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Peak foot pressures influence the healing time of diabetic foot ulcers treated with total contact casts.

The purpose of this article is to describe the progression of ulcer healing using total contact casts (TCC) and to examine explanatory variables that may influence ulcer healing. We prospectively studied 25 diabetics with grade I (Meggitt-Wagner) plantar ulcers. All subjects received weekly contact cast changes with wound assessment. Following healing, all subjects were fitted with prescription shoe gear. Mean duration of casting until healing was 38.8 +/- 21.3 days. Individuals with pressures over 99 N/cm2 took longer to heal (33.1 +/- 13.0 vs. 53.4 +/- 31.4 days, P = 0.05) and had longer ulcer duration prior to treatment (52.7 +/- 37.2 vs. 180.7 +/- 145.0 days, P = 0.02). Subjects with wound size greater than 8 cm2 took longer to heal (50.2 +/- 26.2 vs. 29.9 +/- 10.6 days, P = 0.02). We conclude that subjects with high plantar pressures and wounds greater than 8 cm2 took significantly longer to heal when uniformly treated with TCC.

Adult↗

Botulinum toxin A compared with stretching casts in the treatment of spastic equinus: a randomised prospective trial.

Conservative therapies for equinus in cerebral palsy may help to postpone calf surgery in younger children. This study reports a prospective randomised trial of intramuscular botulinum toxin A (BtA) as an alternative to serial casting in 20 children with a dynamic component to calf equinus. Outcome was assessed in the short term to show the effect of one treatment cycle. Assessments were by clinical examination, video gait analysis, and three-dimensional gait analysis. BtA was of efficacy similar to that of serial casting. Tone reduction in the BtA group allowed a more prolonged improvement in passive dorsiflexion, which may allow more opportunity for increase in muscle length. Gait analysis showed an improved mean ankle kinematic pattern in a subsection of both groups, which was maintained at 12 weeks in the BtA group, whereas the cast group relapsed. There were fewer side effects in the BtA group. Median time to reintervention was similar.

Botulinum Toxins, Type A↗

Femur fractures in children: treatment with early sitting spica casting.

The purpose of this article is to review our experience with early spica casting and determine risk factors for loss of reduction and skin complications. The radiographic and clinical charts of 114 children were retrospectively reviewed. At the time of fracture union, excessive shortening and angular malunion were not significant problems. Loss of reduction and skin complications occurred in 20 and 14% of patients, respectively. In addition to previously described risk factors, we identified spica knee flexion angle < 50 degrees as predictive of eventual loss of reduction and found that > 2 cm of initial shortening was not a contraindication to early spica casting. Factors associated with skin problems included younger age and abuse as a mechanism of injury. In our opinion, early spica casting is the treatment of choice for all isolated, closed femur fractures in otherwise healthy children aged 6 years or younger, regardless of the degree of initial deformity.

Analysis of Variance↗

Combined bronchoalveolar-vascular casting of the canine lung.

Canine bronchoalveolar and vascular corrosion casts were prepared using unfixed tissue and Dow-Corning Room Temperature Vulcanizing Silastic 734. The casts were observed using stereo light microscopy and scanning electron microscopy. The casts show the relationship between the vasculature and airway and demonstrate intricate microanatomical details. Also, microvasculature filling was enhanced using unfixed tissue as compared to my previously described technique using fixed tissue. Prewashing the microvasculature with cold phosphate buffered saline appeared to facilitate microvascular filling with silicone rubber. The described method is useful for rapidly making durable models for studying the normal respiratory airway and microvasculature. It should be useful in future studies of diseased pulmonary tissue as well as other normal and diseased tissues where microanatomical relationships between microvasculature and adjacent luminal structures are relevant.

Animals↗

Below-knee plaster cast for the treatment of metatarsus adductus.

Sixty-five infants with moderate (37 feet) or severe (48 feet) inflexible metatarsus adductus were treated with a below-knee plaster cast. The deformity was corrected in 6-8 weeks in all cases. At the 2- to 6-year follow-up (mean, 4 years), the correction was maintained in all children who had had a moderate deformity; of the 44 feet with severe deformity that were available for examination, six now had a moderate deformity, and one a severe deformity. All forefeet were flexible, and further treatment was unnecessary. Our results are similar to those for above-knee plaster casts. We conclude that a below-knee plaster cast is effective in the treatment of metatarsus adductus.

Casts, Surgical↗

Pattern waxes and inaccuracies in fixed and removable partial denture castings.

It is the desire of every dentist and dental technician to produce a restoration that will fit the patient with a minimum of adjustments and certainly one that does not require remaking. Yet many abuse the materials with which they work, either through improper manipulation, lack of familiarity with their properties, or by attempting to reduce laboratory time by taking short cuts. Wax is one of the materials that requires more knowledge and skill to manipulate accurately because it has a considerably higher coefficient of thermal expansion (and contraction) than any other dental material. It often contributes considerably to the inaccuracies of cast dental restorations. This article provides a review of dental waxes used to make prosthodontic castings and points out some of the properties of waxes that must be controlled to make accurate restorations.

Dental Casting Investment↗

[Effect of thermal expansion on the accuracy of fit of cast crowns].

Extent and direction of dimensional changes in the finished cast crown resulting from the thermic expansion of the wax model are determined as a function of the time the crown was subjected to tempering as a function of tempering temperature. Expansion of the wax model does not come up to the expectation of preventing a reduction of the cast object.

Crowns↗

Casts of chorodial vasculature at physiologic pressures. A new technique.

A method for making latex rubber casts of the ocular vasculature while maintaining physiologic vascular relations has been developed. A series of short-haired domestic ctas, Rhesus monkeys, and albino rabbits were anesthetized and cannulated in the common carotid arteries. The jugular veins were severed, and heparinized saline was infused into the carotid arterial circulation of the animals for complete exsanguination of the head. Throughout the infusion procedure, normal physiologic pressure was maintained. After exsanguination was complete, a solution of latex rubber in distilled water was infused bilaterally and continued until the flow from the jugular veins ceased. The eyes were enucleated and placed in a curing solution. After fixation, the eyes were selectively trimmed and placed into a solution of sodium hydroxide for digestion. The digested tissue was transferred to distilled water for dissection. After dissection, the cast was closely inspected for completeness of capillary filling. Casts such as these are intended for use in observations of ocular vascular anatomy.

Animals↗

Vascular casting and scanning electron microscopy of human ocular vascular abnormalities.

Plastic casts of ocular vessels were made from postmortem specimens obtained from patients who had had hypertension and arteriosclerosis, diabetes mellitus, and retinopathy of childhood. In conjunction with scanning electron microscopy, the casts serve as models of pathologic vascular changes, including arteriovenous crossing defects, microaneurysm, localized capillary nonperfusion, and rapidly growing peripheral choroidal vessels. These preliminary findings should serve to encourage further study of ocular vascular abnormalities with the use of plastic casting techniques.

Adult↗

Hard fallow deer antler: a living bone till antler casting?

Deer antlers are the only mammalian bone structures which regenerate completely every year. Once developed, antlers are cleaned of the velvet-like skin. Presently it is believed that due to velvet shedding the blood supply is interrupted in the solidifying antler bone. Histological examinations were made on different parts of fallow deer antlers investigated from the time of velvet shedding till the antler casting. The present study on hard (polished) antlers revealed living bone with regions presenting living osteocytes, active osteoblasts, osteoid seams and even early stages of trabecular microcallus formation, thus indicating to a continuous bone remodeling. A well developed vascular system was found despite the presence of hard antler bone. The pedicle bone exhibits a rich supply of capillaries and vessels connected to the spongy core of the main branch and the compact bone as well. There is evidence that hard fallow deer antlers possess a functioning vascular system that "keeps the antler moist" resulting in a high impact resistance when fights are most frequent. As late as 3 weeks prior to antler casting a large number of living cells were discovered within the antler core. As we have no doubt that parts of the polished fallow deer antler represent a living bone, we have concluded that a sufficient blood supply of the antler core is maintained almost till the time of antler casting by vessels passing through the antler base.

Animals↗

Sintering temperature effects on the in vitro bioactive response of tape cast and sintered bioactive glass-ceramic in Tris buffer.

Tape casting procedures were used to form thin polymeric sheets (100 microm thickness) loaded with bioactive glass particulate. Blanks were punched from the sheets, stacked, laminated, and heated in air to 500 degrees C to remove the organic phase. The resulting bioactive glass discs were sintered at 800 degrees C, 900 degrees C, or 1000 degrees C. Because the material is built up in layers and can be machined in the green state, such a processing technique can be used to form complex-shaped materials. The in vitro bioactivity of the tape cast sintered (TCS) bioactive glass-ceramic discs was then assessed in Tris buffer. The sample surface area to volume buffer (SA/V) ratio was approximately 0.1 cm(2)/mL. Tape cast bioactive glass-ceramic sintered at 900 degrees C and 1000 degrees C formed crystalline hydroxyapatite layers after 24 h in Tris buffer as indicated by FTIR, SEM, and EDS analysis. Decreasing the SA/V ratio to 0.013 cm(2)/mL allowed for the formation of crystalline hydroxyapatite layers on the surface of 800C TCS bioactive glass-ceramic. Given the dependence of the bioactive response as a function of the processing schedule and SA/V ratio, it may be possible to tailor the response to that desired in vivo or in vitro for tissue engineering studies. Biaxial flexural strength of TCS bioactive glass-ceramic increased with increasing sintering temperature. Strength of samples sintered at 1000 degrees C for 3 h increased from 87 to 120 MPa after 2 weeks' immersion in Tris buffer.

Biocompatible Materials↗

The covalent casting of one-dimensional hydrogen bonding motifs: toward oligomers and polymers of predefined topography.

The covalent casting of noncovalent architectures serves to define large covalent constructs that express well-defined modes of aggregation. In the case of one-dimensional hydrogen-bonding motifs, covalent casting yields molecular strands that adopt a duplex mode of aggregation. The effectiveness of this design principle is illustrated through the casting of the aminotriazine hydrogen-bonding motif. These studies have led to the conception of a new family of topographically defined oligomers, which, akin to DNA, self-assemble in the form of a duplex through the action of interstrand hydrogen bonds.

Journal Article↗

Peopling of South Asia: investigating the caste-tribe continuum in India.

In recent years, mtDNA and Y chromosome studies involving human populations from South Asia and the rest of the world have revealed new insights about the peopling of the world by anatomically modern humans during the late Pleistocene, some 40,000-60,000 years ago, over the southern coastal route from Africa. Molecular studies and archaeological record are both largely consistent with autochthonous differentiation of the genetic structure of the caste and tribal populations in South Asia. High level of endogamy created by numerous social boundaries within and between castes and tribes, along with the influence of several evolutionary forces such as genetic drift, fragmentation and long-term isolation, has kept the Indian populations diverse and distant from each other as well as from other continental populations. This review attempts to summarize recent genetic studies on Indian caste and tribal populations with the focus on the information embedded in the socially defined structure of Indian populations.

Animals↗

Single versus biplane right and left ventricular volumetry: a cast and clinical study.

True volume (y) and measured volume (x) determined from 23 right and 22 left normal human casts in four biplane angiographic positions and in their eight single-plane components were used to find the correction factor (b) by regression through the origin (y = bx). The correction factors were applied to human studies to assess the validity of the various biplane and single-plane modalities in vivo. The casts studies yield excellent correlations in both right and left biplane methods (right volumetry: 0.555 less than or equal to b less than or equal to 0.708, 0.917 less than or equal to r less than or equal to 0.954, 4.10 less than or equal to SEE less than or equal to 6.01 left volumetry: 0.748 less than or equal to b less than or equal to 0.825, 0.974 less than or equal to r less than or equal to 0.982, 4.81 less than or equal to SEE 5.79). Good results were obtained with single-plane volumetries as well (right volumetry: 0.316 less than or equal to b less than or equal to 0.887, 0.750 less than or equal to r less than or equal to 0.917, 10.75 less than or equal to SEE less than or equal to 18.96; left volumetry: 0.728 less than or equal to b less than or equal to 0.881, 0.897 less than or equal to r less than or equal to 0.976 5.73 less than or equal to SEE less than or equal to 11.97). The correction factors for the single-plane studies depend much more strongly on the spatial position relative to the radiographic system, particularly in the case of the right ventricular volumes. Thus, the application of the appropriate correction factors is mandatory. The human studies (141 left and 60 right volumetric studies in various single-plane and biplane projections) showed a larger scatter of single-plane values, more pronounced for the right ventricle. In certain disease conditions, single plane volumetric studies using cast-derived correction factors cannot be used to obtain meaningful results. Correction factors for the following single or biplane mode volumetry are presented for the first time: biplane hepatoclavicular view (right and left ventricle), biplane long axial oblique view (right ventricle), and their single-plane components; lateral and 60 degree Left Anterior Oblique (LAO) single plane for the left-sided measurements, Postero-Anterior (PA), lateral, and 60 degree LAO for the single-plane right-sided calculations.

Angiocardiography↗

Apparent pore size of polyacrylamide gels: comparison of gels cast and run in Tris-acetate-EDTA and Tris-borate-EDTA buffers.

The electrophoretic mobilities of DNA molecules in three different molecular weight ladders were measured in polyacrylamide gels containing different acrylamide concentrations (%T) and cross-linker ratios (%C), cast and run in Trisacetate-EDTA (TAE) buffer. The apparent pore radius of each gel was estimated from Ferguson plots of the relative mobilities of each of the DNA molecules, using the mobility of the monomer fragment in each molecular weight ladder as the reference mobility. The effective size of each of the DNA molecules was estimated from its radius of gyration. The apparent gel pore radii calculated in this manner ranged from 21 nm in gels containing 10.5%T, 5%C to 200 nm in gels with 4.6%T, 2%C, similar to the values observed for polyacrylamide gels cast and run in Tris-borate-EDTA (TBE) buffer (Holmes and Stellwagen, Electrophoresis 1991, 12, 612-619). Hence, the effective pore size of polyacrylamide gels is essentially independent of whether the gels are cast and run in TAE or TBE buffer.

Acetates↗

A rigid poly(dimethylsiloxane) sandwich electrophoresis microchip based on thin-casting method.

We present a novel concept of glass/poly(dimethylsiloxane) (PDMS)/glass sandwich microchip and developed a thin-casting method for fabrication. Unlike the previously reported casting method for fabricating PDMS microchip, several drops of PDMS prepolymer were first added on the silanizing SU-8 master, then another glass plate was placed over the prepolymer as a cover plate, and formed a glass plate/PDMS prepolymer/SU-8 master sandwich mode. In order to form a thin PDMS membrane, a weight was placed on the glass plate. After the whole sandwich mode was cured at 80 degrees C for 30 min, the SU-8 master was easily peeled and the master microstructures were completely transferred to the PDMS membrane which was tightly stuck to the glass plate. The microchip was subsequently assembled by reversible sealing with the glass cover plate. We found that this PDMS sandwich microchip using the thin-casting method could withstand internal pressures of >150 kPa, more than 5 times higher than that of the PDMS hybrid microchip with reversible sealing. In addition, it shows an excellent heat-dissipating property and provides a user-friendly rigid interface just like a glass microchip, which facilitates manipulation of the microchip and fix tubing. As an application, PDMS sandwich microchips were tested in the capillary electrophoresis separation of fluorescein isothiocyanate-labeled amino acids.

Amino Acids↗

Cast vs. wrought cobalt-chromium surgical implant alloys.

The measured tensile and fatigue strengths of wrought and heat-treated cobalt chromium-molybdenum-carbon alloys such as HS21 were found to be more than twice those of as cast alloys of the same composition. The resistance of wrought HS21 to crevice corrosion at metal-Teflon contacts in isotonic salt solution at 37 degrees C was found to be considerably greater than that of cast HS21, wrought HS25, wrought MP35, or 316L stainless steel which are currently used for surgical implants. The increased crevice corrosion resistance and mechanical strength of wrought HS21 as compared to as cast HS21 was attributed to greater chemical and structural homogeneity as well as to finer grain size and distribution of secondary phases. Fabrication of shaped implants from wrought HS21 is possible by techniques currently used for the fabrication of industrial parts from other wrought cobalt-chromium base alloys.

Carbon↗

Effects of solvent casting copolymer materials as related to mechanical properties.

Using a well characterized series of styrene butadiene triblock copolymers a systematic study was carried out to determine the influence of casting solvent, used for film preparation, on the final mechanical properties. The results clearly indicate that in the range of styrene contents of 30-40 mol %, the modulus behavior is greatly affected as the solubility parameter of the casting solvent, delta, is varied. Specifically, the modulus increases as delta increases to the value of polystyrene. At lower or higher styrene content, the properties are influenced but to a much lesser degree. Other mechanical properties measured were yield stress and breaking stress. The ramifications of these data are discussed in light of preparing prosthetic material via solvent casting.

Butadienes↗