scholarly journals Comparatıve assessment of thermal ınjury ınduced by bıpolar electrocautery systems ın a porcıne model

2021 ◽  
Vol 12 ◽  
pp. 146
Author(s):  
Anil K. Roy ◽  
Nefize Turan ◽  
Pasang Wangmo ◽  
Louis Nkrumah ◽  
Stewart G. Neill ◽  
...  

Background: Bipolar electrocautery systems used during neurosurgical procedures have been shown to induce thermal injury to surrounding tissue. The goal of this study was to compare the thermal injury induced by two different systems commonly used in neurosurgical procedures (Silverglide by Stryker Corporation and SpetzlerMalis by Codman Neuro), with that of a newly introduced device (TRIOwand by NICO Corporation). Methods: A farm swine underwent craniectomy and durotomy with subsequent exposure of cortical brain tissue. Electrocoagulation for the duration of 3 s was conducted with three different bipolar systems under comparable power settings. The maximal depth of thermal injury and mean area of injury in Hematoxylin and Eosin stained slides were quantified using Image J. The tissues were evaluated for vacuolization and ischemic damage. One-way ANOVA followed by post hoc Tukey test was utilized for statistical analysis. Alpha level was set at 0.05. Results: TRIOwand lesions showed less depth of injury when compared to both Spetzler-Malis (P < 0.001) and Silverglide lesions (P = 0.048). Silverglide lesions showed significantly less depth of injury when compared to SpetzlerMalis lesions (P < 0.001). The injury area induced by the TRIOwand was significantly less than that of Spetzler-Malis (P < 0.001) and Silverglide systems (P < 0.001). Ischemic changes and vacuolization were seen in all three groups. Conclusion: Thermal damage is induced to varying extents by all bipolar systems. In this porcine model and under the conditions tested, bipolar cauterization with the TRIOwand resulted in less depth and decreased mean area of injury. Further studies are needed to characterize the injury caused by different bipolar systems with other settings and under surgical conditions in humans.

2017 ◽  
Vol 14 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Joji Tokugawa ◽  
Kanako Ogura ◽  
Kenji Yatomi ◽  
Kentaro Kudo ◽  
Makoto Hishii ◽  
...  

Abstract BACKGROUND Safe and appropriate harvesting of the donor scalp vessel is the first key procedure in any type of bypass surgery. OBJECTIVE To use the so-called bipolar cutting method to harvest donor arteries, in which the donor arteries are skeletonized with bipolar cautery. The surgical procedure and the preparation of the equipment of the bipolar cutting method are described. The surgical results and histological assessment are presented. METHODS The bipolar generator was set at 50 Malis units in the coagulation mode. Under the surgical microscope, the surrounding tissue of the donor artery was divided and coagulated with the bipolar forceps. The donor artery was completely skeletonized to provide adequate length. After the recipient artery was chosen and the anastomosis site was decided, the distal end of the donor artery was cut to the appropriate length. The remnant fragment of the donor artery was histologically investigated for any damage to the arterial wall. The specimen was cut longitudinally to observe the entire length of the arterial wall and stained with hematoxylin and eosin and elastica van Gieson. RESULTS A total of 30 bypass surgeries were performed and 38 histological specimens were obtained between February 2015 and June 2016. The success rate of the bypass was 96%. No arterial wall damage such as thermal injury or dissection of the wall was recognized in any of the specimens. CONCLUSION The bipolar cutting method is a useful and safe method for harvesting donor scalp artery.


2008 ◽  
Vol 22 (6) ◽  
pp. 625-628 ◽  
Author(s):  
Benjamin S. Bleier ◽  
James N. Palmer ◽  
Michael A. Gratton ◽  
Noam A. Cohen

Background One of the challenges in the current expansion of endoscopic sinonasal surgery is the ability to adequately reconstruct the skull base. Laser tissue welding (LTW) uses laser energy coupled to a biological solder to produce tissue bonds with burst thresholds exceeding human intracranial pressure. This technology could be used to reduce the rate of postoperative cerebrospinal fluid (CSF) leak. We performed this study to determine whether LTW can create durable tissue bonds in sinonasal mucosa that support normal wound healing and produce minimal collateral thermal injury. Methods Bilateral maxillary sinus mucosal incisions were made in 20 New Zealand white rabbits and one side was repaired using LTW. Burst pressure thresholds were measured on postoperative days 0, 5, and 15 and were compared with control using a two- way ANOVA and a post hoc Tukey test. Welds were examined histologically for thermal injury, inflammation, and fibroplasia and graded on a 4-point scale by three blinded observers. Results The burst pressures of the LTW group were significantly higher than control on postoperative day 0 (120.85 mm Hg, N = 4, SD = 47.84 versus 7.85 mm Hg, N = 4, SD = 0.78), and day 5 (132.56 mm Hg, N = 8, SD = 24.02 versus 41.7 mm Hg, N = 8, SD = 7.2; p < 0.05). By postoperative day 15 there was no significant difference between LTW (169.64 mm Hg, N = 8, SD = 18.49) and control (160.84 mm Hg, N = 8, SD = 14.16) burst thresholds. There was no evidence of thermal injury to the surrounding tissue in any group as well as no difference between experimental group and control with respect to inflammation or fibroplasia. Conclusion This is the first in vivo study showing that LTW is capable of producing tissue bonds exceeding human intracranial pressure with negligible thermal injury in sinonasal tissue. Welding can be performed endoscopically using a fiberoptic cable and may be useful in CSF leak and skull base repair.


2010 ◽  
Vol 47 (2) ◽  
pp. 184-187 ◽  
Author(s):  
Luciano Lenz ◽  
Veruska Di Sena ◽  
Frank S. Nakao ◽  
Gustavo Paulo de Andrade ◽  
Maria Rachel da Silveira Rohr ◽  
...  

CONTEXT: Endoscopic mucosal resection is an established modality for excision of sessile lesions in the gastrointestinal tract. Submucosal fluid injection creates a cushion and may prevent thermal injury and perforation. OBJECTIVES: This blind study investigated the performance of three different solutions to create submucosal fluid cushions in porcine stomach. METHODS: Three solutions were injected in the stomach of nine pigs BR1: normal saline solution, carboxymethylcellulose 0.5% and hydroxypropyl methylcellulose 0.25%. In each pig, submucosal injections with 6 mL per test-solution were performed. One drop of methylene blue was added to all injections for better visualization. The time for the bleb to disappear was recorded. RESULTS: The overall median time of visible submucosal cushion was 37 minutes (range 12-60 min) for hydroxypropyl methylcellulose, 31 minutes for carboxymethylcellulose (range 10-43 min) and 19 minutes for normal saline solution (range 8-37 min). There was no statistically significant difference neither between normal saline solution and carboxymethylcellulose (P = 0.146) nor carboxymethylcellulose and hydroxypropyl methylcellulose (P = 0.119) but the median duration of hydroxypropyl methylcellulose was significantly longer than normal saline solution (P = 0.039). CONCLUSIONS: The length of hydroxypropyl methylcellulose submucosal fluid cushion is longer in comparison with normal saline solution. The median time for carboxymethylcellulose was not longer than normal saline solution. Hydroxypropyl methylcellulose, in the concentration of 0.25%, may be a durable alternative for submucosal injection.


Materials ◽  
2021 ◽  
Vol 14 (22) ◽  
pp. 6753
Author(s):  
Ramona S. Oltramare ◽  
Reto Odermatt ◽  
Phoebe Burrer ◽  
Thomas Attin ◽  
Tobias T. Tauböck

The aim of this in vitro study was to investigate the degree of C=C double bond conversion of high-viscosity dimethacrylate- or ormocer-based bulk-fill composites as a function of measurement depth. Four bulk-fill composites (Tetric EvoCeram Bulk Fill, x-tra fil, SonicFill, and Bulk Ormocer) and the conventional nanohybrid composite Tetric EvoCeram were applied in standardized Class II cavities (n = 6 per group) and photoactivated for 20 s at 1350 mW/cm2. The degree of conversion of the composites was assessed using Fourier-transform infrared spectroscopy at seven measurement depths (0.15, 1, 2, 3, 4, 5, 6 mm). Data were analyzed using repeated measures ANOVA and one-way ANOVA with Bonferroni post-hoc tests (α = 0.05). The investigated bulk-fill composites showed at least 80% of their maximum degree of conversion (80% DCmax) up to a measuring depth of at least 4 mm. Tetric EvoCeram Bulk Fill and Bulk Ormocer achieved more than 80% DCmax up to a measuring depth of 5 mm, x-tra fil up to 6 mm. The conventional nanohybrid composite Tetric EvoCeram achieved more than 80% DCmax up to 3 mm. In contrast to the conventional composite, the investigated ormocer- and dimethacrylate-based bulk-fill composites can be photo-polymerized in thick layers of up to at least 4 mm with regard to their degree of C=C double bond conversion.


2018 ◽  
Vol 5 (10) ◽  
pp. 949-967 ◽  
Author(s):  
Daniel Silva Lula Leite ◽  
George Emmanuel Cavalcanti de Miranda

A urbanização nas zonas costeiras torna necessário avaliar o impacto antrópico sobre os ecossistemas associados. O objetivo deste trabalho foi analisar temporalmente a dinâmica de populações de macroalgas com potencial bioindicador, estabelecendo-as como ferramenta para avaliação da saúde ambiental. Foi amostrado o ambiente recifal intertidal da Praia de Formosa, no Município de Cabedelo, Estado da Paraíba, Nordeste do Brasil, durante intervalos trimestrais de agosto/2013 a novembro/2014. A variação temporal da frequência de ocorrência (F') das populações macrofitobênticas foi avaliada pela análise de variância (One-Way Anova) com teste Post-Hoc de Tukey. A influência das variáveis ambientais sobre F’ foi avaliada pela Correlação Linear de Pearson e pela PERMANOVA. A análise da qualidade ambiental e a proposta de biomonitoramento basearam-se no Grupo 1, formado por espécies perenes e/ou raras com maiores valores ao longo do Componente Principal 1 (CP1) da Análise de Componentes Principais (ACP), e Grupo 2, formado por espécies com comportamento errático com menores valores ao longo do CP1 da ACP. Foram encontradas 33 espécies macrofitobênticas. A frequência de ocorrência apresentou variação temporal, porém não influenciada pelo conjunto de variáveis ambientais. Phyllodictyon anastomosans, Gelidiella acerosa e Gelidium corneum compuseram o Grupo 1, com Dictyopteris delicatula, Canistrocarpus cervicornis e Hypnea spinella formando o Grupo 2. O Grupo 2 apresentou correlação positiva com a temperatura, alcançando as máximas frequências nos períodos mais quentes, mas esse fator isolado não é capaz de explicar a distribuição errática das espécies. A ocorrência de espécies bioindicadoras de eutrofização foi considerada natural, fato que, aliado à alta frequência de espécies bioindicadoras de qualidade ambiental, sugerem que o Recife de Formosa não sofre impactos antrópicos significativos. O desaparecimento de espécies perenes ou crescimento populacional significativo de espécie rara (Grupo 1), bem como a fuga do padrão temporal de frequência ou dominância do recife pelas espécies do Grupo 2, são indícios da ocorrência de impactos. Este trabalho fornece à gestão do Recife de Formosa uma eficiente ferramenta para avaliação do impacto urbano sobre a comunidade macrofitobêntica.


2018 ◽  
Author(s):  
Anita Dewi Moelyaningrum ◽  
Khoirul Ngibad ◽  
S.Pd Lilla Puji Lestari ◽  
Dessy Agustina Sari ◽  
Cahya Fajar Budi Hartanto ◽  
...  

This paper has been published in IOP Conf. Series: Journal of Physics: Conf. Ser1i2e3s415161748(9200‘1’8“)”012058 Lead (Pb) were toxic. Lead found in pipes, batteries, paint, dyes ceramic glaze, gasoline, and final waste disposal. The robusta coffee grouds residues had high carbon, nitrogen etc which can adsorb heavy metal.The purpose of this study is to analyze the robusta coffee grounds residues to adsorb the Pb in the water. The method of this research is a True Experimental using completely randomized design (CRD) method. There were control groups (C) and three treatments groups (T1; T2;T3; 5gram/ litre; 8gram/ litre; 10gram/ litre) with six repetitions. The robusta coffee ground residues were contacted for 2 hours.Total samples were24 samples which analyzed each parameter of the Pb with Atomic Adsorption Spectophotometry Analysis. The results showed that the more coffee ground residues that are exposed, increasingly turbid. The KS test showed that data were a normal distribution (sig=0,324). One way ANOVA test; Turkey post Hoc showed that there was sig difference between the control and treatment (F=4,326, Sig= 0,017). There were sig difference between control and treatment 2 and 3 (Sig=0,019; Sig=0,038). Robusta coffee grounds residues can reuse to adsorb the Pb pollution in the water. It can be a solution for treating the lead pollution in the water because of it easy to the application.


2021 ◽  
Vol 61 (2) ◽  
pp. 228-237
Author(s):  
Silvio Parničan ◽  
Pavol Peráček ◽  
Igor Tóth

Summary The variables impacting the efficiency of the offensive phase of the game in ice hockey may be determining factor for both the training process and game strategies. The research aimed to acquire and expand the knowledge about selected goal-scoring characteristics in the National Hockey League. A total of 511 even-strength goals were recorded in 129 randomly selected games in a regular-season 2020/2021 by indirect observation. Goals were differentiated by selected variable dimensions: location of the offensive team’s puck possession gain before scoring a goal, game situation preceding a goal, and the number of passes of the offensive team preceding a goal. Data were analyzed by performing a one–way ANOVA. Post hoc multiple comparisons were performed using the Tukey HSD test. The significance level of p ≤ 0.05 was used. Significant differences were found within all variable dimensions (p= 0.00001). In terms of the puck possession gain location, zone 1 (along the boards in the offensive zone) was the zone with the significantly highest mean score (p= 0.00305). Offensive zone play was significantly the game situation preceding most of the goals (p= 0.00000). The interval of the passes that preceded most of the recorded goals was the interval of 1 – 2 passes (p= 0.00000). Acquired results point out the dominance of particular variables and may help coaches to determine the content of the training process and game strategies. Based on the assumption of the realization of similar research in different environments in terms of the quality and age category, if the analogy would be found between the results of the present study and the results of potential studies, we can state the trends applicable to youth training.


Author(s):  
Anupam Bandyopadhyay ◽  
Pritha Chatterjee

Purpose: The inconsistencies and variations of creatine kinase level due to modifiable and non-modifiable factors were the basis of this study. The aim was to find out the relationships between creatinine and creatine kinase in the blood of somatotypes.    Methods: The 122 males, aged 10 to 20 years, were classified according to their somatotypes. Somatotypes were measured by the ISAK method. By standard laboratory methods, creatinine and creatine kinase estimate. The IBM SPSS version 24 is used for calculation. One way ANOVA followed by post hoc tests was performed to compare the variables among the three groups (p<0.05).   Results: Creatinine level in the blood insignificantly deferred among the three somatotypes. The significant differences (p<0.05) were found in creatine kinase level in the blood and creatinine/creatine kinase ratio among the three dominant Somatotypes. Creatine Kinase was significantly higher in Ectomorphs (212 U/L) than Endomorphs. Ectomorphs and mesomorphs have crossed normal creatine kinase levels (35 -175 U/L). The creatinine/creatine kinase ratio was found highest in endomorphs and lowest in the ectomorphs and significantly differed in three Somatotypes.   Conclusion: Creatinine production remains the same, indicating production of Creatinine is independent of specific body types. A significant higher Creatine Kinase level in Ectomorphs over Endomorphs showed fat content was not associated with it. Significant differences in Creatinine / Creatine Kinase ratio among Somatotypes suggested its relevance between cellular and morphological relationships and might uses as biomarkers. 


Author(s):  
Shashikala G. ◽  
Jyothi C. H. ◽  
Shashikala G. H.

Background: The study was undertaken to evaluate the learning and memory effect of lipid lowering drugs atorvastatin and simvastatin in alprazolam induced amnesic mice.Methods: The study was carried out on albino mice, divided into 4 groups of 6 animals each (either sex, 3-4 months of age, weight 25-30g). Amnesia was induced by administering Alprazolam (2mg/kg for 14 days) in all 4 groups from 1st to 14th day. In addition, group 2, 3 and 4 received Piracetam (400mg/kg), Atorvastatin (5mg/kg) and Simvastatin (5mg/kg) from 8th to 14th day respectively. The learning and memory of the animals was assessed by employing Elevated plus maze (EPM) and Step-down type passive avoidance (SDA) model.Results: Results were compared among the different groups using one way-ANOVA followed by post hoc Tukey’s test. The measured parameters were compared with standard drug Piracetam. In EPM model Atorvastatin (p<0.049) and Simvastatin (p<0.007) were comparable with standard drug Piracetam, whereas in SDA model only simvastatin group (p<0.001) showed significant result.Conclusions: In EPM model, both the statins showed significant improvement in learning and memory in alprazolam induced amnesic mice. However further studies are required to support these observations.


2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Mira Madona ◽  
Endah Setyaningrum ◽  
Gina Dania Pratami ◽  
Mohammad Kanedi

Pengendalian nyamuk Aedes aegypti sebagai vektor Demam Berdarah Dengue (DBD) telah banyak dilakukan dengan menggunakan pengendalian kimiawi yang semakin lama akan menimbulkan resistensi terhadap nyamuk Ae. aegypti sehingga dibutuhkan insektisida alami. Daun tomat (Solanum lycopersicum L.) memiliki kandungan flavonoid, saponin, alkaloid dan minyak atsiri bersifat entomotoxicity yang dapat menghambat daya tetas telur nyamuk Ae. aegypti. Tujuan penelitian ini adalah mengetahui efektivitas ekstrak daun tomat sebagai ovisida nyamuk Ae. aegypti. Desain penelitian ini adalah eksperimental menggunakan Rancangan Acak Lengkap (RAL) dengan 6 kelompok perlakuan yaitu 0,1%; 0,3%; 0,5%; 0,7%; 1% dan 0% (kontrol) dengan 25 butir telur pada tiap kelompok dan 4 pengulangan pada tiap perlakuan. Jumlah telur yang tidak menetas diamati setiap 6 jam sekali selama 72 jam, data kumulatif pada jam ke 18 dilakukan uji analisis one way ANOVA. Hasil penelitian ini menunjukkan bahwa jumlah telur yang tidak menetas antar perlakuan ada perbedaan secara bermakna (p=0,000) sedangkan hasil uji Post-hoc LSD menunjukkan bahwa konsentrasi yang paling efektif sebagai ovisida nyamuk Ae. aegypti adalah konsentrasi 1%.


Sign in / Sign up

Export Citation Format

Share Document