Tilted and Short Implants Supporting Fixed Prosthesis in an Atrophic Maxilla: A 3D-FEA Biomechanical Evaluation

Purpose: This study compared the biomechanical behavior of tilted long implant and vertical short implants to support fixed prosthesis in an atrophic maxilla. Materials and Methods: The maxilla model was built based on a tomographic image of the patient. Implant models were based on micro-computer tomography imaging of implants. The different configurations considered were M4S, four vertical anterior implants; M4T, two mesial vertical implants and two distal tilted (45°) implants in the anterior region of the maxilla; and M6S, four vertical anterior implants and two vertical posterior implants. Numerical simulation was carried out under bilateral 150N loads applied in the cantilever region in axial (L1) and oblique (45°) (L2) direction. Bone was analyzed using the maximum and minimum principal stress (σmax and σmin), and von Mises stress (σvM) assessments. Implants were analyzed using the σvM. Results: The higher σmax was observed at: M4T, followed by M6S/L1, M6S/L2, M4S/L2, and M4S/L1 and the higher σvM: M4T/L1, M4T/L2 and M4S/L2, M6S/L2, M4S/L1, and M6S/L1. Conclusions: The presence of distal tilted (all-on-four) and distal short implants (all-on-six) resulted in higher stresses in both situations in the maxillary bone in comparison to the presence of vertical implants (all-on-four). © 2013 Wiley Periodicals, Inc.

Effects of magnesium sulphate on the pharmacodynamics of rocuronium in patients aged 60 years and older: A randomised trial

BACKGROUND There is little information on the interaction between magnesium sulphate (MgSO4) and rocuronium in elderly patients. With a growing number of older patients who need surgical procedures, it is increasingly important to study this age group. OBJECTIVE To evaluate the effects of MgSO4 administration on the pharmacodynamics of rocuronium in patients aged 60 years or older. DESIGN A randomised controlled trial. SETTING A tertiary care hospital. PATIENTS Sixty-four patients, aged 60 years or older, American Society of Anesthesiologists (ASA) physical status classes I to III, scheduled for elective oncological head and neck surgery. Exclusion criteria were severe renal insufficiency (calculated creatinine clearance <30 ml min-1), preoperatorive serum magnesium concentration of more than 1.25 mmol l1 and patients receiving drugs known to affect neuromuscular function. INTERVENTIONS Patients were randomly allocated to one of two groups: in the magnesium group, patients received MgSO4 30mgkg1 intravenously, for 10 min, and then a continuous intravenous infusion at a rate of 1 g h-1. The control group received the same volume of physiological saline. Neuromuscular function was evaluated continuously in both groups. MAIN OUTCOME MEASURES Total recovery time was the primary outcome. Onset time, clinical duration, recovery index and recovery time were considered as secondary endpoints. Values are given as mean [SD]. RESULTS Total recovery time from neuromuscular block (NMB) was 113 [36] min in the magnesium group and 101 [39] min in the control group. Clinical duration was 69 [23] min in the magnesium group and 59 [28] min in the control group. Recovery index was 19 [36] min in the magnesium group and 17 [6] min in the control group. Recovery timewas 44 [22] min in the magnesium group and 42 [18] min in the control group. There were no statistically significant differences between the groups in any of the recovery indices. In the magnesium group, the mean onset time was 144 [58] s, significantly shorter than the onset time in the group that received physiological saline, which was 187 [90] s (P-0.03). Group variances were compared using an F test: onset time varied significantly less in the magnesium group (P-0.02). CONCLUSION In oncology patients of 60 or more years of age, preadministration of MgSO4, with the doses used in this study, significantly reduced the onset time of NMB induced by rocuronium. © 2013 European Society of Anaesthesiology.

Doses e modos de aplicação de fósforo na nutrição e produção do feijoeiro cultivar Pérola

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Análise de wavelets para detecção e correção do multicaminho no posicionamento relativo GNSS estático e cinemático

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Célula de comutação de três estados aplicada ao pré-regulador boost de estágio único e elevado fator de potência

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Reguladores vegetais na germinação e desenvolvimento de duas espécies de maracujá

Pós-graduação em Ciências Biológicas (Botânica) - IBB

Influência da paralisação escalonada da aeração na eficiência do tratamento aeróbio na manipueira em batelada

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Posicionamento relativo na região equatorial em diversas condições ionosféricas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Modelo regional da ionosfera (MOD_ION): implementação em tempo real

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação de funções para modelagem do efeito da refratação ionosférica na propagação dos sinais GPS

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Análise bioquímica dos produtos de excreção/secreção de larvas de Dermatobia hominis

Pós-graduação em Medicina Veterinária - FMVZ

A ordem SV/VS no português como L2 na fronteira Brasil/Paraguai: uma investigação sociofuncionalista na interface variação/aquisição

Pós-graduação em Estudos Linguísticos - IBILCE

Densidade mineral óssea de vértebras de ratos wistar suspensos pela cauda por 15 e 36 dias

Pós-graduação em Ciência Animal - FMVA

Caracterização geoquímica e cerâmica das argilas do Grupo Itacaré / Formação Aquidauana, na faixa aflorante entre os estados de São Paulo e sul de Minas Gerais

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Avaliação multicritério de prestadores de serviços logísticos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)