ABSTRACT
INTRODUCTION: In a mass-casualty incident (MCI) involving children, there is a need to apply accurate triage tools in order to help those who require important care, and at the same time, to avoid unnecessary use of resources. Thus, it is discussed which would be the best triage device to use in these situations. One of the most used is a modification of Simple Triage and Rapid Treatment, JumpSTART, whose performative quality this review focuses on. STUDY OBJECTIVE: This review sought to compare the performance parameters of JumpSTART with other triage algorithms used in pediatric disaster victims. METHODS: This systematic review was performed according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and registered with the PROSPERO database of systematic reviews with the number CRD42021258415. The last update of the search in the databases was on August 12, 2021 and resulted in six documents to be analyzed. The inclusion criteria included the peer-reviewed academic papers in English, Portuguese, Spanish, and Italian languages, and the databases used were PubMed, Scopus, MEDLINE/Bireme (Virtual Library of Health), Web of Science, and CINAHL, which executes the query on the topic, keywords, or abstracts. Also to be included, documents that were available with full-text access through CAPES, Google, or Google Scholar. Books, non-academic research, and content in languages other than the presented ones were represented as exclusion criteria. The Joanna Briggs Institute (JBI) checklists were used to evaluate the methodological quality of the retrieved studies. The results were presented through narrative synthesis. This review was not funded. RESULTS: Of the collected publications, five articles were used to carry out this review, with the addition of an extra article captured by citation tracking. The findings from the obtained results were that JumpSTART was the preferred tool and presented the fastest speed of use. Only one of the five studies that dealt with accuracy showed JumpSTART as the most accurate algorithm, while three of the other four showed its inferiority in most aspects. In one study, no significant difference was observed amongst the chosen protocols. CONCLUSIONS: There is insufficient evidence to validate JumpSTART as a universal triage tool, given the disparities in the results obtained from the comparisons. No tool performed satisfactorily well, therefore there is an urgent need to create a reliable algorithm.
ABSTRACT
STATEMENT OF PROBLEM: Different instruments have been developed to improve crown finish lines after conventional preparation with diamond rotary instruments. However, more evidence on the effectiveness of these instruments is required. PURPOSE OF STUDY: The purpose of this in vitro study was to assess the effectiveness of 4 different instruments used for cervical margin finishing in regard to the external line angle (ELA). MATERIAL AND METHODS: Forty-eight freshly extracted third molar teeth with similar dimensions were conventionally prepared for crowns and randomly allocated into 4 groups (n=12) according to the finishing instrument: hand trimmer (HT), tungsten carbide bur (TCB), ultrasonic instrument (UI), and diamond rotary instrument (DRI) mounted in a contra angle handpiece with reduced speed. Photomicrographs from the margin profiles of each tooth were obtained with scanning electron microscopy (×40) before and after finishing procedures. The images were qualitatively analyzed (scores 1-4) by 9 experienced dental professionals. Average results were assessed with the paired t test and repeated measures ANOVA followed by Tukey HSD test (α=.05). RESULTS: HT, TCB, and UI demonstrated no significant differences between unfinished and finished mean ELA scores. DRI was the only group to demonstrate a significantly improved ELA (P<.001). Except for HT in relation to TCB (P=.989), all the other groups demonstrated statistically significant different ELA scores. CONCLUSION: DRI mounted in a contra angle handpiece was the only finishing instrument capable of significantly improving the ELA, while TCB and UI produced nonsignificant improvement, and HT was detrimental to the ELA.
Subject(s)
Crowns , Dental Polishing/methods , Dental Prosthesis Design/methods , Crowns/standards , Dental Polishing/instrumentation , Dental Prosthesis Design/instrumentation , Humans , In Vitro Techniques , Microscopy, Electron, ScanningABSTRACT
In order to evaluate biochemical (total protein, acid phosphatase, peroxidase and malate dehydrogenase electrophoresis) and physiological (germination and seed vigor) alterations occurring during corn seed accelerated aging (41°C and 100%UR), four corn seed lots of the double hybrid (AG122) were submitted to zero, 24, 48, 72, 96 and 120 hours of accelerated aging. The biochemical assays carried out (isozyme electrophoretical patterns of acid phosphatase e peroxidase) are more sensitive than the physiological test used to monitorate corn seed physiological quality deterioration during corn seed accelerated aging.
Para avaliar possíveis alterações bioquímicas (análises eletroforéticas de proteínas totais e das isoenzimas peroxidase, fosfatase ácida e malato desidrogenase) e fisiológicas (germinação e vigor) que ocorrem nas sementes de milho durante a permanência das mesmas nas condições recomendadas na metodologia do teste de envelhecimento acelerado (41ºC e 100% UR), foi realizada a presente pesquisa. Utilizaram-se sementes de milho, híbrido AG122, provenientes de quatro lotes. Os períodos 0, 24, 48, 72, 96 e 120 horas de permanência das sementes na incubadora (envelhecimento acelerado) definiram os tratamentos. As alterações nos perfís isoenzimáticos (fosfatase ácida e peroxidase) detectadas nas sementes, a partir do período 72h de envelhecimento acelerado, revelaram o provável efeito deteriorativo provocado pela exposição das sementes às condições do teste, independentemente da qualidade do lote, apesar de a maioria dos testes determinantes da qualidade fisiológica das sementes não terem sido sensíveis para detectar tal efeito.
ABSTRACT
In order to evaluate biochemical (total protein, acid phosphatase, peroxidase and malate dehydrogenase electrophoresis) and physiological (germination and seed vigor) alterations occurring during corn seed accelerated aging (41°C and 100%UR), four corn seed lots of the double hybrid (AG122) were submitted to zero, 24, 48, 72, 96 and 120 hours of accelerated aging. The biochemical assays carried out (isozyme electrophoretical patterns of acid phosphatase e peroxidase) are more sensitive than the physiological test used to monitorate corn seed physiological quality deterioration during corn seed accelerated aging.
Para avaliar possíveis alterações bioquímicas (análises eletroforéticas de proteínas totais e das isoenzimas peroxidase, fosfatase ácida e malato desidrogenase) e fisiológicas (germinação e vigor) que ocorrem nas sementes de milho durante a permanência das mesmas nas condições recomendadas na metodologia do teste de envelhecimento acelerado (41ºC e 100% UR), foi realizada a presente pesquisa. Utilizaram-se sementes de milho, híbrido AG122, provenientes de quatro lotes. Os períodos 0, 24, 48, 72, 96 e 120 horas de permanência das sementes na incubadora (envelhecimento acelerado) definiram os tratamentos. As alterações nos perfís isoenzimáticos (fosfatase ácida e peroxidase) detectadas nas sementes, a partir do período 72h de envelhecimento acelerado, revelaram o provável efeito deteriorativo provocado pela exposição das sementes às condições do teste, independentemente da qualidade do lote, apesar de a maioria dos testes determinantes da qualidade fisiológica das sementes não terem sido sensíveis para detectar tal efeito.