Postoperative Pain After The Use Of A Dexamethasone Rinse As An Irrigant Prior To Obturation

Purpose: The purpose of this randomized, double-blind pilot study was to determine the effect of dexamethasone on post-operative pain when used as an intracanal rinse prior to obturation. Materials and Methods: Nine adult volunteers consented to enroll. They presented to the Marquette University School of Dentistry Endodontic Department with a diagnosis of irreversible pulpitis. Patients recorded their baseline pain levels on the numering rating scale (NRS). Patients were randomly assigned to either experimental or control group. Patients in the experimental group received 4 mg/mL dexamethasone solution as a final rinse prior to obturation were as patients in the control group received saline as a final rinse. Patients recorded their pain levels at 3, 6, 12, 24, and 48 hours post-operatively. Means and standard deviations were calculated. Treatment effects were analyzed using repeated measures ANOVA. Statistical significance was set at p\u3c.05. Results: Eight patients returned the participation forms. Pain reduction after endodontic treatment was statistically significant (p=0.039). There was no significant difference in post-operative pain between the control and experimental groups (p-0.789). Conclusion: The patient sample size was not large enough to state any conclusions with confidence. However, endodontic treatment remains an effective means of reducing post-operative pain

Suture-related keratitis following cataract surgery caused by methicillin-resistant Staphylococcus aureus

A 54-year old-man presented with a two-day history of severe pain and decreased vision. Examination revealed a corneal ulcer associated with a loose suture from cataract surgery done approximately two years ago. The suture was removed and the patient was started on topic antibiotic treatment with cefazolin and gentamycin. Cultures revealed methicillin-resistant Staphylococcus aureus (MRSA). The antibiotic regimen was changed to include vancomycin but the ulcer continued to progress. Three days later, the ulcer had perforated and an emergent corneal patch graft was performed. To our knowledge, this is the first reported case of suture-related MRSA keratitis after uncomplicated clear corneal cataract surgery

Flagellin‐induced expression of CXCL10 mediates direct fungal killing and recruitment of NK cells to the cornea in response to Candida albicans infection

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/108697/1/eji3053-sup-0001-SupMat.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/108697/2/eji3053.pd

Deep learning surrogate models for spatial and visual connectivity

Spatial and visual connectivity are important metrics when developing workplace layouts. Calculating those metrics in real time can be difficult, depending on the size of the floor plan being analysed and the resolution of the analyses. This article investigates the possibility of considerably speeding up the outcomes of such computationally intensive simulations by using machine learning to create models capable of identifying the spatial and visual connectivity potential of a space. To that end, we present the entire process of investigating different machine learning models and a pipeline for training them on such task, from the incorporation of a bespoke spatial and visual connectivity analysis engine through a distributed computation pipeline, to the process of synthesizing training data and evaluating the performance of different neural networks

A New Paradigm: Entrepreneurial Leadership

Lloyd W. Fernald, Jr., D.B.A, is professor of management, Management Department, College of Business, Administration, University of Central FLorida, Orlando, FL 32817. George T. Solomon, D.B.A, is associate professor of entrepreneurship, The George Washington University, Washington, DC, 20052. Ayman Tarabishy, is a doctoral student, The George Washington University, Washington, DC 20052

Eustachian Tube Foreign Body with Endoscopic-Assisted Surgical Removal

Abstract Objectives. Foreign bodies of the external and middle ear are not uncommon; however, foreign bodies in the eustachian tube are rare. Here we describe the presentation, imaging, and endoscopic-assisted surgical management of a case of eustachian tube foreign body. Methods. A 34-year-old male was seen for evaluation of foreign body of the left eustachian tube while working with metal at a machine shop. Imaging and surgical management are highlighted and review of available literature regarding foreign bodies of the eustachian tube is presented. Results. A CT scan revealed a foreign body present approximately 1 cm into the bony eustachian tube. The patient underwent middle ear exploration which required endoscopic assistance to adequately visualize the foreign body. The foreign body was unable to be removed and required the creation of a bony tunnel lateral to the eustachian tube for visualization and access to the foreign body. Conclusions. This report presents a rare case of eustachian tube foreign body. Use of the endoscope during the surgical removal greatly enhanced the ease and safety of removal. This report also highlights the importance of ear protection with any machining and welding work