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Factors affecting distribution of airflow in a human tracheobronchial cast.

Air velocity was measured at end airways of hollow replicate casts of the human tracheobronchial tree in order to determine the flow distribution within casts extending to 3 mm diameter airways. Measurements were made by hot-wire anemometry for constant inspiratory flow rates of 7.5, 15, 30 and 60 L.min-1. Average flow distribution among the lung lobes was as follows: right upper, 18.5%; right middle, 9.2%; right lower, 32.3%; left upper, 15.7%; and left lower, 24.3%. An empirical model derived from the experimental flow distribution data demonstrated the effect of various morphometric parameters of the hollow cast on the distribution of airflow. Airway cross-sectional area, branching angle and total path-length were found to have the greatest influence. As the tracheal flow rate decreased from 60 to 7.5 L.min-1, the influence of branching angle was reduced, while total path-length became more influential. These results provide evidence for the transition of flow regimes within the TB tree within normal physiological flow ranges.

Adult↗

Relationship between contact angles of die stone on elastomeric impression materials and voids in stone casts.

Poor wettability of elastomeric impression materials results in surface defects on stone casts. This study examined the relationship between contact angles of die stone and voids in casts produced from five medium-viscosity impression materials. Contact angles of a die stone material formed against impression specimens made from polyether, addition and condensation silicones were measured by reflex microscope. The contact angle values achieved on the hydrophilic addition silicones were significantly higher than the polyether but lower than other silicone materials. Contact angle values correlated with the number of voids found at margins and line angles of stone casts but not with those on smooth surfaces.

Dental Impression Materials↗

Clinical trial enrollers vs. nonenrollers: the Cardiac Arrhythmia Suppression Trial (CAST) Recruitment and Enrollment Assessment in Clinical Trials (REACT) project.

The Recruitment and Enrollment Assessment in Clinical Trials (REACT) was a National Heart, Lung, and Blood Institute (NHLBI)-sponsored substudy to the Cardiac Arrhythmia Suppression Trial (CAST). Two-hundred-sixty (260) patients who enrolled in CAST and 140 partially or fully eligible patients who did not enroll were compared across several parameters, including demographic variables, disease severity, psychosocial functioning, health beliefs, recruitment experience, and understanding of informed consent procedures used in CAST. Significant predictors of enrollment included several demographic variables (e.g., being male, not having medical insurance), episodes of ventricular tachycardia, and health beliefs (e.g., extra beats are harmful, a higher degree of general health concern). Enrollment was higher for those who read and understood the informed consent and those who were initially recruited after hospital discharge, particularly nondepressed patients. In the multivariate model, the key variables that emerged were the patient's reading of the informed consent form and the patient's lack of medical insurance. These results suggest that (1) the clinical trial staff's interaction with the patient and the time when recruitment is initiated contribute significantly to the decision to enroll; and (2) it may be a greater challenge to motivate patients to enroll in future clinical trials if health care reform improves access to medical insurance coverage. Some of the significant variables are modifiable, suggesting interventions that may increase enrollment rates in future trials.

Aged↗

Current status of the cast metal inlay: a survey of dental schools in the UK and Hong Kong.

This study reports on the current status of the gold inlay in the undergraduate curriculum of Dental Schools in the UK and at the Prince Philip Dental Hospital, Hong Kong, to determine if the decline in the use of the cast gold inlay over the past 20 years is reflected in teaching at undergraduate level. A questionnaire, which was mailed to all the heads of departments of conservative dentistry in the UK, was designed to determine current teaching in respect of cast inlays. The results show that although the majority of UK dental schools continue to teach direct and indirect inlay techniques, a minority (4 and 5 respectively) no longer incorporate a practical exercise in this teaching. Reasons cited for the discontinuation of the technique are varied but the availability of simpler, more conservative techniques is emphasized. Examination of the treatment records at the Prince Philip Dental Hospital, Hong Kong, where the Class II inlay technique is taught both theoretically and practically, shows that only a small proportion of all posterior cast restorations fitted between May 1983 and April 1988 were inlays (4.6 per cent).

Dental Records↗

Effect of impression tray design and impression technique upon the accuracy of stone casts produced from a putty-wash polyvinyl siloxane impression material.

This study examined the accuracy of stone casts produced from impressions taken in stock polycarbonate trays, some of which had been strengthened with autopolymerizing polymethyl methacrylate resin. Three techniques were used to make the impression of an acrylic master model of the mandibular arch on which two extracoronal preparations for bridgework and one intracoronal inlay preparation had been carried out. Each preparation had been indented with a reference point for later measurement. The impression material was a putty-wash polyvinyl siloxane material. Five impressions were taken for each type of tray for each impression technique and these were cast in die-stone after 24 h. The distances between the points were measured with a reflex microscope and the means determined for each design of tray. The mean difference between casts produced from the various tray designs and the acrylic master model were determined for each of the distances between the three measuring points for the various impression techniques. Statistical analysis showed that, with the polycarbonate stock trays, there were significant differences between some of the modifications and between them and the acrylic model, for the three distances (P less than 0.05). These differences were limited to one measurement for one design of tray for each of the two-stage impression methods. With the one-stage technique the unreinforced tray and those reinforced with acrylic, over the heels and anteriorly, and the barred design were statistically significantly different from the acrylic model for measurement A-B.(ABSTRACT TRUNCATED AT 250 WORDS)

Adhesives↗

Method for identifying putrefied corpses by facial casting.

The authors developed an original method for casting the face of putrefied corpses, which allowed a three-dimensional facial cast of an individual to be made. This method used several stages: face restoration by subcutaneous injections of specific materials, casting by elastomer, then three-dimensional positive image building. This technique enabled the person to be recognized and then identified, and seems to be useful in such difficult cases.

Face↗

Adherence and arrhythmic mortality in the cardiac arrhythmia suppression trial (CAST).

Patient adherence to therapy is essential to assess treatment efficacy, particularly in clinical trials. Active treatment usually is expected to benefit patients. The healthy adherer effect, the association or greater adherence to all health-promoting behaviors, including medication and overall concern for health, explains the improved survival of more adherent patients in both active and placebo medication groups of several clinical trials. The Cardiac Arrhythmia Suppression Trial (CAST), a placebo-controlled double-blind clinical trial of post-myocardial infarction (MI) patients with asymptomatic ventricular arrhythmias, in which active medication (encainide or flecainide) led to increased mortality, provided an opportunity to examine the relationship of adherence to survival from a different perspective. We consider whether adherence to active treatment was related to arrhythmic mortality and whether a healthy adherer effect might counteract the effect of treatment on mortality among patients taking active medication. Adherence (average pill count) at the first follow-up visit did not differ in the active treatment (92.2%, standard deviation (SD) = 11.97, n = 574) and placebo (90.8%, SD = 13.66, n = 579) groups. In a Cox proportional hazard regression model, medication adherence predicted arrhythmic mortality among the active (P < 0.0062) but not the placebo medication group. The effect of adherence on arrhythmic mortality was significant beyond the effects of ejection fraction, race, spouse, smoking status, diuretic medication, and history of MI. A 10% increase in adherence led to more than a threefold increase of risk of arrhythmic death. The design of the CAST, which included a titration phase, may have tended to select relatively adherent patients since only those whose arrhythmias were suppressed with active medication were randomized into the trial. The data do not support a strong healthy adherer effect in the CAST. There was no evidence in this study that a healthy adherer effect counterbalanced the effect of the active medication.

Anti-Arrhythmia Agents↗

Surface properties and biocompatibility of solvent-cast poly[-caprolactone] films.

Poly(epsilon-caprolactone) (PCL) was dissolved in four solvent systems, chloroform, tetrahydrofuran, acetone and ethyl acetate, and cast onto glass Petri dishes. The surface properties of the resulting films were investigated. The extent to which their properties were determined by the solvent used in each case was quantified in terms of contact angle, surface morphology, attenuated total reflection-Fourier transform infrared spectroscopy (ATR-FTIR), and the adhesion and proliferation of fibroblasts by direct contact. The surface of the PCL film in contact with glass was denoted the SG surface, and the other, which was exposed to the gas phase, a mixture of air and residual solvent vapour, was denoted the SA surface. In the case of hydrophobic solvent systems, the advancing contact angle of the SG surface was always lower than that of the SA surface. With hydrophilic solvent systems, on the other hand, the advancing contact angle of the SG film surface was higher when the contact angle of the Petri dish was higher than that of the gaseous mixture of the air and solvent vapour, otherwise it was lower or equal to that of the surface on which it was cast. The surface morphology was dictated by the solubility of PCL in the respective solvent systems: high dissolution solvents such as chloroform and tetrahydrofuran produced films that comprised PCL aggregates, the particles being larger in the case of chloroform, whereas the less efficient solvents (acetone and ethyl acetate) resulted in a filamentous structure. The ATR-FTIR results confirmed that the chemistry of the SA surfaces differed according to the solvent system used. Preliminary cell culture experiments carried out with the PCL films established that murine (L929) fibroblasts grew well on all surfaces regardless of the solvent used, although the rates of adhesion and proliferation were not as great as on tissue culture plastic controls. Of all the surfaces examined in this study, the cells favoured the SG aspect of ethyl acetate cast PCL films, the surface of which had the finest pore size and relatively low contact angle.

Animals↗

A comparison of the fatigue behavior of cast Ti-7.5Mo with c.p. titanium, Ti-6Al-4V and Ti-13Nb-13Zr alloys.

The purpose of the present study is to compare the high-cycle fatigue behavior of newly developed Ti-7.5Mo alloy with that of c.p. Ti, Ti-13Nb-13Zr and Ti-6Al-4V alloys in their as-cast state. Experimental results indicate that Ti-6Al-4V and c.p. Ti have higher stress-controlled fatigue resistance but lower strain-controlled fatigue resistance than Ti-7.5Mo and Ti-13Nb-13Zr. Among four materials Ti-7.5Mo demonstrates the best strain-controlled fatigue performance. The fracture surfaces of the present materials are comprised of three morphologically distinct zones: crack initiation zone, crack propagation zone, and the final-stage overload zone. The fatigue cracks almost always initiate from casting-induced surface/subsurface pores. A river pattern is observed in the propagation zone. In the overload zone dimples are typically observed. Three factors most significantly affecting the fatigue performance of the present materials are the presence of the casting-induced surface/subsurface pores; the location of the pores; and the inherent mechanical properties of the materials.

Alloys↗

Delivery of the antibiotic gentamicin sulphate from precipitation cast matrices of polycaprolactone.

Microporous, poly(epsilon-caprolactone) (PCL) matrices were loaded with the aminoglycoside antibiotic, gentamicin sulphate (GS) using the precipitation casting technique by suspension of powder in the PCL solution prior to casting. Improvements in drug loading from 1.8% to 6.7% w/w and distribution in the matrices were obtained by pre-cooling the suspension to 4 degrees C. Gradual release of approximately 80% of the GS content occurred over 11 weeks in PBS at 37 degrees C and low amounts of antibiotic were measured up to 20 weeks. The kinetics of release could be described effectively by the Higuchi model with the diffusion rate constant (D) increasing from of 1.7 to 5.1 microg/mg matrix/day(0.5) as the drug loading increased from 1.4% to 8.3% w/w. GS-loaded PCL matrices retained anti-bacterial activity after immersion in PBS at 37 degrees C over 14 days as demonstrated by inhibition of growth of S. epidermidis in culture. These findings recommend further investigation of precipitation-cast PCL matrices for delivery of hydrophilic molecules such as anti-bacterial agents from implanted, inserted or topical devices.

Anti-Bacterial Agents↗

Use of metal conditioners to improve bond strengths of autopolymerizing denture base resin to cast Ti-6Al-7Nb and Co-Cr.

OBJECTIVE: The shear bond strengths of an autopolymerizing denture base resin to cast Ti-6Al-7Nb and Co-Cr alloys using three metal conditioners were investigated. METHODS: Ti-6Al-7Nb alloy and Co-Cr alloy discs were cast. The disc surfaces were air-abraded with 50 microm alumina particles and treated with three metal conditioners (Alloy Primer; Cesead II Opaque Primer; Metal Primer II). An autopolymerizing denture base resin was applied on the discs within a hole punched in a piece of sticky tape and a Teflon ring to define the bonding area. All specimens were immersed in 37 degrees C water for 24 h. Half of the specimens were thermocycled up to 20,000 cycles. The shear bond strengths were determined at a crosshead speed of 1.0 mm/min. RESULTS: Specimens treated with the three metal conditioners had significantly (p<0.05) improved shear bond strengths of the autopolymerizing denture base resin to both Ti-6Al-7Nb and Co-Cr. Although the bond strengths of the bonded Ti-6Al-7Nb specimens were higher than those of the Co-Cr alloy before thermocycling, the decrease in the bond strength of Ti-6Al-7Nb was considerably greater than that of the Co-Cr after thermocycling. CONCLUSION: Significant improvements in bond strength of the autopolymerizing denture base resin to cast Ti-6Al-7Nb alloy and Co-Cr alloy were achieved through the application of Alloy Primer, Cesead II Opaque Primer and Metal Primer II. The bond durability to Ti-6Al-7Nb alloy was inferior to that to Co-Cr.

Chromium Alloys↗

Assessment of determinants of optimum performance of the CAST-2000 ELISA procedure.

The Cellular Antigen Stimulation Test (CAST), a recent innovation in the laboratory detection of allergen sensitivity, is a functional assay based on the release of sulphidoleukotrienes (LTs) from allergen-activated circulating basophils. The current study was undertaken to establish optimum determinants of this procedure. The results demonstrate that treatment of blood with preservative-free heparin in polypropylene containers, and removal of erythrocytes by selective lysis with 0.83% ammonium chloride are excellent alternatives to the use of CAST venepuncture tubes and dextran, respectively. Similarly, decreasing and increasing the leucocyte concentration by 0.5- and 4-fold, respectively, as well as omission of interleukin-3 (IL-3) were also without significant effect. However, treatment of leucocyte suspensions with bacterial endotoxin (>1 microg/ml) activated the release of sulphidoleukotrienes from basophils and/or other types of leucocytes. The findings of this study are clearly relevant, both with respect to cost and performance, when implementing the CAST in clinical immunology laboratories.

Adult↗

CAD-CAM generated ear cast by means of a laser scanner and rapid prototyping machine.

Sculpting a wax ear cast for use when making a definitive prosthesis for a patient who has had auricle ablative surgery, is challenging. It requires a skilled anaplastologist along with complex instrumentation able to perform facial laser scans and reproduce anatomic details. The aim of this article is to present a technique to create a cast by laser scanning a stone cast of the existing ear. A 3D laser scanner develops an integrated 3D digital image of the unaffected ear, which is copied and then mirrored. A rapid prototyping machine collects the necessary data to manufacture the definitive resin ear. This procedure is time and cost effective only if the technology is free of charge.

Computer-Aided Design↗

The use of ultrasound to enhance the degradation of the Basic Green by cast iron.

The effect of pH, amount of cast iron and initial concentration on the removal ratio of Basic Green by cast iron combined with ultrasound was investigated. It was shown that the reduction of Basic Green was enhanced by ultrasound. In all combined systems, the decolorization efficiency is more than 95%, but removal ratio of CODcr decreased with the increasing pH or initial dye concentration and increased with the increase of the amount of cast iron.

Coloring Agents↗

Urinary red blood cell and cast excretion in normal and hypertensive human pregnancy.

OBJECTIVE: Although the well-recognized pregnancy changes in renal blood flow, cellular function, tubular fluid composition, and flow rates may cause altered excretion rates of formed elements in the urine, relatively little attention has been paid to this in normal pregnancy. The urinary white cell excretion is known to be increased, with loss of the usual relationship between pyuria and urinary infection. Whether the same is true for other formed elements is unknown. Our purpose was to determine normal values for excretion of erythrocytes and casts and to establish whether they became abnormal in women in whom preeclampsia developed. STUDY DESIGN: Study subjects were 174 continuously normotensive pregnant volunteers, 22 women who had preeclampsia, and 8 women who had chronic essential hypertension. Early-morning midstream urine samples were collected at 17 to 20 and at 33 to 36 weeks' amenorrhea after insertion of a vaginal tampon. Urinary microscopy was performed by standard techniques (Kesson et al. Lancet 1978;2:809). RESULTS: The 95th percentile for concentration of erythrocytes was < or = 2500 red blood cells/ml; for casts the concentration was < or = 30 red blood cells/ml in normal pregnancy. Values for those who had preeclampsia and for the small group with chronic essential hypertension were within these limits. CONCLUSION: In an early-morning concentrated urine sample, values of < or = 2500 erythrocytes/ml and < or = 30 hyaline or granular casts per milliliter can be accepted as normal.

Chronic Disease↗

Microleakage at the resin-alloy interface of chemically retained composite resins for cast restorations.

New retentive mechanisms between veneering resins and casting alloys are claimed to have a chemical bond that results in a high bond strength combined with low microleakage between the veneering resin and cast restoration. This study compared the microleakage of four chemical bonding mechanisms when three veneering resins were bonded to two dental casting alloys. Resin-veneered alloy disks were immersed in red India ink and kept at 37 degrees C for 72 hours. The disks were then bench dried for 24 hours. The resin veneer was sectioned into eight sectors in an engineering milling machine and these resin sectors were removed to display the microleakage pattern. It was concluded that (1) no microleakage was found in two combinations, and (2) the highest microleakage was with Sr-Isosit-N/Panavia EX/Firmilay combinations.

Acrylic Resins↗

Temperature increase during removal of incisal extensions on resin-bonded castings.

To assist seating or relocation of resin-bonded retainers on abutments, extensions of the cast framework can be incorporated and removed after cementation. There has been apprehension concerning the heat created during the grinding of these extensions, particularly if there is a substantial bulk of metal. This study recorded the elevation of temperature when cast incisal extensions were removed by grinding after cementation. A total of 20 retainers were waxed for 0.3 mm thickness, cast in a nickel-chrome alloy, and bonded in-vitro to an acid-etched natural tooth with composite resin cement. The temperature of the coronal dentin was measured while the tag was ground with a high-speed dental handpiece. The maximum temperature and mean temperature elevations that exceeded the resting temperature were recorded. A significant temperature rise was apparent when complete incisal wrapover framework extensions were reduced compared with the removal of fingerlike locating extensions. In conclusion, care should be exercised when the locating extensions of resin-bonded retainers are removed with high-speed dental handpieces.

Cementation↗

Effect of ultrasonic instrumentation on the retention of simulated cast crowns.

The effect of ultrasonic instrumentation on the retention of cemented cast restorations was studied. Forces required to dislodge castings from specimen assemblies subjected to ultrasonic vibrations did not differ significantly from those required to cause failure of noninstrumented specimens. The results indicate that clinical application of the ultrasonic device would not affect adversely the retention of properly cemented and well fitting cast restorations.

Crowns↗