Influence of apical foramen lateral opening and file size on cemental canal instrumentation

Since instrumentation of the apical foramen has been suggested for cleaning and disinfection of the cemental canal, selection of the file size and position of the apical foramen have challenging steps. This study analyzed the influence of apical foramen lateral opening and file size can exert on cemental canal instrumentation. Thirty-four human maxillary central incisors were divided in two groups: Group 1 (n=17), without flaring, and Group 2 (n=17), with flaring with LA Axxess burs. K-files of increasing diameters were progressively inserted into the canal until binding at the apical foramen was achieved and tips were visible and bonded with ethyl cyanoacrylate adhesive. Roots/files set were cross-sectioned 5 mm from the apex. Apices were examined by scanning electron microscopy at ×140 and digital images were captured. Data were analyzed statistically by Student’s t test and Fisher’s exact test at 5% significance level. SEM micrographs showed that 19 (56%) apical foramina emerged laterally to the root apex, whereas 15 (44%) coincided with it. Significantly more difficulty to reach the apical foramen was noted in Group 2. Results suggest that the larger the foraminal file size, the more difficult the apical foramen instrumentation may be in laterally emerged cemental canals.

Glue-enhanced excimer laser-assisted nonocclusive anastomosis: a laboratory investigation

The excimer laser-assisted nonocclusive anastomosis (ELANA) technique has been developed as a clinical effective technique to perform intracranial high-flow bypass without temporary occlusion of cerebral vessels in otherwise untreatable or high-risk cerebrovascular diseases. We experimentally tested the application of a nonabsorbable cyanoacrylate-based sealant with the ELANA technique.

Effective wound closure with a new two-component wound closure device (Prineo™) in excisional body-contouring surgery: experience in over 200 procedures

In excisional body-contouring surgery the surgeon is often confronted with time-consuming closure of long wounds. Recently, a new combination of a self-adhering mesh together with a liquid 2-octyl cyanoacrylate adhesive (Prineo™; Ethicon, Inc., Somerville, NJ, USA) has been introduced to replace intracutaneous running suture.

Endovascular treatment of arterial injury as an uncommon complication after orthopedic surgery

PURPOSE: To evaluate selective and superselective catheter therapy of serious arterial damage associated with orthopedic surgery of the pelvis, hip joint, femur, and knee. MATERIALS AND METHODS: Between 1989 and 2005, 16 consecutive patients with arterial damage after orthopedic surgery (seven women, nine men; mean age, 62 years; age range, 21-82 y) underwent angiographic exploration. Seven patients were in hemodynamically unstable condition. Initial orthopedic procedures were iliac crest internal fixation (n = 1); total hip prosthesis (n = 3); revision of total hip prosthesis (n = 4); revision of acetabular cup prosthesis (n = 1); gamma-nailing, nail-plate fixation, or intramedullary nailing (n = 3); and total knee prosthesis (n = 4). RESULTS: Angiography showed pseudoaneurysms (n = 11), vascular lacerations with active extravasation (n = 3), and arteriovenous fistulas with extravasation (n = 2). After angiographic documentation of serious arterial injury, 14 patients were treated with a single or coaxial catheter technique in combination with coils alone, coils and polyvinyl alcohol particles, coils and Gelfoam pledgets, or Gelfoam pledgets; or balloon occlusion with isobutyl cyanoacrylate and coils. Two patients were treated with covered stents. In all, bleeding was effectively controlled in a single session in 16 patients, with immediate circulatory stabilization. Major complications included death, pulmonary embolism, and postprocedural hematoma. CONCLUSION: Selective and superselective catheter therapy may be used for effective, minimally invasive management of rare but potentially life-threatening vascular complications after orthopedic surgery.

Disastrous Portal Vein Embolization Turned into a Successful Intervention

Portal vein embolization (PVE) may be performed before hemihepatectomy to increase the volume of future liver remnant (FLR) and to reduce the risk of postoperative liver insufficiency. We report the case of a 71-year-old patient with hilar cholangiocarcinoma undergoing PVE with access from the right portal vein using a mixture of n-butyl-2-cyanoacrylate and ethiodized oil. During the procedure, nontarget embolization of the left portal vein occurred. An aspiration maneuver of the polymerized plug failed; however, the embolus obstructing portal venous flow in the FLR was successfully relocated into the right portal vein while carefully bypassing the plug with a balloon catheter, inflating the balloon, and pulling the plug into the main right portal vein.

Multi-criteria selection of structural adhesives to bond ABS parts obtained by rapid prototyping

One of the most used methods in rapidprototyping is Fused Deposition Modeling (FDM), which provides components with a reasonable strength in plastic materials such as ABS and has a low environmental impact. However, the FDM process exhibits low levels of surface finishing, difficulty in getting complex and/or small geometries and low consistency in “slim” elements of the parts. Furthermore, “cantilever” elements need large material structures to be supported. The solution of these deficiencies requires a comprehensive review of the three-dimensional part design to enhance advantages and performances of FDM and reduce their constraints. As a key feature of this redesign a novel method of construction by assembling parts with structuraladhesive joints is proposed. These adhesive joints should be designed specifically to fit the plastic substrate and the FDM manufacturing technology. To achieve this, the most suitable structuraladhesiveselection is firstly required. Therefore, the present work analyzes five different families of adhesives (cyanoacrylate, polyurethane, epoxy, acrylic and silicone), and, by means of the application of technical multi-criteria decision analysis based on the analytic hierarchy process (AHP), to select the structuraladhesive that better conjugates mechanical benefits and adaptation to the FDM manufacturing process

Diseño y comportamiento de uniones estructurales mecánicas y adhesivas. Condiciones superficiales y operacionales

Las uniones estructurales mecánicas y adhesivas requieren la combinación de un número importante de parámetros para la obtención de la continuidad estructural que exigen las condiciones de diseño. Las características de las uniones presentan importantes variaciones, ligadas a las condiciones de ejecución, tanto en uniones mecánicas como especialmente en uniones adhesivas y mixtas (unión mecánica y adhesiva, también conocidas como uniones híbridas). Las propiedades mecánicas de las uniones adhesivas dependen de la naturaleza y propiedades de los adhesivos y también de muchos otros parámetros que influyen directamente en el comportamiento de estas uniones. Algunos de los parámetros más significativos son: el acabado superficial de los materiales, área y espesor de la capa adhesiva, diseño adecuado, secuencia de aplicación, propiedades químicas de la superficie y preparación de los sustratos antes de aplicar el adhesivo. Los mecanismos de adhesión son complejos. En general, cada unión adhesiva solo puede explicarse considerando la actuación conjunta de varios mecanismos de adhesión. No existen adhesivos universales para un determinado material o aplicación, por lo que cada pareja sustrato-adhesivo requiere un particular estudio y el comportamiento obtenido puede variar, significativamente, de uno a otro caso. El fallo de una junta adhesiva depende del mecanismo cohesión-adhesión, ligado a la secuencia y modo de ejecución de los parámetros operacionales utilizados en la unión. En aplicaciones estructurales existen un número muy elevado de sistemas de unión y de posibles sustratos. En este trabajo se han seleccionado cuatro adhesivos diferentes (cianoacrilato, epoxi, poliuretano y silano modificado) y dos procesos de unión mecánica (remachado y clinchado). Estas uniones se han aplicado sobre chapas de acero al carbono en diferentes estados superficiales (chapa blanca, galvanizada y prepintada). Los parámetros operacionales analizados han sido: preparación superficial, espesor del adhesivo, secuencia de aplicación y aplicación de presión durante el curado. Se han analizado tanto las uniones individuales como las uniones híbridas (unión adhesiva y unión mecánica). La combinación de procesos de unión, sustratos y parámetros operacionales ha dado lugar a la preparación y ensayo de más de mil muestras. Pues, debido a la dispersión de resultados característica de las uniones adhesivas, para cada condición analizada se han ensayado seis probetas. Los resultados obtenidos han sido: El espesor de adhesivo utilizado es una variable muy importante en los adhesivos flexibles, donde cuanto menor es el espesor del adhesivo mayor es la resistencia mecánica a cortadura de la unión. Sin embargo en los adhesivos rígidos su influencia es mucho menor. La naturaleza de la superficie es fundamental para una buena adherencia del adhesivo al substrato, que repercute en la resistencia mecánica de la unión. La superficie que mejor adherencia presenta es la prepintada, especialmente cuando existe una alta compatibilidad entre la pintura y el adhesivo. La superficie que peor adherencia tiene es la galvanizada. La secuencia de aplicación ha sido un parámetro significativo en las uniones híbridas, donde los mejores resultados se han obtenido cuando se aplicaba primero el adhesivo y la unión mecánica se realizaba antes del curado del adhesivo. La aplicación de presión durante el curado se ha mostrado un parámetro significativo en los adhesivos con poca capacidad para el relleno de la junta. En los otros casos su influencia ha sido poco relevante. El comportamiento de las uniones estructurales mecánicas y adhesivas en cuanto a la resistencia mecánica de la unión puede variar mucho en función del diseño de dicha unión. La resistencia mecánica puede ser tan grande que falle antes el substrato que la unión. Las mejores resistencias se consiguen diseñando las uniones con adhesivo cianoacrilato, eligiendo adecuadamente las condiciones superficiales y operacionales, por ejemplo chapa blanca aplicando una presión durante el curado de la unión. La utilización de uniones mixtas aumenta muy poco o nada la resistencia mecánica, pero a cambio proporciona una baja dispersión de resultados, siendo destacable para la superficie galvanizada, que es la que presenta peor reproducibilidad cuando se realizan uniones sólo con adhesivo. Las uniones mixtas conducen a un aumento de la deformación antes de la rotura. Los adhesivos dan rotura frágil y las uniones mecánicas rotura dúctil. La unión mixta proporciona ductilidad a la unión. Las uniones mixtas también pueden dar rotura frágil, esto sucede cuando la resistencia del adhesivo es tres veces superior a la resistencia de la unión mecánica. Las uniones híbridas mejoran la rigidez de la junta, sobre todo se aprecia un aumento importante en las uniones mixtas realizadas con adhesivos flexibles, pudiendo decirse que para todos los adhesivos la rigidez de la unión híbrida es superior. ABSTRACT The mechanical and adhesive structural joints require the combination of a large number of parameters to obtain the structural continuity required for the design conditions. The characteristics of the junctions have important variations, linked to performance conditions, in mechanical joints as particular in mixed adhesive joints (mechanical and adhesive joints, also known as hybrid joints). The mechanical properties of the adhesive joints depend of the nature and properties of adhesives and also of many other parameters that directly influence in the behavior of these joints. Some of the most significant parameters are: the surface finished of the material, area and thickness of the adhesive layer, suitable design, and application sequence, chemical properties of the surface and preparation of the substrate before applying the adhesive. Adhesion mechanisms are complex. In general, each adhesive joint can only be explained by considering the combined action of several adhesions mechanisms. There aren’t universal adhesives for a given material or application, so that each pair substrate-adhesive requires a particular study and the behavior obtained can vary significantly from one to another case. The failure of an adhesive joint depends on the cohesion-adhesion mechanism, linked to the sequence and manner of execution of the operational parameters used in the joint. In the structural applications, there are a very high number of joining systems and possible substrates. In this work we have selected four different adhesives (cyanoacrylate, epoxy, polyurethane and silano modified) and two mechanical joining processes (riveting and clinching). These joints were applied on carbon steel with different types of surfaces (white sheet, galvanized and pre-painted). The operational parameters analyzed were: surface preparation, thickness of adhesive, application sequence and application of pressure during curing. We have analyzed individual joints both as hybrid joints (adhesive joint and mechanical joint). The combination of joining processes, substrates and operational parameters has resulted in the preparation and testing of over a thousand specimens. Then, due to the spread of results characteristic of adhesive joints, for each condition analyzed we have tested six samples. The results have been: The thickness of adhesive used is an important variable in the flexible adhesives, where the lower the adhesive thickness greater the shear strength of the joint. However in rigid adhesives is lower influence. The nature of the surface is essential for good adherence of the adhesive to the substrate, which affects the shear strength of the joint. The surface has better adherence is preprinted, especially when there is a high compatibility between the paint and the adhesive. The surface which has poor adherence is the galvanized. The sequence of application has been a significant parameter in the hybrid junctions, where the best results are obtained when applying first the adhesive and the mechanical joint is performed before cured of the adhesive. The application of pressure during curing has shown a significant parameter in the adhesives with little capacity for filler the joint. In other cases their influence has been less relevant. The behavior of structural mechanical and adhesive joints in the shear strength of the joint can vary greatly depending on the design of such a joint. The shear strength may be so large that the substrate fails before the joint. The best shear strengths are achieved by designing the junctions with cyanoacrylate adhesive, by selecting appropriately the surface and operating conditions, for example by white sheet applying a pressure during curing of the joint. The use of hybrid joints no increase shear strength, but instead provides a low dispersion of results, being remarkable for the galvanized surface, which is the having worst reproducibility when performed bonded joints. The hybrid joints leading to increased deformation before rupture. The joints witch adhesives give brittle fracture and the mechanics joints give ductile fracture. Hybrid joint provides ductility at the joint. Hybrid joint can also give brittle fracture, this happens when the shear strength of the adhesive is three times the shear strength of the mechanical joint. The hybrid joints improve stiffness of joint, especially seen a significant increase in hybrid joints bonding with flexible adhesives, can be said that for all the adhesives, the hybrid junction stiffness is higher.

Using different structure types of microemulsions for the preparation of poly(alkylcyanoacrylate) nanoparticles by interfacial polymerization

A phase diagram of the pseudoternary system ethyloleate, polyoxyethylene 20 sorbitan mono-oleate/sorbitan monolaurate and water with butanol as a cosurfactant was prepared. Areas containing optically isotropic, low viscosity one-phase systems were identified and systems therein designated as w/o droplet-, bicontinuous- or solution-type microemulsions using conductivity, viscosity, cryo-field emission scanning electron microscopy and self-diffusion NMR. Nanoparticles were prepared by interfacial polymerization of selected w/o droplet, bicontinuous- or solution-type microemulsions with ethyl-2-cyanoacrylate. Morphology of the particles and entrapment of the water-soluble model protein ovalbumin were investigated. Addition of monomer to the different types of microemulsions (w/o droplet, bicontinuous, solution) led to the formation of nanoparticles, which were similar in size (similar to 250 nm), polydispersity index (similar to 0.13), zeta-potential (similar to-17 mV) and morphology. The entrapment of the protein within these particles was up to 95%, depending on the amount of monomer used for polymerization and the type of microemulsion used as a polymerization template. The formation of particles with similar characteristics from templates having different microstructure is surprising, particularly considering that polymerization is expected to occur at the water-oil interface by base-catalysed polymerization. Dynamics within the template (stirring, viscosity) or indeed interfacial phenomena relating to the solid-liquid interface appear to be more important for the determination of nanoparticle morphology and characteristics than the microstructure of the template system. (c) 2005 Elsevier B.V. All rights reserved.

Perforated corneal hydrops treated with sulfur hexafluoride (SF6) gas and tissue adhesive

Purpose: To report a case of a perforated acute hydrops in a mentally retarded patient that was successfully managed with intracameral sulfur hexafluoride gas and cyanoacrylate tissue adhesive. Methods: Interventional case report. Results: A 14-year-old mentally retarded male patient with keratoconus presented with a perforated acute hydrops. A bandage contact lens was applied. However, following a large emesis 2 days later, the aqueous leak worsened with shallowing of the anterior chamber. Under general anesthesia, sulfur hexafluoride was injected to reform the anterior chamber and cyanoacrylate tissue adhesive was applied to the perforated site and covered by a bandage contact lens and temporary tarsorrhaphy. A follow-up examination at 1 month showed a formed anterior chamber with tissue adhesive in situ and no aqueous leak. Conclusions: The successful use of intracameral sulfur hexafluoride and tissue adhesive in the management of perforated acute hydrops may avoid emergency tectonic penetrating keratoplasty and reduce potential complications in the poorly cooperative patient.

Preparation of poly (alkylcyanoacrylate) nanoparticles by polymerization of water-free microemulsions

Phase diagrams of the pseudoternary systems ethyloleate, polyoxyethylene 20 sorbitan mono-oleate/sorbitan monolaurate and propylene glycol with and without butanol as a co-surfactant were prepared. Areas containing optically isotropic, one-phase systems were identified and samples therein designated as droplet, bicontinuous or solution type microemulsions using conductivity, viscosity and self-diffusion NMR. Nanoparticles were prepared by polymerization of selected microemulsions with ethyl-2-cyanoacrylate and the morphology of the particles was investigated. Addition of monomer to all types of microemulsions led to the formation of nanoparticles, which had an average size of 244 +/- 25 nm, an average polydispersity index of 0.15 +/- 0.04 and a zeta-potential of -17 +/- 3 mV. The formation of particles from water-free microemulsions of different types is surprising, particularly considering that polymerization is expected to occur at a water-oil interface by base-catalysed polymerization. It would appear that propylene glycol is sufficiently nucleophilic to initiate the polymerization. The use of water-free microemulsions as templates for the preparation of poly (alkylcyanoacrylate) nanoparticles opens up interesting opportunities for the encapsulation of bioactives which do not have suitable properties for encapsulation on the basis of water-containing microemulsions.

Physical and biological properties of a novel siloxane adhesive for soft tissue applications

The aim of this study was to investigate the adhesive properties of an in-house amino-propyltrimethoxysilane-methylenebisacrylamide (APTMS-MBA) siloxane system and compare them with a commercially available adhesive, n-butyl cyanoacrylate (nBCA). The ability of the material to perform as a soft tissue adhesive was established by measuring the physical (bond strength, curing time) and biological (cytotoxicity) properties of the adhesives on cartilage. Complementary physical techniques, X-ray photoelectron spectroscopy, Raman and infrared imaging, enabled the mode of action of the adhesive to the cartilage surface to be determined. Adhesion strength to cartilage was measured using a simple butt joint test after storage in phosphate-buffered saline solution at 37°C for periods up to 1 month. The adhesives were also characterised using two in vitro biological techniques. A live/dead stain assay enabled a measure of the viability of chondrocytes attached to the two adhesives to be made. A water-soluble tetrazolium assay was carried out using two different cell types, human dermal fibroblasts and ovine meniscal chondrocytes, in order to measure material cytotoxicity as a function of both supernatant concentration and time. IR imaging of the surface of cartilage treated with APTMS-MBA siloxane adhesive indicated that the adhesive penetrated the tissue surface marginally compared to nBCA which showed a greater depth of penetration. The curing time and adhesion strength values for APTMS-MBA siloxane and nBCA adhesives were measured to be 60 s/0.23 MPa and 38 min/0.62 MPa, respectively. These materials were found to be significantly stronger than either commercially available fibrin (0.02 MPa) or gelatin resorcinol formaldehyde (GRF) adhesives (0.1 MPa) (P <0.01). Cell culture experiments revealed that APTMS-MBA siloxane adhesive induced 2% cell death compared to 95% for the nBCA adhesive, which extended to a depth of approximately 100-150 μm into the cartilage surface. The WST-1 assay demonstrated that APTMS-MBA siloxane was significantly less cytotoxic than nBCA adhesive as an undiluted conditioned supernatant (P <0.001). These results suggest that the APTMS-MBA siloxane may be a useful adhesive for medical applications. © VSP 2005.

The Effect of Mark Enhancement Techniques on the Subsequent Detection of Saliva

There appears to be a limited but growing body of research on the sequential analysis/treatment of multiple types of evidence. The development of an integrated forensic approach is necessary to maximise evidence recovery and to ensure that a particular treatment is not detrimental to other types of evidence. This study aims to assess the effect of latent and blood mark enhancement techniques (e.g. fluorescence, ninhydrin, acid violet 17, black iron-oxide powder suspension) on the subsequent detection of saliva. Saliva detection was performed by means of a presumptive test (Phadebas®) in addition to analysis by a rapid stain identification (RSID) kit test and confirmatory DNA testing. Additional variables included a saliva depletion series and a number of different substrates with varying porosities as well as different ageing periods. Examination and photography under white light and fluorescence was carried out prior to and after chemical enhancement All enhancement techniques (except Bluestar® Forensic Magnum luminol) employed in this study resulted in an improved visualisation of the saliva stains, although the inherent fluorescence of saliva was sometimes blocked after chemical treatment. The use of protein stains was, in general, detrimental to the detection of saliva. Positive results were less pronounced after the use of black iron-oxide powder suspension, cyanoacrylate fuming followed by BY40 and ninhydrin when compared to the respective positive controls. The application of Bluestar® Forensic Magnum luminol and black magnetic powder proved to be the least detrimental, with no significant difference between the test results and the positive controls. The use of non-destructive fluorescence examination provided good visualisation; however, only the first few marks in the depletion were observed. Of the samples selected for DNA analysis only depletion 1 samples contained sufficient DNA quantity for further processing using standard methodology. The 28 day delay between sample deposition and collection resulted in a 5-fold reduction in the amount of useable DNA. When sufficient DNA quantities were recovered, enhancement techniques did not have a detrimental effect on the ability to generate DNA profiles. This study aims to contribute to a strategy for maximising evidence recovery and efficiency for the detection of latent marks and saliva. The results demonstrate that most of the enhancement techniques employed in this study were not detrimental to the subsequent detection of saliva by means of presumptive, confirmative and DNA tests.