Scientific evidence on the usefulness of intraarticular hyaluronic acid injection in the management of temporomandibular dysfunction

Hyaluronic acid (HA) is found in high concentrations in cartilage and synovial fluid, and is an important component of the extracellular matrixes- exerting joint lubrication and buffering actions thanks to its viscoelastic properties. The present study examines the scientific evidence found in the current literature on the usefulness of the intraarticular injection of HA in patients with temporomandibular dysfunction. A literature search was made up until May 2008 in the following databases: PubMed / MEDLINE. Of the articles found in the literature, the present review included 18 relevant studies on the application of HA in the temporomandibular joint (TMJ). The quality, level of evidence and strength of recommendation of the articles was evaluated based on the"Strength of Recommendation Taxonomy" criteria. It is concluded that type A level of recommendation exists in favor of the intraarticular injection of HA in dysfunction of the TMJ. However, further studies are needed to establish the true therapeutic effects and to identify the best dosing regimen.

Obtencion de recubrimientos autolubricados por proyeccion termica de plasma atmosferico (APS) como alternativa a los lubricantes liquidos

La obtención de recubrimientos con bajos coeficientes de fricción, es una innovadora respuesta a la creciente demanda industrial de alternativas para los tradicionales sistemas lubricados con aceites. Para este fin, la introducción de un sólido lubricante, en una matriz con buenas propiedades mecánicas, ha de conferir al conjunto un bajo coeficiente de fricción y mejorar la resistencia al desgaste del recubrimiento, favoreciendo además, la utilización a elevadas temperaturas, en las que los lubricantes líquidos convencionales presentan limitaciones. En el Centro de Proyección Térmica (CPT) de la Universidad de Barcelona se han obtenido mediante proyección de Plasma Atmosférico (APS) recubrimientos autolubricados de Ni-Grafito y Cr2O3-CaF2, estudiando con especial interés las propiedades y el efecto que produce el grafito y el CaF2 en las matrices metálica y cerámica respectivamente. Se ha determinado en los dos casos que el desgaste originado en los recubrimientos es bajo, si bien los coeficientes de fricción varían ostensiblemente en función del sistema indicado. Los resultados obtenidos indican que el recubrimiento de Ni-Grafito posee un comportamiento idóneo capaz de competir con los tradicionales lubricantes líquidos.

Puunjalostuskonsernin voiteluhuollon analysoiminen ja kehittäminen

Diplomityön tarkoituksena on analysoida ja kehittää erään puunjalostuskonsernin voiteluhuoltoa. Tutkimuksen kirjallisessa osassa on selvitetty voitelun perusteet, voiteluaineet sekä voiteluhuoltoon liittyviä yleisiä käsitteitä ja termejä. Työssä on selvitetty ohjeita voiteluaineiden valintaan ja voiteluöljyjen kunnonvalvontamenetelmiin sekä selvitetty voiteluaineiden puhtauden merkitystä. Lisäksi on esitetty katselmus eri voitelumekanismista. Näiden sovellusesimerkkinä on laskettu paperikoneen kuivaussylinterin laakerin voitelukalvon ominaispaksuus. Osan lopussa on tutkittu voiteluaineiden varastoinnin ja käytettyjen voiteluaineiden jatkokäsittelyn merkitystä ympäristöasiat huomioiden. Soveltavassa osassa on edellistä hyödyntäen analysoitu puunjalostuskonsernin yksitoista eri paikkakuntaa voiteluhuollon toimivuuden kannalta. Tämä tilastollinen tieto on kerätty sekä kyselykaavakkeen avulla että haastattelemalla jokaisen paikkakunnan voiteluhuollon asiantuntijoita. Lopputuloksena on saatu voiteluhuollon kehityskohteet ja SWOT-analyysit paikkakunnittain sekä yhteenveto voiteluhuollon eri toimintojen parhaimmista käytännöistä. Lisäksi analyysin perusteella laadittiin konsernin voiteluhuollon kehityssuunnitelma.

Estudi de la influència del lubricant en operacions de mecanització

Els processos de mecanitzat amb arrencament de ferritja consisteixen en arrencar contínuament petits fragments de material de la peça a la que es vol donar forma mitjançant les eines de tall. En treballar amb metalls, aquestes forces de tall són importants, i provoquen el desgast de les eines així com un escalfament important de l’eina i la peça. Per aquest motiu s’introdueixen els olis de tall, amb les principals funcions de refrigerar i lubricar. Tradicionalment, aquests olis de tall s’han subministrat a raig, quedant la zona de treball inundada. Els últims anys, degut a les millores tecnològiques i per intentar estalviar amb olis de tall, s’ha ideat un nou sistema anomenat mínima quantitat de lubricant, el qual subministra petites gotes d’oli, no soluble en aigua, dins un flux d’aire a pressió. Aquest sistema, a més, s’injecta prop de la zona de treball, on és estricament necessari. Aquest sistema redueix considerablement el consum d’oli de tall, i a més, augmenta l’eficiència de lalubricació. A part, elimina els posteriors tractaments per reciclar l’oli de tall un cop perd les seves propietats. Per aquest motiu, es pretén estudiar la utilització d’un mètode semblant al de la mínima quantitat de lubricant, subministrant el mateix oli de tall que s’utilitza convencionalment però polvoritzar per tal de convertir-lo en un aerosol

Classification, comorbidity, heredity, and risk factors of female sexual dysfunctions

Female sexual dysfunctions, including desire, arousal, orgasm and pain problems, have been shown to be highly prevalent among women around the world. The etiology of these dysfunctions is unclear but associations with health, age, psychological problems, and relationship factors have been identified. Genetic effects explain individual variation in orgasm function to some extent but until now quantitative behavior genetic analyses have not been applied to other sexual functions. In addition, behavior genetics can be applied to exploring the cause of any observed comorbidity between the dysfunctions. Discovering more about the etiology of the dysfunctions may further improve the classification systems which are currently under intense debate. The aims of the present thesis were to evaluate the psychometric properties of a Finnish-language version of a commonly used questionnaire for measuring female sexual function, the Female Sexual Function Index (FSFI), in order to investigate prevalence, comorbidity, and classification, and to explore the balance of genetic and environmental factors in the etiology as well as the associations of a number of biopsychosocial factors with female sexual functions. Female sexual functions were studied through survey methods in a population based sample of Finnish twins and their female siblings. There were two waves of data collection. The first data collection targeted 5,000 female twins aged 33–43 years and the second 7,680 female twins aged 18–33 and their over 18–year-old female siblings (n = 3,983). There was no overlap between the data collections. The combined overall response rate for both data collections was 53% (n = 8,868), with a better response rate in the second (57%) compared to the first (45%). In order to measure female sexual function, the FSFI was used. It includes 19 items which measure female sexual function during the previous four weeks in six subdomains; desire, subjective arousal, lubrication, orgasm, sexual satisfaction, and pain. In line with earlier research in clinical populations, a six factor solution of the Finnish-language version of the FSFI received supported. The internal consistencies of the scales were good to excellent. Some questions about how to avoid overestimating the prevalence of extreme dysfunctions due to women being allocated the score of zero if they had had no sexual activity during the preceding four weeks were raised. The prevalence of female sexual dysfunctions per se ranged from 11% for lubrication dysfunction to 55% for desire dysfunction. The prevalence rates for sexual dysfunction with concomitant sexual distress, in other words, sexual disorders were notably lower ranging from 7% for lubrication disorder to 23% for desire disorder. The comorbidity between the dysfunctions was substantial most notably between arousal and lubrication dysfunction even if these two dysfunctions showed distinct patterns of associations with the other dysfunctions. Genetic influences on individual variation in the six subdomains of FSFI were modest but significant ranging from 3–11% for additive genetic effects and 5–18% for nonadditive genetic effects. The rest of the variation in sexual functions was explained by nonshared environmental influences. A correlated factor model, including additive and nonadditive genetic effects and nonshared environmental effects had the best fit. All in all, every correlation between the genetic factors was significant except between lubrication and pain. All correlations between the nonshared environment factors were significant showing that there is a substantial overlap in genetic and nonshared environmental influences between the dysfunctions. In general, psychological problems, poor satisfaction with the relationship, sexual distress, and poor partner compatibility were associated with more sexual dysfunctions. Age was confounded with relationship length but had over and above relationship length a negative effect on desire and sexual satisfaction and a positive effect on orgasm and pain functions. Alcohol consumption in general was associated with better desire, arousal, lubrication, and orgasm function. Women pregnant with their first child had fewer pain problems than nulliparous nonpregnant women. Multiparous pregnant women had more orgasm problems compared to multiparous nonpregnant women. Having children was associated with less orgasm and pain problems. The conclusions were that desire, subjective arousal, lubrication, orgasm, sexual satisfaction, and pain are separate entities that have distinct associations with a number of different biopsychosocial factors. However, there is also considerable comorbidity between the dysfunctions which are explained by overlap in additive genetic, nonadditive genetic and nonshared environmental influences. Sexual dysfunctions are highly prevalent and are not always associated with sexual distress and this relationship might be moderated by a good relationship and compatibility with partner. Regarding classification, the results supports separate diagnoses for subjective arousal and genital arousal as well as the inclusion of pain under sexual dysfunctions.

Enhancement of water removal in the press section

The effectiveness of water removal on press section is very important for a paper and board machine’s functioning, efficiency and economy. Today, the most effective method for wet pressing is shoe press technology. Metso has carried out a number of studies concerning anew type of water removal method for a press section, which has also been patented. These studies include rough sketches and some test runs. These issues form the basis of this thesis. The objective of this work was to gather together information for a new and enhanced waterremoval method for a press section by studying the functioning of the device andcarrying out test runs. This method is referred to here as Hydronip. The main goal was tobuild a functional test site which fulfills all the necessary requirements and has all thenecessary information gathering devices. The design process was carried out by emphasizing the safety aspects. The goal was also to gather together information about the nip structure in running conditions, the seal function, and to carry out the nip tests with paper or board wads. This thesis consists of a theory part, the design and construction of the test site, and carrying out test runs through information gathering. The theory part consists of the principals of water removal from a press section, Hydronip construction, and the requirements for the test place. The safety aspects were taken into account especially in test runs, but also in the assembly stages. The design and construction of the test site includes the selection of equipment and surroundings that are needed for managing the test runs in the best possible way at certain premises. The test site included the equipment that was already on the premises. Some equipment could be used as it was but some equipment had to be manufactured or modified from existing equipment. A functional test site with information gathering devices was accomplished as a result of thethesis. Test runs demonstrated that the Hydronip concept is, at least on a small scale,functional. Short-term tests for seal functioning showed that the seal can be lubricatedsufficiently under different kinds of nip load situations. Wad tests demonstrated that the metal belt is durable against different sizes of external particles. The seal also endured wad tests even though the pressure impacts impaired the lubrication. MTS tests showing dry content increases, combined with a rough cost calculation and the basic function of the machine in test runs, show that with some further study Hydronip could be a promising new product for water removal from a paper or board machine’s press section.

Effects of maintenance management procedures in sugarcane mechanic harvesting system equipment

ABSTRACT The aim of this study was to evaluate the effects of modifying the maintenance programming of equipment used in sugarcane mechanical harvesting, by transferring actions that can be planned to periods when machines are inactive due to meal breaks and other working shift transitions stoppages. A simulation model was developed to represent the maintenance procedures of combines, haulouts, and other vehicles used by a harvest team. Scenarios were tested using alternatives for interventions such as refueling, lubrication and harvester blade replacement, enabling strategies to be focused towards better utilization of cutting, loading, and transport (CLT) system equipment. As a result, it was possible to remove one combine and two haulouts, while maintaining current daily production. The maintenance time for harvesters, which refers to corrective maintenance and the transfer of remaining interventions for periods of inactivity, was reduced from 10.0% to 3.5% over the useful period. This study indicates that maintenance management in the sugarcane sector enables the expanded use of equipment, leading to the greater productivity of the CLT system.

Käytetyn voiteluöljyn regenerointilaitoksen prosessivesien karakterisointi

Käytetyn voiteluöljyn regeneroinnissa muodostuu prosessivettä useista lähteistä. Tehokas päästöjenhallinta on yksi tärkeimmistä tavoitteista regenerointilaitoksen operoinnissa ja sen takia sitä tulee kehittää jatkuvasti entistä paremmaksi. Tavoitteisiin pääsemiseksi on oleellista tunnistaa vesienkäsittelyprosessin laadullinen massatase ja laadunvaihtelut ajotilanteiden mukaan. Työssä tutkitaan ja analysoidaan veden sisältämiä epäpuhtauksia sekä kirjallisuuslähteiden perusteella, että standardimenetelmillä ja modifioiduilla menetelmillä, joilla on akkreditointi. Analyysituloksista muodostetaan laadullinen massatase, josta nähdään epäpuhtauksien ja niitä kuvaavien parametrien kuormitukset kussakin prosessivesivirrassa. Tulosten perusteella arvioidaan nykyisen vesienkäsittelyn tehokkuutta, sen säätömahdollisuuksia ja kehitystarvetta. Tarkastelun ulkopuolelle kuitenkin jätetään vesienkäsittelystä ulosjohdettavan prosessiveden puhdistuslaitos. Tutkimusten perusteella regenerointilaitoksessa muodostuvien prosessivesien epäpuhtaudet koostuvat öljystä, BTEX-yhdisteistä, fenoliyhdisteistä, liuottimista, polttoaineiden ja voiteluöljyjen lisäaineista, typpi- ja rikkiyhdisteistä, metalliyhdisteistä sekä kiintoaineesta. Öljy jakautuu kevyisiin (C5-C10), keskiraskaisiin (C10-21) ja raskaisiin (C21-40) jakeisiin. Vesienkäsittelyssä suurin osa öljystä ja epäpuhtauksista saadaan erottumaan vedestä, jolloin puhdistuslaitokselle päätyy jäämäpitoisuudet öljyä, haihtuvia yhdisteitä sekä muita epäpuhtauksia. Puhdistuslaitosta kuormittavat eniten liuenneet orgaaniset yhdisteet sekä korkeaa kemiallista hapenkulutusta aiheuttavat epäorgaaniset yhdisteet (suolat), joiden erottamista prosessivesistä on syytä tulevaisuudessa kehittää.

Sexual dysfunction in obese women is more affected by psychological domains than that of non-obese

Abstract PURPOSE: To compare differences in the occurrence and changed domains of sexual dysfunction in obese and non-obese Brazilian women. METHODS: Female Sexual Function Index, based on six domains, to investigate 31 sexual dysfunction incidence for obese compared to 32 non-obese women, was used. Statistical analysis using ANOVA and MANOVA were performed to compare total scores of Female Sexual Function Index among groups and to identify the differences among domains, Student t -test was used. Statistical significant level was established for all tests for p<0.05. RESULTS: No difference in female sexual dysfunction frequency between obese (25.8%) and non-obese women (22.5%) was found. However, an important distinction in which aspects of sexual life were affected was found. While the obese group was impaired in three domains of sexual life (desire, orgasm, and arousal), in the control group five aspects were dysfunctional (desire, orgasm, arousal, pain and lubrication). Future research exploring psychological outcomes in obese females, such as body image and measures of positive and negative effect, might better characterize the female sexual dysfunction in this group. CONCLUSIONS: Obesity does not appear to be an independent factor for allow quality of female sexual life. However, disturbance associated to obesity indicates a low frequency of disorder in physical domains, suggesting that psychological factors seem to be mainly involved in the sexual dysfunction in obese women.

Assessment of the Effects of Tribulus Terrestris on Sexual Function of Menopausal Women

Objective The aim of this study was to study the effects of Tribulus terrestris on sexual function in menopausal women. Methods This was a prospective, randomized, double-blind, placebo-controlled clinical trial that included 60 postmenopausal women with sexual dysfunction. The women were divided into two groups, placebo group and Tribulus group, and evaluated by using the Sexual Quotient-female version (SQ-F) and Female Intervention Efficacy Index (FIEI) questionnaires. Results There was no significant difference between the groups in age, age at menopause, civil status, race, and religion. In the evaluation with the SQ-F questionnaire, there were significant differences between the placebo (7.6±3.2) and Tribulus (10.2±3.2) groups in the domains of desire and sexual interest (p d" 0.001), foreplay (3.3±1.5 versus 4.2±1.0) (p d" 0.01), arousal and harmonious interaction with the partner (5.7±2.1 versus 7.2±2.6) (p d" 0.01), and comfort in sexual intercourse (6.5±2.4 versus 8.0±1.9) (p d" 0.01). There was no significant difference between the placebo and Tribulus groups in the domains of orgasm and sexual satisfaction (p = 0.28). In the FIEI questionnaire, there was a significant improvement (p < 0.001) in the domains of vaginal lubrication during coitus and/or foreplay (20 versus 83.3%), sensation in the genitalia during sexual intercourse or other stimuli (16.7 versus 76.7%), sensation in the genital region (20 versus 70%), sexual intercourse and/or other sexual stimulations (13.3 versus 43.3%), and the ability to reach orgasm (20% versus 73.3%). There was no significant difference in adverse effects between the two groups. Conclusions After 90 days of treatment, at the doses used, we found Tribulus terrestris to be effective in treating sexual problems among menopausal women.

Pallomaisen rullalaakerin vauriotutkimus kartonkikoneen kiertoöljyvoidellulla kuivatusosalla

Tämä työ on tehty Stora Enson Imatran kartonkitehtaan kunnossapidosta vastaavalle Efora Oy:lle. Tavoitteena oli selvittää syy Imatran Kartonkikone 5:n kuivatussylinterien laakerivaurioiden suureen määrään verrattuna tehtaiden kolmeen muuhun kartonkikoneeseen. Tutkimuksissa keskityttiin laakerien käyttöolosuhteisiin. Syyn selvittämiseksi työssä vertailtiin eri kartonkikoneiden kiertoöljyvoitelujärjestelmiä, voiteluöljyjä, voiteluolosuhteita, öljyjen kuntoa ja kunnon seurantaa. Myös laakereihin kohdistuvia kuormia arvioitiin. Alan kirjallisuuden avulla on käyty läpi kartonkikoneen rakennetta ja toimintaa tarvittavassa laajuudessa, voitelun ja laakerin vaurioitumisen teoriaa sekä voiteluaineiden ominaisuuksien ja koostumuksen perusteita. Vertailevissa tutkimuksissa ei löytynyt vauriomäärien eroja selittäviä eroavaisuuksia Imatran tehtaiden eri kartonkikoneiden välillä, joskin Kartonkikone 5:n kiertovoiteluöljyn puhtaustaso oli muita Imatran kartonkikoneita heikompi. Laakerikuormien osalta havaittiin joidenkin laakerien käyvän laakerille asetetun vähimmäiskuorman alittavilla kuormituksilla. Vähimmäiskuormaa pienempi radiaalikuorma voi johtaa laakerin virheelliseen toimintaan ja edelleen vaurioitumiseen. Voiteluolosuhteet todettiin erittäin vaikeiksi ja niillä on epäilemättä vaikutusta voiteluöljyn ja laakerien lyhentyneeseen käyttöikään.

Teollisen tuotannon ja palvelun ulkoistaminen Intiaan

Diplomityössä on tarkoituksena kartoittaa asioita, joita pitää ottaa huomioon pk-yrityksen tuotannon ulkoistamisessa Intiaan sekä laskemaan kuinka paljon halvemmaksi kiertovoitelukeskusten valmistaminen Intiassa tulee verrattuna Suomeen. Teoriaosuudessa on tarkasteltu Intian erilaista kulttuuria sekä kartoitettu asioita, jotka vaikuttavat länsimaalaisen yrityksen toimintaan Intiassa sekä mahdollisuuksia eri teollisuuden aloille. Empiriaosuudessa on keskitytty eri vaihtoehdoin kiertovoitelukeskuksen valmistuskustannuksiin ja niiden vertailuun Intian ja Suomen välillä. Tuloksena on voitu todeta, että valmistus Intiassa tulee selvästi halvemmaksi kuin Suomessa. Ensi askelten ottaminen luultavasti tulee olemaan vaikeaa lähinnä asiakkaiden löytämisessä ja verkostojen rakentamisessa. Riskejä oman tuotantolaitoksen perustamisessa Intiaan on, mutta myös mahdollisuudet ja potentiaali menestykselliseen liiketoimintaan ovat suuret. Ulkoistaminen on vain tehtävä maltillisesti ja järkevästi ja tehtyihin päätöksiin täytyy sitoutua.

Determining rotational direction of rotation structures using prolate shaped grains within till

Micromorphology is used to analyze a wide range of sediments. Many microstructures have, as yet, not been analyzed. Rotation structures are the least understood of microstructures: their origin and development forms the basis of this thesis. Direction of rotational movement helps understand formative deformational and depositional processes. Twenty-eight rotation structures were analyzed through two methods of data extraction: (a) angle of grain rotation measured from Nikon NIS software, and (b) visual analyses of grain orientation, neighbouring grainstacks, lineations, and obstructions. Data indicates antithetic rotation is promoted by lubrication, accounting for 79% of counter-clockwise rotation structures while 21 % had clockwise rotation. Rotation structures are formed due to velocity gradients in sediment. Subglacial sediments are sheared due to overlying ice mass stresses. The grains in the sediment are differentially deformed. Research suggests rotation structures are formed under ductile conditions under low shear, low water content, and grain numbers inducing grain-to-grain interaction.

Greffage chimique de molécules et de polymères sur des substrats de mica et étude de leurs propriétés de surface

Thèse numérisée par la Division de la gestion de documents et des archives de l'Université de Montréal