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Nd:YAG laser penetration into cast titanium and gold alloy with different surface preparations.

This study investigated the effect of surface preparation on the Nd:YAG laser penetration into cast titanium and gold alloy. Cast blocks of each metal were given four different surface preparations: (i) coloured with black marker; (ii) air-abraded with 50 microm Al2O3; (iii) ground with SiC points and (iv) polished with 1 microm Al2O3 (mirror-polished). Two blocks with each of the surface preparations were abutted and laser-welded at their interface using the voltages of 210-260 V in increments of 10 V. After the welded blocks were mechanically separated, the laser penetration was measured using computer graphics. Regardless of the surface preparation, an increase in voltage increased the laser penetration for both metals. The laser penetration into titanium prepared with black marker and air-abrasion was significantly deeper than into the titanium ground with SiC points and mirror-polished. Although there were no statistical differences in penetration among the surface preparations for the gold alloy, the penetration in the mirror-polished specimens was shallower than any of the other preparation methods at higher voltages of 240-260 V. The results obtained in this study suggested that broken metal frameworks with finished surfaces should be painted with black marker or air-abraded before laser welding.

Air↗

Airway symptoms and lung function in pipelayers exposed to thermal degradation products from MDI-based polyurethane.

OBJECTIVES: To study the prevalence of symptoms from the eyes and the upper and lower respiratory tract, lung function, and immunological sensitisation towards isocyanates in pipelayers exposed to thermal degradation products from methylene diphenyl diisocyanate (MDI)-based polyurethane (PUR). MATERIAL AND METHODS: 50 presently active and 113 formerly active pipelayers were examined. Also, 65 unexposed workers were investigated for comparison. The one year prevalence of symptoms and smoking history (questionnaire data), lung function (vital capacity (VC) and forced expiratory volume in one second (FEV1), and atopy (positive skin prick tests towards standard allergens) were assessed among pipelayers and controls. For the pipelayers, the presence of work related symptoms and estimates of isocyanate and welding exposure were obtained from an interview. Skin prick tests towards specific isocyanate antigens and determinations of IgE-MDI and IgG-MDI in serum were also performed. RESULTS: The prevalence of episodes (more than once a month) of irritative eye symptoms, congestion of the nose, and soreness or dryness in the throat was much higher among the PUR pipelayers than among the controls. Most of the pipelayers with symptoms reported that these had started and occurred in relation to the PUR welding tasks. Presently active pipelayers with recent high PUR exposure showed a significant reduction of FEV1 compared with the controls. The estimated reduction, adjusted for smoking, was -0.3 l (P = 0.04). There was no confounding effect of ordinary welding. None of the pipelayers showed positive skin prick reactions against the specific isocyanate antigens used, or positive IgE-MDI, and only two had increased IgG-MDI. CONCLUSIONS: The findings indicate that exposure to thermal degradation products from MDI-based polyurethane has adverse effects on the mucous membranes and airways.

Adult↗

Mortality among Welders Exposed to High and to Low Levels of Hexavalent Chromium and Followed for More Than 20 Years.

Hexavalent chromium particles are generated in the welding of stainless steel. A cohort consisting of 233 welders working on stainless steel and exposed to high levels of chromium was selected. According to an earlier survey, the hexavalent chromium exposures of such welders are often above 20 µg/m(3). Another cohort consisting of 208 railway track welders exposed to low levels of chromium was also selected. The participants of both cohorts had welded for at least five years between 1950 and 1965 and were followed for mortality until December 1992. Among the welders exposed to high levels of chromium, six deaths due to pulmonary tumors occurred. This number is higher than the two deaths that occurred among the welders exposed to low levels of chromium and the corresponding mortality of the general population, but not significantly higher. Thus, exposure to stainless steel welding fumes might increase the incidence of pulmonary tumors.

Journal Article↗

The risk of asthma in relation to occupational exposures: a case-control study from a Swedish city.

The purpose of this study was to estimate the risk of adult asthma in relation to certain occupational exposures. The study was designed as a case-control study in Göteborg, including 321 subjects with asthma, born between 1926 and 1970. Controls (n=1,459) were randomly selected from the same area from registers of the 1986 population. Questionnaire information was collected in 1996, and included occupational exposures and smoking habits. Odds ratios were calculated for exposure before asthma onset, stratified by sex and age-class. The highest risks for asthma were associated with exposure to grain dust (odds ratio (OR) 4.2, 95% confidence interval (CI) 1.6-10.7) and flour dust (OR 2.8, 95% CI 1.1-7.2). Among males, significantly increased risks were observed after exposure to flour dust, welding fumes, man-made mineral fibres, and solvents. Among females, increased risks for asthma were associated with exposures to paper dust and textile dust. In logistic regression models controlling for age, smoking, sex and interacting exposures, increased risks were seen for welding fumes (OR 2.0, 95% CI 15-3.4), man-made mineral fibres (OR 2.6, 95% CI 1.4-7.3) and solvents (OR 2.2, 95% CI 1.2-3.2). The fraction of asthma attributed to occupational exposures after adjusting for sex, smoking and age was 11% (95% CI 7-14%). In conclusion, exposure to welding fumes, man-made mineral fibres, solvents and textile dust is associated with increased risk for asthma.

Adult↗

Biochemical mechanisms of laser vascular tissue fusion.

This study examines the biochemical changes that occur in argon laser-fused canine veins compared with control segments of vein. Laser fusions were formed using 0.5 W argon laser energy (1100-1500 J/cm2). Immediately following tissue fusion, blood flow was reestablished to test the integrity of the welds. 1-mm3 sections of the anastomoses and control sections were minced and protein extraction was performed by solubilizing the tissue in hot SDS Laemmli gel sample buffer. The proteins were separated electrophoretically on 5 and 10% polyacylamide SDS gels and silver stained. The analysis demonstrated significant biochemical differences between control and lased veins. We noted increases in several proteins after laser welding: the putative beta chain of type V collagen (5/5 gels), the putative gamma chain of type I collagen (4/5 gels), a 156-kDa protein (based on collagen molecular weight standards) 7/7 gels), an 82-kDa protein (8/9 gels), and several proteins of lower molecular weight (3/8 gels). The increases may be due to crosslinking of lower molecular weight proteins, degradation of higher molecular weight proteins, or increased solubility of certain proteins. These findings suggest that laser welding may occur by formation of crosslinks or by denaturation and reannealment of structural proteins.

Animals↗

Excimer laser radiation for endarterectomy of experimental atheromas.

Open laser endarterectomy produces a smooth arterial surface with welded distal end points. This report evaluates 308-nm excimer laser radiation for the laser endarterectomy operation. Arteriosclerotic New Zealand white rabbits (N = 15) were studied. A thoraco-abdominal exploration was performed, the aorta was isolated, heparin was administered, and multiple endarterectomies were performed in each rabbit. A line of laser craters was created at the proximal and distal ends of an atheroma. Laser radiation was used to connect the craters to form the proximal and distal end points. The atheromas were dissected from the aorta with laser light and the end points were fused. The aortas were removed for light and electron microscopy and the animals were sacrificed. Excimer radiation was delivered by a 600-microns fiber at 50 mJ/pulse, 120-ns pulses and either 15- or 20-Hz frequency. At 15 Hz excimer laser endarterectomies showed no perforations along the surface or at the end points. The surfaces were smooth but the end points were not welded in place. At 20 Hz, perforations were seen along 7/11 surfaces and at 5/11 end points. Excimer laser endarterectomy is best performed at 15 Hz. The end points, however, cannot be welded with excimer laser radiation.

Animals↗

The monostrut strength.

The fatigue endurance limit for Haynes 25 from which the Björk-Shiley (B-S) valve is made is 4900 kg per square centimeter (70000 pounds per square inch). A welded strut may have a variation of fatigue endurance limit from 4900 kg per square centimeter (70000 pounds per square inch) in an incomplete weld with phase segregation. To avoid a weld with this variation, the monostrut has been developed, where the valve is made by electrochemical machining from one piece of Haynes 25. The homogenous outflow monostrut will then have a stable fatigue endurance limit of 4900 kg per square centimeter (70000 pounds per square inch). In a pulse duplicator at a pulse rate of 120 and a peak ventricular pressure of 200 mmHg, the maximum inservice tensile stresses for the 29 mm valve outflow strut do not exceed 700 kg per square centimeter (9800 pounds per square inch). Therefore, a seven times safety limit is present for the monostrut under maximal physiological stress conditions. The struts in the B-S monostrut valve cannot be fractured even under extreme experimental conditions and never under peak physiological conditions.

Equipment Design↗

Effects of cage versus floor rearing environments and cage floor mesh size on bone strength, fearfulness, and production of single comb White Leghorn hens.

Fourteen hundred pullets were reared at densities of 304 and 735 cm2 in cages and floor pens with litter, respectively. Feeder spaces of 2.7, 4.0, and 5.4 cm per bird were held constant during the brooding growing period. At 18 wk of age, the birds were housed four birds per cage (348 cm2 per bird) in a force-ventilated, light-controlled house with two rows of stair-step cages. In two rows, the standard 2.5 x 5.0 cm welded wire flooring was replaced randomly with 2.5 x 2.5 cm welded wire in eight-cage sections. Egg production, egg quality, feed conversion, and mortality were measured over a 48-wk production cycle. At 68 wk of age, a sample of hens was selected and euthanatized, and the right leg was excised for further evaluation. Rearing environment, rearing feeder space, or type of layer floor mesh had no significant effects on hen-day production or feed conversion. Hens reared in cages produced heavier (P < .001) eggs with a higher percentage of Grade A eggs and had fewer body checks than floor-reared birds. Femur, tibia, and shank lengths were not affected by the rearing treatments or the type of flooring in the layer cage. Tibia breaking strength was not different for the rearing systems or hens maintained on 2.5 x 2.5 vs 2.5 x 5.0 cm welded wire mesh flooring. Hens reared in floor pens on litter displayed a higher level of fearfulness at the end of the production cycle. The reduced (P < .05) body weights associated with cage rearing and reduced feeder space did not negatively affect the production variables. Alteration of the mesh size of layer cage floor had no effect on the production levels of the hens.

Animal Husbandry↗

An original orthodontic appliance for experimental mesial movements in rats.

The design of an original appliance to achieve mesial movement of the first upper molar on one side in rat is presented. The appliance is constructed in 0.4 mm stainless steel wire forming a parallelepiped 3 mm in width in its anterior sector, 4 mm in width in its posterior sector and 12 mm in length in its lateral branches. In addition a central longitudinal bar is welded to the structure. The lateral branches of the appliance slide freely through the tubes welded to the palatal aspect of the molar bands, cemented in turn to both first molars. A wire 2 mm in length is welded in the anchorage area to the mesial side of the molar tube at 3 mm from the anterior end of the appliance, which acts as a butt. A pre-formed nickel-titanium open coil spring 0.23 mm thick, lumen 0.60 mm and 5.00 mm in length is placed distal to the molar tube. The spring is compressed by 1 mm of its original length, the final force being approximately 50 g. The movement achieved was measured on plaster casts obtained from pre and postoperative impressions, and afforded values of 0.250 mm +/- 0.790 mm on the active side and 0.012 +/- 0.011 mm on the passive side. The histologic studies showed an extensive erosive area on the pressure side of the alveolar wall. The appliance presented will be useful to achieve models of experimental movements of only one molar towards mesial with a force of known magnitude.

Animals↗

Study on early frozen section after nerve repair with "cell surgery" technique.

OBJECTIVE: To observe the early histological change at the nerve anastomotic sites after using "cell surgery" with conventional microsuture. METHODS: Twenty-two Sprague Dawley rats were divided into three groups: the first group as the control group n=6. The left sciatic nerves were cut using conventional cut method and repaired by either two (n=2) or four (n=4) epineurial stitches of 11-0 monofilament nylon. In the second group of rats, all the experimental procedures were undertaken freezingly and trimingly with a razor blade using sawing movements (n=4) or guillotine-like movements (n=4). The nerve stumps were then brought into apposition and aligned after thawing. A drop of fibrin glue was spread over each of the sites of anastomosis under an operating microscope. For the third group of 8 rats, all the procedures were similar to those of the second group except that glue welding was done after thawing. RESULTS: After the frozen nerves were cut and thawed, the alignment of the disorganized axon became much better at anastomotic sites after fibrin glue welding. Histological sections found that the axonal alignment was good, especially at the central part of the anastomotic sites except a slight disorganization of the peripheral part. The method of glue coaptation before thawing seems to be a better method than that after thawing. CONCLUSIONS: "Cell surgery" technique can improve the nerve repair at the astomotic sites. When we weld the nerve with fibrin glue, coaptation before thawing should be achieved soon.

Journal Article↗

A method aimed at achieving passive fit in implant prostheses: case report.

PURPOSE: The aim of this article is to describe a technique that attempts to solve titanium-related problems while affording passive fit. MATERIALS AND METHODS: The method basically involves the manufacture of a cast titanium framework fitted onto titanium machined abutments. After verifying the passive fit of the framework presoldered to the abutments, Nd-YAG laser welding is completed in the laboratory. RESULTS: The aim of the technique is to secure the following clinical benefits: (1) use of titanium, as it is the best-suited material; (2) use of high-precision machined abutments; (3) laser welding and its advantages; and (4) achievement of passive fit. CONCLUSION: The technique described is adequate to achieve passive fit in implant prostheses using titanium and laser welding.

Acrylic Resins↗

Tissue soldering by use of indocyanine green dye-enhanced fibrinogen with the near infrared diode laser.

Anastomoses welded by laser have been strengthened by applying a solder of fibrinogen combined with a laser energy absorbing dye (indocyanine green, maximum absorbance 805 nm) to the anastomotic site before continuous-wave diode laser exposure (808 +/- 1 nm, 4.8 W/cm2). Immediately after creation, the bursting pressures of welds created without fibrinogen (262 +/- 29 mm Hg, n = 11) were significantly less than repairs with fibrinogen (330 +/- 75 mm Hg, n = 11) (p less than 0.05). When repairs performed with fibrinogen were exposed to urokinase (25,000 IU) the bursting pressures were not significantly different from baseline (290 +/- 74 mm Hg, n = 5). Aortotomies closed by suture did not burst but leaked at pressures significantly below those of vessels closed by laser (165 +/- 9 mm Hg, n = 11) (p less than 0.01). Twenty-two repairs soldered with fibrinogen were incorporated into survival studies in rabbits and examined from 1 to 90 days after operation. No anastomotic ruptures, thromboses, or aneurysms were identified. Soldered sites rapidly regenerated a new intimal surface and healed by myofibroblast proliferation. No significant foreign body response was identified; the fibrinogen was resorbed. Laser soldering with exogenous fibrinogen is feasible without topical administration of additional clotting agents, significantly improves the bursting strength of primary laser welded anastomoses, and appears to result from urokinase-resistant fibrinogen cross-linking.

Anastomosis, Surgical↗

[Microsurgery, laser-assisted cranial nerve anastomosis. An experimental study].

Recently the milliwatt-CO2-laser has been introduced into the armentarium of experimental microsurgery for performing coaptation in peripheral nerves using the thermal effect of laser energy in order to achieve an atraumatic and reliable tissue bond. Experimental studies have shown that laser-assisted nerve coaptation are equal if not superior to conventional techniques in the reduced incidence of neuroma formation as well as the regenerative capacity. In this experimental study we have investigated if the CO2-laser working in the milliwatt range can be successfully applied for performing anastomosis of cranial nerves. The right oculomotor nerve in cats was microsurgically explored along the lateral temporal fossa from its exit at the brain stem to its entrance into the rudimentary cavernous sinus. Following division of the nerve with microscissors the nerve ends were loosely approximated. Thereafter welding of the cut nerves was performed with the CO2-laser (Cooper Laser Sonics, Model 860) using a power of 80-90 milliwatts, a spot-size of 150 microns and single bursts of laser energy. Complete welding of the cut nerve ends took about one to two minutes after which the surgical wound was closed. All experimental animals were observed for a period of 12 weeks after which they were sacrificed and the welded oculomotor nerve was removed for histological examination. Functional recovery of the III. nerve during the observation period was demonstrated by examination of the resting diameter of the pupil as well as by its reaction to direct stimulation with light. Morphological regeneration of the operated nerves could be demonstrated by histological studies.(ABSTRACT TRUNCATED AT 250 WORDS)

Anastomosis, Surgical↗

Effects of repetitive loading on the integrity of porous coatings.

In spite of the increasing numbers of porous coated total hip femoral components implanted each year, little is known about the shear strength or fatigue performance of the interface between coating and implant substrate. The appearance of loose beads in clinical follow-up roentgenograms suggests that shear failure of bead welds does occur and that the coating could be a weak link in the implant-bone or implant-cement-bone system. In this study, a test specimen design and test regimen for quasistatic and fatigue testing of implant-porous coating shear properties was developed. Both cobalt-chromium (CoCr) alloy and titanium (Ti) bead-substrate interfaces of various surface designs were studied. Results showed that static bead-substrate interface properties for both titanium and CoCr specimens were superior to published values of bone-bead shear strengths. By comparison, fatigue tests showed that the strength of bead welds on a smooth substrate was inadequate, with a preferential failure site being between beads and substrate rather than between beads and cement or beads and bone. However, implant surface contours or a bead recess were found to protect the bead welds, and specimens with those features successfully withstood ten million dynamic loading cycles.

Chromium Alloys↗

Retrieval and analysis of intramedullary rods. A follow-up study.

From 1980 to 1983, 16 AO intramedullary femoral rods were retrieved and analyzed clinically, radiographically, and metallurgically. Cracking and/or fracture was observed in four of the 16 specimens. All cracks occurred at the point of maximum stress at the end of the slot. In two cases a structurally weaker weld zone coincided with this location. The weld zone and slot were also found to coincide in five of the uncracked rods. Two of the four cracked rods were removed because of pain, while only three of the 12 uncracked rods caused pain. Structural and material characteristics (i.e., the location of the weld at a point of maximum stress and significant variability in microstructure), rather than surgical technique or time in situ, were found to be responsible for the implant mechanical failures. Improvements should be made in fabrication techniques and material properties. For the present, careful assessment of a painful intramedullary rod and routine removal after healing are advisable.

Femoral Fractures↗

Implant isotopy (II).

Because nature has given humans from 14 to 16 teeth per arch, the author maintains that an implantologist ought to replace each missing tooth with an implant and calls this philosophical creed "implant isotopy". Three different prosthetic solutions are suggested for the cases of either complete or partially edentulous arches, where from 12 to 14 abutments are emerging from the gingiva. The first type consists of parallel protruding posts. The second type is a modification of the first method through the connection of all the posts (although they are not perfectly parallel) via a titanium wire-drawn bar to be welded via endoral welding. Finally, the third type consists of a laboratory cast titanium denture composed of different sections that can be connected to one another and to the implant abutments via endoral welding.

Dental Casting Technique↗

An experimental study of optimal parameters for bipolar electrocoagulation.

The role of artery diameter, probe force application (94, 250 or 491 g), coagulation time (2, 10, or 20 secs) and BICAP generator output (5, 10) were studied in rabbit arteries of 3 to 5 mm hemicircumference. Arterial welds were then tested to destruction by increasing intraluminal pressure. The best arterial welds were achieved by the highest force and coagulation time; high generator output did not improve weld strength. These in vitro experiments suggest that when treating a bleeding peptic ulcer, BICAP therapy should be done with a low generator output of 5 or less, for at least 20 seconds per site, and with as great a compression force as possible.

Animals↗

Comprehensive forensic analyses of debris from the fatal explosion of a "cold fusion" electrochemical cell.

Selected components of explosion debris from the SRI International incident of January 2, 1992 were subjected to forensic analyses to elucidate potential causes of, or contributing factors to, the explosion. Interrogation of the debris encompassed nuclear, chemical, physical, and materials investigations. Nuclear studies for the determination of tritium and neutron-activation products in stainless steel and brass were conducted. No evidence for signature species indicative of orthodox nuclear events was detected. The inorganic and particulate analyses were likewise negative with respect to residues of unexpected chemical species. Such target compounds included conventional explosives, accelerants, propellants, or any exceptional industrial chemicals. Materials characterization identified the type of stainless steel used in the manufacture of the electrolytic cell as one relatively high in Mo concentration, probably type 316. Metallurgical analyses of the cell vessel wall and its detached base provided no evidence of corrosion or hydrogen embrittlement, leaving only ductile failure of the weld as contributing to the incident. The weld was found to have missed the center-line of the step joint, and the average penetration of the weld was measured to be 54%. The GC-MS analyses of trace organic components in the explosion debris provided a most interesting result. Although no evidence of organic explosives, oxidizers, or other unusual compounds was detected, the presence of an organic oil in the interior of the electrochemical cell was established. It is likely that the source of this oil was lubricating fluid from machining the metal cell components.(ABSTRACT TRUNCATED AT 250 WORDS)

Accidents, Occupational↗