scholarly journals Stability of immediately loaded 3 mm long miniscrew implants: a feasibility study

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Danielle GESHAY ◽  
Phillip CAMPBELL ◽  
Larry TADLOCK ◽  
Emet SCHNEIDERMAN ◽  
Hee-Moon KYUNG ◽  
...  
Keyword(s):  
Failure Rate ◽  
Feasibility Study ◽  
Insertion Torque ◽  
Failure Rates ◽  
Removal Torque ◽  
Miniscrew Implants ◽  
The Stability ◽  
Over Time

ABSTRACT Introduction: Shorter miniscrew implants (MSIs) are needed to make orthodontics more effective and efficient. Objective: To evaluate the stability, insertion torque, removal torque and pain associated with 3 mm long MSIs placed in humans by a novice clinician. Methods: 82 MSIs were placed in the buccal maxillae of 26 adults. Pairs of adjacent implants were immediately loaded with 100g. Subjects were recalled after 1, 3, 5, and 8 weeks to verify stability and complete questionnaires pertaining to MSI-related pain and discomfort. Results: The overall failure rate was 32.9%. The anterior and posterior MSIs failed 35.7% and 30.0% of the time, respectively. Excluding the 10 MSIs (12.2%) that were traumatically dislodged, the failure rates in the anterior and posterior sites were 30.1% and 15.2%, respectively; the overall primary failure rate was 23.6%. Failures were significantly (p= 0.010) greater (46.3% vs 19.5%) among the first 41 MSIs than the last 41 MSIs that were placed. Excluding the traumatically lost MSIs, the failures occurred on or before day 42. Subjects experienced very low pain (2.2% of maximum) and discomfort (5.5% of maximum) during the first week only. Conclusions: Shorter 3 mm MSIs placed by a novice operator are highly likely to fail. However, failure rates can be substantially decreased over time with the placement of more MSIs. Pain and discomfort experienced after placing 3 mm MSIs is minimal and temporary.

scholarly journals Effects of wobbling angle on the stability measures of orthodontic mini-implants during insertion and removal procedures

2013 ◽  
Vol 83 (6) ◽  
pp. 1009-1014 ◽  
Author(s):  
Il-Sik Cho ◽  
Sang-Ho Baek ◽  
Young Ho Kim
Keyword(s):  
Insertion Torque ◽  
Peak Time ◽  
Cylindrical Shape ◽  
Artificial Bone ◽  
Removal Torque ◽  
Mini Implants ◽  
Significant Difference ◽  
The Stability ◽  
Driving Torque ◽  
Maximum Removal

ABSTRACT Objective: To investigate the effects of wobbling angle on the stability measures of orthodontic mini-implants (OMIs) during insertion and removal procedures in artificial bone blocks. Materials and Methods: A total of 36 OMIs (self-drilling type, cylindrical shape, 7 mm in length, 1.45 mm in diameter) were allocated into three groups according to the amount of wobbling angle (W-0°, W-2°, and W-4° groups; N = 12 per group). The OMIs were installed and subsequently removed from artificial bone blocks (Sawbone) using a driving torque tester with a uniform speed of 28 rpm. Insertion peak time (IPT), maximum insertion torque (MIT), total insertion energy (TIE), near-peak insertion energy (NPIE), maximum removal torque (MRT), and near-peak removal energy (NPRE) were measured. Results: The W-4° group showed the longest IPT and highest TIE and NPIE, followed by the W-2° and W-0° groups (W-0° < W-2° < W-4°, all P < .001). The W-2° and W-4° groups showed significant increase in MIT compared with the W-0° group (W-0° < [W-4°,W-2°]; P < .001). Although there was no significant difference in NPRE among the three groups, the W-4° group showed a decrease in MRT compared with the W-0° and W-2° groups (W-4° < {W-2°,W-0°]; P < .05). Although the W-4° group showed a 14.5% (2.9 Ncm) increase in MIT compared with the W-0° group, there was only a 6% (1.3 Ncm) decrease in MRT from the W-0° group to the W-4° group. Conclusion: Slight wobbling during the OMI insertion procedure may be acceptable in terms of the stability measures of OMIs during insertion and removal procedures.

scholarly journals Effectiveness of on-site education for quality assurance of screening ultrasonography for hepatocellular carcinoma

2016 ◽  
Vol 18 (3) ◽  
pp. 275 ◽  
Author(s):  
Joon-Il Choi ◽  
Seung Eun Jung ◽  
Woo Kyoung Jeong ◽  
Hyun Cheol Kim ◽  
Chandana Lall ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Quality Assurance ◽  
Failure Rate ◽  
The Other ◽  
Failure Rates ◽  
Imaging Evaluation ◽  
Clinical Imaging ◽  
The Impact ◽  
Annual Education ◽  
Over Time

Objective: To evaluate the usefulness of on-site education for clinical imaging evaluation using quality assurance (QA) testing of surveillance ultrasonography (US) for hepatocellular carcinoma (HCC). Material and methods: Thirty-eight medical institutes underwent on-site education in 2012 for QA testing of clinical imaging evaluation of surveillance US for HCC. Failure rates and mean scores of clinical imaging evaluation for surveillance US of the 2011 survey, the 2012 survey after on-site education and the 2013 survey were compared. Results: Failure rates and mean scores of the 2011 survey, the 2012 survey after education and the 2013 survey were 81.6%, 18.4%, 21.1% and 61.7, 82.7 and 74.6, respectively. Pair-wise analyses demonstrated that the failure rate of the 2011 survey was significantly larger compared to that observed in the other surveys. Mean score of the 2013 survey was worse than that of the 2012 survey after on-site education. Conclusions: On-site education positively impacts the failure rate and scores of clinical imaging evaluation of screening US for HCC. However, the impact may be reduced over time, and repeated, annual education might be necessary to maintain US quality.

On the Robustness of Solution Strategy Classifications

2010 ◽  
Vol 31 (2) ◽  
pp. 68-73 ◽  
Author(s):  
María José Contreras ◽  
Víctor J. Rubio ◽  
Daniel Peña ◽  
José Santacreu
Keyword(s):  
Individual Differences ◽  
Study Strategies ◽  
Solution Strategy ◽  
Specific Test ◽  
Spatial Tasks ◽  
The Stability ◽  
Strategy Changes ◽  
Over Time

Individual differences in performance when solving spatial tasks can be partly explained by differences in the strategies used. Two main difficulties arise when studying such strategies: the identification of the strategy itself and the stability of the strategy over time. In the present study strategies were separated into three categories: segmented (analytic), holistic-feedback dependent, and holistic-planned, according to the procedure described by Peña, Contreras, Shih, and Santacreu (2008) . A group of individuals were evaluated twice on a 1-year test-retest basis. During the 1-year interval between tests, the participants were not able to prepare for the specific test used in this study or similar ones. It was found that 60% of the individuals kept the same strategy throughout the tests. When strategy changes did occur, they were usually due to a better strategy. These results prove the robustness of using strategy-based procedures for studying individual differences in spatial tasks.

On the Stability of Evaluative Conditioning Effects

2013 ◽  
Vol 44 (6) ◽  
pp. 380-389 ◽  
Author(s):  
Sabine Förderer ◽  
Christian Unkelbach
Keyword(s):  
Evaluative Conditioning ◽  
Indirect Measures ◽  
The Stability ◽  
Over Time

Evaluative conditioning (EC) refers to valence changes in neutral stimuli (CSs) through repeated pairing with liked or disliked stimuli (USs). The present study examined the stability of EC effects in the course of 1 week. We investigated how this stability depends on memory for US valence and US identity. We also investigated whether CSs evaluations occurring immediately after conditioning (i.e., evaluative consolidation) are necessary for stable EC effects. Participants showed stable EC effects on direct and indirect measures, independent of evaluations immediately after conditioning. EC effects depended on memory for US valence but not for US identity. And although memory decreased significantly over time, EC effects remained stable. These data suggest that evaluative consolidation is not necessary, and that conditioned preferences and attitudes might persist even when people do not remember the concrete source anymore.

Electromigration and Electrochemical Reaction Mixed Failure Mechanism in Gold Interconnection System

1999 ◽  
Author(s):  
Hide Murayama ◽  
Makoto Yamazaki ◽  
Shigeru Nakajima
Keyword(s):  
Failure Mechanism ◽  
Failure Rate ◽  
Electrochemical Reaction ◽  
Dielectric Films ◽  
Failure Rates ◽  
Interlayer Dielectric ◽  
Bipolar Devices ◽  
Gold Metallization

Abstract Power bipolar devices with gold metallization experience high failure rates. The failures are characterized as shorts, detected during LSI testing at burn-in. Many of these shorted locations are the same for the failed devices. From a statistical lot analysis, it is found that the short failure rate is higher for devices with thinner interlayer dielectric films. Based upon these results, a new electromigration and electrochemical reaction mixed failure mechanism is proposed for the failure.

scholarly journals Steady-state $$\dot{V}{\text{O}}_{2}$$ above MLSS: evidence that critical speed better represents maximal metabolic steady state in well-trained runners

2021 ◽  
Author(s):  
Rebekah J. Nixon ◽  
Sascha H. Kranen ◽  
Anni Vanhatalo ◽  
Andrew M. Jones
Keyword(s):  
Steady State ◽  
Critical Speed ◽  
Lactate Concentration ◽  
Practical Interest ◽  
Blood Lactate Concentration ◽  
Distance Runners ◽  
Severe Intensity ◽  
The Stability ◽  
Trained Runners ◽  
Over Time

AbstractThe metabolic boundary separating the heavy-intensity and severe-intensity exercise domains is of scientific and practical interest but there is controversy concerning whether the maximal lactate steady state (MLSS) or critical power (synonymous with critical speed, CS) better represents this boundary. We measured the running speeds at MLSS and CS and investigated their ability to discriminate speeds at which $$\dot{V}{\text{O}}_{2}$$ V ˙ O 2 was stable over time from speeds at which a steady-state $$\dot{V}{\text{O}}_{2}$$ V ˙ O 2 could not be established. Ten well-trained male distance runners completed 9–12 constant-speed treadmill tests, including 3–5 runs of up to 30-min duration for the assessment of MLSS and at least 4 runs performed to the limit of tolerance for assessment of CS. The running speeds at CS and MLSS were significantly different (16.4 ± 1.3 vs. 15.2 ± 0.9 km/h, respectively; P < 0.001). Blood lactate concentration was higher and increased with time at a speed 0.5 km/h higher than MLSS compared to MLSS (P < 0.01); however, pulmonary $$\dot{V}{\text{O}}_{2}$$ V ˙ O 2 did not change significantly between 10 and 30 min at either MLSS or MLSS + 0.5 km/h. In contrast, $$\dot{V}{\text{O}}_{2}$$ V ˙ O 2 increased significantly over time and reached $$\dot{V}{\text{O}}_{2\,\,\max }$$ V ˙ O 2 max at end-exercise at a speed ~ 0.4 km/h above CS (P < 0.05) but remained stable at a speed ~ 0.5 km/h below CS. The stability of $$\dot{V}{\text{O}}_{2}$$ V ˙ O 2 at a speed exceeding MLSS suggests that MLSS underestimates the maximal metabolic steady state. These results indicate that CS more closely represents the maximal metabolic steady state when the latter is appropriately defined according to the ability to stabilise pulmonary $$\dot{V}{\text{O}}_{2}$$ V ˙ O 2 .

scholarly journals Effect of Photoinitiator on Precursory Stability and Curing Depth of Thiol-Ene Clickable Gelatin

Polymers ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 1877
Author(s):  
Kai-Hung Yang ◽  
Gabriella Lindberg ◽  
Bram Soliman ◽  
Khoon Lim ◽  
Tim Woodfield ◽  
...  
Keyword(s):  
Mechanical Properties ◽  
Visible Light ◽  
Rheological Properties ◽  
Swelling Ratio ◽  
Sodium Persulfate ◽  
Photo Polymerization ◽  
Gelation Kinetics ◽  
The Stability ◽  
Over Time

Recent advances highlight the potential of photopolymerizable allylated gelatin (GelAGE) as a versatile hydrogel with highly tailorable properties. It is, however, unknown how different photoinitiating system affects the stability, gelation kinetics and curing depth of GelAGE. In this study, sol fraction, mass swelling ratio, mechanical properties, rheological properties, and curing depth were evaluated as a function of time with three photo-initiating systems: Irgacure 2959 (Ig2959; 320–500 nm), lithium phenyl-2,4,6-trimethylbenzoylphosphinate (LAP; 320–500 nm), and ruthenium/sodium persulfate (Ru/SPS; 400–500 nm). Results demonstrated that GelAGE precursory solutions mixed with either Ig2959 or LAP remained stable over time while the Ru/SPS system enabled the onset of controllable redox polymerization without irradiation during pre-incubation. Photo-polymerization using the Ru/SPS system was significantly faster (<5 s) compared to both Ig2959 (70 s) and LAP (50 s). Plus, The Ru/SPS system was capable of polymerizing a thick construct (8.88 ± 0.94 mm), while Ig2959 (1.62 ± 0.49 mm) initiated hydrogels displayed poor penetration depth with LAP (7.38 ± 2.13 mm) in between. These results thus support the use of the visible light based Ru/SPS photo-initiator for constructs requiring rapid gelation and a good curing depth while Ig2959 or LAP can be applied for photo-polymerization of GelAGE materials requiring long-term incubation prior to application if UV is not a concern.

Outcomes of Inside-out Meniscal Repair in the Setting of Multiligament Reconstruction in the Knee

2017 ◽  
Vol 45 (9) ◽  
pp. 2098-2104 ◽  
Author(s):  
Jorge Chahla ◽  
Chase S. Dean ◽  
Lauren M. Matheny ◽  
Justin J. Mitchell ◽  
Mark E. Cinque ◽  
...  
Keyword(s):  
Failure Rate ◽  
Meniscal Repair ◽  
Postoperative Outcome ◽  
Control Group ◽  
Failure Rates ◽  
Significant Difference ◽  
Outcome Scores ◽  
Inside Out ◽  
Repair Group

Background: Limited evidence exists for meniscal repair outcomes in a multiligament reconstruction setting. Purpose/Hypothesis: The purpose of this study was to assess outcomes and failure rates of meniscal repair in patients who underwent multiligament reconstruction compared with patients who underwent multiligament reconstruction but lacked meniscal tears. The authors hypothesized that the outcomes of meniscal repair associated with concomitant multiligament reconstruction would significantly improve from preoperatively to postoperatively at a minimum of 2 years after the index surgery. Secondarily, they hypothesized that this cohort would demonstrate similar outcomes and failure rates compared with the cohort that did not have meniscal lesions at the time of multiligament reconstruction. Study Design: Cohort study; Level of evidence, 3. Methods: Inclusion criteria for the study included radiographically confirmed skeletally mature patients of at least 16 years of age who underwent multiligamentous reconstruction of the knee without previous ipsilateral osteotomy, intra-articular infections, or intra-articular fractures. Patients were included in the experimental group if they underwent inside-out meniscal suture repair with concurrent multiligament reconstruction. Those included in the control group (multiligament reconstruction without a meniscal tear) underwent multiligament reconstruction but did not undergo any type of meniscal surgery. Lysholm, Western Ontario and McMaster Universities Osteoarthritis Index, Short Form–12 physical component summary and mental component summary, Tegner activity scale, and patient satisfaction scores were recorded preoperatively and postoperatively. The failure of meniscal repair was defined as a retear of the meniscus that was confirmed arthroscopically. Results: There were 43 patients (16 female, 27 male) in the meniscal repair group and 62 patients (25 female, 37 male) in the control group. Follow-up was obtained in 93% of patients with a mean of 3.0 years (range, 2.0-4.7 years). There was a significant improvement between all preoperative and postoperative outcome scores ( P < .05) for both groups. The meniscal repair group had significantly lower preoperative Lysholm and Tegner scores ( P = .009 and P = .02, respectively). There were no significant differences between any other outcome scores preoperatively. The failure rate of the meniscal repair group was 2.7%, consisting of 1 symptomatic meniscal retear. There was no significant difference in any postoperative outcome score at a minimum 2-year follow-up between the 2 groups. Conclusion: Good to excellent patient-reported outcomes were reported for both groups with no significant differences in outcomes between the cohorts. Additionally, the failure rate for inside-out meniscal repair with concomitant multiligament reconstruction was low, regardless of meniscus laterality and tear characteristics. The use of multiple vertical mattress sutures and the biological augmentation resulting from intra-articular cruciate ligament reconstruction tunnel reaming may be partially responsible for the stability of the meniscal repair construct and thereby contribute to the overall improved outcomes and the low failure rate of meniscal repair, despite lower preoperative Lysholm and Tegner scores in the meniscal repair group.

scholarly journals Clinical Evaluation of Bracket Bonding Using Two Different Polymerization Sources

2008 ◽  
Vol 78 (5) ◽  
pp. 922-925 ◽  
Author(s):  
Nikolaos S. Koupis ◽  
Theodore Eliades ◽  
Athanasios E. Athanasiou
Keyword(s):  
Failure Rate ◽  
Orthodontic Treatment ◽  
Light Emitting Diode ◽  
Rank Test ◽  
Dental Arch ◽  
Halogen Lamp ◽  
Failure Rates ◽  
Bond Failure ◽  
Significant Difference ◽  
The Right

Abstract Objective: To comparatively assess clinical failure rate of brackets cured with two different photopolymerization sources after nine months of orthodontic treatment. Materials and Methods: The sample of this study comprised 30 patients who received comprehensive orthodontic treatment by means of fixed appliances. Using the same adhesive, 600 stainless steel brackets were directly bonded and light cured for 10 seconds with the light-emitting diode (LED) lamp or for 20 seconds with the conventional halogen lamp. A split-mouth design randomly alternated from patient to patient was applied. Failure rates were recorded for nine months and analyzed with Pearson χ2 test, and log-rank test at α = .05 level of significance. Results: The overall failure rate recorded with the halogen unit (3.33%) was not significantly different from the failure rate for the LED lamp (5.00%). Significantly more failures were found in boys compared with girls, in the mandibular dental arch compared with the maxillary arch, and in posterior segments compared with anterior segments. However, no significant difference was found between the right and left segments. Conclusion: Both light-curing units showed sufficiently low bond failure rates. LED curing units are an advantageous alternative to conventional halogen sources in orthodontics because they enable a reduced chair-time bonding procedure without significantly affecting bond failure rate.

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