Dentinhaftung von Zementen. Der Haftverbund von Zementen mit Dentin in Kombination mit verschiedenen indirekten Restaurationsmaterialien

Einleitung: Die Anzahl zahnärztlicher Zemente sowie Restaurationsmaterialien steigt stetig. Die richtige Zementwahl für einen zuverlässigen Haftverbund zwischen Restaurationsmaterial und Zahnsubstanz ist von Interesse für den Kliniker. Ziel der vorliegenden in vitro-Studie war es daher, den Dentinhaftverbund von verschiedenen Zementen in Kombination mit verschiedenen indirekten Restaurationsmaterialien zu untersuchen. Material und Methoden: Zylindrische Probekörper aus sechs Restaurationsmaterialien (Goldlegierung, Titan, Feldspat-Keramik, Leuzit-Glaskeramik, Zirkon sowie Komposit) wurden an einem Ende plangeschliffen und sandgestrahlt. Die Zylinder aus Feldspat-Keramik und Leuzit-Glaskeramik wurden zusätzlich mit Flusssäure geätzt und silanisiert. Die Zylinder wurden anschliessend mit acht Zementen auf plangeschliffenes Dentin extrahierter menschlicher Zähne zementiert (ein Zink-Phosphatzement (DeTrey Zinc), ein konventioneller Glasionomerzement (Fuji I), ein kunststoffmodifizierter Glasionomerzement (Fuji Plus), ein "etch-&-rinse" Kompositzement (Variolink II), zwei "self-etch" Kompositzemente (Panavia F2.0 und Multilink) und zwei "self-adhesive" Kompositzemente (RelyX Unicem Aplicap und Maxcem)). Nach einwöchiger Wasserlagerung bei 37°C wurden die Dentinhaftwerte der Zylinder (n=8 pro Gruppe) mittels Scherkraft-Test gemessen. Zusätzlich wurde das Frakturmuster unter dem Lichtmikroskop bestimmt. Die Haftwerte wurden mittels zweifaktorieller ANOVA und einem post hoc-Test analysiert (Signifikanzniveau α = 0.05). Resultate: Sowohl das Restaurationsmaterial wie auch der Zement hatten einen statistisch signifikanten Effekt auf den Haftverbund. Der Zink-Phosphatzement sowie beide Glasionomerzemente zeigten die niedrigsten Haftwerte. Die höchsten Haftwerte wurden mit beiden "self-etch" und einem der zwei "self-adhesive" Kompositzementen erzielt. Im Allgemeinen variierte das Frakturmuster deutlich je nach Zement und Restaurationsmaterial. Schlussfolgerungen: Der Dentinhaftverbund wurde stärker vom Zement beeinflusst als vom Restaurationsmaterial. Die Kompositzemente erzielten im Grossen und Ganzen die höchsten Haftwerte.

Dentin Bond Strength of Two Recent CAD/CAM-Materials after Storage

Purpose: To investigate the bond strength to dentin of two recent resin-ceramic materials for computer-aided design/computer-aided manufacturing (CAD/CAM) after 24 hours and after six months storage. Methods and Materials: Ninety cylinders were milled out of Lava Ultimate (3M ESPE) and 90 cylinders out of VITA ENAMIC (VITA Zahnfabrik) (dimension of cylinders: ∅=3.6 mm, h=2 mm). All Lava Ultimate cylinders were sandblasted (aluminium oxide, grain size: 27 μm) and cleaned with ethanol, whereas all VITA ENAMIC cylinders were acid-etched (5% hydrofluoric acid) and cleaned with water-spray. According to the three groups of cements used, the cylinders (n=30/resin-ceramic material) were further pretreated with 1) Scotchbond Universal for RelyX Ultimate (3M ESPE), 2) CLEARFIL Ceramic Primer for PANAVIA F2.0 (Kuraray), or 3) no further pretreatment for Ketac Cem Plus (3M ESPE). The cylinders were then bonded to ground human dentin specimens with 1) Scotchbond Universal and RelyX Ultimate (light-cured), 2) ED PRIMER II and PANAVIA F2.0 (light-cured), or 3) no adhesive system; Ketac Cem Plus (self-cured). Shear bond strength (SBS) was measured after 24 hours for 15 specimens/group and after six months (37°C, 100% humidity) for the other 15 specimens/group. SBS-values were statistically analysed with nonparametric ANOVA followed by exact Wilcoxon rank sum tests (α=0.05). Results: SBS of the two resin-ceramic materials and the three cements after 24 hours and after six months storage are shown in Figure 1. The statistical analysis showed that the duration of storage had a significant effect on SBS of Lava Ultimate for all three cements but had no significant effect on SBS of VITA ENAMIC. For Lava Ultimate SBS-values were (MPa; medians after 24 hours/six months): 13.5/22.5 (p=0.04) for RelyX Ultimate, 11.4/5.8 (p=0.0006) for PANAVIA F2.0, and 0.34/0.09 (p=0.04) for Ketac Cem Plus (Fig. 1). For VITA ENAMIC SBS-values were (MPa; medians after 24 hours/six months): 16.0/21.2 (p=0.10) for RelyX Ultimate, 11.4/14.4 (p=0.06) for PANAVIA F2.0, and 0.43/0.41 (p=0.32) for Ketac Cem Plus (Fig. 1). After 24 hours, there was no significant difference in SBS between Lava Ultimate and VITA ENAMIC for all three cements (p≥0.37). After six months, there was no significant difference in SBS between Lava Ultimate and VITA ENAMIC for RelyX Ultimate and Ketac Cem Plus (p≥0.07) whereas for PANAVIA F2.0, SBS was significantly lower for Lava Ultimate than for VITA ENAMIC (p<0.0001). Conclusion: SBS of Lava Ultimate was more affected by six months storage and by the cement used than was VITA ENAMIC.

Partiality, Agent-Relative Reasons, and the Individuals View

The paper offers a critical discussion of Simon Keller’s individuals view concerning the grounds of special obligations. It is argued that the view offers a misleading account of agent-relative reasons, which leads to problems with the arguments Keller offers for his view – the Kantian, consequentialist, particularistic argument. Furthermore, it argues that Keller’s argument from phenomenology suffers from not distinguishing between reasons for partiality and reasons from partiality. At best, it can be applied to reasons from partiality – reasons that agents have in virtue of standing in a relationship of partiality with some other person. Thus, the argument does not support the individuals view, as it is compatible with the other approaches Keller discusses. The paper suggests a modified relationship view to ground reasons of partiality.

Excited state interactions between the chiral Au 38 L 24 cluster and covalently attached porphyrin

A protected S-acetylthio porphyrin was synthesized and attached to the Au38(2-phenylethanethiolate)24 cluster in a ligand exchange reaction. Chiral high performance liquid chromatography of the functionalized cluster yielded enantiomeric pairs of clusters probably differing in the binding site of the porphyrin. As proven by circular dichroism, the chirality was maintained. Exciton coupling between the cluster and the chromophore is observed. Zinc can be incorporated into the porphyrin attached to the cluster, as evidenced by absorption and fluorescence spectroscopy, however, the reaction is slow. Quenching of the chromophore fluorescence is observed, which can be explained by energy transfer from the porphyrin to the cluster. Transient absorption spectra of Au38(2-phenylethanethiolate)24 and the functionalized cluster probe the bleach of the gold cluster due to ground state absorption and the characteristic excited state absorption signals. Zinc incorporation does not have a pronounced effect on the photophysical behaviour. Decay times are typical for the molecular behaviour of small monolayer protected gold clusters.

No Effect of Acupuncture in the Relief of Delayed-Onset Muscle Soreness: Results of a Randomized Controlled Trial

BACKGROUND Delayed-onset muscle soreness (DOMS) is a common symptom in people participating in exercise, sport, or recreational physical activities. Several remedies have been proposed to prevent and alleviate DOMS. DESIGN AND METHODS A five-arm randomized controlled study was conducted to examine the effects of acupuncture on eccentric exercise-induced DOMS of the biceps brachii muscle. Participants were recruited through convenience sampling of students and general public. Participants were randomly allocated to needle, laser, sham needle, sham laser acupuncture, and no intervention. Outcome measures included pressure pain threshold (PPT), pain intensity (visual analog scale), and maximum isometric voluntary force. RESULTS Delayed-onset muscle soreness was induced in 60 participants (22 females, age 23.6 ± 2.8 years, weight 66.1 ± 9.6 kg, and height 171.6 ± 7.9 cm). Neither verum nor sham interventions significantly improved outcomes within 72 hours when compared with no treatment control (P > 0.05). CONCLUSIONS Acupuncture was not effective in the treatment of DOMS. From a mechanistic point of view, these results have implications for further studies: (1) considering the high-threshold mechanosensitive nociceptors of the muscle, the cutoff for PPT (5 kg/cm) chosen to avoid bruising might have led to ceiling effects; (2) the traditional acupuncture regimen, targeting muscle pain, might have been inappropriate as the DOMS mechanisms seem limited to the muscular unit and its innervation. Therefore, a regionally based regimen including an intensified intramuscular needling (dry needling) should be tested in future studies, using a higher cutoff for PPT to avoid ceiling effects.

Seroprevalence of toxoplasmosis and current thinking regarding screening in pregnancy: A review of the literature and case study discussion

The approach to the diagnosis and treatment of congenital toxoplasmosis has been one of flux and debate, fueled by lack of knowledge, lack of consensus, different methods of screening and different national policies for screening in different parts of the world. Countries with higher prevalence of disease such as in Europe and South America have a heightened awareness of the need to screen and treat for this parasitic infection during pregnancy. In contrast, in the United States, it is a condition scarcely discussed and has been largely ignored except in some large centers and by a few researchers. Policies and research strategies for any condition should start with obtaining good data. The aims of this thesis included a review of prevalence studies conducted in the United States, focused on the past 20 years, combined with a description of original research conducted by the author several years ago. The latter was a cross-sectional study performed in Houston, one of the largest American cities with a great ethnic mix. The study analyzed prevalence rates of Toxoplasma gondii IgG antibody in sera of women of reproductive age. Overall seroprevalence was 12.3%. In keeping with other studies, higher prevalence correlated with lower socioeconomic status, Black and Hispanic and Asian ethnicities, and increasing age. A literature search revealed only three prevalence studies performed in the United States over the past 20 years, with another four studies only referred to as personal communications or within a textbook, without further study detail available. The literature review also revealed a lack of consensus on whether or not to screen for toxoplasmosis in pregnancy, and even whether or not treatment in utero is worthwhile.^ Proponents of screening and treatment in pregnancy site studies both in the United States and France, emphasize that treatment reduces disease manifestations in infants. Opponents cite other studies that show only marginal benefits, together with potential side effects of medication regimens and generation of anxiety in parents. What is agreed on so far is the value of educating pregnant women on how to avoid contracting toxoplasmosis, and educating physicians on making the best use of reference laboratories before major treatment decisions are made. Further research to reevaluate the literature critically, review new treatment regimens and examine costs and benefits of screening and treatment of toxoplasmosis in pregnancy, bringing together European and American researchers, is needed.^

Meteorological measurements from the Fourcade and Polar Club Glacier, Warszawa Icefield, King George Island, West Antarctica

The South Shetland Islands are located at the northern tip of the AP which is among the fastest warming regions on Earth. The islands are especially vulnerable to climate change due to their exposure to transient low-pressure systems and their maritime climate. Surface air temperature increases (2.5K in 50 years) are concurrent with retreating glacier fronts, an increase in melt areas, ice surface lowering and rapid break-up and disintegration of ice shelves. We have compiled a unique meteorological data set for the King George Island (KGI)/Isla 25 de Mayo, the largest of the South Shetland Islands. It comprises high-temporal resolution and spatially distributed observations of surface air temperature, wind directions and wind velocities, as well as glacier ice temperatures in profile with a fully equipped automatic weather station on the Warszawa Icefield, from November 2010 and ongoing. In combination with two long-term synoptic datasets (40 and 10 years, respectively) and NCEP/NCAR reanalysis data, we have looked at changes in the climatological drivers of the glacial melt processes, and the sensitivity of the inland ice cap with regard to winter melting periods and pressure anomalies. The analysis has revealed, a positive trend of 5K over four decades in minimum surface air temperatures for winter months, clearly exceeding the published annual mean statistics, associated to a decrease in mean monthly winter sea level pressure. This concurs with a positive trend in the Southern Annular Mode (SAM) index, which gives a measure for the strength and extension of the Antarctic vortex. We connect this trend with a higher frequency of low-pressure systems hitting the South Shetland Islands during austral winter, bringing warm and moist air masses from lower latitudes. Due to its exposure to the impact of transient synoptic weather systems, the ice cap of KGI is especially vulnerable to changes during winter glacial mass accumulation period. A revision of seasonal changes in adiabatic air temperature lapse rates and their dependency on exposure and elevation has shown a clear decoupling of atmospheric surface layers between coastal areas and the higher-elevation ice cap, showing the higher sensitivity to free atmospheric flow and synoptic changes. Observed surface air temperature lapse rates show a high variability during winter months (standard deviations up to ±1.0K/100 m), and a distinct spatial variability reflecting the impact of synoptic weather patterns. The observed advective conditions bringing warm, moist air with high temperatures and rain, lead to melt conditions on the ice cap, fixating surface air temperatures to the melting point. This paper assesses the impact of large-scale atmospheric circulation variability and climatic changes on the atmospheric surface layer and glacier mass accumulation of the upper ice cap during winter season for the Warszawa Icefield on KGI.

Maps of coastal and marine geomorphology between Albenga and Savona (NW Mediterranean Sea, Italy)

In this paper, we present a map describing the main geomorphological features of the coastal and marine area between the towns of Albenga and Savona (Ligurian Sea, NW Mediterranean) corresponding to a coastal stretch of ~40 km. To produce this map, we collated data from the literature, orthophotos, perspective photos, multibeam and side scan sonar data, and undertook direct surveys to ground truth data obtained using indirect techniques. We divided the information into nine thematic layers, including bathymetry, natural coastal types, geomorphological elements, seafloor coverage (both geological and biological), coastal and nearshore dynamics, human influence on coastal and marine environments, coastal occupation and protected areas.

Afinidades conceptuales entre Plotino y Nicolás de Cusa

Doce siglos separan a Plotino de Nicolás de Cusa. Son doce siglos y una gran cantidad de desarrollos y vericuetos filosóficos se sucedieron a lo largo de un período tan rico como convulsionado. Sin embargo, la tradición ha inscripto a ambos pensadores en una misma corriente de pensamiento: al primero en tanto punto de partida y al segundo, acaso, como culminación. En este sentido, intentaré establecer cuáles son aquellos aspectos del pensamiento de Plotino que persisten en el de Nicolás de Cusa a punto tal que permiten legítimamente entender en qué sentido ambos filósofos pueden ser denominados "neoplatónicos". En el presente trabajo, entonces, plantearé que ambos modos de concebir la realidad pueden ser entendidos como complementarios sin desatender, no obstante, a las grandes diferencias. Ciertamente, Plotino y Nicolás de Cusa difieren en núcleos doctrinales que pueden considerarse lo suficientemente relevantes como para negar la posibilidad de pensarlos miembros de una misma corriente. Más aún, a las diferencias entre sistemas se agrega el hecho de que nada indica que Nicolás haya tenido contacto con la obra plotiniana. De hecho, la influencia neoplatónica en su pensamiento es atribuida a autores como Proclo y Dionisio Areopagita. Es por estos motivos que no es posible basar el análisis en términos de influencia textual sino que, más bien, la cuestión será formulada en términos de "corriente de pensamiento". En efecto, Plotino y el Cusano han reflexionado acerca de problemas similares y han brindado, cada uno a su modo y en su propia época, propuestas, en algunos casos, paralelas

Afinidades conceptuales entre Plotino y Nicolás de Cusa

Doce siglos separan a Plotino de Nicolás de Cusa. Son doce siglos y una gran cantidad de desarrollos y vericuetos filosóficos se sucedieron a lo largo de un período tan rico como convulsionado. Sin embargo, la tradición ha inscripto a ambos pensadores en una misma corriente de pensamiento: al primero en tanto punto de partida y al segundo, acaso, como culminación. En este sentido, intentaré establecer cuáles son aquellos aspectos del pensamiento de Plotino que persisten en el de Nicolás de Cusa a punto tal que permiten legítimamente entender en qué sentido ambos filósofos pueden ser denominados "neoplatónicos". En el presente trabajo, entonces, plantearé que ambos modos de concebir la realidad pueden ser entendidos como complementarios sin desatender, no obstante, a las grandes diferencias. Ciertamente, Plotino y Nicolás de Cusa difieren en núcleos doctrinales que pueden considerarse lo suficientemente relevantes como para negar la posibilidad de pensarlos miembros de una misma corriente. Más aún, a las diferencias entre sistemas se agrega el hecho de que nada indica que Nicolás haya tenido contacto con la obra plotiniana. De hecho, la influencia neoplatónica en su pensamiento es atribuida a autores como Proclo y Dionisio Areopagita. Es por estos motivos que no es posible basar el análisis en términos de influencia textual sino que, más bien, la cuestión será formulada en términos de "corriente de pensamiento". En efecto, Plotino y el Cusano han reflexionado acerca de problemas similares y han brindado, cada uno a su modo y en su propia época, propuestas, en algunos casos, paralelas

Afinidades conceptuales entre Plotino y Nicolás de Cusa

Doce siglos separan a Plotino de Nicolás de Cusa. Son doce siglos y una gran cantidad de desarrollos y vericuetos filosóficos se sucedieron a lo largo de un período tan rico como convulsionado. Sin embargo, la tradición ha inscripto a ambos pensadores en una misma corriente de pensamiento: al primero en tanto punto de partida y al segundo, acaso, como culminación. En este sentido, intentaré establecer cuáles son aquellos aspectos del pensamiento de Plotino que persisten en el de Nicolás de Cusa a punto tal que permiten legítimamente entender en qué sentido ambos filósofos pueden ser denominados "neoplatónicos". En el presente trabajo, entonces, plantearé que ambos modos de concebir la realidad pueden ser entendidos como complementarios sin desatender, no obstante, a las grandes diferencias. Ciertamente, Plotino y Nicolás de Cusa difieren en núcleos doctrinales que pueden considerarse lo suficientemente relevantes como para negar la posibilidad de pensarlos miembros de una misma corriente. Más aún, a las diferencias entre sistemas se agrega el hecho de que nada indica que Nicolás haya tenido contacto con la obra plotiniana. De hecho, la influencia neoplatónica en su pensamiento es atribuida a autores como Proclo y Dionisio Areopagita. Es por estos motivos que no es posible basar el análisis en términos de influencia textual sino que, más bien, la cuestión será formulada en términos de "corriente de pensamiento". En efecto, Plotino y el Cusano han reflexionado acerca de problemas similares y han brindado, cada uno a su modo y en su propia época, propuestas, en algunos casos, paralelas

Sedimentation and sediment redistribution on the Cocos Ridge from two seismic acquisition cruises, NEMO-3 and MV1014

We use digital seismic reflection profiles within a 1° * 1° survey area on the Cocos Ridge (COCOS6N) to study the extent and timing of sedimentation and sediment redistribution on the Cocos Ridge. The survey was performed to understand how sediment focusing might affect paleoceanographic flux measurements in a region known for significant downslope transport. COCOS6N contains ODP Site 1241 to ground truth the seismic stratigraphy, and there is a seamount ridge along the base of the ridge that forms a basin (North Flank Basin) to trap sediments transported downslope. Using the Site 1241 seismic stratigraphy and densities extrapolated from wireline logging, we document mass accumulation rates (MARs) since 11.2 Ma. The average sediment thickness at COCOS6N is 196 m, ranging from outcropping basalt at the ridge crest to ~ 400 m at North Flank Basin depocenters. Despite significant sediment transport, the average sedimentation over the entire area is well correlated to sediment fluxes at Site 1241. A low mass accumulation rate (MAR) interval is associated with the 'Miocene carbonate crash' interval even though COCOS6N was at the equator at that time and relatively shallow. Highest MAR occurs within the late Miocene-early Pliocene biogenic bloom interval. Lowest average MAR is in the Pleistocene, as plate tectonic motions caused COCOS6N to leave the equatorial productivity zone. The Pliocene and Pleistocene also exhibit higher loss of sediment from the ridge crest and transport to North Flank Basin. Higher tidal energy on the ridge caused by tectonic movement toward the margin increased sediment focusing in the younger section.

Palaeoceanographic data of sediment core MD01-2416

We present an SiF4 separation line, coupled to a laser fluorination system, which allows for an efficient combined silica d18O and d30Si analysis (50 min per sample). The required sample weight of 1.5-2.0 mg allows for high-resolution isotope studies on biogenic opal. Besides analytical tests, the new instrumentation set-up was used to analyse two marine diatom fractions (>63 µm, 10-20 µm) with different diatom species compositions extracted from a Bølling/Allerød-Holocene core section [MD01-2416, North-West (NW) Pacific] to evaluate the palaeoceanographic significance of the diatom isotopic signals and to address isotopic effects related to contamination and species-related isotope effects (vital and environmental effects). While d30Si offsets between the two fractions were not discernible, supporting the absence of species-related silicon isotope effects, systematic offsets occur between the d18O records. Although small, these offsets point to species-related isotope effects, as bias by contamination can be discarded. The new records strengthen the palaeoceanographic history during the last deglaciation in the NW Pacific characterized by a sequence of events with varying surface water structure and biological productivity. With such palaeoceanographic evolution it becomes unlikely that the observed systematic d18O offsets signal seasonal temperature variability. This calls for reconsideration of vital effects, generally excluded to affect d18O measurements.

Total organic carbon, delta13C, biomarker, diatom distributions in sediment core JM11-FI-19PC

In the light of rapidly diminishing sea ice cover in the Arctic during the present atmospheric warming, it is imperative to study the distribution of sea ice in the past in relation to rapid climate change. Here we focus on glacial millennial scale climatic events (Dansgaard/Oeschger events) using the new sea ice proxy IP25 in combination with phytoplankton proxy data and quantification of diatom species in a record from the SE Norwegian Sea. We demonstrate that expansion and retreat of sea ice varied consistently in pace with the rapid climate changes 90 ka to present, and with this present the first IP25 sea ice proxy record resolving the D/O cyclicity going back in time into Marine Isotope Stage 5a. Sea ice retreated abruptly at the start of warm interstadials, but spread rapidly during the cooling phase of the interstadials and became near-perennial and perennial during cold stadials and Heinrich events, respectively. Low salinity surface water and the sea ice edge spread to the Greenland-Scotland Ridge, and during the largest Heinrich events, probably far into the Atlantic Ocean.