The role of non-stress test as a method to evaluate the outcome of high-risk pregnancy: a tertiary care center experience

Background: Non-stress test (NST) is a graphical recording of changes in fetal heart activity and uterine contraction along with fetal movement when uterus is quiescent. NST is primarily a test of fetal condition and it differs from contraction stress test which is a test of uteroplacental function. The present study aimed at evaluating the efficacy and diagnostic value of NST for antenatal surveillance in high-risk pregnancy and comparing the mode of delivery with test results.Methods: A clinical study of NST was done between November 2014 to October 2015. NST was used for their surveillance from 32 weeks of gestation and NST was recorded weekly, biweekly, on alternate days or even on daily basis depending on high risk factors and were followed up.Results: A total of 100 cases were enrolled in the study. The mean age of patients was 25.09±3.78 years. In all 14 cases (23.3%) with reactive NST underwent lower caesarean section (LSCS) whereas 36 cases (90%) with non-reactive NST underwent LSCS. The mean NST delivery interval with reactive NST was 9.8±7.1 hours and in cases with non-reactive NST it was 9.2±8.6 hours, the difference was statistically not significant (p=0.70).Conclusions: NST tells about acute fetal hypoxia and decision to delivery time can be made for those patients with fetal distress so that a major improvement in the outcome among parturient can be achieved with abnormal NST results. An abnormal NST should alert the clinician of fetal compromise and has to be followed up by other biophysical tests.

Influência de propriedades físico químicas dos materiais resinosos e da técnica de inserção na adaptação marginal de restaurações classe II / Influence of physicochemical properties of resin materials and insertion technique on marginal adaptation of class II restorations

A contração de polimerização das resinas compostas é uma característica indesejável que compromete a integridade da interface dente/restauração. O objetivo deste estudo foi avaliar in vitro a influência de diferentes materiais usados em restaurações classe II de resina composta, quanto ao grau de conversão, tensão de contração, resistência a flexão, módulo de elasticidade e formação de fenda marginal. Foram realizados preparos classe II com dimensões de 4x4x2mm em terceiros molares recém-extraídos para a avaliação da formação de fenda marginal. As cavidades foram niveladas com cimento de ionômero de vidro Riva Light Cure (SDI) (CIV), resina de baixa contração SureFil®SDR™ (Dentsply) (SDR), resina flow Filtek™Z350Flow (3M/ESPE) (Z350F) e resina composta Filtek™P90 (3M/ESPE) (P90). As restaurações (n=3) foram avaliadas com lupa estereoscópica. A resistência a flexão foi avaliada por meio de ensaio de flexão em três pontos. Para este ensaio foram confeccionados dez corpos de prova (n=10) de cada material com dimensões de 10x2x1mm. Para o teste de tensão de contração foram utilizados cilindros de polimetacrilato com 5 mm de diâmetro e 13 ou 28mm de comprimento. Os bastões foram fixados na EMIC com um espaço de 2mm entre eles, onde os materiais foram inseridos. Foram realizadas cinco repetições para cada grupo (n=5) e a tensão proveniente da contração foi medida por até 10 minutos após o início da fotopolimerização. O Grau de Conversão (GC) foi determinado por espectroscopia no infravermelho com transformada de Fourier (FTIR). Os resultados foram tratados estatisticamente por análise de variância (ANOVA) e Teste de Tukey (p<0,05). Fenda marginal: Z350F = CIV > SDR = P90. Tensão de contração: Z350F > SDR > CIV = P90. Resistência a flexão: P90 > SDR = Z350F > CIV. Módulo de Elasticidade: P90 > CIV = SDR = Z350F. GC: Z350F = SDR > P90 > CIV. Conclusões: existe correlação entre a formação de fenda marginal e as propriedades físico químicas...

The shrinkage of composite resin polymerization is an undesirable characteristic that compromises the integrity of the tooth / restoration interface. The aim of this study was to evaluate in vitro the influence of different materials used in composite resin class II restorations in terms of contraction stress, flexural strength, degree of conversion and marginal gap formation. Class II preparation were performed with 4x4x2mm dimensions in third molars freshly extracted for the evaliation of marginal gap formation. The cavities were filled with Riva Light Cure (SDI) glass ionomer cement (CIV), SureFil ® SDR ™ (Dentsply) low shrinkage resin (SDR), Filtek ™ Z350Flow (3M/ESPE) flowable composite (Z350F) and Filtek ™ P90 (3M/ESPE) composite resin (P90). The restorations (n = 3) were evaluated with magnifying stereoscopic. The flexural strength was assessed by means of three point bending test. For this test ten specimens (n = 10) of each material were made, each with 10x2x1mm dimensions. For the shrinkage stress test polymethacrylate cylinders with 5 mm in diameter and 13 or 28mm in length were used. Bats were attached to the EMIC with a 2mm space between them, where the materials were inserted. The test were repeated five times for each group (n = 5) and the contraction stress was measured for up to 10 minutes after initiation of photopolymerization. The Degree of Conversion (DC) was determined by Fourier transform infrared (FTIR). The results were statistically analyzed by the variance analysis (ANOVA) and Tukey test (p <0.05). Marginal gap: Z350F = CIV > SDR = P90. Contraction stress: Z350F > SDR> CIV = P90. Flexural strength: P90 > SDR = Z350F > CIV. Elasticity Modulus: P90 > CIV = SDR = Z350F. DC: Z350F = SDR > P90 > CIV. Conclusion: There is a correlation between formation of marginal gap and physicochemical properties of the materials tested whereas low shrinkage resins provided better marginal...

Influência de propriedades físico químicas dos materiais resinosos e da técnica de inserção na adaptação marginal de restaurações classe II / Influence of physicochemical properties of resin materials and insertion technique on marginal adaptation of class II restorations

A contração de polimerização das resinas compostas é uma característica indesejável que compromete a integridade da interface dente/restauração. O objetivo deste estudo foi avaliar in vitro a influência de diferentes materiais usados em restaurações classe II de resina composta, quanto ao grau de conversão, tensão de contração, resistência a flexão, módulo de elasticidade e formação de fenda marginal. Foram realizados preparos classe II com dimensões de 4x4x2mm em terceiros molares recém-extraídos para a avaliação da formação de fenda marginal. As cavidades foram niveladas com cimento de ionômero de vidro Riva Light Cure (SDI) (CIV), resina de baixa contração SureFil®SDR™ (Dentsply) (SDR), resina flow Filtek™Z350Flow (3M/ESPE) (Z350F) e resina composta Filtek™P90 (3M/ESPE) (P90). As restaurações (n=3) foram avaliadas com lupa estereoscópica. A resistência a flexão foi avaliada por meio de ensaio de flexão em três pontos. Para este ensaio foram confeccionados dez corpos de prova (n=10) de cada material com dimensões de 10x2x1mm. Para o teste de tensão de contração foram utilizados cilindros de polimetacrilato com 5 mm de diâmetro e 13 ou 28mm de comprimento. Os bastões foram fixados na EMIC com um espaço de 2mm entre eles, onde os materiais foram inseridos. Foram realizadas cinco repetições para cada grupo (n=5) e a tensão proveniente da contração foi medida por até 10 minutos após o início da fotopolimerização. O Grau de Conversão (GC) foi determinado por espectroscopia no infravermelho com transformada de Fourier (FTIR). Os resultados foram tratados estatisticamente por análise de variância (ANOVA) e Teste de Tukey (p<0,05). Fenda marginal: Z350F = CIV > SDR = P90. Tensão de contração: Z350F > SDR > CIV = P90. Resistência a flexão: P90 > SDR = Z350F > CIV. Módulo de Elasticidade: P90 > CIV = SDR = Z350F. GC: Z350F = SDR > P90 > CIV. Conclusões: existe correlação entre a formação de fenda marginal e as propriedades físico químicas ...

The shrinkage of composite resin polymerization is an undesirable characteristic that compromises the integrity of the tooth / restoration interface. The aim of this study was to evaluate in vitro the influence of different materials used in composite resin class II restorations in terms of contraction stress, flexural strength, degree of conversion and marginal gap formation. Class II preparation were performed with 4x4x2mm dimensions in third molars freshly extracted for the evaliation of marginal gap formation. The cavities were filled with Riva Light Cure (SDI) glass ionomer cement (CIV), SureFil ® SDR ™ (Dentsply) low shrinkage resin (SDR), Filtek ™ Z350Flow (3M/ESPE) flowable composite (Z350F) and Filtek ™ P90 (3M/ESPE) composite resin (P90). The restorations (n = 3) were evaluated with magnifying stereoscopic. The flexural strength was assessed by means of three point bending test. For this test ten specimens (n = 10) of each material were made, each with 10x2x1mm dimensions. For the shrinkage stress test polymethacrylate cylinders with 5 mm in diameter and 13 or 28mm in length were used. Bats were attached to the EMIC with a 2mm space between them, where the materials were inserted. The test were repeated five times for each group (n = 5) and the contraction stress was measured for up to 10 minutes after initiation of photopolymerization. The Degree of Conversion (DC) was determined by Fourier transform infrared (FTIR). The results were statistically analyzed by the variance analysis (ANOVA) and Tukey test (p <0.05). Marginal gap: Z350F = CIV > SDR = P90. Contraction stress: Z350F > SDR> CIV = P90. Flexural strength: P90 > SDR = Z350F > CIV. Elasticity Modulus: P90 > CIV = SDR = Z350F. DC: Z350F = SDR > P90 > CIV. Conclusion: There is a correlation between formation of marginal gap and physicochemical properties of the materials tested whereas low shrinkage resins provided better marginal ...

Establishment of Model of Achilles Tendon Contraction by Stress-shielding / 中国康复理论与实践

@# Objective To establish a new model of the Achilles tendon(AT) contraction by stress-shielding. Methods 8 SD rats were randomly divided into two groups, the normal control group and the experimental group. The ATs of the experimental group were stress-shielded by fixing the upper ankle joint in equines position using a cerclage and transecting the sciatic nerve. The control group received no treatment. All rats were killed three weeks later, and all the ATs of the left hind limbs of the experimental and normal control group were tested morphologically by transmission electron microscope (TEM). Results Compared to the normal control group, the collagen fibrils of the experimental tendons did not arrange very well. The number of tendon cells increased, and some of them were pycnotic. Some mitochondrias were swollen. The proportion of the smaller diameter collagen fibril became lager, and small and large fibrils did not distribute in even. Conclusion Our research is successful compared to the past researches and repeatable.

The influence of cavity configuration on the microtensile bond strength between composite resin and dentin / 대한치과보존학회지

This study was conducted to evaluate the influence of the C-factor on the bond strength of a 6th generation self-etching system by measuring the microtensile bond strength of four types of restorations classified by different C-factors with an identical depth of dentin. Eighty human molars were divided into four experimental groups, each of which had a C-factor of 0.25, 2, 3 or 4. Each group was then further divided into four subgroups based on the adhesive and composite resin used. The adhesives used for this study were AQ Bond Plus (Sun Medical, Japan) and Xeno III (DENTSPLY, Germany). And composite resins used were Fantasista (Sun Medical, Japan) and Ceram-X mono (DENTSPLY, Germany). The results were then analyzed using one-way ANOVA, a Tukey's test, and a Pearson's correlation test and were as follows. 1. There was no significant difference among C-factor groups with the exception of groups of Xeno III and Ceram-X mono (p < 0.05). 2. There was no significant difference between any of the adhesives and composite resins in groups with C-factor 0.25, 2 and 4. 3. There was no correlation between the change in C-factor and microtensile bond strength in the Fantasista groups. It was concluded that the C-factor of cavities does not have a significant effect on the microtensile bond strength of the restorations when cavities of the same depth of dentin are restored using composite resin in conjunction with the 6th generation self-etching system.