 studies. After applying the selection criteria, only 12 studies were suitable for inclusion. The Critical Appraisal Skills Programme (CASP) tools were utilised to appraise the quality of the studies. The prevalence of canine-guided, group function and balanced occlusions was reported. Overall, there was a clear variability between the studies. The prevalence of the lateral occlusion schemes appears to be influenced by the following factors: (i) the magnitude of excursion, (ii) an individual's age and (iii) the static occlusal relationship. During complete excursion, the canine-guided occlusion tends to be more frequently observed. After partial excursion, the most prevalent lateral occlusion schemes was group function occlusion. With ageing, the prevalence of canine-guided occlusion tends to be reduced and the prevalence of group function occlusion is increased. Dentition that is closer to Class II occlusion exhibits mainly canine-guided occlusion, while for Class III occlusion, group function occlusion is more prevalent. The studies revealed no relationship between the lateral occlusion schemes and TMD development.

  13. Reducing Nitrogen loadings to estuaries in Denmark, 1990-2010. Results and costs of measures applied in catchments to 10 Danish estuaries

    NASA Astrophysics Data System (ADS)

    Windolf, J.; Blicher-Mathiesen, G.; Carstensen, N. J.; Kronvang, B.

    2012-04-01

    The Nitrogen loading to 10 Danish estuaries has since 1990 been reduced by on average 42%. Thirty percent of this reduction is due to a reduction in Nitrogen loss from diffuse sources. Nitrogen surplus and the change in this surplus is shown to be a strong overall indicator for the trends in Nitrogen loading to most estuaries. The Nitrogen surplus has been reduced due to general national regulations and mitigation measures applied leading to an increased efficiency of Nitrogen use in cattle slurry (30%) and in pig slurry (ca. 40%). These improvements are paralleled by a reduced application of commercial N-fertilizer. Mean flow-weighted total Nitrogen concentrations in inlet fresh waters to estuaries have been reduced by 18-56% resulting in reductions of total Nitrogen concentrations (24-62%) in the inner and middle parts of the estuaries. The large variations in total Nitrogen loadings and concentrations in estuaries are due to both attenuation and time delays of Nitrogen in groundwater aquifers depending on catchment soil type and geology. This also implies varying costs of reducing the Nitrogen loadings from agricultural land (24-94 Euro/kg N reduced). Knowledge of the outcome of responses in the form of national regulations of agricultural N management for the N cycling from field to estuaries is important for decision makers and catchment managers working with the implementation of EU Directives such as the Water Framework Directive. Based on our findings we suggest that further reductions of Nitrogen loadings from agricultural land should be based on targeted and catchment specific measures leading to the most cost efficient way to achieve good ecological quality in the individual estuaries.

  14. Detection and handling of occlusion in an object detection system

    NASA Astrophysics Data System (ADS)

    Op het Veld, R. M. G.; Wijnhoven, R. G. J.; Bondarev, Y.; de With, Peter H. N.

    2015-03-01

    Object detection is an important technique for video surveillance applications. Although different detection algorithms were proposed, they all have problems in detecting occluded objects. In this paper, we propose a novel system for occlusion handling and integrate this in a sliding-window detection framework using HOG features and linear classification. The occlusion handling is obtained by applying multiple classifiers, each covering a different level of occlusion and focusing on the non-occluded object parts. Experiments show that our approach based on 17 classifiers, obtains an increase of 8% in detection performance. To limit computational complexity, we propose a cascaded implementation that only increases the computational cost by 3.4%. Although the paper presents results for pedestrian detection, our approach is not limited to this object class. Finally, our system does not need an additional dataset for training, covering all possible types of occlusions.

  15. Investigation of Tribological Behaviors of TiAl-Multilayer Graphene-Microsphere Composites at Different Applied Loads

    NASA Astrophysics Data System (ADS)

    Yan, Zhao; Zou, Jialiang; Shi, Xiaoliang; Yang, Kang; Huang, Yuchun; Liu, Xiyao; Deng, Xiaobin; Wang, Zhihai; Wang, Yufu

    2017-05-01

    Tribological behaviors of TiAl-multilayer graphene-microsphere composites (TMMC) are investigated at different loads in this paper. The tribological results show that TMMC exhibit excellent wear and friction performances from 4 to 20 N for the formation of the intact and smooth tribo-films containing multilayer graphene (MLG) and WS2-SiO2 microsphere (WSM) on the worn surfaces. During the sliding process, MLG and WSM are ground out of TMMC to form the tribo-films on the worn surfaces, which is beneficial to the decreasing in friction coefficients and wear rates. MLG is easy to be sheared for the weak interlayer binding force, which can reduce the friction coefficients and wear rates. WSM can repair the tribo-film by filling its worn pits, resulting in the smooth worn surface and excellent tribological performance of TMMC. Moreover, the hardness of TMMC is increased for the addition of MLG and WSM, which makes contributions to the improvement of tribological behaviors of TMMC.

  16. A method for three-dimensional displacement and deformation measurement applied to the statically loaded middle ear ossicles

    NASA Astrophysics Data System (ADS)

    Decraemer, Willem F.; Gea, Stefan L.; Maas, Steve A.; Dirckx, Joris J. J.

    2008-06-01

    The middle ear ossicles transmit sound from eardrum to inner ear under largely varying ambient pressure conditions. To protect the structures within the cochlea from excessive footplate incursions the configuration of the ossicles changes with pressure. Sequences of micro CT-scans were acquired from gerbil temporal bones under static ear canal pressures ranging from -450 to +450 daPa. These image stacks were used to track the 3D motion and deformations of the ossicles as a function of pressure using hyperelastic warping. Using the scans for zero pressure, accurate finite-element reference models were generated for each of the ossicles. With the difference between these template images and the target image data recorded in a deformed configuration as a driving force, the warping algorithm displaced and deformed the finite-element models of the ossicles in order to align the deformed template with the target data. Position changes of the ossicles within the middle ear cavity and deformation of the ossicles and the tympanic membrane were all measured in a same preparation. For each static pressure load a finite-element ossicular chain model is obtained in the run and can be used for further analysis under acoustic stimulation.

  17. Non-occlusive mesenteric ischemia.

    PubMed

    Lock, G; Schölmerich, J

    1995-07-01

    Non-occlusive disease of the mesentery is still a rather underdiagnosed and underestimated condition. It is associated with circumstances that may compromise circulation or the intake of drugs that may lower mesenteric blood flow. Pathophysiologically, a "low flow syndrome" of mesenteric circulation is followed by vasoconstriction; a reperfusion injury may contribute to the ischemic injury. Histopathological changes vary between superficial localized lesions and transmural gangrene. Diagnosis within the initial 24 hours of the development of symptoms is crucial for prognosis but remains a difficult task. Clinical presentation, laboratory tests and ultrasound lack specificity; the role of duplex ultrasound, tonometry and reflectance spectophotometry is still under evaluation. Mesenteric angiography remains the only reliable diagnostic tool and should be applied early in all patients in whom acute mesenteric ischemia is a real possibility. Therapy is aimed at the rapid correction of predisposing and precipitating factors and an effective treatment of mesenteric vasoconstriction. Treatment of choice is a papaverine infusion into the superior mesenteric artery via an angiography catheter. Patients with peritoneal signs have to be treated surgically.

  18. An analysis of the loads applied to a heavy Space Station rack during translation and rotation tasks

    NASA Technical Reports Server (NTRS)

    Stoycos, Lara E.; Klute, Glenn K.

    1994-01-01

    To prepare for Space Station Alpha's on-orbit assembly, maintenance, and resupply, NASA requires information about the crew members' ability to move heavy masses on orbit. Ease of movement in microgravity and orbiter stay time constraints may change the Space Station equipment and outfitting design requirements. Therefore, the time and effort required to perform a particular task and how and where the forces and torque should be applied become critical in evaluating the design effort. Thus, the three main objectives of this investigation were to: (1) quantify variables such as force and torque as they relate to heavy mass handling techniques; (2) predict the time required to perform heavy mass handling tasks; and (3) note any differences between males and females in their ability to manipulate a heavy mass.

  19. An analysis of the loads applied to a heavy Space Station rack during translation and rotation tasks

    NASA Astrophysics Data System (ADS)

    Stoycos, Lara E.; Klute, Glenn K.

    1994-02-01

    To prepare for Space Station Alpha's on-orbit assembly, maintenance, and resupply, NASA requires information about the crew members' ability to move heavy masses on orbit. Ease of movement in microgravity and orbiter stay time constraints may change the Space Station equipment and outfitting design requirements. Therefore, the time and effort required to perform a particular task and how and where the forces and torque should be applied become critical in evaluating the design effort. Thus, the three main objectives of this investigation were to: (1) quantify variables such as force and torque as they relate to heavy mass handling techniques; (2) predict the time required to perform heavy mass handling tasks; and (3) note any differences between males and females in their ability to manipulate a heavy mass.

  20. A Novel Fluoroscopy-free, Resuscitative Endovascular Aortic Balloon Occlusion System in a Model of Hemorrhagic Shock

    DTIC Science & Technology

    2013-07-01

    A novel fluoroscopy-free, resuscitative endovascular aortic balloon occlusion system in a model of hemorrhagic shock Daniel J. Scott, MD, Jonathan L...profile, fluoroscopy-free endovascular balloon occlusion catheters may allow proactive aortic control in patients at risk for hemorrhagic shock and...can be maintained. In the setting of noncompressible torso hemorrhage, resuscitative aortic occlusion mitigates hemorrhage and increases after-load and

  1. Chewing efficiency and occlusal functional morphology in modern humans.

    PubMed

    Laird, Myra F; Vogel, Erin R; Pontzer, Herman

    2016-04-01

    The reduction of occlusal dimensions in early Homo is often proposed to be a functional adaptation to diet. With their smaller occlusal surfaces, species of early Homo are suggested to have reduced food-processing abilities, particularly for foods with high material properties (e.g., increased toughness). Here, we employ chewing efficiency as a measure of masticatory performance to test the relationships between masticatory function and food properties. We predicted that humans are more efficient when processing foods of lower toughness and Young's modulus values, and that subjects with larger occlusal surfaces will be less efficient when processing foods with higher toughness and Young's modulus, as the greater area spreads out the overall bite force applied to food particles. Chewing efficiency was measured in 26 adults using high-speed motion capture and surface electromyography. The dentition of each subject was cast and the occlusal surface was quantified using dental topographic analysis. Toughness and displacement-limited index were negatively correlated with chewing efficiency, but Young's modulus was not. Increased occlusal two-dimensional area and surface area were positively correlated with chewing efficiency for all foods. Thus, larger occlusal surface areas were more efficient when processing foods of greater toughness. These results suggest that the reduction in occlusal area in early Homo was associated with a reduction in chewing efficiency, particularly for foods with greater toughness. Further, the larger occlusal surfaces of earlier hominins such as Australopithecus would have likely increased chewing efficiency and increased the probability of fracture when processing tough foods. Copyright © 2015 Elsevier Ltd. All rights reserved.

  2. AnSBBR applied to a personal care industry wastewater treatment: effects of fill time, volume treated per cycle, and organic load.

    PubMed

    Rodrigues, José Alberto Domingues; Oliveira, Ricardo Polisaitis; Ratusznei, Suzana Maria; Zaiat, Marcelo; Foresti, Eugenio

    2011-01-01

    A study was performed regarding the effect of the relation between fill time, volume treated per cycle, and influent concentration at different applied organic loadings on the stability and efficiency of an anaerobic sequencing batch reactor containing immobilized biomass on polyurethane foam with recirculation of the liquid phase (AnSBBR) applied to the treatment of wastewater from a personal care industry. Total cycle length of the reactor was 8 h (480 min). Fill times were 10 min in the batch operation, 4 h in the fed-batch operation, and a 10-min batch followed by a 4-h fed batch in the mixed operation. Settling time was not necessary since the biomass was immobilized and decant time was 10 min. Volume of liquid medium in the reactor was 2.5 L, whereas volume treated per cycle ranged from 0.88 to 2.5 L in accordance with fill time. Influent concentration varied from 300 to 1,425 mg COD/L, resulting in an applied volumetric organic load of 0.9 and 1.5 g COD/L.d. Recirculation flow rate was 20 L/h, and the reactor was maintained at 30 °C. Values of organic matter removal efficiency of filtered effluent samples were below 71% in the batch operations and above 74% in the operations of fed batch followed by batch. Feeding wastewater during part of the operational cycle was beneficial to the system, as it resulted in indirect control over the conversion of substrate into intermediates that would negatively interfere with the biochemical reactions regarding the degradation of organic matter. As a result, the average substrate consumption increased, leading to higher organic removal efficiencies in the fed-batch operations.

  3. Management of carotid near-occlusion and acute carotid occlusion.

    PubMed

    Fisch, Loraine; Brown, Martin M

    2016-04-01

    As a stenosis becomes more severe, blood flow through it increases in velocity to maintain volume, flow and pressure. But there is a critical point beyond which further increase in stenosis no longer allows sufficient blood to pass through to maintain volumetric flow, and the carotid artery beyond the stenosis begins to decrease in diameter. This is the near occlusion. To maintain a sufficient blood flow in affected area, there is a progressive recruitment of collaterals followed by an activation of cerebral autoregulation with dilatation of resistance vessels. When this process fails to maintain normal cerebral blood flow, oxygen extraction fraction of the affected brain tissue increases to maintain normal cerebral metabolism. Near occlusion has been described as involving 1 to 10% of all severe stenosis, but the potential for stroke from such critical stenosis is less than its appearance would suggest. The optimum management of near-occlusion therefore remains a matter of debate. Although endarterectomy for carotid stenosis of 70-99% was associated with an absolute risk reduction in any stroke or death of 16% in the original randomized trials, the benefit was less in patients with near-occlusion. In 2015, a meta-analysis focused on patients with near-occlusion confirmed only a small benefit of carotid endarterectomy or stenting compared to medical treatment in patients with near occlusion. In patients with near-occlusion and compromised hemodynamics, revascularization should improve cerebral blood flow and consequently prevent ischemic stroke. Nevertheless the effect of improved cerebral hemodynamics after revascularization on prevention of ischemic stroke is uncertain.

  4. Measurement of regional forearm muscle haemodynamics via the near-infrared spectroscopy venous occlusion technique: the impact of hand circulatory occlusion.

    PubMed

    Cross, T J; van Beekvelt, M; Constantini, K; Sabapathy, S

    2014-12-01

    The purpose of this study was to examine whether circulatory occlusion of the hand impacts on regional forearm muscle haemodynamics as determined by the near-infrared spectroscopy (NIRS) venous occlusion technique (NIRSVOT). Twenty-five young, healthy participants (18 males and 7 females; 28 ± 4 years; 71 ± 7 kg) completed two experimental protocols that were performed on the dominant arm: (1) a series of five venous occlusion trials with a suprasystolic cuff (>260 mmHg) applied to the wrist and (2) five venous occlusion trials without hand-occlusion. Both protocols were performed twice in a counterbalanced manner. NIRS data were obtained from the flexor digitorum superficialis (FDS) muscle using a dual wavelength, continuous-wave spectrophotometer. FDS muscle blood flow (Q(FDS)), vascular conductance (C(FDS)), O2 consumption (Vo(2FDS)), and venous O2 saturation (SvO2) were calculated from NIRS data during the initial 5 s of venous occlusion. Circulatory occlusion of the hand via wrist cuffing significantly (P < 0.05) reduced Q(FDS) (-36 ± 23%), CFDS (-37 ± 23%), Vo2(FDS) (-14 ± 31%) and SvO2 (-14 ± 12%). These findings indicate that hand-occlusion, via wrist cuffing, adversely impacts on regional forearm haemodynamics as determined by the NIRS-VOT. Consequently, it is recommended that future investigators avoid hand-occlusion when using the NIRS-VOT to quantify spontaneous haemodynamics of regional forearm muscle.

  5. Role of partition coefficients in determining the percutaneous penetration of salicylic acid and formaldehyde under varying occlusion durations.

    PubMed

    Hafeez, Farhaan; Chiang, Audris; Hui, Xiaoying; Maibach, Howard

    2014-10-01

    Occlusion is widely utilized to enhance the percutaneous penetration of applied drugs in clinical practice; however, occlusion does not increase the penetration of all chemicals. This study determines: (1) whether occlusion enhances the percutaneous penetration of the lipophilic salicylic acid or the hydrophilic formaldehyde when compared to non-occlusion, (2) evaluate whether occlusion duration affects the penetration of compounds and (3) establish to what extent occlusive films in clinical practice interact with topically-applied chemicals and possibly hinder penetration. Separately, single doses of [14C]-formaldehyde and [14C]-salicylic acid were applied onto human skin overlying diffusion cells under non-occlusion as well as various occlusive time periods (1, 4 and 8 h). The percent dose penetrating into each compartment as well the percent dose adhering to the plastic wrap were determined. The radioactivity recovery as percent of applied dose of [14C]-salicylic acid was significantly higher under occlusion versus non-occlusion in the epidermis, dermis and receptor fluid after 24 h (p < 0.05). For [14C]-formaldehyde, no significant statistical differences were observed between occlusion versus non-occlusion. The plastic wrap often used to enhance the penetration of topically applied drugs does not itself substantially adhere to the tested chemicals. Occlusion duration, previously undocumented for in vitro studies, impacted the percutaneous penetration of the lipophilic salicylic acid more so than the hydrophilic formaldehyde. A strong correlation between occlusion-enhanced penetration and partition coefficients was observed, but we do not wish to overgeneralize these results until more compounds of varying physical--chemical properties are studied.

  6. A new crank arm based load cell, with built-in conditioning circuit and strain gages, to measure the components of the force applied by a cyclist.

    PubMed

    Pigatto, Andre V; Moura, Karina O A; Favieiro, Gabriela W; Balbinot, Alexandre

    2016-08-01

    This report describes the development of a force platform based on instrumented load cells with built-in conditioning circuit and strain gages to measure and acquire the components of the force that is applied to the bike crank arm during pedaling in real conditions, and save them on a SD Card. To accomplish that, a complete new crank arm 3D solid model was developed in the SolidWorks, with dimensions equivalent to a commercial crank set and compatible with a conventional road bike, but with a compartment to support all the electronics necessary to measure 3 components of the force applied to the pedal during pedaling. After that, a 6082 T6 Aluminum Crankset based on the solid model was made and instrumented with three Wheatstone bridges each. The signals were conditioned on a printed circuit board, made on SMD technology, and acquired using a microcontroller with a DAC. Static deformation analysis showed a linearity error below 0.6% for all six channels. Dynamic analysis showed a natural frequency above 136Hz. A one-factor experiment design was performed with 5 amateur cyclists. ANOVA showed that the cyclist weight causes significant variation on the force applied to the bicycle pedal and its bilateral symmetry.

  7. Estimates of Vertical Velocity Errors for IGS ITRF2014 Stations by Applying the Improved Singular Spectrum Analysis Method and Environmental Loading Models

    NASA Astrophysics Data System (ADS)

    Klos, Anna; Gruszczynska, Marta; Bos, Machiel Simon; Boy, Jean-Paul; Bogusz, Janusz

    2017-02-01

    A reliable subtraction of seasonal signals from the Global Positioning System (GPS) position time series is beneficial for the accuracy of derived velocities. In this research, we propose a two-stage solution of the problem of a proper determination of seasonal changes. We employ environmental loading models (atmospheric, hydrological and ocean non-tidal) with a dominant annual signal of amplitudes in their superposition of up to 12 mm and study the seasonal signal (annual and semi-annual) estimates that change over time using improved singular spectrum analysis (ISSA). Then, this deterministic model is subtracted from GPS position time series. We studied data from 376 permanent International GNSS Service (IGS) stations, derived as the official contribution to International Terrestrial Reference Frame (ITRF2014) to measure the influence of applying environmental loading models on the estimated vertical velocity. Having removed the environmental loadings directly from the position time series, we noticed the evident change in the power spectrum for frequencies between 4 and 80 cpy. Therefore, we modelled the seasonal signal in environmental models using the ISSA approach and subtracted it from GPS vertical time series to leave the noise character of the time series intact. We estimated the velocity dilution of precision (DP) as a ratio between classical Weighted Least Squares and ISSA approach. For a total number of 298 out of the 376 stations analysed, the DP was lower than 1. This indicates that when the ISSA-derived curve was removed from the GPS data, the error of velocity becomes lower than it was before.

  8. [Morphological changes in the thymus during the physical loads applied simultaneously with the administration of diucifon and in the rehabilitation period].

    PubMed

    Tkachuk, M G; Stradina, M S

    2007-01-01

    The peculiarities of structure and cellular composition of the thymus in male Wistar rats were studied using histological, morphometric methods and electron microscopy during the adaptation to physical loads (swimming), which were applied simultaneously with the administration of the immunomodulator diucifon and in the late stages of a rehabilitation period after cessation of the training process. Training performed with the simultaneous correction with diucifon resulted in the changes that were indicative of the increased reserve capacity of the immune system (increase in the relative area of the cortex in thymus sections, augmentation of the number of blast cells, medium lymphocytes and mitotically dividing cells). The degree of these changes was different in animals with various adaptation capacity, which is indicative of the necessity of immunomodulator administration considering an individual organism response to physical loads. 5 weeks after cessation of the training, in 75% of animals that were trained without correctrion, the signs of thymic involution (increase in the amount of adipose tissue, thickening of interlobular septae) were more expressed than in the animals of control group. In rats that received diucifon, thymus structure and cellular composition were similar to those in the control group.

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

    PubMed

    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

  10. A comparison of two-dimensional and real-time 3D transoesophageal echocardiography and angiography for assessing the left atrial appendage anatomy for sizing a left atrial appendage occlusion system: impact of volume loading.

    PubMed

    Al-Kassou, Baravan; Tzikas, Apostolos; Stock, Friederike; Neikes, Fabian; Völz, Alexander; Omran, Heyder

    2017-04-20

    Correct sizing of a left atrial appendage (LAA) closure system is important to avoid redeployment of the device and peri-device leaks. The aims of this study were to assess the significance of two-dimensional transoesophageal echocardiography (2D-TEE), real-time 3D transoesophageal echocardiography (RT 3D-TEE) and angiography for measuring the size of the LAA landing zone and to determine the impact on sizing an LAA closure device. Furthermore, we investigated the relevance of volume loading on LAA size. In a prospective study, 46 patients underwent 2D-TEE and RT 3D-TEE 24 hours prior to LAA closure, at the beginning of the procedure and just before the procedure after volume loading with an average of 1,035±246 ml. Angiography was performed immediately before the implantation. Maximal diameter (2.2±0.4 versus 2.3±0.4 cm; p<0.01), perimeter (6.5±1.0 versus 6.8±1.0 cm, p<0.01) and area (3.2±1.0 versus 3.5±1.1 cm², p<0.01) of the LAA increased significantly after volume loading. The highest correlation (R) between measurements and LAA device size was found for RT 3D-TEE-derived perimeter (R=0.97) and area (R=0.96), whereas the maximal diameter (R=0.78) measured by 2D-TEE and angiography (R=0.76) correlated less closely. Sizing based on an RT 3D-TEE-measured perimeter resulted only in 4% of undersizing the implanted device. Peri-device leaks occurred in seven cases (15%) and were associated with a lower compression of LAA devices (7±1.3% versus 14±3.2% for patients without leaks, p<0.001). Volume loading before LAA closure increases LAA dimensions significantly. RT 3D-TEE measurements show a closer correlation to LAA closure device size than 2D-TEE or angiographic measurements.

  11. Occlusion as a measure for visual workload: an overview of TNO occlusion research in car driving.

    PubMed

    van der Horst, Richard

    2004-05-01

    A process-oriented approach by systematically studying driver performance, distraction, and workload is the way to go for assessing safety effects of new telematics applications in vehicles. These systems may strive for drivers' attention and possibly lead to distraction from the primary task. Visual occlusion techniques appear to be an effective means of studying drivers' visual information processing performance. Studies to illustrate this include identifying the minimum visual information drivers need for driving (asking for visual information) and the evaluation of driver support systems such as heading control and adaptive cruise control with respect to visual workload. In other applications the occlusion technique is used to exclude 'visual array' information from the optic flow field. The temporary exclusion of part of the visual field of view was applied in evaluating the effects of different types of driver's side rearview mirrors.

  12. Interaction effects of organic load and cycle time in an AsBr applied to a personal care industry wastewater treatment.

    PubMed

    Oliveira, Ricardo Polisaitis; Ratusznei, Suzana Maria; Rodrigues, José Alberto Domingues; Zaiat, Marcelo; Foresti, Eugenio

    2010-12-01

    A mechanically stirred anaerobic sequencing batch reactor (ASBR) containing granular biomass was applied to the treatment of a wastewater simulating the effluent from a personal care industry. The ASBR was operated with cycle lengths (t(C)) of 8, 12 and 24 h and applied volumetric organic loads (AVOL) of 0.75, 0.50 and 0.25 gCOD/L.d, treating 2.0 L liquid medium per cycle. Stirring frequency was 150 rpm and the reactor was kept in an isothermal chamber at 30 °C. Increase in t(C) resulted in efficiency increase at constant AVOL, reaching 77% at t(C) of 24 h versus 69% at t(C) of 8 h. However, efficiency decreased when AVOL decreased as a function of increasing t(C), due to the lack of substrate in the reaction medium. Moreover, replacing part of the wastewater by a chemically balanced synthetic one did not yield the expected effect and system efficiency dropped.

  13. Numerical simulation of the fracture process in ceramic FPD frameworks caused by oblique loading.

    PubMed

    Kou, Wen; Qiao, Jiyan; Chen, Li; Ding, Yansheng; Sjögren, Göran

    2015-10-01

    Using a newly developed three-dimensional (3D) numerical modeling code, an analysis was performed of the fracture behavior in a three-unit ceramic-based fixed partial denture (FPD) framework subjected to oblique loading. All the materials in the study were treated heterogeneously; Weibull׳s distribution law was applied to the description of the heterogeneity. The Mohr-Coulomb failure criterion with tensile strength cut-off was utilized in judging whether the material was in an elastic or failed state. The simulated loading area was placed either on the buccal or the lingual cusp of a premolar-shaped pontic with the loading direction at 30°, 45°, 60°, 75° or 90° angles to the occlusal surface. The stress distribution, fracture initiation and propagation in the framework during the loading and fracture process were analyzed. This numerical simulation allowed the cause of the framework fracture to be identified as tensile stress failure. The decisive fracture was initiated in the gingival embrasure of the pontic, regardless of whether the buccal or lingual cusp of the pontic was loaded. The stress distribution and fracture propagation process of the framework could be followed step by step from beginning to end. The bearing capacity and the rigidity of the framework vary with the loading position and direction. The framework loaded with 90° towards the occlusal surface has the highest bearing capacity and the greatest rigidity. The framework loaded with 30° towards the occlusal surface has the least rigidity indicating that oblique loading has a major impact on the fracture of ceramic frameworks. Copyright © 2015 Elsevier Ltd. All rights reserved.

  14. 'Occlusal sketch'; a reliable technique for technicians to check that the occlusion of models is correct?

    PubMed

    Davies, Stephen J; Al-Ani, Ziad; Richmond, Raymond; Worthington, Helen V; Smith, Philip W

    2005-06-01

    The aim of this study was to determine whether the occlusal sketch technique can be used as a reliable means of verifying the occlusal contacts on articulated casts. Occlusal markings were made on 30 sets of upper and lower dentate casts and these were recorded using the 'occlusal sketch' technique. Fifteen out of the total 30 pairs of casts were deliberately corrupted by the clinician so that they no longer matched the record on the 'occlusal sketch'. Three dental technicians were asked to judge in which of the 30 casts the occlusal contacts differed from those represented by the occlusal sketch. The results showed almost perfect agreement between the technicians in correctly identifying which casts had marked occlusal contacts which differed from those recorded on the occlusal sketch. The occlusal sketch provides a reliable way of communicating occlusal contacts that occur in a case, between clinician and technician.

  15. Higher Maximal Occlusal Bite Force in Endodontically Treated Teeth Versus Vital Contralateral Counterparts.

    PubMed

    Awawdeh, Lama; Hemaidat, Khalid; Al-Omari, Wael

    2017-06-01

    Decreased sensitivity to occlusal load could lead to a greater risk of damage to endodontically treated teeth. Therefore, this study aims to test whether root canal treatment reduces the sensitivity of the treated teeth to occlusal load. This is a comparative cross-sectional study of 124 patients who received root canal treatment. Treated teeth were compared with vital teeth on the contralateral side. After interviews with participants, their maximal bite forces (MBFs) of their root canal-treated and contralateral untreated teeth were measured using a digital bite fork force transducer. Data were analyzed by comparing the mean MBF of root canal-treated and control teeth. The mean MBF (± standard deviation) was 226.6 N (±168.7) for root canal-treated teeth and 207.93 N (±158.08) for control teeth. Root canal-treated teeth had a significantly higher difference in the mean MBF than the control group (P < .0001) using the paired sample t test. A univariate analysis test showed that differences in the MBF were affected by molar relationship, overbite, and the quality of root filling. The difference in the MBF was significantly higher in root canal-treated teeth, which is consistent with the function of dental pulp as a highly sensitive sensor. Therefore, the reduction in the sensitivity of teeth to an applied load after pulp removal may increase the risk of overloading. This may, in turn, increase the frequency of tooth damage after root canal treatment. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  16. Dynamic Modelling of Tooth Deformation Using Occlusal Kinematics and Finite Element Analysis.

    PubMed

    Benazzi, Stefano; Nguyen, Huynh Nhu; Kullmer, Ottmar; Kupczik, Kornelius

    2016-01-01

    Dental biomechanics based on finite element (FE) analysis is attracting enormous interest in dentistry, biology, anthropology and palaeontology. Nonetheless, several shortcomings in FE modeling exist, mainly due to unrealistic loading conditions. In this contribution we used kinematics information recorded in a virtual environment derived from occlusal contact detection between high resolution models of an upper and lower human first molar pair (M1 and M1, respectively) to run a non-linear dynamic FE crash colliding test. MicroCT image data of a modern human skull were segmented to reconstruct digital models of the antagonistic right M1 and M1 and the dental supporting structures. We used the Occlusal Fingerprint Analyser software to reconstruct the individual occlusal pathway trajectory during the power stroke of the chewing cycle, which was applied in a FE simulation to guide the M1 3D-path for the crash colliding test. FE analysis results showed that the stress pattern changes considerably during the power stroke, demonstrating that knowledge about chewing kinematics in conjunction with a morphologically detailed FE model is crucial for understanding tooth form and function under physiological conditions. Results from such advanced dynamic approaches will be applicable to evaluate and avoid mechanical failure in prosthodontics/endodontic treatments, and to test material behavior for modern tooth restoration in dentistry. This approach will also allow us to improve our knowledge in chewing-related biomechanics for functional diagnosis and therapy, and it will help paleoanthropologists to illuminate dental adaptive processes and morphological modifications in human evolution.

  17. Dynamic Modelling of Tooth Deformation Using Occlusal Kinematics and Finite Element Analysis

    PubMed Central

    Benazzi, Stefano; Nguyen, Huynh Nhu; Kullmer, Ottmar; Kupczik, Kornelius

    2016-01-01

    Background Dental biomechanics based on finite element (FE) analysis is attracting enormous interest in dentistry, biology, anthropology and palaeontology. Nonetheless, several shortcomings in FE modeling exist, mainly due to unrealistic loading conditions. In this contribution we used kinematics information recorded in a virtual environment derived from occlusal contact detection between high resolution models of an upper and lower human first molar pair (M1 and M1, respectively) to run a non-linear dynamic FE crash colliding test. Methodology MicroCT image data of a modern human skull were segmented to reconstruct digital models of the antagonistic right M1 and M1 and the dental supporting structures. We used the Occlusal Fingerprint Analyser software to reconstruct the individual occlusal pathway trajectory during the power stroke of the chewing cycle, which was applied in a FE simulation to guide the M1 3D-path for the crash colliding test. Results FE analysis results showed that the stress pattern changes considerably during the power stroke, demonstrating that knowledge about chewing kinematics in conjunction with a morphologically detailed FE model is crucial for understanding tooth form and function under physiological conditions. Conclusions/Significance Results from such advanced dynamic approaches will be applicable to evaluate and avoid mechanical failure in prosthodontics/endodontic treatments, and to test material behavior for modern tooth restoration in dentistry. This approach will also allow us to improve our knowledge in chewing-related biomechanics for functional diagnosis and therapy, and it will help paleoanthropologists to illuminate dental adaptive processes and morphological modifications in human evolution. PMID:27031836

  18. Trauma from occlusion. Periodontal concerns.

    PubMed

    Burgett, F G

    1995-04-01

    Application of the chronic disease model to IPD suggests that to be most effective, programs of prevention and treatment include measures to address as many of the identified risk factors as is possible. It remains to be determined if TO is involved in the initiation of IPD, for example, if individuals with TO are at greater risk for the development of IPD. There is evidence that TO is a risk factor in the progression of IPD. Tooth mobility is associated with and is a risk factor for increased attachment loss and increased bone loss in patients with periodontitis. Tooth mobility can be reduced by occlusal treatment. Clinical trials involving patients with periodontitis clearly establish that a better clinical periodontal attachment level response to treatment is obtained when occlusal adjustment is included as part of the treatment plan. Patients with advanced periodontal involvement benefit from occlusal treatment in terms of increased stability for the teeth and also in terms of oral comfort. Finally, There is no evidence that without occlusal treatment, periodontal patients who are in careful maintenance programs are more likely to suffer recurrence of IPD.

  19. Pulmonary veno-occlusive disease

    MedlinePlus

    ... disorder. Alternative Names Pulmonary vaso-occlusive disease Images Respiratory system References Chin K, Channick RN. Pulmonary hypertension. In: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine . 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: ...

  20. Concepts of occlusion in prosthodontics: A literature review, part II

    PubMed Central

    Rangarajan, V.; Yogesh, P. B.; Gajapathi, B.; Ibrahim, M. Mohamed; Kumar, R. Ganesh; Karthik, Murali

    2016-01-01

    This series of articles describes about concepts of occlusion in the complete denture, fixed partial denture, and implants. This article discusses about the evolution of different concepts of nonbalanced occlusion and occlusal schemes in complete denture occlusion. PMID:27134421

  1. Fracture resistance of ceramic and polymer-based occlusal veneer restorations.

    PubMed

    Al-Akhali, Majed; Chaar, Mohamed Sad; Elsayed, Adham; Samran, Abdulaziz; Kern, Matthias

    2017-10-01

    The purpose of this in vitro study was to evaluate the influence of thermodynamic loading on the durability and fracture resistance behavior of occlusal veneers fabricated from different biomedical dental CAD/CAM materials. The occlusal surfaces of 64 extracted premolars were prepared in the enamel layer and restored with occlusal veneers with a fissure/cusp thickness of 0.5/0.8mm made from four different dental CAD/CAM materials: group LD lithium disilicate (e.max CAD), group LS zirconia-reinforced lithium silicate (Vita Suprinity), group PI polymer-infiltrated ceramic (Vita Enamic), and group PM polymethylmethacrylate PMMA (Telio CAD). The prepared teeth were etched with phosphoric acid. The occlusal veneers were then bonded using an adhesive luting system (Multilink Primer A/B and Multilink Automix luting resin). Half of the specimens were subjected to thermodynamic loading in a chewing simulator (1.2 million cycles at 98N). All specimens were quasi-statically loaded until fracture. The statistical analysis was made using the t-test and one-way ANOVA followed by the Tukey HSD test (α = 0.05). All aged specimens survived the thermodynamic loading. Thermodynamic loading significantly raised the fracture resistance in groups LS, PI, and PM (P < 0.03). Occlusal veneers made from lithium disilicate and zirconia-reinforced lithium silicate recorded higher fracture resistance than those made from polymer-infiltrated ceramic and PMMA resin. All tested dental CAD/CAM biomaterials exhibited a fracture resistance considerably exceeding the average occlusal force in the posterior dentition. Therefore, they might present a viable long-term treatment for restoring the occlusal surfaces of posterior teeth. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Computational evaluation of aortic occlusion and the proposal of a novel, improved occluder: Constrained endo-aortic balloon occlusion.

    PubMed

    de Vaal, M H; Gee, M W; Stock, U A; Wall, W A

    2016-12-01

    Because aortic occlusion is arguably one of the most dangerous aortic manipulation maneuvers during cardiac surgery in terms of perioperative ischemic neurological injury, the purpose of this investigation is to assess the structural mechanical impact resulting from the use of existing and newly proposed occluders. Existing (clinically used) occluders considered include different cross-clamps (CCs) and endo-aortic balloon occlusion (EABO). A novel occluder is also introduced, namely, constrained EABO (CEABO), which consists of applying a constrainer externally around the aorta when performing EABO. Computational solid mechanics are employed to investigate each occluder according to a comprehensive list of functional requirements. The potential of a state of occlusion is also considered for the first time. Three different constrainer designs are evaluated for CEABO. Although the CCs were responsible for the highest strains, largest deformation, and most inefficient increase of the occlusion potential, it remains the most stable, simplest, and cheapest occluder. The different CC hinge geometries resulted in poorer performance of CC used for minimally invasive procedures than conventional ones. CEABO with a profiled constrainer successfully addresses the EABO shortcomings of safety, stability, and positioning accuracy, while maintaining its complexities of operation (disadvantage) and yielding additional functionalities (advantage). Moreover, CEABO is able to achieve the previously unattainable potential to provide a clinically determinable state of occlusion. CEABO offers an attractive alternative to the shortcomings of existing occluders, with its design rooted in achieving the highest patient safety. Copyright © 2016 John Wiley & Sons, Ltd.

  3. Incompressible viscous flow in tubes with occlusions

    NASA Astrophysics Data System (ADS)

    Huang, Huaxiong

    Viscous, incompressible flow in tubes with partial occlusion is investigated using numerical and experimental procedures. The study is related to the problem of atherosclerosis, one of the most common diseases of the circulatory system. One of the computational difficulties in solving the incompressible Navier-Stokes equations is the lack of pressure or vorticity boundary conditions. A finite difference approach, referred to as the interior constraint (IC) method, is proposed to resolve this difficulty. As a general numerical method, it is formulated for both the stream function-vorticity and primitive (physical) variable formulations. The procedure is explained using a one dimensional model with extensive numerical tests presented for two dimensional cases, including flow in a driven cavity and flow over a backward facing step. Results are obtained with second-order accuracy. Next, the IC method is applied to flow in a tube with an occlusion, which is used as the model for blood flow in stenosed arteries in the study of the pathology of atherosclerosis. Numerical results are obtained for both steady and pulsatile flows. Results are compared with those of SIMPLE, one of the commercially available numerical algorithms. The pulsatile flow study revealed several interesting new features. It suggested that the high shear stress is not likely to initiate atherosclerosis lesions. The recirculation region, which is a prominent feature of the unsteady flow, is more likely to cause the initiation and development of the disease. Experimental measurements for steady flow complement the numerical study and show qualitative agreement.

  4. Cannabis, collaterals, and coronary occlusion.

    PubMed

    De Silva, Kalpa; Perera, Divaka

    2011-01-01

    A 51-year-old gentleman, who regularly smoked cannabis, presented with chest pain and diaphoresis. He was haemodynamically stable. ECG showed ST depression, inferiorly, and 1 mm ST elevation in lead aVR. Emergent coronary angiography showed thrombotic occlusion of the left main coronary artery (LMCA), the dominant RCA provided Rentrop grade II collaterals to the LAD. The LMCA was successfully reopened by deployment of a bare-metal stent. Animal heart models suggest that endogenous cannibinoids may cause ischaemic preconditioning. This case suggests that the severity of ischaemia, and hence ECG changes and haemodynamic consequences following an acute occlusion of the LMCA, can be ameliorated by coronary collateralisation and possibly by preconditioning of the myocardium.

  5. Carotid bypass for carotid occlusion.

    PubMed

    Hage, Ziad A; Behbahani, Mandana; Amin-Hanjani, Sepideh; Charbel, Fady T

    2015-07-01

    The 2-year risk of ipsilateral ischemic stroke following internal carotid artery occlusion (ICAO) in a patient undergoing maximal medical therapy is 5-8% per year. While medical therapy may reduce the risk of stroke, it does not completely eliminate it. Since the 1985 extracranial-intracranial (EC-IC) bypass study, additional trials have been conducted to further investigate the usefulness of EC-IC bypass surgery in more selected patients with cerebral ischemia and impaired hemodynamic reserve. These important studies will be briefly reviewed in this article, as well as a discussion regarding the utility of bypass surgery for ICAO in current clinical practice. In addition, a short discussion regarding the pathophysiology of carotid occlusion will be presented. We will also highlight our own institutional patient selection criteria based on the latest methods for hemodynamic assessment, as well as our intraoperative flow assisted surgical techniques (FAST), and post-operative patient follow-up.

  6. A nasally applied cellulose powder in seasonal allergic rhinitis (SAR) in children and adolescents; reduction of symptoms and relation to pollen load.

    PubMed

    Åberg, Nils; Dahl, Å; Benson, M

    2011-09-01

    A nasally applied cellulose powder is increasingly used in many countries as a remedy for allergic rhinitis. The absence of side effects makes the treatment particularly attractive in children. The efficacy in pollen allergic children, however, is not studied, nor is the relation to various pollen exposures. During the birch pollen season in 2009, a double blind, placebo-controlled study was conducted in 53 subjects, aged 8-18 yr, with allergic rhinitis attributed to birch pollen. All children were on daily oral antihistamine. Reminders and reporting of symptom scores were made by SMS on mobile phones. Pollen was collected in a volumetric trap from which figures of pollen concentrations from 1979 to 2009 were available. There was a significant reduction in total symptom scores from the nose (Placebo 7.29, Active 6.07, p = 0.033) and specifically for running nose (Placebo 2.56, Active 2.03, p = 0.017). All symptoms from the nose, eyes and lower airways were lower in the active group but reached significance only as earlier. The best effect was seen after days with low or moderate pollen counts (≤100/m(3)), the predominating pollen load over 31 yr in the area. No clinically significant adverse effects were seen. The product reduces symptoms of SAR in children and adolescents. Original data on pollen concentrations over 31 yr are presented with levels mainly in the low range favouring the observed efficacy profile. SMS communication on mobile phone for reminders and recording symptom scores was an excellent logistics tool. © 2011 John Wiley & Sons A/S.

  7. [Acute arterial occlusion associated disseminated hydatidosis].

    PubMed

    Somocurcio, Jose; Alvarez, Gamero; Lara Campos, Gloria; Cahuana Aparco, Judith; Calongos Porras, Estefanny; Bermejo Cataño, Pedro; Tejada Llacsa, Paul

    2014-04-01

    Hydatidosis or echinococcosis are terms used to denote the zoonotic infestation caused by adult and larval stages (metacestode) of the cestode from the genus Echinococcus (family tenidae). The term hydatidosis should be applied to the infestation caused by the metacestode while echinococcosis for the larval and adult stages. In Peru there is a high prevalence of this infection, liver and lung being the most affected organs. There are factors from the host and from the infectious agent that contribute to this infection, with the immune component of the host as an important infection and dissemination point. A case of acute arterial occlusion associated with disseminated hydatidosis in a 54 years old patient, born and from Huancavelica, with sudden onset of an acute arterial obstruction is reported. The patient did not improve after surgery and died within 48 hours of presentation.

  8. Interobserver variability in the assessment of aneurysm occlusion with the WEB aneurysm embolization system.

    PubMed

    Fiorella, David; Arthur, Adam; Byrne, James; Pierot, Laurent; Molyneux, Andy; Duckwiler, Gary; McCarthy, Thomas; Strother, Charles

    2015-08-01

    The WEB (WEB aneurysm embolization system, Sequent Medical, Aliso Viejo, California, USA) is a self-expanding, nitinol, mesh device designed to achieve aneurysm occlusion after endosaccular deployment. The WEB Occlusion Scale (WOS) is a standardized angiographic assessment scale for reporting aneurysm occlusion achieved with intrasaccular mesh implants. This study was performed to assess the interobserver variability of the WOS. Seven experienced neurovascular specialists were trained to apply the WOS. These physicians independently reviewed angiographic image sets from 30 patients treated with the WEB under blinded conditions. No additional clinical information was provided. Raters graded each image according to the WOS (complete occlusion, residual neck or residual aneurysm). Final statistics were calculated using the dichotomous outcomes of complete occlusion or incomplete occlusion. The interobserver agreement was measured by the generalized κ statistic. In this series of 30 test case aneurysms, observers rated 12-17 as completely occluded, 3-9 as nearly completely occluded, and 9-11 as demonstrating residual aneurysm filling. Agreement was perfect across all seven observers for the presence or absence of complete occlusion in 22 of 30 cases. Overall, interobserver agreement was substantial (κ statistic 0.779 with a 95% CI of 0.700 to 0.857). The WOS allows a consistent means of reporting angiographic occlusion for aneurysms treated with the WEB device. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  9. The theoretical reliability of PCR-based fish viral diagnostic methods is critically affected when they are applied to fish populations with low prevalence and virus loads.

    PubMed

    Dopazo, C P; Moreno, P; Olveira, J G; Borrego, J J

    2017-09-15

    The reliability of PCR techniques is an important issue in viral diagnosis, and it is even crucial when they must be applied for detection of viruses in asymptomatic carriers. The problems will arise when the aim is to study fish wild populations, where the viral loads and prevalence values are extremely low. We have evaluated several PCR procedures employed by two laboratories for monitoring fish captured in several oceanographic campaigns performed in the Gulf of Cádiz. To evaluate the reliability of different diagnostics test used, we have re-analyzed fish samples that had been previously subjected to diagnosis for a surveillance of viruses performed in 2010-2011 in wild fish populations. The following parameters were employed: the clinical sensitivity (Ss), the clinical specificity (Sp), the predictive positive value (PPV), the predictive negative value (PNV), and the positive and negative likelihood ratio (LR(+) and LR(-) ). For viral nervious necrosis virus (VNNV), a RT-PCR procedure supplemented by nested PCR showed the highest values (100%) for all the parameters. For viral hemorrhagic septicemia virus (VHSV), the highest values were provided by RT-PCR supplemented by dot blot hybridization. In the case of Infectious pancreatic necrosis virus (IPNV), none of the procedures yielded 100% for any parameter. The results obtained for viral prevalence indicate: (i) that the conservation of the samples at -80 °C did not affect to the capacity of detection of the virus in the tissues, and (ii) that the reproducibility of the diagnosis can be affected by factors including the staff experience and/or the materials employed. Finally, the use of a combination of procedures in advised to ensure the maximum reliability of the diagnosis when it is applied to asymptomatic fish populations. This paper describes a strategy of combining diagnostic tests for the surveillance and monitoring of wild fish populations to reduce underestimation of the prevalence of viruses this

  10. Computerized Angiographic Occlusion Rating for Ruptured Clipped Aneurysms is Superior to Subjective Occlusion Rating.

    PubMed

    Al-Schameri, A R; Baltsavias, G; Winkler, P; Lunzer, M; Kral, M; Machegger, L; Weymayr, F; Emich, S; Sherif, C; Richling, B

    2015-09-01

    The computerized occlusion rating to estimate angiographic occlusion of embolized aneurysms is superior to the subjective occlusion rating. In this study, we compared the 2 methods in the analysis of aneurysms clipped after subarachnoid hemorrhage. The pre- and postoperative angiographic images (DSA) of 95 selected patients were analyzed and stratified in 4 grades (grade 0 for 100%, grade I for <99%-90%, grade II for <89%-70%, grade III for <70% occlusion) by using the subjective (angiographic) occlusion rating and the computerized (angiographic) occlusion rating. For the subjective occlusion rating, the occlusion rate was estimated; for the computerized occlusion rating, the "occluded" and "nonoccluded" aneurysm areas were automatically calculated in square millimeters after outlining the ideal occlusion line. With the subjective occlusion rating, 75 (78.9%), 12 (12.6%), 7 (7.4%), and 1 (1.1%) and with the computerized occlusion rating 45 (47.4%), 24 (25.3%), 20 (21.0%), and 6 (6.3%) patients had aneurysms stratified to grades 0, I, II and III, respectively. The interobserver variation was significant with the subjective occlusion rating but not with the computerized occlusion rating. The subjective occlusion rating overestimated aneurysm occlusion in 30 (31.6%) patients. Mean values were the following: subjective occlusion rating of 97.5 ± 6.3% and computerized occlusion rating of 93.5 ± 9.7%; P = < .001. No patient rebled, and 4 patients underwent retreatment during 36 ± 38.9 months; the predictive value (log-rank, Kaplan-Meier) of the subjective and computerized occlusion ratings with respect to retreatment was highly significant for both methods (subjective occlusion rating: χ(2), 29.65; P < .001; computerized occlusion rating: χ(2), 35.57, P < .001). The 2 methods showed remarkable differences in the estimation of the angiographic occlusion rates of clipped aneurysms. The clearly lower interobserver variation of the computerized versus subjective

  11. [Influence of oral appliances for obstructive sleep apnea syndrome on stomatognathic system part 1. Occlusion].

    PubMed

    Shioda, Yohei; Gionhaku, Nobuhito; Saitoh, Kuniko; Narita, Tatsuya; Fujimoto, Toshio; Sumi, Shogo; Matsumori, Hiroyasu

    2008-01-01

    Little information is available on the mandibular protrusion with oral appliances (OA) for the treatment of obstructive sleep apnea syndrome (OSAS) to have no negative effect on the stomatognathic system. The purpose of the current study was to assess the influence of mandibular protrusion on occlusion to fabricate the appropriate OA. Twelve healthy adults were selected. With the OA in position, the mandible was advanced 0, 45, 60, 75% of maximum protrusion capacity; bite raising distance between the first molars was 5mm (OA5-0, 45, 60 and 75). The occlusal force, occlusal contact area and occlusal load center following maximum voluntary clenching for 5 seconds were investigated as follows: after wearing the OA for 1, 3 and 6 hours (Stage A1, A3 and A6) and 1 hour after removal (Stage R1). These data were compared with before wearing (Stage B). Occlusal force has significant decrement at Stages A1, A3 and A6 after wearing OA5-75, at Stages A3 and A6 after wearing OA5-60, and at Stage A6 after wearing OA5-0. Occlusal contact area has significant decrement at Stages A1, A3 and A6 after wearing OA5-75, and at Stage A6 after wearing OA5-60. Occlusal load center has significant forward displacement at Stages A3 and A6 after wearing OA5-75, and at Stage A6 after wearing OA5-60. To fabricate the appropriate OA in occlusal perspective, it is preferable to set the mandibular position at 45% advancement of maximum protrusion capacity of condyle head in terms of the mandibular positions used in this study.

  12. The significance of occlusion in restorative dentistry.

    PubMed

    Parker, M W

    1993-07-01

    All occlusal therapy relates ultimately to the hinge position of the mandible. By consensus, the optimum hinge position is centric relation, the most anterosuperior position of the condyles in the glenoid fossae, articulating against the eminences, with the disks properly interposed. Also by consensus, the optimum occlusal scheme is mutual protection, in which the posterior teeth contact simultaneously and equally in centric occlusion, the canines disclude the posterior teeth in lateral excursions, and the anterior teeth disclude the posterior teeth in protrusion. Whenever CR cannot be used as the starting point of occlusal treatment, or when sufficient canine support is lacking, the clinician may have to prescribe a treatment condylar position other than CR or modify the occlusal scheme. Mutual protection occlusion is the simplest to develop and CR is the simplest starting point. Departures from these ideals create added complexities for the dentist. The greater the number of excursive contacts in the occlusal scheme, the more involved the equilibration of those contacts. A treatment condylar position other than CR may not be repeatable when needed, and two studies suggest that it may change over time. Without a stable, repeatable foundation supporting it, the occlusion may be in jeopardy. The removal of occlusal interferences, although not warranted as a routine prophylactic measure, is indicated under certain conditions. When beginning a significant amount of occlusal treatment, the clinicians may remove closing interference to achieve CR at the desired vertical dimension. They may remove excursive interferences that they do not want to perpetuate in the new scheme. Selective removal may alleviate the signs of trauma from occlusion. There may be periodontal justification for axializing and equilibrating occlusal forces. Nonaxial forces on teeth with cervical erosion should be reduced as a means of limiting further erosion and protecting cervical restorations

  13. Applied Pathology for Interventions of Coronary Chronic Total Occlusion

    PubMed Central

    Tran, Phillip; Phan, Hung; Shah, Sara R; Latif, Faisal; Nguyen, Thach

    2015-01-01

    Percutaneous coronary intervention of chronically occluded vessels can result in significant improvement in symptoms, relieve myocardial ischemia, and affect a reduction in major adverse cardiac events. Likelihood of achieving successful revascularization can be significantly enhanced with a thorough understanding of the pathology of these occluded coronary arteries. In this chapter, various steps and techniques to cross the CTO lesion and recanalize it are discussed in details.

  14. Mechanical characterization of sclerotic occlusal dentin by nanoindentation and nanoscratch.

    PubMed

    Martín, Noelia; García, Alvaro; Vera, Vicente; Garrido, Miguel Angel; Rodríguez, Jesús

    2010-04-01

    To evaluate the mechanical properties of occlusal wear lesions identified as sclerotic. Nanoindentation and nanoscratch techniques have been applied to determine elastic modulus (E), hardness (H) and wear resistance of different types of sclerotic dentin. Nanoscratch testing was applied to evaluate the tribological behavior. Mechanical properties of sclerotic dentin were evaluated together with scanning electron micrographs to show the different degree of tubular occlusion. The higher the degree of sclerosis, the lower were the measured mechanical properties. The highest values (E = 20 GPa and H = 0.67 GPa) were obtained in normal dentin, and the lowest (E = 11.4 GPa and H = 0.51 GPa) in severe sclerotic lesions. These differences were statistically significant (P<0.05). The groove width in the nanoscratch tests was also higher for moderate or severe sclerosis than for normal dentin.

  15. ACUTE RETINAL ARTERIAL OCCLUSIVE DISORDERS

    PubMed Central

    Hayreh, Sohan Singh

    2011-01-01

    The initial section deals with basic sciences; among the various topics briefly discussed are the anatomical features of ophthalmic, central retinal and cilioretinal arteries which may play a role in acute retinal arterial ischemic disorders. Crucial information required in the management of central retinal artery occlusion (CRAO) is the length of time the retina can survive following that. An experimental study shows that CRAO for 97 minutes produces no detectable permanent retinal damage but there is a progressive ischemic damage thereafter, and by 4 hours the retina has suffered irreversible damage. In the clinical section, I discuss at length various controversies on acute retinal arterial ischemic disorders. Classification of acute retinal arterial ischemic disorders These are of 4 types: CRAO, branch retinal artery occlusion (BRAO), cotton wools spots and amaurosis fugax. Both CRAO and BRAO further comprise multiple clinical entities. Contrary to the universal belief, pathogenetically, clinically and for management, CRAO is not one clinical entity but 4 distinct clinical entities – non-arteritic CRAO, non-arteritic CRAO with cilioretinal artery sparing, arteritic CRAO associated with giant cell arteritis (GCA) and transient non-arteritic CRAO. Similarly, BRAO comprises permanent BRAO, transient BRAO and cilioretinal artery occlusion (CLRAO), and the latter further consists of 3 distinct clinical entities - non-arteritic CLRAO alone, non-arteritic CLRAO associated with central retinal vein occlusion and arteritic CLRAO associated with GCA. Understanding these classifications is essential to comprehend fully various aspects of these disorders. Central retinal artery occlusion The pathogeneses, clinical features and management of the various types of CRAO are discussed in detail. Contrary to the prevalent belief, spontaneous improvement in both visual acuity and visual fields does occur, mainly during the first 7 days. The incidence of spontaneous visual

  16. [Form and position of occlusion plane in persons with physiological occlusion].

    PubMed

    Lisova, T V; Slabkovskaia, A B; Persin, L S

    2006-01-01

    25 subjects aged 19-25 years with normal occlusion were assessed using radiographic and functional methods. Individual differences in occlusion plane form and position and dentofacial muscles functioning were established.

  17. Assessment of occlusion curriculum in predoctoral dental education: report from ACP Task Force on Occlusion Education.

    PubMed

    Lee, Damian J; Wiens, Jonathan P; Ference, John; Donatelli, David; Smith, Rick M; Dye, Bryan D; Obrez, Ales; Lang, Lisa A

    2012-10-01

    The purposes of this report were to (1) assess the current occlusion curriculum in the predoctoral prosthodontic education of US dental institutions and (2) to examine the opinions of faculty, course directors, and program directors on the contents of occlusion curriculum. The Task Force on Occlusion Education from the American College of Prosthodontists (ACP) conducted two surveys using a web-based survey engine: one to assess the current status of occlusion education in predoctoral dental education and another to examine the opinions of faculty and course directors on the content of occlusion curriculum. The sections in the surveys included demographic information, general curriculum information, occlusion curriculum for dentate patients, occlusion curriculum for removable prosthodontics, occlusion curriculum for implant prosthodontics, temporomandibular disorder (TMD) curriculum, teaching philosophy, concepts taught, and methods of assessment. The results from the surveys were compiled and analyzed using descriptive statistics. The results from the two surveys on general concepts taught in occlusion curriculum were sorted and compared for discrepancies. According to the predoctoral occlusion curriculum surveys, canine guidance was preferred for dentate patients, fixed prosthodontics, and fixed implant prosthodontics. Bilateral balanced occlusion was preferred for removable prosthodontics and removable implant prosthodontics. There were minor differences between the two surveys regarding the occlusion concepts being taught and the opinions of faculty members teaching occlusion. Two surveys were conducted regarding the current concepts being taught in occlusion curriculum and the opinions of educators on what should be taught in occlusion curriculum. An updated and clearly defined curriculum guideline addressing occlusion in fixed prosthodontics, removable prosthodontics, implant prosthodontics, and TMD is needed. © 2012 by the American College of Prosthodontists.

  18. Occlusion in the combination fixed removable prosthodontic patient.

    PubMed

    Ivanhoe, J R; Vaught, R D

    1987-07-01

    The authors provide a review of the critical aspects of occlusion for the combination fixed removable patient. Articular selection and jaw relation techniques are reviewed, and dental materials combinations are recommended for restoring opposing occlusal surfaces. General objectives and specific recommendations for determining and establishing occlusal schemes are made. Tables outlining occlusal scheme, occlusal morphology, and degree of balance are presented.

  19. Haemodynamic unloading reverses occlusive vascular lesions in severe pulmonary hypertension.

    PubMed

    Abe, Kohtaro; Shinoda, Masako; Tanaka, Mariko; Kuwabara, Yukimitsu; Yoshida, Keimei; Hirooka, Yoshitaka; McMurtry, Ivan F; Oka, Masahiko; Sunagawa, Kenji

    2016-07-01

    An important pathogenic mechanism in the development of idiopathic pulmonary arterial hypertension is hypothesized to be a cancer-like cellular proliferation independent of haemodynamics. However, because the vascular lesions are inseparably coupled with haemodynamic stress, the fate of the lesions is unknown when haemodynamic stress is eliminated. We applied left pulmonary artery banding to a rat model with advanced pulmonary hypertension to investigate the effects of decreased haemodynamic stress on occlusive vascular lesions. Rats were given an injection of the VEGF blocker Sugen5416 and exposed to 3 weeks of hypoxia plus an additional 7 weeks of normoxia (total 10 weeks) (SU/Hx/Nx rats). The banding surgery to reduce haemodynamic stress to the left lung was done at 1 week prior to (preventive) or 5 weeks after (reversal) the SU5416 injection. All SU/Hx/Nx-exposed rats developed severe pulmonary hypertension and right ventricular hypertrophy. Histological analyses showed that the non-banded right lungs developed occlusive lesions including plexiform lesions with marked perivascular cell accumulation. In contrast, banding the left pulmonary artery not only prevented the development of but also reversed the established occlusive lesions as well as perivascular inflammation in the left lungs. Our results indicate that haemodynamic stress is prerequisite to the development and progression of occlusive neointimal lesions in this rat model of severe pulmonary hypertension. We conclude that perivascular inflammation and occlusive neointimal arteriopathy are driven by haemodynamic stress. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2016. For permissions please email: journals.permissions@oup.com.

  20. Cost aggregation and occlusion handling with WLS in stereo matching.

    PubMed

    Min, Dongbo; Sohn, Kwanghoon

    2008-08-01

    This paper presents a novel method for cost aggregation and occlusion handling for stereo matching. In order to estimate optimal cost, given a per-pixel difference image as observed data, we define an energy function and solve the minimization problem by solving the iterative equation with the numerical method. We improve performance and increase the convergence rate by using several acceleration techniques such as the Gauss-Seidel method, the multiscale approach, and adaptive interpolation. The proposed method is computationally efficient since it does not use color segmentation or any global optimization techniques. For occlusion handling, which has not been performed effectively by any conventional cost aggregation approaches, we combine the occlusion problem with the proposed minimization scheme. Asymmetric information is used so that few additional computational loads are necessary. Experimental results show that performance is comparable to that of many state-of-the-art methods. The proposed method is in fact the most successful among all cost aggregation methods based on standard stereo test beds.

  1. [Hemodynamic adaptations in proximal cerebrovascular occlusion].

    PubMed

    De Ley, G

    1990-01-01

    In order to gain more insight into the pathophysiology of extracerebral cerebrovascular occlusion, the cerebral hemodynamic behaviour after uni- or bilateral carotid occlusion was investigated. In Wistar rats, acute occlusion of one common carotid artery leads to a moderate bilateral lowering of the resting hemispheric brain blood flow; no interhemispheric perfusion asymmetry is observed. During hypercapnia, however, a manyfold increase of the hemispheric blood flow is seen at the intact side, whereas blood flow increase at the side of the occlusion is suppressed indicating that the cerebrovascular reserve at the side of the occlusion is largely used to preserve resting hemispheric perfusion. During the days (1, 5, 15 and 30) following the occlusion, resting hemispheric blood flow is progressively restored rather rapidly (bilateral normalization on the fifth day) whereas restoration of the cerebrovascular reserve (hemispheric blood flow increase in hypercapnia) proceeds more slowly and a nearly normal hypercapnic response is reached on day thirty. Spontaneously Hypertensive Rats (SHR) show structural abnormalities of their blood vessels during the development of hypertension, leading to impaired adaptation possibilities of the cerebral vasculature after unilateral common carotid occlusion. This is indicated by the striking comparability of the compensation of hemispheric cerebral blood flow (in normo- and hypercapnia) of SH rats five days after unilateral carotid occlusion with the cerebral hemodynamic status of normotensive animals already seen 24 hours after the same occlusion. Consecutive bilateral common carotid occlusion shows that survival rate increases by increasing the interval between both occlusions. This survival relation is much more unfavorable in SH rats. The parallelism between the restoration of the measured CO2-reactivity of the blood flow in the involved hemisphere after unilateral carotid occlusion and the evolution of survival rate after

  2. Influence of occlusal plane inclination on ANB and Wits assessments of anteroposterior jaw relationships.

    PubMed

    Del Santo, Marinho

    2006-05-01

    Although assessments of anteroposterior relationships are vital for orthodontic treatment planning, they cannot be precisely achieved by current cephalometric and noncephalometric resources. ANB angle and the Wits appraisal are the most popular cephalometric measurements applied in clinical orthodontics, although they have drawbacks. Facial vertical features, especially the occlusal plane angle, play an important role in their assessment, contributing to their unreliability. To further understand the influence of occlusal plane inclination, ANB angle and the Wits appraisal were analyzed in cephalo-lateral radiographs of 122 finished orthodontic patients in 2 groups: high occlusal plane angle and low occlusal plane angle. There was a tendency for inconsistency between ANB and Wits assessments in the high occlusal plane angle group and a tendency for consistency in the low occlusal plane angle group. Cranial base influences on ANB and Wits assessments were investigated by subdividing the groups. Any of the considered cranial base factors was decisive for lack or presence of consistency between ANB and Wits assessments. The clinician should beware of possible misinterpretations when using ANB and Wits to assess the anteroposterior relationship of the jaws, especially in high occlusal plane angle patients.

  3. Fatigue failure load indicator

    NASA Technical Reports Server (NTRS)

    Imig, L. A.; Davis, W. T.; Davis, D. C. (Inventor)

    1979-01-01

    An indicator for recording the load at which a fatigue specimen breaks during the last cycle of a fatigue test is described. A load cell is attached to the specimen which is alternately subjected to tension and compression loads. The output of the load cell which is proportional to the load on the specimen is applied to the input of a peak detector. Each time the specimen is subjected to a compression load, means are provided for applying a positive voltage to the rest of the peak detector to reset it. During the last cycle of the tension load the peak detector measures the maximum load on the specimen. Means are provided for disconnecting the load cell from the peak detector when there is a failure in the specimen.

  4. Angiographic evidence of coronary occlusion and resolution

    PubMed Central

    Kavanagh-Gray, Doris

    1974-01-01

    A case of myocardial infarction with angiographically demonstrated occlusion of the left anterior descending coronary artery is presented. Repeat angiography 18 months later revealed patent coronary arteries despite persistent electrocardiographic infarction pattern. Coronary artery occlusion resulting in infarction may not, therefore, be permanent. ImagesFIG. 2 PMID:4824968

  5. Occlusion on oral implants: current clinical guidelines.

    PubMed

    Koyano, K; Esaki, D

    2015-02-01

    Proper implant occlusion is essential for adequate oral function and the prevention of adverse consequences, such as implant overloading. Dental implants are thought to be more prone to occlusal overloading than natural teeth because of the loss of the periodontal ligament, which provides shock absorption and periodontal mechanoreceptors, which provide tactile sensitivity and proprioceptive motion feedback. Although many guidelines and theories on implant occlusion have been proposed, few have provided strong supportive evidence. Thus, we performed a narrative literature review to ascertain the influence of implant occlusion on the occurrence of complications of implant treatment and discuss the clinical considerations focused on the overloading factors at present. The search terms were 'dental implant', 'dental implantation', 'dental occlusion' and 'dental prosthesis'. The inclusion criteria were literature published in English up to September 2013. Randomised controlled trials (RCTs), prospective cohort studies and case-control studies with at least 20 cases and 12 months follow-up interval were included. Based on the selected literature, this review explores factors related to the implant prosthesis (cantilever, crown/implant ratio, premature contact, occlusal scheme, implant-abutment connection, splinting implants and tooth-implant connection) and other considerations, such as the number, diameter, length and angulation of implants. Over 700 abstracts were reviewed, from which more than 30 manuscripts were included. We found insufficient evidence to establish firm clinical guidelines for implant occlusion. To discuss the ideal occlusion for implants, further well-designed RCTs are required in the future.

  6. The effect of occlusal forces on restorations.

    PubMed

    Larson, Thomas D

    2014-09-01

    This review will focus on the effect occlusal forces, both normal masticatory force and paranormal bruxing and clenching force, have on various restorative materials and their interaction with the teeth through a variety of bonding mechanisms. Salient physical properties of each of the materials will be reviewed, as well as the effect occlusal force has on restoration durability.

  7. Melorheostosis with occlusion of dorsalis pedis artery.

    PubMed

    Ishibe, Motomi; Inoue, Masayuki; Saitou, Katsutoshi

    2002-02-01

    Melorheostosis is an unusual sclerotic dysplasia of bone. The case of a 51-year-old female patient with melorheostosis and occlusion of the dorsalis pedis artery is described. Although numerous vascular anomalies have been noted in patients with melorheostosis, occlusion of the dorsalis pedis artery has not been reported previously.

  8. Symposium on semiprecision attachments in removable partial dentures. Occlusal relationships.

    PubMed

    Whitbeck, P; Ivanhoe, J R

    1985-01-01

    This article discusses current concepts of occlusion and describes the methods of creating a physiologic occlusion for the partially edentulous patient. Specific recommendations are made for choices of materials, techniques, and occlusal schemes for various edentulous situations.

  9. Effect of splinting and interproximal contact tightness on load transfer by implant restorations.

    PubMed

    Guichet, David L; Yoshinobu, Diane; Caputo, Angelo A

    2002-05-01

    To circumvent the difficulty of achieving a passive framework fit, some authors have suggested that multiple adjacent implants be restored individually. This protocol requires that each unit be able to withstand mastication forces. Non-splinted restorations have numerous interproximal contacts that require adjustments prior to placement, with an unknown outcome relative to load transfer. This in vitro simulation study examined the effect of splinting and interproximal contact tightness on passivity of fit and the load transfer characteristics of implant restorations. A photoelastic model of a human partially edentulous left mandible with 3 screw-type implants (3.75 x 10 mm) was fabricated. For non-splinted restorations, individual crowns were fabricated on 3 custom-milled titanium abutments. After the units were cemented, 5 levels of interproximal contact tightness were evaluated: open, ideal (8 microm shim stock drags without tearing), light (ideal +10 microm), medium (ideal + 50 microm), and heavy (ideal + 90 microm). For splinted restorations, five 3-unit fixed partial dentures were fabricated, internally adjusted with silicone disclosing material, and cemented to the model. Changes in stress distribution under simulated non-loaded and loaded conditions (6.8 kg) were analyzed with a polariscope. In the simulated alveolar structures, non-splinted restorations with heavier interproximal contacts were associated with increased tensile stresses between implants; occlusal loads tended to concentrate around the specific loaded implant. Splinted restorations shared the occlusal loads and distributed the stresses more evenly between the implants when force was applied. The load-sharing effect was most evident on the center implant but also was seen on the terminal abutments of the splinted restorations. The results of this in vitro study suggest that excessive contact tightness between individual crowns can lead to a non-passive situation. In this experiment, splinted

  10. Histologic and histomorphometric behavior of microgrooved zirconia dental implants with immediate loading.

    PubMed

    Delgado-Ruiz, Rafael Arcesio; Calvo-Guirado, Jose Luis; Abboud, Marcus; Ramirez-Fernandez, Maria Piedad; Maté-Sánchez de Val, José Eduardo; Mate-Sanchez, Jose Eduardo; Negri, Bruno; Rothamel, Daniel

    2014-12-01

    The study aims to assess the total soft tissue (ST) width, crestal bone level (CBL), bone-to-implant contact (BIC), and bone density (BD) for zirconia implants textured with microgrooved surfaces and immediately loaded. This study included 51 implants; one implant from each study group was retained for surface characterization. The 48 remaining implants were inserted randomly in premolar areas of both sides of the healed edentulous lower jaws of foxhound dogs. They were divided into three groups of 16: control (titanium); test A (zirconia), and test B (microgrooved zirconia). The implants were splinted and covered with an acrylic bridge. A split-mouth design was used and immediate occlusal loading was applied on one side, while the other side did not have occlusal contact. ST, CBL, BIC, and BD were evaluated after 3 months. The effects of immediate loading on these parameters were analyzed. All the implants were osseointegrated. ST was established at 3 months with mean values of 2.9 ± 0.4 mm for all groups. No differences were appreciated between loaded and unloaded sides regarding ST (p > .05). CBL showed a mean of 1.2 ± 0.3 mm for all groups without differences between loaded and unloaded sides (p > .05). BIC percentages were significantly higher for loaded all-microgrooved implants (p < .05). BD percentages were higher in areas close to all-microgrooved implants (p < .05) and significantly higher for loaded implants than unloaded. Within the limitations of the present study, it may be concluded that for zirconia dental implants with microgrooved surfaces and immediate loading, the thickness of STs remains stable resulting in 3 mm mean biologic width, that crestal bone preservation is related to insertion depth, and that higher BIC percentages and increased BD around implants microgrooved over the entire intraosseous area may be expected at 3 months following implant insertion and immediate loading. © 2013 Wiley Periodicals, Inc.

  11. Computerized analysis of occlusal contacts in bruxism patients treated with occlusal splint therapy

    PubMed Central

    Kılınç, Halil İbrahim; Tuna, Süleyman Hakan; Özcan, Nihal

    2013-01-01

    PURPOSE Occlusal splints are commonly used to prevent tooth wear caused by bruxism. However, the effects of splints on occlusion are still unclear. Although it is rarely alluded in literature, splints can provoke severe occlusal alterations and other complications. This study was aimed to identify differences in the responses of individuals with bruxism and healthy individuals to a full-arch maxillary stabilization splint in terms of occlusal changes. MATERIALS AND METHODS Occlusal contacts in 20 (5 male, 15 female) bruxism patients and 20 (5 male, 15 female) controls with normal occlusion were evaluated before and after occlusal splint therapy. T-Scan III, a computerized occlusal analysis system, was used to simultaneously measure occlusion and disclusion times as well as left-right and anterior-posterior contact distributions before splint therapy and 3 months after therapy. Wilcoxon and Mann-Whitney U tests were used for statistical analyses (α=.05). RESULTS No differences were found in the posterior contact of bruxism patients before and after stabilization splint treatment. However, differences in posterior contact were observed between bruxists and normal individuals prior to treatment, and this difference disappeared following treatment. CONCLUSION The results of this study showed the use of a stabilization splint may not have an effect on occlusion. However, the area of posterior occlusal contact among bruxists was found to be greater than that of normal individuals. According to this study, the clinical use of splints may be harmless. PMID:24049566

  12. Anatomical significance in aortoiliac occlusive disease.

    PubMed

    Wooten, Candace; Hayat, Munawar; du Plessis, Maira; Cesmebasi, Alper; Koesterer, Michael; Daly, Kevin P; Matusz, Petru; Tubbs, R Shane; Loukas, Marios

    2014-11-01

    Aortoiliac occlusive disease is a subset of peripheral arterial disease involving an atheromatous occlusion of the infrarenal aorta, common iliac arteries, or both. The disease, as it is known today, was described by the French surgeon René Leriche as a thrombotic occlusion of the end of the aorta. Leriche successfully linked the anatomic location of the occlusion with a unique triad of symptoms, including claudication, impotence, and decreased peripheral pulses. The anatomical location of the atheromatous lesions also has a direct influence on classification of the disease, as well as choice of treatment modality. Considering its impact on diagnosis and treatment, we aimed to provide a detailed understanding of the anatomical structures involved in aortoiliac occlusive disease. Familiarity with these structures will aid the physician in interpretation of radiologic images and surgical planning.

  13. [Dynamic bimaxillary osteotomy: the new occlusal base].

    PubMed

    Audion, M; Darmon, Y

    1989-01-01

    The authors present an ortho-surgical method which unites occlusion and aesthetic without compromise and without stopping orthodontic work during the immediate post-operative period. The occlusal preparation permits us a global and simultaneous mobilisation of the two maxillars which are ostesynthezed in posterior skeletal disclosing. This disposition allows a lingual replacement and gives more facility to an eventual immediate post-operative occlusal replacement. The stiff osteosynthesis with immovable plates realize a therapeutic dissociation between the skeletal stage and the basal alveolo-dental stage. The "proprioceptive amnesia" and the "muscular sideration" permit a proprioceptive reorganisation and a new neuro-muscular fonctionnement elaborated from a new occlusal base. The free movements of the T.M.J. facilitate these acquisitions and allow a perspective supervision of the occlusion in a dynamic perspective.

  14. The use of light-cured resin as an alternative method of occlusal splints manufacturing--in vitro study.

    PubMed

    Więckiewicz, Mieszko; Boening, Klaus W; Richter, Gert; Więckiewicz, Włodzimierz

    2014-01-01

    Temporomandibular disorders are very common nowadays. One of the methods to treat these problems is occlusal splint therapy. Modern materials should be introduced to this treatment. The aim of this paper was to evaluate the properties of light-activated urethane dimethacrylate and the quality of the bonds it creates with thermoforming foils. Thermoforming foils were covered with light-cured resin. A bond was formed between the materials using an adhesive. A coating lacquer was used on the resin as a final preparatory step. Three laboratory tests were run: dye penetrant inspection, a Vickers microhardness test and a linear polymerization shrinkage test. The materials were layered and then cured with a polymerizing lamp emitting light of a wavelength of 400 Nm, according to the manufacturer's instructions. All the occlusal splints were fitted to upper dental arch. The devices had been made in an articulator on specially prepared gypsum models. The results were analyzed statistically using a one-sided binomial test, Spearman's rank-order correlation coefficient and the Friedman ANOVA (p=0.05). In the dye penetrant inspection, only one sample out of sixty showed the effects of color penetration to the adhesive connection. The dye only penetrated the layer of lacquer coating the resin. The average value of the Vickers microhardness test with a load of F=50 g applied to the material surface for 30 s was HV0.05=7.43 N/mm2. The average linear shrinkage of the resin observed after polymerization was 1.175%. Light-cured resin and an adhesive connection between the resin and thermoforming foil do not show susceptibility even to strong dye. The maximum polymerization shrinkage occurs immediately after curing. The light-cured resin that was tested seems to be a good alternative method for occlusal splints manufacturing.

  15. In vitro analysis of the fracture resistance of CAD-CAM monolithic zirconia molar crowns with different occlusal thickness.

    PubMed

    Sorrentino, Roberto; Triulzio, Clementina; Tricarico, Maria Gabriella; Bonadeo, Giovanni; Gherlone, Enrico Felice; Ferrari, Marco

    2016-08-01

    To compare the fracture resistance and mode of failure of CAD-CAM monolithic zirconia crowns with different occlusal thickness. Forty CAD-CAM monolithic zirconia crowns with different occlusal thickness were randomly distributed into 4 experimental groups: 2.0mm (group 1), 1.5mm (group 2), 1.0mm (group 3) and 0.5mm (group 4). The restorations were cemented onto human molars with a self-adhesive resin cement. The specimens were loaded until fracture; the fracture resistance and mode of failure were recorded. The data were statistically analyzed with the one-way ANOVA followed by the Fisher׳s Exact test with Bonferroni׳s correction (p=0.05). The fracture resistance values of all the specimens exceeded the maximum physiological occlusal loads in molar regions. All the crowns showed cohesive microcracks of the zirconia core; only 1 crown with a thickness of 0.5mm was interested by a complete fracture. The occlusal thickness of CAD-CAM monolithic zirconia crowns did not influence either the fracture resistance and the mode of failure of the restorations; the occlusal thickness of CAD-CAM monolithic zirconia crowns can be reduced up to a lower bound of 0.5mm keeping a sufficient strength to withstand occlusal loads; CAD-CAM monolithic zirconia crowns showed sufficient fracture resistance to be used in molar regions, even in a thin configuration (0.5mm). Copyright © 2016 Elsevier Ltd. All rights reserved.

  16. Carotid artery stenting: clinical and procedural implications for near-occlusion stenosis.

    PubMed

    Ruiz-Salmerón, R J; Gamero, M A; Carrascosa, C; Pérez, S; de Araujo, D; Marcos, F; Rodríguez de Leiras, S; Vizcaíno, M; Caparrós, C; Izquierdo, G

    2013-01-01

    The advisability of implanting a stent in carotid near-occlusion stenosis is a controversial topic. We have assessed procedural and clinical implications of stent implantation for carotid artery disease with near occlusion. We included 205 patients who underwent carotid artery revascularisation with a stent. The group of patients with near-occlusion stenosis (n=54)was compared to the rest of the population (n=151). No differences were found between groups for age, sex, and the percentage of symptomatic patients (three-quarters of the population). Carotid stent revascularisation for near-occlusion stenosis presented a high procedural success rate (96%) similar to that of revascularisation processes for other lesions (98%). Stenting in cases of near-occlusion stenosis required increased use of proximal protection (54% vs. 20.5%, P<.001) and predilation (33% vs. 17%, P=.01). The process to repair near-occlusion stenosis cause increased detachment of plaque, as shown by higher percentages of macroscopic plaque captured by protection devices (18.5% vs. 7%, P=.01) and of perioperative ischaemic brain lesions (47% vs 31%, P = .07). At 30 days of follow-up, the tendency toward adverse neurological events (death, major and minor stroke) was higher in the near-occlusion group (9.2% vs. 3.2%, P=.08). Stent revascularisation for near-occlusion carotid stenosis has a high procedural success rate; however, its higher plaque load was responsible for the increased rate of ischaemic brain lesions and adverse neurovascular events at 30 days post-procedure. Copyright © 2012 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

  17. [Cilioretinal artery occlusion in hemochromatosis].

    PubMed

    Peral, M J; Reche, A; Crespo, M J; Carpio, R; Gutierrez, O; Espino, A; Toledano, N

    2015-05-01

    We report a case of a 31 year-old woman with a sudden visual loss due to a cilioretinal artery occlusion. The physical examinination showed hepatomegaly. Serum iron and ferritin and transferrin saturation were unusually high. The doppler scan of carotid arteries showed no relevant signs of atheromatous disease. Dilated cardiomiopaty was revealed in the B-scan with subendocardial calcium deposits. Genetic tests were positive for hemochromatosis. Subendocardial calcification due to hemochromatosis could be the embolic source in our patient. This embolic ocular disease is the first presentation of hemochromatosis in this patient. Copyright © 2012 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.

  18. Trauma from occlusion. Restorative concerns.

    PubMed

    Neff, P

    1995-04-01

    Trauma from occlusion and restorative concerns may affect the tooth itself, the supporting structures inside and around the tooth's immediate structures, and the total articulating system, which includes the neuromuscular system, the temporomandibular joints, and other systems such as the impairment of hearing or vision and many other peripheral conditions. A thorough examination and a differential diagnosis procedure is essential to restore the health of the articulating system and reverse peripheral condition. This includes the ability to restore the individual tooth in its best anatomic position as a complement to the articulating system using all individual disciplines of dentistry in the finest abilities of treatment and the ability to share and distinguish the possible parafunctional habits and the need for behavioral understanding, support, and management to limit or lessen the wear and destruction of the individual tissues and to restore a healthier physical support.

  19. Special report: Occlusive cuff controller

    NASA Technical Reports Server (NTRS)

    Baker, J. T.

    1975-01-01

    A mechanical occlusive cuff controller suitable for blood flow experiments in space shuttle flights is described. The device requires 115 volt ac power and a pressurized gas source. Two occluding cuff pressures (30 and 50 mmHg) are selectable by a switch on the front panel. A screw driver adjustment allows accurate cuff pressurization levels for under or oversized limbs. Two pressurization cycles (20 second and 2 minutes) can be selected by a front panel switch. Adjustment of the timing cycles is also available through the front panel. A pushbutton hand switch allows remote start of the cuff inflation cycle. A stop/reset switch permits early termination of the cycle and disabling of the controller to prevent inadvertent reactivation. Pressure in the cuff is monitored by a differential aneroid barometer. In addition, an electrocardiogram trigger circuit permits the initiation of the pressurization cycle by an externally supplied ECG cycle.

  20. Occlusion for stimulus deprivation amblyopia

    PubMed Central

    Antonio-Santos, Aileen; Vedula, Satyanarayana S; Hatt, Sarah R; Powell, Christine

    2014-01-01

    Background Stimulus deprivation amblyopia (SDA) develops due to an obstruction to the passage of light secondary to a condition such as cataract. The obstruction prevents formation of a clear image on the retina. SDA can be resistant to treatment, leading to poor visual prognosis. SDA probably constitutes less than 3% of all amblyopia cases, although precise estimates of prevalence are unknown. In developed countries, most patients present under the age of one year; in less developed parts of the world patients are likely to be older at the time of presentation. The mainstay of treatment is removal of the cataract and then occlusion of the better-seeing eye, but regimens vary, can be difficult to execute, and traditionally are believed to lead to disappointing results. Objectives Our objective was to evaluate the effectiveness of occlusion therapy for SDA in an attempt to establish realistic treatment outcomes. Where data were available, we also planned to examine evidence of any dose response effect and to assess the effect of the duration, severity, and causative factor on the size and direction of the treatment effect. Search methods We searched CENTRAL (which contains the Cochrane Eyes and Vision Group Trials Register) (The Cochrane Library 2013, Issue 9), Ovid MEDLINE, Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid MEDLINE Daily, Ovid OLDMEDLINE (January 1946 to October 2013), EMBASE (January 1980 to October 2013), the Latin American and Caribbean Literature on Health Sciences (LILACS) (January 1982 to October 2013), PubMed (January 1946 to October 2013), the metaRegister of Controlled Trials (mRCT) (www.controlled-trials.com), ClinicalTrials.gov (www.clinicaltrials.gov) and the WHO International Clinical Trials Registry Platform (ICTRP) (www.who.int/ictrp/search/en). We did not use any date or language restrictions in the electronic searches for trials. We last searched the electronic databases on 28 October 2013. Selection criteria We planned

  1. [Experimental coronary stenoses and occlusions].

    PubMed

    Neef, H; Pannwitz, H G; Pauer, H D; Bretschneider, G; Beschauner, B; Gabriel, G; Kentsch, G

    1977-01-01

    A constrictor for experimentally inducing stenoses and obstructions of the coronary artery is described. Smallness, good adaptability to every vascular diameter, atraumatic insertion, and slow swelling are its advantages. Within 12 months a coronary artery could be constricted by two thirds. In one third of the cases the lumen was narrowed by more than 75 per cent. Just 50 per cent of the cases showed chronic infarction after coronary obstruction, the other half developed differently marked myocardiac fibrosis. At high-degree narrowing of the arteries, 75 per cent of the cases showed disseminated myocardiac fibrosis. The occlusion of the vessel is caused by constrictor, by fibroplastic alteration of the vascular wall, and by thrombosis. Different degrees of myocardiac ischemia are sequelae of different development of collaterals. The constrictor may be used for studies on the development of collaterals as well as on therapeutic measures in chronic ischemia of the myocardium.

  2. Functional Aesthetic Occlusal Plane (FAOP)

    PubMed Central

    Câmara, Carlos Alexandre; Martins, Renato Parsekian

    2016-01-01

    ABSTRACT Introduction: A reasonable exposure of incisors and gingival tissues is generally considered more attractive than excess or lack of exposure. A reasonable gingival exposure is considered to be around 0 to 2 mm when smiling and 2-4 mm exposure of the maxillary incisor edge when the lips are at rest. Objective: The aim of this paper is to present the Functional Aesthetic Occlusal Plane (FAOP), which aims to help in the diagnosis of the relationships established among molars, incisors and the upper lip. Conclusion: FAOP can complement an existing and established orthodontic treatment plan, facilitating the visualization of functional and aesthetic demands by giving a greater focus on the position of incisors in the relationship established among the incisors, molars and the upper lip stomion. PMID:27653271

  3. [Occlusion of maxillary artery in treatment of trigeminal neuralgia].

    PubMed

    Novak, Vesna; Bosnjaković, Petar; Ristić, Sasa; Kostić, Aleksandar; Jelenković, Boban; Novak, Martin

    2012-01-01

    This paper deals with a treating method of trigeminal neuralgia classified so far as idiopathic neuralgias and treated conservatively. The study was aimed at proving the compression of peripheral branches of N. trigeminus in those patients by vascular elements of A. maxillaris within the bone-ligament space of the scull and the face base. The study sample consisted of 76 patients having trigeminal neuralgia. The compression was proved by clinical examination, by angiography and electrophysiological investigations. Endovascular occlusion of A. maxillaris is the original method and it was carried out in selected patients. This method was applied in 76 patients. Embolisation was done in 71 patients by using occlusion spiral and gelfoan was used in 3 patients. Externa carotid artery ligation was done in 2 cases. The effect of absolute improvement has been achieved and verified by electrophysiological method and subjective assessment of the patients.

  4. Fast Occlusion and Shadow Detection for High Resolution Remote Sensing Image Combined with LIDAR Point Cloud

    NASA Astrophysics Data System (ADS)

    Hu, X.; Li, X.

    2012-08-01

    The orthophoto is an important component of GIS database and has been applied in many fields. But occlusion and shadow causes the loss of feature information which has a great effect on the quality of images. One of the critical steps in true orthophoto generation is the detection of occlusion and shadow. Nowadays LiDAR can obtain the digital surface model (DSM) directly. Combined with this technology, image occlusion and shadow can be detected automatically. In this paper, the Z-Buffer is applied for occlusion detection. The shadow detection can be regarded as a same problem with occlusion detection considering the angle between the sun and the camera. However, the Z-Buffer algorithm is computationally expensive. And the volume of scanned data and remote sensing images is very large. Efficient algorithm is another challenge. Modern graphics processing unit (GPU) is much more powerful than central processing unit (CPU). We introduce this technology to speed up the Z-Buffer algorithm and get 7 times increase in speed compared with CPU. The results of experiments demonstrate that Z-Buffer algorithm plays well in occlusion and shadow detection combined with high density of point cloud and GPU can speed up the computation significantly.

  5. Hyperaemic changes in forearm skin perfusion and RBC concentration after increasing occlusion times.

    PubMed

    Farnebo, Simon; Thorfinn, Johan; Henricson, Joakim; Tesselaar, Erik

    2010-12-01

    Tissue occlusion and the hyperaemic response upon reperfusion can be used as a tool to assess microvascular function in various vascular diseases. Currently, laser Doppler flowmetry (LDF) is applied most often to measure hyperaemic responses. In this study, we have applied tissue viability imaging (TiVi) and LDF to measure the change in red blood cell concentration and perfusion in the skin after occlusions of the forearm with increasing duration. We have found that there is a strong correlation between the changes in perfusion and red blood cell (RBC) concentration during post-occlusive hyperaemia (perfusion: r=0.80; RBC concentration: r=0.94). This correlation increases with longer occlusion durations (1, 5 and 10min). Furthermore, for both perfusion and RBC concentration, the maximum responses (perfusion: r(2)=0.59; RBC concentration: r(2)=0.78) and the recovery times (perfusion: r(2)=0.62; RBC concentration: r(2)=0.91) increase linearly with the duration of the occlusion. Maximum responses and recovery times were more reproducible for RBC concentration (as measured with TiVi) than for perfusion (as measured with LDF). These results show that perfusion and RBC concentration are related during post-occlusive hyperaemia and that TiVi can be used as a tool in the assessment of hyperaemic responses that has advantages in terms of reproducibility, sensitivity and ease of use.

  6. Effect of repeated vertical loads on microleakage of IRM and calcium sulfate-based temporary fillings.

    PubMed

    Liberman, R; Ben-Amar, A; Frayberg, E; Abramovitz, I; Metzger, Z

    2001-12-01

    Temporary fillings are commonly used to seal endodontic access cavities between visits. IRM and Cavidentin were selected to represent two widely used groups of temporary filling materials. The first is a reinforced zinc oxide-eugenol preparation that is mixed at chairside, whereas the second is a ready-to-use calcium sulfate-based material that gained popularity due to its convenience of application. The seal provided by the aforementioned materials was studied using a radioactive tracer quantitative assay. When compared as passive temporary filling, the two provided a similar quality of seal. However, when subjected to repetitive "occlusal" cyclic loading of 4 kg, IRM was clearly superior to the calcium sulfate-based material. Whereas IRM maintained a reasonable seal, the calcium sulfate-based fillings deteriorated and lost the ability to seal. These results suggest that even though calcium sulfate-based materials may be useful when not subjected to any occlusal forces, IRM should be preferred whenever occlusal loads may be applied. Furthermore it is demonstrated that testing such materials for microleakage with no reference to mastication forces may be of limited value.

  7. Load-bearing capacity of screw-retained CAD/CAM-produced titanium implant frameworks (I-Bridge®2) before and after cyclic mechanical loading

    PubMed Central

    DITTMER, Marc Philipp; NENSA, Moritz; STIESCH, Meike; KOHORST, Philipp

    2013-01-01

    Implant-supported screw-retained fixed dental prostheses (FDPs) produced by CAD/ CAM have been introduced in recent years for the rehabilitation of partial or total endentulous jaws. However, there is a lack of data about the long-term mechanical characteristics. Objective The aim of this study was to investigate the failure mode and the influence of extended cyclic mechanical loading on the load-bearing capacity of these frameworks. Material and Methods Ten five-unit FDP frameworks simulating a free-end situation in the mandibular jaw were manufactured according to the I-Bridge®2-concept (I-Bridge®2, Biomain AB, Helsingborg, Sweden) and each was screw-retained on three differently angulated Astra Tech implants (30º buccal angulation/0º angulation/30º lingual angulation). One half of the specimens was tested for static load-bearing capacity without any further treatment (control), whereas the other half underwent five million cycles of mechanical loading with 100 N as the upper load limit (test). All specimens were loaded until failure in a universal testing machine with an occlusal force applied at the pontics. Load-displacement curves were recorded and the failure mode was macro- and microscopically analyzed. The statistical analysis was performed using a t-test (p=0.05). Results All the specimens survived cyclic mechanical loading and no obvious failure could be observed. Due to the cyclic mechanical loading, the load-bearing capacity decreased from 8,496 N±196 N (control) to 7,592 N±901 N (test). The cyclic mechanical loading did not significantly influence the load-bearing capacity (p=0.060). The failure mode was almost identical in all specimens: large deformations of the framework at the implant connection area were obvious. Conclusion The load-bearing capacity of the I-Bridge®2 frameworks is much higher than the clinically relevant occlusal forces, even with considerably angulated implants. However, the performance under functional loading in vivo

  8. Disparity biasing in depth from monocular occlusions.

    PubMed

    Tsirlin, Inna; Wilcox, Laurie M; Allison, Robert S

    2011-07-15

    Monocular occlusions have been shown to play an important role in stereopsis. Among other contributions to binocular depth perception, monocular occlusions can create percepts of illusory occluding surfaces. It has been argued that the precise location in depth of these illusory occluders is based on the constraints imposed by occlusion geometry. Tsirlin et al. (2010) proposed that when these constraints are weak, the depth of the illusory occluder can be biased by a neighboring disparity-defined feature. In the present work we test this hypothesis using a variety of stimuli. We show that when monocular occlusions provide only partial constraints on the magnitude of depth of the illusory occluders, the perceived depth of the occluders can be biased by disparity-defined features in the direction unrestricted by the occlusion geometry. Using this disparity bias phenomenon we also show that in illusory occluder stimuli where disparity information is present, but weak, most observers rely on disparity while some use occlusion information instead to specify the depth of the illusory occluder. Taken together our experiments demonstrate that in binocular depth perception disparity and monocular occlusion cues interact in complex ways to resolve perceptual ambiguity. Copyright © 2011 Elsevier Ltd. All rights reserved.

  9. Comparison of occlusion pressure and ventilatory responses.

    PubMed Central

    Lederer, D H; Altose, M D; Kelsen, S G; Cherniack, N S

    1977-01-01

    The airway pressure 100 msec after the onset of an inspiratory effort against a closed airway (P100, occlusion pressure) is theoretically a more accurate index of respiratory neuron motor output than ventilation. Occlusion pressure and ventilation responses to hypercapnia were compared in repeated trials in 10 normal subjects while in the seated and supine positions. During progressive hypercapnia changes in P100 were also compared to changes in tidal volume and inspiratory airflow. These studies show that occlusion pressure increases linearly with hypercapnia in both sitting and supine subjects. Changing from the seated to the supine position, or vice versa, had no significant effect on either ventilation or occlusion pressure responses to CO2. Correlations between P100 and ventilation or airflow rate were significantly higher than correlations between P100 and tidal volume or breathing frequency. Intermittent random airway occlusion had no effect on either ventilation or pattern of breathing during hypercapnia. Occlusion pressure responses were no less variable than ventilation responses in groups of subjects whether studied seated or supine. However, maintenance of a constant moderate breathing frequency (20 breaths per minute) reduced the interindividual variability in ventilation and occlusion pressure responses to hypercapnia. PMID:867336

  10. Relationship between articulation paper mark size and percentage of force measured with computerized occlusal analysis

    PubMed Central

    Qadeer, Sarah; Kerstein, Robert; Kim, Ryan Jin Yung; Huh, Jung-Bo

    2012-01-01

    PURPOSE Articulation paper mark size is widely accepted as an indicator of forceful tooth contacts. However, mark size is indicative of contact location and surface area only, and does not quantify occlusal force. The purpose of this study is to determine if a relationship exists between the size of paper marks and the percentage of force applied to the same tooth. MATERIALS AND METHODS Thirty dentate female subjects intercuspated into articulation paper strips to mark occlusal contacts on their maxillary posterior teeth, followed by taking photographs. Then each subject made a multi-bite digital occlusal force percentage recording. The surface area of the largest and darkest articulation paper mark (n = 240 marks) in each quadrant (n = 60 quadrants) was calculated in photographic pixels, and compared with the force percentage present on the same tooth. RESULTS Regression analysis shows a bi-variant fit of force % on tooth (P<.05). The correlation coefficient between the mark area and the percentage of force indicated a low positive correlation. The coefficient of determination showed a low causative relationship between mark area and force (r2 = 0.067). The largest paper mark in each quadrant was matched with the most forceful tooth in that same quadrant only 38.3% of time. Only 6 2/3% of mark surface area could be explained by applied occlusal force, while most of the mark area results from other factors unrelated to the applied occlusal force. CONCLUSION The findings of this study indicate that size of articulation paper mark is an unreliable indicator of applied occlusal force, to guide treatment occlusal adjustments. PMID:22439094

  11. Causal assessment of dietary acid load and bone disease: a systematic review & meta-analysis applying Hill's epidemiologic criteria for causality

    PubMed Central

    2011-01-01

    Background Modern diets have been suggested to increase systemic acid load and net acid excretion. In response, alkaline diets and products are marketed to avoid or counteract this acid, help the body regulate its pH to prevent and cure disease. The objective of this systematic review was to evaluate causal relationships between dietary acid load and osteoporosis using Hill's criteria. Methods Systematic review and meta-analysis. We systematically searched published literature for randomized intervention trials, prospective cohort studies, and meta-analyses of the acid-ash or acid-base diet hypothesis with bone-related outcomes, in which the diet acid load was altered, or an alkaline diet or alkaline salts were provided, to healthy human adults. Cellular mechanism studies were also systematically examined. Results Fifty-five of 238 studies met the inclusion criteria: 22 randomized interventions, 2 meta-analyses, and 11 prospective observational studies of bone health outcomes including: urine calcium excretion, calcium balance or retention, changes of bone mineral density, or fractures, among healthy adults in which acid and/or alkaline intakes were manipulated or observed through foods or supplements; and 19 in vitro cell studies which examined the hypothesized mechanism. Urine calcium excretion rates were consistent with osteoporosis development; however calcium balance studies did not demonstrate loss of whole body calcium with higher net acid excretion. Several weaknesses regarding the acid-ash hypothesis were uncovered: No intervention studies provided direct evidence of osteoporosis progression (fragility fractures, or bone strength as measured using biopsy). The supporting prospective cohort studies were not controlled regarding important osteoporosis risk factors including: weight loss during follow-up, family history of osteoporosis, baseline bone mineral density, and estrogen status. No study revealed a biologic mechanism functioning at physiological p

  12. Causal assessment of dietary acid load and bone disease: a systematic review & meta-analysis applying Hill's epidemiologic criteria for causality.

    PubMed

    Fenton, Tanis R; Tough, Suzanne C; Lyon, Andrew W; Eliasziw, Misha; Hanley, David A

    2011-04-30

    Modern diets have been suggested to increase systemic acid load and net acid excretion. In response, alkaline diets and products are marketed to avoid or counteract this acid, help the body regulate its pH to prevent and cure disease. The objective of this systematic review was to evaluate causal relationships between dietary acid load and osteoporosis using Hill's criteria. Systematic review and meta-analysis. We systematically searched published literature for randomized intervention trials, prospective cohort studies, and meta-analyses of the acid-ash or acid-base diet hypothesis with bone-related outcomes, in which the diet acid load was altered, or an alkaline diet or alkaline salts were provided, to healthy human adults. Cellular mechanism studies were also systematically examined. Fifty-five of 238 studies met the inclusion criteria: 22 randomized interventions, 2 meta-analyses, and 11 prospective observational studies of bone health outcomes including: urine calcium excretion, calcium balance or retention, changes of bone mineral density, or fractures, among healthy adults in which acid and/or alkaline intakes were manipulated or observed through foods or supplements; and 19 in vitro cell studies which examined the hypothesized mechanism. Urine calcium excretion rates were consistent with osteoporosis development; however calcium balance studies did not demonstrate loss of whole body calcium with higher net acid excretion. Several weaknesses regarding the acid-ash hypothesis were uncovered: No intervention studies provided direct evidence of osteoporosis progression (fragility fractures, or bone strength as measured using biopsy). The supporting prospective cohort studies were not controlled regarding important osteoporosis risk factors including: weight loss during follow-up, family history of osteoporosis, baseline bone mineral density, and estrogen status. No study revealed a biologic mechanism functioning at physiological pH. Finally, randomized studies

  13. Workflow Optimization in Vertebrobasilar Occlusion

    SciTech Connect

    Kamper, Lars Meyn, Hannes; Nordmeyer, Simone; Kempkes, Udo; Piroth, Werner

    2012-06-15

    Objective: In vertebrobasilar occlusion, rapid recanalization is the only substantial means to improve the prognosis. We introduced a standard operating procedure (SOP) for interventional therapy to analyze the effects on interdisciplinary time management. Methods: Intrahospital time periods between hospital admission and neuroradiological intervention were retrospectively analyzed, together with the patients' outcome, before (n = 18) and after (n = 20) implementation of the SOP. Results: After implementation of the SOP, we observed statistically significant improvement of postinterventional patient neurological status (p = 0.017). In addition, we found a decrease of 5:33 h for the mean time period from hospital admission until neuroradiological intervention. The recanalization rate increased from 72.2% to 80% after implementation of the SOP. Conclusion: Our results underscore the relevance of SOP implementation and analysis of time management for clinical workflow optimization. Both may trigger awareness for the need of efficient interdisciplinary time management. This could be an explanation for the decreased time periods and improved postinterventional patient status after SOP implementation.

  14. Pulmonary veno-occlusive disease.

    PubMed

    Montani, David; Lau, Edmund M; Dorfmüller, Peter; Girerd, Barbara; Jaïs, Xavier; Savale, Laurent; Perros, Frederic; Nossent, Esther; Garcia, Gilles; Parent, Florence; Fadel, Elie; Soubrier, Florent; Sitbon, Olivier; Simonneau, Gérald; Humbert, Marc

    2016-05-01

    Pulmonary veno-occlusive disease (PVOD) is a rare form of pulmonary hypertension (PH) characterised by preferential remodelling of the pulmonary venules. In the current PH classification, PVOD and pulmonary capillary haemangiomatosis (PCH) are considered to be a common entity and represent varied expressions of the same disease. The recent discovery of biallelic mutations in the EIF2AK4 gene as the cause of heritable PVOD/PCH represents a major milestone in our understanding of the molecular pathogenesis of PVOD. Although PVOD and pulmonary arterial hypertension (PAH) share a similar clinical presentation, with features of severe precapillary PH, it is important to differentiate these two conditions as PVOD carries a worse prognosis and life-threatening pulmonary oedema may occur following the initiation of PAH therapy. An accurate diagnosis of PVOD based on noninvasive investigations is possible utilising oxygen parameters, low diffusing capacity for carbon monoxide and characteristic signs on high-resolution computed tomography of the chest. No evidence-based medical therapy exists for PVOD at present and lung transplantation remains the preferred definitive therapy for eligible patients.

  15. Polycythemia causing posterior segment vascular occlusions

    PubMed Central

    Ganesan, Suganeswari; Raman, Rajiv; Sharma, Tarun

    2017-01-01

    A 44-year-old male patient presented with features suggestive of transient central retinal artery occlusion (CRAO) followed by permanent CRAO and lateral posterior ciliary artery occlusion. He had diagnostic features of polycythemia vera (PV). When presented for the first time, the patient had features of ocular ischemia such as ocular pain, conjunctival congestion, and retinal opacification but with normal arm-to-retina time and normal arteriovenous transit time. During the second presentation, he had ocular pain, congested conjunctiva, retinal opacification, cherry red spot with box-carrying of retinal vessels, and choroidal infarct (Amalric's sign). He had lost light perception in that eye. Patients with polycythemia are prone to multifocal vascular occlusions and this can be the presenting feature in PV. A timely diagnosis and prompt management can prevent these repeated thromboembolic occlusive episodes. PMID:28298862

  16. Stent Graft in Managing Juxta-Renal Aortoiliac Occlusion

    SciTech Connect

    Prabhudesai, V. Mitra, K.; West, D. J.; Dean, M. R. E.

    2003-09-15

    Endovascular procedures are frequently used as an alternative to surgical bypass in aortic and iliac occlusion. Stents have revolutionized the scope of such endovascular procedures, but there are few reports of stents or stent grafts in occlusive juxta-renal aortic occlusion. We present a case where such occlusion was managed by use of a stent graft with successful outcome.

  17. Central composite design and genetic algorithm applied for the optimization of ultrasonic-assisted removal of malachite green by ZnO Nanorod-loaded activated carbon.

    PubMed

    Ghaedi, M; Azad, F Nasiri; Dashtian, K; Hajati, S; Goudarzi, A; Soylak, M

    2016-10-05

    Maximum malachite green (MG) adsorption onto ZnO Nanorod-loaded activated carbon (ZnO-NR-AC) was achieved following the optimization of conditions, while the mass transfer was accelerated by ultrasonic. The central composite design (CCD) and genetic algorithm (GA) were used to estimate the effect of individual variables and their mutual interactions on the MG adsorption as response and to optimize the adsorption process. The ZnO-NR-AC surface morphology and its properties were identified via FESEM, XRD and FTIR. The adsorption equilibrium isotherm and kinetic models investigation revealed the well fit of the experimental data to Langmuir isotherm and pseudo-second-order kinetic model, respectively. It was shown that a small amount of ZnO-NR-AC (with adsorption capacity of 20mgg(-1)) is sufficient for the rapid removal of high amount of MG dye in short time (3.99min). Copyright © 2016 Elsevier B.V. All rights reserved.

  18. Central composite design and genetic algorithm applied for the optimization of ultrasonic-assisted removal of malachite green by ZnO Nanorod-loaded activated carbon

    NASA Astrophysics Data System (ADS)

    Ghaedi, M.; Azad, F. Nasiri; Dashtian, K.; Hajati, S.; Goudarzi, A.; Soylak, M.

    2016-10-01

    Maximum malachite green (MG) adsorption onto ZnO Nanorod-loaded activated carbon (ZnO-NR-AC) was achieved following the optimization of conditions, while the mass transfer was accelerated by ultrasonic. The central composite design (CCD) and genetic algorithm (GA) were used to estimate the effect of individual variables and their mutual interactions on the MG adsorption as response and to optimize the adsorption process. The ZnO-NR-AC surface morphology and its properties were identified via FESEM, XRD and FTIR. The adsorption equilibrium isotherm and kinetic models investigation revealed the well fit of the experimental data to Langmuir isotherm and pseudo-second-order kinetic model, respectively. It was shown that a small amount of ZnO-NR-AC (with adsorption capacity of 20 mg g- 1) is sufficient for the rapid removal of high amount of MG dye in short time (3.99 min).

  19. Buckling of vertical rod loaded by dead weight and tensile force subjected to its top end (applied to marine vertical oil pipelines—Risers)

    NASA Astrophysics Data System (ADS)

    Beyle, A. I.

    1997-07-01

    The problem of buckling of a vertical rod loaded by dead weight and tensile force to its top end was examined. Four variants for attachment of the top end of the rod upon clamping the bottom end were analyzed. The problem was solved by individual consideration of the stretched and compressed zones of the rod and their sewing together. Critical values of the axial force were obtained, which permit prevention of buckling of a long rod by the action of dead weight. Analysis permits selection of the required tension of vertical pipelines for deep-water oil drilling and demonstration of the advantages of using composites (especially, carbon-fiber-reinforced plastics) as materials for manufacture of the elements of such structures.

  20. Collagenase Total Occlusion-1 (CTO-1) Trial

    PubMed Central

    Strauss, Bradley H.; Osherov, Azriel B.; Radhakrishnan, Sam; Mancini, G.B. John; Manners, Allison; Sparkes, John D.; Chisholm, Robert J.

    2014-01-01

    Background Percutaneous interventions for chronic total occlusions have low success rates, primarily because of failure of guide wire crossing. Collagen-rich matrix constitutes the main barrier to chronic total occlusion crossing. In preclinical studies, local delivery of a bacterial collagenase formulation improved guide wire crossing. The Collagenase Total Occlusion-1 (CTO-1) Trial is a phase I, dose-escalation trial to assess the safety and efficacy of collagenase therapy to facilitate guide wire crossing in coronary artery chronic occlusions. Methods and Results Twenty subjects with ≥1 previous failure of chronic total occlusion guide wire crossing were enrolled at 2 sites. Subjects were treated in 4 distinct cohorts of 5 patients, with escalation of collagenase dose in each cohort from 300 to 1200 μg. Collagenase was locally delivered into the occlusions with either an over-the-wire balloon system (n=8) or a fine-cross microcatheter (n=12) for a period of 30 minutes. Subjects were brought back to the catheterization laboratory for guide wire crossing and angioplasty the next day. Guide wire crossing was successfully achieved in 15 subjects (75%). A soft-tip guide wire (Whisper, Pilot-50, Fielder XT) was either the sole or predominant guide wire used in 75% of successful crossings. Non–ST-segment–elevation myocardial infarctions occurred in 3 patients as a result of side-branch ischemia during stenting. Computed tomographic angiography at 3 months showed no late complications and patent stents in successfully treated chronic total occlusion. Anginal improvement occurred with a reduction in Canadian Cardiovascular Society class from baseline to 3 months (2.5±0.6 versus 0.9±0.9; P<0.001). Conclusion Local delivery of collagenase into coronary chronic total occlusion is feasible and safe with encouraging guide wire crossing results in previously failed cases. Larger clinical trials are required to determine efficacy. Clinical Trial Registration URL: http

  1. Stenting in Acute Lower Limb Arterial Occlusions

    SciTech Connect

    Raja, Jowad; Munneke, Graham; Morgan, Robert; Belli, Anna-Maria

    2008-07-15

    Management of critical limb ischemia of acute onset includes surgical embolectomy, bypass grafting, aspiration thrombectomy, thrombolysis, and mechanical thrombectomy followed by treatment of the underlying cause. We present our experience with the use of stents to treat acute embolic/thrombotic occlusions in one iliac and three femoropopliteal arteries. Although this is a small case series, excellent immediate and midterm results suggest that stenting of acute occlusions of the iliac, superficial femoral, and popliteal arteries is a safe and effective treatment option.

  2. Ophthalmic Artery Occlusion Following Transconjunctival Orbitotomy.

    PubMed

    Ganguly, Anasua; Pappuru, Rajeev Reddy; Ali, Mohammad Javed; Mishra, Dilip Kumar; Naik, Milind N

    Postoperative blindness after orbital surgery is an extremely rare and a disastrous complication. Ophthalmic artery occlusion as a cause of such unexpected vision loss has not been documented in literature. The authors report a case of a middle aged man who developed sudden vision loss due to ophthalmic artery occlusion following transconjunctival excision of orbital schwanomma. The possible mechanisms contributing to the loss of vision are discussed and preventive strategies are suggested to reduce the incidence of this complication.

  3. Evaluation of Treatments in Patients with Nocturnal Bruxism on Bite Force and Occlusal Contact Area: A preliminary report

    PubMed Central

    Alkan, Alper; Bulut, Emel; Arici, Selim; Sato, Shuichi

    2008-01-01

    Objectives The purpose of this study was to investigate the short-term effects of occlusal splint therapy and tricyclic antidepressants on the bite force and occlusal contact area of patients presenting with nocturnal bruxism. Methods A maxillary full-coverage hard acrylic splint was applied to the five patients (Group S). Five patients took a tricyclic antidepressant (Amitriptiline HCl, 10 mg/day) for 3 months (Group A) and a control group (Group C) comprising of 10 dental school students with normal occlusion was also formed. Using a Dental Prescale (Fuji Photo Film Corporation, Tokyo, Japan) and an Occluzer computer (FPD703, Fuji Photo Film Corporation, Tokyo, Japan) the bite force and occlusal contact area were measured. The evaluations were made just before the treatment and at 1 month and 3 months of treatment. Results The bite force and occlusal contact area before treatment in study Groups A and S were found to be higher than those in the Group C. Furthermore, the bite force and occlusal contact area increased during treatment in Group A whilst they decreased in Group S. Bite force and occlusal contact area in Group S were lower at both 1 month and 3 months of treatment than in Group C. Conclusions It could be tentatively suggested that occlusal splint therapy may be more effective than tricyclic antidepressant in the treatment of bruxism. Further investigations of this measurement method involving larger study populations and a longer follow-up period are needed. PMID:19212534

  4. Real-time scale-adaptive correlation filters tracker with depth information to handle occlusion

    NASA Astrophysics Data System (ADS)

    Pi, Jiatian; Gu, Yuzhang; Hu, Keli; Cheng, Xiaoliu; Zhan, Yunlong; Wang, Yingguan

    2016-07-01

    In visual object tracking, occlusions significantly undermine the performance of tracking algorithms. RGB-D cameras, such as Microsoft Kinect or the related PrimeSense camera, are widely available to consumers. Great attention has been focused on exploiting depth information for object tracking in recent years. We propose an algorithm that improves the existing correlation filter-based tracker for scale-adaptive tracking. Moreover, we utilize depth information provided by the Kinect camera to handle various types of occlusions. First, the optimal location of the target is obtained by the conventional kernelized correlation filter tracker. Then, we make use of the discriminative correlation filter for scale estimation as an independent part. At last, to further improve the tracking performance under occlusions, we present a simple yet effective occlusion handling mechanism to detect occlusion and recovery. In this mechanism, cluster analysis and object segmentation by K-means method have been applied to depth data. Numerous experiments on Princeton RGB-D tracking dataset demonstrate that the proposed algorithm outperforms several state-of-the-art trackers by successfully dealing with occlusions.

  5. Three-dimensional profilometric reconstruction using flexible sensing integral imaging and occlusion removal.

    PubMed

    Shen, Xin; Markman, Adam; Javidi, Bahram

    2017-03-20

    We present a method for three-dimensional (3D) profilometric reconstruction using flexible sensing integral imaging with object recognition and automatic occlusion removal. Two-dimensional images, known as elemental images (EIs), of a scene containing an object behind occlusion are captured by flexible sensing integral imaging using a moving camera randomly placed on a non-planar surface with unknown camera position and orientation. After 3D image acquisition, the unknown camera poses are estimated using the EIs and 3D reconstruction is performed based on flexible sensing integral imaging. Object recognition using the 3D reconstructed images is conducted to detect the object behind occlusion and estimate the object depth and position. Occlusion removal is then performed on the 2D EIs for the occluded object by computing variance maps of the scene. For each EI, occluded object pixels with low variance are replaced by object pixels from other perspectives using multi-view geometry. The new set of elemental images may be used to visualize the 3D profile of the scene containing the object without occlusion. Experiments are performed to validate the feasibility of the proposed method. To the best of our knowledge, this is the first report of applying flexible sensing integral imaging to profilometric reconstruction with object recognition and occlusion removal.

  6. [Lingualized occlusion in the South African context].

    PubMed

    Oberholzer, T G; Geerts, G A V M

    2002-01-01

    The search for the ideal artificial tooth arrangement that maximizes denture stability, comfort, aesthetics, and function has occupied the dental literature for many years and still continues to do so. Of the many occlusal schemes that have been presented to the dental profession, that of lingualized occlusion has emerged as one of the more popular. The popularity of lingualized occlusion stems from the simplicity and flexibility of the concept and from its wide application to clinical practice (Parr & Ivanhoe, 1996). The registration of a repeatable correct centric jaw relation is not always possible. We don't know whether the patient will use centric relation during normal function. It is therefore useful to provide the patient with some freedom of movement around centric. lingualized occlusion provides freedom in centric. For many dentists the arrangement of artificial denture teeth into balanced occlusion is difficult and time consuming. As a result this task is most often performed by the dental technician. In the South African countryside dental laboratories are often far away. If dentists perform the arrangement of the denture teeth, time and costs can be saved. The mounting of denture teeth in lingualized occlusion is simple and fast. This will motivate dentists to arrange denture teeth themselves, with obvious benefits for both the patient and the dentist. The School of Oral Health Sciences of the University of Stellenbosch teaches this concept to its undergraduate students in order to improve the prosthetic service to the large edentulous population of South Africa.

  7. Fast and effective occlusion culling for 3D holographic displays by inverse orthographic projection with low angular sampling.

    PubMed

    Jia, Jia; Liu, Juan; Jin, Guofan; Wang, Yongtian

    2014-09-20

    Occlusion culling is an important process that produces correct depth cues for observers in holographic displays, whereas current methods suffer from occlusion errors or high computational loads. We propose a fast and effective method for occlusion culling based on multiple light-point sampling planes and an inverse orthographic projection technique. Multiple light-point sampling planes are employed to remove the hidden surfaces for each direction of the view of the three-dimensional (3D) scene by forward orthographic projection, and the inverse orthographic projection technique is used to determine the effective sampling points of the 3D scene. A numerical simulation and an optical experiment are performed. The results show that this approach can realize accurate occlusion effects, smooth motion parallax, and continuous depth using low angular sampling without any extra computation costs.

  8. Endovascular Treatment Strategies in Aortoiliac Occlusion

    SciTech Connect

    Ozkan, Ugur Oguzkurt, Levent Tercan, Fahri Gumus, Burcak

    2009-05-15

    The aim of this study was to report our experience in endovascular treatment of total aortoiliac occlusion. Five patients who underwent endovascular recanalization procedures including manual aspiration thrombectomy, balloon angioplasty, and stent placement for total aortoiliac occlusion in a 4-year period were reviewed retrospectively. The mean age of patients was 51 years (range, 43 to 58 years). All patients had abdominal aorta and bilateral common iliac artery occlusion with or without external iliac artery occlusion. All patients either had a contraindication to surgery or refused it. Initial technical success was obtained in four of five (80%) patients. Endovascular techniques were successful in four patients who had good distal runoff and short-segment aortoiliac occlusion, but failed in a patient who had the worst distal runoff and long-segment aortoiliac occlusion. We observed two major complications, one of which was bilateral rupture of the common iliac arteries treated with covered stent placement. Another patient had extension of intra-aortic thrombus into the iliac stent after primary stenting. This was successfully treated with manual aspiration thrombectomy. Aortic and iliac stents remained patent during the follow-up period (median, 18 months; range, 3 to 26 months) in four patients. Primary patency rates at 6, 12, and 24 months were all 80%. In conclusion, endovascular treatment can be an alternative for aortoiliac occlusion in selected patients. Short- to midterm follow-up so far is satisfactory. Removal of intra-aortic thrombus with manual aspiration thrombectomy before balloon angioplasty and/or stenting is possible and a good alternative to thrombolysis.

  9. 14 CFR 23.511 - Ground load; unsymmetrical loads on multiple-wheel units.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... coefficient of friction of 0.8 applied to the main gear and its supporting structure. (b) Unequal tire loads... CATEGORY AIRPLANES Structure Ground Loads § 23.511 Ground load; unsymmetrical loads on multiple-wheel...

  10. 14 CFR 23.511 - Ground load; unsymmetrical loads on multiple-wheel units.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... coefficient of friction of 0.8 applied to the main gear and its supporting structure. (b) Unequal tire loads... CATEGORY AIRPLANES Structure Ground Loads § 23.511 Ground load; unsymmetrical loads on multiple-wheel...

  11. 14 CFR 23.511 - Ground load; unsymmetrical loads on multiple-wheel units.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... coefficient of friction of 0.8 applied to the main gear and its supporting structure. (b) Unequal tire loads... CATEGORY AIRPLANES Structure Ground Loads § 23.511 Ground load; unsymmetrical loads on multiple-wheel...

  12. 14 CFR 23.511 - Ground load; unsymmetrical loads on multiple-wheel units.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... coefficient of friction of 0.8 applied to the main gear and its supporting structure. (b) Unequal tire loads... CATEGORY AIRPLANES Structure Ground Loads § 23.511 Ground load; unsymmetrical loads on multiple-wheel...

  13. 14 CFR 23.511 - Ground load; unsymmetrical loads on multiple-wheel units.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... coefficient of friction of 0.8 applied to the main gear and its supporting structure. (b) Unequal tire loads... CATEGORY AIRPLANES Structure Ground Loads § 23.511 Ground load; unsymmetrical loads on multiple-wheel...

  14. AnSBBR applied to the treatment of wastewater from a personal care industry: effect of organic load and fill time.

    PubMed

    de Oliveira, Daniela Sotirchos; Prinholato, Ana Claudia; Ratusznei, Suzana Maria; Rodrigues, José Alberto Domingues; Zaiat, Marcelo; Foresti, Eugênio

    2009-07-01

    The objective of this work was to study the technological feasibility of treating wastewater from a personal care industry (PCI-WW) in a mechanically stirred anaerobic sequencing batch biofilm reactor (AnSBBR) containing immobilized biomass on polyurethane foam. An assessment was made on how system efficiency and stability would be affected by: increasing organic load; supplementation of nutrients and alkalinity; and different feed strategies. The AnSBBR operated with 8-h cycles, stirring speed of 400 rpm, temperature of 30 degrees C, and treated with 2.0 L wastewater per cycle. First the efficiency and stability of the AnSBBR were studied when submitted to an organic loading rate (OLR) of 3.1-9.4 gCOD/(L d), and when the PCI-WW was supplemented with nutrients (sucrose, urea, trace metals) and alkalinity. The AnSBBR was shown to be robust and presented stability and removal efficiency exceeding 90%. At an OLR of 12.0 gCOD/(L d) efficiency became difficult to maintain due to the presence of commercial cleansers and disinfectants in the wastewater lots. In a subsequent stage the AnSBBR treated the wastewater supplemented with alkalinity, but with no nutrients at varying feed strategies and maintaining an OLR of approximately 9.0 gCOD/(L d). The first strategy consists of feeding 2.0 L of the influent batchwise [OLR of 9.4 gCOD/(L d)]. In the second 1.0 L of influent was fed-batchwise and an additional 1.0 L was fed fed-batchwise [OLR of 9.2 gCOD/(L d)], i.e., in relation to the first strategy the feed volume was maintained but supplied in different periods. In the third strategy 1.0 L of treated effluent was maintained in the reactor and 1.0 L of influent was fed fed-batchwise [OLR of 9.0 gCOD/(L d)], i.e., in relation to the first strategy the feed volume was different but the feed period was the same and the OLR was maintained by increasing the influent concentration. Comparison of the first and second strategies revealed that organic matter removal efficiency was

  15. Time Management in Acute Vertebrobasilar Occlusion

    SciTech Connect

    Kamper, Lars; Mansour, Michael; Winkler, Sven B.; Kempkes, Udo; Haage, Patrick

    2009-03-15

    Acute vertebrobasilar occlusion (VBO) is associated with a high risk of stroke and death. Although local thrombolysis may achieve recanalization and improve outcome, mortality is still between 35% and 75%. However, without recanalization the chance of a good outcome is extremely poor, with mortality rates of 80-90%. Early treatment is a fundamental factor, but detailed studies of the exact time management of the diagnostic and interventional workflow are still lacking. Data on 18 patients were retrospectively evaluated. Time periods between symptom onset, admission to hospital, time of diagnosis, and beginning of intervention were correlated with postinterventional neurological status. The Glasgow Coma Scale and National Institute of Health Stroke Scale (NIHSS) were used to examine patients before and after local thrombolysis. Additionally, multivariate statistics were applied to reveal similarities between patients with neurological improvement. Primary recanalization was achieved in 77% of patients. The overall mortality was 55%. Major complications were intracranial hemorrhage and peripheral embolism. The time period from symptom onset to intervention showed a strong correlation with the postinterventional NIHSS as well as the patient's age, with the best results in a 4-h interval. Multivariate statistics revealed similarities among the patients. Evaluation of time management in acute VBO by multivariate statistics is a helpful tool for definition of similarities in this patient group. Similarly to the door-to-balloon time for acute coronary interventions, the chances for a good outcome depend on a short time interval between symptom onset and intervention. While the only manipulable time period starts with hospital admission, our results emphasize the necessity of efficient intrahospital workflow.

  16. Metamorphopsia Associated with Branch Retinal Vein Occlusion

    PubMed Central

    Manabe, Koichiro; Tsujikawa, Akitaka; Osaka, Rie; Nakano, Yuki; Fujita, Tomoyoshi; Shiragami, Chieko; Hirooka, Kazuyuki; Uji, Akihito; Muraoka, Yuki

    2016-01-01

    Purpose To apply M-CHARTS for quantitative measurements of metamorphopsia in eyes with acute branch retinal vein occlusion (BRVO) and to elucidate the pathomorphology that causes metamorphopsia. Methods This prospective study consisted of 42 consecutive patients (42 eyes) with acute BRVO. Both at baseline and one month after treatment with ranibizumab, metamorphopsia was measured with M-CHARTS, and the retinal morphological changes were examined with optical coherence tomography. Results At baseline, metamorphopsia was detected in the vertical and/or horizontal directions in 29 (69.0%) eyes; the mean vertical and horizontal scores were 0.59 ± 0.57 and 0.52 ± 0.67, respectively. The maximum inner retinal thickness showed no association with the M-CHARTS score, but the M-CHARTS score was correlated with the total foveal thickness (r = 0.43, p = 0.004), the height of serous retinal detachment (r = 0.31, p = 0.047), and the maximum outer retinal thickness (r = 0.36, p = 0.020). One month after treatment, both the inner and outer retinal thickness substantially decreased. However, metamorphopsia persisted in 26 (89.7%) of 29 eyes. The posttreatment M-CHARTS score was not correlated with any posttreatment morphological parameters. However, the posttreatment M-CHARTS score was weakly correlated with the baseline total foveal thickness (r = 0.35. p = 0.024) and closely correlated with the baseline M-CHARTS score (r = 0.78, p < 0.001). Conclusions Metamorphopsia associated with acute BRVO was quantified using M-CHARTS. Initial microstructural changes in the outer retina from acute BRVO may primarily account for the metamorphopsia. PMID:27123642

  17. Irregular Implant Design Decreases Periimplant Stress and Strain Under Oblique Loading.

    PubMed

    He, Ling; Zhang, Jiwu; Li, Xiucheng; Hu, Hongcheng; Lu, Songhe; Tang, Zhihui

    2017-10-01

    To investigate whether a different implant geometry with the same potential contact surface area (PCSA) affects the principal stress and strains in bone. Three-dimensional finite-element models were created with a single endosseous implant embedded in bone. The irregular (IR) dental root-analog implant and regular (R) cylindrical implant with the same PCSA 350 mm were modeled, keeping the size of the thinnest implant wall 0.8 mm, and the thinnest bone wall 1 mm. The regular or irregular abutments were either 4.5 mm lower than the platform of the implants or 5 mm higher than the platform of the implants, both with the taper 1.44°. A 100 N vertical or 100 N vertical/50 N horizontal occlusal loading was applied. The biomechanical behaviors of periimplant bone were recorded. The IR implant design experienced lower periimplant stress and strain under oblique loading than that of R implant design. In the IR implant design, comparable stress in bone, implant, and abutment were found under 100 N vertical loading or 100 N vertical/50 N horizontal loading. In the R implant design, much higher stress in bone, implant, and abutment were found under 100 N vertical/50 N horizontal loading than that under 100 N vertical loading. Irregular dental root-analog implant is a biomechanically favorable design principle for decreasing periimplant stress and strain under oblique loading.

  18. Primary Stenting in Infrarenal Aortic Occlusive Disease

    SciTech Connect

    Nyman, Ulf; Uher, Petr; Lindh, Mats; Lindblad, Bengt; Ivancev, Krasnodar

    2000-03-15

    Purpose: To evaluate the results of primary stenting in aortic occlusive disease.Methods: Thirty patients underwent primary stenting of focal concentric (n = 2) and complex aortic stenoses (n = 19), and aortic or aorto-iliac occlusions (n = 9). Sixteen patients underwent endovascular outflow procedures, three of whom also had distal open surgical reconstructions. Median follow-up was 16 months (range 1-60 months).Results: Guidewire crossing of two aorto-biiliac occlusions failed, resulting in a 93% (28/30) technical success. Major complications included one access hematoma, one myocardial infarction, one death (recurrent thromboembolism) in a patient with widespread malignancy, and one fatal hemorrhage during thrombolysis of distal emboli from a recanalized occluded iliac artery. One patient did not improve his symptoms, resulting in a 1-month clinical success of 83% (25/30). Following restenting the 26 stented survivors changed their clinical limb status to +3 (n = 17) and +2 (n = 9). During follow-up one symptomatic aortic restenosis occurred and was successfully restented.Conclusions: Primary stenting of complex aortic stenoses and short occlusions is an attractive alternative to conventional surgery. Larger studies with longer follow-up and stratification of lesion morphology are warranted to define its role relative to balloon angioplasty. Stenting of aorto-biiliac occlusions is feasible but its role relative to bypass grafting remains to be defined.

  19. Occlusal variation in a rural Kentucky community.

    PubMed

    Corruccini, R S; Whitley, L D

    1981-03-01

    Some major theories concerning the etiology of malocclusion and its modern increase in frequency include genetic explanations, such as inbreeding, racial crossing, and accumulation of mutations, as well as such environmental causes as "habits," allergies, and caries causing reduced arch space of premature deciduous tooth loss. Reduction of masticatory stress resulting from modern urbanism is less often considered as an agent. Many examples of acquisition of gross malocclusion in aboriginal peoples immediately following dietary "modernization" contradict the genetic explanations. A rural population from central Kentucky presents several propitious social characteristics for epidemiologic study of occlusion. They have experienced almost no professional dental care, they are highly inbred (but less so during the last 30 years), and their diet included many difficult-to-chew foods until the recent introduction of industry to the area. Occlusion was evaluated according to the criteria of the Treatment Priority Index. The temporal change and correlates of occlusal variation were assessed on wax-bite impressions of thirty-four persons, informant dietary histories, and other information. The older inhabitants raised on more traditional diets show significantly better occlusion. Dietary consistency provides the most powerful explanation for the transition in occlusal variation, through it was not conclusive in these data.

  20. Dorsal spinal venous occlusion in the rat.

    PubMed

    Martinez-Arizala, A; Mora, R J; Madsen, P W; Green, B A; Hayashi, N

    1995-04-01

    Occlusion of the major components of the spinal venous system is usually associated with spinal arteriovenous malformations or systemic thrombophlebitis. Although spinal venous system dysfunction has been implicated in compressive cord syndromes, myelopathies from decompression sickness, and spinal cord trauma, its pathophysiology remains unclear. To characterize disorders associated with spinal venous occlusion, we developed a model in the rat produced by focally coagulating the dorsal spinal vein transdurally at the T7 and T10 vertebral levels. Following such occlusion, venous stasis, sludging and perivascular hemorrhages in the small venous branches were observed. By 1 week postocclusion, animals developed hindlimb paralysis from which they partially recovered over time. Histologic examination in the acute phase disclosed tissue necrosis, edema, and hemorrhages predominantly in the dorsal aspect of the spinal cord. This was gradually replaced by an intense macrophagic infiltration and the partial formation of a cystic cavity by 1 month. These findings indicate that dorsal spinal vein occlusion in the rat causes significant neurologic and pathologic alterations. We conclude that this procedure produces a relevant animal model for the study of the pathophysiology of spinal venous occlusion, and it allows the characterization of its effects on spinal cord blood flow, the blood-spinal cord barrier, and the development of edema independent of cord compression. Our findings in this model provide an insight into one of the mechanisms of injury extension in spinal cord trauma and other disorders associated with spinal venous dysfunction.

  1. Neuromuscular dentistry: Occlusal diseases and posture

    PubMed Central

    Khan, Mohd Toseef; Verma, Sanjeev Kumar; Maheshwari, Sandhya; Zahid, Syed Naved; Chaudhary, Prabhat K.

    2013-01-01

    Neuromuscular dentistry has been a controversial topic in the field of dentistry and still remains debatable. The issue of good occlusion and sound health has been repeatedly discussed. Sometimes we get complains of sensitive teeth and sometimes of tired facial muscles on getting up in the morning. Owing to the intimate relation of masticatory apparatus with the cranium and cervico-scapular muscular system, the disorders in any system, draw attention from concerned clinicians involved in management, to develop an integrated treatment protocol for the suffering patients. There may be patients reporting to the dental clinics after an occlusal restoration or extraction, having pain in or around the temporomandibular joint, headache or neck pain. Although their esthetic demands must not be undermined during the course of treatment plan, whenever dental treatment of any sort is planned, occlusion/bite should be given prime importance. Very few dentist are able to diagnose the occlusal disease and of those who diagnose many people resort to aggressive treatment modalities. This paper aims to report the signs of occlusal disease, and discuss their association with TMDs and posture. PMID:25737904

  2. Occlusion issues in early Renaissance art

    PubMed Central

    Gillam, Barbara

    2011-01-01

    Early Renaissance painters innovatively attempted to depict realistic three-dimensional scenes. A major problem was to produce the impression of overlap for surfaces that occlude one another in the scene but are adjoined in the picture plane. Much has been written about perspective in art but little about occlusion. Here I examine some of the strategies for depicting occlusion used by early Renaissance painters in relation to ecological considerations and perceptual research. Perceived surface overlap is often achieved by implementing the principle that an occluding surface occludes anything behind it, so that occlusion perception is enhanced by a lack of relationship of occluding contour to occluded contours. Some well-known figure-ground principles are also commonly used to stratify adjoined figures. Global factors that assist this stratification include the placement of figures on a ground plane, a high viewpoint, and figure grouping. Artists of this period seem to have differed on whether to occlude faces and heads, often carefully avoiding doing so. Halos were either eliminated selectively or placed oddly to avoid such occlusions. Finally, I argue that the marked intransitivity in occlusion by architecture in the paintings of Duccio can be related to the issue of perceptual versus cognitive influences on the visual impact of paintings. PMID:23145262

  3. Ultrasound-guided fetal tracheal occlusion.

    PubMed

    Fauza, Dario O; Barnewolt, Carol; Brown, Stephen D; Jennings, Russell W

    2002-03-01

    This study was aimed at examining the feasibility of fetal tracheal occlusion guided exclusively by ultrasonography and at establishing the technical principles of this procedure based on current instrumentation and ultrasound technology. Time-dated pregnant ewes underwent a small laparotomy and partial uterine exposure. Under real-time ultrasound guidance, a steerable guide wire was fed into the fetal tracheal lumen. An 8F catheter then was fed around the guide wire into the trachea. This was followed by intratracheal placement of a 2F coaxial angiographic catheter, connected to a detachable silicone balloon at its extremity, which then was inflated with saline and delivered locally. Euthanasia was performed at term. Complete tracheal occlusion was achieved in all fetuses (n = 7) intraoperatively. Operating time needed for tracheal occlusion, once access to the amniotic cavity was established, varied widely, but could be as short 1 minute. Tracheal lumen dimensions outgrew balloon diameter in 57.1% of fetuses (4 of 7), resulting in balloon dislodgment in those animals. No balloon rupture was observed. (1) Accurate access to the fetal trachea and local delivery of an occlusive detachable silicone balloon are consistently feasible exclusively under real-time ultrasound guidance with commercially available instrumentation. (2) Balloon dimensions are determining factors of displacement risk and must be selected carefully before tracheal delivery. Ultrasound-guided fetal tracheal occlusion may be a preferable alternative to surgical intervention for treatment of fetal pulmonary hypoplasia. Copyright 2002 by W.B. Saunders Company.

  4. Neuromuscular dentistry: Occlusal diseases and posture.

    PubMed

    Khan, Mohd Toseef; Verma, Sanjeev Kumar; Maheshwari, Sandhya; Zahid, Syed Naved; Chaudhary, Prabhat K

    2013-01-01

    Neuromuscular dentistry has been a controversial topic in the field of dentistry and still remains debatable. The issue of good occlusion and sound health has been repeatedly discussed. Sometimes we get complains of sensitive teeth and sometimes of tired facial muscles on getting up in the morning. Owing to the intimate relation of masticatory apparatus with the cranium and cervico-scapular muscular system, the disorders in any system, draw attention from concerned clinicians involved in management, to develop an integrated treatment protocol for the suffering patients. There may be patients reporting to the dental clinics after an occlusal restoration or extraction, having pain in or around the temporomandibular joint, headache or neck pain. Although their esthetic demands must not be undermined during the course of treatment plan, whenever dental treatment of any sort is planned, occlusion/bite should be given prime importance. Very few dentist are able to diagnose the occlusal disease and of those who diagnose many people resort to aggressive treatment modalities. This paper aims to report the signs of occlusal disease, and discuss their association with TMDs and posture.

  5. Influence of immediate loading on provisional restoration in dental implant stability

    NASA Astrophysics Data System (ADS)

    Ikbal, M.; Odang, R. W.; Indrasari, M.; Dewi, R. S.

    2017-08-01

    The success of dental implant treatment is determined by the primary stability at placement. One factor that could influence this stability is occlusal loading through provisional restoration. Two types of loading protocols are usually used: immediate and delayed loading. However, some controversies remain about the influence of occlusal loading on implant stability. Therefore, the influence of immediate loading on implant stability must be studied. An animal study was conducted by placing nine dental implants in the mandibular jaw of three Macaca fascicularis. Provisional restorations with various occlusal contacts (no, light, and normal contact) were placed on the implant. The implant stability was measured using the Ostell ISQ three times: immediately (baseline) and at the first and second months after implant placement. The implant stability between implants with no and normal occlusal contact as well as light and normal occlusal contact showed significant differences (p < 0.05) at the first and second months after implant placement. However, no significant increase (p > 0.05) in implant stability was seen at the baseline and the first and second months after implant placement for all occlusal contact groups. Immediate loading influenced the implant stability, and provisional restoration of implant without occlusal contact showed the highest implant stability.

  6. Sarcopenia: An emphasis on occlusion training and dietary protein.

    PubMed

    Loenneke, J P; Pujol, T J

    2011-04-01

    Demographics reveal that the world's population aged 60 years and older will triple from 600 million in 2000 to more 2 billion by the year 2050. To remain independent and healthy, an important factor to consider is the maintenance of skeletal muscle, as the elderly seem to become prone to a progressive loss of skeletal muscle with aging, termed sarcopenia. Interventions should focus on resistance training and optimal nutrition. Low intensity occlusion training may provide a mode of resistance training more applicable to the elderly, due to the lower loads used. Furthermore, an emphasis must be placed on high quality protein adequately distributed throughout the day to maximize protein synthesis. The use of drug therapy may be of some benefit, but it appears exercise and diet likely plays a more prominent role in the preservation of muscle mass and strength than administration of synthetic hormones.

  7. Predicting fecal sources in waters with diverse pollution loads using general and molecular host-specific indicators and applying machine learning methods.

    PubMed

    Casanovas-Massana, Arnau; Gómez-Doñate, Marta; Sánchez, David; Belanche-Muñoz, Lluís A; Muniesa, Maite; Blanch, Anicet R

    2015-03-15

    In this study we use a machine learning software (Ichnaea) to generate predictive models for water samples with different concentrations of fecal contamination (point source, moderate and low). We applied several MST methods (host-specific Bacteroides phages, mitochondrial DNA genetic markers, Bifidobacterium adolescentis and Bifidobacterium dentium markers, and bifidobacterial host-specific qPCR), and general indicators (Escherichia coli, enterococci and somatic coliphages) to evaluate the source of contamination in the samples. The results provided data to the Ichnaea software, that evaluated the performance of each method in the different scenarios and determined the source of the contamination. Almost all MST methods in this study determined correctly the origin of fecal contamination at point source and in moderate concentration samples. When the dilution of the fecal pollution increased (below 3 log10 CFU E. coli/100 ml) some of these indicators (bifidobacterial host-specific qPCR, some mitochondrial markers or B. dentium marker) were not suitable because their concentrations decreased below the detection limit. Using the data from source point samples, the software Ichnaea produced models for waters with low levels of fecal pollution. These models included some MST methods, on the basis of their best performance, that were used to determine the source of pollution in this area. Regardless the methods selected, that could vary depending on the scenario, inductive machine learning methods are a promising tool in MST studies and may represent a leap forward in solving MST cases.

  8. Acute arterial occlusion after total knee arthroplasty.

    PubMed

    Gregory, Patricia C; Rogic, Roselyn; Eddington, Carolyn

    2006-11-01

    There are a number of complications associated with total knee-joint arthroplasty. These include deep venous thromboses, peroneal palsy, infection, anemia, and Ogilvie's syndrome. An uncommon but potentially limb-threatening complication is acute arterial occlusion. Approximately 35 cases have been reported in the orthopedic literature. Prompt recognition and treatment intervention are the keys to successful outcome. We describe the case of one patient who had mild peroneal palsy and developed acute arterial occlusion 9 days postoperatively while on the inpatient rehabilitation service. Prompt aggressive management restored arterial circulation to the lower limb. Careful management of patients after total knee arthroplasty requires an understanding that arterial occlusion is a rare limb-threatening complication of surgery, but that it is treatable with prompt, deliberate management. Physiatrists should be aware that this condition exists in postoperative knee-joint arthroplasty patients. They should pay careful attention to any patient with a history of peripheral vascular disease or postoperative peroneal palsy.

  9. Leuprolide acetate and central retinal vein occlusion.

    PubMed

    Federici, Thomas J

    2007-01-01

    A 63-year-old man suffered a central retinal vein occlusion 2 months after he began taking leuprolide acetate for prostate cancer. Despite control for possible systemic hypertension (126/90 mm Hg) and mild hypercholesterolemia (total cholesterol level =246 mg/dL [range: 16 to 200 mg/dL], high-density lipoprotein level =67 mg/dL [range: 40 to 59 mg/dL], and low-density lipoprotein level =144 mg/dL [range: 0 to 130 mg/dL]), progression of the venous occlusive disease occurred. Leuprolide acetate, which is associated with thromboembolic events and diffuse intravascular coagulation, may be implicated in central retinal vein occlusion.

  10. Cephalometric estimation of vertical dimension of occlusion.

    PubMed

    Orthlieb, J D; Laurent, M; Laplanche, O

    2000-09-01

    The literature does not establish a single proven method for determining lower facial height, which is called the Vertical Dimension of Occlusion (VDO), and the concept of a vertical comfort range is generally accepted. This study aimed to test the statistical significance of correlations of mandibular shape versus lower facial height in occlusion, using cephalometric measurements. Correlations for 505 consecutive healthy adults were calculated between angles that estimate the lower facial height and angles that estimate the mandibular shape. The mandibular angle (gonial) showed a higher coefficient of correlation (r = 0.691) than the inferior gonial angle. The dispersion remained large, i.e. r2 = 0.478. Cephalometric measurements, despite theirs imperfections, could help the practitioner to understand what the best course of treatment would be in order to obtain a lower facial height in occlusion showing a skeletal harmony with the mandibular shape.

  11. Compliance with occlusion therapy for childhood amblyopia.

    PubMed

    Wallace, Michael P; Stewart, Catherine E; Moseley, Merrick J; Stephens, David A; Fielder, Alistair R

    2013-09-17

    Explore compliance with occlusion treatment of amblyopia in the Monitored and Randomized Occlusion Treatment of Amblyopia Studies (MOTAS and ROTAS), using objective monitoring. Both studies had a three-phase protocol: initial assessment, refractive adaptation, and occlusion. In the occlusion phase, participants were instructed to dose for 6 hours/day (MOTAS) or randomized to 6 or 12 hour/day (ROTAS). Dose was monitored continuously using an occlusion dose monitor (ODM). One hundred and fifty-two patients (71 male, 81 female; 122 Caucasian, 30 non-Caucasian) of mean ± SD age 68 ± 18 months participated. Amblyopia was defined as an interocular acuity difference of at least 0.1 logMAR and was associated with anisometropia in 50, strabismus in 44, and both (mixed) in 58. Median duration of occlusion was 99 days (interquartile range 72 days). Mean compliance was 44%, mean proportion of days with no patch worn was 42%. Compliance was lower (39%) on weekends compared with weekdays (46%, P = 0.04), as was the likelihood of dosing at all (52% vs. 60%, P = 0.028). Compliance was lower when attendance was less frequent (P < 0.001) and with prolonged treatment duration (P < 0.001). Age, sex, amblyopia type, and severity were not associated with compliance. Mixture modeling suggested three subpopulations of patch day doses: less than 30 minutes; doses that achieve 30% to 80% compliance; and doses that achieve around 100% compliance. This study shows that compliance with patching treatment averages less than 50% and is influenced by several factors. A greater understanding of these influences should improve treatment outcome. (ClinicalTrials.gov number, NCT00274664).

  12. Posterior open occlusion management by registration of overlay removable partial denture: A clinical report

    PubMed Central

    Nosouhian, Saeid; Davoudi, Amin; Derhami, Mohammad

    2015-01-01

    This clinical report describes prosthetic rehabilitation of posterior open bite relationship in a patient with several missing teeth and skeletal Class III malocclusion. Primary diagnostic esthetic evaluations were performed by mounting casts in centric relation and estimating lost vertical dimension of occlusion. Exclusive treatments were designated by applying overlay removable partial denture with external attachment systems for higher retentions. PMID:26929544

  13. Occlusal plane determination using custom made broadrick occlusal plane analyser: a case control study.

    PubMed

    Manvi, Supriya; Miglani, Shaveta; Rajeswari, C L; Srivatsa, G; Arora, Sarvesh

    2012-01-01

    Proper occlusal plane is an essential consideration when multiple long span posterior restorations are designed. The determination of the occlusal plane can have a profound effect on the short and long term success of a restorative case. Purpose of Study. (1) To determine the appropriate occlusal curve for individual patients. (2) To compare the deviation of the clinical occlusal curve with the ideal ones. Materials and Methods. A total of 20 subjects were examined and study models were made of their maxillary and mandibular dentition. Inter-occlusal records were made and the casts were articulated in semiadjustable articulator. An ideal occlusal plane was created. The distance of the farthest cusp tip from the Broadrick curve was measured along the long axis of the tooth for each individual. Paired t-tests were used to compare the findings between subjects and controls. Results. A statistically significant difference P < 0.05 was found in the deviation from the Broadrick curve between patients who have lost posterior teeth and the control group who had a full dentition with no missing teeth. Conclusion. Proper utilization of the broadrick flag on a semi-adjustable articulator will allow for a correct determination of the occlusal plane.

  14. Occlusal Characteristics of the Primary Dentition Revisited.

    PubMed

    Alexander, Stanley A; Askari, Marjan; Lewis, Patricia

    2015-11-01

    The occlusal characteristics of the primary dentition of 130 children 3 to 6 years old were examined. Variables were the terminal plane relationship, primary canine occlusion, spacing, overjet and overbite relationships. The flush terminal plane was the most common finding. A Class I relationship of the primary canine occurred in 85% of the subjects. Spaced dentitions occurred 81% of the time, while the presence of primate spaces occurred in at least one of the four quadrants. The overjet relationship varied from +1 mm to 4 mm in all subjects, and the majority of children were considered to have a normal overbite.

  15. Antegrade Techniques for Chronic Total Occlusions

    PubMed Central

    Lim, Michael C.L.

    2015-01-01

    By convention, a total obstruction of the coronary artery with no flow at the occluded segment that has been present for at least 3 months is termed as chronic total occlusion or CTO. This is to be distinguished from a sudden occlusion of the coro-nary artery lumen by a thrombus during an acute myocardial infarction. Percutaneous coronary intervention (PCI) of CTO is increasingly being performed by interventional cardiologists with improved success rates. In this article, the focus will be on antegrade techniques that will assist the operator to maximise the success rates and to minimise the complications.

  16. Management of acute central retinal artery occlusion: Intravenous thrombolysis is feasible and safe.

    PubMed

    Préterre, Cécile; Godeneche, Gaelle; Vandamme, Xavier; Ronzière, Thomas; Lamy, Matthias; Breuilly, Christophe; Urbanczyk, Cédric; Wolff, Valérie; Lebranchu, Pierre; Sevin-Allouet, Mathieu; Guillon, Benoit

    2017-01-01

    Background Although acute central retinal artery occlusion is as a stroke in the carotid territory (retinal artery), its management remains controversial. The aim of this study was to assess the feasibility and safety of intravenous thrombolysis delivered within 6 h of central retinal artery occlusion in French stroke units. Methods We performed a retrospective analysis of patients treated with intravenous alteplase (recombinant tissue-plasminogen activator), based on stroke units thrombolysis registers from June 2005 to June 2015, and we selected those who had acute central retinal artery occlusion. The feasibility was assessed by the ratio of patients that had received intravenous alteplase within 6 h after central retinal artery occlusion onset among those who had been admitted to the same hospital for acute central retinal artery occlusion. All adverse events were documented. Results Thirty patients were included. Visual acuity before treatment was limited to "hand motion", or worse, in 90% of the cases. The mean onset-to-needle time was 273 min. The individuals treated with intravenous alteplase for central retinal artery occlusion represented 10.2% of all of the patients hospitalized for central retinal artery occlusion in 2013 and 2014. We observed one occurrence of major bleeding, a symptomatic intracerebral hemorrhage. Conclusion When applied early on, intravenous thrombolysis appears to be feasible and safe, provided that contraindications are given due consideration. Whether intravenous thrombolysis is more effective than conservative therapy remains to be determined. In order to conduct a well-designed prospective randomized control trial, an organized network should be in place.

  17. Structural changes in ceramic veneered three-unit implant-supported restorations as a consequence of static and dynamic loading.

    PubMed

    Karl, Matthias; Fischer, Horst; Graef, Friedrich; Wichmann, Manfred G; Taylor, Thomas D; Heckmann, Siegfried M

    2008-04-01

    Static implant loading caused by non-passive restorations may cause technical complications. As metal-ceramic restorations are most common in implant prosthodontics, the objective of the study was to investigate the effect of static and dynamic loading upon the stability of the ceramic veneer of implant-supported fixed partial dentures (FPDs). A total of 10 groups of three-unit implant FPDs with five samples each were investigated in the conditions after fabrication, static loading and dynamic loading (chewing simulator, 20,000 cycles, 100N). The fluorescent penetrant method (FPM) was applied to detect microcracks at the cervical and occlusal aspects of the FPD abutments. Statistical analysis was performed based on the number of microcracks (t-test) and the presence of chipping fractures (Exact Fisher test) with the level of significance set at alpha=0.05. Static and dynamic loading led to an increase both in number of microcracks and frequency of chipping fractures. After static loading, the screw-retained FPDs cast in one piece revealed significantly lower numbers of cervical microcracks than did the cementable restorations fabricated from repositioning technique impressions (p=0.003). The screw-retained FPDs which were fabricated using premachined gold cylinders showed the highest numbers of cracks and chipping fractures both after static and dynamic loading. Static loading may damage the ceramic layer of implant-supported restorations. The use of prefabricated components may cause increased numbers of microcracks due to the lack of bonding oxides.

  18. Object Occlusion Detection Using Automatic Camera Calibration for a Wide-Area Video Surveillance System.

    PubMed

    Jung, Jaehoon; Yoon, Inhye; Paik, Joonki

    2016-06-25

    This paper presents an object occlusion detection algorithm using object depth information that is estimated by automatic camera calibration. The object occlusion problem is a major factor to degrade the performance of object tracking and recognition. To detect an object occlusion, the proposed algorithm consists of three steps: (i) automatic camera calibration using both moving objects and a background structure; (ii) object depth estimation; and (iii) detection of occluded regions. The proposed algorithm estimates the depth of the object without extra sensors but with a generic red, green and blue (RGB) camera. As a result, the proposed algorithm can be applied to improve the performance of object tracking and object recognition algorithms for video surveillance systems.

  19. Lipid uptake and skin occlusion following topical application of oils on adult and infant skin.

    PubMed

    Stamatas, Georgios N; de Sterke, Johanna; Hauser, Matthias; von Stetten, Otto; van der Pol, André

    2008-05-01

    Topical application of oils and oil-based formulations is common practice in skin care for both adults and infants. Only limited knowledge however is available regarding skin penetration and occlusive potential of oils and common methods for measuring skin moisturization fall short when it comes to the moisturizing effect of oils. In this study we used in vivo confocal Raman microspectroscopy to test the efficacy of paraffin oil (mineral oil) and two vegetable oils in terms of skin penetration and occlusion. Petrolatum was used as a positive control. The products were applied topically on the forearms of nine volunteers and seven infants and Raman spectra were acquired before and at 30 and 90 min following application. Depth concentration profiles for lipid and water were calculated from the Raman spectra. Skin occlusion was assessed from the amount of stratum corneum (SC) swelling measured from the water concentration profiles. The paraffin oil and the vegetable oils penetrate the top layers of the SC with similar concentration profiles, a result that was confirmed both for adult and infant skin. The three oils tested demonstrated modest SC swelling (10-20%) compared to moderate swelling (40-60%) for petrolatum. These data indicate that there is no statistical difference between the paraffin oil and vegetable oils in terms of skin penetration and skin occlusion. The results for petrolatum show that in vivo confocal Raman microspectroscopy is sensitive and specific enough to measure both lipid uptake and skin occlusion events following topical application.

  20. Effects of unilateral airway occlusion on rib motion and inspiratory intercostal activity in dogs.

    PubMed

    Leduc, Dimitri; Marechal, Sarah; Taton, Olivier; Blairon, Bernard; Legrand, Alexandre

    2017-04-01

    Unilateral bronchial occlusion, a complication of many lung diseases, causes dyspnea but the mechanism of this symptom is uncertain. In this study, electromyographic (EMG) activity in the parasternal and external intercostal muscles in the third intercostal space and inspiratory motion of the third rib on both sides of the thorax were assessed during occlusion of a main bronchus for a single breath in anesthetized dogs. Occlusion produced a 65% increase in external intercostal EMG activity in both hemithoraces without altering parasternal EMG activity. Concomitantly, the inspiratory cranial rib motion showed a 50% decrease on both sides of the thorax. These changes were unaffected by bilateral vagotomy. However, when an external, caudally oriented force was applied to the third rib on the right or left side so that its inspiratory cranial displacement was abolished, activity in the adjacent external intercostals showed a twofold increase, but rib motion and external activity in the contralateral hemithorax remained unchanged. It is concluded that during occlusion of a main bronchus, the increase in external intercostal activity is induced by the decrease in inspiratory cranial rib displacement in both hemithoraces, and that this decrease is determined by the increase in pleural pressure swings on both sides of the mediastinum. This mechanism, combined with the decrease in PaO2, induces similar alterations when unilateral bronchial occlusion is maintained for a series of consecutive breaths. © 2017 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of The Physiological Society and the American Physiological Society.

  1. Occlusion is hard: Comparing predictive reaching for visible and hidden objects in infants and adults.

    PubMed

    Hespos, Susan; Gredebäck, Gustaf; von Hofsten, Claes; Spelke, Elizabeth S

    2009-11-01

    Infants can anticipate the future location of a moving object and execute a predictive reach to intercept the object. When a moving object is temporarily hidden by darkness or occlusion, 6-month-old infants' reaching is perturbed but performance on darkness trials is significantly better than occlusion trials. How does this reaching behavior change over development? Experiment 1 tested predictive reaching of 6- and 9-month-old infants. While there was an increase in the overall number of reaches with increasing age, there were significantly fewer predictive reaches during the occlusion compared to visible trials and no age-related changes in this pattern. The decrease in performance found in Experiment 1 is likely to apply not only to the object representations formed by infants but also those formed by adults. In Experiment 2 we tested adults with a similar reaching task. Like infants, the adults were most accurate when the target was continuously visible and performance in darkness trials was significantly better than occlusion trials, providing evidence that there is something specific about occlusion that makes it more difficult than merely lack of visibility. Together, these findings suggest that infants' and adults' capacities to represent objects have similar signatures throughout development.

  2. Occlusion is hard: Comparing predictive reaching for visible and hidden objects in infants and adults

    PubMed Central

    Hespos, Susan; Gredebäck, Gustaf; von Hofsten, Claes; Spelke, Elizabeth S.

    2009-01-01

    Infants can anticipate the future location of a moving object and execute a predictive reach to intercept the object. When a moving object is temporarily hidden by darkness or occlusion, 6-month-old infants’ reaching is perturbed but performance on darkness trials is significantly better than occlusion trials. How does this reaching behavior change over development? Experiment 1 tested predictive reaching of 6- and 9-month-old infants. While there was an increase in the overall number of reaches with increasing age, there were significantly fewer predictive reaches during the occlusion compared to visible trials and no age-related changes in this pattern. The decrease in performance found in Experiment 1 is likely to apply not only to the object representations formed by infants but also those formed by adults. In Experiment 2 we tested adults with a similar reaching task. Like infants, the adults were most accurate when the target was continuously visible and performance in darkness trials was significantly better than occlusion trials, providing evidence that there is something specific about occlusion that makes it more difficult than merely lack of visibility. Together, these findings suggest that infants’ and adults’ capacities to represent objects have similar signatures throughout development. PMID:20111668

  3. Occlusion, prosthodontic treatment, and temporomandibular disorders: a review.

    PubMed

    Hagag, G; Yoshida, K; Miura, H

    2000-03-01

    The purpose of this article is to review the literature on the relationship between occlusal discrepancies and temporomandibular disorders (TMD) and to summarize the guidelines of treating TMD by prosthetic rehabilitation. To date, the relationship between occlusal condition and TMD has not been confirmed, although there is a current trend toward making a weak correlation between occlusal interference and TMD. Furthermore, several types of occlusal discrepancies have been considered as variable features of the norm. But unstable occlusion in the intercuspal position may cause TMD. In cases of restored dentition, the problem is probably different and iatrogenic TMD are not rare. Namely, malformed occlusal surfaces, defects in anterior guidance, occlusal curvature, and vertical dimension may lead to some TMD trouble. According to these recent concepts the treatment modalities of TMD have been changed. Conservative treatments such as counseling, behavioral modification, physical therapy, pharmacotherapy, and interocclusal appliances should be the first choice, and treatments that lead to drastic changes of occlusion are not recommended.

  4. [Comparison of 2 lacrimal punctal occlusion methods].

    PubMed

    Shalaby, O; Rivas, L; Rivas, A I; Oroza, M A; Murube, J

    2001-09-01

    To study and compare two methods for canalicular occlusion: Cautery and Punctal Patch. The study included fourty patients divided in two groups of 20 patients. The end point was 4 occluded puncti. The first group underwent deep cauterization resulting in occlusion of the full vertical aspect of the canaliculus. The second group underwent punctal patch technique for canalicular occlusion. Differential parameters were the following: time of intervention, ease of use, risks and precision. In the post operatory, discomfort, subjective and objective improvement in ocular surface as well as long term result of each technique was analysed. Time of intervention was longer for punctal patch compared to cautery. Both methods exhibited similar ease of use and improvement in ocular surface. Precision was high in punctal patch technique showing complete and final occlusion and no punctum needed reopening, while cautery technique presented 20% rate of reopening intervention. Postoperatory discomfort and irritation were remarkably evident with punctal technique, while minimal in cautery technique. Survival analysis after one year follow up, showed a higher rate of advantages for punctal patch technique over cautery technique.

  5. Infant Defensive Reactions to Visual Occlusion.

    ERIC Educational Resources Information Center

    Adamson, Lauren; Tronick, Edward

    This paper describes the initial organization of the infant's reaction to having his vision occluded by an opaque cloth; traces the development of this reaction over the first six months; and probes the role the occlusion of vision plays in provoking the reaction. Fifty videotaped sessions of infants during two conditions - eyes covered with an…

  6. Virtual occlusal definition for orthognathic surgery.

    PubMed

    Liu, X J; Li, Q Q; Zhang, Z; Li, T T; Xie, Z; Zhang, Y

    2016-03-01

    Computer-assisted surgical simulation is being used increasingly in orthognathic surgery. However, occlusal definition is still undertaken using model surgery with subsequent digitization via surface scanning or cone beam computed tomography. A software tool has been developed and a workflow set up in order to achieve a virtual occlusal definition. The results of a validation study carried out on 60 models of normal occlusion are presented. Inter- and intra-user correlation tests were used to investigate the reproducibility of the manual setting point procedure. The errors between the virtually set positions (test) and the digitized manually set positions (gold standard) were compared. The consistency in virtual set positions performed by three individual users was investigated by one way analysis of variance test. Inter- and intra-observer correlation coefficients for manual setting points were all greater than 0.95. Overall, the median error between the test and the gold standard positions was 1.06mm. Errors did not differ among teeth (F=0.371, P>0.05). The errors were not significantly different from 1mm (P>0.05). There were no significant differences in the errors made by the three independent users (P>0.05). In conclusion, this workflow for virtual occlusal definition was found to be reliable and accurate. Copyright © 2015 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  7. Management of Bilateral Carotid Occlusive Disease

    PubMed Central

    Jadhav, Ashutosh P.; Ducruet, Andrew F.; Jankowitz, Brian T.; Jovin, Tudor G.

    2016-01-01

    Background Symptomatic bilateral internal carotid occlusive disease is a rare but potentially devastating entity. Medical therapy alone is associated with high rates of mortality and recurrent stroke. The optimal management of this disease remains poorly understood. Methods A retrospective review of a prospectively maintained database was conducted for patients who presented with an acute stroke in the setting of bilateral carotid occlusive disease between May and October 2013. Results We identified 3 patients. The admission National Institutes of Health Stroke Scale score ranged from 4 to 7. All patients had small- to moderate-sized infarcts in the anterior circulation on presentation. Angiography confirmed bilateral internal carotid occlusions with collateral filling via the posterior communicating artery and retrograde filling via external carotid artery supply to the ophthalmic artery. All patients were initially managed with permissive hypertension and anticoagulation followed by carotid angioplasty and stenting. At 1-year follow-up, all patients demonstrated a modified Rankin scale score of 0-1. Conclusions Carotid stenting may be a safe and effective therapy for patients presenting with symptomatic bilateral carotid occlusions. PMID:27051405

  8. Insert earphone depth and the occlusion effect.

    PubMed

    Dean, M S; Martin, F N

    2000-12-01

    Twenty individuals were tested to determine the occlusion effect caused by supraaural earphones and by insert earphones with shallow and deep insertion of its foam eartip. The bone-conduction oscillator was placed both on the forehead and the mastoid. It was concluded that using deeply inserted earphones is the most practical way in which to carry out clinical bone-conduction measurements.

  9. Class II malocclusion occlusal severity description

    PubMed Central

    JANSON, Guilherme; SATHLER, Renata; FERNANDES, Thais Maria Freire; ZANDA, Marcelo; PINZAN, Arnaldo

    2010-01-01

    Objectives It is well known that the efficacy and the efficiency of a Class II malocclusion treatment are aspects closely related to the severity of the dental anteroposterior discrepancy. Even though, sample selection based on cephalometric variables without considering the severity of the occlusal anteroposterior discrepancy is still common in current papers. In some of them, when occlusal parameters are chosen, the severity is often neglected. The purpose of this study is to verify the importance given to the classification of Class II malocclusion, based on the criteria used for sample selection in a great number of papers published in the orthodontic journal with the highest impact factor. Material and Methods A search was performed in PubMed database for full-text research papers referencing Class II malocclusion in the history of the American Journal of Orthodontics and Dentofacial Orthopedics (AJO-DO). Results A total of 359 papers were retrieved, among which only 72 (20.06%) papers described the occlusal severity of the Class II malocclusion sample. In the other 287 (79.94%) papers that did not specify the anteroposterior discrepancy severity, description was considered to be crucial in 159 (55.40%) of them. Conclusions Omission in describing the occlusal severity demands a cautious interpretation of 44.29% of the papers retrieved in this study. PMID:20835576

  10. Occlusal concepts in full mouth rehabilitation: an overview.

    PubMed

    Tiwari, Bhawana; Ladha, Komal; Lalit, Aaruti; Dwarakananda Naik, B

    2014-12-01

    Restoration of occlusion in patients with severely worn dentition is a challenging situation as every case is unique in itself. There is great apprehension involved in reconstructing debilitated dentition due to widely divergent views concerning the choice of an appropriate occlusal scheme for successful full mouth rehabilitation. This article is an overview of the various occlusal concepts/philosophies in full mouth rehabilitation which will help the clinician select an appropriate occlusal scheme for an individual case.

  11. Endovascular occlusion of pulmonary arteriovenous malformations with the ArtVentive Endoluminal Occlusion System™

    PubMed Central

    Corvino, Fabio; Silvestre, Mattia; Cervo, Amedeo; Giurazza, Francesco; Corvino, Antonio; Maglione, Franco

    2016-01-01

    Pulmonary arteriovenous malformations (PAVMs) are vascular anomalies of the lung and carry the risk of cerebral thromboembolism, brain abscess, or pulmonary hemorrhage. We describe a 64-year-old male with hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu syndrome) who presented with a five-year history of progressive effort dyspnea and a PAVM in the right upper lobe successfully treated by transcatheter embolization of feeding arteries using a new occlusion device, the ArtVentive Endoluminal Occlusion System™. PMID:27559714

  12. Occlusion as a causative factor in TMD. Scientific basis to occlusal therapy.

    PubMed

    Becker, I M

    1995-11-01

    There appears to be a pendulum swing toward large epidemiologic studies questioning the role of occlusion in dentistry. This article clearly demonstrates that significant scientific evidence exists on the side of occlusal causative factors. Clinicians need this current information to base practical decisions of treatment relative to both patients and those requiring restorative procedures. It further correctly clarifies that stress-related issues have an important role, along with other host-susceptibility altering factors.

  13. An appraisal on increasing the occlusal vertical dimension in full occlusal rehabilitation and its outcome.

    PubMed

    Gopi Chander, N; Venkat, R

    2011-06-01

    Increasing the occlusal vertical dimension for gaining sufficient restoration space in the management of severely worn dentition is being practiced. This contentious belief has lead to challenging thoughts regarding its effects on the Odonto-stomatognathic system. There are basic uncertainties and existing erroneous thoughts regarding the perception of increasing the occlusal vertical dimension. This manuscript will review the bite raising concepts and its outcome on the stomatognathic system.

  14. Genetics Home Reference: pulmonary veno-occlusive disease

    MedlinePlus

    ... Conditions pulmonary veno-occlusive disease pulmonary veno-occlusive disease Printable PDF Open All Close All Enable Javascript to view ... D, Simonneau G, Humbert M. Pulmonary veno-occlusive disease: clinical, functional, radiologic, and hemodynamic characteristics and outcome of 24 cases confirmed by ...

  15. Central Retinal Artery Occlusion With Subsequent Central Retinal Vein Occlusion in Biopsy-Proven Giant Cell Arteritis.

    PubMed

    Williams, Zoë R; Wang, Xiaofei; DiLoreto, David A

    2016-09-01

    Central retinal artery occlusion with subsequent central retinal vein occlusion in the same eye is a rare entity. We present a 72-year-old man with biopsy-proven giant cell arteritis who developed bilateral arteritic anterior ischemic optic neuropathy and a left central retinal artery occlusion. Subsequently, he developed a left central retinal vein occlusion within 2 weeks of his initial vision loss. His vision did not improve with corticosteroids.

  16. Correction of the occlusal and functional sequelae of mandibular condyle fractures using orthodontic mini-implant molar intrusion.

    PubMed

    Cousley, Richard R J; Gibbons, Andrew J

    2014-09-01

    We report on the non-surgical management of an adult female whose bilateral mandibular condylar fractures had resulted in a clockwise (posterior) mandibular rotation, limitation of mandibular movements and increased occlusal loading on the molar teeth. She refused maxillary surgery and was treated with a minimally-invasive approach, involving orthodontic fixed appliances and mini-implant intrusion of the maxillary molar teeth. This provided both occlusal and functional improvements, including a significant increase in the inter-incisal distance, which were stable after one year of retention.

  17. [Role of pancreatic hilar vascular occlusion in sophisticated pancreaticoduodenectomy].

    PubMed

    Peng, Shu-you; Hong, De-fei; Xu, Bin; Yan, Li-feng; Wang, Jian-wei; Liu, Ying-bin; Li, Jiang-tao; Qian, Hao-ran; Mou, Yi-ping; Cai, Xiu-jun

    2007-11-01

    To discuss the value of a simple occlusive technique of the triple vessels, ie, portal vein, superior mesenteric vessels and splenic vein, in complicated pancreaticoduodenectomy. The technique was fulfilled with a No.8 urethral catheter to encycle the portal vein, superior mesenteric vessels and its near tissue plus pancreatic tail and splenic vein than the neck of pancreas was transected and well exposure superior mesenteric vein and complete transaction of uncinate. From November 2005 to November 2006 the technique was applied to 12 cases of pancreatic malignancy which presented very infiltrated and adhesive to the hilar vascular structure. The 12 cases were accomplished according with this technique. The operating time was (292.4 +/- 36.3) min (270 - 390 min) and the intraoperative blood loss was (833.3 +/- 618.4) ml (300 - 2500 ml). The postoperative complication included one case of lymphatic leakage, two cases of pneumonia, one case of abdominal infection and two cases of wound infection. There was no perioperative mortality. The postoperative hospital stay was 17 d (11 - 29 d). Use this triple vessels occlusive technique can improve the safety and feasibility in complicated cases of pancreaticoduodenectomy.

  18. Immediate loading of mandibular dental implants in partially edentulous patients: a prospective randomized comparative study.

    PubMed

    Margossian, Patrice; Mariani, Paul; Stephan, Grégory; Margerit, Jacques; Jorgensen, Christian

    2012-04-01

    While immediate loading in the edentulous mandible is a well-documented procedure, there are limited scientific data on immediate loading in the partially edentulous mandible. Two-year success rates of immediate loading and conventional delayed loading of dental implants in partially dentate mandibles were compared. Patients were randomized into three groups: group A (n = 40), immediate provisionalization with nonocclusal loading; group B (n = 40), immediate provisionalization with occlusal loading; and group C (n = 37), delayed loading with single-stage surgery. Baseline and 2-year measurements included implant stability quotient, insertion torque, and peri-implant bone crest radiography. Two hundred nine implants were immediately loaded in 80 patients. The 2-year success rates were 93.3% for group B and 100% for groups A and C. Immediate provisionalization provided success rates similar to those for delayed loading only when not loaded in occlusion.

  19. Occlusion handling in videos object tracking: A survey

    NASA Astrophysics Data System (ADS)

    Lee, B. Y.; Liew, L. H.; Cheah, W. S.; Wang, Y. C.

    2014-02-01

    Object tracking in video has been an active research for decades. This interest is motivated by numerous applications, such as surveillance, human-computer interaction, and sports event monitoring. Many challenges regarding tracking objects remain, this can arise due to abrupt object motion, changing appearance patterns of objects and the scene, non-rigid object structures and most significancly occlusion of tracked object (be it object-to-object or object-to-scene occlusions). Generally, occlusion in object tracking occurs under three situations: self-occlusion, inter-object occlusion by background scene structure. Self-occlusion most frequently arises while tracking articulated objects when one part of the object occludes another. Inter-object occlusion occurs when two objects being tracked occlude each other whereas occlusion by the background occurs when a structure in the background occludes the tracked objects. Typically, tracking methods handle occlusion by modelling the object motion using linear and non-linear dynamic models. The derived models will be used to continuously predicting the object location when a tracked object is occluded until the object reappears. Examples of these methods are Kalman filtering and Particle filtering trackers. Researchers have also utilised other features to resolved occlusion, for example, silhouette projections, colour histogram and optical flow. We will present some results from a previously conducted experiment when tracking single object using Kalman filter, Particle filter and Mean Shift trackers under various occlusion situations. We will also review various other occlusion handling methods that involved using multiple cameras. In a nutshell, the goal of this paper is to discuss in detail the problem of occlusion in object tracking and review the state of the art occlusion handling methods, classify them into different categories, and identify new trends. Moreover, we discuss the important issues related to occlusion

  20. Occlusion Handling in Videos Object Tracking: A Survey

    NASA Astrophysics Data System (ADS)

    Lee, B. Y.; Liew, L. H.; Cheah, W. S.; Wang, Y. C.

    2014-02-01

    Object tracking in video has been an active research since for decades. This interest is motivated by numerous applications, such as surveillance, human-computer interaction, and sports event monitoring. Many challenges related to tracking objects still remain, this can arise due to abrupt object motion, changing appearance patterns of objects and the scene, non-rigid object structures and most significant are occlusion of tracked object be it object-to-object or object-to-scene occlusions. Generally, occlusion in object tracking occur under three situations: self-occlusion, inter-object occlusion by background scene structure. Self-occlusion occurs most frequently while tracking articulated objects when one part of the object occludes another. Inter-object occlusion occurs when two objects being tracked occlude each other whereas occlusion by the background occurs when a structure in the background occludes the tracked objects. Typically, tracking methods handle occlusion by modelling the object motion using linear and non-linear dynamic models. The derived models will be used to continuously predicting the object location when a tracked object is occluded until the object reappears. Example of these method are Kalman filtering and Particle filtering trackers. Researchers have also utilised other features to resolved occlusion, for example, silhouette projections, colour histogram and optical flow. We will present some result from a previously conducted experiment when tracking single object using Kalman filter, Particle filter and Mean Shift trackers under various occlusion situation in this paper. We will also review various other occlusion handling methods that involved using multiple cameras. In a nutshell, the goal of this paper is to discuss in detail the problem of occlusion in object tracking and review the state of the art occlusion handling methods, classify them into different categories, and identify new trends. Moreover, we discuss the important

  1. Occlusal Interferences: How Can This Concept Influence The Clinical Practice?

    PubMed Central

    Lima, Adriano Fonseca; Cavalcanti, Andrea Nóbrega; Martins, Luis Roberto Marcondes; Marchi, Giselle Maria

    2010-01-01

    This brief review discusses the role of occlusal interferences on the development and progression of temporomandibular dysfunction (TMD) and postural disorders. The eligible literature is described and critically presented to demonstrate that occlusal interferences are an important factor in the risk of TMD. Several studies have demonstrated through their findings that the use of occlusal adjustments, whether or not associated with restorative procedures, might avoid the development of articular problems in vulnerable patients. The occlusal interferences caused by restorative procedures or orthodontic treatment can cause TMDs in susceptible patients, and occlusal adjustments can be an alternative in the treatment of these TMDs. PMID:20922171

  2. Contralateral Occlusion Test: The effect of external ear canal occlusion on hearing thresholds.

    PubMed

    Reis, Luis Roque; Fernandes, Paulo; Escada, Pedro

    Bedside testing with tuning forks may decrease turnaround time and improve decision making for a quick qualitative assessment of hearing loss. The purpose of this study was to quantify the effects of ear canal occlusion on hearing, in order to decide which tuning fork frequency is more appropriate to use for quantifying hearing loss with the Contralateral Occlusion Test. Twenty normal-hearing adults (forty ears) underwent sound field pure tone audiometry with and without ear canal occlusion. Each ear was tested with the standard frequencies. The contralateral ear was suppressed with by masking. Ear occlusion was performed by two examiners. Participants aged between 21 and 30 years (25.6±3.03 years) showed an increase in hearing thresholds with increasing frequencies from 19.94dB (250Hz) to 39.25dB (2000Hz). The threshold difference between occluded and unoccluded conditions was statistically significant and increased from 10.69dB (250Hz) to 32.12dB (2000Hz). There were no statistically significant differences according to gender or between the examiners. The occlusion effect increased the hearing thresholds and became more evident with higher frequencies. The occlusion method as performed demonstrated reproducibility. In the Contralateral Occlusion Test, 256Hz or 512Hz tuning forks should be used for diagnosis of mild hearing loss, and a 2048Hz tuning fork should be used for moderate hearing loss. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello. All rights reserved.

  3. Relationship between parasternal and external intercostal muscle length and load compensatory responses in dogs.

    PubMed Central

    Romaniuk, J R; Supinski, G; DiMarco, A F

    1992-01-01

    1. The effects of tracheal occlusion on peak parasternal (PA) and external intercostal (EI) (3rd interspace) EMG activities were examined at different end-expiratory lung volumes both above and below functional reserve capacity (FCR) in anaesthetized, vagotomized and spontaneously breathing dogs. 2. Parasternal (PA) and external intercostal (EI) muscle lengths were monitored in situ. The difference in peak EMG activity between free and occluded breaths (test breaths) was related to the coincident peak change in intercostal muscle length (delta L) for each muscle, respectively. 3. At FRC, tracheal occlusion resulted in compensatory augmentation of peak EI, but little change in peak PA EMG activities. At lung volumes below FRC, airway occlusion resulted in augmentation of both PA and EI activities. Responses to airway occlusion at lung volumes above FRC were variable. The magnitude and duration of these changes in EMG, however, could be linearly related to the value of delta L. With delta L = 0, there was no change in peak EI or PA EMG; for values of delta L less than 0, there was attenuation of EI and PA EMG; for delta L greater than 0, there was enhancement of EI and PA EMG activation. 4. The magnitude of the changes in EMG activity in response to tracheal occlusion was more prominent for the EI muscle compared to the PA, the latter of which are known to have much fewer muscle spindles than EI muscle. 5. Our results suggest that a difference in end-inspiratory muscle length between the control and occluded breaths is a stimulus for the intercostal response to applied loads implicating muscle spindles as the predominant receptor moderating these responses. We hypothesize that when delta L = 0, no change in EMG occurs since the spindles sense no change in muscle length. When delta L less than 0 (i.e. peak muscle length during the occluded breath is shorter than control) muscle spindles would be disengaged, resulting in a disfacilitation of EMG activity. Where delta L

  4. Canting of the occlusal plane: perceptions of dental professionals and laypersons.

    PubMed

    Olivares, Amparo; Vicente, Ascensión; Jacobo, Carmen; Molina, Sara-María; Rodríguez, Alicia; Bravo, Luis-Alberto

    2013-05-01

    To determine if canting of the occlusal plane influences esthetic evaluation of the smile among orthodontists, dentists and laypersons. A frontal photo of a smile with 0 occlusal plane canting in relation to the bipupillary plane was modified using Adobe Photoshop C3 (Adobe Systems Inc, San José, California) to generate two images with occlusal plane inclinations of 2 and 4 . The three images were evaluated esthetically by orthodontists (n=40) general dentists (n=40) and laypersons (n=40). Each image was awarded a score as follows: 1=esthetically acceptable; 2=moderately acceptable; 3=esthetically unacceptable. Evaluators also placed the three images in order in preference. Data were analyzed using the Kruskal-Wallis (p<0.05) and the Mann-Whitney tests, applying the Bonferroni Correction (p<0.016). No significant differences (p> 0.05) were found between the three groups for 0 and 2 cants (median for orthodontists=1; general dentists=1; laypersons=1). Orthodontists (median score=3) made evaluations of the image with 4 occlusal plane that were significantly different from general dentists (median=2) and laypersons (median=2). All three groups put the 0 image in first place in order of esthetic acceptability, the 2 image in second place and the 4 image in third place. Orthodontists placed the 0 image in first place with significantly greater frequency (p<0.016) than laypersons. Occlusal plane canting of 0 and 2 were evaluated as esthetically acceptable by the three groups. The 4 occlusal plane cant was evaluated more negatively by orthodontists than by general dentists and laypersons. All three groups placed the 0 image in first place of esthetic acceptability, 2 in second place and 4 in third. Orthodontists put the 0 image in first place with significantly greater frequency than laypersons.

  5. Photoacoustic removal of occlusions from blood vessels

    DOEpatents

    Visuri, Steven R.; Da Silva, Luiz B.; Celliers, Peter M.; London, Richard A.; Maitland, IV, Duncan J.; Esch, Victor C.

    2002-01-01

    Partial or total occlusions of fluid passages within the human body are removed by positioning an array of optical fibers in the passage and directing treatment radiation pulses along the fibers, one at a time, to generate a shock wave and hydrodynamics flows that strike and emulsify the occlusions. A preferred application is the removal of blood clots (thrombin and embolic) from small cerebral vessels to reverse the effects of an ischemic stroke. The operating parameters and techniques are chosen to minimize the amount of heating of the fragile cerebral vessel walls occurring during this photo acoustic treatment. One such technique is the optical monitoring of the existence of hydrodynamics flow generating vapor bubbles when they are expected to occur and stopping the heat generating pulses propagated along an optical fiber that is not generating such bubbles.

  6. Neural Substrates of Dynamic Object Occlusion

    PubMed Central

    Shuwairi, Sarah M.; Curtis, Clayton E.; Johnson, Scott P.

    2011-01-01

    In everyday environments, objects frequently go out of sight as they move and our view of them becomes obstructed by nearer objects, yet we perceive these objects as continuous and enduring entities. Here, we used functional MRI with an attentive tracking paradigm to clarify the nature of perceptual and cognitive mechanisms subserving this ability to fill in the gaps in perception of dynamic object occlusion. Imaging data revealed distinct regions of cortex showing increased activity during periods of occlusion relative to full visibility. These regions may support active maintenance of a representation of the target’s spatiotemporal properties ensuring that the object is perceived as a persisting entity when occluded. Our findings may shed light on the neural substrates involved in object tracking that give rise to the phenomenon of object permanence. PMID:17651002

  7. The unilateral chewing phenomenon, occlusion, and TMD.

    PubMed

    Reinhardt, Rotraut; Tremel, Timm; Wehrbein, Heiner; Reinhardt, Wilfried

    2006-07-01

    The aim of this study was to evaluate the role of occlusal factors to determine the extent of their role in temporomandibular disorders (TMD). Two groups were selected: a patient group (I) of 100 patients with TMD problems (pain and clicking) and a control group (II) of 100. Each individual had to have 28 permanent teeth. A clinical evaluation was conducted and the models were evaluated according to the criteria of the Angle Classes and the Reinhardt Index, with the number of permanent teeth (A), the number of the correctly (R) and the number of incorrectly (F) related antagonist pairs of teeth. The individuals had to observe the preference of their chewing side. The results of this investigation revealed: the number of F can be used as an occlusal indicator for possible functional disorders (p=0.041). Individuals with one chewing side have more signs and symptoms of TMD (p<6.22x10(-9)).

  8. Intraoral metal adhesion utilized for occlusal rehabilitation.

    PubMed

    Bertolotti, R L; DeLuca, S S; DeLuca, S

    1994-08-01

    Recent advances in adhesive monomers and surface preparation methods allow strong resin adhesion to all intraoral metal surfaces. Resin-metal bond strengths may exceed typical resin-etched enamel bonds. Innovations in prosthetic procedures have resulted. Data for metal adhesion are reviewed and the use of intraoral metal adhesion to finalize an occlusal rehabilitation is illustrated. Included in the metal surface preparations are intraoral sandblasting and intraoral tin plating.

  9. Complications of Recanalization of Chronic Total Occlusion

    PubMed Central

    Kalyanasundaram, Arun; Lombardi, William L.

    2015-01-01

    Percutaneous Coronary Intervention (PCI) of Chronic Total Occlusions (CTO) is an accepted revascularization procedure. These complex procedures carry with them certain risks and potential complications. Complications of PCI such as contrast induced renal dysfunction, radiation, etc, assume more relevance given the length and complexity of these procedures. Further, certain complications such as donor vessel injury, foreign body entrapment are unique to CTO PCI. A thorough understanding of the potential complications is important in mitigating risk during these complex procedures.

  10. Assessment of the effect of two occlusal concepts for implant-supported fixed prostheses by finite element analysis in patients with bruxism.

    PubMed

    Göre, Evrim; Evlioğlu, Gülümser

    2014-02-01

    The aim of this study was to evaluate the effects of bruxing forces on implants configured under 2 different occlusal schemes by dynamic finite element analysis. A main model consisting of a 5-unit fixed partial denture supported by 3 implants was simulated with bone, implants, and superstructures. All calculations were made individually for each component, namely porcelain crowns, abutments, abutment screws, implants, and bone. Maximum stresses were found in the group-function occlusion. Group-function loading may result excess stresses on the components compared with canine-guidance loading. According to the results of this study, use of canine guidance is encouraged in bruxers with implant-supported prostheses.

  11. Dental Occlusion and Ophthalmology: A Literature Review

    PubMed Central

    Marchili, Nicola; Ortu, Eleonora; Pietropaoli, Davide; Cattaneo, Ruggero; Monaco, Annalisa

    2016-01-01

    Stomatognathic system is strictly correlated to other anatomical regions; many studies investigated relationship between temporomandibular joint and posture, several articles describe cranio-facial pain from dental causes, such as trigger points. Until now less interest has been given to connections between dental occlusion and ophthalmology, even if they are important and involving. Clinical experience in dental practice claims that mandibular latero-deviation is connected both to eye dominance and to defects of ocular convergence. The trigeminal nerve is the largest and most complex of the twelve cranial nerves. The trigeminal system represents the connection between somitic structures and those derived from the branchial arches, collecting the proprioception from both somitic structures and oculomotor muscles. The intermedius nucleus of the medulla is a small perihypoglossal brainstem nucleus, which acts to integrate information from the head and neck and relays it on to the nucleus of the solitary tract where autonomic responses are generated. This intriguing neurophysiological web led our research group to investigate anatomical and functional associations between dental occlusion and vision. In conclusion, nervous system and functional pathways strictly connect vision and dental occlusion, and in the future both dentists and oculists should be more and more aware of this correlation for a better diagnosis and therapy. PMID:27733873

  12. [Acute popliteal arterial occlusion during extracorporeal circulation].

    PubMed

    Mizuno, Ju; Senda, Masahiro; Asahara, Miho; Yamada, Yoshitsugu; Arita, Hideko; Hanaoka, Kazuo

    2006-11-01

    A 79-year-old man underwent aortic arch replacement for thoracic aortic aneurysm. He had a history of smoking, coronary stenting for ischemic heart disease and replacement with artificial blood vessel for abdominal aortic aneurysm. Anesthesia was induced and maintained with midazolam, fentanyl, sevoflurane, and vecuronium. A 20 gage catheter was placed in the right radial artery and a 22 gage catheter in the left posterior tibial artery. Total circulatory arrest under profound hypothermia and retrograde cerebral perfusion were performed using extracorporeal circulation. After finishing anastomosis with artificial blood vessel, he was weaned from extracorporeal circulation. The pressure in the left posterior tibial artery was maintained at 15 mmHg, although the blood pressure in the right radial artery increased gradually. Then, the pressure in the left femoral artery in the operative field was the same as the pressure in the right radial artery. Therefore, we suspected the arterial line occlusion of the left posterior tibial artery. After the operation, we found the left leg and foot pale and cold with no pulsation on the left popliteal, dorsal pedis, and posterior tibial arteries. Further, acute left popliteal arterial occlusion was assessed by means of Doppler and left lower extremity angiography. We immediately performed the balloon-catheter embolectomy. However, as he developed compartment syndrome on the left lower limb due to reperfusion injury postoperatively, fascitomy was performed. On the 58th postoperative day, he was discharged from our hospital. Measurement by Doppler is useful for the early diagnosis of the lower leg arterial occlusion.

  13. [Stability of orthodontic treatment of occlusal asymmetry].

    PubMed

    Burstone, C; Filleul, M P; Pigeot, V

    2000-09-01

    A common finding in orthodontic patients is asymmetric occlusion. These asymmetries can be dental, skeletal, or functional in origin. Since many patients have typical posterior overjet the use of Class II-Class III and anterior crisscross elastics are contra-indicated. Even in skeletal discrepancies axial inclination compensation can produce relatively normal overjet in the arch. The best strategy for non-extraction therapy is to move teeth around the arch rather than an en-masse movement of the entire arch. A number of methods for unilateral distalization are discussed. Midline correction requires the determination of facial, apical base, and posterior midpoints. Differential mechanics between patients with apical base discrepancies and no apical base is presented. Although intermaxillary elastics can be indicated the undesirable effects of eruption and frontal occlusal plane tilt should be considered. Advantages in control and ease of occlusal correction rest with intra-arch mechanics. The use of intermaxillary elastics for the correction subdivision cases can lead to instability and or mandibular shifts.

  14. Association between dental implants in the posterior region and traumatic occlusion in the adjacent premolars: a long-term follow-up clinical and radiographic analysis

    PubMed Central

    2016-01-01

    Purpose The aim of this retrospective study was to determine the association between dental implants in the posterior region and traumatic occlusion in the adjacent premolars, using data collected during from 2002 to 2015. Methods Traumatic occlusion in the adjacent premolars was assessed by examining clinical parameters (bleeding on probing, probing pocket depth, fremitus, and tooth mobility) and radiographic parameters (loss of supporting bone and widening of the periodontal ligament space) over a mean follow-up of 5 years. Clinical factors (gender, age, implant type, maxillary or mandibular position, opposing teeth, and duration of functional loading) were evaluated statistically in order to characterize the relationship between implants in the posterior region and traumatic occlusion in the adjacent premolars. Results The study inclusion criteria were met by 283 patients, who had received 347 implants in the posterior region. The incidence of traumatic occlusion in the adjacent premolars was significantly higher for splinted implants (P=0.004), implants in the maxillary region (P<0.001), and when implants were present in the opposing teeth (P<0.001). The other clinical factors of gender, age, and duration of functional loading were not significantly associated with traumatic occlusion. Conclusions This study found that the risk of traumatic occlusion in the adjacent premolars increased when splinted implants were placed in the maxillary molar region and when the teeth opposing an implant also contained implants. PMID:28050317

  15. Influence of occlusal splint on competitive athletes performances

    PubMed Central

    D’Ermes, Vittorio; Basile, Mario; Rampello, Alessandro; Di Paolo, Carlo

    2012-01-01

    Summary The purpose of this study was to evaluate the influence of an orthopedic oral device on the performance of competitive athletes. Seven athletes from different sports have been examined during athletic tests with and without an oral device. The athletes were examined by two calibrated gnathologic operators and with specific radiography. All of the subjects were submitted to a postural exam on an electronic platform with and without the oral device applied. All subjects underwent objective tests, performed by federal trainers in specialized centers, to evaluate the athletic performance with and without the occlusal splint. The results showed an improvement of all the tests carried out. Our findings lead us to believe that the use of a costumed oral device, it is able to optimize neuro-muscular coordination and to improve the competitive performance of athletes, while the muscular strength not respond significantly. PMID:23386932

  16. Binocular Rivalry Measured 2 Hours After Occlusion Therapy Predicts the Recovery Rate of the Amblyopic Eye in Anisometropic Children

    PubMed Central

    Lunghi, Claudia; Morrone, Maria Concetta; Secci, Jacopo; Caputo, Roberto

    2016-01-01

    Purpose Recent studies on adults have shown that short-term monocular deprivation boosts the deprived eye signal in binocular rivalry, reflecting homeostatic plasticity. Here we investigate whether homeostatic plasticity is present also during occlusion therapy for moderate amblyopia. Methods Binocular rivalry and visual acuity (using Snellen charts for children) were measured in 10 children (mean age 6.2 ± 1 years) with moderate anisometropic amblyopia before the beginning of treatment and at four intervals during occlusion therapy (2 hours, 1, 2, and 5 months). Visual stimuli were orthogonal gratings presented dichoptically through ferromagnetic goggles and children reported verbally visual rivalrous perception. Bangerter filters were applied on the spectacle lens over the best eye for occlusion therapy. Results Two hours of occlusion therapy increased the nonamblyopic eye predominance over the amblyopic eye compared with pretreatment measurements, consistent with the results in adults. The boost of the nonamblyopic eye was still present after 1 month of treatment, steadily decreasing afterward to reach pretreatment levels after 2 months of continuous occlusion. Across subjects, the increase in nonamblyopic eye predominance observed after 2 hours of occlusion correlated (rho = −0.65, P = 0.04) with the visual acuity improvement of the amblyopic eye measured after 2 months of treatment. Conclusions Homeostatic plasticity operates during occlusion therapy for moderate amblyopia and the increase in nonamblyopic eye dominance observed at the beginning of treatment correlates with the amblyopic eye recovery rate. These results suggest that binocular rivalry might be used to monitor visual cortical plasticity during occlusion therapy, although further investigations on larger clinical populations are needed to validate the predictive power of the technique. PMID:27046118

  17. Dynamic localized load balancing

    NASA Astrophysics Data System (ADS)

    Balandin, Sergey I.; Heiner, Andreas P.

    2003-08-01

    Traditionally dynamic load balancing is applied in resource-reserved connection-oriented networks with a large degree of managed control. Load balancing in connectionless networks is rather rudimentary and is either static or requires network-wide load information. This paper presents a fully automated, traffic driven dynamic load balancing mechanism that uses local load information. The proposed mechanism is easily deployed in a multi-vendor environment in which only a subset of routers supports the function. The Dynamic Localized Load Balancing (DLLB) mechanism distributes traffic based on two sets of weights. The first set is fixed and is inverse proportional to the path cost, typically the sum of reciprocal bandwidths along the path. The second weight reflects the utilization of the link to the first next hop along the path, and is therefore variable. The ratio of static weights defines the ideal load distribution, the ratio of variable weights the node-local load distribution estimate. By minimizing the difference between variable and fixed ratios the traffic distribution, with the available node-local knowledge, is optimal. The above mechanism significantly increases throughput and decreases delay from a network-wide perspective. Optionally the variable weight can include load information of nodes downstream to prevent congestion on those nodes. The latter function further improves network performance, and is easily implemented on top of the standard OSPF signaling. The mechanism does not require many node resources and can be implemented on existing router platforms.

  18. Postural stability and occlusal status among Japanese elderly.

    PubMed

    Song-Yu, Xuan; Rodis, Omar M M; Ogata, Sagiri; Can-Hu, Jin; Nishimura, Michiko; Matsumura, Seishi

    2012-06-01

    There are still no data available on the relationship between postural stability and occlusal status among the elderly. To examine relationships between postural stability and occlusal status through a cohort study among elderly Japanese. Oral examination, occlusal status, postural stability and a questionnaire were conducted and given to 87 community-dwelling Japanese at enrolment. The average occlusal pressure of the female group was statistically higher than the male group while average occlusal pressure and postural stability length were lesser in the group with more remaining teeth. Postural stability area and number of remaining teeth showed statistically significant correlations. Postural stability length was lesser in the group with strong occlusal force. Furthermore, the number of decayed teeth was fewer in the good hygiene group. This study identified a close relationship between occlusal status and postural stability of Japanese older individuals. Occlusal hypofunction was observed more in those with occlusal problems, and a decrease in their occlusal functions resulted in postural instability. © 2011 The Gerodontology Society and John Wiley & Sons A/S.

  19. Load theory behind the wheel; perceptual and cognitive load effects.

    PubMed

    Murphy, Gillian; Greene, Ciara M

    2017-09-01

    Perceptual Load Theory has been proposed as a resolution to the longstanding early versus late selection debate in cognitive psychology. There is much evidence in support of Load Theory but very few applied studies, despite the potential for the model to shed light on everyday attention and distraction. Using a driving simulator, the effect of perceptual and cognitive load on drivers' visual search was assessed. The findings were largely in line with Load Theory, with reduced distractor processing under high perceptual load, but increased distractor processing under high cognitive load. The effect of load on driving behaviour was also analysed, with significant differences in driving behaviour under perceptual and cognitive load. In addition, the effect of perceptual load on drivers' levels of awareness was investigated. High perceptual load significantly increased inattentional blindness and deafness, for stimuli that were both relevant and irrelevant to driving. High perceptual load also increased RTs to hazards. The current study helps to advance Load Theory by illustrating its usefulness outside of traditional paradigms. There are also applied implications for driver safety and roadway design, as the current study suggests that perceptual and cognitive load are important factors in driver attention. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  20. Translational constraint influences dynamic spinal canal occlusion of the thoracic spine: an in vitro experimental study.

    PubMed

    Zhu, Qingan; Lane, Chris; Ching, Randal P; Gordon, Jeff D; Fisher, Charles G; Dvorak, Marcel F; Cripton, Peter A; Oxland, Thomas R

    2008-01-01

    Mechanical constraints to spine motion can arise in a variety of real-world situations such as when shoulder belts prevent anterior translation of the thorax during automotive collisions. The effect of such constraint on spinal column-spinal cord interaction during injury remains unknown. The purpose of the present study was to compare maximal dynamic spinal canal occlusion, measured via a specialized transducer, in cadaveric upper thoracic spine specimens under a variety of anterior-posterior constraint conditions. Four injury models were produced using 24 cadaveric spine specimens (T1-T4). Incremental compressive trauma was applied under constrained (i.e. blocked anterior-posterior translation) flexion-compression, pure-compression and extension-compression, and under unconstrained (i.e. free anterior-posterior translation) flexion-compression. All displacements were applied at 500 mm/s. For all three constrained trauma groups, complete transducer occlusion occurred between 20 and 30 mm of compressive displacement. The extension-compression caused transducer occlusion significantly less than the other constrained models (p < 0.022) at 20 mm compression. For unconstrained flexion-compression, a compression of up to 50 mm resulted in a mean of 26% transducer occlusion. The constrained pure-compression tests led to burst fracture with significant body height loss at T2. The constrained flexion-compression and extension-compression tests caused fracture-dislocation injury at the T2-T3 level. Constrained trauma clearly led to more spinal canal occlusion than the unconstrained in these models, and more severe injury to the spinal column. The results add to our understanding of the effect of column injury pattern on spinal cord injury. This information has clear implications for the design of injury prevention devices.

  1. The Characteristics of Retinal Emboli and its Association With Vascular Reperfusion in Retinal Artery Occlusion.

    PubMed

    Cho, Kwan Hyuk; Ahn, Seong Joon; Cho, Joon Hee; Jung, Cheolkyu; Han, Moon-Ku; Park, Sang Jun; Park, Kyu Hyung; Woo, Se Joon

    2016-09-01

    To analyze the characteristics of retinal emboli and their association with vascular reperfusion in retinal artery occlusion (RAO). In this retrospective comparative case series, we analyzed emboli in patients with acute central retinal artery occlusion (CRAO) or branch retinal artery occlusion (BRAO) and visible emboli, and analyzed vascular reperfusion in patients with visible emboli causing blockage of perfusion. The patients were divided into emboli "movement" and "no movement" groups and their vascular reperfusion states were compared. There were 52/248 (21%) eyes with RAO and visible retinal emboli (31/187 [17%] eyes with CRAO and 21/61 [34%] eyes with BRAO) showing various embolic features. Platelet-fibrin emboli were observed most commonly, and showed the earliest and highest rate of movement. In the movement group, which comprised platelet-fibrin (60%) and cholesterol (40%) emboli, early complete reperfusion was observed in 80% of eyes; however, 67% of eyes in the no movement group, comprising cholesterol (67%) and calcific (33%) emboli, showed late incomplete reperfusion. There were no cases of permanent vascular blockage. The mechanisms of vascular reperfusion could be summarized as complete degradation, peripheral migration, partial dislodgement, angiophagy, and collateral circulation. Retinal emboli in RAO patients have various characteristics that affect their movement. Movement of emboli may affect vascular reperfusion. Various mechanisms are associated with vascular reperfusion, including in cases without movement of emboli. These mechanisms may apply to cerebrovascular occlusion and stroke in general.

  2. 14 CFR 29.511 - Ground load: unsymmetrical loads on multiple-wheel units.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Requirements Ground Loads § 29.511 Ground load: unsymmetrical loads on multiple-wheel units. (a) In dual-wheel gear units, 60 percent of the total ground reaction for the gear unit must be applied to one wheel and... specified load for the gear unit must be applied to either wheel except that the vertical ground...

  3. Stress-strain Analysis of Premolars With Non-carious Cervical Lesions: Influence of Restorative Material, Loading Direction and Mechanical Fatigue.

    PubMed

    Machado, A C; Soares, C J; Reis, B R; Bicalho, A A; Raposo, Lha; Soares, P V

    Noncarious cervical lesions (NCCLs) are characterized by a loss of dental structure at the cementoenamel junction (CEJ) caused by stress, biocorrosion, and attrition. Variations in occlusal loading can promote different stress and strain patterns on the CEJ. Restoration of NCCLs is part of lesion management; however, there is still no conclusive restorative protocol for NCCLs. This study aimed to evaluate the stress and strain distribution of maxillary premolars with NCCLs according to three factors: 1) restorative technique; 2) direction of occlusal loading; and 3) mechanical fatigue. Three-dimensional (3D) finite element analysis (FEA) and strain gauge testing were used to assess stress and strain, respectively. 3D-FEA orthotropic, linear, and elastic models were generated: sound tooth (SO); unrestored NCCL; or NCCL restored with glass ionomer; flowable composite resin; nanofilled composite resin (CR); lithium disilicate ceramic; and nanofilled composite resin core associated with a lithium disilicate laminate (CL). A 150-N compressive static load was applied in two conditions: axially in both cusps (Al); and at a 45° angle to the long axis of the tooth applied to the palatine cusp (Ol). For the experimental tests, specimens were treated as described previously, and one strain gauge was attached to the buccal surface of each tooth to record tooth strains before and after cyclic loading (200,000 cycles, 50 N). FEA showed that the association of NCCL and Ol resulted in higher stress values. CR and CL restorations showed the closest biomechanical behavior to SO for both loading types. Loaded Al or Ol specimens showed higher strain values after mechanical fatigue. Lower stress and strain were observed with Al when compared with Ol. The restoration of NCCLs with composite resin only or associated with ceramic laminates seems to be the best approach because the results for those groups were similar in biomechanical behaviors to sound teeth.

  4. The acute response of practical occlusion in the knee extensors.

    PubMed

    Loenneke, Jeremy P; Kearney, Monica L; Thrower, Austin D; Collins, Sean; Pujol, Thomas J

    2010-10-01

    Training at low intensities with moderate vascular occlusion results in increased muscle hypertrophy, strength, and endurance. Elastic knee wraps, applied to the proximal portion of the target muscle, might elicit a stimulus similar to the KAATSU Master Apparatus. The purpose of this study was to test the hypothesis that intermittently occluding the leg extensors with elastic knee wraps would increase whole-blood lactate (WBL) over control (CON). Twelve healthy men and women participated in this study (age 21.2 ± 0.35 years, height 168.9 ± 2.60 cm, and body mass 71.2 ± 4.16 kg). One repetition maximum (1RM) testing for the leg extensors was performed on a leg extension machine for the first trial, followed by occlusion (OCC) and CON trials. Four sets of leg extension exercise (30-15-15-15) were completed with 150-second rest between sets at 30% 1RM. Whole-blood lactate, heart rate (HR), and ratings of perceived exertion (RPEs) were measured after every set of exercise and 3 minutes postexercise. Data were analyzed using repeated-measures analysis of variance with statistical significance set at p ≤ 0.05. Whole-blood lactate increased in response to exercise (p = 0.01) but was not different between groups (OCC 6.28 ± 0.66 vs. CON 5.35 ± 0.36 mmol·L, p = 0.051). Heart rate (OCC 128.86 ± 4.37 vs. CON 119.72 ± 4.10 b·min⁻¹) was higher with OCC from sets 2-4 (p ≤ 0.03), with no difference 3 minutes postexercise (p = 0.29). Rating of perceived exertion was higher with OCC after every set (OCC 15.10 ± 0.31 vs. CON 12.16 ± 0.50, p = 0.01). In conclusion, no differences exist for WBL between groups, although there was a trend for higher levels with OCC. The current protocol for practical occlusion did not significantly increase metabolic stress more than normal low-intensity exercise. This study does not support the use of knee wraps as a mode of blood-flow restriction.

  5. Outcomes after treatment of acute aortic occlusion.

    PubMed

    de Varona Frolov, Serguei R; Acosta Silva, Marcela P; Volo Pérez, Guido; Fiuza Pérez, Maria D

    2015-11-01

    Acute aortic occlusion (AAO) is a rare disease with high morbidity and mortality. The aim of this study was to describe the results of surgical treatment of acute aortic occlusion and risk factors for mortality. Retrospective review of the clinical history of 29 patients diagnosed and operated on for AAO during 28 years. The following variables were analysed: age, sex, tabaco use, diabetes, chronic renal insufficiency, chronic heart failure, atrial fibrillation, arterial hypertension, symptoms, diagnosis and treatment, 30-day mortality and long-term survival. A univariant analysis was performed of variables related to mortality. Twenty-nine patients were included (18 male) with a mean age of 66,2 years. The aetiology was: embolism (EM) in 11 cases and Thrombosis (TR) in 18 cases. The surgical procedures performed included bilateral transfemoral thrombectomy (14 cases), aorto-bifemoral by-pass (8 cases), axilo uni/bifemoral by-pass (5 cases) and aortoiliac and renal tromboendarterectomy (2 cases). Morbidity included: renal failure (14 cases), mesenteric ischemia (4 cases), cardiac complications (7 cases), respiratory complications (5 cases) and loss of extremity (2 cases). The in-hospital mortality was 21% (EM 0%, TR 21%). The estimated survival at 1.3 and 5 years was 60, 50 and 44% respectively. Age (p=0.032), arterial hypertension (p=0.039) and aetiology of the AAO (p=0.039) were related to mortality. Acute aortic occlusion is a medical emergency with high mortality rates. Acute renal failure is the most common postoperative complication. Copyright © 2012 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.

  6. Thrombolytic therapy for central venous catheter occlusion

    PubMed Central

    Baskin, Jacquelyn L.; Reiss, Ulrike; Wilimas, Judith A.; Metzger, Monika L.; Ribeiro, Raul C.; Pui, Ching-Hon; Howard, Scott C.

    2012-01-01

    Background Long-term central venous catheters have improved the quality of care for patients with chronic illnesses, but are complicated by obstructions which can result in delay of treatment or catheter removal. Design and Methods This paper reviews thrombolytic treatment for catheter obstruction. Literature from Medline searches using the terms “central venous catheter”, “central venous access device” OR “central venous line” associated with the terms “obstruction”, “occlusion” OR “thrombolytic” was reviewed. Efficacy of thrombolytic therapy, central venous catheter clearance rates and time to clearance were assessed. Results Alteplase, one of the current therapies, clears 52% of obstructed catheters within 30 min with 86% overall clearance (after 2 doses, when necessary). However, newer medications may have higher efficacy or shorter time to clearance. Reteplase cleared 67–74% within 30–40 min and 95% of catheters overall. Occlusions were resolved in 70 and 83% of patients with one and 2 doses of tenecteplase, respectively. Recombinant urokinase cleared 60% of catheters at 30 min and 73% overall. Alfimeprase demonstrated rapid catheter clearance with resolution in 40% of subjects within 5 min, 60% within 30 min, and 80% within 2 h. Additionally, urokinase prophylaxis decreased the incidence of catheter occlusions from 16–68% in the control group to 4–23% in the treatment group; in some studies, rates of catheter infections were also decreased in the urokinase group. Conclusions Thrombolytic agents successfully clear central venous catheter occlusions in most cases. Newer agents may act more rapidly and effectively than currently utilized therapies, but randomized studies with direct comparisons of these agents are needed to determine optimal management for catheter obstruction. PMID:22180420

  7. Gravity loading induces adenosine triphosphate release and phosphorylation of extracellular signal-regulated kinases in human periodontal ligament cells.

    PubMed

    Ito, Mai; Arakawa, Toshiya; Okayama, Miki; Shitara, Akiko; Mizoguchi, Itaru; Takuma, Taishin

    2014-11-01

    The periodontal ligament (PDL) receives mechanical stress (MS) from dental occlusion or orthodontic tooth movement. Mechanical stress is thought to be a trigger for remodeling of the PDL and alveolar bone, although its signaling mechanism is still unclear. So we investigated the effect of MS on adenosine triphosphate (ATP) release and extracellular signal-regulated kinases (ERK) phosphorylation in PDL cells. Mechanical stress was applied to human PDL cells as centrifugation-mediated gravity loading. Apyrase, Ca(2+)-free medium and purinergic receptor agonists and antagonists were utilized to analyze the contribution of purinergic receptors to ERK phosphorylation. Gravity loading and ATP increased ERK phosphorylation by 5 and 2.5 times, respectively. Gravity loading induced ATP release from PDL cells by tenfold. Apyrase and suramin diminished ERK phosphorylation induced by both gravity loading and ATP. Under Ca(2+)-free conditions the phosphorylation by gravity loading was partially decreased, whereas ATP-induced phosphorylation was unaffected. Receptors P2Y4 and P2Y6 were prominently expressed in the PDL cells. Gravity loading induced ATP release and ERK phosphorylation in PDL fibroblasts, and ATP signaling via P2Y receptors was partially involved in this phosphorylation, which in turn would enhance gene expression for the remodeling of PDL tissue during orthodontic tooth movement. © 2013 Wiley Publishing Asia Pty Ltd.

  8. Intercostal muscle motor behavior during tracheal occlusion conditioning in conscious rats

    PubMed Central

    Jaiswal, Poonam B.

    2016-01-01

    A respiratory load compensation response is characterized by increases in activation of primary respiratory muscles and/or recruitment of accessory respiratory muscles. The contribution of the external intercostal (EI) muscles, which are a primary respiratory muscle group, during normal and loaded breathing remains poorly understood in conscious animals. Consciousness has a significant role on modulation of respiratory activity, as it is required for the integration of behavioral respiratory responses and voluntary control of breathing. Studies of respiratory load compensation have been predominantly focused in anesthetized animals, which make their comparison to conscious load compensation responses challenging. Using our established model of intrinsic transient tracheal occlusions (ITTO), our aim was to evaluate the motor behavior of EI muscles during normal and loaded breathing in conscious rats. We hypothesized that 1) conscious rats exposed to ITTO will recruit the EI muscles with an increased electromyogram (EMG) activation and 2) repeated ITTO for 10 days would potentiate the baseline EMG activity of this muscle in conscious rats. Our results demonstrate that conscious rats exposed to ITTO respond by recruiting the EI muscle with a significantly increased EMG activation. This response to occlusion remained consistent over the 10-day experimental period with little or no effect of repeated ITTO exposure on the baseline ∫EI EMG amplitude activity. The pattern of activation of the EI muscle in response to an ITTO is discussed in detail. The results from the present study demonstrate the importance of EI muscles during unloaded breathing and respiratory load compensation in conscious rats. PMID:26823339

  9. Management of Atherosclerotic Aortoiliac Occlusive Disease.

    PubMed

    Bujak, Marcin; Gamberdella, Jacqueline; Mena, Carlos

    2014-10-01

    Development of aortoiliac occlusive disease (AIOD) is associated with classic risk factors for atherosclerotic disease such as hyperlipidemia, hypertension, diabetes, or smoking. Risk factor modification, smoking cessation, and prevention of cardiovascular events remain the cornerstones of AIOD management. Symptom improvement and limb loss prevention are considered secondary goals of therapy. Continuous technological advances, new devices, as well as new revascularization techniques are constantly changing the landscape of AIOD management. Surgical interventions, which were considered a gold standard therapy for nearly 50 years, currently give way to newer and less invasive endovascular techniques. Copyright © 2014 Elsevier Inc. All rights reserved.

  10. Surgical treatment of central retinal vein occlusion.

    PubMed

    Berker, Nilufer; Batman, Cosar

    2008-05-01

    The treatment of central retinal vein occlusion (CRVO) is still a subject of debate. Medical therapy efforts, as well as retinal laser photocoagulation, have mostly dealt with management of the sequelae of CRVO, and have shown limited success in improving visual acuity. The unsatisfactory results of such therapeutic efforts led to the development of new treatment strategies focused on the surgical treatment of the occluded retinal vein. The purpose of this review is to summarize the outcomes of commonly reported surgical treatment strategies and to review different opinions on the various surgical approaches to the treatment of CRVO.

  11. A simplified technique for fabricating esthetic cast metal occlusal surfaces for dentures.

    PubMed

    Krantz, W A; Ivanhoe, J R; Adrian, E D

    1990-06-01

    This article describes a simplified method for making esthetic cast metal occlusal surfaces. Monoplane posterior acrylic resin block teeth, cast in a nickel-chrome alloy, are coated with silane and an esthetic composite resin veneer is applied to the buccal surface. These veneered posterior metal teeth are incorporated in the wax setup and the dentures are processed and finished. The dentist's routine technique for delivering dentures to the patient can be followed.

  12. Depth discrimination from occlusions in 3D clutter.

    PubMed

    Langer, Michael S; Zheng, Haomin; Rezvankhah, Shayan

    2016-09-01

    Objects such as trees, shrubs, and tall grass consist of thousands of small surfaces that are distributed over a three-dimensional (3D) volume. To perceive the depth of surfaces within 3D clutter, a visual system can use binocular stereo and motion parallax. However, such parallax cues are less reliable in 3D clutter because surfaces tend to be partly occluded. Occlusions provide depth information, but it is unknown whether visual systems use occlusion cues to aid depth perception in 3D clutter, as previous studies have addressed occlusions for simple scene geometries only. Here, we present a set of depth discrimination experiments that examine depth from occlusion cues in 3D clutter, and how these cues interact with stereo and motion parallax. We identify two probabilistic occlusion cues. The first is based on the fraction of an object that is visible. The second is based on the depth range of the occluders. We show that human observers use both of these occlusion cues. We also define ideal observers that are based on these occlusion cues. Human observer performance is close to ideal using the visibility cue but far from ideal using the range cue. A key reason for the latter is that the range cue depends on depth estimation of the clutter itself which is unreliable. Our results provide new fundamental constraints on the depth information that is available from occlusions in 3D clutter, and how the occlusion cues are combined with binocular stereo and motion parallax cues.

  13. Dental occlusion and periodontal disease: what is the real relationship?

    PubMed

    Bhola, Monish; Cabanilla, Leyvee; Kolhatkar, Shilpa

    2008-12-01

    ABSTRACT The role of occlusion in periodontal disease has always been a challenging topic. A good understanding of the current status of the relationship of occlusion and periodontitis is of paramount importance in order for dental clinicians to provide adequate and comprehensive periodontal treatment in patients presenting with traumatic occlusion. This article reviews the literature regarding the relationship between occlusion and periodontitis and presents recommendations for clinical practice based on available evidence. Clinical cases illustrating the complexity of this relationship and their management are presented.

  14. Occlusal wear and occlusal condition in a convenience sample of young adults.

    PubMed

    Van't Spijker, A; Kreulen, C M; Bronkhorst, E M; Creugers, N H J

    2015-01-01

    To study progression of tooth wear quantitatively in a convenient sample of young adults and to assess possible correlations with occlusal conditions. Twenty-eight dental students participated in a three-year follow up study on tooth wear. Visible wear facets on full arch gypsum casts were assessed using a flatbed scanner and measuring software. Regression analyses were used to assess possible associations between the registered occlusal conditions 'occlusal guidance scheme', 'vertical overbite', 'horizontal overbite', 'depth of sagittal curve', 'canine Angle class relation', 'history of orthodontic treatment', and 'self-reported grinding/clenching' (independent variables) and increase of wear facets (dependent variable). Mean increase in facet surface areas ranged from 1.2 mm2 (premolars, incisors) to 3.4 mm2 (molars); the relative increase ranged from 15% to 23%. Backward regression analysis showed no significant relation for 'group function', 'vertical overbite', 'depth of sagittal curve', 'history of orthodontic treatment' nor 'self-reported clenching. The final multiple linear regression model showed significant associations amongst 'anterior protected articulation' and 'horizontal overbite' and increase of facet surface areas. For all teeth combined, only 'anterior protected articulation' had a significant effect. 'Self reported grinding' did not have a significant effect (p>0.07). In this study 'anterior protected articulation' and 'horizontal overbite', were significantly associated with the progression of tooth wear. Self reported grinding was not significantly associated with progression of tooth wear. Occlusal conditions such as anterior protected articulation and horizontal overbite seem to have an effect on the progression of occlusal tooth wear in this convenient sample of young adults. Copyright © 2014 Elsevier Ltd. All rights reserved.

  15. Computerized occlusal analysis: correlation with occlusal indexes to assess the outcome of orthodontic treatment or the severity of malocculusion

    PubMed Central

    Lee, Jin-Woo

    2016-01-01

    Objective The aims of our study were to verify the validity of the T-Scan III system (Tekscan) as an objective occlusal evaluation tool, and to assess the differences between two occlusal indexes-the peer assessment rating (PAR) index and the American Board of Orthodontics objective grading system (OGS)-by comparing the scores derived from the T-Scan III system with the two occlusal indexes and analyzing the correlations between them. Methods The final study sample included 48 adult volunteers (39 men and 9 women, mean age 24.14 ± 3.16 years), after excluding 29 volunteers whose occlusion could not be evaluated by the T-Scan III system due to severe skeletal or occlusal problems. PAR index and OGS scores were assessed using dental study models, and measurements of centric occlusion, protrusive movement, and lateral excursion movement were obtained via the T-Scan III system. The results were analyzed to determine correlations. Results Occlusal analysis by the T-Scan III system was clinically reliable (p < 0.05), and the PAR index and OGS scores were significantly correlated with several measurements obtained with the T-Scan III system (p < 0.05). Conclusions The T-Scan III system is a quantitative and reliable method for occlusal evaluation, and represents a potential substitute for occlusal indexes. Compared to the PAR index, the OGS scores of more variables were significantly correlated with the T-Scan measurements. PMID:26877980

  16. Optimal management of infrainguinal arterial occlusive disease

    PubMed Central

    Pennywell, David J; Tan, Tze-Woei; Zhang, Wayne W

    2014-01-01

    Peripheral arterial occlusive disease is becoming a major health problem in Western societies as the population continues to age. In addition to risk of limb loss, the complexity of the disease is magnified by its intimate association with medical comorbidity, especially cardiovascular and cerebrovascular disease. Risk factor modification and antiplatelet therapy are essential to improve long-term survival. Surgical intervention is indicated for intermittent claudication when a patient’s quality of life remains unacceptable after a trial of conservative therapy. Open reconstruction and endovascular revascularization are cornerstone for limb salvage in patients with critical limb ischemia. Recent advances in catheter-based technology have made endovascular intervention the preferred treatment approach for infrainguinal disease in many cases. Nevertheless, lower extremity bypass remains an important treatment strategy, especially for reasonable risk patients with a suitable bypass conduit. In this review, we present a summary of current knowledge about peripheral arterial disease followed by a review of current, evidence-based medical and surgical therapy for infrainguinal arterial occlusive disease. PMID:25368519

  17. Anthropology, tooth wear, and occlusion ab origine.

    PubMed

    Young, W G

    1998-11-01

    The purpose of this essay is to emphasize that anthropology, the study of man in his environments, is a potent tool for scientific discovery and inspiration in dental science. It attempts to capture flashes of creative anthropological insight which have illuminated studies of tooth wear and occlusion in the past. While it documents contributions, understandings, and misunderstandings from Australian and New Zealand dentists, it is not a hagiography. The real saint of this essay is the Australian aborigine. For when men and women are understood in their environments, much is learned from them which challenges preconceptions of our dental science culture. The essay concludes that new, contemporary Australian culture needs to be studied by anthropological approaches if we are to understand how dental erosion is exacerbating tooth wear and damaging the occlusions of contemporary Australians. Much remains to be discovered about contemporary lifestyles, habits, and diets that lead to dental erosion, the principal cause of contemporary tooth wear in this part of the world.

  18. Common Carotid Artery Occlusion: A Case Series

    PubMed Central

    Bajkó, Zoltán; Bălaşa, Rodica; Moţăţăianu, Anca; Maier, Smaranda; Chebuţ, Octavia Claudia; Szatmári, Szabolcs

    2013-01-01

    Subjects and Methods. We analysed 5000 cerebrovascular ultrasound records. A total of 0.4% of the patients had common carotid artery occlusion (CCAO). Results. The mean age was 59.8 ± 14.2 years, and the male/female ratio was 2.33. The most frequent risk factors were hypertension, ischaemic heart disease, dyslipidemia, diabetes mellitus, and smoking. Right-sided and left-sided CCAO occurred in 65% and 30% of the cases, respectively, and bilateral occlusion was detected in one case (5%). Patent bifurcation was observed in 10 cases of CCAO in which the anterograde flow in the ICA was maintained from the external carotid artery with reversed flow. In two of the cases, the occluded CCA was hypoplastic. The aetiology of CCAO in the majority of cases was the atherosclerosis (15 cases). The male/female ratio was higher in the patients with occluded distal vessels, and the short-term outcome was poorer. Only two cases from this series underwent revascularisation surgery. Spontaneous recanalisation was observed in one case. Conclusions. The most frequent cause of CCAO was atherosclerosis. The outcome is improved in the cases with patent distal vessels, and spontaneous recanalisation is possible. Treatment methods have not been standardised. Surgical revascularisation is possible in cases of patent distal vessels, but the indications are debatable. PMID:24167740

  19. Numerical analysis of human dental occlusal contact

    NASA Astrophysics Data System (ADS)

    Bastos, F. S.; Las Casas, E. B.; Godoy, G. C. D.; Meireles, A. B.

    2010-06-01

    The purpose of this study was to obtain real contact areas, forces, and pressures acting on human dental enamel as a function of the nominal pressure during dental occlusal contact. The described development consisted of three steps: characterization of the surface roughness by 3D contact profilometry test, finite element analysis of micro responses for each pair of main asperities in contact, and homogenization of macro responses using an assumed probability density function. The inelastic deformation of enamel was considered, adjusting the stress-strain relationship of sound enamel to that obtained from instrumented indentation tests conducted with spherical tip. A mechanical part of the static friction coefficient was estimated as the ratio between tangential and normal components of the overall resistive force, resulting in μd = 0.057. Less than 1% of contact pairs reached the yield stress of enamel, indicating that the occlusal contact is essentially elastic. The micro-models indicated an average hardness of 6.25GPa, and the homogenized result for macroscopic interface was around 9GPa. Further refinements of the methodology and verification using experimental data can provide a better understanding of processes related to contact, friction and wear of human tooth enamel.

  20. Smile line and occlusion: An epidemiological study

    PubMed Central

    Harati, Mahsa; Mostofi, Shahbaz Naser; Jalalian, Ezzatollah; Rezvani, Gholamreza

    2013-01-01

    Background: The purpose of the present study was to discuss some new concepts of the desirable characteristics of smile tooth display. Due to the increasing application of cosmetic dental treatments, there is an increasing need for better understanding of the esthetic principles. Materials and Methods: In the present descriptive study, with 212 participants, included were patients with no history of orthodontic treatment, loss or prosthetic replacement of anterior teeth, extracted teeth, lips with asymmetry or a history of trauma. Chi-square test was used to determine possible significances in the relation of smile line to Angle occlusion class, overbite and overjet and arch form. A P level of <0.05 was set as to be significant. Results: Chi-square test indicated that there was a significant difference between the smile design and overbite, overjet and gender but no statistically significant association was found between the smile design and crossbite, molar Angle classification and arch form. Conclusion: Within the limitations of such studies, it might be concluded that there is a significant and important relation between some occlusal parameters and smile design, which must be considered. PMID:24379858

  1. The occlusal appliance effect on myofascial pain.

    PubMed

    Villalón, Pablo; Arzola, Juan Francisco; Valdivia, José; Fresno, María Javiera; Santander, Hugo; Gutiérrez, Mario Felipe; Miralles, Rodolfo

    2013-04-01

    There are limited studies about the effects of occlusal appliance (OA) after three months of use. This study aimed to compare myofascial pain (MP) according to RDC/TMD, craniocervical relationships (CR) and masseter and temporalis bilateral electromyographic (EMG) activity, before and after three months of occlusal appliance use. Nineteen patients participated in this study. Cephalometric and RDC/TMD diagnostics were performed previously (baseline) and at the end of the study period (three months). EMG recordings at clinical mandibular rest position (MRP), during swallowing of saliva (SW) and during maximum voluntary clenching (MVC) were performed as follows: after one hour of use of an OA; after three months of using the OA for a minimum of 16 hours each day; and immediately after removal from the mouth. MP was relieved in all patients at the end of the study period. CR did not change significantly between baseline and after removal of the OA at the end of the study period. EMG activity during MRP, SW, and MVC decreased in both muscles after one hour using the OA and maintained the same level for the three-month period. When comparing baseline versus final EMG activity without OA, a significant decrease was only observed in the masseter muscle. The results observed in the present study are relevant to clinicians because they imply that the therapeutic effect of OA does not significantly affect the homeostasis of the craniocervical system.

  2. Endovascular Management of Central Retinal Arterial Occlusion.

    PubMed

    Agarwal, Nitin; Gala, Nihar B; Baumrind, Benjamin; Hansberry, David R; Thabet, Ahmad M; Gandhi, Chirag D; Prestigiacomo, Charles J

    2016-11-01

    Central retinal artery occlusion (CRAO) is an ophthalmologic emergency due to the sudden cessation of circulation to the inner retinal layer. Without immediate treatment, permanent blindness may ensue. Several treatment options exist, ranging from noninvasive medical management to thrombolysis. Nonetheless, ongoing debate exists regarding the best therapeutic strategy. The authors present the case of a 78-year-old woman with a medical history of hypercholesterolemia and rheumatoid arthritis who experienced complete loss of vision in her left eye. Following ophthalmologic evaluation demonstrating left CRAO, anterior chamber paracentesis was performed. Endovascular intervention was performed via local intra-arterial fibrinolysis with alteplase. Her vision returned to 20/20 following the procedure. In general, conventional therapies have not significantly improved patient outcomes. Several management options exist for CRAO. In general, conservative measures have not been reported to yield better patient outcomes as compared to the natural history of this medical emergency. Endovascular approaches are another option as observed with this case reported. In cases of CRAO, therapeutic strategies such as intra-arterial fibrinolysis utilize a local infusion of reactive tissue plasminogen activator directly at the site of occlusion via catheterization of the ophthalmic artery. Although several case series do show promising results after treating CRAO with intra-arterial fibrinolysis, further studies are required given the reports of complications.

  3. An in situ study investigating dentine tubule occlusion of dentifrices following acid challenge.

    PubMed

    Olley, Ryan C; Pilecki, Peter; Hughes, Nathan; Jeffery, Peter; Austin, Rupert S; Moazzez, Rebecca; Bartlett, David

    2012-07-01

    To investigate the dentine occlusion and acid resistance of dentifrices developed to treat dentine hypersensitivity. This was a single centre, single blind, randomised, split mouth, four treatments, two period crossover, in situ study in healthy subjects. Subjects wore buccal intra-oral appliances each fitted with four dentine samples over four consecutive days with one study product applied per appliance; 8% strontium acetate in silica base, 1040 ppm sodium fluoride (Sensodyne(®) Rapid Relief), 8% arginine, calcium carbonate, 1450 ppm sodium monofluorophosphate (Colgate Sensitive Pro-Relief(®)), 1450 ppm sodium fluoride (control paste) and water. On days 3 and 4, two agitated grapefruit juice challenges (ex vivo) occurred for 1 min. At the end of each treatment day 1 dentine sample was removed from each appliance for scanning electron microscopy (SEM). The extent of tubule occlusion was measured using an examiner-based visual scoring index (three trained examiners). In total, 28 subjects ((12 males and 16 females with a mean age of 34.7 years (SD 8.41 years)) completed the study. On day 2, both test dentifrices demonstrated significantly better dentine tubule occlusion than water (p < 0.0001) and control paste (8% strontium p = 0.0003 and 8% arginine p = 0.0019). After 3 and 4 days of twice daily brushing with acid challenges on days 3 and 4 the strontium-based dentifrice demonstrated significantly better dentine occlusion than all other treatments (p < 0.0001). Strontium acetate and arginine-based dentifrice result in statistically significant dentine tubular occlusion compared to controls, but the arginine-based dentifrice is more susceptible to acid challenge. Erosive beverages are an important aetiology in DH by exposing dentine tubules. Their consumption has increased significantly over the past decade in the UK. This 4-day in situ study investigated the properties of commercially available dentifrices designed to occlude dentine tubules and their

  4. Multi-scale Visualization of Molecular Architecture Using Real-Time Ambient Occlusion in Sculptor

    PubMed Central

    Wahle, Manuel; Wriggers, Willy

    2015-01-01

    The modeling of large biomolecular assemblies relies on an efficient rendering of their hierarchical architecture across a wide range of spatial level of detail. We describe a paradigm shift currently under way in computer graphics towards the use of more realistic global illumination models, and we apply the so-called ambient occlusion approach to our open-source multi-scale modeling program, Sculptor. While there are many other higher quality global illumination approaches going all the way up to full GPU-accelerated ray tracing, they do not provide size-specificity of the features they shade. Ambient occlusion is an aspect of global lighting that offers great visual benefits and powerful user customization. By estimating how other molecular shape features affect the reception of light at some surface point, it effectively simulates indirect shadowing. This effect occurs between molecular surfaces that are close to each other, or in pockets such as protein or ligand binding sites. By adding ambient occlusion, large macromolecular systems look much more natural, and the perception of characteristic surface features is strongly enhanced. In this work, we present a real-time implementation of screen space ambient occlusion that delivers realistic cues about tunable spatial scale characteristics of macromolecular architecture. Heretofore, the visualization of large biomolecular systems, comprising e.g. hundreds of thousands of atoms or Mega-Dalton size electron microscopy maps, did not take into account the length scales of interest or the spatial resolution of the data. Our approach has been uniquely customized with shading that is tuned for pockets and cavities of a user-defined size, making it useful for visualizing molecular features at multiple scales of interest. This is a feature that none of the conventional ambient occlusion approaches provide. Actual Sculptor screen shots illustrate how our implementation supports the size-dependent rendering of molecular

  5. Vasectomy occlusion techniques for male sterilization.

    PubMed

    Cook, Lynley A; Van Vliet, Huib A A M; Lopez, Laureen M; Pun, Asha; Gallo, Maria F

    2014-03-30

    Vasectomy is an increasingly popular and effective family planning method. A variety of vasectomy techniques are used worldwide, including vas occlusion techniques (excision and ligation, thermal or electrocautery, and mechanical and chemical occlusion methods), as well as vasectomy with vas irrigation or with fascial interposition. Vasectomy guidelines largely rely on information from observational studies. Ideally, the choice of vasectomy techniques should be based on the evidence from randomized controlled trials (RCTs). The objective of this review was to compare the effectiveness, safety, acceptability and costs of vasectomy techniques for male sterilization. In February 2014, we updated the searches of CENTRAL, MEDLINE, POPLINE and LILACS. We looked for recent clinical trials in ClinicalTrials.gov and the International Clinical Trials Registry Platform. Previous searches also included EMBASE. For the initial review, we searched the reference lists of relevant articles and book chapters. We included RCTs comparing vasectomy techniques, which could include suture ligature, surgical clips, thermal or electrocautery, chemical occlusion, vas plugs, vas excision, open-ended vas, fascial interposition, or vas irrigation. We assessed all titles and abstracts located in the literature searches. Two reviewers independently extracted data from articles identified for inclusion. Outcome measures include contraceptive efficacy, safety, discontinuation, and acceptability. Peto odds ratios (OR) with 95% confidence intervals (CI) were used for dichotomous outcomes, such as azoospermia. The mean difference (MD) was used for the continuous variable of operating time. Six studies met the inclusion criteria. One trial compared vas occlusion with clips versus a conventional vasectomy technique. No difference was found in failure to reach azoospermia (no sperm detected). Three trials examined vasectomy with vas irrigation. Two studies looked at irrigation with water versus no

  6. Intraluminal occlusion of the seminal duct by laser and Histoacryl: Two non-invasive alternatives for vasectomy

    NASA Astrophysics Data System (ADS)

    Freitag, B.; Sroka, R.; Koelle, S.; Becker, A. J.; Khoder, W.; Pongratz, T.; Stief, C. G.; Trottmann, M.

    2014-03-01

    Introduction and objective: Vasectomy is a well-established method in family control. Even though it is a safe and low risk operation, this surgery is invasive and difficult to reverse. Therefore the aim of this study was to investigate new non-invasive methods for occlusion of the seminal duct. Material and Methods: Seminal duct tissue was obtained from patients (n=30) suffering from prostate cancer and therefore undergoing prostatectomy. In a first set of experiments, the seminal duct was occluded by intraluminal application of Histoacryl® (Braun Aesculap AG, Tuttlingen, Germany). In a 2nd set of experiments, endoluminal laser induced occlusion was performed. Four different laser wavelengths (1940nm, 1470nm, 1064nm, 940nm) and different sets of laser parameters (e.g. power, exposure duration, fibre diameter, energy applied) were compared. Effectiveness of occlusion of the seminal duct was proven by post-treatment irrigation flow measurement, as well as by morphological analyses. To evaluate a potential damage of the surrounding tissue, external temperature was measured using a thermometer during laser application. Results: Intraluminal application of Histoacryl® induced an immediate and complete occlusion of the seminal duct. The underlying connective tissue maintained its functional integrity after this treatment. By laser light application to a Histoacryl® block, a hole could be created into the block thus indicating the possibility of recanalization. Treatment with laser energy resulted in shrinkage of the ductal lumen. The laser application generally caused necrosis in the epithelium and induced formation of vacuoles in the underlying connective tissue. As described for endoluminal varicose treatment, this distinct local reaction might result in an intense inflammation leading to a functional occlusion of the vas deferens. Conclusions: Both laser-induced occlusion and application of Histoacryl® are fast and simple techniques which may be able to achieve a

  7. 21 CFR 878.4020 - Occlusive wound dressing.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Occlusive wound dressing. 878.4020 Section 878.4020 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4020 Occlusive wound...

  8. 21 CFR 878.4020 - Occlusive wound dressing.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Occlusive wound dressing. 878.4020 Section 878.4020 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4020 Occlusive wound...

  9. 21 CFR 878.4020 - Occlusive wound dressing.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Occlusive wound dressing. 878.4020 Section 878.4020 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4020 Occlusive wound...

  10. 21 CFR 878.4020 - Occlusive wound dressing.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Occlusive wound dressing. 878.4020 Section 878.4020 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4020 Occlusive wound...

  11. 21 CFR 878.4020 - Occlusive wound dressing.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Occlusive wound dressing. 878.4020 Section 878.4020 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4020 Occlusive wound...

  12. Determination of occlusal facial height in oral reconstructive procedures.

    PubMed

    L'Estrange, P R; Rowell, J

    1992-01-01

    A review is provided of the methods that have been employed for the determination of occlusal facial height in oral reconstructive procedures. Details are provided in relation to a modified form of the patient's own assessment of a preferred vertical dimension of occlusion (PVDO) in dentate subjects exhibiting overclosure, edentulous subjects and in those patients requiring full mouth oral rehabilitation.

  13. 21 CFR 870.2890 - Vessel occlusion transducer.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ..., sound, and ultrasonic transducers. (b) Classification. Class II (performance standards). ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Vessel occlusion transducer. 870.2890 Section 870... transducer. (a) Identification. A vessel occlusion transducer is a device used to provide an...

  14. 21 CFR 870.2890 - Vessel occlusion transducer.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., sound, and ultrasonic transducers. (b) Classification. Class II (performance standards). ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Vessel occlusion transducer. 870.2890 Section 870... transducer. (a) Identification. A vessel occlusion transducer is a device used to provide an...

  15. Varying face occlusion detection and iterative recovery for face recognition

    NASA Astrophysics Data System (ADS)

    Wang, Meng; Hu, Zhengping; Sun, Zhe; Zhao, Shuhuan; Sun, Mei

    2017-05-01

    In most sparse representation methods for face recognition (FR), occlusion problems were usually solved via removing the occlusion part of both query samples and training samples to perform the recognition process. This practice ignores the global feature of facial image and may lead to unsatisfactory results due to the limitation of local features. Considering the aforementioned drawback, we propose a method called varying occlusion detection and iterative recovery for FR. The main contributions of our method are as follows: (1) to detect an accurate occlusion area of facial images, an image processing and intersection-based clustering combination method is used for occlusion FR; (2) according to an accurate occlusion map, the new integrated facial images are recovered iteratively and put into a recognition process; and (3) the effectiveness on recognition accuracy of our method is verified by comparing it with three typical occlusion map detection methods. Experiments show that the proposed method has a highly accurate detection and recovery performance and that it outperforms several similar state-of-the-art methods against partial contiguous occlusion.

  16. Japan Prosthodontic Society position paper on "occlusal discomfort syndrome".

    PubMed

    Tamaki, Katsushi; Ishigaki, Shoichi; Ogawa, Takumi; Oguchi, Hitoshi; Kato, Takafumi; Suganuma, Takeshi; Shimada, Atsushi; Sadamori, Shinsuke; Tsukiyama, Yoshihiro; Nishikawa, Youji; Masumi, Shin-Ichi; Yamaguchi, Taihiko; Aita, Hideki; Ono, Takahiro; Kondo, Hisatomo; Tsukasaki, Hiroaki; Fueki, Kenji; Fujisawa, Masanori; Matsuka, Yoshizo; Baba, Kazuyoshi; Koyano, Kiyoshi

    2016-07-01

    Dentists may encounter patients who present with a sense of a malocclusion but in whom no objective findings can be detected. For the patient who insists that there is occlusal discomfort, in the absence of evidence some dentists elect to perform an occlusal adjustment that not only fails to alleviate symptoms, and may, in fact, exacerbate the discomfort. The patient-dentist relationship is then likely compromised because of a lack of trust. In 2011, the Clinical Practice Guidelines Committee of the Japan Prosthodontic Society formulated guidelines for the management of occlusal discomfort. When formulating clinical practice guidelines, the committee bases their recommendations on information derived from scientific evidence. For "occlusal dysesthesia," however, there are an insufficient number of high-quality papers related to the subject. Therefore, a consensus meeting was convened by the Japan Prosthodontic Society to examine evidence in the Japanese- and English-language literature and generate a multi-center survey to create an appropriate appellation for this condition. As a result of the consensus meeting and survey findings, this condition may be justifiably termed "occlusal discomfort syndrome." The Japan Prosthodontics Society believes that identification of an umbrella term for occlusal discomfort might serve as a useful guide to formulating clinical practice guidelines in the future. This position paper represents summary findings in the literature combined with the results of a multicenter survey focused on dental occlusal treatment and the condition of patients who present with occlusal discomfort syndrome. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  17. Sharp Recanalization for Chronic Left Iliac Vein Occlusion

    SciTech Connect

    Ito, Nobutake Isfort, Peter; Penzkofer, Tobias; Grommes, Jochen; Greiner, Andreas; Mahnken, Andreas

    2012-08-15

    Endovascular treatment has emerged as a first-line treatment for venous occlusions, but is sometimes challenging with conventional approaches. This article describes a helpful technique using a Roesch-Uchida needle to cross a chronic occlusion of the iliac vein when conventional techniques have failed.

  18. Guide wire extension for shape memory polymer occlusion removal devices

    DOEpatents

    Maitland, Duncan J.; Small, IV, Ward; Hartman, Jonathan

    2009-11-03

    A flexible extension for a shape memory polymer occlusion removal device. A shape memory polymer instrument is transported through a vessel via a catheter. A flexible elongated unit is operatively connected to the distal end of the shape memory polymer instrument to enhance maneuverability through tortuous paths en route to the occlusion.

  19. Occlusion and functional disorders of the masticatory system.

    PubMed

    Okeson, J P

    1995-04-01

    Understanding the relationship between occlusion and functional disorders of the masticatory system is no easy task. This article explores the static, functional, and dynamic relationships of the occlusal condition to the signs and symptoms of masticatory dysfunction. Some possible relationships are discussed.

  20. 21 CFR 870.2890 - Vessel occlusion transducer.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Vessel occlusion transducer. 870.2890 Section 870.2890 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Monitoring Devices § 870.2890 Vessel occlusion...

  1. 21 CFR 870.2890 - Vessel occlusion transducer.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Vessel occlusion transducer. 870.2890 Section 870.2890 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Monitoring Devices § 870.2890 Vessel occlusion...

  2. 21 CFR 870.2890 - Vessel occlusion transducer.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Vessel occlusion transducer. 870.2890 Section 870.2890 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Monitoring Devices § 870.2890 Vessel occlusion...

  3. Effect of glove occlusion on the skin barrier.

    PubMed

    Tiedemann, Daniel; Clausen, Maja Lisa; John, Swen Malthe; Angelova-Fischer, Irena; Kezic, Sanja; Agner, Tove

    2016-01-01

    Wet work tasks are the most common exposures leading to occupational irritant contact dermatitis. Use of liquid-proof gloves is recommended when performing wet work, however, gloves may also contribute to impairment of the skin barrier and development of irritant contact dermatitis. The aim of this study is to review the literature on the effects of glove occlusion on skin barrier function. The PubMed database was searched up to 1 February 2015 for articles on the association between glove occlusion and skin barrier function, including human studies only and in English. Only experimental studies including assessment of the skin barrier function were included in the data analysis. Thirteen articles were identified, 8 with focus on occlusion alone, 7 with focus on occlusion in combination with irritant exposure (some overlapping), and 2 field studies. In conclusion, data from the literature showed that the negative effect of occlusion in itself is limited, and that only extensive and long-term occlusion will cause barrier impairment. However, studies investigating combined effect of occlusion and exposure to soaps/detergents indicate that occlusion significantly enhances the skin barrier damage caused by detergents/soaps in a dose-response fashion.

  4. The Effect of Occlusion on Motion Integration in Infants

    ERIC Educational Resources Information Center

    Otsuka, Yumiko; Konishi, Yukuo; Kanazawa, So; Yamaguchi, Masami K.

    2009-01-01

    Previous psychophysical studies have shown that the adult human visual system makes use of form information such as occlusion to determine whether to integrate or segregate local motion signals (J. McDermott, Y. Weiss, & E. H. Adelson, 2001). Using the displays developed by McDermott et al., these experiments examined whether occlusion and amodal…

  5. Acute stroke with major intracranial vessel occlusion: Characteristics of cardioembolism and atherosclerosis-related in situ stenosis/occlusion.

    PubMed

    Horie, Nobutaka; Tateishi, Yohei; Morikawa, Minoru; Morofuji, Yoichi; Hayashi, Kentaro; Izumo, Tsuyoshi; Tsujino, Akira; Nagata, Izumi; Matsuo, Takayuki

    2016-10-01

    Acute ischemic stroke with major intracranial vessel occlusion is commonly due to cardioembolic or atherosclerosis-related in situ stenosis/occlusion, and immediate identification of these subtypes is important to establish the optimal treatment strategy. The aim of this study was to clarify the differences in clinical presentation, radiological findings, neurological temporal courses, and outcomes between these etiologies, which have not been fully evaluated. Consecutive emergency patients with acute ischemic stroke were retrospectively reviewed. Among them, patients with stroke with major intracranial vessel occlusion were analyzed with a focus on clinical and radiological findings, and a comparison was performed for those with cardioembolic or atherosclerosis-related in situ stenosis/occlusion. Of 1053 patients, 80 had stroke with acute major intracranial vessel occlusion (45 with cardioembolic and 35 with atherosclerosis-related in situ stenosis/occlusion). Interestingly, the susceptibility vessel sign (SVS) on T2-weighted MR angiography was more frequently detected in cardioembolic stroke (80.0%) than in atherosclerosis (in situ stenosis: 5.9%, chronic occlusion: 14.3%). Moreover, the proximal intra-arterial signal (IAS) on arterial spin labeling MRI and the distal IAS on fluid attenuated inversion recovery MRI was less frequently detected in chronic occlusion (27.3% and 50.0%, respectively) than in acute occlusion due to cardioembolic or in situ stenosis. Multivariate regression analysis showed that the SVS was significantly related to cardioembolism (adjusted odds ratio (OR): 21.68, P=0.004). Clinical characteristics of acute stroke with major intracranial vessel occlusion differ depending on the etiology. The SVS and proximal/distal IAS on MRI are useful to distinguish between cardioembolic and atherosclerotic-related in situ stenosis/occlusion. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Collateral Circulation in Chronic Total Occlusions - an interventional perspective.

    PubMed

    Choo, Gim-Hooi

    2015-09-09

    Human coronary collaterals are inter-coronary communications that are believed to be present from birth. In the presence of chronic total occlusions, recruitment of flow via these collateral anastomoses to the arterial segment distal to occlusion provide an alternative source of blood flow to the myocardial segment at risk. This mitigates the ischemic injury. Clinical outcome of coronary occlusion ie. severity of myocardial infarction/ischemia, impairment of cardiac function and possibly survival depends not only on the acuity of the occlusion, extent of jeopardized myocardium, duration of ischemia but also to the adequacy of collateral circulation. Adequacy of collateral circulation can be assessed by various methods. These coronary collateral channels have been used successfully as a retrograde access route for percutaneous recanalization of chronic total occlusions. Factors that promote angiogenesis and further collateral remodeling ie. arteriogenesis have been identified. Promotion of collateral growth as a therapeutic target in patients with no suitable revascularization option is an exciting proposal.

  7. [Optimization of the final lingual occlusion: an analysis].

    PubMed

    Fourquet, Lucile; Philippe, Julien; Kerbrat, Jean-Baptiste

    2017-06-01

    The objectives of orthodontic treatment are to achieve a functional, aesthetic and sustainable occlusion. However, its analysis is often limited to the study of its buccal side, easy to check in mouth. Yet, the lingual occlusion is also of paramount importance. After calling to mind the ideal static objectives of treatment, described by some authors and defined by some scientific societies, this article studies the different supports for the analysis of lingual static occlusion and proposes a new protocol for the carving of orthodontic casts. The lingual occlusion end-of-treatment objectives lack details, whether by the scientific societies or literature, although we possess simple ways to study them. The lingual part of occlusion is rarely studied in our daily practice, particularly because its analysis cannot be achieved by a direct intraoral examination. However, it is of major importance in the success and stability of our treatments. © EDP Sciences, SFODF, 2017.

  8. Stresses on the cervical column associated with vertical occlusal alteration.

    PubMed

    Motoyoshi, Mitsuru; Shimazaki, Takahisa; Hosoi, Kohei; Wada, Mizuki; Namura, Shinkichi

    2003-04-01

    The biomechanical effects on cervical vertebral columns (C1-C7) during mastication were calculated using a three-dimensional (3D) finite element method. To verify the biomechanical influences of vertical occlusal alteration to the cervical column, three finite element models (FEM) showing a normal (model A), a steep (model B), and a flat occlusal plane (model C) were constructed. The occlusal stress distribution showed various patterns for the three models; the stress extended to the anterior area as the occlusal plane became steeper. The plots of the stresses on the mid sagittal section of the cervical columns showed different patterns for the three models; the stress converged at the odontoid process in models A and B, whereas the stresses at C7 in model B tended to decrease compared with model A. Concentrated stress was observed at C5 in model C, supporting the hypothesis that vertical occlusal alteration could influence stress distribution in the cervical columns.

  9. Collateral Circulation in Chronic Total Occlusions - An Interventional Perspective

    PubMed Central

    Choo, Gim-Hooi

    2015-01-01

    Human coronary collaterals are inter-coronary communications that are believed to be present from birth. In the presence of chronic total occlusions, recruitment of flow via these collateral anastomoses to the arterial segment distal to occlusion provide an alternative source of blood flow to the myocardial segment at risk. This mitigates the ischemic injury. Clinical outcome of coronary occlusion ie. severity of myocardial infarction/ischemia, impairment of cardiac function and possibly survival depends not only on the acuity of the occlusion, extent of jeopardized myocardium, duration of ischemia but also to the adequacy of collateral circulation. Adequacy of collateral circulation can be assessed by various methods. These coronary collateral channels have been used successfully as a retrograde access route for percutaneous recanalization of chronic total occlusions. Factors that promote angiogenesis and further collateral remodeling ie. arteriogenesis have been identified. Promotion of collateral growth as a therapeutic target in patients with no suitable revascularization option is an exciting proposal.

  10. Cilio-retinal arterial circulation in central retinal vein occlusion.

    PubMed Central

    McLeod, D

    1975-01-01

    The hypothesis that an occlusion of the central retinal artery is an essential prerequisite for haemorrhage formation after central retinal vein obstruction has been investigated by examining the fundus changes in patients with a cilio-retinal arterial circulation; the findings are at variance with the 'combined occlusion hypothesis'. Comparisons were made between the pathological features in two retinal capillary beds with independent sources of arterial supply--namely, the central retinal and cilio-retinal arteries--but with an obstructed venous drainage channel common to both--namely, the central retinal vein. The importance of intraluminal pressure changes (as distinct from perfusion changes) in the causation of haemorrhages and oedema after venous occlusion is stressed, and the role of arterial disease in the pathogenesis of venous occlusions is distinguished from its role in determining the sequelae of such occlusions. Images PMID:1203235

  11. Learning about occlusion: initial assumptions and rapid adjustments.

    PubMed

    Kochukhova, Olga; Gredebäck, Gustaf

    2007-10-01

    We examined 6-month-olds abilities to represent occluded objects, using a corneal-reflection eye-tracking technique. Experiment 1 compared infants' ability to extrapolate the current pre-occlusion trajectory with their ability to base predictions on recent experiences of novel object motions. In the first condition infants performed at asymptote ( approximately 2/3 accurate predictions) from the first occlusion passage. In the second condition all infants initially failed to make accurate prediction. Performance, however, reached asymptote after two occlusion passages. This is the first study that demonstrates such rapid learning effects during an occlusion task. Experiment 2 replicates these effects and demonstrates a robust memory effect extending 24h. In occlusion tasks such long-term memory effects have previously only been observed in 14-month-olds (Moore & Meltzoff, 2004).

  12. Comparison between dental and basal arch forms in normal occlusion and Class III malocclusions utilizing cone-beam computed tomography

    PubMed Central

    Suk, Kyung Eun; Park, Jae Hyun; Bayome, Mohamed; Nam, Young-Ok; Sameshima, Glenn T.

    2013-01-01

    Objective The purpose of this study was to investigate the relationship between the mandibular dental and basal arch forms in subjects with normal occlusion and compare them with those of Class III malocclusion using cone-beam computed tomography (CBCT). Methods CBCT images of 32 normal occlusion (19 males, 13 females; 24.3 years) and 33 Class III malocclusion subjects (20 males, 13 females, 22.2 years) were selected. Facial axis and root center points were identified from the left to right mandibular first molars. Distances between the facial axis and root center points for each tooth were calculated, and 4 linear and 2 ratio variables were measured and calculated for each arch form. The variables were compared between groups by independent t-test. Pearson correlation coefficient was applied to assess the relationships between dental and basal variables within each group. Results The mandibular dental and basal intercanine widths were significantly greater in the Class III group than in normal occlusion subjects (p < 0.05). The dental and basal intercanine widths as well as the dental and basal intermolar widths were strongly correlated in normal occlusion and moderately correlated in Class III malocclusion. Conclusions The dental arch form demon strated a strong positive correlation with the basal arch form in the normal occlusion group and moderate correlation in the Class III malocclusion group. These results might be helpful for clinicians to have a better understanding of the importance of basal arch form in the alveolar bone. PMID:23504406

  13. Statistical analysis of differential lissajous EMG from normal occlusion and Class III malocclusion.

    PubMed

    Deguchi, T; Garetto, L P; Sato, Y; Potter, R H; Roberts, W E

    1995-01-01

    The method of differential lissajous electromyography (DL-EMG) was applied to investigate the relationship among the integrated EMG activity, timing, and coordination of the bilateral superficial anterior temporal and masseter muscle activities in normal occlusion and Class III malocclusion subjects. In both Class III malocclusion and normal occlusion subjects, the working side muscles showed a higher mean cumulative voltage (MCV) and mean maximum peak voltage (MMPV) compared with the balancing side. In addition, a higher MCV and MMPV of the working side masseter was observed in the normal occlusion group compared with that seen in the Class III group during both right and left side chewing (p < 0.01). Discriminant analysis applied to examine the distribution, the size and the shape of DL-EMG pattern further indicated a statistical difference between subject groups (p < 0.01). Finally, there was a significantly higher percentage of clockwise DL-EMG pattern-generation in the normal group compared with that seen for Class III subjects (p < 0.01). These data indicate that, compared with normal subjects, patients with a Class III malocclusion have a demonstrably abnormal masticatory muscle balance which is well characterized by the DL-EMG method.

  14. Multiphase CT angiography increases detection of anterior circulation intracranial occlusion

    PubMed Central

    Yu, Amy Y. X.; Zerna, Charlotte; Assis, Zarina; Holodinsky, Jessalyn K.; Randhawa, Privia A.; Najm, Mohamed; Goyal, Mayank; Menon, Bijoy K.; Demchuk, Andrew M.; Coutts, Shelagh B.

    2016-01-01

    Objective: To evaluate whether the use of multiphase CT angiography (CTA) improves interrater agreement for intracranial occlusion detection between stroke neurology trainees and an expert neuroradiologist. Methods: A neuroradiologist and 2 stroke neurology fellows independently reviewed 100 prospectively collected single-phase and multiphase CTA scans from acute ischemic stroke patients with mild symptoms (NIH Stroke Scale score ≤5). The presence and location of a vascular occlusion(s) were documented. Interrater agreement single- and multiphase CTA was quantified using unweighted κ statistics. We assessed for any occlusions, anterior vs posterior occlusions, and pial vessel asymmetry. Results: Using multiphase CTA, the neuroradiologist detected 50 scans with anterior circulation occlusions and 15 scans with posterior circulation occlusions. Median reading time was 2 minutes per scan. Median reading time for the neurologists was 3 minutes per multiphase CTA scan. Interrater agreement was fair between the 2 neurologists and neuroradiologist when using single-phase CTA (κ = 0.45 and 0.32). Agreement improved minimally when stratified by anterior vs posterior circulation. When using multiphase CTA, agreement was high for detection of occlusion or asymmetry of pial vessels in the anterior circulation (κ = 0.80 and 0.84). Conclusions: Multiphase CTA improves diagnostic accuracy in minor ischemic stroke for detection of anterior circulation intracranial occlusion. Classification of evidence: This study provides Class II evidence that multiphase CTA, compared to single-phase CTA, improves the interrater agreement between stroke neurology trainees and an expert neuroradiologist for detecting anterior circulation intracranial vascular occlusion in patients with minor acute ischemic strokes. PMID:27385749

  15. Influence of Occlusal Interference on the Mandibular Condylar Position

    PubMed Central

    Žaja, Matea; Kraljević, Sonja; Šimunković, Marijan; Kopić, Amir; Ćatić

    2016-01-01

    Aim The aim of this study was to determine the effect of occlusal interferences on the position of condyles. Materials and Methods The study included 10 participants. All recordings of the condylar position were done using ultrasound jaw tracking device with six degrees of freedom. Paraocclusal tray was fixed in the lower jaw, and the artificial occlusal interference was made on the lower left second premolar with a composite resin, thickness of 1 mm. Condylar shift at the position of the occlusion with the artificial occlusal interference was measured using a jaw tracking device. Condylar positions were determined based on the Cartesian coordinate system. All deviations were measured according to a reference position which was the position of maximum intercuspation. Linear values of deviations between the reference position and the position of the occlusion with the occlusal interference were determined from the values of the Cartesian coordinate system. Results Average superior condylar shift was 0.17 mm, SD 0.39. Average linear deviation between the position of maximum intercuspation and the position of the occlusion with the occlusal interference was 0.48 mm (SD 0.29, min 0.17 mm, max 1.19 mm). Conclusions Occlusal interference leads to immediate change of the condylar position within the temporomandibular joint. Average values of determined superior condylar position confirm occurrence of lever within dental arches. The obtained results must be interpreted within the limitations of this study (immediate measurement of the condylar position). Further research is needed for the analysis of progression of the condylar position with occlusal interferences. PMID:27789908

  16. Occlusal Therapy in the Management of Chronic Orofacial Pain

    PubMed Central

    Bush, Francis M.

    1984-01-01

    Review of the literature indicates that most routine orofacial dysfunctions are characterized by deep pain. Various disorders of the masticatory systems, particularly musculoskeletal conditions, are thought to be triggered by occlusal disharmonies. The pain component develops following a pattern of bruxism, muscle hyperactivity, fatigue and spasm. Treatment for most disorders has been to modify the occlusion, although the rational for doing so appears questionable. Critical issues in the field of occlusion related to orofacial pain are reviewed: occlusal disharmonies, coincidence of retruded-intercuspal contact positions, non-working side interferences, maximum intercuspation of teeth, occlusal adjustment, and occlusal appliances. The studies reviewed fail to support the clinical objective of obtaining equal contact at retruded and intercuspal positions and that the lateral pterygoid muscles stabilize the temporomandibular joint. The relationship between non-working side interferences and pain dysfunction is also not readily supported by controlled studies. Occlusal adjustment appears to be unsatisfactory as a modality for management of pain: not all patients improved following treatment, some relapse occurs even with the most stable contacts, and other treatments such as intra-articular injections of corticosteroids reduced symptoms more readily. Occlusal splints seem to reduce most clinical signs and symptoms on both a short-term and long-term basis. Placement of mandibular orthopedic repositioning appliances results in reduction of pain in some patients, but usually this treatment is followed by extensive rehabilitation. Six major areas are suggested for clinical studies that attempt to relate occlusion to management of orofacial pain. These include: establishment of an ideal jaw position, sequencing of symptoms in the pain history, relationship of pain to other symptoms, development of physiological methods to assess how occlusal modification affects pain

  17. Predictors of early stent occlusion among plastic biliary stents.

    PubMed

    Khashab, Mouen A; Kim, Katherine; Hutfless, Susan; Lennon, Anne Marie; Kalloo, Anthony N; Singh, Vikesh K

    2012-09-01

    A major disadvantage of plastic biliary stents is their short patency rates. The aim of this study was to identify predictors of early stent occlusion among patients receiving conventional plastic biliary stents. Early stent occlusion was defined as worsening cholestatic liver test results of a severity sufficiently significant to warrant ERCP with stent exchange prior to the planned stent exchange, or as symptoms of cholangitis. The association of cumulative stent diameter, demographics, stricture location, procedure indication, Charlson comorbidity index, history of prior early stent occlusion, presence of gallbladder, and performance of sphincteromy with the occurrence of early stent occlusion was studied using logistic regression and multivariate analysis. Our patient cohort comprised 343 patients (mean age 59.3 years) who underwent 561 ERCP procedures with the placement of one or more plastic biliary stents (mean number of stents per procedure 1.2, mean total diameter of stents per procedure 12 Fr). Early stent occlusion occurred in 73 (13 %) procedures. Female gender was protective against early stent occlusion (adjusted OR 0.54, 95 % CI 0.32-0.90, p = 0.02), while hilar stricture location was independently associated with a significantly increased risk of early stent occlusion (adjusted OR 3.41, 95 % CI 1.68-6.90, p = 0.0007). Early occlusion of conventional biliary stents occurred in 13 % of cases. While female gender decreased the risk of early stent occlusion, hilar stricture location was a significant predictor of early stent occlusion. Our results suggest that physicians should consider early elective stent exchange in patients with hilar strictures.

  18. Gastroesophageal reflux diagnosed by occlusal splint tintion.

    PubMed

    Cebrián-Carretero, José Luis; López-Arcas-Calleja, José María

    2006-01-01

    The gastroesophageal reflux (GER) disease is a very frequent digestive disorder, mainly characterised by the reflux of the gastric acidic content to the esophage in abnormal quantities. There are different situations that favour this situation but almost in all of them rely an incompetence of the esophagic sphincter. The clinical consequences are many, including oral manifestations. Among all of them the most frequent is the esophagitis followed by symptoms at the pharynx or larynx and finally, the oral cavity. At this level fundamentally we will find enamel and oral mucosa erosions. We report the case of a patient who was indirectly diagnosed of her esophague disease by the observation of the alterations in the occlusal splint induced by the gastric reflux. We review the literature concerning the above topic and its possible association with the miofascial syndrome.

  19. Logic-controlled occlusive cuff system

    NASA Technical Reports Server (NTRS)

    Baker, J. T.; Hoffler, G. W. (Inventor); Hursta, W. N.

    1981-01-01

    An occlusive cuff system comprises a pressure cuff and a source of regulated compressed gas feeding the cuff through an electrically operated fill valve. An electrically operated vent valve vents the cuff to the ambient pressure. The fill valve is normally closed and the vent valve is normally open. In response to an external start signal, a logic network opens the fill valve and closes the vent valve, thereby starting the pressurization cycle and a timer. A pressure transducer continuously monitors the pressure in the cuff. When the transducer's output equals a selected reference voltage, a comparator causes the logic network to close the fill valve. The timer, after a selected time delay, opens the vent valve to the ambient pressure, thereby ending the pressurization cycle.

  20. Progressive cerebral occlusive disease after radiation therapy.

    PubMed

    Bitzer, M; Topka, H

    1995-01-01

    A case of progressive irradiation-induced cerebral vasculopathy with abnormal netlike vessels and transdural anastomoses (moyamoya syndrome) is presented. Radiological findings in an additional 40 cases reported in the literature are analyzed, and their clinical relevance is discussed. A 19-year-old woman presented with recurrent ischemic brain lesions after radiation therapy for treatment of a craniopharyngioma during childhood. Cerebral angiography 6 and 12 years after completion of radiation therapy revealed progressive cerebral arterial occlusive disease involving the internal carotid artery on either side of the circle of Willis, with abnormal netlike vessels and transdural anastomoses (moyamoya syndrome). Extensive similarities between irradiation-induced cerebral vasculopathy and primary moyamoya syndrome (Nishimoto's disease) support the notion that both disorders share common pathophysiological mechanisms. The occurrence of moyamoya-like vascular changes may not depend on specific trigger mechanisms but may rather represent a nonspecific response of the developing vascular system to a number of various noxious events.

  1. Coil occlusion of a subclavian mycotic aneurysm.

    PubMed

    Kische, Stephan; Ince, Hüseyin; Peuster, Matthias

    2010-06-01

    We report the first successful application of nonferromagnetic embolization coils for endovascular exclusion of a mycotic right subclavian artery aneurysm. A 58-year-old woman presented with acute cervical pain and a pulsatile mass in the right supraclavicular fossa under antibiotic medication for subacute infectious endocarditis. Diagnostic work-up including duplex sonography, digital subtraction angiography, and magnetic resonance imaging demonstrated a saccular aneurysm of the extrathoracic right subclavian artery. As an alternative to open surgery or stent-graft repair, this pathology was electively treated by transcatheter coil embolization. No neurological deficit or ischemic symptoms were noted during 9 months clinical follow-up. Multislice computed tomography scan revealed complete occlusion of the mycotic aneurysm 6 months after the interventional procedure. Transcatheter closure with Inconel embolization coils is a cost-effective and safe therapeutic option in patients with mycotic aneurysm originating from the subclavian artery.

  2. Prosthetic occlusive device for an internal passageway

    NASA Technical Reports Server (NTRS)

    Tenney, J. B., Jr. (Inventor)

    1983-01-01

    An occlusive device is disclosed for surgical implant to occlude the lumen of an internal organ. The device includes a cuff having a backing collar and two isolated cuff chambers. The fluid pressure of one chamber is regulated by a pump/valve reservoir unit. The other chamber is unregulated in pressure but its fluid volume is adjusted by removing or adding fluid to a septum/reservoir by means of a hypodermic needle. Pressure changes are transmitted between the two cuff chambers via faying surfaces which are sufficiently large in contact area and thin as to transmit pressure generally without attenuation. By adjusting the fluid volume of the septum, the operating pressure of the device may be adjusted to accommodate tubular organs of different diameter sizes as well as to compensate for changes in the organ following implant without reoperation.

  3. Central retinal artery occlusion following cosmetic blepharoplasty.

    PubMed Central

    Kelly, P W; May, D R

    1980-01-01

    A case is presented of a 70-year-old white male who underwent a bilateral cosmetic lower lid blepharoplasty with fat removal. He subsequently developed a right orbital haemorrhage which resulted in the occlusion of the central retinal artery. The patient had no light perception with his right eye for approximately 1 hour, but vision was eventually restored to 20/20 after emergency therapeutic measures. There are many possible causes of visual loss following blepharoplasty, with orbital haemorrhage being the most common. Visual loss secondary to blepharoplasty can be prevented in the preoperative, intraoperative, and postoperative phases of surgery. Blindness as a complication of cosmetic blepharoplasty can be reversible if recognised early and treated appropriately. These facts must be kept in mind by all surgeons who perform blepharoplasties. Images PMID:7448145

  4. Robust visual tracking with contiguous occlusion constraint

    NASA Astrophysics Data System (ADS)

    Wang, Pengcheng; Qian, Weixian; Chen, Qian

    2016-02-01

    Visual tracking plays a fundamental role in video surveillance, robot vision and many other computer vision applications. In this paper, a robust visual tracking method that is motivated by the regularized ℓ1 tracker is proposed. We focus on investigating the case that the object target is occluded. Generally, occlusion can be treated as some kind of contiguous outlier with the target object as background. However, the penalty function of the ℓ1 tracker is not robust for relatively dense error distributed in the contiguous regions. Thus, we exploit a nonconvex penalty function and MRFs for outlier modeling, which is more probable to detect the contiguous occluded regions and recover the target appearance. For long-term tracking, a particle filter framework along with a dynamic model update mechanism is developed. Both qualitative and quantitative evaluations demonstrate a robust and precise performance.

  5. Coherent spatial and temporal occlusion generation

    NASA Astrophysics Data System (ADS)

    Klein Gunnewiek, R.; Berretty, R.-P. M.; Barenbrug, B.; Magalhães, J. P.

    2009-02-01

    A vastly growing number of productions from the entertainment industry are aiming at 3D movie theatres. These productions use a two-view format, primarily intended for eye-wear assisted viewing in a well defined environment. To get this 3D content into the home environment, where a large variety of 3D viewing conditions exists (e.g different display sizes, display types, viewing distance), we need a flexible 3D format that can adjust the depth effect. Such a format is the image plus depth format in which a video frame is enriched with depth information of all pixels in the video. This format can be extended with an additional layer for occluded video and associated depth, that contains what is behind objects in the video. To produce 3D content in this extended format, one has to deduce what is behind objects. There are various axes along which this occluded data can be obtained. This paper presents a method to automatically detect and fill the occluded areas exploiting the temporal axis. To get visually pleasing results, it is of utmost importance to make the inpainting globally consistent. To do so, we start by analyzing data along the temporal axis and compute a confidence for each pixel. Then pixels from the future and the past that are not visible in the current frame are weighted and accumulated based on computed confidences. These results are then fed to a generic multi-source framework that computes the occlusion layer based on the available confidences and occlusion data.

  6. Effect of antenatal tracheal occlusion on lung development in the sheep model of congenital diaphragmatic hernia: a morphometric analysis of pulmonary structure and maturity.

    PubMed

    Lipsett, J; Cool, J C; Runciman, S I; Ford, W D; Kennedy, J D; Martin, A J

    1998-04-01

    The incidence of congenital diaphragmatic hernia (CDH) is 1:1,207-5,000, and the condition is associated with high mortality and morbidity, attributed principally to associated pulmonary hypoplasia. Repairing the diaphragmatic defect by antenatal surgery has high mortality, mainly due to premature labor. Antenatal tracheal occlusion, which is achievable by less invasive methods, stimulates lung growth (weight and DNA). However, its effectiveness in reversing structural and maturational abnormalities and its optimal timing requires further investigation. We hypothesized that (1) antenatal tracheal occlusion performed in the lamb model of congenital diaphragmatic hernia will stimulate lung growth and structural development and restore lung structure and maturity toward normal levels by term gestation; (2) effects will be detectable by morphometric measurements of the following parameters: lung volume, ratio of parenchyma to nonparenchyma, volume density of connective tissue within nonparenchyma, ratio of gas exchange tissue to airspace in parenchyma, gas exchange surface area, capillary loading, alveolar/airspace density and alveolar perimeter; (3) effects will be seen in all lobes of the lung; and (4) a greater effect will be observed when tracheal occlusion is performed early rather than late in gestation. Fourteen lambs underwent CDH creation at gestation day 72-74 followed by tracheal occlusion at day 101 (n = 7) or 129 (n = 7). They were delivered by Cesarean section at 143 days (term = 145-149). Lungs were obtained at autopsy, inflation fixed, divided into lobes, and sampled; morphometric analysis was performed. Comparisons were made with previously reported results from control lungs of normal lambs and lambs with untreated CDH. In comparison with untreated lungs, antenatal tracheal occlusion at both times resulted in increased volumes for total lung and lobes, increased volume density of parenchyma and of airspace within parenchyma, and increased gas exchange

  7. Tracheal Occlusion Conditioning in Conscious Rats Modulates Gene Expression Profile of Medial Thalamus

    PubMed Central

    Bernhardt, Vipa; Hotchkiss, Mark T.; Garcia-Reyero, Natàlia; Escalon, B. Lynn; Denslow, Nancy; Davenport, Paul W.

    2011-01-01

    The thalamus may be the critical brain area involved in sensory gating and the relay of respiratory mechanical information to the cerebral cortex for the conscious awareness of breathing. We hypothesized that respiratory mechanical stimuli in the form of tracheal occlusions would modulate the gene expression profile of the thalamus. Specifically, it was reasoned that conditioning to the respiratory loading would induce a state change in the medial thalamus consistent with a change in sensory gating and the activation of molecular pathways associated with learning and memory. In addition, respiratory loading is stressful and thus should elicit changes in gene expressions related to stress, anxiety, and depression. Rats were instrumented with inflatable tracheal cuffs. Following surgical recovery, they underwent 10 days (5 days/week) of transient tracheal occlusion conditioning. On day 10, the animals were sacrificed and the brains removed. The medial thalamus was dissected and microarray analysis of gene expression performed. Tracheal obstruction conditioning modulated a total of 661 genes (p < 0.05, log2 fold change ≥0.58), 250 genes were down-regulated and 411 up-regulated. There was a significant down-regulation of GAD1, GAD2 and HTR1A, HTR2A genes. CCK, PRKCG, mGluR4, and KCJN9 genes were significantly up-regulated. Some of these genes have been associated with anxiety and depression, while others have been shown to play a role in switching between tonic and burst firing modes in the thalamus and thus may be involved in gating of the respiratory stimuli. Furthermore, gene ontology and pathway analysis showed a significant modulation of learning and memory pathways. These results support the hypothesis that the medial thalamus is involved in the respiratory sensory neural pathway due to the state change of its gene expression profile following repeated tracheal occlusions. PMID:21660287

  8. Effects of resistance training combined with vascular occlusion or hypoxia on neuromuscular function in athletes.

    PubMed

    Manimmanakorn, Apiwan; Manimmanakorn, Nuttaset; Taylor, Robert; Draper, Nick; Billaut, Francois; Shearman, Jeremy P; Hamlin, Michael J

    2013-07-01

    The aim was to investigate the effects of low-load resistant training combined with vascular occlusion or normobaric hypoxic exposure, on neuromuscular function. In a randomised controlled trial, well-trained athletes took part in a 5-week training of knee flexor/extensor muscles in which low-load resistant exercise (20% of one repetition maximum, 1-RM) was combined with either (1) an occlusion pressure of approximately 230 mmHg (KT, n = 10), (2) hypoxic air to generate an arterial blood oxygen saturation of ~80% (HT, n = 10), or (3) with no additional stimulus (CT, n = 10). Before and after training, participants completed the following tests: 3-s maximal voluntary contraction (MVC₃), 30-s MVC, and an endurance test (maximal number of repetitions at 20% 1-RM, Reps₂₀). Electromyographic activity (root mean square, RMS) was measured during tests and the cross-sectional area (CSA) of the quadriceps and hamstrings was measured pre- and post-training. Relative to CT, KT, and HT showed likely increases in MVC₃ (11.0 ± 11.9 and 15.0 ± 13.1%, mean ± 90% confidence interval), MVC₃₀ (10.2 ± 9.0 and 18.3 ± 17.4%), and Reps₂₀ (28.9 ± 23.7 and 23.3 ± 24.0%). Compared to the CT group, CSA increased in the KT (7.6 ± 5.8) and HT groups (5.3 ± 3.0). KT had a large effect on RMS during MVC₃, compared to CT (effect size 0.8) and HT (effect size 0.8). We suspect hypoxic conditions created within the muscles during vascular occlusion and hypoxic training may play a key role in these performance enhancements.

  9. Occlusal adjustment using the bite plate-induced occlusal position as a reference position for temporomandibular disorders: a pilot study

    PubMed Central

    2010-01-01

    Background Many researchers have not accepted the use of occlusal treatments for temporomandibular disorders (TMDs). However, a recent report described a discrepancy between the habitual occlusal position (HOP) and the bite plate-induced occlusal position (BPOP) and discussed the relation of this discrepancy to TMD. Therefore, the treatment outcome of evidence-based occlusal adjustments using the bite plate-induced occlusal position (BPOP) as a muscular reference position should be evaluated in patients with TMD. Methods The BPOP was defined as the position at which a patient voluntarily closed his or her mouth while sitting in an upright posture after wearing an anterior flat bite plate for 5 minutes and then removing the plate. Twenty-one patients with TMDs underwent occlusal adjustment using the BPOP. The occlusal adjustments were continued until bilateral occlusal contacts were obtained in the BPOP. The treatment outcomes were evaluated using the subjective dysfunction index (SDI) and the Helkimo Clinical Dysfunction Index (CDI) before and after the occlusal adjustments; the changes in these two indices between the first examination and a one-year follow-up examination were then analyzed. In addition, the difference between the HOP and the BPOP was three-dimensionally measured before and after the treatment. Results The percentage of symptom-free patients after treatment was 86% according to the SDI and 76% according to the CDI. The changes in the two indices after treatment were significant (p < 0.001). The changes in the mean HOP-BPOP differences on the x-axis (mediolateral) and the y-axis (anteroposterior) were significant (p < 0.05), whereas the change on the z-axis (superoinferior) was not significant (p > 0.1). Conclusion Although the results of the present study should be confirmed in other studies, a randomized clinical trial examining occlusal adjustments using the BPOP as a reference position appears to be warranted. PMID:20346167

  10. Three-dimensional finite element modeling of the human external ear: simulation study of the bone conduction occlusion effect.

    PubMed

    Brummund, Martin K; Sgard, Franck; Petit, Yvan; Laville, Frédéric

    2014-03-01

    A linear three-dimensional (3D) elasto-acoustic finite element model was used to simulate the occlusion effect following mechanical vibration at the mastoid process. The ear canal and the surrounding soft and bony tissues were reconstructed using images of a female cadaver head (Visible Human Project(®)). The geometrical model was coupled to a 3D earplug model and imported into comsol Multiphysics (COMSOL(®), Sweden). The software was used to solve for the sound pressure at the eardrum. Finite element modeling of the human external ear and of the occlusion effect has several qualities that can complement existing measuring and modeling techniques. First, geometrically complex structures such as the external ear can be reconstructed. Second, various material behavioral laws and complex loading can be accounted for. Last, 3D analyses of external ear substructures are possible allowing for the computation of a broad range of acoustic indicators. The model simulates consistent occlusion effects (e.g., insertion depth variability). Comparison with an experimental dataset, kindly provided by Stenfelt and Reinfeldt [Int. J. Audiol. 46, 595-608 (2007)], further demonstrates the model's accuracy. Power balances were used to analyze occlusion effect differences obtained for a silicone earplug and to examine the increase in sound energy when the ear canal is occluded (e.g., high-pass filter removal).

  11. Tracheal occlusion conditioning causes stress, anxiety and neural state changes in conscious rats.

    PubMed

    Pate, K M; Davenport, P W

    2013-03-01

    Evidence from human and animal studies indicates that mechanical loads to breathing are stressful stimuli and evoke compensatory behaviours. Conditioning of stressful stimuli is known to cause changes in basal stress levels and behaviour. Individuals with respiratory obstructive diseases repeatedly experience bouts of airway obstruction, which may act as a form of conditioning, and often have affective disorders, such as anxiety and depression. It is unknown whether the development of affective disorders in these individuals results from the unexpected recurring respiratory perturbations. To investigate this possibility, we developed a model to elicit tracheal occlusion (TO) in conscious rats and exposed them to 10 days of TO conditioning. We hypothesized that healthy, conscious animals exposed to TO conditioning would develop stress and anxiety and would have modulated neural activity in respiratory, stress, discriminative and affective neural regions. Following TO conditioning, rats had increased basal corticosterone levels, greater adrenal weights and elevated anxiety levels compared with animals not receiving TO. Significant increases in cytochrome oxidase staining were found in brainstem respiratory nuclei, periaqueductal grey, dorsal raphe, thalamus and insular cortex. These results suggest that healthy animals develop stress and anxiety responses to respiratory load conditioning via inescapable tracheal occlusions, which may be mediated through state changes in specific brain nuclei.

  12. Pressure controlled clamp using shape memory alloy for minimal vessel invasion in blood flow occlusion.

    PubMed

    Zhang, Ye; Kanetaka, Hiroyasu; Sano, Yuya; Kano, Mitsuhiro; Kudo, Tadaaki; Sato, Takumi; Shimizu, Yoshinaka

    2013-01-01

    Vessel damage after clamping may affect the success of surgical operations. A new pressure controlled clamp (SMA clamp) was designed using super elastic property of shape memory alloy (SMA) to realize atraumatic vessel occlusion. The ability and biological effect of the SMA clamp to control pressure was investigated in vivo. The loading-displacement curves of the SMA clamps (experimental group) and conventional clamp (control group) by occlusion of pig carotid arteries were evaluated using a clamping-pressure analyzing system. To investigate macroscopically and histologically the vessel damage of the SMA and conventional clamps, pig carotid arteries were stained with Evan's blue and its histological sections were stained with Elastica Massion after clamping for fifteen minutes. Constant value was shown in the loading-displacement curve of SMA clamp. In the control group, damaged area stained with Evan's blue in the vessel wall showed enlargement with the pressure increasing. Less areas in experimental groups are observed than that in the control group. Histological section in the experimental group showed no obvious except a slight compressive damage in the tunica intima. In the control group, vessel wall showed irreversible damages. This experiment indicated that the SMA clamp, which has a unique mechanical property, can be used without vessels damage. This pressure controlled clamp can be a selection in clinical apparatus to improve surgical safety.

  13. Contact mechanics of the human finger pad under compressive loads.

    PubMed

    Dzidek, Brygida M; Adams, Michael J; Andrews, James W; Zhang, Zhibing; Johnson, Simon A

    2017-02-01

    The coefficient of friction of most solid objects is independent of the applied normal force because of surface roughness. This behaviour is observed for a finger pad except at long contact times (greater than 10 s) against smooth impermeable surfaces such as glass when the coefficient increases with decreasing normal force by about a factor of five for the load range investigated here. This is clearly an advantage for some precision manipulation and grip tasks. Such normal force dependence is characteristic of smooth curved elastic bodies. It has been argued that the occlusion of moisture in the form of sweat plasticises the surface topographical features and their increased compliance allows flattening under an applied normal force, so that the surfaces of the fingerprint ridges are effectively smooth. While the normal force dependence of the friction is consistent with the theory of elastic frictional contacts, the gross deformation behaviour is not and, for commonly reported values of the Young's modulus of stratum corneum, the deformation of the ridges should be negligible compared with the gross deformation of the finger pad even when fully occluded. This paper describes the development of a contact mechanics model that resolves these inconsistencies and is validated against experimental data.

  14. Variation in human gape cycle kinematics and occlusal topography.

    PubMed

    Laird, Myra F

    2017-08-19

    This study tested hypotheses relating intraspecific variation in occlusal morphology and intraspecific variation in jaw movements during feeding. Gape cycle kinematic variation was hypothesized to correlate with gape cycle number within a chewing sequence as well as with food toughness and stiffness. Gape cycle kinematic variation was also hypothesized to correlate with variation in occlusal area, slope, and volume. Twenty-six adult human subjects chewed four foods with varying material properties while their jaw movements were recorded using three-dimensional coordinates of facial markers captured with a Vicon camera system. Post-canine occlusal morphology of each subject was quantified in ArcGIS using dental topographic analysis of dental casts. Gape cycle duration did not vary with gape cycle number, food toughness, or food stiffness. Gape cycle vertical and lateral displacement correlated negatively with gape cycle number, while foods with higher toughness and Young's modulus had greater jaw vertical and lateral displacement. Subjects with steeper occlusal slopes had longer gape cycle durations and greater amounts of vertical displacement during the slow closing phase of the gape cycle. The results suggest that gape cycle durations are relatively consistent despite changes in food properties and gape cycle number, while occlusal slope affects gape cycle duration and vertical displacement during inferred occlusal contact. However, gape cycle number and bolus properties explain greater amounts of kinematic variation than does occlusal morphology. © 2017 Wiley Periodicals, Inc.

  15. Biomechanics of occlusion--implications for oral rehabilitation.

    PubMed

    Peck, C C

    2016-03-01

    The dental occlusion is an important aspect of clinical dentistry; there are diverse functional demands ranging from highly precise tooth contacts to large crushing forces. Further, there are dogmatic, passionate and often diverging views on the relationship between the dental occlusion and various diseases and disorders including temporomandibular disorders, non-carious cervical lesions and tooth movement. This study provides an overview of the biomechanics of the masticatory system in the context of the dental occlusion's role in function. It explores the adaptation and precision of dental occlusion, its role in bite force, jaw movement, masticatory performance and its influence on the oro-facial musculoskeletal system. Biomechanics helps us better understand the structure and function of biological systems and consequently an understanding of the forces on, and displacements of, the dental occlusion. Biomechanics provides insight into the relationships between the dentition, jaws, temporomandibular joints, and muscles. Direct measurements of tooth contacts and forces are difficult, and biomechanical models have been developed to better understand the relationship between the occlusion and function. Importantly, biomechanical research will provide knowledge to help correct clinical misperceptions and inform better patient care. The masticatory system demonstrates a remarkable ability to adapt to a changing biomechanical environment and changes to the dental occlusion or other components of the musculoskeletal system tend to be well tolerated. © 2015 John Wiley & Sons Ltd.

  16. Ocean Tide Loading Computation

    NASA Technical Reports Server (NTRS)

    Agnew, Duncan Carr

    2005-01-01

    September 15,2003 through May 15,2005 This grant funds the maintenance, updating, and distribution of programs for computing ocean tide loading, to enable the corrections for such loading to be more widely applied in space- geodetic and gravity measurements. These programs, developed under funding from the CDP and DOSE programs, incorporate the most recent global tidal models developed from Topex/Poscidon data, and also local tide models for regions around North America; the design of the algorithm and software makes it straightforward to combine local and global models.

  17. Coil Occlusion of the Patent Ductus Arteriosus: Lessons Learned

    SciTech Connect

    Sanatani, Shubhayan; Potts, James E.; Ryan, Angela; Sandor, George G.S.; Human, Derek G.; Culham, J.A. Gordon

    2000-03-15

    Purpose: To review the clinical outcomes of catheter-directed coil occlusion (coil occlusion) of persistently patent ductus arteriosus (PDA) at a pediatric tertiary care hospital.Methods: A retrospective review of all patients referred to the Cardiac Catheterization Laboratory for coil occlusion at our institution was performed. Twenty-one consecutive patients (12 female) underwent coil occlusion and follow-up between May 1995 and December 1997. We undertook PDA occlusion if: (a) the PDA narrowed to less than 4 mm on echocardiogram and (b) the minimum body weight was approximately 10 kg. Standard right and retrograde left heart catheterization was performed, followed by coil occlusion. Color-flow mapping (CFM) was used intra-procedurally to confirm occlusion of the PDA with a follow-up study several weeks later.Results: The median age and weight of the patients were 33 months and 13.2 kg, respectively. Fourteen patients received one coil, with six requiring a second coil and one requiring multiple coils. Initial follow-up was at a median of 2.4 months. At latest follow-up, 2 patients still have persistent flow at the ductal level. The coils were deployed without complication or embolization.Conclusions: A review of our first 21 cases demonstrated three important lessons: (1) the maximum diameter of the PDA suitable for coil occlusion is approximately 3 mm; (2) CFM must show complete obliteration of flow in the catheterization lab in order to ensure occlusion of the PDA at follow-up; and (3) the Jackson detachable system allows for precise placement of the coil, often within another coil.

  18. Coil occlusion of the paient ductus arteriosus: lessons learned

    SciTech Connect

    Sanatani, Shubhayan; Potts, James E.; Ryan, Angela; Sandor, George G. S.; Human, Derek G.; Culham, J. A. Gordon

    2000-03-15

    Purpose: To review the clinical outcomes of catheter-directed coil occlusion (coil occlusion) of persistently patent ductus arteriosus (PDA) at a pediatric tertiary care hospital.Methods: A retrospective review of all patients referred to the Cardiac Catheterization Laboratory for coil occlusion at our institution was performed. Twenty-one consecutive patients (12 female) underwent coil occlusion and follow-up between May 1995 and December 1997. We undertook PDA occlusion if: (a) the PDA narrowed to less than 4 mm on echocardiogram and (b) the minimum body weight was approximately 10 kg. Standard right and retrograde left heart catheterization was performed, followed by coil occlusion. Color-flow mapping (CFM) was used intra-procedurally to confirm occlusion of the PDA with a follow-up study several weeks later.Results: The median age and weight of the patients were 33 months and 13.2 kg, respectively. Fourteen patients received one coil, with six requiring a second coil and one requiring multiple coils. Initial follow-up was at a median of 2.4 months. At latest follow-up, 2 patients still have persistent How at the ductal level. The coils were deployed without complication or embolization.Conclusions: A review of our first 21 cases demonstrated three important lessons: (1) the maximum diameter of the PDA suitable for coil occlusion is approximately 3 mm; (2) CFM must show complete obliteration of flow in the catheterization lab in order to ensure occlusion of the PDA at follow-up; and (3) the Jackson detachable system allows for precise placement of the coil, often within another coil.

  19. Load-Responsive Motor Controller

    NASA Technical Reports Server (NTRS)

    Edge, T. M.

    1982-01-01

    New circuit controls voltage applied to a three-phase induction motor in response to magnitude of current, so as to reduce power consumption when the motor is idling or operating at less than full load. Control circuit decreases rms applied voltage to match decreases in motor load over entire torque range. This considerably decreases power consumption in motors operating at a fraction of their rated torques.

  20. [Changes of productions of energy metabolism in masseter of rats induced by occlusal interference].

    PubMed

    Xu, X X; Cao, Y; Fu, K Y; Xie, Q F

    2017-02-18

    To investigate the effect of occlusal interference on the energy metabolism of masticatory muscle by studying the changes of adenosine triphosphate (ATP), adenosine diphosphate (ADP), inosine monophosphate (IMP), phosphocreatine, creatine, lactate and pH level in masseter muscles of rats after occlusal interference. Fifty male Sprague-Dawley rats were randomly assigned into experimental group (n=40) and control group (n=10). In experimental group, 0.4 mm thick metal crown was cemented to the upper right first molar of the rat, and maintained for 3, 7, 10, 14 d separately (n=10 for each time point). No occlusal interference was applied for control group. Bilateral masseter muscles of all the rats were acquired under general anesthesia. The samples of 5 rats in each group were fully homogenized with 0.4 mol/L perchlorate (10 mL/g). The homogenates were centrifuged, filtered and analyzed for ATP, ADP, IMP, phosphocreatine, creatine and lactate content by high performance liquid chromatography. The other samples in each group were mixed with homogenates containing 5 mmol/L sodium iodoacetate (10 mL/g), then homogenized and measured for pH value by pH meter in thermostatic water bathunder 37 degrees centigrade. Compared with control group, ATP content in bilateral masseter of the rats increased 3 d after occlusal interference [right side:(5.36±0.13) μmol/g,left side:(5.77±0.25) μmol/g] (P<0.05), and back to normal on 7, 10 and 14 d. There was an increase in IMP [right side:(0.21±0.03) μmol/g,left side:(0.19±0.03) μmol/g]and creatine content [right side:(24.76±2.94) μmol/g,left side:(27.75±2.23) μmol/g]in bilateral masseter of the rats 7 d after occlusal interference (P<0.05) and no difference was detected on 3, 10, and 14. Phosphocreatine content in bilateral masseter started to decline 7 d after occlusal interference and maintained the low level on 10 and 14 d [right side:(10.70±0.71) μmol/g, (11.57±0.52) μmol/g, (10.74±1.39) μmol/g, left side:(10.05

  1. LOADING DEVICE

    DOEpatents

    Ohlinger, L.A.

    1958-10-01

    A device is presented for loading or charging bodies of fissionable material into a reactor. This device consists of a car, mounted on tracks, into which the fissionable materials may be placed at a remote area, transported to the reactor, and inserted without danger to the operating personnel. The car has mounted on it a heavily shielded magazine for holding a number of the radioactive bodies. The magazine is of a U-shaped configuration and is inclined to the horizontal plane, with a cap covering the elevated open end, and a remotely operated plunger at the lower, closed end. After the fissionable bodies are loaded in the magazine and transported to the reactor, the plunger inserts the body at the lower end of the magazine into the reactor, then is withdrawn, thereby allowing gravity to roll the remaining bodies into position for successive loading in a similar manner.

  2. Radiographic evaluation of occlusal caries: effect of training and experience.

    PubMed

    Lazarchik, D A; Firestone, A R; Heaven, T J; Filler, S J; Lussi, A

    1995-01-01

    The purpose of this study was to investigate what effect differing levels of didactic education and clinical experience have on the ability to diagnose occlusal caries from radiographs. Freshman and senior dental students and dental school faculty were asked to evaluate bitewing radiographs for the presence of occlusal caries and for a recommendation for restorative treatment. The agreement between histologic and radiographic diagnosis was assessed by calculating sensitivity, specificity, accuracy, and interexaminer agreement. It was concluded that dental students and faculty did differ in their abilities to evaluate radiographs for occlusal caries, and that education and clinical experience especially affected interexaminer agreement.

  3. Central Retinal Vein Occlusion Associated With Severe Vitamin D Deficiency.

    PubMed

    Talcott, Katherine E; Eliott, Dean

    2016-04-01

    Central retinal vein occlusion (CRVO) is thought to occur due to thrombotic occlusion of the central retinal vein at or just posterior to the lamina cribrosa. Studies have shown that the incidence of CRVO may be higher in winter to early spring, suggesting that low vitamin D levels may play a role; however, no studies have measured vitamin D levels in patients with CRVO. In addition, there is mounting evidence that patients with vitamin D deficiency may be predisposed to thrombotic events. The authors report a case of central retinal vein occlusion associated with marked vitamin D deficiency.

  4. Central retinal artery occlusion (reversible in sickle trait with glaucoma.

    PubMed Central

    Radius, R L; Finkelstein, D

    1976-01-01

    We report a case of central retinal artery occlusion in an 18-year-old black woman with sickle-trait haemoglobinopathy and acute glaucoma after hyphaema. The central retinal artery occlusion occurred immediately after treatment of the glaucoma with osmotic agents, raising the possibility that they played a precipitating role. We suggest that osmotic agents be used with extreme caution in sickle patients with glaucoma. The occlusion was treated by anterior chamber paracentesis with eventual return of good vision. The reversibility of retinal and optic nerve function after total ischaemia is discussed. PMID:952815

  5. Determination of vertical dimension of occlusion by using the phonetic vowel "O" and "E".

    PubMed

    Igić, Marko; Krunić, Nebojsa; Aleksov, Ljiljana; Kostić, Milena; Igić, Aleksandra; Petrović, Milica B; Dacić, Stefan; Igić, Stevan; Igić, Aleksandar

    2015-02-01

    The vertical dimension of occlusion is a very important parameter for proper reconstruction of the relationship between the jaws. The literature describes many methods for its finding, from the simple, easily applicable clinically, to quite complicated, with the use of one or more devices for determination. The aim of this study was to examine the possibility of determining the vertical dimension of occlusion using the vocals "O" and "E" with the control of values obtained by applying cognitive functions. This investigation was performed with the two groups of patients. The first group consisted of 50 females and 50 males, aged 18 to 30 years. In this group the distance between the reference points (on top of the nose and chin) was measured in the position of the mandible in the vertical dimension of occlusion, the vertical dimension at rest and the pronunciation of the words "OLO" and "ELE". Checking the correctness of the particular value for the word "OLO" was also performed by the phonetic method with the application of cognitive exercises when the patients counted from 89 to 80. The obtained difference in the average values in determining the vertical dimension of occlusion and the "OLO" and "ELE" in the first group was used as the reference for determining the vertical dimension of occlusion in the second group of patients. The second group comprised of 31 edentulous persons (14 females and 17 males), aged from 54 to 85 years who had been made a complete denture. The average value obtained for the vertical dimension of rest for the entire sample was 2.16 mm, for the word "OLO" for the entire sample was 5.51 mm and for the word "ELE" for the entire sample was 7.47 mm. There was no statistically significant difference between the genders for the value of the vertical dimension at rest, "ELE" and "OLO". There was a statistically significant difference between the values f or the vertical dimension at rest, "OLO" and "ELE" for both genders. There was a

  6. Two-body wear of occlusal splint materials.

    PubMed

    Kurt, H; Erdelt, K-J; Cilingir, A; Mumcu, E; Sülün, T; Tuncer, N; Gernet, W; Beuer, F

    2012-08-01

    This study investigates the wear resistance of four different types of occlusal splint materials based on two-body wear simulations under wet and dry conditions. Twenty specimens of each splint material (Dentalon Plus, Orthoplast, Biocryl C, and Eclipse), each with a diameter of 16 mm and a thickness of 3 mm, were tested, half under wet and half under dry conditions. Each wear test was performed using a device called chewing simulator CS-4 (n=10; test load: 50 N; number of cycles: 10000, 20000, and 30000; continuous rinsing with 30°C water for wet conditions); the antagonists were simulated using steel balls. Wear was determined using a 3D laser scanner and a surface analysis program. To detect significant statistical differences, wear data after 10000; 20000; and 30000 cycles were compared using the Kruskal-Wallis test and the Mann-Whitney U-test. The level of significance was set at 5%. Significant differences were found between the groups of different materials tested under wet conditions (P<0.05), whereas no differences between them were found under dry conditions (P>0.05). No significant difference was found between the wet and dry conditions for all materials and cycles (P>0.05). For groups of different materials tested under wet conditions, the degree of volume loss generated in the Chewing Simulator CS-4 was found to differ significantly for different numbers of cycles. The presence of water had no effect on the volume loss in the different material groups that were tested.

  7. Thickness and marking quality of different occlusal contact registration strips

    PubMed Central

    TOLEDO, Maria Fernanda de Souza Mauá Serapião; JÓIAS, Renata Pilli; MARQUES-IASI, Yves Santini; NEVES, Ana Christina Claro; RODE, Sigmar de Mello

    2014-01-01

    Objectives Evaluate the thickness and the marking quality of different occlusal contact registration strips (OCRS) and a possible correlation between them. Material and Methods The following OCRS were selected: Accufilm II, BK20, BK21, BK22, BK23, BK28, and BK31. The thickness was measured in three points of the OCRS with an electronic measuring device (TESA), and the mean was calculated. To produce the marks on the strips, composite resin specimens were adapted to a universal testing machine (Versat 2000) with 40 kgf load cell at a speed of 1.0 mm/min. The mark images were photographed with a stereoscopic microscope (Stemi SV11) and processed and analyzed by the 550-Leica Qwin® analyzer. Results Values (μm) found in the 1st and 2nd thickness measurements were: Accufilm II - 16.4 and 14.2; BK20 - 10.0 and 8.1; BK21 - 9.5 and 8.0; BK22 - 9.7 and 8.7; BK23 - 9.8 and 7.9; BK28 - 12.8 and 10.0; and BK31 - 8.4 and 8.0, respectively. The mean (mm2) values found in the mark areas were: Accufilm II - 0.078; BK20 - 0.035; BK21 - 0.045; BK22 - 0.012; BK23 - 0.022; BK28 - 0.024; and BK31 - 0.024. The results were submitted to the Kruskal-Wallis (p<0.05) and Pearson’s correlation tests. Conclusions Only in the 2nd measurement, the OCRS thickness observed was similar to the value indicated by the manufacturers; the Accufilm II and the BK28 strips showed the better marks; and no correlation was found between the thickness and the marking area. PMID:25591020

  8. A new occlusion device: application of the ArtVentive endoluminal occlusion system (EOS)--first in human clinical trial.

    PubMed

    Venbrux, Anthony C; Rudakov, Leon; Plass, Andre; Emmert, Maximilian Y; Ebner, Adrian

    2014-02-01

    The purpose of this study was to determine the safety and efficacy of a new endoluminal occlusion device, ArtVentive endoluminal occlusion system (EOS), to occlude the spermatic vein in symptomatic males with varicoceles. The ArtVentive EOS device has been developed for percutaneous, peripheral occlusion of the peripheral arterial and venous vasculature. The system is comprised of an implantable occlusion device and a delivery catheter. At present, there are two device sizes: (a) size 1 for target vessels ranging between 3.5 and 5.5 mm in diameter, and (b) size 2 for target vessels 5.5-8.5 mm in diameter. The treatment group included six adult males, ages 22-34 years. Nine target vessels were occluded. A total of 20 devices were implanted in six subjects. The acute occlusion rate at the end of the procedure was 100 % occurring in nine of nine vessels. The spermatic veins of all patients remained occluded on venography at 30 days follow-up. Pain scores related to varicoceles decreased in five of six patients. Although we recognize this study is limited, initial experience indicates that the ArtVentive EOS is a safe and effective new device for occlusion of vessels (varicoceles). The device has potential applications in other clinical conditions requiring occlusion of veins or arteries.

  9. Occlusion-free next view planning

    NASA Astrophysics Data System (ADS)

    Zeng, Jianchao; Xu, Guang-you

    1993-08-01

    In this paper, a new approach is proposed to plan occlusion-free next view for a light stripe range finder. To expand its viewing scope, the range finder is mounted on the gripper of a manipulator so that it can take range images at any point in the space from any direction. In order to avoid self occlusion from occurring, we make the light plane of each striping orthogonal to the tangent plane of some representative point (RP) on the object, and maintain constant the distance between the view point and the RP. Instead of blind scanning to obtain dense range images of the object, we utilize already acquired data as knowledge to plan the next scanning view purposively. First, the range finder is guided right above the object by processing an intensity image taken from above the worktable, and an optimal initial scanning direction is determined through test stripings. Secondly, four initial stripings along the scanning direction with a default displacement are carried out, and their images are segmented at abrupt and sharp turning points. The longest corresponding segments are first fitted with a B-splines surface, and the middle point of the boundary along the scanning direction is viewed as RP for the initial patch. The next view point is determined by approximating the surface with a cylindrical surface within a small neighboring area around the RP, calculating the curvature and torsion of the spiral curve on the cylindrical surface passing through the RP. Thirdly, the initial patch is extended to a new one by merging the stripe from the determined view point. This procedure is repeated until touch of the object with the worktable is reached. And finally, we get complete description by connecting all the patches starting from each initial segment. As can be seen from the above, the proposed approach acts very close to the perception process of a human. We utilize a simulation system to show the effectiveness of our approach and its advantages over the existing

  10. Effect of root morphology on biomechanical behaviour of premolars associated with abfraction lesions and different loading types.

    PubMed

    Soares, P V; Souza, L V; Veríssimo, C; Zeola, L F; Pereira, A G; Santos-Filho, P C F; Fernandes-Neto, A J

    2014-02-01

    The aim of this study was to investigate the biomechanical behaviour of maxillary premolar teeth regarding root morphology and abfraction depth, submitted to axial and oblique occlusal load. The investigation was conducted using 3D finite element analysis and strain gauge test. Sound maxillary premolar single and double root were selected for 3D model generation. The teeth were scanned for external morphology data acquisition. The 3D geometry was stored in *.STL and exported to Bio-CAD software (Rhinoceros-3D) to model generation. Mesh generation, mechanical properties and boundary conditions were performed in finite element software (Femap, Noran Engineering, USA). Twelve models were generated: sound tooth, 1.25 and 2.5 mm abfraction teeth. 100N compressive static load was applied: axially and 45° angle to the long axis on the palatine surface of the buccal cusp. Two strain gauges were bonded on the teeth mounted in a mechanical testing machine. Von Mises criterion showed that the double-root teeth associated with 2.5 mm abfraction and oblique loading presented higher stress values. Axial loading associated with single-root teeth propitiated the lowest stress rates. Double root sound 1.25 and 2.5 mm abfraction teeth associated with oblique loading showed the highest strain values (μS): 692.6, 1043.31 and 1236.14, respectively. Single root sound 1.25 and 2.5 mm abfraction teeth associated with oblique loading showed 467.10, 401.51 and 420.98 strain values, respectively. Axial loading showed lower strain rates, ranging from 136.12 to 366.91. The association of deep lesions, oblique loading and double-root tooth promoted higher stress and strain concentration.

  11. Are self-etch adhesive systems effective in the retention of occlusal sealants? A systematic review and meta-analysis.

    PubMed

    Botton, Graziela; Morgental, Caroline Sonego; Scherer, Maitê Munhoz; Lenzi, Tathiane Larissa; Montagner, Anelise Fernandes; Rocha, Rachel de Oliveira

    2016-11-01

    Occlusal sealants are an effective method for caries prevention, although the effectiveness of different application strategies has not been established yet. This systematic review compared the retention rate of sealants placed on occlusal surfaces following the use of self-etch adhesive systems and traditional acid etching, with or without the application of adhesive system. Literature searching was carried out until June 2015 in PubMed/MEDLINE, CENTRAL, and ClinicalTrials databases selecting randomized clinical trials that evaluated self-etch adhesive systems associated with pit and fissure sealants in primary or permanent molars comprising retention as outcome. From 683 potentially eligible studies, 10 were selected for full-text analysis and 5 were included in the meta-analysis. Two reviewers independently selected the studies, extracted the data, and assessed the bias risk. Pooled-effect estimates were obtained by comparing the retention failure rate between groups (self-etch systems vs acid etching with or without adhesive systems). Significant difference was found between groups, favoring the control group (prior acid etching) (P < 0.05), which showed lower failure rate in the retention of occlusal sealants. High heterogeneity was found on the meta-analysis. Most trials showed good evidence strength. Occlusal sealants applied with self-etch systems show lower retention throughout time than sealants applied in the conventional approach, regardless of the use of adhesive systems. © 2015 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. Transient stenotic-like occlusions as a possible mechanism for renovascular hypertension due to aneurysm.

    PubMed

    Heflin, Linden A; Street, Carrie B; Papavassiliou, Dimitrios V; Kem, David C; Wu, Dee H; O'Rear, Edgar A

    2009-01-01

    The pathophysiologic basis of hypertension secondary to a renal artery aneurysm has not been established. Changes in renal artery geometry and resultant hemodynamic alterations activate the renin-angiotensin-aldosterone system and lead to hypertension. Hemodynamic pressure losses created by blood flowing through an abnormally structured renal artery with an aneurysm predictably would provoke a similar circumstance. The present study provides a hemodynamic rationale for this hypothesis. Using computational fluid dynamics, we have modeled renal flow for selected aneurysmal geometries. These studies reveal that pressure loss across the renal artery does not change ( approximately 0.9 mm Hg) significantly when a nondeformable aneurysm is interposed on the system. The calculations, however, demonstrate that the pressure on the aneurysm walls supports the presence of forces deforming and thereby obstructing the renal artery. A deformed wall was assumed and various degrees of occlusion were modeled. A partial occlusion of 60% resulted in a renal artery pressure loss of approximately 10 mm Hg. These simulations, when applied to aneurysms at various locations on the renal artery and with various degrees of occlusion, consistently resulted in pathologically relevant pressure losses. These findings lead to a new hypothesis of how aneurysms are associated with renovascular hypertension.

  13. Two-dimensional mesh-based mosaic representation for manipulation of video objects with occlusion.

    PubMed

    Toklu, C; Tanju Erdem, A; Murat Tekalp, A

    2000-01-01

    We present a two-dimensional (2-D) mesh-based mosaic representation, consisting of an object mesh and a mosaic mesh for each frame and a final mosaic image, for video objects with mildly deformable motion in the presence of self and/or object-to-object (external) occlusion. Unlike classical mosaic representations where successive frames are registered using global motion models, we map the uncovered regions in the successive frames onto the mosaic reference frame using local affine models, i.e., those of the neighboring mesh patches. The proposed method to compute this mosaic representation is tightly coupled with an occlusion adaptive 2-D mesh tracking procedure, which consist of propagating the object mesh frame to frame, and updating of both object and mosaic meshes to optimize texture mapping from the mosaic to each instance of the object. The proposed representation has been applied to video object rendering and editing, including self transfiguration, synthetic transfiguration, and 2-D augmented reality in the presence of self and/or external occlusion. We also provide an algorithm to determine the minimum number of still views needed to reconstruct a replacement mosaic which is needed for synthetic transfiguration. Experimental results are provided to demonstrate both the 2-D mesh-based mosaic synthesis and two different video object editing applications on real video sequences.

  14. Role of Brushing and Occlusal Forces in Non-Carious Cervical Lesions (NCCL).

    PubMed

    Sadaf, Durre; Ahmad, Zubair

    2014-12-01

    To assess the association of occlusal forces and brushing with non-carious cervical lesions (NCCL). It was a Cross-sectional study. The study was conducted in Dental clinics, Department of Surgery, The Aga Khan University Hospital Karachi. The study duration was from 1(st) January 2009 to 28(th) Feb 2009. Ninety patients visiting dental clinic were examined clinically. Presence of Non- carious cervical lesions, broken restorations, fractured cusps, presence of occlusal facets, brushing habits, Para functional habits were assessed. All the relevant information and clinical examination were collected on a structured Performa and was analyzed using SPSS version 14.0. . Chi square χ(2) test was applied to assess association among different categorical variables. Twenty three (26%) females and 67 (74%) males were included in the study. Thirty five of them (38.9%) were found to have Non-carious cervical lesions. Presence of NCCL has no association with gender (P value 0.458). A significant association was found between NCCL and teeth sensitivity (P value 0.002).The association between use of hard tooth brush and Non-carious cervical lesions was found significant (P value <0.001). However the association among Non-carious cervical lesions and fractured cups, broken restoration, teeth grinding, jaw clenching, pan chalia chewing and frequency of teeth brushing were insignificant. Hard tooth brushing and teeth sensitivity have significant association with Non-carious cervical lesions. The role of occlusal wear in the formation of NCCL is not significant.

  15. Multiple-Layer Visibility Propagation-Based Synthetic Aperture Imaging through Occlusion

    PubMed Central

    Yang, Tao; Li, Jing; Yu, Jingyi; Zhang, Yanning; Ma, Wenguang; Tong, Xiaomin; Yu, Rui; Ran, Lingyan

    2015-01-01

    Heavy occlusions in cluttered scenes impose significant challenges to many computer vision applications. Recent light field imaging systems provide new see-through capabilities through synthetic aperture imaging (SAI) to overcome the occlusion problem. Existing synthetic aperture imaging methods, however, emulate focusing at a specific depth layer, but are incapable of producing an all-in-focus see-through image. Alternative in-painting algorithms can generate visually-plausible results, but cannot guarantee the correctness of the results. In this paper, we present a novel depth-free all-in-focus SAI technique based on light field visibility analysis. Specifically, we partition the scene into multiple visibility layers to directly deal with layer-wise occlusion and apply an optimization framework to propagate the visibility information between multiple layers. On each layer, visibility and optimal focus depth estimation is formulated as a multiple-label energy minimization problem. The layer-wise energy integrates all of the visibility masks from its previous layers, multi-view intensity consistency and depth smoothness constraint together. We compare our method with state-of-the-art solutions, and extensive experimental results demonstrate the effectiveness and superiority of our approach. PMID:26247949

  16. Preserving esthetics, occlusion and occlusal vertical dimension in a patient with fixed prostheses seeking dental implant treatment.

    PubMed

    Al Baker, Abdulaziz; Habib, Syed Rashid; Al Amri, Mohammad D

    2016-10-01

    The preservation of esthetics and occlusal vertical dimension is critical in patients with existing full-arch tooth-retained fixed prostheses. This clinical report describes the provision of a maxillary immediate complete denture in a patient with a maxillary full-arch fixed dental prosthesis over nonviable teeth. The existing fixed dental prosthesis was used in the fabrication of the maxillary immediate complete denture to preserve esthetics. The technique involved recording and preservation of the occlusal vertical dimension and occlusion of the existing prosthesis. The technique is simple, quick, cost-effective and less challenging clinically and technically.

  17. [Cilioretinal artery occlusion and central retinal vein occlusion complicating hyperhomocysteinemia: a case report].

    PubMed

    Berkani, Z; Kitouni, Y; Belhadj, A; Sifi, K; Abbadi, N; Bellatrache, C; Hartani, D; Kherroubi, R

    2013-09-01

    Hyperhomocysteinemia is known to be a risk factor in both retinal artery and retinal vein occlusions. We report the case of a young patient with combined occlusion of the cilioretinal artery and the central retinal vein due to hyperhomocysteinemia. A 23-year-old patient without significant medical history, presented for sudden, painless visual loss in the right eye. Ophthalmologic examination revealed best-corrected visual acuity of the right eye 8/10 P2, and 10/10 P2 on the left. Anterior segment exam was normal in both eyes, while the right fundus revealed white, ischemic edema, centered around a cilioretinal artery, sparing the fovea, with some hemorrhagic spots and disc edema. Fluorescein angiography confirmed delayed filling of the right cilioretinal artery and revealed a normal disc on the left. Two weeks later, the clinical picture had evolved into a right ischemic CRVO, confirmed by a second angiogram, with a decrease in visual acuity to 3/10. A work-up was performed, including: a full lipid profile, serum electrolytes, ESR, CRP, a complete blood count (leukocytes, platelets, hemoglobin were normal), a coagulation work-up (PT, PTT, protein C, protein S, antithrombin III, factor V Leiden were normal), ANCA, antiphospholipid antibodies and antinuclear antibodies were negative, and finally cardiology studies (cardiac echo, carotid Doppler) and neurology (brain MRI) were ordered and came back normal. Otherwise, plasma homocysteine was moderately high on two samples, at 18.3 μmol/L and 17.78 μmol/L. Thyroid and renal work-ups were ordered. Urgent PRP was performed, and vitamin therapy (vitB12, vitB6, folic acid) was instituted. The subsequent course was remarkable for recovery of visual acuity to 10/10, P2 with persistence of an inferior altitudinal central scotoma. MTHFR C677T polymorphism was negative. Retinal vascular occlusions (RVO) are serious events, which require investigation for underlying systemic disease, which can be life-threatening. The clinical

  18. Carbohydrate Loading.

    ERIC Educational Resources Information Center

    Csernus, Marilyn

    Carbohydrate loading is a frequently used technique to improve performance by altering an athlete's diet. The objective is to increase glycogen stored in muscles for use in prolonged strenuous exercise. For two to three days, the athlete consumes a diet that is low in carbohydrates and high in fat and protein while continuing to exercise and…

  19. Carbohydrate Loading.

    ERIC Educational Resources Information Center

    Csernus, Marilyn

    Carbohydrate loading is a frequently used technique to improve performance by altering an athlete's diet. The objective is to increase glycogen stored in muscles for use in prolonged strenuous exercise. For two to three days, the athlete consumes a diet that is low in carbohydrates and high in fat and protein while continuing to exercise and…

  20. Serial dependence promotes object stability during occlusion.

    PubMed

    Liberman, Alina; Zhang, Kathy; Whitney, David

    2016-12-01

    Object identities somehow appear stable and continuous over time despite eye movements, disruptions in visibility, and constantly changing visual input. Recent results have demonstrated that the perception of orientation, numerosity, and facial identity is systematically biased (i.e., pulled) toward visual input from the recent past. The spatial region over which current orientations or face identities are pulled by previous orientations or identities, respectively, is known as the continuity field, which is temporally tuned over the past several seconds (Fischer & Whitney, 2014). This perceptual pull could contribute to the visual stability of objects over short time periods, but does it also address how perceptual stability occurs during visual discontinuities? Here, we tested whether the continuity field helps maintain perceived object identity during occlusion. Specifically, we found that the perception of an oriented Gabor that emerged from behind an occluder was significantly pulled toward the random (and unrelated) orientation of the Gabor that was seen entering the occluder. Importantly, this serial dependence was stronger for predictable, continuously moving trajectories, compared to unpredictable ones or static displacements. This result suggests that our visual system takes advantage of expectations about a stable world, helping to maintain perceived object continuity despite interrupted visibility.

  1. Clinical Trials in Branch Retinal Vein Occlusion

    PubMed Central

    Panakanti, Tandava Krishnan; Chhablani, Jay

    2016-01-01

    Branch retinal vein occlusion (BRVO) is the second most common retinal vascular disorder. The management of macular edema has changed considerably over time. The laser is considered the gold standard treatment for over two decades. However, visual recovery with laser is usually slow and incomplete. The advent of intravitreal agents, specifically anti-vascular endothelial growth factors (VEGF) have heralded a new era which promises rapid recovery of vision and quality of vision. Randomized clinical trials have reported optimal results with anti-VEGF agents (ranibizumab, bevacizumab, and aflibercept) compared to laser therapy or steroids. However, nearly 50% of the patients require repeat intravitreal anti-VEGF therapy up to 4 years after initiating therapy to sustain the visual gains. The adverse events (systemic and ocular) of these agents are minimal. Monotherapy with anti-VEGF agents have been found to provide better results than any combination with laser. This review article summarizes evidence from randomized controlled trials evaluating treatment options for the treatment of macular edema secondary to BRVO with a special focus on anti-VEGF therapy. PMID:26957837

  2. Serial dependence promotes object stability during occlusion

    PubMed Central

    Liberman, Alina; Zhang, Kathy; Whitney, David

    2016-01-01

    Object identities somehow appear stable and continuous over time despite eye movements, disruptions in visibility, and constantly changing visual input. Recent results have demonstrated that the perception of orientation, numerosity, and facial identity is systematically biased (i.e., pulled) toward visual input from the recent past. The spatial region over which current orientations or face identities are pulled by previous orientations or identities, respectively, is known as the continuity field, which is temporally tuned over the past several seconds (Fischer & Whitney, 2014). This perceptual pull could contribute to the visual stability of objects over short time periods, but does it also address how perceptual stability occurs during visual discontinuities? Here, we tested whether the continuity field helps maintain perceived object identity during occlusion. Specifically, we found that the perception of an oriented Gabor that emerged from behind an occluder was significantly pulled toward the random (and unrelated) orientation of the Gabor that was seen entering the occluder. Importantly, this serial dependence was stronger for predictable, continuously moving trajectories, compared to unpredictable ones or static displacements. This result suggests that our visual system takes advantage of expectations about a stable world, helping to maintain perceived object continuity despite interrupted visibility. PMID:28006066

  3. [Veno-occlusive disease of the liver].

    PubMed

    Rybicka, Malwina; Krysiak, Robert; Okopień, Bogusław

    2009-01-01

    Veno-occlusive disease (VOD) is seen most often in the group of bone marrow transplant recipients. The essence of this disease is the obstruction of the hepatic sinusoidal and centrolobular venous outflow, because of the injury to the endothelium of the liver vessels. It results in congestion of the liver and hepatomegaly. The typical clinical symptoms of VOD are: jaundice, portal hypertension with peripheral oedemas and the weight gain. Depending on the extent of the injury of the hepatic vessels, VOD is divided into three grades: mild, moderate and severe. The clinical markers that inform about the severity of the disease are: the rate of the serum bilirubin growth and the rate of the weight gain growth within the first 2 weeks since the beginning of the disease. Severe VOD is the third of the most often cause of death among people who underwent bone marrow transplantation. The mortality rate is diverse and depends on severity of the disease. The effectiveness of the VOD therapy is limited, so it is worth putting greater pressure on the prophylaxis of VOD or on finding more effective modes of treatment.

  4. Central Venous Occlusion in the Hemodialysis Patient.

    PubMed

    Krishna, Vinay Narasimha; Eason, Joseph B; Allon, Michael

    2016-11-01

    Central venous stenosis (CVS) is encountered frequently among hemodialysis patients. Prior ipsilateral central venous catheterization and cardiac rhythm device insertions are common risk factors, but CVS can also occur in the absence of this history. Chronic CVS can cause thrombosis with partial or complete occlusion of the central vein at the site of stenosis. CVS is frequently asymptomatic and identified as an incidental finding during imaging studies. Symptomatic CVS presents most commonly as an upper- or lower-extremity edema ipsilateral to the CVS. Previously unsuspected CVS may become symptomatic after placement of an ipsilateral vascular access. The likelihood of symptomatic CVS may be affected by the central venous catheter (CVC) location; CVC side; duration of CVC dependence; type, location, and blood flow of the ipsilateral access; and extent of collateral veins. Venous angiography is the gold standard for diagnosis. Percutaneous transluminal angioplasty and stent placement can improve the stenosis and alleviate symptoms, but CVS typically recurs frequently, requiring repeated interventions. Refractory symptomatic CVS may require ligation of the ipsilateral vascular access. Because no available treatment option is curative, the goal should be to prevent CVS by minimizing catheters and central vein instrumentation in patients with chronic kidney disease and dialysis patients. Copyright © 2016 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

  5. Fundus changes in central retinal vein occlusion.

    PubMed

    Hayreh, Sohan Singh; Zimmerman, M Bridget

    2015-01-01

    To investigate systematically the retinal and optic disk changes in central retinal vein occlusion (CRVO) and their natural history. This study comprised 562 consecutive patients with CRVO (492 nonischemic [NI-CRVO] and 89 ischemic CRVO [I-CRVO] eyes) seen within 3 months of onset. Ophthalmic evaluation at initial and follow-up visits included recording visual acuity, visual fields, and detailed anterior segment and fundus examinations and fluorescein fundus angiography. Retinal and subinternal limiting membrane hemorrhages and optic disk edema in I-CRVO were initially more marked (P < 0.0001) and took longer to resolve (P < 0.015) than that in NI-CRVO. Initially, macular edema was more marked in I-CRVO than that in NI-CRVO (P < 0.0001) but did not significantly differ in resolution time (P = 0.238). Macular retinal epithelial pigment degeneration, serous macular detachment, and retinal perivenous sheathing developed at a higher rate in I-CRVO than that in NI-CRVO (P < 0.0001). Ischemic CRVO had more retinal venous engorgement than NI-CRVO (P = 0.003). Fluorescein fundus angiography showed significantly more fluorescein leakage, retinal capillary dilatation, capillary obliteration, and broken capillary foveal arcade (P < 0.0001) in I-CRVO than NI-CRVO. Resolution time of CRVO was longer for I-CRVO than NI-CRVO (P < 0.0001). Characteristics and natural history of fundus findings in the two types of CRVO are different.

  6. FUNDUS CHANGES IN CENTRAL RETINAL VEIN OCCLUSION

    PubMed Central

    Hayreh, Sohan Singh; Zimmerman, M. Bridget

    2014-01-01

    Purpose To investigate systematically the retinal and optic disc changes in central retinal vein occlusion (CRVO) and their natural history. Methods The study comprised 562 consecutive CRVO patients [492 non-ischemic (NI-CRVO) and 89 ischemic CRVO (I-CRVO) eyes] seen within 3 months of onset, Ophthalmic evaluation at initial and follow-up visits included recording visual acuity, visual fields, and detailed anterior segment and fundus examinations and fluorescein fundus angiography. Results Retinal and sub-internal limiting membrane hemorrhages, and optic disc edema in I-CRVO were initially more marked (p<0.0001), and took longer to resolve (p<0.015) than in NI-CRVO. Initially, macular edema was more marked in I-CRVO than NI-CRVO (p<0.0001), but did not significantly differ in resolution time (p=0.238). Macular retinal epithelial pigment degeneration, serous macular detachment, and retinal perivenous sheathing developed at a higher rate in I-CRVO than in NI-CRVO (p<0.0001). I-CRVO had more retinal venous engorgement than NI-CRVO (p=0.003). Fluorescein fundus angiography showed significantly more fluorescein leakage, retinal capillary dilatation, capillary obliteration, and broken capillary foveal arcade (p<0.0001) in I-CRVO than NI-CRVO. Resolution time of CRVO was longer for I-CRVO than NI-CRVO (p<0.0001). Conclusion Characteristics and natural history of fundus findings in the two types of CRVO are different. PMID:25084156

  7. FUNDUS CHANGES IN BRANCH RETINAL VEIN OCCLUSION

    PubMed Central

    Hayreh, Sohan Singh; Zimmerman, M. Bridget

    2014-01-01

    Purpose To investigate systematically the retinal changes in branch retinal vein occlusion (BRVO) and their natural history. Methods The study comprised 214 consecutive BRVO patients (144 major BRVO and 72 macular BRVO eyes) seen within 3 months of onset, Ophthalmic evaluation at initial and follow-up visits included recording visual acuity, visual fields, and detailed anterior segment and fundus examinations and fluorescein fundus angiography. Results Initially retinal hemorrhages were moderate to severe in the perifovea and macula in at least 65% in major and 52% in macular BRVO; at the fovea it was 51% in major and 36% in macular BRVO. Initially macular edema was more marked in major BRVO than in macular BRVO (p=0.007). Major BRVO had a significantly higher rate of development of serous macular detachment (p=0.002), epiretinal membrane (p=0.008), serous retinal detachment (p=0.002), perivenous sheathing (p<0.0001), optic disc pallor (p<0.0001), and lipid deposit (p<0.0001) compared to macular BRVO. Retinal and disc neovascularization was seen only in major BRVO. The time to resolution of BRVO was significantly longer for major BRVO compared to macular BRVO (p=0.0002). Conclusion Major and macular BRVOs are two distinct clinical entities Initial and final fundus findings in the two types differ markedly. PMID:25574785

  8. A Moyamoya Patient with Bilateral Consecutive Branch Retinal Vein Occlusion

    PubMed Central

    Güçlü, Hande; Gurlu, Vuslat Pelitli; Ozal, Sadık Altan; Esgin, Haluk

    2016-01-01

    ABSTRACT We describe a moyamoya (MMD) patient with bilateral consecutive branch retinal vein occlusion (BRVO). The patient had a medical history of severe headache, cranial haemorrhage, bilateral supraclinoid carotid artery occlusion, and “puff of smoke” collaterals on cerebral angiography and an encephalomyosynangiosis operation. On ophthalmic examination, he had superior temporal branch vein occlusion with intraretinal haemorrhage and visual acuity of 20/25 in the right eye. Twelve years later, he presented with superior temporal branch vein occlusion in the left eye and visual acuity of 20/60. The patient was initially treated with a dexamethasone intravitreal implant, and later intravitreal ranibizumab injections. We describe the first reported case of bilateral consecutive BRVO and management in MMD. PMID:27928391

  9. Clinical and angiographic comparison of asymptomatic occlusive cerebrovascular disease.

    PubMed

    Gorelick, P B; Caplan, L R; Langenberg, P; Hier, D B; Pessin, M; Patel, D; Taber, J

    1988-06-01

    We compared clinical and arteriographic features in 106 patients with symptomatic unilateral carotid territory occlusive disease to determine the frequency and distribution of occlusive arterial lesions in asymptomatic vessels. Among black patients who were predominantly from Chicago, young, and female, there were fewer transient ischemic attacks and myocardial infarcts, less claudication, and more asymptomatic lesions of the supraclinoid internal carotid artery, anterior cerebral artery stem, and the middle cerebral artery stem. Among white patients predominantly from New England, elderly, and male, there was more frequent and severe occlusive asymptomatic disease at extracranial carotid and vertebral artery sites. Knowledge of the distribution of asymptomatic lesions will help guide evaluation and treatment strategies for patients with occlusive cerebrovascular disease.

  10. Pulmonary veno-occlusive disease and pulmonary capillary hemangiomatosis.

    PubMed

    Ortiz-Bautista, Carlos; Hernández-González, Ignacio; Escribano-Subías, Pilar

    2017-03-22

    Pulmonary veno-occlusive disease is a rare cause of pulmonary hypertension which is part, together with pulmonary capillary hemangiomatosis, of the special designation (subgroup 1') within pulmonary hypertension group 1 in the latest classification of the pulmonary hypertension World Symposium. Recent discovery that gene mutations in eukaryotic translation initiation factor 2 alpha kinase 4 (EIF2AK4) are responsible for inherited forms of pulmonary veno-occlusive disease has changed the role of genetic testing, acquiring relevant importance in the diagnosis of these patients. Despite the advances in genetic, cellular and molecular basis knowledge in the last decade, pulmonary veno-occlusive disease remains as a rare aetiology of pulmonary hypertension without any effective medical treatment approved and poor outcomes. This document aims to review the advances occurred in the understanding of pulmonary veno-occlusive disease in the last years. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  11. Diagnosis and management of occlusal wear: a case report.

    PubMed

    Thirumurthy, V R; Bindhoo, Y A; Jacob, Sunil Joseph; Kurien, Anjana; Limson, K S; Vidhiyasagar, P

    2013-09-01

    The rationale for doing full mouth rehabilitation are, when occlusal forces become traumatic hampering the health of periodontal tissues, extensive occlusal diseases, trauma, temporomandibular joint disease and congenital disorders with malformed dentition. Literature exposes that full mouth fixed rehabilitation is one of the taxing procedures in the field of Prosthodontics. A critical aspect for successful occlusal rehabilitation is to determine the aetiology, correct sequence of treatment and most importantly the occlusal vertical dimension and centric relation in which to plan the treatment. A systematic approach in managing these patients can lead to a predictable and favourable prognosis. This article presents the stages of prosthodontic rehabilitation, from diagnosis to final treatment and follow-up, of a bruxer patient with severely worn dentition.

  12. Compliance with the prescribed occlusion treatment for amblyopia.

    PubMed

    Vagge, Aldo; Nelson, Leonard B

    2017-09-01

    The present review article is an update on the current evidence about compliance to the prescribed occlusion treatment for amblyopia. In particular, the authors focus on the predictors and causes of noncompliance and possible interventions to increase it. Compliance with prescribed occlusion treatment is often challenging. Reported rates of compliance range widely from 49% to 87%. Objective monitoring of occlusion has opened up new research opportunities and allow the design of effective therapeutic regimens. Also, predictors and causes of noncompliance have been investigated and their knowledge may help the clinician to improved compliance with prescribed occlusion treatment for amblyopia. Although many of the studies assessing the effectiveness of interventions to increase compliance to patching treatment for amblyopia have many limitations, evidences support that use of educational supports, parents, and patient understanding on the importance of patching and written information should be considered to increase compliance with patching.

  13. Aortoiliac occlusive disease presenting as sudden onset paraplegia.

    PubMed

    Lai, Chien-Hung; Wang, Cheng-Hsien; Wu, Shih-Yun; Shih, Hong-Mo

    2014-07-01

    Thromboembolism and atherosclerotic stenosis both can cause arterial occlusion. Aortoiliac occlusive disease involving bifurcation of the aortoiliac artery induces symptoms of ischemia such as claudication and pain of buttocks and thighs, decreased bilateral femoral pulses, and impotence. Here, we describe a 58-year-old woman with a past history of atrial fibrillation and lacuna stroke with minimal right side weakness. She presented to our emergency department with sudden onset bilateral pain in the legs and paraplegia. A comprehensive examination revealed paresthesia and decreasing bilateral distal pulses. Computed tomographic imaging showed filling defects over the low abdominal aorta just above the bifurcation of the common iliac artery and bilateral femoral arteries. Acute aortic embolic occlusion was suspected. Her symptoms were resolved after emergent thrombectomy for acute limb ischemia. Physicians need to be aware of aortoiliac embolic occlusive disease which may present as acute paraplegia. Copyright © 2014 Elsevier Inc. All rights reserved.

  14. Different Occlusal Schemes in a Persistent Protruding Complete Denture Wearer

    PubMed Central

    Iegami, Carolina Mayumi; Lopes, Danilo de Melo; Nakamae, Atlas Edson Moleros; Uehara, Priscila Nakasone; Tamaki, Regina

    2016-01-01

    Different types of artificial teeth and occlusal designs can be used in complete dentures. Bilateral balanced occlusion, lingualized occlusion, canine guidance, and monoplane are the main occlusal designs; however there is no agreement on which tooth arrangement is ideal for achieving success in complete dentures. This report presents an alternative for persistent involuntary protruding complete denture wearers through the use of artificial teeth with higher cusps. Due to an old and worn pair of complete dentures, the patient had the habit of protruding. New dentures were made with Biotone artificial teeth and in the trial session, the patient would still protrude. A new set was made with Premium artificial teeth, which present higher cusps. With these dentures, the involuntary protrusion did not occur. From the delivery to the follow-up sessions, the patient stopped protruding. PMID:27069698

  15. SURGICAL EMBOLECTOMY FOR FOVEA-THREATENING ACUTE RETINAL ARTERY OCCLUSION

    PubMed Central

    Almeida, David R.P.; Mammo, Zaid; Chin, Eric K.

    2016-01-01

    Purpose: To describe a technique of surgical intraocular embolectomy in patients with acute fovea-threatening branch retinal artery occlusion. Methods: Pars plana vitrectomy with embolectomy involving embolus isolation, dissection, and removal in patients with an acute fovea-threatening arterial occlusion without a patent cilioretinal artery. Results: The surgical technique involves a core vitrectomy. The blocked artery is incised using a microvitreoretinal blade, and microsurgical forceps are used to retrieve the embolus. No significant complications were noted. The study technique offers an excellent safety profile and minimizes the risk of vitreous hemorrhage by carefully dissecting the vascular adventitial sheath and isolating the embolus. Conclusion: Surgical embolectomy is a viable technique for patients with acute fovea-threatening arterial occlusions without patent cilioretinal artery. Careful dissection and retrieval of the embolus minimizes the risk of vitreous hemorrhage, which is an important improvement in previous techniques for management of acute retinal arterial occlusions. PMID:26674278

  16. Bilateral atherosclerotic internal carotid artery occlusion and recurrent ischaemic stroke.

    PubMed

    Amin, Osama S M

    2015-06-08

    Bilateral internal carotid artery occlusion (BICAO) is a rare disease that carries a gloomy prognosis. We report a case of a 52-year-old man who developed ischaemic infarction at the region of the right middle cerebral artery; he was found to have atherosclerotic occlusion of both internal carotid arteries on Doppler-duplex examination. He received medical treatment only. After 1 year, he developed a new infarction at the region of the left middle cerebral artery. Conventional angiography revealed bilateral occlusion of internal carotid arteries at their origin, approximately 50% stenosis of the common carotid bulbs and mild stenosis of the origin of external carotid arteries. The patient did not undergo any form of surgical revascularisation procedures and died of severe aspiration pneumonia approximately 2 months after the second stroke. BICAO portends a poor outcome and carries a risk of recurrent ischaemic events. The best management strategy for this vascular occlusion remains unclear.

  17. Endovascular treatment of iliac occlusive disease: review and update.

    PubMed

    Mousa, Albeir Y; Beauford, Robert B; Flores, Lucio; Faries, Peter L; Patel, Prem; Fogler, Richard

    2007-01-01

    Use of endovascular interventions for arterial occlusive lesions continues to increase. With the evolution of the technology supporting these therapeutic measures, the results of these interventions continue to improve. In general, a comparison of techniques for revascularization of iliac occlusive diseases shows similar initial technical success rates for open versus percutaneous transluminal angioplasty. Angioplasty is often associated with lower periprocedural morbidity and mortality rates. Conversely, surgery frequently provides greater long-term patency, although late failure of percutaneous therapies may occur but still can be treated successfully with reintervention. The perpetual buildup of experience with angioplasty and stenting will eventually characterize its role in the management of occlusive disease. This review outlines the current consensus and applicability of endovascular management of iliac occlusive diseases.

  18. Height Gradient Approach for Occlusion Detection in Uav Imagery

    NASA Astrophysics Data System (ADS)

    Oliveira, H. C.; Habib, A. F.; Dal Poz, A. P.; Galo, M.

    2015-08-01

    The use of Unmanned Aerial Vehicle (UAV) significantly increased in the last years. It is used for several different applications, such as mapping, publicity, security, natural disasters assistance, environmental monitoring, 3D building model generation, cadastral survey, etc. The imagery obtained by this kind of system has a great potential. To use these images in true orthophoto generation projects related to urban scenes or areas where buildings are present, it is important to consider the occlusion caused by surface height variation, platform attitude, and perspective projection. Occlusions in UAV imagery are usually larger than in conventional airborne dataset due to the low-altitude and excessive change in orientation due to the low-weight and wind effects during the flight mission. Therefore, this paper presents a method for occlusion detection together with some obtained results for images acquired by a UAV platform. The proposed method shows potential in occlusion detection and true orthophoto generation.

  19. Endovascular cannulation with a microneedle for central retinal vein occlusion.

    PubMed

    Kadonosono, Kazuaki; Yamane, Shin; Arakawa, Akira; Inoue, Maiko; Yamakawa, Tadashi; Uchio, Eiichi; Yanagi, Yasuo; Amano, Shiro

    2013-06-01

    We developed a new surgical treatment in which a microneedle is used for retinal endovascular cannulation to treat eyes with central retinal vein occlusion by flushing thrombus out of the central retinal vein as it passes through the lamina cribrosa. The eyes of 12 consecutive patients (12 eyes) with central retinal vein occlusion were successfully treated using this novel treatment. At 24 weeks after surgery, 9 of 12 eyes had gained more than 15 letters in best-corrected visual acuity, and the mean decrease in central foveal thickness was 271.1 μm. Few complications were observed. The microneedle is stiff and sharp enough to facilitate retinal endovascular cannulation in eyes with central retinal vein occlusion. This new technique is a promising treatment of macular edema due to central retinal vein occlusion.

  20. Acute Popliteal Artery Occlusion after Revision Total Knee Arthroplasty.

    PubMed

    Tsujimoto, Ryu; Matsumoto, Tomoyuki; Takayama, Koji; Kawakami, Yohei; Kamimura, Masato; Matsushita, Takehiko; Kuroda, Ryosuke; Kurosaka, Masahiro

    2015-01-01

    Acute arterial occlusions are a rare complication of total knee arthroplasty (TKA). However, in revision TKA, the risk of such complications is higher and these complications can lead to amputation if not adequately treated. We describe a case of acute popliteal artery occlusion 4 hours after second revision TKA in a patient with a history of several surgical procedures because of periprosthetic infection at a previous hospital. Revascularization was achieved via bypass grafting and amputation was narrowly avoided despite time lag after symptom onset to revascularization. In this case, it was possible that the arterial disease that accompanied the vascular endothelium injury such as pseudoaneurysm had existed since the previous surgery at another hospital and was destroyed by the surgical procedure, which led to the formation of thrombosis and arterial occlusion. Preoperative evaluation of the arterial condition should be considered to avoid acute arterial occlusive disease, especially in patients who had several previous surgical procedures.

  1. Histologic changes in rat masticatory muscles subsequent to experimental increase of the occlusal vertical dimension.

    PubMed

    Akagawa, Y; Nikai, H; Tsuru, H

    1983-11-01

    Histologic changes in various masticatory muscles were studied in Wistar rats from 12 hours to 84 days after an experimental increase of the occlusal vertical dimension. The increases applied (1 to 2 mm) were based on the amount of interocclusal space (1 mm) in the rat. A sequence of tissue reaction from early acute inflammatory destruction of myofibers to healing with myofiber regeneration was most pronounced in the deep masseter muscle of the 2 mm group (12 hours to 21 days). A similar sequence was also observed to a lesser degree in the superficial masseter and anterior temporal muscles, while no changes were detectable in the posterior temporal, medial pterygoid, and anterior digastric muscles of this group. Variable severity of tissue response in different masticatory muscles might be attributable to the amount of stretching of myofibers as a result of an increased occlusal vertical dimension. On the other hand, degenerative atrophy of myofibers in the lateral pterygoid muscle occurred within 2 days with no sign of inflammation, and these condensed myofibers persisted as late as 84 days. Based on these findings, it was suggested that displacement of the mandibular condyle would exert an important influence on the prognosis after an increase in the occlusal vertical dimension. Only a transient acute inflammation occurred in the deep and superficial masseter muscles in the 1 mm group. Except for a small number of condensed myofibers in the lateral pterygoid muscle, degenerative changes of myofibers were not revealed. Therefore, increasing the occlusal vertical dimension within the extent of the interocclusal space might be regarded as appropriate for prosthodontic practices.

  2. Mechanics of the occlusive arm cuff and its application as a volume sensor.

    PubMed

    Drzewiecki, G; Bansal, V; Karam, E; Hood, R; Apple, H

    1993-07-01

    Although a common medical instrument, the mechanical function of an occlusive arm cuff has not been fully described in an engineering sense. The occlusive arm cuff is examined here using a mathematical mechanics model and experimental measurements. Cuff stretch was modeled by a nonlinear pressure-volume function. Air compression was represented by Boyle's law. An apparatus was developed to measure pressure due to the air volume pumped into the cuff for fixed arm volume. Data were obtained for two different cuff designs, and reveal a nonlinear cuff pressure-volume relationship that could be represented accurately by the mathematical model. Calibration constants are provided for the two types of occlusive cuff. Thus, the cuff pressure was found to consist of a balance between that produced by stretch of the elastic cuff bladder and that of the compression of the air contained within the bladder. The use of the gas law alone was found to be inadequate to represent the cuff mechanics. When applying the cuff to measure change in arm volume, such as during plethysmography or oscillometry, it cannot be assumed that the cuff sensitivity is constant. More precisely, it was found that the occlusive cuff is a transducer with a volume sensitivity that increases with cuff pressure and volume until it becomes nearly constant at high levels of cuff pressure (150 mmHg). A hypothetical case of a linear elastic artery with constant pulse pressure was used as input to the cuff model to illustrate the change in cuff pressure oscillations that occurs while cuff pressure is released.(ABSTRACT TRUNCATED AT 250 WORDS)

  3. Thermolabile MTHFR genotype and retinal vascular occlusive disease

    PubMed Central

    Cahill, M; Karabatzaki, M; Donoghue, C; Meleady, R; Mynett-Johnson, L; Mooney, D; Graham, I; Whitehead, A; Shields, D

    2001-01-01

    BACKGROUND—Raised levels of total plasma homocysteine (tHcy) are associated with an increased risk of retinal vascular occlusive disease. A thermolabile form of a pivotal enzyme in homocysteine metabolism, methylenetetrahydrofolate reductase (MTHFR), has been associated with vascular occlusive disease and raised tHcy levels. The relation between thermolabile MTHFR genotype, tHcy, and retinal vascular occlusive disease has not been determined.
METHODS—A retrospective case-control study involving hospital based controls and cases with retinal vascular occlusions in whom tHcy levels had been determined was undertaken. Genotyping for the MTHFR 677 C-T mutation that specifies the thermolabile form of the enzyme was performed by established methods in all subjects. The relation between homozygosity for thermolabile MTHFR genotype (TT), raised tHcy levels, and risk of retinal vascular occlusive disease was examined.
RESULTS—87 cases of retinal vascular occlusive disease (mean age 68.7 years) comprising 26 cases of retinal artery occlusion and 61 of retinal vein occlusion were compared with 87 controls (mean age 70.2 years). The TT genotype did not confer a significantly increased risk of retinal vascular occlusive disease. The mean tHcy level was significantly higher in the cases than in the controls (p<0.0001). Overall, and in both the cases and controls, the frequency of the TT genotype was higher in those with normal tHcy levels than in those with increased levels of tHcy. However, the TT genotype did not significantly alter the risk of increased tHcy levels in these patients.
CONCLUSIONS—The TT genotype is not associated with an increased risk of retinal vascular occlusive disease or increased tHcy levels in this group of elderly patients. In older patients, nutritional rather than genetic factors may be more important in increasing tHcy levels, a known risk factor for retinal vascular occlusive disease.

 PMID:11133719

  4. Branch retinal vein occlusion associated with quetiapine fumarate

    PubMed Central

    2011-01-01

    Background To report a case of branch retinal vein occlusion in a young adult with bipolar mood disorder treated with quetiapine fumarate. Case Presentation A 29 years old gentleman who was taking quetiapine fumarate for 3 years for bipolar mood disorder, presented with sudden vision loss. He was found to have a superior temporal branch retinal vein occlusion associated with hypercholesterolemia. Conclusion Atypical antipsychotic drugs have metabolic side effects which require regular monitoring and prompt treatment. PMID:21867521

  5. An Investigation of the Posterior Component of Occlusal Force

    DTIC Science & Technology

    1994-05-01

    Orthodontists have for decades sought to understand the factors involved in maintaining teeth in corrcted positions following orthodontic treatment Weinstein...procedures such as the circumferential supracrestal fiberotomy in enhancing stability. The role of occlusion contributing to instability of orthodontic ... treatment results had long been postulated prior to the quantification of the anterior component of occlusal force by Southard et al in 1989. Many studies

  6. Isolated supraclinoid occlusive disease of the internal carotid artery.

    PubMed

    Lagrèze, H L; Hartmann, A; Ries, F; Wappenschmidt, J; Hanisch, E

    1987-01-01

    Isolated supraclinoid occlusive disease of the internal carotid artery is a rare cause of cerebral ischemia. The authors of the only review of this subject concluded that it is caused predominantly by factors other than atherosclerosis. We examined 6 patients with isolated supraclinoid occlusive lesions. Five of them had one or more risk factors for atherosclerosis. Thus, the isolated stenosis of that part of the internal carotid artery does not seem to represent a particular pathologic entity.

  7. Digital Artery Occlusion Secondary to Plastic Shopping Bag Trauma

    PubMed Central

    Joy, R; Isaacs, JL; McCarthy, RJ

    2007-01-01

    Upper limb digital arterial occlusion is uncommon. We present the case of a 47-year-old man with an ischaemic right middle finger (dominant hand) due to trauma from carrying a heavy plastic shopping bag. Duplex scanning revealed no proximal source of emboli. An angiogram demonstrated occlusions in the medial and lateral digital arteries of the middle digit at the level of the proximal phalanx. Treatment with heparin and warfarin resulted in complete resolution of symptoms. PMID:18201465

  8. Acrylic strengthened casts for removable partial denture for occlusion equilibration.

    PubMed

    Oh, Won-Suk; Saglik, Berna

    2011-09-01

    A removable partial denture (RPD) remount cast must resist wear or breakage, present a rigid surface, and ensure a solid support for an accurate equilibratio