Telescopic magnetic attachment for implant-supported denture: evaluation of splint effect

PURPOSE

Retrievability, connecting strength, and ease of laboratory work are important but conflicting prerequisites for the success of an implant superstructure, particularly with regard to immediate function. To resolve this issue, a telescopic magnetic attachment system has been developed for implant-supported removable dentures. The splinting effect of the attachment was evaluated for stress distribution and elevation with an in vitro model of three implants in an edentulous mandible.

MATERIALS AND METHODS

Two types of telescopic magnetic attachments were prepared; the inclination angles of the axial wall of the abutment were 2.5 and 6.0 degrees. Three types of three-unit superstructures--a screw-retained superstructure and two telescopic magnet-retained superstructures--were fabricated. Static loads of 24.5, 49, and 98 N were applied vertically at three loading points on one side of each occlusal table. The elevation was measured as the height at which the magnet-retained superstructure detached from the abutment (on the other side of the prosthesis). In addition, by means of strain gauges, the stress distribution around the implants was evaluated and compared among the superstructures with the same three loads applied at six different points.

RESULTS

The magnet-retained superstructure with the axial wall inclined at 2.5 degrees did not detach from the abutment. The differences in stress distribution between the screw-retained and magnet-retained superstructures with a 2.5-degree inclination were found to be statistically insignificant. The magnet-retained superstructure with a 6-degree inclination detached from the abutment, and the stress was concentrated during loading to a cantilever site.

CONCLUSION

Because of its stress distribution and elevation, the new telescopic magnetic attachment, which has properties such as splinting the implants, ease of fabrication, and retrievability, is expected to be a viable alternative for the retention of implant-supported removable dentures.

First Report of the A2 Mating Type of Phytophthora capsici Infecting Peppers (Capsicum annuum) in Taiwan

Phytophthora capsici Leonion was first identified on pepper (Capsicum annuum L) in Taiwan in 1976. At that time, only the A1 mating type was present (2). In 2007, the A2 mating type of P. capsici was identified on tomato and eggplant in the central part of the country (1). During an excessively rainy period in mid-2008, many chili and sweet pepper fields in Taiwan suffered severe losses due to P. capsici. Symptoms included a foliar blight and stem, root, and fruit rot. Plants eventually wilted and died. Symptomatic plants were collected from chili- and sweet pepper-production areas in central, southern, and eastern Taiwan. Fifty-three isolates from single zoospores were identified by PCR using species-specific primers CAPFW/CAPRV2 (4). Mating type was determined by co-inoculating rape seed agar plates (3) with mycelial plugs of the tester and a known isolate. Pc134, maintained by the mycology unit at The World Vegetable Center, and 27220, provided by P. J. Ann at the Taiwan Agricultural Research Institute, were used as reference isolates of A1 and A2 mating types, respectively. Plates were examined microscopically for oospores after 5 to 7 days of incubation at 24°C in the dark. Of the 53 isolates, 15 were identified as the A2 mating type and the remaining 38 isolates were identified as A1. The A2 mating type was found in the central and southern regions while the A1 mating type was widely distributed across all three regions. The sporangia of the A2 mating type were 60.4 to 73.4 × 40.9 to 51.8 μm (average 69.2 × 44.7 μm), whereas sporangia of the A1 mating type were 50.1 to 73.9 × 37.9 to 48.1 μm (average 61.4 × 44.1 μm). In general, the A2 mating type produced longer sporangia and only a few isolates produced chlamydospores in V8 broth and on agar. To our knowledge, this is the first report of the A2 mating type of P. capsici infecting peppers in Taiwan. The presence of both mating types in the same field has been observed. References: (1) P. J. Ann et al. Plant Pathol. Bull. 17:69, 2008. (2) L. S. Leu and C. W. Kao. Plant Prot. Bull. (Taiwan) 23:59, 1981. (3) M. M. Sautor. Mycologia 59:161, 1967. (4) C. Silvar et al. Eur. J. Plant Pathol. 112:43, 2005.

[Determination and clinical implication of leukotriene B(4) and tumor necrosis factor-alpha in condensate of exhaled breath of chronic obstructive pulmonary disease patients]

OBJECTIVE

To study the changes and clinical implication of leukotriene B(4) (LTB(4)) and tumor necrosis factor-alpha (TNF-alpha) in exhaled breath condensate (EBC) of chronic obstructive pulmonary disease (COPD) patients.

METHODS

EBC of 20 patients in acute episode of COPD (AECOPD), 20 patients in period of remission of COPD, and 20 persons who were having regular check-up (healthy control group) were enrolled. The concentrations of LTB(4) and TNF-alpha in EBC were assayed. Forced expiratory volume in one second (FEV1) and peak expiratory flow (PEF) of COPD patients were observed at the same time, pH, oxygenation index (PaO(2)/FiO(2)), partial pressure of oxygen in arterial blood (PaO(2)) and leukocyte count were also determined.

RESULTS

(1)The concentrations of LTB(4) in EBC of AECOPD (35.43+/-14.19)ng/L and remission of COPD(24.39+/-13.75)ng/L, were significantly higher than that of the healthy control group (16.75+/-7.44)ng/L, and the concentration of LTB(4) in EBC during remission of COPD was significantly lower than that of AECOPD (all P<0.05). (2)The concentration of TNF-alpha in EBC of AECOPD (9.35+/-8.66) ng/L was significantly higher than that of remission of COPD (4.42+/-4.11)ng/L and healthy control group (4.45+/-3.92) ng/L, and the differences had statistical significance (both P<0.05). The concentration of TNF-alpha in EBC showed no significant difference between patients in remission of COPD and healthy control group. (3)The concentration of LTB(4) in EBC had negative correlation with FEV1 of AECOPD patients. Regression equation was y=or-0.51 x+0.22, r=-0.481 (P<0.05).

CONCLUSION

The concentrations of LTB4 and TNF-alpha in EBC of AECOPD patients are raised when oxidation stress is reinforced, and its level reflects the severity and prognosis of COPD.

Mismatch repair protein expression in Amsterdam II criteria-positive patients in Taiwan

BACKGROUND

Hereditary non-polyposis colorectal cancer (HNPCC) is characterized genetically by germline mutations in DNA mismatch repair (MMR) genes. Immunohistochemistry (IHC) has high sensitivity and specificity for identifying MMR-deficient tumours. This study investigated the clinical presentations and frequency of HNPCC in Taiwan by combined Amsterdam II criteria (AC-II) and IHC.

METHODS

In 1995-2003, 7108 patients with primary colorectal cancer registered in Chang Gung Memorial Hospital's Colorectal Cancer Registry were screened using AC-II. Tumour specimens were analysed for MMR protein expression by IHC, and relevant clinicopathological details were documented.

RESULTS

Some 83 patients fulfilled the AC-II. Clinicopathologically, 43 patients (52 per cent) had proximal tumours, ten (12 per cent) had poorly differentiated cancers, 17 (20 per cent) had mucinous adenocarcinoma and 51 (61 per cent) had stage I-II tumours. Seventeen patients developed second primary colonic and extracolonic cancers over a mean 7.2-year follow-up. Immunohistochemically, 58 patients were MMR protein deficient. They had a significantly earlier age of onset (P < 0.001), more proximal tumour location (P = 0.002), less advanced tumour stage (P = 0.008) and more second primary cancers (P = 0.017) compared with MMR-competent patients.

CONCLUSION

These data show significant differences in clinical features between MMR protein-deficient and MMR competent subgroups.

Transduction mechanisms of P2Z purinoceptors

The ability of extracellular ATP to increase the cation permeability of a variety of fresh and cultured cells has been known for decades, but evidence of a separate class of P2 purinoceptor, termed P2Z, which mediates this effect has only recently been obtained. Several features of the P2Z purinoceptor clearly distinguish it from other P2 purinoceptors and show that it is a ligand-gated ion channel. P2Z purinoceptors are highly selective for the ATP4- species and addition of Mg2+ in excess over ATP closes the channel. The most potent agonist is 3'-O-(4-benzoyl)benzoyl ATP which has a 10-fold lower EC50 than ATP. Ca2+ is the preferred permeant for the P2Z ion channel although it will pass ions up to the size of ethidium(+) (314 Da) in lymphocytes or fura-2 (813 Da) in macrophages. The inhibitors of the P2Z purinoceptor or its associated ion channel include suramin, amiloride analogues, high extracellular Na+ concentrations and 2',3'-dialdehyde ATP (oxidized ATP), which blocks irreversibly. Occupancy of P2Z purinoceptors stimulates a phospholipase D activity, which may be involved in membrane remodelling. Moreover, extracellular ATP causes loss of the glycosylated adhesion molecule L-selection from the surfaces of human lymphocytes by enzymic cleavage, suggesting a possible role for P2Z purinoceptors in intercellular interactions.

[Development and application of the software for analysis of arterial blood gases in treatment suggestions and training]

OBJECTIVE

Suggestions and training in developing a computer software for analysis of arterial blood gases in treatment to be used in clinic and teaching.

METHODS

The software was edited by means of Delphi 7.0 and closely combined with Windows operating system. The knowledge base was built with Microsoft Access and HTML format files. The treatment suggestions and knowledge base of the software were built according to the correlated diagnosis and treatment guidelines of Chinese Medical Association, Practical Medicine (edition 12) edited by CHEN Hao-zhu, Medicine (edition 6) edited by YE Ren-gao, Modern Clinical Blood Gases Analysis edited by QIAN Gui-sheng, Concise Clinical Blood Gas Analysis edited by LUO Yan-jie, and the experience of the experts of our hospital.

RESULTS

(1)The model of treatment suggestions consisted of the treatment objective and the treatment suggestions,and its contents included simple acid-base disturbance, mixed acid-base disturbance, respiratory failure,metabolic disturbances of sodium potassium and chloride. The calculation formulae included calculation formulae for the correction of acid-base disturbance and electrolyte disturbance. (2)Arterial blood gas analysis training software contained knowledge database of arterial blood gas analysis, clinical opinions of arterial blood gas analysis, exam database of arterial blood gas analysis, knowledge of arterial blood gas analysis graph, calculation formulas, correlated books and websites,assistance and so on.

CONCLUSION

The software could be used as a reference by clinical doctors in clinic, it could also be used for teaching and training. It is scientific, state-of-the art, and valuable in clinical practice.

[Study on the interaction of hemoglobin and Cu(II)-ARS complex]

The reaction of hemoglobin (Hb) with copper(II)-Alizarin red S (ARS) complex was studied in H3PO4-KH2PO4 buffer solution (pH 4. 2) by ultraviolet-visible spectrophotometry. The results show that the interaction of Hb and Cu(II)-ARS complex produces red ionic association complex with its maximum absorption peak at 537 nm. At the maximum absorption, the composition of the complex was determined to be n(Hb) : n(Cu(II)) : n(ARS) =1 : 4 : 8, and the apparent molar absorptivity was 1.52 x 10(5) L x mol(-1) x cm(-1). The concentration of Hb is linear with the absorbency in the range of 1.0 x 10(-7)-2.0 x 10(-6) mol x L(-1) and the regression equation was established as A = 0.026 9 + 151 675c (mol x L(-1)) with the coefficient r = 0.997 2. The effects of solution acidity, reagent amount, reaction time, temperature, ionic strength and the added surfactant were examined on the formation of the Hb-Cu(II)-ARS complex. A preliminary investigation was carried out to elucidate the reaction mechanism, and it could be concluded that the Hb and Cu(II)-ARS complex are combined mainly by electrostatic attraction. Further investigation was also undertaken to find out the effects of common amino acids and metallic ions on the formation of Hb-Cu(II)-ARS complex.

[Determination of lead in water samples by graphite furnace atomic absorption spectrometry after cloud point extraction with dithizone]

Cloud point extraction was used for the preconcentration of lead after the formation of a complex with dithizone in the presence of surfactant Triton X-114, and then the lead was determined by graphite furnace atomic absorption spectrometry. The conditions affecting the separation and detection process were optimized. Separation of the two phases was accomplished by centrifugation for 15 min at 4 000 rpm. Upon cooling in an ice-bath, the surfactant-rich phase became viscous. The aqueous phase could then be separated by inverting the tubes. Later, a solution of methanol containing 0.1 mol x L(-1) of HNO3 was added to the surfactant-rich phase up to 0.5 mL. The samples were determined by graphite furnace atomic absorption spectrometry with NH4H2PO4 and Mg(NO3)2 as a chemical modifier. At pH 8.0, the preconcentration of only 10 mL sample in the presence of 0.05% Triton X-114 and 20 micromol x L(-1) dithizone permitted the detection of 0.089 microg x L(-1) lead. The enhancement factors were 19.1 times for lead. The calibration graph using the preconcentration system for lead was linear with a correlation coefficient of 0.998 from levels near the detection limits up to at least 30 microg x L(-1). The regression equation was A = 0.026 1c (microg x L(-1)) + 0.010 6. The proposed method has been applied to the determination of lead in water samples.

Femtosecond Pulse Laser-oriented Recording on Dental Prostheses: A Trial Introduction

The purpose of this study was to evaluate the feasibility of using a femtosecond pulse laser processing technique to store information on a dental prosthesis. Commercially pure titanium plates were processed by a femtosecond pulse laser system. The processed surface structure was observed with a reflective illumination microscope, scanning electron microscope, and atomic force microscope. Processed area was an almost conical pit with a clear boundary. When laser pulse energy was 2 microJ, the diameter and depth were approximately 10microm and 0.2 microm respectively--whereby both increased with laser pulse energy. Further, depth of pit increased with laser pulse number without any thermal effect. This study showed that the femtosecond pulse processing system was capable of recording personal identification and optional additional information on a dental prosthesis.

Effects of octreotide on platelet parameters in patients with acute pancreatitis

AIM: To investigate the changes of platelet parameters in patients with mild and severe acute pancreatitis (MAP and SAP) after treated with octreotide.

METHODS: The full-automatic blood cell counter was used to obtain the platelet count (PLT), mean platelet volume (MPV), and platelet distribution width (PDW) in the patients with MAP and SAP before and 1 wk after treatment with octreotide.

RESULTS: The platelet parameters of the patients with MAP were not significantly different from that of the normal controls. One week after treatment, there was still no significant change in the PLT. However, the MPV and PDW were increased markedly (10.88±2.40 vs 10.11±1.66, P < 0.05; 17.98±4.41 vs 16.62±1.38,P < 0.05). In patients with SAP, the PLT was decreased markedly (161.61±68.30 vs 191.60±31.98, P < 0.05), and the MPV and PDW were increased markedly (11.82±2.33vs 9.81±0.79, P < 0.01; 19.33±7.07 vs 16.36±0.51,P < 0.05) as compared with those in the normal controls. One week after treatment, the PLT was notably elevated (251.61±84.07 vs 161.61±68.30, P < 0.01), while the MPV and PDW were not changed (P >0.05) as compared with those before treatment. For SAP, the PLT increased more (112.53±89.31 vs 57.81±68.24, P<0.05), and the MPV and PDW decreased more (1.29±2.79 vs -0.17±2.04, P < 0.01; 2.75±8.81 vs -0.89±3.44, P < 0.01) at 1 wk in the octreotide treatment patients as compared with those of general treatment ones.

CONCLUSION: The platelet parameters can reflect the severeness of acute pancreatitis. Octreotide can improve the microcirculation by decreasing MPV and PDW, increasing PLT.

MHC class I chain-related gene A (MICA) polymorphism and the different histological types of cervical cancer

Cervical cancer has been one of the most important gynecologic cancer in Taiwan with incidence of 24/100,000 and mortality of 8.7/100,000 annually. About 70-80% are squamous cell carcinoma; the remainder are composed of various types of adenocarcinoma, adenosquamous carcinoma and undifferentiated carcinoma. The Major Histocompatibility Complex (MHC) class I chain-related gene A (MICA) is expressed by keratinocytes and epithelial cells and interacts with gamma-delta T cells. Although MICA was not associated with cervical cancer in the study of Northern Sweden, there are no further studies about the association of MICA polymorphism and the different histological types of cervical cancer. We analyzed the MICA polymorphism in 110 cervical cancer cases (88 squamous cell carcinoma, 12 adenocarcinoma and 10 adenosquamous carcinoma) and 82 randomly selected unrelated controls from 1994 to 2000 in the Mackay Memorial Hospital, Taipei, Taiwan. DNA was extracted part from leukocytes of peripheral blood, part from tumor tissue and 5 polymorphic microsatellite alleles (A4,A5,A5.1,A6,A9) of MICA were identified by a polymerase chain reaction-based (PCR) technique using ABI Prism 377-18 DNA sequencer (Applied Biosystems, Foster City, CA, USA). The phenotypes, alleles and genotypes of MICA gene were calculated. There was no association with cervical cancer patients and non-cervical cancer patients (p=0.337, 0.356 and 0.414). After dividing the cervical cancer patients into 3 major histological types (squamous cell carcinoma, adenocarcinoma and adenosquamous carcinoma), the result was still the same (p=0.598, 0.172 and 0.617) in our study. We found no association between MICA gene polymorphism and cervical cancer in Taiwan. Different histological types of cervical cancer also have no significant correlation with MICA gene polymorphism. It demonstrates that polymorphism of MICA gene bears no relation to cervical cancer and the different histological types of cervical cancer in Taiwan. We need further studies for identifying the factors causing the differentiation of cancer cells of the uterine cervix.

Crystal structure of KD93, a novel protein expressed in human hematopoietic stem/progenitor cells

The crystal structure of a novel hypothetical protein, KD93, expressed in human hematopoietic stem/progenitor cells, was determined at 1.9A resolution using the multiple-wavelength anomalous dispersion (MAD) method. The protein KD93, which is encoded by the open reading frame HSPC031, is a NIP7 homologue and belongs to the UPF0113 family. The structural and functional information for the group of homologues has not yet been determined. Crystallographic analysis revealed that the overall fold of KD93 consists of two interlinked alpha/beta domains. Structure-based homology analysis with DALI revealed that the C domain of KD93 matches the PUA domain of some RNA modification enzymes, especially that of archaeosine tRNA-ribosyltransferase (ArcTGT), which suggests that its possible molecular function is related to RNA binding. The difference between the RNA binding regions of KD93 and ArcTGT in amino acid constitution and surface electrostatic potential indicate that they may have different RNA binding modes. The N domain of KD93 is a unique structure with no obvious similarity to other proteins with known three-dimensional structures. The high-resolution structure of KD93 provides a first view of a member of the family of hypothetical proteins. And the structure provides a framework to deduce and assay the molecular function of other proteins of the UPF0113 family.

Optimizing the error term in direct-method SAD phasing

The probability formula of the direct-method SAD (single-wavelength anomalous diffraction) phasing proposed by Fan & Gu (1985, Acta Cryst. A41, 280-284) contains an error term which is related to the lack-of-closure error. This error term is used as a weighting function in the phase derivation and in the subsequent calculation of electron-density maps. Previously, there has been a constant in the error term that has had to be determined empirically for each particular case. It has been found that improper choice of the constant often leads to failure of the direct-method SAD phasing. The problem is resolved by introducing a modified error term and a method of automatically tuning the associated scaling factor.

Direct-method SAD phasing with partial-structure iteration: towards automation

The probability formula of direct-method SAD (single-wavelength anomalous diffraction) phasing proposed by Fan & Gu (1985, Acta Cryst. A41, 280-284) contains partial-structure information in the form of a Sim-weighting term. Previously, only the substructure of anomalous scatterers has been included in this term. In the case that the subsequent density modification and model building yields only structure fragments, which do not straightforwardly lead to the complete solution, the partial structure can be fed back into the Sim-weighting term of the probability formula in order to strengthen its phasing power and to benefit the subsequent automatic model building. The procedure has been tested with experimental SAD data from two known proteins with copper and sulfur as the anomalous scatterers.

SAD phasing by combination of direct methods with the SOLVE/RESOLVE procedure

In the initial stage of SAD phasing, the essential point is to break the intrinsic phase ambiguity. The presence of two kinds of phase information enables the discrimination of phase doublets from SAD data prior to density modification. One is from the heavy atoms (anomalous scatterers), while the other is from the direct-methods phase relationships. The former can be expressed by the Sim distribution, while the latter can be expressed by the Cochran distribution. Typically, only the Sim distribution has been used to yield initial phases for subsequent density modification. However, it has been demonstrated that using direct-methods phases based on the product of the Sim and Cochran distributions can lead to improved initial phases. In this paper, the direct-methods phasing procedure OASIS has been improved and combined with the SOLVE/RESOLVE procedure. Experimental SAD data from three known proteins with expected Bijvoet ratios </DeltaF/>/<F> in the range 1.4-7.0% were used as test cases. In all cases, the phases obtained using the program RESOLVE beginning with initial phases based on experimental phases plus Sim and direct-methods information were more accurate than those based on experimental plus Sim phase information alone.

Prussian blue modified amperometric FIA biosensor: one-step immunoassay for α-fetoprotein

The aim of this study was to develop a rapid method to measure alpha-fetoprotein (AFP) in human serum by use of one-step sandwich enzyme-linked immunosorbent assay (ELISA)-based immunobiosensor with disposable screen-printed carbon electrode technology. Prussian blue (PB) was deposited using cyclic voltammetry (CV) on the surface of electrode to catalyze H202 from the reaction of glucose oxidase. It took only about 30 min to complete the whole experimental procedure through flow injection analysis (FIA). A detection range obtained is in the range from 5 to 500 ng/ml AFP. This detection seems to be quick, reliable and practical.

Performance of elbow tracking under constant torque disturbance in normotonic stroke patients and normal subjects

OBJECTIVE

In this study, the influences of externally imposed constant torque on the voluntary elbow movements of stroke and normal subjects were investigated quantitatively.

BACKGROUND

Muscle weakness, spasticity and incoordination are the major factors that interfere with stroke patient's limb functions. Imposing external torque disturbance may worsen the motor performance. This experiment was designed to investigate the effects of small constant external torque on the performance of voluntary elbow movements.

METHODS

Tracking of a ramp-and-hold angle trajectory in the direction of extension was used as the main task for performance assessment. Each subject repeated the same tracking movement six times in each of three loading conditions: no, assistive or resistive loading. Five normal and six stroke subjects were recruited for this study. We used parameters extracted from movement trajectory and processed electromyograms as the performance indicators.

RESULTS

For normal subjects, there was no difference in the tracking performance in the three loading conditions. For stroke patients, the affected side had inferior performance to the healthy side in the free loading condition and the difference diminished in assistive and resistive loading conditions as the performance of the affected side improved. Integrated electromyograms of biceps or triceps did not show significant changes in different loading conditions.

CONCLUSIONS

Small externally imposed constant torque, either resistive or assistive, may improve motor performance of affected elbows in stroke patients.

RELEVANCE

Most of the currently available prostheses are passive devices, aiming at providing better support and improving stability. The results of the current study imply that an active prosthetic device that applies a small constant torque to the hemiparetic elbow can improve its motor performance in stroke patients. The direction of external torque is to assist the weaker side of the antagonistic muscle pair.