Comparison of microleakage in Class II cavities restored with silorane-based and methacrylate-based composite resins using different restorative techniques over time.

BACKGROUND Despite the growing tendency toward tooth-colored restorations in dentistry, polymerization shrinkage and subsequent marginal microleakage remains a problem. The aim of this in vitro study was to compare microleakage between silorane-based and methacrylate-based composite resins at different time intervals and with different restorative techniques. MATERIALS AND METHODS In this in vitro study, 108 sound extracted human molar teeth were used. Mesial and distal proximal class II boxes with dimensions of 1.5 mm depth and 4 mm width were prepared. The gingival margins of all cavities were 1 mm below the cement enamel junction. The teeth were randomly divided into three groups based on test materials. In the first group, the teeth were restored by a nanocomposite (Filtek Z350XT, 3MESPE) and SE Bond adhesive (Kuraray, Japan), in the second group, the teeth were restored with a silorane-based (Filtek P90, 3MESPE) and Filtek P90 Adhesive (3M ESPE, USA) and in the third group, the teeth were restored with a microhybrid posterior composite resin (Filtek P60, 3MESPE) and SE Bond adhesive (Kuraray, Japan). Half of the proximal cavities in each of these three groups were restored in two horizontal layers and the other half in four horizontal layers. After a period of aging (24-h, 3-month and 6-month) in water and then application of 500 thermal cycles, the teeth were immersed for 24-h in 0.5% fuchsin and evaluated under a stereomicroscope at ×36 magnification to evaluate leakage in gingival margin. Data was statistically analyzed using Kruskal-Wallis and Mann-Whitney U-tests. P ≤ 0.05 was considered as significant. RESULTS In Z350XT statistically significant differences were observed in microleakage in comparison of 24-h and 6-month intervals (P = 0.01) that was higher in 6-month. Comparison of microleakage in P90 and P60 composite resins was also statistically significant and was less in P90. Microleakage was not significantly different between P90 and Z350XT at 24-h. However, this difference was significant at 3-month and 6-month intervals. Differences in microleakage of P60 and Z-350XT composite resins were not statistically significant in all intervals (P = 0.38). P90 showed the lowest microleakage during storage in water. Z350XT had microleakage similar to P90 within 24-h, but after 6-month of storage in water, it showed the highest microleakage among all the groups. The number of layers (2 layers vs. 4 layers) did not result in any differences in microleakage scores of the composite resins (P = 0.42). CONCLUSION Water storage times did not result in any significant effect on microleakage of P90 and P60

Bioremediation of methyl tertiary-butyl ether (MTBE) by three pure bacterial cultures

Background: Bioremediation of groundwater and soil contamination is more economical than physicochemical remediation. The present study focused on the bioremediation capability of two bacterial species (Klebsiella planticola and Enterobacter cloacae) from the family Enterobacteriaceae. These bacteria have been identified as new species with capability of degrading methyl tertiary-butyl ether (MTBE). In order to enhance their degradation capability, selected concentrations and retention time were investigated. Methods: The bacteria were cultured on the nutrient agar (NA) medium at room temperature. pH of the medium was adjusted to 7. The medium was autoclaved at 121°C for 15 minutes and incubated for 24 hours at 35°C. After 24 hours, the mixture was inoculated into 50 mL of Luria Bertani (LB) liquid medium containing 50 and 150 ppm MTBE. The cultures were incubated for 2 and 5 days at 35°C and shacked on a shaker at 150 rpm. Cell concentrations of the bacteria in pure culture were determined from the optical density at 600 nm using a UV–VIS spectrophotometer. Then, the culture was centrifuged at 3800 rpm for 20 minutes. In the next step, the MTBE concentration in the supernatant was measured by gas chromatography/mass spectrometry (GC/MS, Agilent Technologies, 5975, US10304411, 5.02.07). Results: The results showed that both strains are able to grow in the presence of 50 and 150 ppm MTBE. In the best conditions, when cell density was 3×108 CFU/mL during 5 days, the highest rate of MTBE degradation for K. planticola and E. cloacae, was 43% and 40%, respectively. It was also revealed that Escherichia coli can degrade 50 and 150 ppm MTBE about 19.8% and 13.65%, respectively. Conclusion: It seems that E. coli can be a good candidate for MTBE degradation at high concentrations for a time longer than that in the present study. It was also found that the species have high performance at 50 ppm than 150 ppm. So, these bacteria can remove MTBE from the environment. Keywords: Biodegradation, Klebsiella planticola, Enterobacter cloacae, Escherichia coli, methyl tertiarybutyl ethe

Study of the effect of microstructural constituents on fatigue crack propagation of high-performance PM steels

Cette recherche est principalement planifiée pour améliorer les propriétés en fatigue des aciers MP afin qu'ils remplacent largement leurs contreparties corroyées, principalement en raison de leurs avantages en lien avec leur coût de production. L’atteinte de cet objectif est fait en déterminant la microstructure la plus efficace des aciers MP au cours de chargements cycliques. La microstructure la plus efficace est celle qui permet de réduire ou d'arrêter la propagation de fissures de fatigue par la combinaison appropriée de ses phases constitutives. Il existe quelques travaux sur ce sujet, cependant, ils n'ont pas atteint de conclusions cohérentes en raison du manque de données suffisantes et / ou une comparaison inappropriée. Par conséquent, l'effet de différentes phases constitutives d'une microstructure hétérogène d'un acier MP est encore ambigu et inconnu. Afin d'élucider cette question, il convient d'étudier différentes phases microstructurales et le comportement de propagation des fissures de fatigue dans celles-ci. Notre étude commence par choisir deux aciers MP communs fabriqués à l'aide de deux techniques d'alliage soient : pré-mélangeage et pré-alliage, afin de produire respectivement des microstructures hétérogènes et homogènes. Deux types de traitements thermiques ont également été utilisés pour fournir différentes phases microstructurales qui sont nécessaires aux fins de cette étude. Les échantillons ont ensuite été testés en utilisant la charge cyclique et quatre ratios de contraintes pour étudier l'effet des conditions de fatigue. Une analyse quantitative des surfaces de rupture, qui comprend l'étude détaillée du cheminement des fissures en OM et en SEM a ensuite été effectuée sur les échantillons fracturés. Les données de vitesse de propagation de fissures de fatigue dans différents aciers MP ayant des microstructures différentes avec les données quantitatives acquises quant à leur parcours préférentiel nous ont amené à des résultats intéressants sur l'effet des constituants de microstructure sur le comportement de propagation de fissure de fatigue. Il s'est avéré que la fissure de fatigue se propage plus rapidement à travers la phase la moins résistante parmi celles présentes dans la microstructure. Ainsi, la perlite n'était pas favorable à la propagation des fissures en compagnie de ferrite riche en Ni, alors qu’en présence de martensite, on a trouvé que les grains perlitiques étaient le chemin de fissure préféré. De plus, l'austénite résiduelle, qui a été identifiée dans la littérature comme étant une phase bénéfique pour le retard de fissure de fatigue, s'est révélée inefficace. Bien que les fissures de fatigue contournent ces régions, la déformation causée par ce changement de chemin de fissure n'a pas montré d'effet positif sur le retard de fissure de fatigue.This research is mostly planned to enhance the fatigue properties of PM steels inasmuch as they are extensively replacing their equivalent wrought steels due mostly to production cost benefits. This goal is going to be achieved through determining the most effective microstructure of PM steels in cyclic loadings. The most effective microstructure is the one that can reduce or stop the fatigue crack propagation through the proper combination of its constituent phases. There exists some researches on this topic, however, they did not reach consistent conclusions due to the lack of sufficient data and/or improper comparison. Therefore, the effect of different constituent phases of a heterogeneous microstructure of a PM steel is still ambiguous and unknown. In order to study this issue, diverse microstructures and the fatigue crack propagation behaviour through them should be studied. Our research begins by choosing two common PM steels manufactured using two alloying techniques of admixed and pre-alloyed to produce heterogeneous and homogeneous microstructures respectively. Two types of heat-treatments namely sinter-hardening and oil-quenching were also utilized to provide more microstructural phases that is needed for the purpose of this study. The samples were then tested in cycling loading using different R-ratio in order to study the effect of fatigue conditions as well. Quantitative analysis of the fracture surfaces, which includes the detailed study of the crack path in OM and SEM, were then performed on the fractured samples. The fatigue crack growth rate data in different PM steels having different microstructures along with the quantitative data acquired from their crack path led us to interesting results on the effect of microstructural constituents on fatigue crack propagation behaviour. It was found that the fatigue crack will propagate more rapidly through the weakest i.e. lowest strength phase among the ones present in the microstructure. Thus, pearlite was not favourable for crack propagation in the company of Ni-rich ferrite while in the presence of martensite, pearlitic grains were found to be the preferred crack path. Moreover, the retained austenite, which was identified in literature to be a beneficial phase for fatigue crack retardation, was found to be ineffective on the matter. Although fatigue cracks circumvented these regions, the deflection caused by this change of crack path did not show any positive effect on fatigue crack retardation

Effects of lifestyle and genetic factors on the levels of serum adiponectin, a novel marker of the metabolic syndrome, in Finnish servicemen

AbstractMetabolic syndrome (MetS) is a combination of disorders that increase one’s risk for type 2 diabetes (DM2) and cardiovascular disease (CVD). Both lifestyle and genetic factors have been established to be involved in the aetiology of MetS. Improving our knowledge about the pathophysiology of MetS could provide more effective therapeutic approaches and reduce the risk of developing DM2 and CVD. Lower levels of adiponectin, an adipose-derived protein, has been shown to be associated with the components of MetS. Common variants in a number of candidate genes related to MetS have been shown to be associated with changes in the serum adiponectin level.This study was designed to evaluate the putative effects of military lifestyle, as well as common polymorphisms of the peroxisome proliferator activated receptor gamma 2 (PPARγ2), insulin receptor substrate-1 (IRS-1) and adiponectin (APM1) genes on serum adiponectin level in a cohort of Finnish servicemen. Results of this study have showed that serum adiponectin significantly decreased during the six-month follow up in military service compared to baseline levels. This decrease was even shown in subjects that experienced a 5–10 % weight loss after six-months. Subjects with the Ala12Ala genotype of PPARγ2 had significantly higher levels of serum adiponectin compared with subjects with the Pro12Ala and Pro12Pro genotypes. Subjects having the X12Ala genotype of PPARγ2 with > 10% weight reduction showed a significant increase in serum adiponectin compared to other groups during the follow up. Those having the Ala12Ala genotype of PPARγ2 + Gly972Gly genotype of IRS-1 combination had significantly higher adiponectin compared with subjects with the Pro12Pro + Gly972Gly and Pro12Ala + Gly972Gly genotype combinations. Adiponectin levels were significantly higher in men with the T276T genotype compared with subjects with the G276T or G276G genotypes of SNP+276 of the APM1 gene.In conclusion, this study shows a possible impact of a military lifestyle as well as, candidate gene variations, and their interactions upon the regulation of serum adiponectin levels as a marker of MetS. This study could serve as a pilot for the further extensive studies with longer follow up periods as well as more accurate information on specific lifestyle factors. Academic dissertation to be presented, with the assent of the Faculty of Medicine of the University of Oulu, for public defence in the Auditorium of Kastelli Research Centre (Aapistie 1), on June 26th, 2007, at 12 noonAbstract Metabolic syndrome (MetS) is a combination of disorders that increase one’s risk for type 2 diabetes (DM2) and cardiovascular disease (CVD). Both lifestyle and genetic factors have been established to be involved in the aetiology of MetS. Improving our knowledge about the pathophysiology of MetS could provide more effective therapeutic approaches and reduce the risk of developing DM2 and CVD. Lower levels of adiponectin, an adipose-derived protein, has been shown to be associated with the components of MetS. Common variants in a number of candidate genes related to MetS have been shown to be associated with changes in the serum adiponectin level. This study was designed to evaluate the putative effects of military lifestyle, as well as common polymorphisms of the peroxisome proliferator activated receptor gamma 2 (PPARγ2), insulin receptor substrate-1 (IRS-1) and adiponectin (APM1) genes on serum adiponectin level in a cohort of Finnish servicemen. Results of this study have showed that serum adiponectin significantly decreased during the six-month follow up in military service compared to baseline levels. This decrease was even shown in subjects that experienced a 5–10 % weight loss after six-months. Subjects with the Ala12Ala genotype of PPARγ2 had significantly higher levels of serum adiponectin compared with subjects with the Pro12Ala and Pro12Pro genotypes. Subjects having the X12Ala genotype of PPARγ2 with > 10% weight reduction showed a significant increase in serum adiponectin compared to other groups during the follow up. Those having the Ala12Ala genotype of PPARγ2 + Gly972Gly genotype of IRS-1 combination had significantly higher adiponectin compared with subjects with the Pro12Pro + Gly972Gly and Pro12Ala + Gly972Gly genotype combinations. Adiponectin levels were significantly higher in men with the T276T genotype compared with subjects with the G276T or G276G genotypes of SNP+276 of the APM1 gene. In conclusion, this study shows a possible impact of a military lifestyle as well as, candidate gene variations, and their interactions upon the regulation of serum adiponectin levels as a marker of MetS. This study could serve as a pilot for the further extensive studies with longer follow up periods as well as more accurate information on specific lifestyle factors

Comparison of Depth of Cure, Hardness and Heat Generation of LED and High Intensity QTH Light Sources

Objectives: To compare curing performance of a second generation LED curing light with a high power tungsten quartz halogen (QTH). Methods: A hybrid composite resin (Filtek Z 250, 3M, USA) was used as test material and cured using a second generation LED light (Translux Power Blue™, Heraus Kulzer ,Germany) or a very high power QTH light unit (EMS, Switzerland). A two split aluminum mold was used to prepare ten samples with LED light source cured for forty seconds and ten samples prepared using high power QTH light unit, cured for four or six seconds recommended exposure time. Hardness, depth of cure (DOC) and thermal rise during exposure time by these light sources were measured. The data submitted to analysis of variance (ANOVA), Tukey's and student's t tests at 5% significance level. Results: Significant differences were found in hardness, DOC of samples cured by above mentioned light sources and also in thermal rises during exposure time. The curing performance of the tested QTH was not as well as the LED light. TPB light source produced the maximum hardness (81.25, 73.29, 65.49,55.83 and 24.53 for 0 mm, 1 mm, 2 mm, 3 mm and 4 mm intervals) and DOC (2.64 mm) values with forty seconds irradiation time and the high power (QTH) the least hardness (73.27, 61.51 and 31.59 for 0 mm, 1 mm and 2 mm, respectively) and DOC (2 mm) values with four seconds irradiation time. Thermal rises during 4 s and 6 s curing time using high power QTH and tested LED were 1.88°C, 3°C and 1.87°C, respectively. Conclusions: The used high power LED light produced greater hardness and depth of cure during forty seconds exposure time compared to high power QTH light with four or six seconds curing time. Thermal rise during 6 s curing time with QTH was greater compared to thermal changes occurred during 40 s curing time with tested LED light source. There was no difference seen in thermal changes caused by LED light with 40 s and QTH light with 4 s exposure time

Early and Late Outcome of Premature Newborns with History of Neonatal Intensive Care Units Admission at 6 Years Old in Zanjan, Northwestern Iran

How to Cite This Article: Sadeghzadeh M, Khoshnevisasl P, Parvaneh M, Mousavinasab N. Early and Late outcome of Premature Newborns with history of NICU Admission at 6 years old in Zanjan, Iran. Iran J Child Neurol. Spring 2016; 10(2):67-73.ObjectivePremature birth is an important factor for mortality and morbidity of neonates. This study was designed to evaluate the outcome of preterm neonates who needed neonatal intensive care (NICU) hospitalization after 6 yr at their entrance to the school.Materials & MethodsThis cross sectional study was conducted on premature neonates consecutively hospitalized in NICU of Valie Asr Hospital (the Academic Pediatric Hospital, Zanjan, Northwestern Iran) from September 2001 to September 2003. All children with a history of prematurity and NICU treatment were evaluated at their entrance to the school. Demographic findings, clinical examinations, IQ test, hearing and visual acuity exams were recorded.ResultsFrom 179 neonates, 78 (43.6%) survived and were discharged from hospital. Fifty-four of them were available and entered first grade in primary school. Only one case had severe mental retardation. One case had severe retinopathy of prematurity (ROP). Hearing abnormality was not detected in any case. There was no significant relation between IQ score, visual as well as hearing findings and gestational age.ConclusionWe did not find significant disability in the outcome of surviving infants. This could be explained by the high mortality rate of neonates during hospitalization. References1. Fakher M, Shaaban W, Abdel Monein A, Hassan Z, Moustafa Fikry M. Statistical Study of Preterm Infants Admitted to NICU in Fawzy Moaz Hospital For Children. Alex J Pediatr 2005; 19 (1):155-8.2. Fauth de Araújo B, Zatti H, Madi JM, Coelho MB, Olmi FB, Canabarro CT. 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Arafa MA, Alshehri MA, Predictors of neonatal mortality in the intensive care unit in Abha, Saudi Arabia. Saudi Med J 2003; 24 (12): 1374-1376.17. Atalay D, Salihoğlu Ö, Can E, Beşkardeş A, Hatipoğlu S. Short-Term Outcomes of Very Low Birth Weight Infants Born at a Tertiary Care Hospital, Istanbul, Turkey. Iran J Pediatr 2013; 23(2): 205-211.18. Mathews TJ, MacDorman MF. Infant Mortality Statistics From the 2007 Period Linked Birth/Infant Death Data Set. National Vital Statistics Reports. 2011;59(6).19. Natarajan G, Shankaran S, Laptook AR, Pappas A, Bann CM, McDonald SA, et al. Apgar scores at 10 min and outcomes at 6-7 years following hypoxic-ischaemic encephalopathy. Arch Dis Child Fetal Neonatal Ed 2013 ;98(6):F473-9.20. Tommiska V – Heinonenk Ikonen S – pokelu ML-Renlund M/Virtanen M-fellman V. A national short –term followup study of extremely LBW infants born in Finland in 1996-1997. Pediatrics 2001; 107 (1):1-9.21. Ahmadpour M, Zahedpasha Y, Khafri S, Pishnamazi N. Short-term outcome of premature neonates admitted to NICU & newborn services at Amirkola children hospital in 2010. IJN 2012; 3( 3,4): 10.22. Calisici E, Eras Z, Oncel MY, Oguz SS, Gokce IK, Dilmen U. Neurodevelopmental outcomes of premature infants with severe intraventricular hemorrhage. J Matern Fetal Neonatal Med 2014 ; 14:1-6.23. Santos IS, Matijasevich A, Domingues MR, Barros AJD, Victora CG, Barros FC. Late preterm birth is a risk factor for growth faltering in early childhood: a cohort study; BMC Pediatrics 2009; 9:71.24. Leversen KT, Sommerfelt K, Rønnestad A, Kaaresen PI, Farstad T, Skranes J, et al. Prediction of neurodevelopmental and sensory outcome at 5 years in Norwegian children born extremely preterm. Pediatrics 2011;127(3):e630.25. Christian P, Murray-Kolb LE, Tielsch JM, Katz J, LeClerq SC, Khatry SK. Associations between preterm birth, small-for gestational age, and neonatal morbidity and cognitive function among school-age children in Nepal. 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Delayed Graft Function, Allograft and Patient Survival in Kidney Transplantation

Introduction: Delayed Graft Function (DGF) is a common complication of renal transplants and the long-term relation between DGF and survival of patients and grafts is not well established.Methods: This is a historical cohort study of transplanted patients in Taleghani Hospital of Shahid Beheshti University in Iran between 1994 and 2010. Patients who required dialysis during the first week after transplantation were considered to have DGF. The patients’ conditions were updated to determine existing graft function, graft loss or patients’ death at one year and five years post transplantation in relation to the presence or absence of DGF.Results: DGF complicated 67/385 transplants (17.4%). Causes included acute tubular necrosis (58.2%), accelerated rejection (29.9%), transplant renal artery thrombosis (9%) and renal vein thrombosis (3%). More kidneys in the DGF group were procured from cadaveric donors (6% versus 0.9%, P = 0.02). At hospital discharge, patients with DGF had significantly higher mean creatinine level (4.4±2.8 versus 2.0±1.7; P=0.001) compared to other patients. They also had more early acute rejection episodes and more late acute rejection episodes (34.3% versus 2% and 16.4% versus 3%, respectively; P = 0.0001) compared to other patients. The proportion of functioning grafts was significantly lower in the DGF group at 1-year (53.7% versus 95.3%, P = 0.0001) and 5-years (22.4% versus 61.6%, P =  0.001) compared to patients without DGF.Conclusion: The DGF group had a significantly higher acute rejection rate and an increased risk of graft loss at one and five years

Prevalence of Metabolic Syndrome in an Adult Urban Population of the West of Iran

Objectives. We determine the prevalence of the metabolic syndrome in an urban population of Zanjan, a province located to the west of Tehran. Methods. Randomly selected adults >20 years were studied using stratified sampling. Target study sample was 2941 (1396 males and 1545 females). Metabolic syndrome was diagnosed using Adult Treatment Panel-III (ATP-III) guidelines when any three of the following were present: central obesity, raised triglycerides ≥150 mg/dl, low high-density lipoprotein (HDL) cholesterol, blood pressure ≥ 130/ ≥ 85 mm Hg, and diabetes or fasting plasma glucose (FPG) ≥ 100 mg/dl. Results. Metabolic syndrome was present in 697 (23.7%) subjects (CI 95%:22%–25%, P = .001), prevalence was 23.1% in men and 24.4% in women (P : .4). The prevalence increased from 7.5% in the population younger than 30 y to 45.6% in ages more than 50 years. Low HDL was the most common metabolic abnormality in both sexes. Most of those with metabolic syndrome had three components of the syndrome (75.6%), 170 subjects (24.4%) had four and none had five components simultaneously. The prevalence of obesity (BMI ≥ 30 kg/m2), hypercholesterolemia (≥200 mg/dl) and high LDL cholesterol (≥130 mg/dl) was greater in the metabolic syndrome group than normal subjects (P = .00). Conclusions. There is a high prevalence of metabolic syndrome in this urban population of the northern west of Iran. Focus of cardiovascular prevention should be undertaken in this area