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1.
Zhonghua Yan Ke Za Zhi ; 55(11): 801-805, 2019 Nov 11.
Artigo em Chinês | MEDLINE | ID: mdl-31715675

RESUMO

Medical artificial intelligence (AI) promotes technological revolution and industrial transformation in the medical field, and the medical level of orbital disease will also be improved with the in-depth development of AI diagnosis and treatment. The problems should be solved in the orbital disease AI research at the initial stage include: the complex knowledge system of orbital disease requires cross-disciplinary knowledge to improve the level of diagnosis and treatment; the early diagnosis and treatment of orbital disease is absent, and effective technical methods are needed to crack the screening dilemma; the operation of the disease is difficult, and special mechanical devices are needed to break through the boundaries of surgical technique; the medical team of orbital disease is scarce, and it is necessary to share the medical resources effectively. In order to solve the problems mentioned above, the following research directions of orbital disease AI diagnosis and treatment should be included: the orbital disease AI diagnosis system, the orbital disease AI screening platform, the orbital surgery robot and the orbital disease telemedicine. Through the development of multidisciplinary diagnosis and treatment, the in-depth exploration of interdisciplinary basic research, the extensive implementation of clinical research, and the extensive integration of industry and academic communication, the AI diagnosis and treatment of orbital disease is approaching a new era. (Chin J Ophthalmol, 2019, 55: 801-805).


Assuntos
Inteligência Artificial , Doenças Orbitárias/diagnóstico , Doenças Orbitárias/terapia , Telemedicina , Pesquisa Biomédica/tendências , Humanos
2.
Zhonghua Wei Chang Wai Ke Za Zhi ; 22(11): 1041-1050, 2019 Nov 25.
Artigo em Chinês | MEDLINE | ID: mdl-31770835

RESUMO

Objective: To investigate the diagnosis and treatment for enterocutaneous fistula (ECF) in China, and to explore the prognostic factors of ECF. Methods: A multi-center cross-sectional study was conducted based on the Registration System of Chinese Gastrointestinal Fistula and Intra-Abdominal Infections to collect the clinical data of ECF patients from 54 medical centers in 22 provinces/municipalities from January 1, 2018 to December 31, 2018. The clinical data included patient gender, age, length of hospital stay, intensive care unit (ICU) admission, underlying diseases, primary diseases, direct causes of ECF, location and type of ECF, complications, treatment and outcomes. All medical records were carefully filled in by the attending physicians, and then re-examined by more than two specialists. The diagnosis of ECF was based on the clinical manifestations, laboratory/imaging findings and intraoperative exploration. Results: A total of 1521 patients with ECF were enrolled, including 1099 males and 422 females, with a median age of 55 years. The top three primary diseases of ECF were malignant tumors in 626 cases (41.2%, including 540 gastrointestinal tumors, accounting for 86.3% of malignant tumors), gastrointestinal ulcers and perforations in 202 cases (13.3%), and trauma in 157 cases (10.3%). The direct causes of ECF were mainly surgical operation in 1194 cases (78.5%), followed by trauma in 156 (10.3%), spontaneous fistula due to Crohn's disease in 92 (6.0%), radiation intestinal injury in 41 (2.7%), severe pancreatitis in 20 (1.3%), endoscopic treatment in 13 (0.9%) and 5 cases (0.3%) of unknown reasons. All the patients were divided into three groups: 1350 cases (88.7%) with simple ECF, 150 (9.9%) with multiple ECF, and 21 (1.4%) with combined internal fistula. Among the patients with simple ECF, 438 cases (28.8%) were jejuno-ileal fistula, 313 (20.6%) colon fistula, 170 (11.2%) rectal fistula, 111 (7.3%) duodenal fistula, 76 (5.0%) ileocecal fistula, 65 (4.3%) ileocolic anastomotic fistula, 55 (3.6%) duodenal stump fistula, 36 (2.4%) gastrointestinal anastomotic fistula, 36 (2.4%) esophagogastric/esophagojejunal anastomotic fistula, 29 (1.9%) gastric fistula and 21 (1.4%) cholangiopancreatiointestinal. Among all the simple ECF patients, 991 were tubular fistula and 359 were labial fistula. A total of 1146 patients finished the treatment, of whom 1061 (92.6%) were healed (586 by surgery and 475 self-healing) and 85 (7.4%) died. A total of 1043 patients (91.0%) received nutritional support therapy, and 77 (6.7%) received fistuloclysis. Infectious source control procedures were applied to 1042 patients, including 711 (62.0%) with active lavage and drainage and 331 (28.9%) with passive drainage. Among them, 841 patients (73.4%) underwent minimally invasive procedures of infectious source control (replacement of drainage tube through sinus tract, puncture drainage, etc.), 201 (17.5%) underwent laparotomy drainage, while 104 (9.1%) did not undergo any drainage measures. A total of 610 patients (53.2%) received definitive operation, 24 patients died within postoperative 30-day with mortality of 3.9% (24/610), 69 (11.3%) developed surgical site infection (SSI), and 24 (3.9%) had a relapse of fistula. The highest cure rate was achieved in ileocecal fistula (100%), followed by rectal fistula (96.2%, 128/133) and duodenal stump fistula (95.7%,44/46). The highest mortality was found in combined internal fistula (3/12) and no death in ileocecal fistula. Univariate prognostic analysis showed that primary diseases as Crohn's disease (χ(2)=6.570, P=0.010) and appendicitis/appendiceal abscess (P=0.012), intestinal fistula combining with internal fistula (χ(2)=5.460, P=0.019), multiple ECF (χ(2)=7.135, P=0.008), esophagogastric / esophagojejunal anastomotic fistula (χ(2)=9.501, P=0.002), ECF at ileocecal junction (P=0.012), non-drainage/passive drainage before the diagnosis of intestinal fistula (χ(2)=9.688, P=0.008), non-drainage/passive drainage after the diagnosis of intestinal fistula (χ(2)=9.711, P=0.008), complicating with multiple organ dysfunction syndrome (MODS) (χ(2)=179.699, P<0.001), sepsis (χ(2)=211.851, P<0.001), hemorrhage (χ(2)=85.300, P<0.001), pulmonary infection (χ(2)=60.096, P<0.001), catheter-associated infection (χ(2)=10.617, P=0.001) and malnutrition (χ(2)=21.199, P<0.001) were associated with mortality. Multivariate prognostic analysis cofirmed that sepsis (OR=7.103, 95%CI:3.694-13.657, P<0.001), complicating with MODS (OR=5.018, 95%CI:2.170-11.604, P<0.001), and hemorrhage (OR=4.703, 95%CI: 2.300-9.618, P<0.001) were independent risk factors of the death for ECF patients. Meanwhile, active lavage and drainage after the definite ECF diagnosis was the protective factor (OR=0.223, 95%CI: 0.067-0.745, P=0.015). Conclusions: The overall mortality of ECF is still high. Surgical operation is the most common cause of ECF. Complications e.g. sepsis, MODS, hemorrhage, and catheter-associated infection, are the main causes of death. Active lavage and drainage is important to improve the prognosis of ECF.


Assuntos
Fístula Intestinal/diagnóstico , Fístula Intestinal/terapia , China , Estudos Transversais , Feminino , Humanos , Fístula Intestinal/etiologia , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Prospectivos , Fatores de Risco
3.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi ; 52(12): 927-932, 2017 Dec 07.
Artigo em Chinês | MEDLINE | ID: mdl-29262452

RESUMO

Objective: To investigate the expressions of Fra-1 and HMGA1 in laryngeal squamous cell carcinoma and their correlation. Methods: Immunohistochemistry and reverse transcription-polymer chain reaction (RT-PCR) were used to detect the expressions of HMGA1 and Fra-1 in laryngeal squamous carcinoma tissues in 47 cases and para-carcinoma tissues in 21 cases(the First Hospital of Shijiazhuang). The relationship between the gene expressions in carcinoma tissues and clinopathological parameters such as pathological grade, clinical stage, lymph metastasis, age and anatomic site and the relevance of the two gene expressions were analyzed. SPSS 13.0 software was used to analyze the data. Results: The positive expression rates of Fra-1 and HMGA1 proteins in laryngeal squamous cancer tissue were 48.9% and 53.2%, which were respectively higher than the rates of 19.0% for Fra-1 (χ(2)=5.416, P<0.05) and of 23.8% for HMGA1 (χ(2)=5.083, P<0.05) in adjacent tissues. The expression of Fra-1 gene was correlation with pathological grade, clinical stage and lymph metastasis (t values were -1.079, -1.066 and -1.067, all P<0.05), but not with age and anatomic site (t values were -1.068 and -1.054, both P>0.05). The expression of HMGA1 gene was correlation with pathological grade, clinical stage, lymph metastasis and age (t values were -1.112, -1.065, -1.009 and -1.066, all P<0.05), but not with anatomic site (t=-1.036, P>0.05). The expressions of Fra-1 and HMGA1 gene were positively correlation (r=0.672, P<0.05). Conclusions: In laryngeal squamous cancer, Fra-1 and HMGA1 are excessive expression, with a positive correlation between the expressions of both genes.


Assuntos
Carcinoma de Células Escamosas/genética , Expressão Gênica , Proteína HMGA1a/genética , Neoplasias Laríngeas/genética , Proteínas Proto-Oncogênicas c-fos/genética , Adulto , Carcinoma de Células Escamosas/metabolismo , Carcinoma de Células Escamosas/patologia , Carcinoma de Células Escamosas/secundário , Proteína HMGA1a/metabolismo , Humanos , Imuno-Histoquímica , Neoplasias Laríngeas/metabolismo , Neoplasias Laríngeas/patologia , Metástase Linfática , Proteínas Proto-Oncogênicas c-fos/metabolismo
5.
Eur Rev Med Pharmacol Sci ; 21(20): 4591-4594, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29131256

RESUMO

OBJECTIVE: To investigate the expression of OCT4 and its clinical significance in laryngeal squamous carcinoma tissues. PATIENTS AND METHODS: Immunohistochemical staining was used to analyze the expression of OCT4 in 61 cases of laryngeal squamous carcinoma and 10 cases of the adjacent normal laryngeal tissues. RESULTS: The expression of OCT4 was not detected in normal laryngeal tissues, but could be detected in the nucleus of laryngeal carcinoma. The positive expression rates of OCT4 in well-moderately differentiated and poorly differentiated laryngeal squamous carcinoma tissues were 25.6% (11/43) and 66.7% (12/18) respectively, and there were significant differences (p < 0.01). The expression of the OCT4 protein was related to lymph node metastasis and TNM stage (p < 0.05), but not to gender, age and position of the tumor (p > 0.05). CONCLUSIONS: OCT4 is expressed in laryngeal squamous carcinoma tissues and is closely related to the cell differentiation of laryngeal carcinoma, lymph node metastasis and clinical stage.


Assuntos
Carcinoma de Células Escamosas/patologia , Neoplasias Laríngeas/patologia , Fator 3 de Transcrição de Octâmero/metabolismo , Idoso , Carcinoma de Células Escamosas/metabolismo , Diferenciação Celular , Feminino , Humanos , Imuno-Histoquímica , Neoplasias Laríngeas/metabolismo , Metástase Linfática , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Fator 3 de Transcrição de Octâmero/genética
6.
Eur Rev Med Pharmacol Sci ; 21(18): 4032-4038, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29028100

RESUMO

OBJECTIVE: Prostate cancer is a kind of malignancy with high occurrence in the male urogenital system. However, the mechanism of the occurrence, the progression, and the metastasis of prostate cancer are still unclear. Searching for the effective molecule target is of great significance to improve the curative effect on prostate cancer. Zinc finger E box binding protein-1 (ZEB1) protein is a member of the zinc finger transcription factor family that participates in the embryonic development and formation. ZEB1 was found to be involved in the occurrence and in the development of multiple cancers, while its role in prostate cancer still needs elucidation. MATERIALS AND METHODS: Normal prostate cell line PC-3M and prostate cancer cell line DU145 were cultured in vitro and transfected by ZEB1 siRNA. ZEB1 mRNA and protein expressions were detected by real-time PCR and Western blot assay. Cell proliferation was determined by using 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2-H-tetrazolium bromide (MTT) assay. Cell migration was evaluated by transwell assay. Cell apoptosis was evaluated by caspase-3 activity. The impact of ZEB1 on extracellular signal-regulated kinase 1 and 2 (ERK1/2) signaling pathway was assessed by Western blot assay. RESULTS: ZEB1 expression significantly increased in DU145 cells compared with PC-3M cells (p<0.05). ZEB1 mRNA and protein obviously declined, cell proliferation inhibited, cell invasion suppressed, and Caspase-3 activity enhanced in DU145 cells after ZEB1 siRNA transfection (p<0.05). ZEB1 siRNA markedly decreased ERK1/2 phosphorylation in DU145 cells compared with control (p<0.05). CONCLUSIONS: Inhibition of ZEB1 promoted prostate cancer apoptosis, restrained proliferation, and suppressed invasion through down-regulating ERK1/2 signaling pathway.


Assuntos
Proteína Quinase 1 Ativada por Mitógeno/metabolismo , Proteína Quinase 3 Ativada por Mitógeno/metabolismo , Homeobox 1 de Ligação a E-box em Dedo de Zinco/metabolismo , Apoptose , Caspase 3/metabolismo , Linhagem Celular Tumoral , Movimento Celular , Proliferação de Células , Humanos , Masculino , Fosforilação , Neoplasias da Próstata/metabolismo , Neoplasias da Próstata/patologia , Interferência de RNA , RNA Interferente Pequeno/metabolismo , Transdução de Sinais , Homeobox 1 de Ligação a E-box em Dedo de Zinco/antagonistas & inibidores , Homeobox 1 de Ligação a E-box em Dedo de Zinco/genética
7.
Annu Int Conf IEEE Eng Med Biol Soc ; 2017: 3236-3239, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29060587

RESUMO

Ultrasound myocardial elastography is a promising technique to estimate regional myocardial function. In this study, we proposed a fast mapping method to map myocardial elastogram. A nude mouse's heart was scanned in supine position by an ultrasound system. The parasternal long-axis view of the heart and the ultrasound radio frequency (RF) signals were acquired for dynamic estimation of myocardial elasticity. The displacement and strain were calculated using analytic minimization (AM) and linear polynomial curve fitting method, respectively. The fast mapping method was proposed to map myocardial elastogram. The results display the contraction of myocardium intuitively. The method in this study is proved to have a potential to estimate viable myocardium in the future.


Assuntos
Miocárdio , Algoritmos , Animais , Técnicas de Imagem por Elasticidade , Coração , Camundongos , Reprodutibilidade dos Testes , Fatores de Tempo
8.
Artigo em Chinês | MEDLINE | ID: mdl-29798411

RESUMO

Objective:To investigate expressions of Fra-1 in laryngeal squamous cell carcinoma. Method:Using immunohistochemical method and RT-PCR detecting 47 cases of laryngeal squamous carcinoma tissues and 21 cases of para-carcinoma tissues with the level of protein and mRNA, we analyzed the relationship of the genes expression and clinical parameters. Result:The level of protein positive expression of Fra-1 genes in laryngeal squamous cancer tissue were higher than adiacent tissues (P<0.05). The expression of Fra-1 protein in laryngeal squamous cancer tissue were significant correlation with the clinical stages, lymph metastasis, smoking. They had no significant correlation with the pathological grade, age, anatomic zonation. The mRNA level expression of Fra-1 genes in laryngeal squamous cancer tissue were higher than adjacent tissues (P<0.01). The expression of Fra-1 gene in the mRNA level was correlated with pathologic stage, clinical stage, lymph metastasis, and smoking, but wasn't correlated with age and anatomic zonation. Conclusion:In laryngeal squamous cell carcinoma, the expression of Fra-1 gene are overexpressed. Fra-1 may play a role in the occurrence and development of the laryngeal cancer.


Assuntos
Carcinoma de Células Escamosas/metabolismo , Expressão Gênica , Neoplasias Laríngeas/metabolismo , Proteínas Proto-Oncogênicas c-fos/metabolismo , Carcinoma de Células Escamosas/patologia , Humanos , Neoplasias Laríngeas/patologia , Metástase Linfática , Estadiamento de Neoplasias
9.
Zhonghua Shao Shang Za Zhi ; 32(10): 634-637, 2016 Oct 20.
Artigo em Chinês | MEDLINE | ID: mdl-27765096

RESUMO

Aloe vera has been widely investigated and used as folk medicine since ancient time. Biologically active substances in its gel include polysaccharides, glycoprotein, enzymes, anthraquinones or phenolic compounds, vitamins, minerals, and so on, which play important roles in anti-inflammatory response, antimicrobial, antiviral, antioxidant activity, immunoregulation effects, and especially in wound healing. In this paper, we review the advances in the mechanism and clinical application of Aloe vera and its extract on wound healing, so as to provide new ideas for the treatment of various kinds of wounds.


Assuntos
Aloe , Cicatrização , Anti-Infecciosos , Humanos
10.
Zhonghua Xin Xue Guan Bing Za Zhi ; 44(2): 156-60, 2016 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-26926510

RESUMO

OBJECTIVE: To test the effects of TNF-α inhibitor Etanercept on myocardial ischemia/reperfusion (MI/R) injury in posttraumatic mice, and explore related mechanisms. METHODS: Traumatic mouse model was established with Noble-Collip drum. Five days after trauma, Notch1 was knocked down by intramyocardial injection of Notch1 small interfering RNAs (siRNA) or scrambled siRNA (20 µg). Seven days after trauma, mice were subjected to MI/R (30 minutes ischemia followed by reperfusion). Sham operation was similarly performed without coronary artery ligation. Ten minutes before reperfusion, mice received Etanercept (8 mg/kg, i. p.). ELISA was used to detect plasma levels of TNF-α and troponin I (cTnI) and myocardial nitrotyrosine content. Twenty-four hours after reperfusion, left ventricular ejection fraction (LVEF) was measured by echocardiography. Infarct size was determined by Evans blue/2, 3, 5-triphenyl tetrazolium chloride (TTC) double staining. Cardiac caspase-3 activity was detected using a caspase-3 kit. Myocardial TNF-α and Notch1 intracellular domains (Notch1 ICD) expressions were determined by Western blot. Chemiluminescence was used to assess myocardial superoxide anion content. RESULTS: (1) Compared to vehicle group, Etanercept treatment significantly reduced cTnI content, infarct size and caspase-3 activity (all P<0.01), while obviously increased LVEF (P<0.01). (2) Etanercept treatment also significantly reduced plasma and myocardial TNF-α contents (P<0.01), whereas markedly increased myocardial Notch1 ICD content (P<0.05). (3) Compared to scrambled siRNA group, Notch1 deficiency significantly increased cTnI content, infarct size and caspase-3 activity (P<0.05), whereas obviously reduced LVEF (P<0.05). (4) Etanercept significantly reduced myocardial superoxide anion and nitrotyrosine content (P<0.01), which was reversed by downregulation of Notch1 (P<0.05). CONCLUSIONS: TNF-α inhibitor Etanercept can alleviate MI/R injury after trauma by reducing myocardial oxidative/nitrative stress via activating Notch1 signaling pathway.


Assuntos
Traumatismo por Reperfusão Miocárdica , Estresse Oxidativo , Estresse Fisiológico , Animais , Caspase 3 , Modelos Animais de Doenças , Regulação para Baixo , Camundongos , Miocárdio , Nitratos , RNA Interferente Pequeno , Receptor Notch1 , Transdução de Sinais , Troponina I , Fator de Necrose Tumoral alfa , Função Ventricular Esquerda
11.
Sci Rep ; 5: 15989, 2015 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-26522399

RESUMO

The remarkable properties of graphene and transition metal dichalcogenides (TMDCs) have attracted increasing attention on two-dimensional materials, but the gate oxide, one of the key components of two-dimensional electronic devices, has rarely reported. We found the single-layer oxide can be used as the two dimensional gate oxide in 2D electronic structure, such as TiO2. However, the electrical performance is seriously influenced by the defects existing in the single-layer oxide. In this paper, a nondestructive and noncontact solution based on spectroscopic ellipsometry has been used to detect the defect states and energy level of single-layer TiO2 films. By fitting the Lorentz oscillator model, the results indicate the exact position of defect energy levels depends on the estimated band gap and the charge state of the point defects of TiO2.

12.
Environ Monit Assess ; 185(4): 3413-44, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22872511

RESUMO

This paper investigates the organic pollution status of shallow aquifer sediments and groundwater around Zhoukou landfill. Chlorinated aliphatic hydrocarbons, monocylic aromatic hydrocarbons, halogenated aromatic hydrocarbons, organochlorine pesticides and other pesticides, and polycyclic aromatic hydrocarbons (PAHs) have been detected in some water samples. Among the detected eleven PAHs, phenanthrene, fluorine, and fluoranthene are the three dominant in most of the groundwater samples. Analysis of groundwater samples around the landfill revealed concentrations of PAHs ranging from not detected to 2.19 µg/L. The results show that sediments below the waste dump were low in pollution, and the shallow aquifer, at a depth of 18-30 m, was heavily contaminated, particularly during the wet season. An oval-shaped pollution halo has formed, spanning 3 km from west to east and 2 km from south to north, and mainly occurs in groundwater depths of 2-4 m. For PAH source identification, both diagnostic ratios of selected PAHs and principal component analysis were studied, suggesting mixed sources of pyro- and petrogenic derived PAHs in the Zhoukou landfill. Groundwater table fluctuations play an important role in the distribution of organic pollutants within the shallow aquifer. A conceptual model of leachate migration in the Quaternary aquifers surrounding the Zhoukou landfill has been developed to describe the contamination processes based on the major contaminant (PAHs). The groundwater zone contaminated by leachate has been identified surrounding the landfill.


Assuntos
Monitoramento Ambiental , Água Subterrânea/química , Eliminação de Resíduos , Poluentes Químicos da Água/análise , China , Cidades , Hidrocarbonetos Clorados/análise , Modelos Químicos , Praguicidas/análise , Hidrocarbonetos Policíclicos Aromáticos/análise
13.
Proc Inst Mech Eng H ; 224(10): 1185-94, 2010 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-21138236

RESUMO

Diamond burs with different grit sizes are often applied to adjust ceramic prostheses in restorative dentistry. However, the quantitative influence of diamond grit size on subsurface damage in adjusting ceramic prostheses is unknown. The aim of this study was to investigate and visualize the quantitative effect of diamond bur grit size on subsurface damage in dental adjusting of a feldspar prosthetic porcelain. Diamond burs with coarse (106-125 rm), medium (53-60 microm), and fine (10-20 microm) grit sizes were selected. Dental adjusting-induced subsurface damage was quantitatively investigated with the aid of finite element analysis (FEA) and scanning electron microscopy (SEM). Significant differences in subsurface damage depth were found among the coarse, medium, and fine diamond burs (ANOVA, p < 0.05). Coarse diamond burs induced approximately 6-8 times deeper subsurface damage than fine burs. Diamond grit size is confirmed to be a controlling factor in determining the degree of subsurface damage. Subsurface damage depths also significantly increased with removal rate (ANOVA, p< 0.05). The correlation of the SEM-measured subsurface damage depths and the diamond grit sizes supports the FEA predictions. From a practical standpoint, dental porcelains should be adjusted using smaller diamond grit sizes with lower removal rates to minimize subsurface damage.


Assuntos
Porcelana Dentária/química , Reparação de Restauração Dentária/métodos , Diamante/química , Silicatos de Alumínio/química , Equipamentos Odontológicos de Alta Rotação , Reparação de Restauração Dentária/efeitos adversos , Análise de Elementos Finitos , Tamanho da Partícula , Compostos de Potássio/química , Estresse Mecânico , Propriedades de Superfície
14.
J Oral Rehabil ; 37(9): 680-91, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20492439

RESUMO

This article reports on the effects of dental adjustment parameters on stress and damage induced in a leucite-reinforced glass ceramic using a high-speed dental handpiece and coarse diamond burs. As one of machinable dental ceramics for prosthetic restorations, a leucite-reinforced glass ceramic has higher fracture toughness than feldspar porcelains. However, the extent of subsurface damage and stress induced in clinical dental adjustments is unknown. Tensile, shear, compressive and von Mises stresses at the bur-ceramic interface were investigated as functions of dental adjustment parameters using finite element analysis (FEA). The depths of subsurface damage were predicted using FEA according to the maximum principal stress criterion and experimentally measured using scanning electron microscopy (SEM). The resulting predicted subsurface damage depths agree well with the experimentally measured data. Both adjustment parameters, depth of cut and feed rate, were found to have significant influences on adjustment-induced stresses (P < 0.01) and subsurface damage (P < 0.01). It is also found that the predicted and measured subsurface damage depths increased linearly with the diamond grit depth of cut.


Assuntos
Silicatos de Alumínio/química , Cerâmica/química , Equipamentos Odontológicos de Alta Rotação , Materiais Dentários/química , Porcelana Dentária/química , Planejamento de Prótese Dentária , Diamante/química , Módulo de Elasticidade , Desenho de Equipamento , Análise de Elementos Finitos , Previsões , Dureza , Humanos , Teste de Materiais , Fenômenos Mecânicos , Microscopia Eletrônica de Varredura , Níquel/química , Pressão , Estresse Mecânico , Propriedades de Superfície , Torque
15.
J Int Med Res ; 36(3): 512-21, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18534133

RESUMO

Insulin-like factor 3 (INSL3) regulates testicular descent during fetal life, and Insl3 gene inactivation results in cryptorchidism. Little is known, however, about whether the plasticizer diethylhexyl phthalate (DEHP), a contaminant found widely in the environment, influences INSL3 expression. In this study, primary cultures of Leydig cells from mouse embryos were treated in vitro with DEHP. We also treated pregnant mice with DEHP from gestation day 12 to postnatal day 3 in order to study the effect of DEHP in vivo. INSL3 mRNA expression levels in primary Leydig cell cultures and in the testes of newborn mice were significantly lower following DEHP treatment. DEHP also caused detrimental morphological changes in both primary cultures of Leydig cells and the testes of newborn mice. These results suggest that the downregulation of INSL3 mRNA by DEHP might cause abnormalities of gubernacular development, which might be one of the mechanisms for development of cryptorchidism.


Assuntos
Dietilexilftalato/toxicidade , Embrião de Mamíferos/citologia , Embrião de Mamíferos/efeitos dos fármacos , Regulação da Expressão Gênica no Desenvolvimento/efeitos dos fármacos , Insulina/genética , Células Intersticiais do Testículo/efeitos dos fármacos , Células Intersticiais do Testículo/metabolismo , Proteínas/genética , Animais , Animais Recém-Nascidos , Forma Celular/efeitos dos fármacos , Células Cultivadas , Eletroforese , Embrião de Mamíferos/metabolismo , Feminino , Hibridização In Situ , Insulina/metabolismo , Células Intersticiais do Testículo/citologia , Masculino , Camundongos , Gravidez , Efeitos Tardios da Exposição Pré-Natal/genética , Proteínas/metabolismo , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Testículo/citologia , Testículo/efeitos dos fármacos , Testículo/metabolismo
16.
J Biomed Mater Res B Appl Biomater ; 82(2): 334-45, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17238163

RESUMO

In vitro study on high rotation (up to over 300,000 rpm) deep removal (up to 150 microm) of ceramic prostheses, made of a machinable ceramic, Vita Mark II, was performed in dental surgery using a high-speed dental handpiece. Dental clinical removal relevance, including tangential and normal grinding forces, specific grinding energy, and surface roughness, was investigated to establish the relationships among the surgery parameters, chip geometry, and fracture mechanism. The results show that both the tangential and normal grinding forces increased with increases in both depth of cut and maximum undeformed chip thickness, but decreased with an increase in grinding speed. Specific grinding energy decreased with increase in the depth of cut and the maximum undeformed chip thickness, but increased with an increase in grinding speed. Surface roughness and morphology appeared to be independent of the increases in depth of cut, grinding speed, and maximum chip thickness. The limitation for deep removal using the dental handpiece was found that the operation at the depth of cut of 150 microm or beyond resulted in a huge normal force exertion of 3 N with a great variation. The microfracture, the lateral fracture, and the ductile microcutting were found to occur simultaneously in dental surgery to remove the ceramic prostheses.


Assuntos
Coroas , Porcelana Dentária , Prótese Dentária , Falha de Restauração Dentária , Remoção de Dispositivo/métodos , Cerâmica , Remoção de Dispositivo/instrumentação , Microscopia Eletrônica de Varredura , Rotação , Propriedades de Superfície
17.
J Biomed Mater Res B Appl Biomater ; 79(2): 365-78, 2006 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-16680684

RESUMO

Dental abrasive finishing of a fine-grained feldspathic porcelain was performed on a computer-assisted apparatus for simulation of a 2-degrees-of-freedom restorative operation with a dental handpiece and a coarse diamond bur of grit size of 106-125 mum. Finishing forces, surface roughness, and morphology were investigated as functions of finishing conditions. The tangential and normal forces were measured using a piezoelectric dynamometer and a data processing system. The results indicated that these forces increased with either the depth of cut or with the feed rate, in the ranges of 0.12-0.31 N and 0.45-1.09 N, respectively. However, an increase in either depth of cut or feed rate affected neither the surface roughness measured using a stylus profilometer nor the morphology observed under a scanning electron microscope. The finished porcelain surfaces were found to consist of the microfracture and chipping areas, ductile removal areas, smeared areas, and debris. Irregular fracture and chipping resulted from the extension of lateral/median cracks; ductile micromachining was attributed to the plastic deformation accompanied by distributed microcracks. It was determined that a combination of the microfracture and ductile micromachining was the primary mechanism for material removal.


Assuntos
Simulação por Computador , Polimento Dentário , Porcelana Dentária , Modelos Teóricos , Polimento Dentário/instrumentação , Porcelana Dentária/química , Microscopia Eletrônica de Varredura , Propriedades de Superfície
18.
Proc Inst Mech Eng H ; 220(8): 929-38, 2006 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-17236525

RESUMO

This paper reports on the performance evaluation of a dental handpiece in simulation of clinical finishing using a novel two-degrees-of-freedom (2DOF) in vitro apparatus. The instrumented apparatus consisted of a two-dimensional computer-controlled coordinate worktable carrying a dental handpiece, a piezoelectric force dynamometer, and a high-speed data acquisition and signal conditioning system for simulating the clinical operations and monitoring the dental finishing processes. The performance of the dental handpiece was experimentally evaluated with respect to rotational speed, torque, and specific finishing energy under the applied clinical finishing conditions. The results show that the rotational speeds of the dental handpiece decreased by increasing either the depth of cut or the feed rate at a constant clinically applied air pressure and water flowrate. They also decreased when increasing both the tangential and normal finishing forces. The specific finishing energy decreased with an increase in either depth of cut or feed rate, while the finishing torque increased as either the depth of cut or the feed rate was increased. Implications of these results were to provide guidance for proper applications of dental handpieces in clinical practice.


Assuntos
Equipamentos Odontológicos de Alta Rotação , Polimento Dentário/instrumentação , Análise de Falha de Equipamento/instrumentação , Análise de Falha de Equipamento/métodos , Desenho de Equipamento , Rotação , Torque
19.
J Exp Zool ; 289(5): 322-9, 2001 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-11241403

RESUMO

A series of experiments were designed to evaluate the meiotic competence of mouse oocyte germinal vesicle (GV) in rabbit ooplasm. In experiment 1, an isolated mouse GV was transferred into rabbit GV-stage cytoplast by electrofusion. It was shown that 71.8% and 63.3% of the reconstructed oocytes completed the first meiosis as indicated by the first polar body (PB1) emission when cultured in M199 and M199 + PMSG, respectively. Chromosomal analysis showed that 75% of matured oocytes contained the normal 20 mouse chromosomes. When mouse spermatozoa were microinjected into the cytoplasm of oocytes matured in M199 + PMSG and M199, as many as 59.4% and 48% finished the second meiosis as revealed by the second polar body (PB2) emission and a few fertilized eggs developed to the eight-cell stage. In experiment 2, a mouse GV was transferred into rabbit MII-stage cytoplast. Only 13.0-14.3% of the reconstructed oocytes underwent germinal vesicle breakdown (GVBD) and none proceeded past the MI stage. When two mouse GVs were transferred into an enucleated rabbit oocyte, only 8.7% went through GVBD. In experiment 3, a whole zona-free mouse GV oocyte was fused with a rabbit MII cytoplast. The GVBD rates were increased to 51.2% and 49.4% when cultured in M199 + PMSG and M199, respectively, but none reached the MII stage. In experiment 4, a mouse GV was transferred into a partial cytoplasm-removed rabbit MII oocyte in which the second meiotic apparatus was still present. GVBD occurred in nearly all the reconstructed oocytes when one or two GVs were transferred and two or three metaphase plates were observed in ooplasm after culturing in M199 + PMSG for 8 hr. These data suggest that cytoplasmic factors regulating the progression of the first and the second meioses are not species-specific in mammalian oocytes and that these factors are located in the meiotic apparatus and/or its surrounding cytoplasm at MII stage.


Assuntos
Fertilização/fisiologia , Meiose/fisiologia , Oócitos/fisiologia , Transplante Heterólogo/fisiologia , Animais , Citoplasma/transplante , Camundongos , Técnicas de Transferência Nuclear , Coelhos , Especificidade da Espécie
20.
Artigo em Chinês | MEDLINE | ID: mdl-11761853

RESUMO

OBJECTIVE: To prepare chitosan-gelatin/hydroxyapatite (CS-Gel/HA) composite scaffolds, and to investigate the influence of components and preparing conditions to their micromorphology. METHODS: The CS-Gel/HA composite scaffolds were prepared by phase-separation method. Micromorphology and porosity were detected by using scanning electron microscope and liquid displacement method respectively. RESULTS: Porous CS-Gel/HA composite scaffolds could be prepared by phase-separation method, and their density and porosity could be controlled by adjusting components and quenching temperature. CONCLUSION: The study suggests the feasibility of using CS-Gel/HA composite scaffolds for the transplantation of autogenous osteoblasts to regenerate bone tissue.


Assuntos
Quitina/análogos & derivados , Hidroxiapatitas , Materiais Biocompatíveis , Quitosana , Gelatina , Engenharia Tecidual
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