THE EFFICACY OF LASER THERAPY AND IBUPROFEN ON PAIN AFTER ELASTOMERIC SEPARATOR PLACEMENT: RAPID REVIEW

Background: Separator placement is the first step in orthodontic treatment, which aims to create space between teeth before molar band placement. This procedure can cause pain for the patient. Pain management after separator placement can be done through pharmacological and non-pharmacological approaches.Method: The aim of this rapid review was to determine the efficacy of laser therapy and ibuprofen for pain management after elastomeric separator placement in orthodontic treatment.Result: Ten articles were included in this review, four articles gave laser therapy interventions and six articles gave ibuprofen therapy interventions. The result of the quality assessment using Strength of Recommendation Taxonomy (SORT) was laser therapy intervention has one good quality articles and three limited-quality articles, while ibuprofen therapy has two good quality articles and four limited-quality articles.Conclusion: The efficacy of laser therapy and the efficacy of ibuprofen on pain after separator placement is good, with the strength of the clinical recommendation of ibuprofen is better than laser therapy.

Abstract TP251: It’s All in the Wrist - Integrating EMS, Telestroke and Stroke Registry Data Systems

Background: States without a recognized directive for stroke care and transport risk the ability to monitor, assess and review stroke patient movement from first medical contact (FMC) to delivery/and/or transfer to hospitals. We are seeking to determine a new tracking program’s efficacy from emergency medical systems (EMS) to telestroke sites and other receiving hospitals utilizing Get-With-The-Guidelines (GWTG) in data reporting. Hypothesis: We hypothesized that all three entities (EMS, telestroke sites and other hospitals) would record suspected and positive strokes into their electronic databases and integrate the process into their standard of practice, protocols and guidelines. Methods: Statewide EMS agencies, receiving hospitals in the Arkansas Stroke Registry and telestroke sites received educational training about placing blue wristbands on all suspected strokes. Stroke bands were to be placed on all patients arriving via EMS or privately owned vehicle. The bands contained a unique number sequence for recording in both EMS and hospital GWTG electronic databases. We retrospectively reviewed all prospectively collected data from January 1, 2019 to May 31, 2019 for wristband placement by the EMS systems and determined the percentage match to hospital emergency department (ED) discharge data using the GWTG data and telestroke data. Results: From the five months of retrospective analysis of prospectively collected data for 5 months showed, 4,668 strokes were seen in hospitals complying with GWTG. Forty-two% of the positive strokes in hospital (EDs) had stroke bands placed. Of these 8.4% had matching stroke wristband numbers to the EMS database. The telestroke system reported 636 consultations with 95% band placement, 39% placed by EMS. Matching telestroke band ID’s to EMS records was 37%. Wristbands placed by EMS were associated with positive screen tests, pre-notification and shortened Door to CT time (p < 0.0021). Conclusions: Wrist-bands were associated with improved EMS response and provided informed response to hospital care teams. For consistent tracking of positive stroke patient data from FMC to discharge both prehospital and hospital, systems must undergo additional training followed by surveys to determine informed training.

Influence of photobiomodulation on pain perception during initial orthodontic tooth movement

Introduction Laser in low intensity (LLI) has been used to reduce the discomfort and pain that is triggered by the forces applied during orthodontic treatment. Objective To evaluate the effect of LLI application in the pain perception of periodontal ligament initial compression, during orthodontic tooth movement; and to compare the effect of this therapy between men and women. Material and method The sample consisted of 30 volunteers, who needed orthodontic band placement on mandibular first molars. After insertion of the elastic separators, LLI was applied to the mesial and distal apical region (wavelength 808nm, energy 2J, time 20s and fluency of 8.32J/cm2) and at three points on the root region (wavelength 808nm, energy 1J, time 10s and fluency of 4.16J/cm2) of the first molar (irradiated side) and compared to the contralateral first molar (non-irradiated side), in three time intervals: 0hs, 24hs and 48hs. Pain perception was evaluated by the Visual Analog Scale (VAS), at 0hs, 24hs and 48hs after insertion, with significance of 5%. Result The pain level was observed to be significantly lower (p<0.05) on the irradiated side, irrespective of gender and time. Women presented a significantly higher pain level (p<0.05) than men, irrespective of time and side. There were no significant differences between the time intervals (p>0.05). Conclusion It was concluded that LLI reduced the perception of initial pain in patients in whom compression of the periodontal ligament was promoted by elastic separation, and that women had a greater perception of pain sensitivity in the time intervals studied.

Expedited TR Band Removal for Transradial Approach for Noncoronary Visceral Procedures: Initial Experience

Purpose: For transradial interventions, most published studies report an initial Terumo Radial (TR) band placement time of 60 minutes, with gradual deflation over 30 to 90 minutes. We aimed to determine, retrospectively, whether TR band removal time could be expedited to 45 to 60 minutes, without adverse effects via an expedited single-step deflation protocol. Methods: A total of 115 consecutive noncoronary visceral interventions that utilized TR band from September 2017 till February 2019 were retrospectively reviewed. Alternative single-step deflation protocol was utilized where the nursing staff was instructed to deflate the TR band in 1 step between 45 and 60 minutes; 79 patients (43 men, 36 women, mean age of 55.3 ± 13.6 years) underwent 115 transradial interventions. Mean procedure time was 49.8 ± 22.1 minutes, and mean fluoroscopy time was 18.5 ± 10.6 minutes. Data collected included patient demographics, procedure details, and nursing notes on complications including bleeding and reinflation of the TR band. Univariate and Multivariate analyses of independent variables were performed using a binary logistic regression model. All patients were followed up postoperatively before discharge and in clinic upon follow-up. Results: The TR band was deflated at 51.3 ± 14.5 minutes, with successful removal achieved on the first attempt in 103 cases (90.3% primary technical success rate). In 12 cases, bleeding was noted upon initial deflation, secondary technical success was achieved when the band was reinflated for an additional mean time of 37.0 ± 19.1 minutes. There was 1 incidence of radial artery occlusion (0.8%) and 1 incidence of a grade 1 hematoma (0.8%). The only variable predictive of technical outcome upon initial band deflation on univariate binomial logistic regression was initial TR band removal time ( P = .019). Conclusions: A single-step deflation protocol for TR band placement may be safe for nonocclusive patent hemostasis and may translate to even further shorten postprocedural hospital times for patients and cost savings for hospitals.

Quantifying DOC and Its Controlling Factors in Major Arctic Rivers during Ice-Free Conditions using Sentinel-2 Data

The six largest Arctic rivers (Yenisey, Lena, Ob’, Kolyma, Yukon, and Mackenzie) drain the organic-rich Arctic watersheds and serve as important pools in the global carbon cycle. Satellite remote sensing data are considered to be a necessary supplement to the ground-based monitoring of riverine organic matter circulation, especially for the ice-free periods in high-latitudes. In this study, we propose a remote sensing retrieval algorithm to obtain the chromophoric dissolved organic matter (CDOM) levels of the six largest Arctic rivers using Sentinel-2 images from 2016 to 2018. These CDOM results are converted to dissolved organic carbon (DOC) concentrations using the strong relationship (R2 = 0.89) between the field measurements of these two water constituents. The temporal-spatial distributions of the DOC in the six largest Arctic rivers during ice-free conditions are depicted. The performance of the retrieval algorithm verifies the capacity of using Sentinel-2 data to monitor riverine DOC variations due to its improved spatial resolution, better band placement, and increased observation frequency. River discharge, watershed slopes, human activities, and land use/land cover change drove much of the variation in the satellite-derived DOC. The seasonality, geography, and scale would affect the correlation between DOC concentration and these influence factors. Our results could improve the ability to monitor DOC fluxes in Arctic rivers and advance our understanding of the Earth’s carbon cycle.

Hip-Muscle Activity in Men and Women During Resisted Side Stepping With Different Band Positions

ContextWeakness or decreased activation of the hip abductors and external rotators has been associated with lower extremity injury, especially in females. Resisted side stepping is commonly used to address hip weakness. Whereas multiple variations of this exercise are used clinically, few data exist regarding which variations to select.ObjectiveTo investigate differences in muscle-activation and movement patterns and determine kinematic and limb-specific differences between men and women during resisted side stepping with 3 resistive-band positions.DesignControlled laboratory study.SettingLaboratory.Patients or Other ParticipantsA total of 22 healthy adults (11 men, 11 women; age = 22.8 ± 3.0 years, height = 171.6 ± 10.7 cm, mass = 68.5 ± 11.8 kg).Intervention(s)Participants side stepped with the resistive band at 3 locations (knees, ankles, feet).Main Outcome Measure(s)We collected surface electromyography of the gluteus maximus, gluteus medius, and tensor fascia lata (TFL) for the moving and stance limbs during the concentric and eccentric phases. We also measured trunk inclination, hip and knee flexion, and hip-abduction excursion.ResultsHip-abductor activity was higher in women than in men (P ≤ .04). The pattern of TFL activity in the stance limb differed by sex. Women performed the exercise in greater forward trunk inclination (P = .009) and had greater hip excursion (P = .003). Gluteus maximus and medius activity increased when the band was moved from the knees to the ankles and from the ankles to the feet, whereas TFL activity increased only when the band was moved from the knees to the ankles. Findings were similar for both the stance and moving limbs, but the magnitudes of the changes differed.ConclusionsCompared with placing the band around the ankles, placing the band around the feet for resisted side stepping elicited more activity in the gluteal muscles without increasing TFL activity. This band placement is most appropriate when the therapeutic goal is to activate the muscles that resist hip adduction and internal rotation.

Banding of Fertilizer Improves Phosphorus Acquisition and Yield of Zero Tillage Maize by Concentrating Phosphorus in Surface Soil

Zero tillage increases stratification of immobile nutrients such as P. However, it is unclear whether near-surface stratification of soil P eases or hampers P uptake by maize (Zea mays L.) which needs an optimum P supply at/before six–leaf–stage to achieve potential grain yield. The aim of the three-year study was to determine whether P stratification, under zero tillage, impaired yield of maize and which P placement methods could improve P uptake on an Aeric Albaquept soil subgroup. Phosphorus fertilizer was placed by: (a) broadcasting before final tillage and sowing of seeds; (b) surface banding beside the row; and (c) deep banding beside the row (both the band placements were done at three–four leaf stage) Phosphorus treatments were repeated for 3 years along with three tillage practices viz.: (a) zero tillage (ZT); (b) conventional tillage (12 cm; CT); and (c) deep tillage (25 cm; DT). In the third year, all the tillage practices gave similar yield of Bangladesh Agricultural Research Institute (BARI) hybrid maize–5, but the highest grain yield was obtained by surface band P placement. After three years of tillage and P placements, the root mass density (RMD) at 0–6 cm depth increased significantly from 1.40 mg cm−3 in DT under deep band placement to 1.98 mg cm−3 in ZT under surface band placement, but not at the other depths. The combination of ZT practices, with broadcast or surface band placement methods, produced the highest available, and total P, content in soil at 0–6 cm depth after harvesting of maize. Accordingly, a significant increase in P uptake by maize was also found with surface banding of P alone and also in combination with ZT. Organic carbon, and total N, also increased significantly at depths of 0–6 cm after three years in ZT treatments with P placed in bands. By contrast, CT and DT practices, under all placement methods, resulted in an even distribution of P up to 24 cm depth. Phosphorus application, by surface banding at the three–four leaf stage, led to increased P uptake at early growth and silking stages, which resulted in highest yield regardless of tillage type through increased extractable P in the soil. Even though ZT increased P stratification near the soil surface, and it increased plant available water content (PAWC) and RMD in the 0–6 cm depth, as did surface banding, it did not improve maize grain yield. Further research is needed to understanding the contrasting maize grain yield responses to P stratification.