In vitro comparison of laser fluorescence performance with visual examination for detection of occlusal caries in permanent and primary molars

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

In vitro comparison of laser fluorescence performance with visual examination for detection of occlusal caries in permanent and primary molars

The aim of this study was to compare the performance of the DIAGNOdent 2095 with visual examination for occlusal caries detection in permanent and primary molars. The sample comprised 148 permanent human molars and 179 primary human molars. The samples were measured and visually examined three times by two examiners. After measurement, the teeth were histologically prepared and assessed for caries extension. Sensitivity, specificity, accuracy and area under the receiver operating characteristics (ROC) curve were calculated. Intra-class correlation (ICC), unweighted kappa and the Bland and Altman method were used to assess inter- and intra-examiner reproducibility. DIAGNOdent showed higher specificity and lower sensitivity than did visual examination. The ICC values indicated an excellent agreement between the examinations. Kappa values varied from good to excellent for DIAGNOdent but from poor to good for visual examination. In conclusion, the DIAGNOdent may be a useful adjunct to conventional methods for occlusal caries detection.

In Vitro Evaluation of ICDAS and Radiographic Examination of Occlusal Surfaces and Their Association With Treatment Decisions

This in vitro study evaluated the performance of visual (International Caries Detection and Assessment System [ICDAS]) and radiographic (bitewing [BW]) examinations for occlusal caries detection and their associations with treatment decision (TD). Permanent teeth (n=104) with occlusal surfaces varying from sound to cavitated were selected. Sites were identified from 10x occlusal surface photographs. Standardized bitewing (BW) radiographs were taken. Four dentists with at least five years of experience scored all teeth twice (one-week interval) for ICDAS (0-6), BW (0=sound, 1=caries restricted to enamel, 2=caries in outer third dentin, 3=caries in inner third dentin), and TD (0=no treatment, 1=sealant, 2=microabrasion and sealant, 3=round bur sealant, 4a=resin, 4b=amalgam). Histological validation was performed by observation under a light microscope, with lesions classified on a five-point scale. Intraexaminer and inter-examiner repeatability were assessed using two-way tables and intraclass correlation coefficients (ICCs). Comparisons between percentage correct, specificity, sensitivity, and area under the receiver-operating characteristic (ROC) curve were performed using bootstrap analyses. ICCs for intraexaminer and interexaminer repeatability indicated good repeatability for each examiner, ranging from 0.78 to 0.88, and among examiners, ranging from 0.74 to 0.81. Correlation between ICDAS and TD was 0.85 and between BW and TD was 0.78. Correlation between the methods and histological scores was moderate (0.63 for ICDAS and 0.61 for BW). The area under the ROC curve was significantly greater for ICDAS than for BW (p<0.0001). ICDAS had significantly lower specificity than BW did (p=0.0269, 79% vs 94%); however, sensitivity was much higher for ICDAS than for BW (p<0.0001, 83% vs 44%). Data from this investigation suggested that the visual examination (ICDAS) showed better performance than radiographic examination for occlusal caries detection. The ICDAS was strongly associated with TD. Although the correlation between the ICDAS and BW was lower, it is still valuable in the clinical decision-making process.

Visual and quantitative electroencephalographic analysis of healthy young and adult cats under medetomidine sedation

A study was designed to investigate the effect of medetomidine sedation on quantitative electroencephalography (q-EEG) in healthy young and adult cats to determine objective guidelines for diagnostic EEG recordings and interpretation. Preliminary visual examination of EEG recordings revealed high-voltage low-frequency background activity. Spindles, k-complexes and vertex sharp transients characteristic of sleep or sedation were superimposed on a low background activity. Neither paroxysmal activity nor EEG burst-suppression were observed. The spectral analysis of q-EEG included four parameters, namely, relative power (%), and mean, median and peak frequency (Hz) of all four frequency bands (delta, theta, alpha and beta). The findings showed a prevalence of slow delta and theta rhythms as opposed to fast alpha and beta rhythms in both young (group A) and adult (group B) cats. A posterior gradient was reported for the theta band and an anterior gradient for the alpha and beta bands in both groups, respectively. The relative power value in group B compared to group A was significantly higher for theta, alpha and beta bands, and lower for the delta band. The mean and median frequency values in group B was significantly higher for delta, theta and beta bands and lower for the alpha band. The study has shown that a medetomidine sedation protocol for feline EEG may offer a method for investigating bio-electrical cortical activity. The use of q-EEG analysis showed a decrease in high frequency bands and increased activity of the low frequency band in healthy cats under medetomidine sedation.

(Table, page 13-59), Annotated record of the detailed examination of Mn deposits from Amphitrite Expedition stations

The cores described in this report were taken on AMPHITRITE Expedition in Decenber 1963 - February 1964 by Scripps Institution of Oceanography from, the R/V Argo. A total of 148 cores were recovered and are available at Scripps for sampling and study. The coring sites, all in the tropical central Pacific. The AMPHITRITE cores are here briefly described to identify visually distinct units based on lithology, color, texture, or other characteristic unique to an interval of sediment. For determination of lithology, the slides prepared from samples of the cores were examined microscopically in conjuction with the visual examination.

Antimicrobial efficacy of chemical disinfectants on contaminated full metal crowns

Prosthetic restorations that have been tried in the patient's mouth are potential sources of infection. In order to avoid cross-infection, protocols for infection control should be established in dental office and laboratory. This study evaluated the antimicrobial efficacy of disinfectants on full metal crowns contaminated with microorganisms. Full crowns cast in a Ni-Cr alloy were assigned to one control group (n=6) and 5 experimental groups (n=18). The crowns were placed in flat-bottom glass balloons and were autoclaved. A microbial suspension of each type of strain - S. aureus, P. aeruginosa, S. mutans, E. faecalis and C. albicans- was aseptically added to each experimental group, the crowns being allowed for contamination during 30 min. The contaminated specimens were placed into recipients with the chemical disinfectants (1% and 2% sodium hypochlorite and 2% glutaraldehyde) for 5, 10 and 15 min. Thereafter, the crowns were placed into tubes containing different broths and incubated at 35ºC. The control specimens were contaminated, immersed in distilled water for 20 min and cultured in Thioglycollate broth at 35ºC. Microbial growth assay was performed by qualitative visual examination after 48 h, 7 and 12 days. Microbial growth was noticed only in the control group. In the experimental groups, turbidity of the broths was not observed, regardless of the strains and immersion intervals, thus indicating absence of microbial growth. In conclusion, all chemical disinfectants were effective in preventing microbial growth onto full metal crowns.

Oral sensorimotor function for feeding in patients with tetanus

Tetanus still remains a significant health problem in developing countries; it is a serious disease with a high mortality rate. The purpose of this study was to characterize the oral sensorimotor function for feeding in patients with tetanus. Thirteen patients clinically diagnosed with tetanus and admitted to an intensive care unit between December of 2005 and May of 2007 underwent a screening too) for dysphagia, involving the assessment of clinical features and 2 swallowing tests. Results indicate that the oral sensorimotor function for feeding in these patients is severely compromised, with the exception for the clinical feature of palate elevation and performance in the saliva swallowing test. The factor analysis indicated that the evaluation of tongue movement change in the oromotor examination is important in predicting alterations of cough/voice in the water swallowing test, thus suggesting that oral feeding might be unsafe. When looking at developing countries, the prolonged intensive medical and nursing care required by many patients with tetanus places extra demands on an already stretched healthcare budget. Intervention by a speech pathologist could mean that time in the ICU would be reduced as well as the number of re-admissions due to complications. (C) 2009 Elsevier B.V. All rights reserved.

Early detection of microcirculatory perfusion changes with a high resolution, real time laser Doppler imaging camera--frostbite case study.

A 41-year-old male presented with severe frostbite that was monitored clinically and with a new laser Doppler imaging (LDI) camera that records arbitrary microcirculatory perfusion units (1-256 arbitrary perfusion units (APU's)). LDI monitoring detected perfusion differences in hand and foot not seen visually. On day 4-5 after injury, LDI showed that while fingers did not experience any significant perfusion change (average of 31±25 APUs on day 5), the patient's left big toe did (from 17±29 APUs day 4 to 103±55 APUs day 5). These changes in regional perfusion were not detectable by visual examination. On day 53 postinjury, all fingers with reduced perfusion by LDI were amputated, while the toe could be salvaged. This case clearly demonstrates that insufficient microcirculatory perfusion can be identified using LDI in ways which visual examination alone does not permit, allowing prognosis of clinical outcomes. Such information may also be used to develop improved treatment approaches.

Mangaaniseosteisen duplex-teräksen hitsattavuus

Diplomityön tavoitteena oli selvittää mangaaniseosteisen LDX2101 duplex-teräksen ja LDX2101 hitsauslisäaineiden hitsausparametrit puikkohitsaus-, MAG-täytelankahitsaus- ja plasmahitsausprosessilla. Toisena tavoitteena oli selvittää lämmöntuonnin vaikutuksia hit-sausliitosten mekaanisiin ominaisuuksiin, iskusitkeyteen (-40 °C) ja ferriitti- / austeniittipitoi-suuksien jakaantumiseen. Tutkittavat hitsit olivat päittäishitsejä ja koelevyjen aineenpaksuus oli 6 mm. Koetulosten perusteella tehtiin hitsausohjeet kyseisille hitsausprosesseille. Työn kirjallisessa osassa on selvitetty yleisesti duplex-terästen käyttökohteita, mekaanisia ja kemiallisia ominaisuuksia sekä duplex-terästen korroosio-ominaisuuksia. Lisäksi on käsitelty eri hitsausprosesseja ja duplex-terästen hitsattavuutta, jossa selvitetään mm. terästen jähmet-tymistä, erkaumia ja faaseja, lämmöntuonnin vaikutuksia ja hitsausliitosten korroosionkestä-vyyttä. Teoriaosassa on kerrottu myös hitsausliitosten tarkastuksesta ja hitsiluokista. Työn kokeellisessa osassa esitellään kokeiden suoritus sekä ainetta rikkova ja ainetta rikko-maton tarkastus. Liitoksille suoritettava koestusohjelma noudatti pääosin menetelmäkoestan-dardin SFS-EN 15614-1 ohjetta. Hitseille tehtiin ainetta rikkomaton tarkastus, joka käsittää silmämääräisen tarkastuksen, pintatarkastuksen ja röntgentarkastuksen. Rikkovaa aineen-koetusta tehtiin sisältäen kovuusmittaukset, vetokokeet, taivutuskokeet jaiskusitkeyskokeet. Lisäksi valmistettiin metallografiset hieet, joita tutkimalla selvitettiin hitsausliitoksen metal-lurgiaa ja määriteltiin ferriitti- ja austeniittipitoisuudet. Kokeiden perusteella on laadittu hit-sausohjeet kullekin hitsausprosessille. Lisäksi kokeellisessa osassa on esitelty tulokset syö-pymäkokeesta, jossa selvitettiin eri materiaalien syöpymiskestävyyttä valkolipeäliuoksessa. Tutkimustuloksien perusteella LDX2102 duplex-materiaali onhyvin hitsattavaa laajalla hit-sausparametrialueella. Mekaaniset ominaisuudet, kuten lujuus- ja iskusitkeysarvot täyttävät materiaalistandardin SFS-EN10028-7 niille asettamat vaatimukset. Taivutussitkeys ja murto-venymät jäivät kuitenkin osalla koekappaleista vaatimustasoa alhaisemmiksi. Austeniitti- ja ferriittipitoisuudet vastaavat materiaalistandardin vaatimuksia.

Cassava starch extraction effluent treatment in a one phase tubular horizontal pilot reactor with support medium

The cassava starch industries generate a large volume of wastewater effluent that, stabilized in ponds, wastes its biogas energy and pollutes the atmosphere. To contribute with the reversion of this reality, this manipueira treatment research was developed in one phase anaerobic horizontal pilot reactor with support medium in bamboo pieces. The reactor was excavated into the ground and sealed with geomembrane in HDPE, having a volume equal to 33.6 m³ and continuous feeding by gravity. The stability indicators were pH, volatile acidity/total alkalinity ratio and biogas production. The statistical analyses were performed by a completely randomized design, with answers submitted to multivariate analysis. The organical loads in COD were 0.556; 0.670; 0.678 and 0.770 g L-1 and in volatile solids (VS) of 0.659; 0.608; 0.570 and 0.761 g L-1 for the hydraulic retention times (HRT) of 13.0; 11.5; 10.0 and 7.0 days, respectively. The reductions in COD were 88; 80; 88 and 67% and for VS of 76; 77; 65 and 61%. The biogas productions relatively to the consumed COD were 0.368; 0.795; 0.891 and 0.907 Lg-1, for the consumed VS of 0.524; 0.930; 1.757 and 0.952 Lg-1 and volumetric of 0.131; 0.330; 0.430 and 0.374 L L-1 d-1. The reactor remained stable and the bamboo pieces, in visual examination at the end of the experiment, showed to be in good physical conditions.

Evaluating the Potential Impact of a Gas Pipeline on Whimbrel Breeding Habitat in the Outer Mackenzie Delta, Northwest Territories

We used ground surveys to identify breeding habitat for Whimbrel (Numenius phaeopus) in the outer Mackenzie Delta, Northwest Territories, and to test the value of high-resolution IKONOS imagery for mapping additional breeding habitat in the Delta. During ground surveys, we found Whimbrel nests (n = 28) in extensive areas of wet-sedge low-centered polygon (LCP) habitat on two islands in the Delta (Taglu and Fish islands) in 2006 and 2007. Supervised classification using spectral analysis of IKONOS imagery successfully identified additional areas of wet-sedge habitat in the region. However, ground surveys to test this classification found that many areas of wet-sedge habitat had dense shrubs, no standing water, and/or lacked polygon structure and did not support breeding Whimbrel. Visual examination of the IKONOS imagery was necessary to determine which areas exhibited LCP structure. Much lower densities of nesting Whimbrel were also found in upland habitats near wetlands. We used habitat maps developed from a combination of methods, to perform scenario analyses to estimate the potential effects of the Mackenzie Gas Project on Whimbrel habitat. Assuming effective complete habitat loss within 20 m, 50 m, or 250 m of any infrastructure or pipeline, the currently proposed pipeline development would result in loss of 8%, 12%, or 30% of existing Whimbrel habitat. If subsidence were to occur, most Whimbrel habitat could become unsuitable. If the facility is developed, follow-up surveys will be required to test these models.

Macroalgas de riachos da Floresta Nacional de Irati, região centro-sul do Estado do Paraná, Sul do Brasil

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

Avaliação de lesões brancas de cáries: um estudo de prognóstico

Objective: The aim of the present study is to assess the current situation of white enamel lesions on vestibular surfaces of permanent upper incisors, diagnosed 6 years ago, without clinical intervention. Methods: A prospective study reassessed 53 students of both sexes, aged between 13 and 18 years old, all attending the public school system in Natal, Brazil. Data collection was performed by duly calibrated examiners, and a clinical chart consisting of demographic data on dental caries, oral hygiene, and gingival condition was prepared. A tactile-visual examination was conducted using a clinical mirror and periodontal probe. Data compilation and analysis were carried out using a SPSS software. In this analysis the chi-squared test was used for qualitative independent variables. To identify the net effect of treatment, multiple logistic analysis with forward stepwise model selection was performed. Results: The final sample was composed of 106 lesions in the 53 individuals, with mean age of 15.02 years, visible plaque index (VPI) of 23.34%, and gingival blood indices (GBI) of 25.92%. A statistically significant relationship (p = 0.003) was found between initial DMFS and prognosis of white enamel lesion. Conclusions: We observed that past caries experience and dental plaque were the main predictive factors for negative lesion outcomes, demonstrating the need for oral hygiene control through continuing preventive measures

In vivo evaluation of laser fluorescence performance using different cut-off limits for occlusal caries detection

The aim of this in vivo study was to evaluate the performance of laser fluorescence (LF) comparing different cut-off limits for occlusal caries detection. One hundred and thirty first permanent molars were selected. Visual examination and LF assessments were performed independently. The extent of caries was assessed after operative intervention. New cut-off limits were established and compared with those proposed by the manufacturer and by Lussi et al. (Eur J Oral Sci 109:14-19, 2001). Similar sensitivity and higher specificity was found at D(2) (considering as disease only dentin caries) when the LF cut-off limits proposed by Lussi et al. and the new one were compared. At the D(3) threshold (considering as disease only deep dentin caries), no statistically significant difference among the cut-off limits for sensitivity was found. However, the new cut-off limits showed higher specificity. The LF device provided good ability to detect dentin caries lesions. Furthermore, the new cut-off limits and the values proposed by Lussi et al. could be suggested for the in vivo detection of occlusal caries.