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1.
Can Vet J ; 65(5): 443-450, 2024 May.
Article in English | MEDLINE | ID: mdl-38694731

ABSTRACT

Linguoverted mandibular canine teeth (LMC) is a common malocclusion in dogs. Several inclined bite-plane techniques using acrylic resin have been introduced to correct LMC in dogs. Although these techniques have suggested modifications to overcome shortcomings, there are still limitations; e.g., high technical sensitivity, as the viscous acrylic resin must still be fabricated in the oral cavity. The authors developed a novel method for small-breed dogs that uses a doughy acrylic resin form to achieve an easy intraoral design and extraoral fabrication. Eight small-breed dogs were presented to evaluate and treat malocclusion causing palatal trauma. First, a Class-1 malocclusion with linguoversion of the mandibular canine teeth (6 dogs with unilateral LMC and 2 dogs with bilateral) was diagnosed based on oral examination. Dogs were treated with the new method using a doughy acrylic resin form for 6 to 7 wk and had posttreatment follow-up 1 y after the procedure. All treated canine teeth were in correct positions 1 y after the appliances were removed. Key clinical message: The authors believe that the new method using a doughy acrylic resin form could be a good alternative for veterinarians to use when treating LMC.


Un nouveau dispositif orthodontique en acrylique pour le traitement des canines mandibulaires linguoverties chez les petits chiens. Les canines mandibulaires linguoverties (LMC) sont une malocclusion courante chez le chien. Plusieurs techniques de plan de morsure incliné utilisant de la résine acrylique ont été introduites pour corriger la LMC chez le chien. Bien que ces techniques aient suggéré des modifications pour surmonter les lacunes, elles présentent encore des limites; par exemple, une sensibilité technique élevée, car la résine acrylique visqueuse doit encore être fabriquée dans la cavité buccale. Les auteurs ont développé une nouvelle méthode pour les chiens de petite race qui utilise une forme pâteuse de résine acrylique pour obtenir une conception intra-orale et une fabrication extra-orale faciles. Huit chiens de petite race ont été présentés pour évaluer et traiter une malocclusion provoquant un traumatisme palatin. Tout d'abord, une malocclusion de classe 1 avec linguoversion des canines mandibulaires (6 chiens avec LMC unilatérale et 2 chiens avec bilatérale) a été diagnostiquée sur la base d'un examen oral. Les chiens ont été traités avec la nouvelle méthode en utilisant une forme pâteuse de résine acrylique pendant 6 à 7 semaines et ont fait l'objet d'un suivi post-traitement 1 an après la procédure. Toutes les canines traitées étaient dans la bonne position un an après le retrait des appareils.Message clinique clé:Les auteurs estiment que la nouvelle méthode utilisant une forme pâteuse de résine acrylique pourrait être une bonne alternative que les vétérinaires pourraient utiliser lors du traitement du LMC.(Traduit par Dr Serge Messier).


Subject(s)
Dog Diseases , Malocclusion , Animals , Dogs , Dog Diseases/therapy , Male , Malocclusion/veterinary , Malocclusion/therapy , Female , Acrylic Resins/therapeutic use , Cuspid , Orthodontic Appliances/veterinary
2.
Fr J Urol ; 34(2): 102585, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38717460

ABSTRACT

INTRODUCTION: The aim was to compare the efficacy of polyacrylate polyalcohol copolymer (PPC) injections and dextranomer/hyaluronic acid (Dx/Ha) injections for the endoscopic treatment of vesicoureteral reflux in children. MATERIAL: This retrospective cohort study included 189 young patients who had endoscopic treatment for vesicoureteral reflux from January 2012 to December 2019 in our center. Among them, 101 had PCC injections and 88 had Dx/Ha injections. Indications for treatment were vesicoureteral reflux with breakthrough urinary tract infection or vesicoureteral reflux with renal scarring on dimercaptosuccinic acid (DMSA) renal scan. Endoscopic injection was performed under the ureteral meatus. Early complications, recurrence of febrile urinary tract infection and vesicoureteral reflux after endoscopic injection, ureteral obstruction and reintervention were evaluated and compared between groups. RESULTS: Endoscopic treatment was successful in 90.1% of patients who had PPC injection and in 82% of patients who had Dx/Ha injection. Four patients presented a chronic ureteral obstruction after PPC injection, one with a complete loss of function of the dilated kidney. One patient in the Dx/Ha group presented a postoperative ureteral dilatation after 2 injections. CONCLUSION: Despite a similar success rate after PPC and Dx/Ha injections for endoscopic treatment of VUR, there may be a greater risk of postoperative ureteral obstruction after PPC injections. The benefit of using PPC to prevent febrile UTI and renal scarring in children with low-grade VUR does not seem to outweigh the risk of chronic ureteral obstruction.


Subject(s)
Dextrans , Hyaluronic Acid , Ureteral Obstruction , Vesico-Ureteral Reflux , Humans , Vesico-Ureteral Reflux/therapy , Retrospective Studies , Hyaluronic Acid/administration & dosage , Hyaluronic Acid/therapeutic use , Hyaluronic Acid/adverse effects , Female , Male , Dextrans/therapeutic use , Dextrans/administration & dosage , Dextrans/adverse effects , Child, Preschool , Treatment Outcome , Infant , Acrylic Resins/therapeutic use , Acrylic Resins/administration & dosage , Child , Injections , Cohort Studies , Ureteroscopy/adverse effects
3.
PLoS One ; 18(4): e0284509, 2023.
Article in English | MEDLINE | ID: mdl-37079633

ABSTRACT

This study was conducted to evaluate the effect of polyacrylamide (PAM) supplementation on the intake, digestion, weight gain, metabolism and growth of lambs. A total of ten 30 days old male small-tailed Han lambs with a body weight of 7.7±0.5 kg were divided into two equal groups (n = 5 each) and fed a basal diet or diet supplemented with 2.0 g of PAM per kg diet. The duration of the experiment was 210 days and experimental diets were fed ad libitum throughout the experimental period. Voluntary feed intake (VFI) was measured on daily basis, while body weight was measured on every ten days of the experiment.Two digestive and metabolic trials were conducted at the lamb's age of 95 to 103 days (Trial 1) and at the age of 210 to 218 days (Trial 2). At the end of experiment, all lambs were slaughtered to determine carcass characteristics. Results of the current study showed that supplementation of PAM in the diet of lambs increased the VFI and daily body gain by 14.4% (P < 0.05) and 15.2% (P < 0.01), respectively. In Trial 1, PAM supplementation in the diet increased the digestibility of dry matter (DM), organic matter (OM), crude protein (CP), cellulose, energy, and nitrogen retention by 7.9%, 5.4%, 6.4%, 9.6%, 4.3% and 30.3% (P < 0.01), respectively, and in Trial 2, PAM supplementation in the diet increased the digestibility of DM, OM, CP, cellulose, energy, and nitrogen retention by 9.3%, 7.9%, 7.7%, 11.6%, 6.9% and 38.5% (P < 0.01), respectively. Results of carcass parameter explored that supplementation of PAM in the diet increased the carcass, net meat and lean meat weights by 24.5%, 25.5%, and 30.6% (P < 0.01), respectively, however, PAM supplementation in the diet did not influence the contents of DM, OM, or CP in fresh liver, leg muscle, and rumen tissue; in addition, the CP contents in the Longissimus dorsi muscle was decreased by the supplementation of PAM in the diet. In summary, supplementation of 2.0 g of PAM per kg diet increased the VFI, nutrient digestibility, nitrogen retention, and carcass yield of lambs.


Subject(s)
Acrylic Resins , Animal Feed , Dietary Supplements , Animals , Male , Animal Feed/analysis , Body Weight , Cellulose/pharmacology , Diet/veterinary , Digestion/drug effects , Digestion/physiology , Eating , Nitrogen/metabolism , Nutrients , Rumen/metabolism , Sheep/metabolism , Sheep, Domestic/metabolism , Acrylic Resins/administration & dosage , Acrylic Resins/therapeutic use
4.
Evid Based Dent ; 24(1): 41-42, 2023 03.
Article in English | MEDLINE | ID: mdl-36882497

ABSTRACT

OBJECTIVE: To compare the effectiveness of hydrophilic resin-based versus hydrophobic resin-based and glass-ionomer pit and fissure sealants. METHODS: The review was registered with Joanna Briggs Institute and followed PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. PubMed, Google Scholar, Virtual Health Library, and Cochrane Central Register of Controlled Trials were searched from 2009-2019 using appropriate keywords. We included randomized controlled trials and randomized split-mouth trials conducted among 6-13-year-old children. The quality of included trials was assessed using modified Jadad criteria and risk of bias using guidelines specified by Cochrane. GRADE (Grading of Recommendations Assessment, Development, and Evaluation) guidelines were used to assess the overall quality of studies. We used the random-effects model for meta-analysis. Relative risk (RR) and confidence intervals (CI) were calculated & heterogeneity was tested using I² statistic. RESULTS: Six randomized clinical trials and five split-mouth trials met the inclusion criteria. The outlier augmenting the heterogeneity was omitted. Based on very-low to low-quality evidence, loss of hydrophilic resin-based sealants was less likely as compared to glass-ionomer fissure sealants (4 trials at 6 months; RR = 0.59; CI = 0.40-0.86), while it was similar or slightly lower than hydrophobic resin-based sealants (6 trials at 6 months; RR = 0.96; CI = 0.89-1.03); (6 trials at 12 months; RR = 0.79; CI = 0.70-0.89); (2 trials at 18 months; RR = 0.77; CI = 0.48-0.25). CONCLUSION: This study revealed that retention of hydrophilic resin-based sealants is better than glass ionomer sealants but similar to hydrophobic resin-based sealants. However, higher-quality evidence is necessary to underpin the outcomes.


Subject(s)
Cariostatic Agents , Dental Caries , Child , Humans , Adolescent , Cariostatic Agents/therapeutic use , Dental Caries/prevention & control , Acrylic Resins/therapeutic use , Silicon Dioxide/therapeutic use , Pit and Fissure Sealants/therapeutic use
5.
Gen Dent ; 71(1): 31-36, 2023.
Article in English | MEDLINE | ID: mdl-36592356

ABSTRACT

The core build-up procedure is utilized to restore teeth with limited remaining coronal tooth structure. However, voids have been observed radiographically within composite resin- and glass ionomer-based core build-ups, potentially compromising the mechanical strength of a fully restored tooth and requiring build-up replacement before a final restoration can be delivered. The purpose of this in vitro study was to determine whether applying ultrasonic vibration during core build-up placement reduces the presence of radiographically detectable voids. A total of 120 acrylic resin mandibular premolar analogs were fabricated using a 3-dimensional printer and randomly allocated into 4 groups (n = 30). Dual-cured composite resin or glass ionomer core build-ups were placed with or without vibration. The final build-ups were assessed radiographically and rated by 3 independent calibrated clinicians based on a 4-category scale for the severity of voids. In an ordinal logistic regression model with the void severity rating as the outcome, a significant interaction was found for glass ionomer, composite resin, and the use of ultrasonic vibration (P = 0.03). Vibration was associated with worse void severity ratings in glass ionomer specimens (P < 0.01). No effect of vibration was found in the composite resin specimens. The Fleiss kappa score (κ = 0.36) indicated fair agreement in all severity ratings among the 3 raters. These results suggest that the application of ultrasonic vibration during core build-up placement may not be clinically advantageous for improving restorative outcomes.


Subject(s)
Acrylic Resins , Glass Ionomer Cements , Humans , Glass Ionomer Cements/therapeutic use , Acrylic Resins/therapeutic use , Composite Resins/therapeutic use , Composite Resins/chemistry , Silicon Dioxide , Materials Testing , Resin Cements/chemistry , Dental Restoration, Permanent/methods
6.
J Prosthet Dent ; 129(1): 205-212, 2023 Jan.
Article in English | MEDLINE | ID: mdl-34078547

ABSTRACT

STATEMENT OF PROBLEM: Denture stomatitis is a chronic inflammatory condition caused by the formation of Candida albicans biofilm on denture bases. It is associated with aggravating intraoral pain, itching, and burning sensations. It can also potentiate cardiovascular diseases and aspiration pneumonia. The problem has thus far eluded efficient, toxic-free, and cost-effective solutions. PURPOSE: The purpose of this in vitro study was to investigate the effectiveness of organoselenium to inhibit the formation of C. albicans biofilm on the surface of acrylic resin denture base materials when it is either incorporated into the acrylic resin material or coated on the denture surface as a light-polymerized surface sealant. MATERIAL AND METHODS: Sixty heat-polymerized polymethyl methacrylate disks were fabricated and assigned to 4 groups (n=15): disks coated with a light-polymerized organoselenium-containing enamel surface sealant (DenteShield), disks impregnated with 0.5% organoselenium (0.5% selenium), disks impregnated with 1% organoselenium (1% selenium), and disks without organoselenium (control). C. albicans biofilm was grown on each disk which had been placed in a well of the microtiter plate containing 1-mL brain heart infusion broth inoculated with C. albicans. The plates were incubated aerobically at 37 °C for 48 hours. A confocal laser scanning microscope was used to determine the biofilm thickness, biomass, and live/dead cell ratio. Biofilm morphology was examined with scanning electron microscopy, whereas microbial viability was quantified by the spread plate method. The data were analyzed by using ANOVA and Tukey-Kramer multiple comparisons (α=.05). RESULTS: The microbial viability, biofilm thickness, biofilm biomass, and live/dead cell ratio were lower (P<.001) on disks in the test groups (DenteShield, 0.5% selenium, 1% selenium) when compared with the control group, with these variables being lowest in the 0.5% selenium and 1% selenium groups. The 0.5% selenium and 1% selenium groups did not differ significantly from each other in any of the variables (P>.05). Scanning electron microscope images showed inhibition of both biofilm growth and yeast to hyphae transition in the DenteShield, 0.5% selenium, and 1% selenium groups, with visible disruption of the biofilm morphology. CONCLUSIONS: The present study demonstrated that organoselenium, whether incorporated into or coated on the surface of an acrylic resin denture base material, has the potential to inhibit Candida albicans biofilm growth on denture surfaces and as such can be clinically useful for the prevention of denture stomatitis.


Subject(s)
Selenium , Stomatitis, Denture , Humans , Candida albicans , Pit and Fissure Sealants/pharmacology , Stomatitis, Denture/prevention & control , Selenium/pharmacology , Acrylic Resins/pharmacology , Acrylic Resins/therapeutic use , Biofilms , Dentures , Denture Bases , Surface Properties
7.
J Indian Soc Pedod Prev Dent ; 40(3): 288-296, 2022.
Article in English | MEDLINE | ID: mdl-36260470

ABSTRACT

Aim: This study aims to evaluate and compare the clinical performance of two restorative materials - bioactive resin-modified glass ionomer (ACTIVA BioACTIVE restorative) and giomer hybrid composite (Beautifil Flow Plus) in restoring class I carious primary molars. Materials and Methods: The split-mouth randomized controlled study was conducted on 100 primary molars from 50 children (28 - males, 22 - females) from 50 children in age range of 5-9 years (Mean-7.29±1.34) with at least two occlusal carious lesions on either maxillary or mandibular primary molars. Each child had both the control and the experimental teeth restored with respective restorative materials, Group I (Control, n = 50) → Giomer, Group II (Experimental, n = 50) → Bioactive resin-modified glass ionomer. The restorations were evaluated by two independent investigators using modified United State Public Health Service criteria at immediate postoperative, 6 months, and 12 months. The Chi-square test was used for the statistical analysis after collecting the data. Results: At the 12-month follow-up, 33 children (66 teeth) reported with an attrition rate of 33%. The color match between the groups was not statistically significant at all intervals. The marginal discoloration, marginal integrity, anatomic form, and retention had no significant difference at 6 months. But at 12 months, there was a statistically significant difference between the groups with p value of 0.04,<0.001,<0.02 and <0.001 respectively. respectively. At 12 months, there was no postoperative sensitivity in both groups. Conclusion: Bioactive resin-modified glass ionomer with enhanced properties can be used as an effective restorative material, especially in children with excessive salivation.


Subject(s)
Acrylic Resins , Dental Restoration, Permanent , Child , Child, Preschool , Female , Humans , Male , Acrylic Resins/therapeutic use , Dental Materials , Molar , Mouth
8.
Biomed Res Int ; 2022: 7205692, 2022.
Article in English | MEDLINE | ID: mdl-35769675

ABSTRACT

Background: Deep fissures are highly unprotected from the development of caries. Resin-based materials and glass-ionomer cements for sealing fissures are useful in caries control through physical barrier formation, which prohibits metabolic exchange between fissure microorganisms. Retention is one of the most critical properties of fissure sealants. This in vivo study is aimed at comparing and evaluating the clinical efficacy of resin and glass ionomer-based fissure sealants on first permanent molars with follow-ups at 6-, 12-, and 18-month intervals. Methods: A randomized split-mouth design clinical study was conducted after obtaining the ethical committee approval. A total of 50 patients, aged between 7 and 12 years, were randomized and enrolled in the study to perform a total of 200 sealant placements on all four caries-free and hypoplasia-free first permanent molars having deep fissures, which are susceptible to caries, were included in this study. The four permanent molars were divided into the following four groups: group A (control), B (Grandioseal, Voco, Germany), C (Smartseal & Loc, Detax Gmbh & Co, Germany), and D (Fuji triage capsule, GC, Belgium). The sealed molars were clinically evaluated at intervals of 6, 12, and 18 months to assess sealant retention, surface roughness, marginal coloration, and caries status through visual evaluation of the sealant by two evaluators. Results: Concerning retention, there were statistically significant differences between the sealants in terms of the survival of partial and fully retained sealants as well as in the survival of caries-free teeth. Two resin-based (Smartseal & Loc) and glass-ionomer cement (Fuji triage) sealants showed significantly similar performances in permanent molars for up to 18 months. In terms of retention, one of the resin-based (Grandioseal) sealants performed better as compared to the others and showed better caries prevention in deep fissures. Conclusion: It is concluded that both the sealants had comparable retention and caries-preventive effects in 7 to 12-year-old children and can be considered as suitable sealants for a period of at least 18 months in moderate caries risk patients.


Subject(s)
Dental Caries , Pit and Fissure Sealants , Acrylic Resins/therapeutic use , Child , Dental Caries/drug therapy , Dental Caries/prevention & control , Glass Ionomer Cements/therapeutic use , Humans , Pit and Fissure Sealants/therapeutic use , Resins, Plant , Silicon Dioxide/therapeutic use
9.
J Zoo Wildl Med ; 53(2): 480-484, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35758591

ABSTRACT

This report describes the use of synthetic acrylic resin prostheses in five birds with rhinothecal fracture. Satisfactory biomechanical and clinical results were obtained in all cases, enabling early return to function of the beak. The patients, a roadside hawk (Rupornis magnirostris; case 1), a cockatiel (Nymphicus hollandicus; case 2), two turquoise-fronted parrots (Amazona aestiva; cases 3 and 4), and a maritaca (Pionus maximiliani; case 5), all suffered rhinothecal fractures with extensive bone loss, resulting in malnutrition, dehydration, and difficulty in handling food. An acrylic prosthesis was chosen in all cases, with the resin mold formed with two 1.0-mm pins in four cases, and cerclage wires in case 2. All birds made an excellent recovery and showed early use of the beak, with no complications for up to 15 mon. After 21 d of observation, the patients were moved to zoo enclosures for rehabilitation. The treatment of rhinothecal fractures is very challenging and requires a combination of orthopedic and dental techniques to provide full recovery of the species' natural functions.


Subject(s)
Birds , Fractures, Bone , Animals , Acrylic Resins/therapeutic use , Fractures, Bone/surgery , Fractures, Bone/veterinary , Prostheses and Implants
11.
J Prosthodont ; 31(5): 427-433, 2022 Jun.
Article in English | MEDLINE | ID: mdl-34480386

ABSTRACT

PURPOSE: This in vitro study aims to assess the impact of various surface treatments on the shear bond strength (SBS) of two types of artificial teeth and denture base resins (DBRs). MATERIALS AND METHODS: Two types of DBRs (CAD/CAM-milled and heat-polymerized) and two types of denture teeth (acrylic and composite) were investigated. Teeth were cut into slices (5 × 5 × 2 mm) and divided according to surface treatment into four subgroups (n = 10): no treatment (control), air abrasion (Alumina-blasting; AB), bur roughening, and dichloromethane (DCM) subgroups. According to manufacturer recommendations, the treated tooth slices were bonded to the acrylic disk of DBRs. The SBS test was performed using a universal testing machine. ANOVA was used for results analysis followed by Tukey's post hoc tests (α = 0.05). RESULTS: DCM and AB increased the SBS of acrylic teeth to heat-polymerized DBR compared with other groups (p < 0.001). All surface treatments showed no significant difference in CAD/CAM DBR with acrylic teeth (p = 0.059; AB, p = 0.319; bur roughening, p = 0.895; DCM), while there was a significant decrease in SBS with composite teeth (p ˂ 0.001). Between teeth, acrylic teeth showed a statistically significant increase in SBS compared to composite teeth (p < 0.001). CONCLUSION: AB and DCM application improved the SBS for acrylic teeth with the heat-polymerized DBR when compared with the untreated group, but none of the surface treatment agents showed significant improvement with CAD/CAM DBR. All surface treatment agents reduced the SBS for composite teeth with CAD/CAM DBR while AB only increased the SBS with heat-polymerized DBR.


Subject(s)
Dental Bonding , Tooth, Artificial , Acrylic Resins/chemistry , Acrylic Resins/therapeutic use , Air Abrasion, Dental , Dental Bonding/methods , Dental Stress Analysis , Denture Bases , Materials Testing , Polymethyl Methacrylate/chemistry , Shear Strength , Surface Properties
12.
Molecules ; 26(15)2021 Jul 22.
Article in English | MEDLINE | ID: mdl-34361575

ABSTRACT

Glass ionomer cements and resin-based composites are promising materials in restorative dentistry. However, their limited mechanical properties and the risk of bulk/marginal fracture compromise their lifespan. Intensive research has been conducted to understand and develop new materials that can mimic the functional behavior of the oral cavity. Nanotechnological approaches have emerged to treat oral infections and become a part of scaffolds for tissue regeneration. Carbon nanotubes are promising materials to create multifunctional platforms for dental applications. This review provides a comprehensive survey of and information on the status of this state-of-the-art technology and describes the development of glass ionomers reinforced with carbon nanotubes possessing improved mechanical properties. The applications of carbon nanotubes in drug delivery and tissue engineering for healing infections and lesions of the oral cavity are also described. The review concludes with a summary of the current status and presents a vision of future applications of carbon nanotubes in the practice of dentistry.


Subject(s)
Drug Carriers , Materials Testing , Nanotubes, Carbon/chemistry , Resin Cements , Acrylic Resins/chemistry , Acrylic Resins/therapeutic use , Drug Carriers/chemistry , Drug Carriers/therapeutic use , Humans , Resin Cements/chemistry , Resin Cements/therapeutic use , Silicon Dioxide/chemistry , Silicon Dioxide/therapeutic use , Surface Properties
13.
ACS Appl Mater Interfaces ; 13(12): 14530-14542, 2021 Mar 31.
Article in English | MEDLINE | ID: mdl-33729756

ABSTRACT

Great endeavors have been dedicated to the development of wound dressing materials. However, there is still a demand for developing a wound dressing hydrogel that integrates natural macromolecules without requiring extra chemical modifications, so as to enable a facile transformation and practical application in wound healing. Herein, a composite hydrogel was prepared with water-soluble polysaccharides from Enteromorpha prolifera (PEP) cross-linked with boric acid and polyacrylamide cross-linked via polymerization (PAM) using a one-pot method. The dual-network of this hydrogel enabled it to have an ultratough mechanical strength. Moreover, interfacial characterizations reflected that the hydrogen bonds and dynamic hydroxyl-borate bonds contributed to the self-healing ability of the PEP-PAM hydrogel, and the surface groups on the hydrogel allowed for tissue adhesiveness and natural antioxidant properties. Additionally, human epidermal growth factor-loaded PEP-PAM hydrogel promoted cell proliferation and migration in vitro and significantly accelerated wound healing in vivo on model rats. These progresses suggested a prospect for the PEP-PAM hydrogel as an effective and easily available wound dressing material. Remarkably, this work showcases that a wound dressing hydrogel can be facially developed by using natural polysaccharides as a one component and offers a new route for the high-value utilization of disastrous marine blooming biomass by transforming it into a biomedical material.


Subject(s)
Acrylic Resins/chemistry , Bandages , Biocompatible Materials/chemistry , Hydrogels/chemistry , Polysaccharides/chemistry , Ulva/chemistry , Acrylic Resins/therapeutic use , Animals , Antioxidants/chemistry , Antioxidants/therapeutic use , Biocompatible Materials/therapeutic use , Cell Line , Hydrogels/therapeutic use , Polysaccharides/therapeutic use , Rats , Rats, Sprague-Dawley , Wound Healing/drug effects
14.
Neurourol Urodyn ; 40(1): 502-508, 2021 01.
Article in English | MEDLINE | ID: mdl-33410544

ABSTRACT

AIMS: Bulking agents are a minimally invasive treatment option for women with stress urinary incontinence (SUI) or stress-predominant mixed urinary incontinence (MUI). The aim of this study was to evaluate long-term efficacy and safety following treatment with Bulkamid as a primary procedure for SUI or stress-predominant MUI. METHODS: This was an Institutional Review Board-approved single-center retrospective study of female patients with SUI or stress-predominant MUI who had undergone injection with Bulkamid since 2005 and had completed 7 years of follow up. The primary endpoint was patient satisfaction measured on a four-point scale as cured, improved, unchanged, or worse. Secondary outcomes included the number of incontinence pads used, International Consultation on Incontinence Questionnaire-Short Form (ICIQ-UI SF) scores, Visual Analog Scale Quality of Life (VAS QoL), reinjection rates, and perioperative and postoperative complications. RESULTS: A total of 1,200 patients were treated with Bulkamid since 2005 and of these, 388 (32.3%) had completed 7 years of follow-up. A total of 67.1% of the patients reported feeling cured or improved if Bulkamid was a primary procedure, 11.1% reported no change, and 2.3% reported worsening of incontinence. A total of 19.5% of patients received a subsequent other incontinence procedure. The ICIQ-UI SF was reduced by 8.6 points. VAS QoL improved by a mean of 4.3 points. Postoperative complications were transient. Prolonged bladder emptying time was reported in 15.3% of patients and urinary tract infection in 3.5%. CONCLUSIONS: Bulkamid injections are an effective and safe first-line treatment option for women with SUI or stress-predominant MUI providing durable outcomes at 7 years.


Subject(s)
Acrylic Resins/therapeutic use , Biocompatible Materials/therapeutic use , Hydrogels/therapeutic use , Urinary Incontinence, Stress/drug therapy , Acrylic Resins/pharmacology , Aged , Biocompatible Materials/pharmacology , Female , Humans , Hydrogels/pharmacology , Male , Treatment Outcome
15.
Jpn J Radiol ; 39(5): 494-502, 2021 May.
Article in English | MEDLINE | ID: mdl-33387186

ABSTRACT

PURPOSE: To evaluate the safety and effectiveness of whole-liver transcatheter arterial chemoinfusion and bland embolization (TACBE) with fine-powder cisplatin and trisacryl gelatin microspheres for the treating unresectable multinodular hepatocellular carcinoma (HCC). MATERIALS AND METHODS: The medical records of all patients who underwent TACBE sessions were retrospectively reviewed. 15 patients (11 men, 4 women; mean age, 72.5 years) and 22 procedures (BCLC B;17 C;5) were included in the analysis. The cisplatin resulting solution and microspheres were infused through a microcatheter placed nonselectively. Overall survival (OS) was defined as the time from commencement of initial TACBE until any cause of death. Toxicity was assessed by the CTCAE version 5.0, and the tumor response was evaluated by the mRECIST. Liver function was assessed by the albumin-bilirubin (ALBI) score. RESULTS: The 1-year OS rate was 64.6% (95% CI 0.438-0.955). Severe adverse effects were not observed except for grade 3 increase in the ALT, ALT, vasovagal episode. The objective response and disease control rare were 54.5% and 68.2%, respectively. The ALBI scores from pre-treatment to the follow-up ranged from - 2.39 to - 2.26 (p = 0.38). CONCLUSION: Whole-liver TABCE with fine-powder cisplatin and trisacryl gelatin microspheres was well tolerated and effective in patients with multinodular HCC.


Subject(s)
Acrylic Resins/therapeutic use , Antineoplastic Agents/therapeutic use , Carcinoma, Hepatocellular/therapy , Chemoembolization, Therapeutic/methods , Cisplatin/therapeutic use , Gelatin/therapeutic use , Liver Neoplasms/therapy , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Powders , Retrospective Studies , Survival Rate , Treatment Outcome
16.
World J Urol ; 39(6): 2107-2112, 2021 Jun.
Article in English | MEDLINE | ID: mdl-32816136

ABSTRACT

PURPOSE: Urethral bulking agents (UBA) have traditionally been offered as salvage procedures for recurrent stress urinary incontinence (SUI). We compare the success of UBA in patients that had undergone a previous procedure for SUI (Salvage-UBA) to the SUI surgery naïve (Primary-UBA). We hypothesised a positive effect in both Primary and Salvage-UBA with potentially poorer rates of response in the salvage group. METHODS: Retrospective case series of patients having their first UBA (2010-2018). Primary outcome was to assess any difference in patient reported success between groups. Patient-reported improvement was assessed on a 4-point scale: 'cured, improved, no change, worse' and treatment 'success' defined as 'cured' or 'improved'. A multivariate analysis, adjusting for plausible differences between groups, was undertaken in IBM SPSS Statistics (2016). RESULTS: 135 Primary-UBA and 38 Salvage-UBA were performed. Complete follow-up was obtained for 114 patients (66%): 86 Primary and 28 Salvage. Median follow-up time: 33 months. In 2012, 47% (8/17) of all UBA were Salvage-UBA, whilst in 2018, the majority were Primary-UBA (92%, 46/50). Success was not significantly different between Salvage-UBA 75% (21/28) versus Primary-UBA 67% (58/86) (Wald χ2 = 0.687, df = 1, p = 0.407). Top-up rates were similar: 14% (n = 4/28, Salvage-UBA) versus 15% (n = 13/86, Primary-UBA) (χ2 = 0.011, df = 1, p = 0.914). CONCLUSION: The number of women opting for UBA has increased substantially. No significant differences were noted for success with Salvage-UBA compared to Primary-UBA.


Subject(s)
Acrylic Resins/therapeutic use , Dimethylpolysiloxanes/therapeutic use , Hydrogels/therapeutic use , Urinary Incontinence, Stress/therapy , Female , Humans , Middle Aged , Retrospective Studies , Salvage Therapy , Treatment Outcome , Urinary Incontinence, Stress/surgery
17.
Res Vet Sci ; 134: 42-50, 2021 Jan.
Article in English | MEDLINE | ID: mdl-33290979

ABSTRACT

For several years, hyaluronic acid (HyA) and, more recently, polyacrylamide hydrogel (PHyd) have been used to reduce lameness and pain caused by osteoarthritis. However, there is still a lack of scientific evidence of the efficacy of these substances to allow veterinary experts to make decisions about their use in horses. The objective of this study was to evaluate, through a systematic review and network meta-analysis (NMA), the efficacy of HyA, associated or not with other drugs, and PHyd in relieving lameness in horses with osteoarthritis. The searches for primary studies were conducted on four search platforms. The efficacy of HyA and PHyd was estimated through the relative risk difference method. Heterogeneity was observed in the efficacy of HyA, indicating long-term ineffectiveness of this drug when associated or not with anti-inflammatory drugs. In contrast, the results indicate that PHyd is an effective alternative therapy, with a long period of action in reducing lameness in horses with osteoarthritis. This study provides evidence that the application of PHyd and HyA is effective in reducing lameness caused by osteoarthritis in horses at different time periods, where PHyd has a longer time of action.


Subject(s)
Acrylic Resins/therapeutic use , Analgesics/therapeutic use , Horse Diseases/drug therapy , Hyaluronic Acid/therapeutic use , Lameness, Animal/drug therapy , Osteoarthritis/veterinary , Animals , Horses , Lameness, Animal/etiology , Network Meta-Analysis , Osteoarthritis/complications , Osteoarthritis/drug therapy
18.
Radiology ; 298(2): 458-465, 2021 02.
Article in English | MEDLINE | ID: mdl-33350893

ABSTRACT

Background Data are limited regarding comparison between nonspherical polyvinyl alcohol (PVA) particles and tris-acryl gelatin microspheres (TAGM) in uterine artery embolization (UAE). Purpose To compare pain after UAE with PVA versus TAGM for treatment of symptomatic fibroids. Materials and Methods In this randomized clinical trial, participants were assigned to be administered nonspherical PVA (355-550 µm) or TAGM (500-700 µm). Both groups were administered fentanyl-based intravenous patient-controlled analgesia during the first 24 hours after UAE and rescue analgesics. Neutrophil-to-lymphocyte ratio was measured to assess inflammatory response. Contrast-enhanced MRI 1 day after UAE was used to evaluate dominant fibroid necrosis and ischemia of normal myometrium. Symptom severity score and health-related quality-of-life score were assessed before and 3 months after UAE. Variables measured over time were analyzed by using the generalized estimating equation method. Results A total of 54 participants (mean age, 44 years ± 4 [standard deviation]) were evaluated (27 participants in each group). Although pain scores and fentanyl dose were not different during the first 24 hours, use of rescue analgesics was higher in the PVA group (33% vs 11%; P = .049). After embolization, symptom severity score and health-related quality-of-life score were not different between groups (symptom severity score: 16 [interquartile range, 6-22] for PVA vs 19 [interquartile range, 9-34] for TAGM, P = .45; health-related quality-of-life score: 93 [interquartile range, 80-97] for PVA vs 89 [interquartile range, 84-96] for TAGM, P = .41). Changes in neutrophil-to-lymphocyte ratio from before to 24 hours after UAE were greater in the PVA group (3.9 [interquartile range, 2.7-6.8] for PVA and 2.5 [interquartile range, 1.5-4.6] for TAGM; P = .02). Rates of complete dominant fibroid necrosis were not different between groups, but transient global uterine ischemia of normal myometrium was more frequent in the PVA group (44% vs 15%; P = .04). Conclusion When used in uterine artery embolization, polyvinyl alcohol particles and tris-acryl gelatin microspheres resulted in similar pain scores and fentanyl dose. Polyvinyl alcohol resulted in a greater inflammatory response, higher rates of rescue analgesic use, and more frequent transient global uterine ischemia. © RSNA, 2020 See also the editorial by Spies and Frenk in this issue.


Subject(s)
Acrylic Resins/therapeutic use , Gelatin/therapeutic use , Leiomyoma/therapy , Pain/prevention & control , Polyvinyl Alcohol/therapeutic use , Uterine Artery Embolization/methods , Adult , Double-Blind Method , Female , Humans , Treatment Outcome
19.
Adv Skin Wound Care ; 33(11): 582-586, 2020 Nov.
Article in English | MEDLINE | ID: mdl-33065679

ABSTRACT

OBJECTIVE: To examine and compare different methods of dressing change on skin tears at the periductal wound for ICU patients with central venous catheterization (CVC). METHODS: This research used a quasi-experimental design. Participants included 98 patients from the ICU of a medical center in Taiwan using a convenience sampling technique from April 1, 2017 to March 31, 2018. RESULTS: Applying skin barrier film at the CVC insertion site effectively protected the skin and significantly reduced the risk of skin tears among ICU patients (P < .01). CONCLUSIONS: This study showed that use of skin barrier film at the site of CVC insertion can increase skin strength, maintain skin integrity, and decrease the incidence of skin tears. Skin barrier film is thus recommended for routine use in peripheral skin care for patients receiving CVC.


Subject(s)
Catheterization, Central Venous/methods , Cross Infection/prevention & control , Lacerations/therapy , Acrylic Resins/therapeutic use , Administration, Cutaneous , Aged , Female , Humans , Male , Middle Aged , Soft Tissue Injuries/prevention & control , Taiwan , Treatment Outcome
20.
Medicine (Baltimore) ; 99(22): e20386, 2020 May 29.
Article in English | MEDLINE | ID: mdl-32481425

ABSTRACT

Use of polyacrylate-polyalcohol copolymer (PPC) after endoscopic correction (EC) of vesico-ureteral reflux (VUR) is highly effective but is associated with a higher risk of obstructive complications (OC) compared with other implants. We undertook a STROBE compliant retrospective investigation and studied the OC risk factors to increase the practical safety of PPC.Overall, 798 patients (464 [58.1%] girls and 334 [41.9%]) boys) from 5 hospitals in whom PPC was routinely used were evaluated retrospectively. The patients were subdivided into 2 groups. Group I consisted of 754 (94.5%) children (449 [59.5%] girls and 305 [40.5%] boys) without OC. Median age was 41 months [Q1: 18.0; Q3: 81.0]. Group II comprised 44 (5.5%) patients (29 [65.9%] boys and 15 [34.1%] girls) experiencing OC, and their median age was 21.5 months [Q1: 12.0; Q3: 43.0]. Clinical and renal ultrasound examinations were carried out 1 day and 1 month after EC, and then every 6 months after EC. At the follow-up examination approximately 6 months after EC, voiding cysto-urethrography (VCUG) was performed. All patients with OC underwent diuretic renography.OC occurred in 44 (5.5%) of 798 children, in some cases as late as 60 months after endoscopic injection of the bulking agent PPC for correction of VUR. Univariate analysis revealed that younger age (P < .001), higher grade of VUR (P < .001), male gender (P < .001), second injection (P = .003), and EC injection using hydrodistension implantation technique (HIT; P < .001) represented significant risk factors. At multivariate analysis, only male gender (P = .0078), younger age (P = .0044), HIT technique (P < .0001), and second injection (P = .04) represented significant risk factors for the occurrence of OC.We identified young age, male gender, high reflux grade, HIT technique, and second endoscopic injections as factors associated with the risk of OC after EC of VUR using PPC as a bulking agent. Thus, patients who have undergone EC with PPC must be monitored sonographically for occurrence of OC for at least 60 months after the intervention.


Subject(s)
Acrylic Resins/therapeutic use , Polymers/therapeutic use , Ureteral Obstruction/etiology , Ureteroscopy/methods , Adolescent , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Retrospective Studies , Risk Factors , Ureteroscopy/adverse effects , Vesico-Ureteral Reflux
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