Computed Tomography in Diagnosis of Admantinoma

Context:

Admantinoma is second most common benign odontogenic tumor which clinically appears as an aggressive odontogenic tumor, often asymptomatic and slow growing, associated with symptoms such as swelling, dental malocclusion, pain, and paresthesia of the affected area. The radiographic appearance may vary from unilocular to multilocular radiolucencies, imparting a characteristic honey comb, soap bubble appearance or may resemble a caricature of spider.

Case Report:

This report highlights the importance of conventional and advanced imaging in the diagnosis of large and invasive lesions. Patient reported with complaint of swelling in jaw, which progressively increased; and was found to be bony hard, both intra- and extraorally. Radiographs revealed large multilocular radiolucency on left body and ramus of mandible with soap bubble pattern and knife edged root resorption. Computed tomographic examination evaluated the extent of the lesion, internal structure, and relation to adjacent structures; further a reconstructed image was obtained to evaluate extent of destruction in three dimensions.

Conclusion:

Computed tomography has an important role in the diagnosis and treatment planning is imperative as it is superior in revealing the cortical destruction and extension into the neighboring soft tissues than conventional radiography.

Polymerization behavior of hydrophilic-rich phase of dentin adhesive

The 2-fold objectives of this study were 1) to understand whether model hydrophobic- and hydrophilic-rich phase mimics of dentin adhesive polymerize similarly and 2) to determine which factor, the dimethacrylate component, bisphenol A glycerolate dimethacrylate (BisGMA) or photoinitiator concentration, has greater influence on the polymerization of the hydrophilic-rich phase mimic. Current dentin adhesives are sensitive to moisture, as evidenced by nanoleakage in the hybrid layer and phase separation into hydrophobic- and hydrophilic-rich phases. Phase separation leads to limited availability of the cross-linkable dimethacrylate monomer and hydrophobic photoinitiators within the hydrophilic-rich phase. Model hydrophobic-rich phase was prepared as a single-phase solution by adding maximum wt% deuterium oxide (D2O) to HEMA/BisGMA neat resins containing 45 wt% 2-hydroxyethyl methacrylate (HEMA). Mimics of the hydrophilic-rich phase were prepared similarly but using HEMA/BisGMA neat resins containing 95, 99, 99.5, and 100 wt% HEMA. The hydrophilic-rich mimics were prepared with standard or reduced photoinitiator content. The photoinitiator systems were camphorquinone (CQ)/ethyl 4-(dimethylamino)benzoate (EDMAB) with or without [3-(3, 4-dimethyl-9-oxo-9H-thioxanthen-2-yloxy)-2-hydroxypropyl]trimethylammonium chloride (QTX). The polymerization kinetics was monitored using a Fourier transform infrared spectrophotometer with a time-resolved collection mode. The hydrophobic-rich phase exhibited a significantly higher polymerization rate compared with the hydrophilic-rich phase. Postpolymerization resulting in the secondary rate maxima was observed for the hydrophilic-rich mimic. The hydrophilic-rich mimics with standard photoinitiator concentration but varying cross-linker (BisGMA) content showed postpolymerization and a substantial degree of conversion. In contrast, the corresponding formulations with reduced photoinitiator concentrations exhibited lower polymerization and inhibition/delay of postpolymerization within 2 h. Under conditions relevant to the wet, oral environment, photoinitiator content plays an important role in the polymerization of the hydrophilic-rich phase mimic. Since the hydrophilic-rich phase is primarily water and monomethacrylate monomer (e.g., HEMA as determined previously), substantial polymerization is important to limit the potential toxic response from HEMA leaching into the surrounding tissues.

Quantum mechanical metric for internal cohesion in cement crystals

Calcium silicate hydrate (CSH) is the main binding phase of Portland cement, the single most important structural material in use worldwide. Due to the complex structure and chemistry of CSH at various length scales, the focus has progressively turned towards its atomic level comprehension. We study electronic structure and bonding of a large subset of the known CSH minerals. Our results reveal a wide range of contributions from each type of bonding, especially hydrogen bonding, which should enable critical analysis of spectroscopic measurements and construction of realistic C-S-H models. We find the total bond order density (TBOD) as the ideal overall metric for assessing crystal cohesion of these complex materials and should replace conventional measures such as Ca:Si ratio. A rarely known orthorhombic phase Suolunite is found to have higher cohesion (TBOD) in comparison to Jennite and Tobermorite, which are considered the backbone of hydrated Portland cement.

Diabetes in South Asians

Economic, dietary and other lifestyle transitions have been occurring rapidly in most South Asian countries, making their populations more vulnerable to developing Type 2 diabetes and cardiovascular diseases. Recent data show an increasing prevalence of Type 2 diabetes in urban areas as well as in semi-urban and rural areas, inclusive of people belonging to middle and low socio-economic strata. Prime determinants for Type 2 diabetes in South Asians include physical inactivity, imbalanced diets, abdominal obesity, excess hepatic fat and, possibly, adverse perinatal and early life nutrition and intra-country migration. It is reported that Type 2 diabetes affects South Asians a decade earlier and some complications, for example nephropathy, are more prevalent and progressive than in other races. Further, prevalence of pre-diabetes is high, and so is conversion to diabetes, while more than 50% of those who are affected remain undiagnosed. Attitudes, cultural differences and religious and social beliefs pose barriers in effective prevention and management of Type 2 diabetes in South Asians. Inadequate resources, insufficient healthcare budgets, lack of medical reimbursement and socio-economic factors contribute to the cost of diabetes management. The challenge is to develop new translational strategies, which are pragmatic, cost-effective and scalable and can be adopted by the South Asian countries with limited resources. The key areas that need focus are: generation of awareness, prioritizing health care for vulnerable subgroups (children, women, pregnant women and the underprivileged), screening of high-risk groups, maximum coverage of the population with essential medicines, and strengthening primary care. An effective national diabetes control programme in each South Asian country should be formulated, with these issues in mind.

Proteins, pathogens, and failure at the composite-tooth interface

In the United States, composites accounted for nearly 70% of the 173.2 million composite and amalgam restorations placed in 2006 (Kingman et al., 2012), and it is likely that the use of composite will continue to increase as dentists phase out dental amalgam. This trend is not, however, without consequences. The failure rate of composite restorations is double that of amalgam (Ferracane, 2013). Composite restorations accumulate more biofilm, experience more secondary decay, and require more frequent replacement. In vivo biodegradation of the adhesive bond at the composite-tooth interface is a major contributor to the cascade of events leading to restoration failure. Binding by proteins, particularly gp340, from the salivary pellicle leads to biofilm attachment, which accelerates degradation of the interfacial bond and demineralization of the tooth by recruiting the pioneer bacterium Streptococcus mutans to the surface. Bacterial production of lactic acid lowers the pH of the oral microenvironment, erodes hydroxyapatite in enamel and dentin, and promotes hydrolysis of the adhesive. Secreted esterases further hydrolyze the adhesive polymer, exposing the soft underlying collagenous dentinal matrix and allowing further infiltration by the pathogenic biofilm. Manifold approaches are being pursued to increase the longevity of composite dental restorations based on the major contributing factors responsible for degradation. The key material and biological components and the interactions involved in the destructive processes, including recent advances in understanding the structural and molecular basis of biofilm recruitment, are described in this review. Innovative strategies to mitigate these pathogenic effects and slow deterioration are discussed.

Aerosol optical and physical properties during winter monsoon pollution transport in an urban environment

We analysed aerosol optical and physical properties in an urban environment (Kolkata) during winter monsoon pollution transport from nearby and far-off regions. Prevailing meteorological conditions, viz. low temperature and wind speed, and a strong downdraft of air mass, indicated weak dispersion and inhibition of vertical mixing of aerosols. Spectral features of WinMon aerosol optical depth (AOD) showed larger variability (0.68-1.13) in monthly mean AOD at short-wavelength (SW) channels (0.34-0.5 μm) compared to that (0.28-0.37) at long-wavelength (LW) channels (0.87-1.02 μm), thereby indicating sensitivity of WinMon AOD to fine aerosol constituents and the predominant contribution from fine aerosol constituents to WinMon AOD. WinMon AOD at 0.5 μm (AOD 0. 5) and Angstrom parameter ( α) were 0.68-0.82 and 1.14-1.32, respectively, with their highest value in December. Consistent with inference from spectral features of AOD, surface aerosol loading was primarily constituted of fine aerosols (size 0.23-3 μm) which was 60-70 % of aerosol 10- μm (size 0.23-10 μm) concentration. Three distinct modes of aerosol distribution were obtained, with the highest WinMon concentration at a mass median diameter (MMD) of 0.3 μm during December, thereby indicating characteristics of primary contribution related to anthropogenic pollutants that were inferred to be mostly due to contribution from air mass originating in nearby region having predominant emissions from biofuel and fossil fuel combustion. A relatively higher contribution from aerosols in the upper atmospheric layers than at the surface to WinMon AOD was inferred during February compared to other months and was attributed to predominant contribution from open burning emissions arising from nearby and far-off regions. A comparison of ground-based measurements with Moderate Resolution Imaging Spectroradiometer (MODIS) data showed an underestimation of MODIS AOD and α values for most of the days. Discrepancy in relative distribution of fine and coarse mode of MODIS AOD was also inferred.

Aerosol optical and physical properties during winter monsoon pollution transport in an urban environment

We analysed aerosol optical and physical properties in an urban environment (Kolkata) during winter monsoon pollution transport from nearby and far-off regions. Prevailing meteorological conditions, viz. low temperature and wind speed, and a strong downdraft of air mass, indicated weak dispersion and inhibition of vertical mixing of aerosols. Spectral features of WinMon aerosol optical depth (AOD) showed larger variability (0.68-1.13) in monthly mean AOD at short-wavelength (SW) channels (0.34-0.5 μm) compared to that (0.28-0.37) at long-wavelength (LW) channels (0.87-1.02 μm), thereby indicating sensitivity of WinMon AOD to fine aerosol constituents and the predominant contribution from fine aerosol constituents to WinMon AOD. WinMon AOD at 0.5 μm (AOD 0. 5) and Angstrom parameter ( α) were 0.68-0.82 and 1.14-1.32, respectively, with their highest value in December. Consistent with inference from spectral features of AOD, surface aerosol loading was primarily constituted of fine aerosols (size 0.23-3 μm) which was 60-70 % of aerosol 10- μm (size 0.23-10 μm) concentration. Three distinct modes of aerosol distribution were obtained, with the highest WinMon concentration at a mass median diameter (MMD) of 0.3 μm during December, thereby indicating characteristics of primary contribution related to anthropogenic pollutants that were inferred to be mostly due to contribution from air mass originating in nearby region having predominant emissions from biofuel and fossil fuel combustion. A relatively higher contribution from aerosols in the upper atmospheric layers than at the surface to WinMon AOD was inferred during February compared to other months and was attributed to predominant contribution from open burning emissions arising from nearby and far-off regions. A comparison of ground-based measurements with Moderate Resolution Imaging Spectroradiometer (MODIS) data showed an underestimation of MODIS AOD and α values for most of the days. Discrepancy in relative distribution of fine and coarse mode of MODIS AOD was also inferred.

Methods for implantation of micro-wire bundles and optimization of single/multi-unit recordings from human mesial temporal lobe

OBJECTIVE

The authors report methods developed for the implantation of micro-wire bundles into mesial temporal lobe structures and subsequent single neuron recording in epileptic patients undergoing in-patient diagnostic monitoring. This is done with the intention of lowering the perceived barriers to routine single neuron recording from deep brain structures in the clinical setting.

APPROACH

Over a 15 month period, 11 patients were implanted with platinum micro-wire bundles into mesial temporal structures. Protocols were developed for (A) monitoring electrode integrity through impedance testing, (B) ensuring continuous 24-7 recording, (C) localizing micro-wire position and 'splay' pattern and (D) monitoring grounding and referencing to maintain the quality of recordings.

MAIN RESULTS

Five common modes of failure were identified: (1) broken micro-wires from acute tensile force, (2) broken micro-wires from cyclic fatigue at stress points, (3) poor in vivo micro-electrode separation, (4) motion artifact and (5) deteriorating ground connection and subsequent drop in common mode noise rejection. Single neurons have been observed up to 14 days post-implantation and on 40% of micro-wires.

SIGNIFICANCE

Long-term success requires detailed review of each implant by both the clinical and research teams to identify failure modes, and appropriate refinement of techniques while moving forward. This approach leads to reliable unit recordings without prolonging operative times, which will help increase the availability and clinical viability of human single neuron data.

Swelling equilibrium of dentin adhesive polymers formed on the water-adhesive phase boundary: experiments and micromechanical model

During their application to the wet, oral environment, dentin adhesives can experience phase separation and composition change, which can compromise the quality of the hybrid layer formed at the dentin-adhesive interface. The chemical composition of polymer phases formed in the hybrid layer can be represented using a ternary water-adhesive phase diagram. In this paper, these polymer phases are characterized using a suite of mechanical tests and swelling experiments. The experimental results were evaluated using a granular micromechanics-based model incorporating poro-mechanical effects and polymer-solvent thermodynamics. The variation in the model parameters and model-predicted polymer properties was studied as a function of composition along the phase boundary. The resulting structure-property correlations provide insight into interactions occurring at the molecular level in the saturated polymer system. These correlations can be used for modeling the mechanical behavior of the hybrid layer, and are expected to aid in the design and improvement of water-compatible dentin adhesive polymers.

Liquid chromatography tandem mass spectrometry method for determination of antidiabetic chalcones derivative S001-469 in rat plasma, urine and feces: application to pharmacokinetic study

A sensitive and selective liquid chromatography tandem mass spectrometry assay was developed for quantitation of a novel antidiabetic chalcones derivative S001-469 in rat matrices. Plasma and urine samples were prepared by double liquid-liquid extraction with diethyl ether and feces by protein precipitation using acetonitrile. Chromatographic elution was carried on cyano guard column (30 mm × 4.6 mm i.d., 5 µm) in isocratic mode at a flow rate of 0.75 mL/min using mobile phase comprising of methanol: ammonium acetate buffer (pH 4.6, 10 mM) (90:10, v/v). Run time was 6 min. Detection was achieved by employing positive ionization mode on a triple-quadrupole LC-MS/MS system with an electrospray ionization (ESI) source. The calibration curves were linear over the range of 0.78-400 ng/mL for all 3 matrices. The method was validated and proved reliable through high and consistent intra- and inter- day accuracy and precision (<15%) values. Recoveries was >85% from spiked plasma, urine and feces samples. S001-469 was stable in plasma at room temperature till 8 h and at -60 °C for 30 d and 3 freeze-thaw cycles.

Short Glass Fiber Reinforced PA 6 and ABS Blends

A 70:30 blend of polyamide 6 (PA 6) and acrylonitrile butadiene styrene terpolymer (ABS), with and without a compatibilizer, was used as the matrix for reinforcement with short glass fibers. The compatibilizer used was a copolymer of styrene maleic anhydride (SMA) and its level was kept at 5 wt.-% in the blend. The glass fiber content was varied from 10 to 30 wt.-%. The blends and corresponding composites were compounded using a single screw extruder and test samples were prepared by injection molding. Tensile, flexural and impact properties were determined using the injection molded test samples according to ASTM standards. Morphological studies were carried out on fractured tensile test specimens using scanning electron microscopy (SEM). In general, the mechanical properties improved by the addition of glass fibers to the blend matrices and increased with increasing glass fiber content. The compatibilizer (SMA) has no favorable effect on the mechanical properties of the composites although it has a significant effect on the blends of PA 6 and ABS. SMA increases the melt viscosity of the blend and its addition to the blend results in greater damage to the fibers in the composite during processing. The fiber-matrix adhesion appears to be better in the absence of SMA. The morphological observations have been correlated with mechanical properties.

Incremental Drawing of Polyethylene-terephthalate Partially Oriented Yarn (PET-POY)**

Polyethylene terephthalate (PET) is generally melt spun to give yarns which are then drawn at an elevated temperature since the glass transition (Tg) of PET is 70 °C. Incremental drawing of synthetic fibers involves the drawing of as-spun yarns in several discrete steps along the surface of two corotating conical bodies. For drawing at an elevated temperature a chamber type of heating system was designed in which the drawing bodies were enclosed and a constant temperature maintained. Multifilament PET-POY (Polyethylene Terephthalate-partially oriented yarn) of 130 denier/34 filaments was drawn at 300 m/min with the draw-ratios of 1.76, 1.84 and 2.00 respectively by incremental drawing process (IDP) as well as by the conventional drawing process (CDP) and the properties compared. It was seen that the mechanical and structural properties were significantly better in case of IDP than CDP at equivalent draw-ratios. The mechanical property results are explained on the basis of structural development during drawing.

Overweight, obesity and related non-communicable diseases in Asian Indian girls and women

The prevalence of obesity is rising globally and in India. Overweight, obesity and related diseases need to be delineated in Asian Indian women. A literature search was done using key words like 'obesity', 'Asian Indian women', 'body fat distribution', 'type 2 diabetes', 'fertility', 'polycystic ovarian disease', metabolic syndrome', 'cardiovascular disease', 'non-alcoholic fatty liver disease', 'gender', 'sex' and 'prevalence' up to September 2012 in Pubmed and Google Scholar search engines. This review highlights the Asian Indian body composition with regards to obesity and provides a collated perspective of gender-specific prevalence of the co-morbidities. Recent data show that women (range of prevalence of overweight and obesity from different studies 15-61%) have higher prevalence of overweight and obesity as compared with men (range of prevalence of overweight and obesity from different studies 12-54%) in India and that obesity is increasing in the youth. The prevalence of overweight and obesity in both men and women steeply rose in a Punjabi community from Jaipur. Importantly, prevalence of abdominal obesity has been consistently higher in women than in men. The lowest prevalence (6.0%) of type 2 diabetes mellitus in women is reported from South India (rural Andhra Pradesh; 2006) and the highest (14.0%) by the National Urban Diabetes Survey (2001). Although the clustering of cardiovascular disease risk factors was generally high, it increased further in post-menopausal women. There are a number of factors that predispose Indian women to obesity; sedentary behaviour, imbalanced diets, sequential and additive postpartum weight gain and further decrease in physical activity during this period and cultural issues. In view of these data, preventive measures should be specifically targeted to Indian women.

Effect of carbamazepine on the pharmacokinetic parameters of CDRI-97/78 following coadministration to rats

Coadministration of 2 or more drugs may result in unexpected toxicity. This study aimed to evaluate the effect of carbamazepine coadministration on the pharmacokinetics of CDRI-97/78, an 1,2,4-trioxane antimalarial agent. Firstly, 97/78 was administered alone and then 97/78 and carbamazepine were coadministered to male and female rats. An revalidated LC-MS/MS method was used for quantitation of 97/63 since 97/78 is instantly and completely converted to 97/63 (an in-vivo active metabolite). The Tmax and Cmax values of 97/63 were 1.75±0.77 h and 862±306 ng/mL in male rats whereas in female rats they were 5.45±0.76 h and 662.75±95.09 ng/mL after a single dose of 97/78 alone. However, following coadministration of 97/78 and carbamazepine, the values for Tmax and Cmax were 1.06±0.16 h and 533±153 ng/mL in male rats and 2.23±1.93 h and 636.5±112.4 ng/mL in female rats. The half life of 97/63 following a single oral dose of 97/78 or coadministration with carbamazepine to male rats was 6.98±0.63 h and 6.64±0.54 h, respectively; the values in female rats were 7.5±0.5 h and 5.48±0.37 h. A statistically insignificant difference (P>0.05) was observed with the student t-test for the pharmacokinetic parameters of 97/63 following oral administration of 97/78 alone or coadministration of 97/78 and carbamazepine except for MRT in female rats. Intersex statistical comparison also showed an insignificant difference for 97/63 following oral administration of 97/78 alone or in combination with carbamazepine except for MRT, which supports coadministration of 97/78 and carbamazepine.

Return of visual acuity to normal in old age

Changes occur in our body through out life. Decreased visual acuity is probably the most common effect of age-related anatomical and neurological changes in the eyes and the visual pathway. However, this case is an exception as at the age of 75 years, his power of accommodation has returned to normal. The improvement in accommodation and visual acuity is hard to explain. Likely explanations given need to be further investigated.

Stable storage of helium in nanoscale platelets at semicoherent interfaces

He implanted into metals precipitates into nanoscale bubbles that may later grow into voids, degrading the properties of engineering alloys. Using multiscale modeling, we show that a different class of He precipitates may form at semicoherent interfaces: nanoscale platelets. These platelets grow by wetting high-energy interface regions, remain stable under irradiation, and reduce He-induced swelling. Stable storage of He at interfaces may impart unprecedented He resistance to future structural materials.

Preventing neuronal damage and inflammation in vivo during cortical microelectrode implantation through the use of poloxamer P-188

OBJECTIVE

The aim of this study was to test the efficacy of Poloxamer P188 to reduce cell death and immune response associated with mechanical trauma to cells during implantation of a chronic recording electrode.

APPROACH

Ceramic multi-site recording electrodes were implanted bilaterally into 15 adult male Long-Evans rats. One of each pair was randomly assigned to receive a coating of Poloxamer while the other was treated with saline. The extent of neuron loss, and glial cell recruitment were characterized at 2, 4 and 6 weeks post-implantation by stereologic analysis.

MAIN RESULTS

At 2 and 4 weeks post-implantation, Poloxamer-coated implants showed significantly fewer glial cells and more neurons in the peri-electrode space than controls; however, this significance was lost by 6 weeks.

SIGNIFICANCE

These findings are the first to suggest that Poloxamer has neuroprotective effects in vivo; however, at a fixed loading dose, these effects are limited to approximately 1 month post-implantation.

Development of siRNA lipoplexes for intracellular delivery in lung cancer cells

Lung cancer occurrence throughout the world and its unsatisfactory treatment has drawn significant attention from many medical agencies. A genomic approach utilizing siRNA against target gene may resolve this problem. Present investigation includes siRNA lipoplex formulation and its in-vitro characterisation in lung cancer cell line for intracellular uptake and cytotoxicity. Accumulation of siRNA inside the cell as well as less cytotoxicity of prepared carrier system signifies potential of prepared siRNA lipoplex in the treatment of lung cancer.

Assessment of anxiety and depression in patients with burning mouth syndrome: A clinical trial

Introduction:

Burning mouth syndrome is a chronic pain syndrome primarily affecting elderly women with hormonal changes or psychological disorders. It is multifactorial in origin, often idiopathic and its etiopathogenesis, majorly being neuropathic, largely remains enigmatic.

Aim:

To determine the prevalence of burning mouth symptom, in elderly women and evaluate local and systemic causes responsible for burning sensation.

Materials and Methods:

100 elderly postmenopausal women were included in the study out of which 56 had a chief complaint of burning sensation. These patients were evaluated for the levels of anxiety and depression by means of questionnaire. The severity of burning and the response to the treatment was assessed with a five point Visual Analog Scale. The results were analyzed using “Chi-square test”.

Results:

There was statistically significant increase in the levels of anxiety and depression in the study group.

Conclusion:

The present study clearly indicates that most of the patients had moderate to severe levels of depression, which suggests that anxiety and depression are constant features in postmenopausal female patients.

Are nanoporous materials radiation resistant?

The key to perfect radiation endurance is perfect recovery. Since surfaces are perfect sinks for defects, a porous material with a high surface to volume ratio has the potential to be extremely radiation tolerant, provided it is morphologically stable in a radiation environment. Experiments and computer simulations on nanoscale gold foams reported here show the existence of a window in the parameter space where foams are radiation tolerant. We analyze these results in terms of a model for the irradiation response that quantitatively locates such window that appears to be the consequence of the combined effect of two length scales dependent on the irradiation conditions: (i) foams with ligament diameters below a minimum value display ligament melting and breaking, together with compaction increasing with dose (this value is typically ∼5 nm for primary knock on atoms (PKA) of ∼15 keV in Au), while (ii) foams with ligament diameters above a maximum value show bulk behavior, that is, damage accumulation (few hundred nanometers for the PKA's energy and dose rate used in this study). In between these dimensions, (i.e., ∼100 nm in Au), defect migration to the ligament surface happens faster than the time between cascades, ensuring radiation resistance for a given dose-rate. We conclude that foams can be tailored to become radiation tolerant.