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Constant score in asymptomatic shoulders varies with different demographic populations: derivation of adjusted score equation

  • Nitesh Gahlot;Ankit Rai;Jeshwanth Netaji
    • Clinics in Shoulder and Elbow
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    • v.25 no.4
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    • pp.274-281
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    • 2022
  • Background: In the present study, the age- and sex-adjusted Constant score (CS) in a normal Indian population was calculated and any differences with other population cohorts assessed. Methods: The study participants were patients who visited the outpatient department for problems other than shoulder and healthy volunteers from the local population. Patients without shoulder pain/discomfort during activity were included in the study. Subjects with any problem that might affect shoulder function (e.g., cervical, thoracic spine, rib cage deformity, inflammatory arthritis) were excluded. Constant scoring of all participants was performed by trained senior residents under the supervision of the senior faculty. Shoulder range of movement and strength were measured following recommendations given by the research and Development Committee of the European Society for Shoulder and Elbow Surgery (2008). A fixed spring balance was used for strength measurement; one end was fixed on the floor and the other end tied with a strap to the wrist of the participant, arm in 90° abduction in scapular plane with palm facing down. Results: Among the 248 subjects (496 shoulders), the average age was 37 years (range, 18-78 years), 65.7% were males (326 shoulders) and 34.3% females (170 shoulders). The mean CS was 84.6±2.9 (males, 86.1±3.0; females, 81.8±2.9). CS decreased significantly after 50 years of age in males and 40 years of age in females (p<0.05). The mean CS was lower than in previous studies for both males and females. Heavy occupation workers had higher mean CS (p<0.05). A linear standardized equation was estimated for calculating the adjusted CS for any age. Conclusions: Mean CS and its change with age differed from previous studies among various population cohorts.

Effects of different calcium-silicate based materials on fracture resistance of immature permanent teeth with replacement root resorption and osteoclastogenesis

  • Gabriela Leite de Souza;Gabrielle Alves Nunes Freitas;Maria Tereza Hordones Ribeiro;Nelly Xiomara Alvarado Lemus;Carlos Jose Soares;Camilla Christian Gomes Moura
    • Restorative Dentistry and Endodontics
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    • v.48 no.2
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    • pp.21.1-21.15
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    • 2023
  • Objectives: This study evaluated the effects of Biodentine (BD), Bio-C Repair (BCR), and mineral trioxide aggregate (MTA) plug on the fracture resistance of simulated immature teeth with replacement root resorption (RRR) and in vitro-induced osteoclastogenesis. Materials and Methods: Sixty bovine incisors simulating immature teeth and RRR were divided into 5 groups: BD and BCR groups, with samples completely filled with the respective materials; MTA group, which utilized a 3-mm apical MTA plug; RRR group, which received no root canal filling; and normal periodontal ligament (PL) group, which had no RRR and no root canal filling. All the teeth underwent cycling loading, and compression strength testing was performed using a universal testing machine. RAW 264.7 macrophages were treated with 1:16 extracts of BD, BCR, and MTA containing receptor activator of nuclear factor-kappa B ligand (RANKL) for 5 days. RANKL-induced osteoclast differentiation was assessed by staining with tartrate-resistant acid phosphatase. The fracture load and osteoclast number were analyzed using 1-way ANOVA and Tukey's test (α = 0.05). Results: No significant difference in fracture resistance was observed among the groups (p > 0.05). All materials similarly inhibited osteoclastogenesis (p > 0.05), except for BCR, which led to a lower percentage of osteoclasts than did MTA (p < 0.0001). Conclusions: The treatment options for non-vital immature teeth with RRR did not strengthen the teeth and promoted a similar resistance to fractures in all cases. BD, MTA, and BCR showed inhibitory effects on osteoclast differentiation, with BCR yielding improved results compared to the other materials.

Effects of Ginseng total saponin(GTS) on changes in the glutamatergic nervous system induced by AF64A

  • Y. Ma;E.Y. Yi;Park, W.J.;G.S. Yoo;Kim, K.M.;K.W. Oh;D.K. Lim
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1996.04a
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    • pp.212-212
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    • 1996
  • Effects of ginseng total saponin(GTS) on changes in the glutamatergic nervous system induced by AF64A were studied in rats. Rats were pretreated with the infusion of AF64A (3mM) into lateral ventricle and were posttreated with GTS (50mg/kg, j.p) for 1 week. Twenty four hrs after the last administration, rats were sacrified and each brain resions was dissected ; striatum, hippocampus and frontal cortex. At each brain regions, total glutamate and other amino acids levels, [$^3$H]MK801 binding sites and glutamine synthetase activity were measured using HPLC-ECD, ligand binding assay and enzyme activity assay, respectively. The AF64-induced increase in the levels of total glutamate in hippocampus were significantly decreased by the administration of GTS. Furthermore, that compared with saline and GTS was decreased in striatum. The levels of total GABA compared with saline and GTS were declined in frontal cortex. Moreover, the AF64A-induced decrease in the levels of total taurine were significantly increased by the administration of GTS to extents of normal states. The numbers of [$^3$H]MK801 binding sites were differently affected in brain resiojns ; the decrease in hippocampus and no change in both striatum and frontal cortex, Glutamine synthetase activity was significantly increased in hippocampus. In comparision with saline and GTS, that was significantly decreased in striatum These results suggest that GTS may adjust the levels of glutamate, GABA and taurine constantly and may induce increase of glutamine synthetase activity declined.

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Design and test results of a Rogowski coil for measurement of current distribution characteristics in 4-parallel superconducting coils (사병렬 초전도코일의 전류분류 측정을 위한 Rogowski 코일의 제작 및 특성 실험)

  • Cho, Dae-Ho;Yang, S.E.;Kim, M.J.;Ahn, M.C.;Park, D.K.;Bae, D.K.;Seok, B.Y.;Ko, T.K.
    • Progress in Superconductivity and Cryogenics
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    • v.9 no.3
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    • pp.37-40
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    • 2007
  • Large critical current is one of the prerequisites for the design of superconducting electrical equipments with large power capacity. To enlarge the critical current. multiple parallel connection is inevitable. In multiple parallel superconducting coils. the difference in normal resistance of each shunt leads to unequal current distribution. which may yield burnout. Therefore. uniform current distribution is required for a stable operation of multiple parallel superconducting coils. In this paper, Rogowski coils were fabricated to measure each shunt current of a 4-parallel superconducting coil. Four Rogowski coils were installed at the copper bars, which are used as current leads in superconducting coils. As a result, linearity of the Rogowski coils was ascertained and coefficients of each coil, the ratio of voltage and current, were derived. The coefficients were compared with theoretically calculated values. Based on the coefficients, each shunt current was calculated in a 4-parallel superconducting coil, where uniform current. distribution was confirmed. This paper verified the feasibility of the fabricated Rogowski coils as well as operational stability of the 4-parallel superconducting coil in 77K.

Thermal Analysis for Dry Transport of a Shipping Cask (수송용기의 건식수송에 대한 열해석)

  • Lee, J.C.;Kang, H.Y.;Yoon, J.H.;Chung, S.H.;Kwack, E.H.
    • Nuclear Engineering and Technology
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    • v.25 no.2
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    • pp.248-254
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    • 1993
  • The purpose of this study is to evaluate the thermal safety for dry transport of a shipping cask. Analysis condition was based on an ambient temperature of 38$^{\circ}C$ for normal heat condition. The cask was designed to carry 4PWR spent fuel assemblies with a burnup of 38,000 MWD/MTU and 3 years of cooling time. Thermal analysis was carried out by using the COBRA-SFS code. The fuel cavity was considered to be filled with air, nitrogen or helium gas for dry transport. The results of analysis showed that the maximum temperatures of fuel rod cladding in air and helium cavity would be 277$^{\circ}C$ and 226$^{\circ}C$, respectively, for 3 years of cooling time. These values were less than the specified temperature to maintain the thermal integrity of fuel assembly for dry transport.

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Potential use of local waste scoria as an aggregate and SWOT analysis for constructing structural lightweight concrete

  • Islam, A.B.M. Saiful;Walid, Walid;Al-Kutti, A.;Nasir, Muhammad;Kazmi, Zaheer Abbas;Sodangi, Mahmoud
    • Advances in materials Research
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    • v.11 no.2
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    • pp.147-164
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    • 2022
  • This study aims to investigate the influence of scoria aggregate (SA) and silica fume (SF) as a replacement of conventional aggregate and ordinary Portland cement (OPC), respectively. Three types of concrete were prepared namely normal weight concrete (NWC) using limestone aggregate (LSA) and OPC (control specimen), lightweight concrete (LWC) using SA and OPC, and LWC using SA and partial SF (SLWC). The representative workability and compressive strength properties of the developed concrete were evaluated, and the results were correlated with non-destructive ultrasonic pulse velocity and Schmidt hammer tests. The LWC and SLWC yielded compressive strength of around 30 MPa and 33 MPa (i.e., 78-86% of control specimens), respectively. The findings indicate that scoria can be beneficially utilized in the development of structural lightweight concrete. Present renewable sources of aggregate will preserve the natural resources for next generation. The newly produced eco-friendly construction material is intended to break price barriers in all markets and draw attraction of incorporating scoria based light weight construction in Saudi Arabia and GCC countries. Findings of the SWOT analysis indicate that high logistics costs for distributing the aggregates across different regions in Saudi Arabia and clients' resistant to change are among the major obstacles to the commercialized production and utilization of lightweight concrete as green construction material. The findings further revealed that huge scoria deposits in Saudi Arabia, and the potential decrease in density self-weight of structural elements are the major drivers and enablers for promoting the adoption of lightweight concrete as alternative green construction material in the construction sector.

Mychonastes sp. 246 Suppresses Human Pancreatic Cancer Cell Growth via IGFBP3-PI3K-mTOR Signaling

  • Hyun-Jin Jang;Soon Lee;Eunmi Hong;Kyung June Yim;Yong-Soo Choi;Ji Young Jung;Z-Hun Kim
    • Journal of Microbiology and Biotechnology
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    • v.33 no.4
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    • pp.449-462
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    • 2023
  • Previously, we confirmed that Mychonastes sp. 246 methanolic extract (ME) markedly reduced the viability of BxPC-3 human pancreatic cancer cells. However, the underlying mechanism ME remained unclear. Hence, we attempted to elucidate the anticancer effect of ME on BxPC-3 human pancreatic cancer cells. First, we investigated the components of ME and their cytotoxicity in normal cells. Then, we confirmed the G1 phase arrest mediated growth inhibitory effect of ME using a cell counting assay and cell cycle analysis. Moreover, we found that the migration-inhibitory effect of ME using a Transwell migration assay. Through RNA sequencing, Gene Ontology-based network analysis, and western blotting, we explored the intracellular mechanisms of ME in BxPC-3 cells. ME modulated the intracellular energy metabolism-related pathway by altering the mRNA levels of IGFBP3 and PPARGC1A in BxPC-3 cells and reduced PI3K and mTOR phosphorylation by upregulating IGFBP3 and 4E-BP1 expression. Finally, we verified that ME reduced the growth of three-dimensional (3D) pancreatic cancer spheroids. Our study demonstrates that ME suppresses pancreatic cancer proliferation through the IGFBP3-PI3K-mTOR signaling pathway. This is the first study on the anticancer effect of the ME against pancreatic cancer, suggesting therapeutic possibilities and the underlying mechanism of ME action.

Efficacy of buccal piroxicam infiltration and inferior alveolar nerve block in patients with irreversible pulpitis: a prospective, double-blind, randomized clinical trial

  • Saurav Paul;Sridevi Nandamuri;Aakrati Raina;Mukta Bansal
    • Restorative Dentistry and Endodontics
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    • v.46 no.1
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    • pp.9.1-9.9
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    • 2021
  • Objectives: This randomized clinical trial aimed to assess the effectiveness of buccal infiltration with piroxicam on the anesthetic efficacy of inferior alveolar nerve block (IANB) with buccal infiltration in irreversible pulpitis, with pain assessed using the Heft-Parker visual analogue scale (HP-VAS). Materials and Methods: This study included 56 patients with irreversible pulpitis in mandibular molars, randomly distributed between 2 groups (n = 28). After evaluating the initial pain score with the HP-VAS, each patient received IANB followed by buccal infiltration of 2% lignocaine with adrenaline (1:80,000). Five minutes later, the patients in groups 1 and 2 were given buccal infiltration with 40 mg/2 mL of piroxicam or normal saline, respectively. An access opening procedure (AOP) was performed 15 minutes post-IANB once the individual showed signs of lip numbness as well as 2 negative responses to electric pulp testing. The HP-VAS was used to grade the patient's pain during caries removal (CR), AOP, and working length measurement (WLM). Successful anesthesia was identified either by the absence of pain or slight pain through CR, AOP, and WLM, with no requirement of a further anesthetic dose. A statistical analysis was done using the Shapiro-Wilk and Mann-Whitney U tests. Results: The piroxicam group presented a significantly lower (p < 0.05) mean pain score than the saline group during AOP. Conclusions: Buccal infiltration with piroxicam enhanced the efficacy of anesthesia with IANB and buccal infiltration with lignocaine in patients with irreversible pulpitis.

Mathematical formulations for static behavior of bi-directional FG porous plates rested on elastic foundation including middle/neutral-surfaces

  • Amr E. Assie;Salwa A. Mohamed;Alaa A. Abdelrahman;Mohamed A. Eltaher
    • Steel and Composite Structures
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    • v.48 no.2
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    • pp.113-130
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    • 2023
  • The present manuscript aims to investigate the deviation between the middle surface (MS) and neutral surface (NS) formulations on the static response of bi-directionally functionally graded (BDFG) porous plate. The higher order shear deformation plate theory with a four variable is exploited to define the displacement field of BDFG plate. The displacement field variables based on both NS and on MS are presented in detail. These relations tend to get and derive a new set of boundary conditions (BCs). The porosity distribution is portrayed by cosine function including three different configurations, center, bottom, and top distributions. The elastic foundation including shear and normal stiffnesses by Winkler-Pasternak model is included. The equilibrium equations based on MS and NS are derived by using Hamilton's principles and expressed by variable coefficient partial differential equations. The numerical differential quadrature method (DQM) is adopted to solve the derived partial differential equations with variable coefficient. Rigidities coefficients and stress resultants for both MS and NS formulations are derived. The mathematical formulation is proved with previous published work. Additional numerical and parametric results are developed to present the influences of modified boundary conditions, NS and MS formulations, gradation parameters, elastic foundations coefficients, porosity type and porosity coefficient on the static response of BDFG porous plate. The following model can be used in design and analysis of BDFG structure used in aerospace, vehicle, dental, bio-structure, civil and nuclear structures.

Reference values for pulp oxygen saturation as a diagnostic tool in endodontics: a systematic review and meta-analysis

  • Paula Lambert;Sergio Augusto Quevedo Miguens Jr;Caroline Solda;Juliana Tomaz Sganzerla;Leandro Azambuja Reichert;Carlos Estrela;Fernando Branco Barletta
    • Restorative Dentistry and Endodontics
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    • v.45 no.4
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    • pp.48.1-48.11
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    • 2020
  • Objectives: This systematic review aimed to identify mean oxygen saturation values (SpO2) using pulse oximetry in permanent maxillary anterior teeth. Materials and Methods: The MEDLINE, Scientific Electronic Library Online, Cochrane Central Register of Controlled Trials, EMBASE, and Literatura Latino Americana em Ciências da Saúde electronic databases were searched. Combinations and variations of "oximetry" AND "dental pulp test" were used as search terms. Studies reporting means and standard deviations of SpO2 values were included. Two reviewers independently extracted data following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Heterogeneity was assessed using the I2 statistic, and all analyses were performed using R software. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool and the Newcastle-Ottawa scale. Results: Of the 251 studies identified, 19 met the eligibility criteria and were included (total sample, 4,541 teeth). In the meta-analysis, the mean SpO2 values were 84.94% (95% confidence interval [CI], 84.85%-85.04%) for the central incisors, 89.29% (95% CI, 89.22%-89.35%) for the lateral incisors, and 89.20% (95% CI, 89.05%-89.34%) for the canines. The studies were predominantly low-quality due to the high risk of bias associated with the index test, unclear risk regarding patient selection, and concerns about outcome assessment. Conclusions: Although most studies were low-quality, the oxygen saturation levels in normal pulp could be established (minimum saturation, 77.52%). Despite the risk of bias of the included studies, the reference values reported herein are clinically relevant for assessments of changes in pulp status.