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1.
Clin Oral Investig ; 28(7): 413, 2024 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-38965139

RESUMO

OBJECTIVES: This study compares the biofilm inhibition effects of denture cleaning tablets, carvacrol, and their combined use against Candida albicans on denture bases produced with different techniques. Additionally, the surface roughness and contact angles of these denture bases were evaluated. MATERIALS AND METHODS: Test samples were prepared from four different denture base materials (cold-polymerized, heat-polymerized, CAD/CAM milling, and 3D-printed). The surface roughness and contact angles of the test samples were measured using a profilometer and goniometer, respectively. For the evaluation of biofilm inhibition, samples were divided into 5 subgroups: Corega and carvacrol, separately and combined treatments, positive (inoculated with C. albicans) and negative control (non-inoculated with C. albicans, only medium). Biofilm mass was determined using the crystal violet method. An additional prepared test sample for each subgroup was examined under scanning electron microscopy (SEM). RESULTS: The surface roughness values of the 3D-printed test samples were found to be statistically higher than the other groups (P < .001). The water contact angle of all test materials was not statistically different from each other (P > .001). Corega and carvacrol, separately and combined, significantly decreased the amount of biofilm on all surfaces (P < .0001). Treatment of corega alone and in combination with carvacrol to the 3D-printed material caused less C. albicans inhibition than the other groups (P < .001; P < .05). CONCLUSIONS: The surface roughness values of all test groups were within the clinically acceptable threshold. Although Corega and carvacrol inhibited C. albicans biofilms, their combined use did not show a synergistic effect. CLINICAL RELEVANCE: Carvacrol may be used as one of the disinfectant agents for denture cleaning due to its biofilm inhibition property.


Assuntos
Biofilmes , Candida albicans , Cimenos , Bases de Dentadura , Higienizadores de Dentadura , Teste de Materiais , Microscopia Eletrônica de Varredura , Propriedades de Superfície , Biofilmes/efeitos dos fármacos , Candida albicans/efeitos dos fármacos , Bases de Dentadura/microbiologia , Cimenos/farmacologia , Higienizadores de Dentadura/farmacologia , Impressão Tridimensional , Comprimidos
2.
Odontology ; 112(2): 460-471, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37819468

RESUMO

The aim of this study was to evaluate the surface roughness and contact angle of composite resins produced by CAD/CAM milling and three-dimensional (3D) printing for permanent restorations as well as the adhesion of S. mutans and S. sanguinis bacteria to these composites. Three CAD/CAM milling composite resins (Vita Enamic-VE, Cerasmart-CE, Lava Ultimate-LU) and three 3D printing resins (Varseo Smile Crown plus-VSC, Saremco print Crowntech-SPC, Formlabs 3B Permanent crown-FLP) were selected. Twenty samples were prepared for each group. Using a contact profilometer, the surface roughness was determined, and an optical goniometer was used to quantify the contact angle. To evaluate the bacterial adhesion, composite specimens were immersed in mucin containing artificial saliva. All samples were incubated for 24 h at 37°C in 5% CO2. CFUs were determined by counting colonies after the incubation period. Surface roughness values of test samples were the highest in the Group VSC [0.46 (0.14) µm], whereas the lowest values were found in the Group LU [0.23 (0.05) µm]. There was no statistically significant difference between the groups in contact angle values (p > 0.05). The S. mutans adhesion extent on the Group SPC was statistically higher compared to all other materials with p < 0.05. For S. sanguinis, the lowest bacterial adhesion value was recorded in Group CE (3.00 × 104 CFU/ml) and statistically significant differences were found with Group VE and VSC (p < 0.05). Different digital manufacturing techniques and material compositions can affect the surface roughnesses of composite resins. All composite resin samples have hydrophobic characteristics. Microbial adhesion of the tested composite resins may be varied depending on the bacterial species. S. mutans showed much more adhesion to these materials than S. sanguinis.


Assuntos
Aderência Bacteriana , Resinas Compostas , Resinas Compostas/química , Propriedades de Superfície , Cerâmica , Desenho Assistido por Computador , Impressão Tridimensional , Teste de Materiais
3.
Odontology ; 112(3): 782-797, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38157108

RESUMO

There is limited information on the repairability of prostheses produced with digital technology. This study aims to evaluate various surface treatments on flexural bond strength of repaired dentured base resins produced by digital and conventional methods. A total of 360 samples were prepared from one heat-polymerized, one CAD/CAM milled and one 3D printed denture base materials. All of the test samples were subjected to thermocycling (5-55 °C, 5000 cycles) before and after repair with auto-polymerizing acrylic resin. The test samples were divided into five subgroups according to the surface treatment: grinding with silicon carbide (SC), sandblasting with Al2O3 (SB), Er:YAG laser (L), plasma (P) and negative control (NC) group (no treatment). In addition, the positive control (PC) group consisted of intact samples for the flexural strength test. Surface roughness measurements were performed with a profilometer. After repairing the test samples, a universal test device determined the flexural strength values. Both the surface topography and the fractured surfaces of samples were examined by SEM analysis. The elemental composition of the tested samples was analyzed by EDS. Kruskal-Wallis and Mann-Whitney U tests were performed for statistical analysis of data. SB and L surface treatments statistically significantly increased the surface roughness values of all three materials compared to NC subgroups (p < 0.001). The flexural strength values of the PC groups in all three test materials were significantly higher than those of the other groups (p < 0.001). The repair flexural strength values were statistically different between the SC-SB, L-SB, and NC-SB subgroups for the CAD/CAM groups, and the L-SC and L-NC subgroups for the 3D groups (p < 0.001). The surface treatments applied to the CAD/CAM and heat-polymerized groups did not result in a statistically significant difference in the repair flexural strength values compared to the NC groups (p > 0.05). Laser surface treatment has been the most powerful repair method for 3D printing technique. Surface treatments led to similar repair flexural strengths to untreated groups for CAD/CAM milled and heat-polymerized test samples.


Assuntos
Compostos Inorgânicos de Carbono , Desenho Assistido por Computador , Bases de Dentadura , Resistência à Flexão , Teste de Materiais , Microscopia Eletrônica de Varredura , Impressão Tridimensional , Propriedades de Superfície , Compostos Inorgânicos de Carbono/química , Materiais Dentários/química , Resinas Acrílicas/química , Lasers de Estado Sólido , Colagem Dentária/métodos , Análise do Estresse Dentário , Compostos de Silício/química , Reparação em Dentadura , Óxido de Alumínio/química , Polimerização
4.
J Esthet Restor Dent ; 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38747067

RESUMO

OBJECTIVE: This study aimed to examine the shear bond strength (SBS) of repair material to conventionally, subtractive-, and additive-manufactured denture bases after different surface treatments. MATERIALS AND METHODS: Disk-shaped test specimens (N = 300) were prepared from denture base materials produced by one conventional (Procryla), one subtractive (Yamahachi), and one additive (Curo Denture) method. The test specimens were randomly divided into five groups (n = 10) and exposed to a variety of surface treatments-Group A: no surface treatment; Group B: grinding with silicon carbide paper; Group C: sandblasting; Group D: erbium: yttrium-aluminum-garnet laser; and Group E: plasma. Repair was performed with autopolymerizing acrylic resin (Meliodent). Surface roughness analyses were performed with a profilometer. Scanning electron microscopy was used to examine one specimen from each subgroup. SBS was evaluated on a universal testing machine. Failure types were observed under a stereomicroscope. RESULTS: Surface roughness values were significantly higher in all test materials in Group D than in the other groups (p < 0.001). For conventional resin, the SBS values were higher in Group C than in Groups A, D, and E (p < 0.001). For CAD/CAM material, Groups B and C had significantly greater SBS increases compared with Group E (p < 0.001). For 3D material, Group D showed higher SBS than all groups except Group C (p < 0.001). CONCLUSIONS: For SBS, sandblasting was most effective in the conventional group, whereas laser treatment was the most effective in the additive-manufactured group. For the subtractive group, surface treatments other than plasma exhibited similar SBS. CLINICAL SIGNIFICANCE: In repairing fractured prostheses, any degree of roughening suitable for the material content may provide an SBS benefit.

5.
Palliat Support Care ; 21(1): 100-107, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-35699122

RESUMO

OBJECTIVES: This study is aimed to evaluate the validity and reliability of the Cancer Stigma Scale for the Turkish population (CASS-T). METHODS: The sample of the study consisted of 412 students of a foundation university located in Ankara, Turkey. The reliability of the CASS was evaluated using the Cronbach alpha reliability coefficient and item-total score correlations. Exploratory factor analyses were applied to examine the factor structure of the scale and its construct validity. To test the time invariance of the scale, the relationships between the scores obtained from the first and second applications were examined using the intraclass correlation coefficient (ICC). RESULTS: The Cronbach's alpha coefficient of CASS-T was 0.83. In the factor analysis, it was confirmed that the scale has a six-dimensional structure in parallel to original version, namely Avoidance, Severity, Responsibility, Policy opposition, Awkwardness, and Discrimination. The ICC values all remained in the range that indicates the reliability of the 0.63-0.71 to be substantial. The contribution of the six factors of the CASS-T scale to the variance is 57.8. SIGNIFICANCE IN RESULTS: The Turkish version of the CASS was confirmed to have good reliability and validity for evaluating stigma toward cancer in Turkish society.


Assuntos
Neoplasias , Humanos , Turquia , Reprodutibilidade dos Testes , Inquéritos e Questionários , Psicometria/métodos
6.
Mol Biol Rep ; 49(6): 5473-5482, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35235154

RESUMO

BACKGROUND: Pistacia is a genus of dioecious plant species whose trees can take 4-5 years to reach the economically valuable fruit-bearing stage. The fruits have great importance as raw material in the food, healthcare, and baking industries. For that reason, the identification of individual plants in the early juvenile period for the pollination and positioning of trees is crucial for growers. The objective of this study is to develop markers for each Pistacia species that can help in screening the sex of plant seedlings before they reach the reproductive stage, without waiting for morphological characteristics to appear. METHODS AND RESULTS: Within this context, by using the power of the kompetitive allele-specific PCR (KASP) assay technology as a marker screening system, we successfully discriminated seven out of eight Pistacia species: P. atlantica, P. integerrima, P. khinjuk, P. mutica, P. terebinthus, P. vera, and P. lentiscus. We used a high-throughput DNA sequence read archive (SRA) to assemble a reference genome that was employed in our studies as a de novo bioinformatics method. Four genomic regions from SRA and three single-nucleotide polymorphism (SNP) positions from Kafkas et al. BMC Genomics 16:98, 2015) were selected and sequenced with collected plant material from predominantly the Antepfistigi Research Institute Collection Garden, and eight species were aligned intraspecifically for SNP mining. In total, 12 SNP markers were converted to KASP markers, and 5 of them (SNP-PIS-133396, SNP-PIS-167992, P-ATL-91951-565, P-INT-91951-256, P-KHI-91951-115) showed clear allelic discrimination between male and female plants. SNP-PIS-167992 and P-ATL-91951-565 were identified as the best marker assays because they showed allelic frequency differences for all individuals and for both homozygous and heterozygous characters. These markers could be the most comprehensive ones for the whole genus because they showed discriminative power for several species. CONCLUSIONS: This study is the first one to use the KASP assay for sex discrimination in Pistacia species, and it can be regarded as a precursor study for sex discrimination by KASP for plants in general.


Assuntos
Pistacia , Alelos , Sequenciamento de Nucleotídeos em Larga Escala , Pistacia/genética , Reação em Cadeia da Polimerase/métodos , Polimorfismo de Nucleotídeo Único/genética
7.
J Couns Psychol ; 68(5): 550-561, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33090871

RESUMO

Most measures of psychotherapy outcome focus on symptomatic change. However, clients often report other changes through therapy, such as increased self-acceptance. This study reports on the development and validation of the Complementary Measure of Psychotherapy Outcome (COMPO) that assesses different areas of psychological functioning deemed important by clients and therapists. Items were written based on a literature review of client-reported change and feedback from experienced therapists. Exploratory factor analysis was conducted on the initial 42-item COMPO administered to 264 psychotherapy clients. Iterative item reduction resulted in the final 12-item, four-factor solution, with factors named self-acceptance, self-knowledge, relationship quality, and consideration of others. This factor structure, along with a bifactor model that contains a general factor and the four domain-specific factors, was replicated on a sample of 571 adults in the community. The 12-item COMPO exhibits convergent validity with measures of self-esteem, insight, social support, and empathy; demonstrates 2-week test-retest reliability; and predicts life satisfaction. The 12-item COMPO was further administered to 28 clients in short-term psychodynamic therapy for depression. Except for consideration of others, COMPO subscales and total scale scores improved from pre- to posttherapy. Posttherapy COMPO scores were also higher among clients who experienced clinically significant change compared to those who did not. The COMPO was negatively associated with depressive symptoms and impairments in functioning across the three samples. The brevity of the COMPO makes it a convenient tool to supplement symptom-based measures for a more comprehensive assessment of outcome in psychotherapy. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Psicoterapia Psicodinâmica , Adulto , Empatia , Análise Fatorial , Humanos , Reprodutibilidade dos Testes , Autoimagem
8.
J Esthet Restor Dent ; 31(3): 253-256, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30387275

RESUMO

OBJECTIVE: Caries-detector dyes (CDDs) have proven useful in the identification and removal of carious dentin. However, residues of these cleaning agents may remain in the oral cavity. This study conducted spectrophotomectric analyses to evaluate the effectiveness of different cleaning agents in removing residual CDDs from the oral cavity. MATERIAL AND METHOD: Ninety freshly extracted human third-molar teeth were used in the study. Tooth occlusal surfaces were ground to expose dentin. Specimens were randomly distributed into 3 groups according to CDD [Seek Caries Indicator (SCI), Caries Detector (CD), Caries Marker (CM)], and each group was further divided into 3 sub-groups according to cleaning solution [distilled water (DW), 3% NaOCl, and 3% H2 O2 )]. CDDs were applied to dentin surfaces according to the manufacturer's instructions and then rinsed with a cleansing solution. The effectiveness of cleaning solutions in removing CDD residues was determined according to color change by comparing spectrophotometric measurements of tooth color before CDD application and after cleaning. Data were analyzed using two-way analysis of variance (ANOVA) and Tukey's HSD test (α = 0.05). RESULT: For all CDDs groups, the smallest color differences were observed in the 3% NaOCl sub-groups (P < .05), and the largest in the distilled water sub-groups (P > .05). When compared to the other CDD groups, the SCI group yielded the greatest color differences for all cleaning-agent sub-groups. CONCLUSION: Cleaning solutions such as 3% NaOCl or 3% H2 O2 can be used to remove residual CDD from dentin surfaces. CLINICAL SIGNIFICANCE: This study compared the effectiveness of three different cleaning agents in caries removal process.


Assuntos
Corantes , Cárie Dentária , Dentina , Adesivos Dentinários , Humanos , Propilenoglicóis , Rodaminas
9.
Focus (Am Psychiatr Publ) ; 20(4): 337-352, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37200886

RESUMO

Progress in understanding borderline personality disorder has unfolded in the last decade, landing in a new COVID-19-influenced world. Borderline personality disorder is now firmly established as a valid diagnosis, distinct from its co-occurring mood, anxiety, trauma-related, and behavioral disorders. Further, it is also understood as a reflection of general personality dysfunction, capturing essential features shared among all personality disorders. Neuroimaging research, representing the vast neurobiological advances made in the last decade, illustrates that the disorder shares frontolimbic dysfunction with many psychiatric diagnoses but has a distinct signature of interpersonal and emotional hypersensitivity. This signature is the conceptual basis of the psychotherapies and clinical management approaches proven effective for the disorder. Medications remain adjunctive and are contraindicated by some guidelines internationally. Less invasive brain-based therapeutics show promise. The most significant change in the treatment landscape is a focus on briefer, less intensive formats of generalist management. Shorter variants of therapies, such as dialectical behavior therapy and mentalization-based treatment, are in the process of being shown to be adequately effective. Earlier intervention and greater emphasis on functional improvement are needed to more effectively curb the disabilities and risks of borderline personality disorder for patients and their families. Remote interventions show promise in broadening access to care.

10.
Personal Disord ; 11(3): 157-169, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-31804128

RESUMO

Personality disorders (PD) carry high psychosocial dysfunction and are associated with treatment resistance in nonspecialized care. Psychodynamic therapies (PDT) are often used to treat PDs, but there has never been a systematic meta-analysis of PDT trials for PD. To evaluate the evidence base for PDTs for PDs across multiple outcome domain, a systematic search for PDT for PD trials was conducted through PubMed and PsycINFO. Sixteen trials were identified, comprising 19 dynamic, 8 active, and 9 control groups predominantly reflecting treatment of borderline and mixed Cluster C PDs, and a random effects meta-analysis was undertaken. PDTs were superior to controls in improving core PD symptoms (g = -0.63; 95% confidence interval [CI; -0.87, -0.41]), suicidality (g = -0.79, p = .02; 95% CI [-1.38, -0.20]), general psychiatric symptoms (g = -0.47; 95% CI [-0.69, -0.25]), and functioning (g = -0.66; 95% CI [-1.01, -0.32]), but not for interpersonal problems due to heterogeneity (g = -1.25; 95% CI [-3.22, 0.71]). Outcomes for PDTs were not different from other active treatments in core PD (g = 0.05; 95% CI [-0.25, 0.35]) or other symptoms. This pattern continued into posttreatment follow-up (average 14 months). Study quality was generally rated as adequate and was unrelated to outcomes. Compared with other treatments, PDTs do not have different acute effects and are superior to controls, although only trials treating BPD employed active controls and non-BPD trials were of lower quality. Underresearched areas include narcissistic PD, specific Cluster C disorders, and personality pathology as a continuous construct. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Transtornos da Personalidade/terapia , Psicoterapia Psicodinâmica , Transtorno da Personalidade Borderline/terapia , Ensaios Clínicos como Assunto , Humanos
11.
J Oral Sci ; 60(2): 304-315, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29925715

RESUMO

The aim of the present study is to evaluate the transverse strength, modulus of elasticity, surface roughness, hardness, and water sorption/solubility of nanoparticle zirconium oxide (nano-ZrO2) added to heat-cured poly(methyl methacrylate) (PMMA) after thermocycling. The specimens were divided into four groups according to the ratio of nano-ZrO2 addition to heat-cured PMMA; group 1: 5% nano-ZrO2; group 2: 10% nano-ZrO2; group 3: 20% nano-ZrO2, and group 4 (control): PMMA without nano-ZrO2. A statistically significant decrease in transverse strength was observed by all additional rates of nano-ZrO2 compared with group 4 (control; P < 0.025). When hardness results were evaluated, groups 1 and 2 showed statistically higher values compared with groups 3 and 4 (P < 0.025). The surface roughness of group 3 was statistically higher than the other groups (P < 0.025), but it was within the clinically acceptable limits. As the nano-ZrO2 addition rate increased, water sorption/solubility values of the specimens also increased. Although nano-ZrO2 addition had an adverse effect on some mechanical and physical properties of heat-cured PMMA, it increased hardness values, implying that the addition of nano-ZrO2 would contribute positively to some mechanical properties of PMMA denture base material when nano-ZrO2 was homogeneously distributed in PMMA.


Assuntos
Teste de Materiais , Nanopartículas/administração & dosagem , Polimetil Metacrilato/administração & dosagem , Polimetil Metacrilato/química , Zircônio/administração & dosagem , Elasticidade , Testes de Dureza , Microscopia Eletrônica de Varredura , Solubilidade , Propriedades de Superfície , Temperatura , Difração de Raios X
12.
Personal Disord ; 9(5): 437-446, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-29239627

RESUMO

The aim of the present study was to assess the effect of initial level of psychiatric severity on treatment outcome in psychodynamic therapy and dialectical behavior therapy (DBT) for borderline personality disorder (BPD). It was hypothesized that DBT would lead to better outcome for patients with high psychiatric severity, whereas dynamic treatment would lead to better outcome for patients with lower psychiatric severity. Data from the 5th-year follow-up of the Stockholm City Council's and the Karolinska Institute's Psychotherapy Project were used in the present study. A total of 106 female patients diagnosed with BPD with at least 2 past suicide attempts were randomized into object-relational psychotherapy (ORP; based on transference-focused psychotherapy), DBT, and treatment as usual. Patients' baseline global severity index was used as a moderator. Global Assessment of Functioning (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition [American Psychiatric Association, 1994]) was used to examine outcome. There was a significant 3-way interaction of Time × Treatment × Severity. Post hoc analyses suggested that patients with lower levels of severity had significantly better outcomes in object-relational psychotherapy. For patients with higher severity, the 3 treatments resulted in similar outcomes in terms of level of functioning. Outcome of treatment for BPD might differ significantly for patients depending on their initial levels of overall psychiatric severity. If our findings are replicated for patients with low severity and supported for a high-severity sample, psychiatric severity can be used as a low-cost and effective tool to match patients with BPD to optimal treatments. (PsycINFO Database Record


Assuntos
Transtorno da Personalidade Borderline/terapia , Terapia do Comportamento Dialético/métodos , Avaliação de Resultados em Cuidados de Saúde , Psicoterapia Psicodinâmica/métodos , Índice de Gravidade de Doença , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Adulto Jovem
13.
Ulus Travma Acil Cerrahi Derg ; 24(2): 136-144, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29569685

RESUMO

BACKGROUND: Hospital emergency departments (EDs) are confronted with managing dental emergencies of both traumatic and non-traumatic origin. However, the literature suggests inadequate knowledge of the management of traumatic dental injuries (TDIs) among medical professionals. The aim of this study was to investigate the knowledge and attitudes regarding management of TDIs among Istanbul ED physicians. METHODS: Surveys were distributed to emergency departments (ED) directors and their physicians. The survey contained questions about their characteristics and tested their knowledge of managing dental trauma. RESULTS: A total of 126 surveys (13 ED directors and 113 physicians) were returned and included in the analysis. ED physician's knowledge of the appropriate management of crown fractures and avulsion was generally good (p=0.221), but poor for luxation injuries (p=0.0001). Physicians were more likely to have a better knowledge about permanent teeth than about primary teeth (p=0.027). CONCLUSION: Education, monitoring, improved availability of resources, and disciplinary measures in cases of poor compliance are necessary to improve TDI management in hospitals, especially among physicians.


Assuntos
Competência Clínica/estatística & dados numéricos , Serviço Hospitalar de Emergência/estatística & dados numéricos , Médicos , Fraturas dos Dentes/terapia , Estudos Transversais , Humanos , Médicos/normas , Médicos/estatística & dados numéricos , Inquéritos e Questionários , Turquia/epidemiologia
14.
J Biomed Mater Res A ; 80(2): 505-8, 2007 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-17120224

RESUMO

Calcium phosphate ceramics are generally biocompatible and can develop interactions with human recipient bone. Therefore, they can be widely used in the field of periodontology and dentistry. The purpose of this investigation was to assess the long-term histological bone healing results of experimentally created critical size parietal bone defects in rats. Twelve Wistar rats were used in this investigation. Two 6-mm wide, symmetrical, and circular critical size defects were created in each parietal bone of the animals. While the right defects filled with granular implant (Ceraform), the symmetrical defects were taken as controls. Eighteen months after implantation, rats were killed and defects including the biomaterial with surrounding bone was taken for histological examination. Serial histological sections were cut across the defects and stained for the histological analysis. Both control and Ceraform implanted regions contained dense collagenous tissue. In the implantation site, multinuclear giant cells were observed around the material. On the other hand, there were no necrosis, tumour, and infection in the implantation region. There was no statistical difference between the control and ceraform implanted groups when the bone formation results were compared (p > 0.05). In conclusion, the results revealed that this material is biocompatible and does enhance the new bone building despite the long-term observation period. Although this biphasic ceramic shows within the limits of the study as a less resorptive and not osteoconductive properties, it can be considered as a biocompatible bone defect filling material having a limited application alternative in dentistry and medicine.


Assuntos
Osso e Ossos/lesões , Cerâmica/farmacologia , Hidroxiapatitas/farmacologia , Osteogênese/efeitos dos fármacos , Cicatrização/efeitos dos fármacos , Animais , Materiais Biocompatíveis , Cerâmica/uso terapêutico , Hidroxiapatitas/uso terapêutico , Implantes Experimentais , Teste de Materiais , Modelos Animais , Osso Parietal/lesões , Ratos , Ratos Wistar
15.
Wideochir Inne Tech Maloinwazyjne ; 12(3): 231-237, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29062442

RESUMO

INTRODUCTION: Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy is the first step treatment modality of choledocholithiasis. In spite of an extended sphincterotomy, 10-15% of complex choledochal stones (larger than 15 mm and/or more than 3 stones) cannot be removed and recurrent ERCP procedures may be needed. AIM: To evaluate the role and efficiency of multiple biliary stent application in the treatment of large and multiple choledochal stones. MATERIAL AND METHODS: Patients with complex choledochal stones and patients with inadequate choledochal clearance during ERCP were included in the study. The study group was divided into 2 groups as the placement of single (n = 27 patients) or multiple stents (n = 58 patients). After a mean time interval of 21 days (10-28), the ERCP procedure was tried for the second time and a stent was placed in case of recurrence. RESULTS: Successful biliary drainage was provided in both groups. The decrease in the longitudinal or transverse size of the stones after stent placement was found to be statistically significant in both groups (p = 0.001). Cholestatic enzymes (alkaline phosphatase (ALP), γ-glutamyltransferase (GGT)) and bilirubin levels decreased significantly in both groups following stenting (p = 0.001). Additionally, multiple stents functioned as a bridge starting from the first ERCP to full clearance in patients with large and multiple stones which could not be removed at once and saved them from the possible morbidities of an invasive operation. CONCLUSIONS: Endoscopic multiple biliary stent placement should be preferred in the treatment of patients with complex choledochal stones and high rates of co-morbidity, as a safe alternative to surgery.

16.
Appl Biochem Biotechnol ; 171(8): 2142-52, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24026416

RESUMO

A novel method was developed for the immobilization of Saccharomyces cerevisiae invertase within supermacroporous polyacrylamide cryogel and was used to produce invert sugar. First, the cross-linking of invertase with soluble polyglutaraldehyde (PGA) was carried out prior to immobilization in order to increase the bulkiness of invertase and thus preventing the leakage of the cross-linked enzyme after immobilization by entrapment. And then, in situ immobilization of PGA cross-linked invertase within cryogel synthesis was achieved by free radical polymerization in semi-frozen state. The method resulted in 100 % immobilization and 74 % activity yields. The immobilized invertase retained all the initial activity for 30 days and 30 batch reactions. Immobilization had no effect on optimum temperature and it was 60 °C for both free and immobilized enzyme. However, optimum pH was affected upon immobilization. Optimum pH values for free and immobilized enzyme were 4.5 and 5.0, respectively. The immobilized enzyme was more stable than the free enzyme at high pH and temperatures. The kinetic parameters for free and immobilized invertase were also determined. The newly developed method is simple yet effective and could be used for the immobilization of some other enzymes and microorganisms.


Assuntos
Criogéis/química , Enzimas Imobilizadas/química , beta-Frutofuranosidase/química , Glutaral/análogos & derivados , Glutaral/química , Concentração de Íons de Hidrogênio , Cinética , Saccharomyces cerevisiae/química , Saccharomyces cerevisiae/enzimologia , Temperatura
17.
Exp Diabetes Res ; 2012: 386831, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22536214

RESUMO

OBJECTIVE: Oxidative stress is considered to be the main factor in the development of diabetic complications and tissue injury. our objective was to investigate and compare the oxidant/antioxidant conditions and detoxification mechanisms of the liver, lung, kidney, cardiac tissues, and mitochondria of rats with diabetes induced by streptozocin (STZ). METHODS: Rats with diabetes induced by streptozocin were anesthetized by administering 90 mg/kg ketamine hydrochloride and 3 mg/kg xylazine hydrochloride. Thoracic cavities were incised open; liver, lung, kidney, and cardiac tissues were removed and stored at -70°C. All samples were homogenized and mitochondrial fractions were separated. Total Antioxidant Status (TAS), Total Oxidant Status (TOS), Oxidative Stress Index (OSI), Paraoxonase (PON), Arylesterase, Catalase (Cat), Malondialdehyde (MDA), and Glutathion-S-transferase were measured in each fraction. RESULTS: MDA and TOS levels were significantly increased in liver tissues, and T OS and OSI were increased in the mitochondrial fractions of diabetic rats. These increases were not statistically significant compared to the control group. No significant differences were determined in the antioxidant and GST activities. CONCLUSION: According to our results, oxidative stress has not developed in rats with diabetes induced by streptozocin. The detoxification system was induced; however, this induction did not differ significantly from the controls.


Assuntos
Antioxidantes/metabolismo , Diabetes Mellitus Experimental/metabolismo , Mitocôndrias/metabolismo , Estresse Oxidativo/fisiologia , Animais , Catalase/metabolismo , Feminino , Glutationa/metabolismo , Rim/metabolismo , Peroxidação de Lipídeos/fisiologia , Fígado/metabolismo , Pulmão/metabolismo , Masculino , Malondialdeído/metabolismo , Miocárdio/metabolismo , Ratos , Ratos Wistar
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