Acrylic resin is a widely used material in clinical practice, and a satisfactory biocompatibility is essential. When the resin polymerization reaction is incomplete, residual monomers are released into the oral cavity. The aim of this study was to evaluate, through a literature review, the cytotoxicity caused by the denture base acrylic resin used, and its components. The selection of published studies was performed on the Pubmed database from January 2008 to July 2013. The keywords used were: "cytotoxicity and acrylic resins", "cytotoxicity and denture base resins" and "cytotoxicity and oral prosthesis". Inclusion criteria were: in vitro studies and literature reviews published in English that evaluated the acrylic resin cytotoxicity for denture base and its components. Studies with no reference to the search strategy were excluded. A total of 182 articles were found. Among these, only 13 were included for writing this review. The MTT test is the most common test used to evaluate acrylic resin cytotoxicity. Auto-polymerized resin is more cytotoxic than heat-polymerized resin because of its higher quantity of residual monomers which cause cell and tissue changes in the oral mucosa. However, more studies are necessary for the development of biocompatible materials (Adv Clin Exp Med 2015, 24, 4, 679-686).
Arteriovenous fistulae of the cavernous sinus are rare and difficult to diagnose. They are classified into dural cavernous sinus fistulae or direct carotid-cavernous fistulae. Despite the similarity of symptoms between both types, a precise diagnosis is essential since the treatment is specific for each type of fistula. Imaging findings are remarkably similar in both dural cavernous sinus fistulae and carotid-cavernous fistulae, but it is possible to differentiate one type from the other. Amongst the available imaging methods (Doppler ultrasonography, computed tomography, magnetic resonance imaging and digital subtraction angiography), angiography is considered the gold standard for the diagnosis and classification of cavernous sinus arteriovenous fistulae. The present essay is aimed at didactically presenting the classification and imaging findings of cavernous sinus arteriovenous fistulae.
OBJECTIVE:Large vessel occlusion in acute ischemic stroke is associated with low recanalization rates under intravenous thrombolysis. We evaluated the safety and efficacy of the Solitaire AB stent in treating acute ischemic stroke.METHODS:Patients presenting with acute ischemic stroke were prospectively evaluated. The neurological outcomes were assessed using the National Institutes of Health Stroke Scale and the modified Rankin Scale. Time was recorded from the symptom onset to the recanalization and procedure time. Recanalization was assessed using the thrombolysis in cerebral infarction score.RESULTS:Twenty-one patients were evaluated. The mean patient age was 65, and the National Institutes of Health Stroke Scale scores ranged from 7 to 28 (average 17±6.36) at presentation. The vessel occlusions occurred in the middle cerebral artery (61.9%), distal internal carotid artery (14.3%), tandem carotid occlusion (14.3%), and basilar artery (9.5%). Primary thrombectomy, rescue treatment and a bridging approach represented 66.6%, 28.6%, and 4.8% of the performed procedures, respectively. The mean time from symptom onset to recanalization was 356.5±107.8 minutes (range, 80-586 minutes). The mean procedure time was 60.4±58.8 minutes (range, 14-240 minutes). The overall recanalization rate (thrombolysis in cerebral infarction scores of 3 or 2b) was 90.4%, and the symptomatic intracranial hemorrhage rate was 14.2%. The National Institutes of Health Stroke Scale scores at discharge ranged from 0 to 25 (average 6.9±7). At three months, 61.9% of the patients had a modified Rankin Scale score of 0 to 2, with an overall mortality rate of 9.5%.CONCLUSIONS:Intra-arterial thrombectomy with the Solitaire AB device appears to be safe and effective. Large randomized trials are necessary to confirm the benefits of this approach in acute ischemic stroke.
weight and BMI in both genders, and length in girls (p<0.001). Positive correlations were found between NC and BMI in the three age groups (13-15, 16-19 and 20-24 months) in both boys and girls. The NC cut-off points for boys were 23.6, 23.9 and 24.0 cm, and 23.4, 23.5 and 23.6 cm for girls, for the 13-15, 16-19 and 20-24
Background: Complete or partial edentulous patients have difficulties performing functional tasks such as eating, chewing, and speaking, and this may affect their quality of life. The successful rehabilitation of these patients depends on emotional and psychosocial factors and on patients’ expectation regarding rehabilitation.Objectives: To examine the effect of complete or partial removable prostheses on quality of life, salivary flow, and anxiety level of wearers. Methods: Total and partial bimaxillary edentulous patients who needed rehabilitation by complete or partial removable prostheses were selected. The quality of life, salivary flow, and level of anxiety of patients were assessed using the following questionnaires: Geriatric Oral Health Assessment Index, Visual Analog Scale for xerostomia, and Anxiety Inventory. The questionnaires were used at three time points: three months before the insertion of the prostheses, at the time of insertion, and three months after the insertion of the prostheses.Results: Our study cohort included more women (62.5%) than men (37.5%), with an average age of 65.25 years. The insertion of removable prostheses significantly influenced the quality of life, anxiety level, and salivary flow of its wearers, while decreasing the sensation of xerostomia.Conclusions: It was deduced that the insertion of complete or partial removable prostheses influences the quality of life, anxiety level, and salivary flow of its wearers.
The physical and mechanical properties of foamed geopolymers were determined. The geopolymers were made with two different metakaolins (from Metacaulim do Brasil -MB, and Pantano Grande/RS -MPG) as precursors, with NaOH and Na 2 SiO 3 as activators, and with the addition of foam, which was produced with the foaming agent diethanolamide of coconut fatty acid with a minimum of 80% concentration. Also, two times (2.5 and 4 h) were used for the calcination of MPG at 750 °C. The results showed that all factors (precursors type, alkali content, silica modulus, and foam content) had a significant influence on the response variables, which presented the following variations: compressive strength of 0.36 to 3.23 MPa; thermal conductivity from 0.22 to 0.42 W/(m.K); saturated bulk density from 1176 to 1364 kg/m 3 ; dry bulk density of 619 to 864 kg/m 3 ; air void from 46.4% to 62.5%; and water absorption from 55.7% to 95.4%. It was also concluded that the precursor type was the factor that had the most influence on the properties of foamed geopolymers, with MPG calcined for 4 h being the best, as greater compressive strength and low thermal conductivity were obtained.
OBJECTIVES:Carotid artery stenting is an emerging revascularization alternative to carotid endarterectomy. However, guidelines have recommended carotid artery stenting only if the rate of periprocedural stroke or death is < 6% among symptomatic patients and < 3% among asymptomatic patients. The aim of this study is to evaluate and compare clinical outcomes of symptomatic and asymptomatic patients who had undergone carotid artery stenting as a first-intention treatment.METHOD:A retrospective analysis of patients who underwent carotid artery stenting by our interventional neuroradiology team was conducted. Patients were divided into two groups: symptomatic and asymptomatic patients. The primary endpoints were ipsilateral ischemic stroke, ipsilateral parenchymal hemorrhage and major adverse cardiac and cerebrovascular events at 30 days. The secondary endpoints included ipsilateral ischemic stroke, ipsilateral parenchymal hemorrhage, ipsilateral transient ischemic attack and major adverse cardiac and cerebrovascular events between the 1- and 12-month follow-ups.RESULTS:A total of 200 consecutive patients were evaluated. The primary endpoints obtained in the symptomatic vs. asymptomatic groups were ipsilateral stroke (2.4% vs. 2.7%, p = 1.00), ipsilateral parenchymal hemorrhage (0.8% vs. 0.0%, p = 1.00) and major adverse cardiac and cerebrovascular events (4.7% vs. 2.7%, p = 0.71). The secondary endpoints obtained in the symptomatic vs. asymptomatic groups were ipsilateral ischemic stroke (0.0% vs. 0.0%), ipsilateral parenchymal hemorrhage (0.0% vs. 0.0%), ipsilateral TIA (0.0% vs. 0.0%, p = 1.00) and major adverse cardiac and cerebrovascular events (11.2% vs. 4.1%, p = 0.11).CONCLUSIONS:In this retrospective study, carotid artery stenting was similarly safe and effective when performed as a first-intention treatment in both symptomatic and asymptomatic patients. The study results comply with the safety requirements from current recommendations to perform carotid artery stenting as an alternative treatment to carotid endarterectomy.
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