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Evaluation of fourteen direct-bonding orthodontic bases.

Design characteristics (area of bonding, mesh size, and type) and bond strength of fourteen commercial direct-bonding metal bases with commercially attached brackets were evaluated. Tensile bond strength was measured with two direct-bonding adhesives, using plastic and natural teeth as substrates. Statistically significant differences in bond strength were observed among the bases, but bond strength was independent of nominal area and mesh size of the bases. Bond failures occurred most frequently at the base-adhesive interface of the metal bases. Damage caused by spot-welding of brackets to bases was implicated as a factor affecting bond strength.

Adhesives↗

Bonding bases coated with porous metal powder: a comparison with foil mesh.

This study was undertaken to test the theory that a special porous metal powder coating can provide better mechanical keying than mesh by virtue of its greater surface area and intricate microscopic void network. Identical brackets were laser-welded to an equal number of conventional foil-mesh and powder-coated bases of identical shape and peripheral dimensions. The experimental base material was found to provide significantly greater tensile bond strength at the metal/adhesive interface.

Adhesives↗

The Spanish Monostrut Study Group: a ten-year experience with 8,599 implants.

BACKGROUND: The Monostrut valve is a pyrolytic carbon, tilting-disc prosthesis with no welds. After the first implantation in Spain in May 1983, the Spanish Monostrut Study Group was established to evaluate prospectively the performance of the valve using uniform protocols. METHODS: During a 10-year period, 8,599 Monostrut valves were implanted in 7,317 patients in 22 centers. Mean age was 53.3 +/- 11 years. Of the total group, 3,229 underwent aortic valve replacement, 2,806 had mitral valve replacement, and 1,282 had double valve replacement. Follow-up was 96% complete, with a mean period of 4.3 years and a total of 29,155 patient-years. RESULTS: The operative mortality rate was 7.2%. The 10-year probability of freedom from valve-related complications and linearized rates (event/100 patient-years in parentheses) were as follows: structural deterioration, 100% (0); nonstructural dysfunction, 96% +/- 0.5% (0.51); thromboembolism, 82.9% +/- 1.5% (1.32); anticoagulant-related hemorrhage, 87.6% +/- 1.4% (0.98); and prosthetic valve endocarditis, 96.1% +/- 0.5% (0.48). There were five obstructive valve thromboses (0.017/100 patient-years). Actuarial freedom from reoperation was 95% +/- 0.5% at 10 years. Actuarial freedom from all valve-related morbidity was 70.2% +/- 1.6%; freedom from all valve-related morbidity and mortality (including operative and sudden deaths) was 62.6% +/- 2% (70.1% +/- 2% for aortic valve replacement, 56.9% +/- 2% for mitral valve replacement, and 59.8% +/- 3% for double valve replacement; p < 0.0001). Clinically, 5,988 patients (94%) are in New York Heart Association class I-II. CONCLUSIONS: The Monostrut valve has shown no structural failures and a low rate of valve-related complications over a 10-year period in a large patient population.

Actuarial Analysis↗

The ergonomics of spot welders.

The working situations of people working spot welding machines, both foot and power operated, are described and measurements of several machines and their performances are presented. From performance, discomfort and machine design analyses desirable modifications to the workplace are deduced and implemented. Subsequent measures taken over a period of two weeks of performance show increased output, reduced production costs and increased comfort for the operators.

Journal Article↗

Are some chondrule rims formed by impact processes? Observations and experiments.

Observations and experimental evidence are presented to support the hypothesis that high-speed impact into a parent body regolith can best explain certain textures and compositions observed for rims on some chondrules. A study of 19 interclastic rimmed chondrules in the Weston (H 3/4) ordinary chondrite shows that two main rim types are present on porphyritic olivine-pyroxene (POP) and porphyritic pyroxene (PP) chondrules: granular and opaque rims. Granular rims are composed of welded, fine-grained host chondrule fragments. Bulk compositions of granular rims vary among chondrules, but each rim is compositionally dependent on that of the host chondrule. Opaque rims contain mineral and glass compositions distinctly different from those of the host, partially reacted chondrule mantle components, and some matrix grains. Opaque rims are greatly enriched in FeO (up to 63 wt%). The original chondrule pyroxene compositional zonation patterns and euhedral grain outlines are discontinuous at the chondrule/rim interface. Opaque rims are dominated by fayalitic olivine (Fa92-56), with high Al2O3 content (0.78-3.15%), which makes them distinctly different from primary olivine, but similar to Fe-olivine in chondrule rims of other meteorites. Thin zones of chondrule minerals adjacent to the present rims are intermediate in FeO content between the Mg-rich interior and the Fe-rich rim, which indicates a reaction relationship. Regardless of conclusions drawn regarding other types of rims, granular and opaque rim characteristics appear to be inconsistent with nebular condensation, in that host and matrix fragments are included within the rim. We have initiated a series of experiments, using the Ames two-stage light gas gun, to investigate the hypothesis that the Weston chondrule rims are the result of thermal and mechanical alteration upon impact into a low-density medium. Clusters of approximately 200-micron-sized silicate particles were fired into aerogel (density = 0.1 g cm-3) at velocities of 5.6, 4.7, and 2.2 km sec-1. Recovered grains show characteristics that range from fragmented projectile grains mixed with melted aerogel that nearly rim the grains to grains that have melted aerogel clumps mixed with partially melted projectile. These experimental results demonstrate that rim-like thermal and mechanical alteration of projectiles can result from a high-velocity encounter with a low-density target. Therefore, experiments using appropriately chosen projectile and target materials can provide a test of the hypothesis that chondrule rims common to Weston and possibly other ordinary chondrites were formed by such a process.

Astronomical Phenomena↗

Evaluation of linear finite-element analysis models' assumptions for external fixation devices.

Linear finite-element models (FEMs) have enjoyed an increased use in orthopaedic research, including the use for modeling external fixation devices. These fixator FEMs depend on a number of basic assumptions concerning the overall fixation frame stability and the components' rigidity. Among the more important ones are: (i) rigid fixation at both ends of the pin and sidebar; (ii) that the sidebar can be treated essentially as a rigid entity, with all bending occurring in the bone pins; and (iii) that the system can be treated as linearly elastic. Prior work done by the authors questions some of these assumptions. Thus, this study sought an empirical evaluation of the validity of some of these a priori assumptions. A Hoffmann single half-frame was tested in its standard form and then according to a stepwise protocol wherein the frame was welded to eliminate any possible points of instability. These tests looked at the stability and rigidity in various modes (axial compression, torsion, and medial-lateral and anterior-posterior four-point bending). The basic assumptions concerning the frame stability, frame rigidity and the frame's response to loads were found to be erroneous. Component failure was common under minimal loads and statistically significant differences (p less than 0.05) of up to 75% were noted in frame rigidity among the various frame forms tested. Thus, considerable caution must be exercised when employing the FEM technique for evaluating the fixator properties.

Biomechanical Phenomena↗

A spinal fixation device for in vivo load measurement.

An instrumented spinal fixation device has been developed that allows in vivo measurement of the forces and moments acting on the implant. The telemetry is inductively powered, hermetically sealed by electron beam welding and is active only during the measurements. The instrumented fixateur interne is similar in size to the original Dick internal fixator implant and has the strength of the original implant. Laboratory tests with paired implants mounted in plastic vertebrae show that small changes in the position of the implants have a strong influence on the distribution of the loads on the implants.

Activities of Daily Living↗

The collarless metal-ceramic crown.

A technique has been developed whereby collarless metal-ceramic crowns can be fabricated by spot-welding the platinum-foil matrix to the casting after it has been contoured for porcelain application. The main advantage of this procedure over previously reported techniques is that it produces well fitted restorations while requiring a lesser degree of technical skill.

Crowns↗

Flexural strength of a high-temperature soldered cobalt-chromium alloy.

The flexural strength of a high-temperature soldered cobalt-chromium alloy was compared with that of the intact alloy. In one test group the specimens were soldered by Vitallium welding rods and in the other group Bego cobalt-chromium solder was used. The cylindrical portion of all specimens was mounted equally in an Instron testing machine. No statistically significant differences were found in flexural strength between the groups.

Chromium Alloys↗

Copper vapor laser fragmentation of gallstones: in vitro measurements of wall heat transmission.

Laser fragmentation is a promising new modality in management of retained CBD stones. Recent reports demonstrate the feasibility of lasers for this, but few studies have evaluated their safety (e.g., thermal injury may occur at greater than 43 degrees C). This study was conducted to measure heat transmission from lased bilirubinate and mixed stones to a simulated CBD wall. Four welded thermocouples were passed to the inside wall of 6-mm polyvinyl tubing 90 degrees apart to surround the lumen stone. The thermocouples were interfaced to a computer and temperatures were recorded every 270 msec. The tubing was submerged in a 37 degrees C water bath for all lasing work. A copper vapor laser (wavelength, 510 nm; 5.6 W; 5 kHz; pulse length, 30 ns) was attached to a 650-micron quartz fiber. A stone was "impacted" in the tubing and the laser fiber was pushed against the stone while making multiple passes to fragment it. Thirty mixed gallstones (mean size, 6.9 X 5.1 mm) and 20 bilirubinate gallstones (mean size, 7.1 X 5.2 mm) were fragmented during the study. Maximum temperature (Tmax), duration of Tmax (TmaxD), interval to stone piercing (TiP), and interval to fragmentation (TiF) were measured and comparisons were carried out with the SPSS statistical package using the t test procedure. The Tmax generated during fragmentation of bilirubinate stones (43.4 +/- 1.7 degrees C) was significantly less (P less than 0.002) than the Tmax for mixed stones (54.0 +/- 2.7 degrees C) but both Tmax values represented potentially injurious temperature levels.(ABSTRACT TRUNCATED AT 250 WORDS)

Cholelithiasis↗

The CO2 laser as an intraluminal repair tool.

The CO2 laser can weld vessels together and vaporize plaque. This study evaluates its use as an intraluminal reparative tool. In 17 dogs, a 1-cm circumferential intimectomy with a 1-mm distal intimal flap was performed in both carotids. In each dog, one carotid (CON, control) underwent suture flap repair. On the contralateral side (LR, laser repair), the flap was tacked with 20 250-mW 1-sec pulses and the denuded medium was g-lased for 90 sec (250 mW continuous). Animals were randomized into five groups and sacrificed on the day of surgery (Group I, n = 3), at 3 days (Group II, n = 3), at 1 week (Group III, n = 4), at 2 weeks (Group IV, n = 4), or at 4 weeks (Group V, n = 3). Vessel patencies were 88.2 and 82.4% for CON and LR, respectively. Flap repair appeared similar. No aneurysms were noted. Histology revealed a relative absence of platelet adherence to the g-lased surfaces in Groups I and II when compared to that of mechanical methods (CON). The ratio of the thickness of the regenerated surface to the total wall thickness demonstrated hyperplasia in LR vessels (0.54 +/- 0.12) when compared to that in CON (0.30 +/- 0.15) at 2 and 4 weeks (ANOVA, P less than 0.001). Coverage with endothelial-like cells appeared complete at 4 weeks in both methods. The CO2 laser can effectively repair intimal flaps. However, our results demonstrate a significant increase in medial hyperplasia following g-lasing even in the face of minimal early platelet adherence. This may prove detrimental to the long-term patency of intraluminal CO2 laser-treated vessels.

Animals↗

Laser assisted fusion of the rat stomach: preliminary studies.

The purpose of this study was (1) to determine whether rat gastrotomies could be securely closed without sutures by CO2 laser-induced tissue fusion alone and (2) to compare some characteristics (physical, biochemical, histological) of laser-fused gastrotomies with sutured gastrotomies. Following pentobarbital anesthesia a 1.5-cm longitudinal anterior gastrotomy was made in the forestomach of male Sprague-Dawley rats. This wound was closed using either a sutureless tissue weld created by a microscope-mounted CO2 laser (153 W/cm2) (Group I, N = 61) or with a running 6-O polypropylene suture (Group II, N = 58). Animals were sacrificed on Postoperative Days 1, 2, 4, 7, and 11 and the wounds were studied. Survival to scheduled sacrifice was 95% in Group I and 93% in Group II. Although bursting pressure of laser-fused gastrotomies was significantly lower than that of sutured controls on Postoperative Day 1, measurement on subsequent days showed comparable wound strength between the laser and suture groups. Wound hydroxyproline content was significantly higher on Postoperative Day 1 and lower on Postoperative Day 11 in the laser group. Histologic examination of the laser-fused wounds revealed less inflammation and earlier reepithelialization than the sutured wounds, giving the microscopic appearance of a "neater" healing wound. These results suggest that laser-induced fusion is a feasible method of gastrointestinal wound closure which may complement standard suture techniques.

Animals↗

Laser-assisted fibrinogen bonding of vascular tissue.

Characterization of the stress-strain profiles of welded tissue would provide an additional means of analyzing this new technology and comparing it with alternative anastomosing techniques. Rabbit longitudinal aortotomies were repaired with either 7-O polypropylene sutures or an 808-nm diode laser (power density, 4.8 watts/cm2) after topical application of fibrinogen mixed with indocyanine green dye (peak absorption, 805 nm). The rabbits were sacrificed between 0 and 28 days, and the fresh aortic specimens were strained axially in diluted plasma solution until ultimate breakage occurred in order to produce a stress-strain profile graph. No significant differences were noted between sutured and bonded aorta at any time interval. Nonincised aortic tissue (378 lb/in2) withstood significantly higher stress (P less than 0.05) than both sutured (257 lb/in2) and bonded (210 lb/in2) groups at the time of creation. By 7 days after operation, however, no significant differences were noted among any of the three groups. At 28 days after operation, the laser-bonded aorta was significantly stronger than the control aorta (P less than 0.05). The only significant difference in modulus (stretchability) identified the sutured aorta (373 lb/in2) to be more rigid than the control aorta (231 lb/in2) (P less than 0.05). Both sutured and laser-bonded anastomoses are weaker than control aorta initially; however, after an early critical period, both treatments achieve the strength of control aorta. By 1 month postoperatively, sutured anastomoses have the disadvantage of being less distensible.

Animals↗

Fitting epidemiologic follow-up studies with cumulative damage models.

The use of an extended version of the cumulative damage model to identify and quantify cancer risk arising from a specified exposure is outlined. For this, a strategy to fit the model to individual data coming from epidemiologic follow-up studies is described. Two statistical problems are addressed: first, the regularity of the model has to be ascertained to allow the application of maximum-likelihood and likelihood-ratio methods for parameter estimation and testing. Second, a statistical test has to be found that permits testing goodness of fit in the setting of parameter estimation with individual data. As an example, these methods are applied to the data of a cohort study on mortality among stainless steel welders in the Federal Republic of Germany. The results show that the model fits the data well and confirms a carcinogenic effect of stainless steel welding among welders. Some distinguishing characteristics of the model, especially its prediction of a potentially decreasing relative risk despite ongoing carcinogenic exposure, are discussed.

Carcinogens↗

Rat lung metallothionein and heme oxygenase gene expression following ozone and zinc oxide exposure.

We have conducted exposures in rats to determine pulmonary responses following inhalation of two common components of welding fumes, zinc oxide and ozone. To examine their effects on target-inducible gene expression, we measured mRNA levels of two metal-responsive genes, metallothionein (MT) and heme oxygenase (HO), in lung tissue by RNA slot-blot analysis. A 3-hr exposure to ZnO fume via a combustion furnace caused a substantial elevation in lung MT mRNA at all concentrations tested. Exposures to 5 and 2.5 mg/m3 ZnO resulted in peak 8-fold increases in MT mRNA levels (compared to air-exposed control animal values) immediately after exposure, while 1 mg/m3 ZnO exposure caused a 3.5-fold elevation in MT mRNA. These levels returned to approximate control gene expression values 24 hr after exposure. In addition, ZnO exposure caused an immediate elevation in lung HO gene expression levels, with 8-, 11-, and 5-fold increases observed after the same ZnO exposure levels (p < 0.05). Like MT gene induction, HO mRNA values returned to approximate control levels 24 hr after exposure. In striking contrast to the induction of MT and HO gene expression after ZnO exposures, there was no elevation in gene expression following a 6-hr exposure to 0.5 and 1 ppm ozone, even when lungs were examined as late as 72 hr after exposure. Our results demonstrate the induction of target gene expression following the inhalation of ZnO at concentrations equal to, and below, the current recommended threshold limit value of 5 mg/m3 ZnO. Furthermore, the lack of effect of ozone exposure on MT and HO gene expression suggests no involvement of these genes in the acute respiratory response to this oxidant compound.

Administration, Inhalation↗

Indicators of matrix dependent variation in effective dose for chromium and nickel aerosol exposures.

Inhaled particulates containing Cr and Ni are partially cleared or dissolved thus contributing to short-term internal exposures and partial retention in airways and airspaces. The retained fraction may continuously contribute to internal exposure after external exposure has ceased, through intra- and extracellular chemical processes which continuously liberate various metallic species; i.e. via an active deposit. Recent experiments with Ni and Cr compounds, and freshly produced welding fumes, which contain Ni and Cr, demonstrate a strong dependence of the distribution of these metals on oxidation state, solubility, bioavailability and toxicity as measured by in-vitro bioassay, depending on the collection, storage and analytical technique. It is suggested that exposure limits must consider the wide variation in short- and long-term delivered dose of toxic metals to target tissue with matrix, and that current protocols may be inadequate to protect workers in different industries involving exposures to widely different types of aerosols having only the same chemical element in common.

Aerosols↗

Review of occupational epidemiology of chromium chemicals and respiratory cancer.

Several epidemiologic studies have investigated the association between cancer risk and employment in chromium producing and using industries. Strong and consistent associations have been found between employment in the primary chemical producing industry and the risk for respiratory cancer. Workers employed in chromate pigment production and possibly spray painters of chromate pigment paints appear to be at excess risk of respiratory cancer. Chrome platers may also be at excess risk, although the evidence is limited. A few studies indicate that chromium alloy welding may also be an exposure source of concern. Some studies of ferrochromium alloy workers have shown an excess risk for respiratory cancer, although the risk may in part be due to concomitant exposures. The evidence indicates that the hexavalent form of chromium is the primary agent of chromium carcinogenesis. Solubility and other characteristics of chromium compounds may also play a role in determining risk.

Carcinogens↗

Laser vasovasostomy. A comparative retrospective study, using bioquantum microsurgical carbon dioxide laser.

Microsurgical carbon dioxide (CO2) vasovasostomy was successfully achieved by fusion coagulation of protein with power densities of 40 W/cm2. When 20 and 32 W/cm2 were used, the histologic picture was found to be a uniform leakage of sperm with secondary granuloma formation, suggesting that at this power density, unsuccessful attempts at welding the vas deferens will result.

Animals↗