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[LASER applications in endodontics].

Since the development of the ruby laser by Maiman in 1960 and the application of the laser for endodontics by Weichman in 1971, a variety of lasers with a wide range of characteristics are now being used in endodontic therapy. In the past two decades much experience and knowledge has been gained The first purpose of the present paper is to provide an understanding of the essential physical science behind laser technology and information on the effects of laser beams on tissue (tissue interaction). A second purpose is to summarize laser applications in endodontics, including their use in pulp diagnosis, dentinal hypersensitivity, pulp capping and pulpotomy, modification of the root canal walls, sterilization of the root canal system, cleaning--shaping--obturation of the root canal, and endodontic surgery. It will be clear that a number of endodontic procedures with conventional treatments cannot provide comparable results or are less effective.

Dental Instruments↗

Hydrophilic and lipophilic antioxidant activities of guava fruits.

The objectives of this study were to evaluate the hydrophilic antioxidant activity (AOAH) and the lipophilic antioxidant activity (AOAL); and their correlations with vitamin C, and total phenolic and beta-carotene contents in fresh guava fruits of one white flesh clone ('Allahabad Safeda') and three pink flesh clones ('Fan Retief', 'Ruby Supreme,' and an advanced selection). A ferric reducing antioxidant power assay was used to estimate both AOAH and AOAL from methanol and dichloromethane extracts, respectively. The white flesh clone, 'Allahabad Safeda,' showed higher levels of both AOAH [33.3 microM Trolox equivalents (TE)/g fresh weight (FW)] and AOAL (0.25 microM TE/g FW) than the pink flesh clones that ranged from 15.5 to 30.4 and from 0.12 to 0.13 microM TE/g FW for AOAH and AOAL, respectively. The AOAH was positively correlated with vitamin C (r = 0.92, p < 0.01) and total phenolic (r = 0.97, p < 0.01) but was negatively correlated with beta-carotene (r = -0.73, p = 0.03). The AOAL was not correlated with these antioxidants.

Antioxidants↗

Afferent projections from motoneurons innervating extraocular muscles to the cerebellum demonstrated by the retrograde double-labeling technique.

The objective of this study was to investigate the characteristics and distributions of neuronal origin of cerebellar afferents from motor cranial nerve nuclei innervating extraocular muscles by the method of retrograde transport of two fluorescence tracers in rats. Under deep anesthesia and aseptic conditions, 5 microl of 3% solution of Fluoro-Gold (FG) in phosphate buffer solution (PBS) was injected into the bellies of the six extraocular muscles to study the labeling of motoneurons innervating corresponding extraocular muscles. The cerebellum was exposed by craniotomy, and 0.3 microl of 10% solution of Dextran Tetramethyl Rhodamine Biotin (Micro Ruby: or MR) in PBS was injected into many regions of the anterior vermis (lobule I, II) and the posterior vermis (lobule VI, VII, IX, X), the flocculus, the paraflocculus and the deep cerebellar nuclei. Multiple injections were made to cover the entire cerebellum in order to obtain a near maximum labeling of cerebellar afferent neurons. In other cases, only small single or a few injections were made in specific areas of the cerebellum to study specific distributions and topographic organization. In one group of rats, injections were made both in the extraocular muscles with FG and in the cerebellum with MR to study the double labeling of neurons, which project their axons to both the extraocular muscle and the cerebellum. Another group of rats were injected in both sites with only PBS and served as the control for auto-fluorescence background. After 3 days postoperative survival time, all animals were deeply reanesthetized and perfused with heparinized normal saline solution, followed by 4% paraformaldehyde in 0.1 M phosphate buffer, pH 7.4, and 30% sucrose solution in PBS. The brainstem and the cerebellum were removed immediately, and stored in sucrose solution in PBS at 4 degrees C. Serial transverse sections of the brainstem and sagittal sections of the cerebellum were obtained by a freezing microtome at 40 microm thickness, collected on uncoated glass slides, and immediately dried. All sections were examined under an epifluorescence or confocal microscope equipped with filter systems for FG and MR. The presence of both single and double retrograde labeled neurons in the Oculomotor (CN 3), Trochlear (CN 4) and Abducens (CN 6) nuclei was recorded, photographed, stored as computer images files and printed out as hard copies. The labeling neurons in the vicinity of the CN 3, 4, 6 from all sections were plotted onto diagrams and counted Neurons labeled only with MR retrogradely transported from injection sites in the cerebellum were found bilaterally and scattered throughout in the Oculomotor, Trochlear and Abducens nuclei. These neurons labeled only with MR were small and medium-sized interneurons and represented only a small proportion of the entire population. Neurons labeled only with FG retrogradely transported from injection sites in the extraocular muscles were the most numerous, and distributed almost throughout the entire population of small, medium-sized and large motoneurons, which innervate the extraocular muscles. A smaller proportion of small and medium-sized FG labeled neurons within these nuclei were also double labeled with MR, indicating that they project their axon collaterals to both extraocular muscles and the cerebellum. In conclusion, the present findings provide clear anatomical evidence that a small population of motoneurons in the Oculomotor, Trochlear and Abducens nuclei of the rat project their axon collaterals directly to the cerebellum and the extraocular muscle, in addition to the cerebellar afferents from other interneurons within these nuclei. The findings also indicate that cerebellar neuronal circuits play more direct roles in monitoring and controlling eye movements than previously known.

Afferent Pathways↗

Laser therapy for solar lentigines: review of the literature and case report.

Solar lentigines are benign, brownish lesions that occur on light exposed skin surfaces from age 30 onwards, as a sign of photoaging. As they are of cosmetic importance to many patients, different therapeutic modalities have been tried to remove these unwanted spots. The recent development of short-pulsed, pigment-specific lasers has enabled physicians to selectively destroy the pigment within the solar lentigo lesions with significant clinical improvement, low risk of adverse effects, and high patient acceptance. Therefore this therapeutic option is superior to traditional treatment modalities and represents the treatment of choice in the management of solar lentigines. A case is reported of the successful use of Q-switched ruby laser in the treatment of solar lentigo on the face.

Female↗

[Cyclodiathermy: is it effective in the treatment of glaucoma?].

The authors describe the non penetrating technique of cyclodiathermy in the treatment of different types of glaucoma and publish the results and the complications of the application of this technique on thirty three eyes among their patients. These eyes included congenital glaucoma (8 eyes), aphakic glaucoma (5 eyes), after silicone surgery (5 eyes), neovascular glaucoma (4 eyes), traumatic glaucoma (4 eyes), secondary glaucoma (3 eyes), Sturge-Weber-Krabbe (2 eyes) and open angle glaucoma (2 eyes). Their study with a mean follow up of 2.5 years shows an overall success rate of 60%. The success is defined as an ocular tension less than or equal to 22 mmHg in the absence of serious complications. All the encountered complications are mentioned. Phtysis occurred in not more than 3% of cases (1 eye). They establish a comparison with the published results and complications of the other cyclodestructive procedures: Sonocare, transcleral laser Yag, transcleral laser Ruby and cyclocryotherapy. This comparison does not prove the superiority of these other procedures with regard to the non penetrating cyclodiathermy. They conclude that this non penetrating cyclodiathermy is a non expensive procedure which still have its good therapeutic value.

Electrocoagulation↗

Pattern of rice cultivation and anopheline breeding in Koraput district of Orissa state.

The potentiality of rice fields in anopheline vector breeding in Koraput district was studied in two agricultural seasons--rubi and kharif. Altogether, 17 species were recorded from the rice fields. The terraced stream bed paddy-fields with a perceptible water flow in top-hill areas support heavy breeding of the principal vector A. fluviatilis at all stages of paddy growth. A. culicifacies and A. annularis breeding became scarce when the paddy plants reached a height of 80 cm. Vector species formed 2 per cent in rabi and 32 per cent in kharif of the anopheline fauna from the paddy fields and the maximum production was during early stage of paddy growth or after harvesting.

Agriculture↗

The successful resuscitation of a hypothermic multitrauma patient.

Accidental hypothermia due to exposure is an infrequent cause of circulatory arrest. A premature diagnosis of clinical death must be avoided in these patients and vigorous attempts at active rewarming are indicated. Extracorporeal circulation in the form of partial cardiopulmonary bypass has been reported as an effective means of rapid, even core rewarming. We wish to report a recent case at Ruby Memorial Hospital in which extracorporeal circulation was used successfully in resuscitating a profoundly hypothermic multi-trauma victim.

Accidents, Traffic↗

Lasers in medicine.

Since its discovery, the laser has been intensively investigated and used in medicine, first in ophthalmology then in ear, nose and throat surgery, gynaecology, neurosurgery etc. Development spans from the ruby and argon lasers in outpatient eye surgery to the carbon dioxide and Nd:YAG lasers in the operating theatres and further on to the PDT-dye lasers, excimer and solid state angioplasty lasers or flash lamp pumped "gallstone cracker" lasers. The CO2-Nd: YAG laser combination will be described as the state-of-art surgical laser. This simultaneous, coaxial and coherent combination laser offers a new possibility to cut and coagulate effectively at the same time. Operating times are shortened and bleeding volumes minimised. The CO2-Nd: YAG laser represents a new type of interaction between laser and tissue, laser enhanced tissue absorption, which will be described.

Angioplasty, Laser↗

[Argon laser in dermatology: indications suggested by a 4-year experience].

The Argon laser has been used in the treatment of port wine stains, telangiectasias, spider ectasias, ruby spots, venous lakes, pyogenic granulomas, tattoos, keloids, verrucous naevus, angiokeratomas, verrucous hemangiomas. The outcome results have been compared with those achievable using other treatments in order to give right indications to the use of the Argon laser. The comparison point out that Argon laser is the treatment of choice only in port wine stains, while in all the other diseases it doesn't give any advantage with regard to conventional therapies, less sophisticated, easier and sometime more effective.

Adolescent↗

[Injurious effects on the rhesus monkey eye from dye laser iridotomy].

8 normal rhesus monkeys were performed dye laser iridotomy in one eye and iridectomy surgery in the other. Another 7 normal rhesus monkeys were performed dye laser iridotomy in one eye and ruby laser iridotomy in the other. The protein content and the number of white blood cells in the aqueous humor, the intraocular pressure, and the ultrastructural changes in the pars plicata of the ciliary body and iris were observed after the operation. It was demonstrated that the intercellular space of the endothelium of the blood vessels in the iris might, like the intercellular space of the non-pigment epithelium in the pars plicata of the ciliary body, be the site of the blood-aqueous barrier of the eye. It was also shown that among these three modalities, dye laser iridotomy was the best, which induced the least injury to the blood-aqueous barrier with the shortest time for recovery and the least inflammatory reactions in the anterior segment of the eye.

Animals↗

[Study of huoxue-huayu in treating experimental intraocular hemorrhage by electroretinography].

Experiments were conducted in chinchilla rabbits to determine the effect of Huoxue-Huayu (promote blood circulation to remove blood stasis) on the electroretinogram (ERG). An animal model of intraocular hemorrhage was established by radiating of Q-switched ruby laser in 58 eyes of 39 rabbits. After laser radiation, the amplitudes of ERGs of the animal eyes were remarkably reduced. The animals were randomly divided into 3 groups. One group was the control group without any treatment. The other two groups were treated with Yandi Decoction III, a composite prescription of Huoxue-Huayu) and urokinase respectively for 3 weeks. The depressed ERGs in the Yandi Decoction III treated group showed remarkable recovery during 6 weeks after starting treatment, comparing with that in the control group and the urokinase treated group (P less than 0.05). Finally, the 33% of the lost amplitude of a-wave and 28% of b-wave in the Yandi Decoction III treated group were recovered. The mechanism of ERG recovery in the Huoxue-Huayu therapy was also preliminarily discussed in the paper.

Animals↗

[Laser transscleral contact-compression coagulation of the fundus oculi tissues].

Experimental investigations were carried out in monkeys and rabbits for the purpose of quantitative and qualitative assessments of contact transscleral methods of action on intraocular, structures using ruby and AIH with Nd lasers adapted with a quartz monofiber. It was found that compression of a monofiber into the sclera produces its clarification, this providing effective transmission of radiation without any loss. Essential distinctions of the character of interaction between laser radiation and eye coats in transmission of radiation by a monofiber with its compression into the sclera allowed to substantiate and recommend for a clinical usage the contact-compression transscleral method of laser microsurgery.

Animals↗

[Evaluation of the healing of skin wounds inflicted by steel scalpels with various degrees of sharpness].

Experiments on 200 animals and clinical use of 300 scalpels differing in the width of the cutting edge showed that operative lineal skin incisions made with a sharp instrument (a ruby knife, razor, scalpel with a 0.8 microns cutting edge) heal better and quicker than those inflicted with a blunt scalpel of serial production with a cutting edge 12.5 microns wide. Such blunting of scapels occurs after two operations and traditional methods of sterilization of the instruments. Mechanical damage of the instruments during cleansing and washing is most important in the clinic.

Alloys↗

The sharpness of incision instruments in corneal tissue.

Because breadths of surgical blades are very difficult to measure directly, we designed a method to measure sharpness of a variety of instruments by determining the power they required to incise corneal tissue to a uniform depth. Diamond knives were the sharpest, followed by razor blade pieces individually prepared by a special new method. Ruby knives varied considerably. The method of measuring sharpness described may allow manufacturers to improve and stabilize production methods, as well as enable surgeons with such knowledge in advance of surgery to optimize wound healing and maximize cost-effectiveness.

Animals↗

Caterpillar dermatitis of the palm associated with osteitis of finger bones.

A 3-year-old boy during a picnic collected caterpillars of Macrothylasia rubi. He developed dermatitis and was generally ill during some days. Edema developed on the affected hand and reduced the mobility. Osteitis developed corresponding to all falangeal bones on his right hand. The changes disappeared following immobilisation of the severely affected hand.

Child, Preschool↗

Treatment of port-wine stains: analysis.

Port-wine stains (PWS) are bluish red skin stains that are caused by enlarged, ectatic blood vessels in the dermis. Laser treatment of PWS is analyzed from computation of the spatial distribution of heat production by direct absorption of the laser light and subsequent heat conduction. The absorption and scattering caused by oxyhemoglobin, epidermis, and dermis as a function of wavelength are utilized in this analysis. Ideal treatment is defined as coagulating the ectatic blood vessels without irreversible damage to the epidermis and dermis. The analysis shows that a millisecond pulsed, yellow dye laser at 577 nm (one of the large absorption bands in blood) is the laser of choice to treat PWS, offering as close to the "ideal treatment" as possible. The blue-green argon laser, which is currently the most frequently used laser for this purpose, is strongly recommended with irradiation times in milliseconds. Other lasers that are in clinical use, such as the red ruby and near-infrared Nd-YAG lasers, can provide selective treatment only when the epidermis is cooled concurrently. The CO2 laser, on the other hand, can coagulate the blood vessels only through heat conduction from the hot epidermis; hence, it has neither the treatment selectivity nor any other physical option to force this selectivity.

Hemangioma, Cavernous↗

Progenitor cell defect correctable by bone marrow transplantation in five independent mouse models of platelet storage pool deficiency.

Two human platelet storage pool deficiencies (SPD), Hermansky-Pudlak syndrome and Chediak-Higashi syndrome, are recessively inherited and characterized by hypopigmentation, prolonged bleeding, and normal platelet numbers accompanied by a reduction of platelet dense granules. Seven independent and unique mouse pigment mutations regulated by separate genes have been proposed as animal models for SPD. Mice homozygous for the recessive mutations have diluted pigmentation, prolonged bleeding times, normal platelet concentrations, and reduced numbers of platelet dense granules. Reciprocal bone marrow transplantations were carried out between normal C57Bl/6J mice and five of these mutants, pearl, light ear, pale ear, ruby-eye, and maroon, to test whether the platelet defects are due to platelet progenitor cells or to humoral regulatory factors. Recipient mice were transplanted with marrow after 950-rad whole body irradiation. The prolonged bleeding time and low serotonin concentrations of the five mutants were converted to normal values after transplantation with normal marrow. Normal mice displayed characteristics of platelet SPD when transplanted with mutant marrow. This study demonstrates that in each of five independent mouse models the thrombopathy of SPD is due to a platelet progenitor cell defect correctable by bone marrow transplantation. These findings suggest that in severe cases human SPD may be amenable to treatment by bone marrow transplantation.

Animals↗

[Size of the lesioned portion of the retina after laser exposure (electron microscopic study)].

Morphological pattern of the retina in the trauma focus and outside its borders has been studied electron microscopically after application of ruby laser monoimpulse radiation (wave length 0.69 mcm, energy 1.06-1.25 X 10(-4) J and impulse length 20 nc). The trauma focus is not limited only by the volcano-shaped inflation of the retina. The lesion of the photoreceptory ultrastructure and the disturbance of microcirculation in the vascular layer are defined in 3 zones investigated: at the distance 50, 100 and 1,000 mcm from the spot on the retina, visible in the light microscope. This phenomenon should be taken into consideration when choosing therapeutic doses of laser radiation, applied for treatment of various diseases of the eye.

Animals↗