Influence of Different Build Directions on the Fracture Load and Surface Roughness of Additively Manufactured Three-unit Provisional Restoration and Comparison with Conventional Methods of Provisional Fabrication.

PURPOSE: To compare the influence of 0, 45 and 90 degrees build direction on fracture load and surface roughness of additively manufactured three-unit fixed provisional restoration, and to compare with provisionals fabricated using conventional materials. MATERIAL AND METHODS: Mandibular typodont right second molar and premolar were prepared for missing mandibular first molar to receive three-unit fixed partial denture. Six groups of 10 samples each, 3-unit provisionals were fabricated using additional manufacturing at 0,45 and 90 degrees, heat polymerized polymethyl methacrylate, auto polymerizing resin and bis-acryl composites resins and tested for fracture load and surface roughness. One way ANOVA and Tukey tests were used to analyze the data. RESULTS: For fracture load, lowest mean value was obtained for auto polymerizing bis-acrylic resin (464.9N) and highest value for 0 degree (596 N), while surface roughness values were lowest for heat polymerized polymethyl methacrylate (0.132µm), and the highest for auto polymerizing polymethyl methacrylate (0.836 µm). Significant differences were obtained between three build directions for fracture load and surface roughness (p=0.001); in all pairwise comparisons except between 0 and 90 degrees (p=0.502) for fracture load; and between all three build directions for surface roughness (p=0.01). On comparing with other provisional materials, significant difference (p=0.001) was observed between all groups. Conclusion- Build direction affected the mechanical properties of additively manufactured three-unit provisionals with 0 degree printed provisionals showing highest fracture load and lowest surface roughness. On comparing with other provisional materials, 0 degree showed highest fracture load, with surface roughness similar to heat polymerized provisionals.

To study the expression of estrogen, progesterone receptor and p53 immunohistochemistry markers in subtyping endometrial carcinoma.

Background: Endometrial cancer is one of the most commonly diagnosed cancers in women worldwide. Aim and Objectives: To study the expression of estrogen receptor (ER), progesterone receptor (PR) and p53 immunohistochemistry (IHC) markers in subtyping endometrial carcinoma. Materials and Methods: A total of 100 cases of carcinoma endometrium submitted during January 2016 to October 2018 were included in our study. The ER, PR and p53 expressions were scored as per the adopted scoring system. Agreement between ER, PR and p53 IHC expression and the consensus HE diagnosis, FIGO grading and tumour staging were assessed using Chi square tests. Results: There was a statistical association between ER, PR and p53 status and tumour histologic type with a P value < 0.01. There was no statistical significance observed between ER and PR expressions and different FIGO grades. Statistical significance (P = 0.036) between p53 and different FIGO grades seen. No statistical significance was observed between ER, PR and p53 expressions and different tumour stages and tumour invasiveness. There was a statistical association between ER and PR status and lymph node metastasis. p53 did not show a statistical significance. Conclusion: Combination of ER, PR and p53 IHC markers can be used to distinguish type 1 and type 2 endometrial cancers. PR expression is more specific than ER in endometrioid carcinomas. p53 expression is more specific in serous carcinoma, however, p53 IHC alone cannot be used to distinguish different grades of endometrioid carcinomas as there is variability of staining in endometrioid carcinomas.

Enhanced Photocatalytic Degradation Activity Using the V2O5/RGO Composite.

Semiconductor-based photocatalyst materials played an important role in the degradation of organic compounds in recent years. Photocatalysis is a simple, cost-effective, and environmentally friendly process for degrading organic compounds. In this work, vanadium pentoxide (V2O5) and V2O5/RGO (reduced graphene oxide) composite were synthesized by a hydrothermal method. The prepared samples were characterized by X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), scanning electron microscopy (SEM), Raman spectroscopy, and UV-Vis spectroscopic analysis, etc. Raman analysis shows the occurrence of RGO characteristic peaks in the composite and different vibrational modes of V2O5. The band gap of flake-shaped V2O5 is reduced and its light absorption capacity is enhanced by making its composite with RGO. The photocatalytic degradation of methylene blue (MB) was studied using both V2O5 and V2O5/RGO composite photocatalyst materials. The V2O5/RGO composite exhibits a superior photocatalytic performance to V2O5. Both catalyst and light play an important role in the degradation process.

Polypyrrole-Assisted Ag Doping Strategy to Boost Co(OH)2 Nanosheets on Ni Foam as a Novel Electrode for High-Performance Hybrid Supercapacitors.

Battery-type electrode materials have attracted much attention as efficient and unique types of materials for hybrid battery supercapacitors due to their multiple redox states and excellent electrical conductivity. Designing composites with high chemical and electrochemical stabilities is beneficial for improving the energy storage capability of battery-type electrode materials. We report on an interfacial engineering strategy to improve the energy storage performance of a Co(OH)2-based battery-type material by constructing polypyrrole-assisted and Ag-doped (Ag-doped@Co(OH)2@polypyrrole) nanosheets (NSs) on a Ni foam using a hydrothermal process that provides richer electroactive sites, efficient charge transportation, and an excellent mechanical stability. Physical characterization results revealed that the subsequent decoration of Ag nanoparticles on Co(OH)2 nanoparticles offered an efficient electrical conductivity as well as a reduced interface adsorption energy of OH- in Co(OH)2 nanoparticles as compared to Co(OH)2@polypyrrole-assisted nanoparticles without Ag particles. The heterogeneous interface of the Ag-doped@Co(OH)2@polypyrrole composite exhibited a high specific capacity of 291.2 mAh g-1 at a current density of 2 A g-1, and showed a good cycling stability after 5000 cycles at 5 A g-1. The specific capacity of the doped electrode was enhanced approximately two-fold compared to that of the pure electrode. Thus, the fabricated Ag-doped@Co(OH)2@polypyrrole nanostructured electrodes can be a potential candidate for fabricating low-cost and high-performance energy storage supercapacitor devices.

Sulfur Nanoparticle-Decorated Nickel Cobalt Sulfide Hetero-Nanostructures with Enhanced Energy Storage for High-Performance Supercapacitors.

Transition-metal sulfides exaggerate higher theoretical capacities and were considered a type of prospective nanomaterials for energy storage; their inherent weaker conductivities and lower electrochemical active sites limited the commercial applications of the electrodes. The sheet-like nickel cobalt sulfide nanoparticles with richer sulfur vacancies were fabricated by a two-step hydrothermal technique. The sheet-like nanoparticles self-combination by ultrathin nanoparticles brought active electrodes entirely contacted with the electrolytes, benefiting ion diffusion and charges/discharges. Nevertheless, defect engineers of sulfur vacancy at the atomic level raise the intrinsic conductivities and improve the active sites for energy storage functions. As a result, the gained sulfur-deficient NiCo2S4 nanosheets consist of good specific capacitances of 971 F g-1 at 2 A g-1 and an excellent cycle span, retaining 88.7% of the initial capacitance over 3500 cyclings. Moreover, the values of capacitance results exhibited that the fulfilling characteristic of the sample was a combination of the hydrothermal procedure and the surface capacitances behavior. This novel investigation proposes a new perspective to importantly improve the electrochemical performances of the electrode by the absolute engineering of defects and morphologies in the supercapacitor field.

Lupus Miliaris Disseminatus Faciei: Response to Combination of Isotretinoin and Oral Minipulse.

A 32-year-old man presented with multiple reddish and skin-colored asymptomatic skin lesions over his face and ears present for a year. These lesions appeared in crops at variable intervals, healing with scarring over the next few months. He had received doxycycline and azithromycin for about 6 months without any relief. No history of flushing, worsening of lesions on sun exposure, or eating spicy food, was reported. He had no chronic illness or prolonged usage of any medication. The patient neither had abdominal pain, respiratory distress, or uveitis to suggest sarcoidosis nor accounted any personal or family history of tuberculosis. (SKINmed. 2022;20:307-310).

Profile of pediatric vitiligo in India.

We analyzed the records of 211 pediatric patients with vitiligo. 57.8% of patients were females and 42.2% were males. Leukotrichia and family history were present in 29.4% and 15.6% of patients, respectively, while 39.3% of patients had anemia. Elevated thyroid-stimulating hormone and fasting blood glucose levels were seen in 5.2% and 3.3% of patients, respectively. Antinuclear antibody was positive in 12 (5.6%) patients.

Primary Localized Cutaneous Amyloidosis Secondary to Sand Rubbing in a Wrestler.

A 40-year-old male, wrestler since 15 years of age presented with asymptomatic hyperpigmentation over both his both upper extremities for 10 years. There was no history of preceding itching or redness; of using a nylon brush, scrubbers, or sponges during bathing; or of excessive towel rubbing after bathing and applying cosmetics; however, he had been rubbing sand over both arms for 15 years. He had no personal or family history of atopy, diabetes, or thyroid disease. Cutaneous examination revealed the presence of symmetrical sharply defined reticulate brownish hyperpigmentation over both arms and favoring the left (Figure 1). Dermatoscopy revealed multiple uniform small brown fine streaks radiating from the center becoming reticulated (Figure 2). Hematologic and biochemical studies, in particular thyroid studies, were normal. Histopathologic examination revealed an amorphous eosinophilic deposit in the papillary dermis suggestive of macular amyloidosis (MA) (Figure 3). Methyl violet stain revealed amyloid positive areas (Figure 4), and a diagnosis of MA was made. With the cessation of the sand rubbing and the application of tacrolimus ointment (0.1%), the lesions slowly diminished. (SKINmed. 2022;20:141-143).

Study of serum vitamin D levels in men with premature androgenetic alopecia.

BACKGROUND: Vitamin D deficiency had been associated with various hair loss disorders, such as telogen effluvium, alopecia areata, and female pattern hair loss. However, previous studies have not found a correlation between serum vitamin D levels and the severity of androgenetic alopecia. METHODS: A case-control study was conducted for a period of one year in a public tertiary care hospital. Fifty males clinically diagnosed with androgenetic alopecia and 50 age-matched healthy controls were recruited. Serum vitamin D levels in both cases and controls were measured by radioimmunoassay technique, and the results were compared. RESULTS: A total of 50 cases and 50 controls were recruited and analyzed. The mean age of the cases was 23 years and that of controls was 24.2 years. The mean levels of serum vitamin D significantly decreased in cases, compared to controls (20.10 vs. 29.34 ng/mL; P ≤ 0.001). Eighty-six percent of the cases had deficiency of vitamin D (<30 nmol/L), while 14% had insufficient vitamin D levels (31-50 nmol/L). There was a positive correlation between vitamin D deficiency and severity of androgenetic alopecia (AGA), which was statistically significant (P ≤ 0.5). However, there was no correlation between the duration of sun exposure and serum vitamin D levels (2.36 ± 1.2 in cases and 3.23 ± 1.6 in controls, P value = 0.98). CONCLUSION: Our study showed a significant correlation between vitamin D deficiency and the severity of androgenetic alopecia. This suggests that vitamin D may play a role in the premature onset of androgenetic alopecia. However, further studies on a larger population and the effect of vitamin D supplementation on the progression of androgenetic alopecia are required to validate the above findings.

Concurrent Presentation of Systemic Lupus Erythematosus in Mother and Daughter.

Systemic lupus erythematosus (SLE) is a connective tissue disorder with a high prevalence in certain races like Africans. It also has a female predilection. The pathogenesis of SLE is a complex interplay of genetic and environmental factors. Familial presentation of SLE has been well documented. We herein illustrate a scenario of SLE presenting in related females (mother and daughter) concurrently with similar clinical features and fulfilling the Systemic Lupus Collaborating Clinics criteria. Stress was identified as a common possible triggering factor.