Caries inhibition with a CO2 9.3 µm laser: An in vitro study.

BACKGROUND AND OBJECTIVES: The caries preventive effects of different laser wavelengths have been studied in the laboratory as well as in pilot clinical trials. The objective of this in vitro study was to evaluate whether irradiation with a new 9.3 µm microsecond short-pulsed CO2 -laser could enhance enamel caries resistance with and without additional fluoride applications. STUDY DESIGN/MATERIALS AND METHODS: One hundred and one human tooth enamel samples were divided into seven groups. Each group was treated with different laser parameters (CO2 -laser, wavelength 9.3 µm, 43 Hz pulse-repetition rate, pulse duration between 3 µs at 1.5 mJ/pulse to 7 µs at 2.9 mJ/pulse). A laboratory pH-cycling model followed by cross-sectional microhardness testing determined the mean relative mineral loss delta Z (ΔZ) for each group to assess caries inhibition in tooth enamel by the CO2 9.3 µm short-pulsed laser irradiation. The pH-cycling was performed with or without additional fluoride. RESULTS: The non-laser control groups with additional fluoride had a relative mineral loss (ΔZ, vol% × µm) that ranged between 646 ± 215 and 773 ± 223 (mean ± SD). The laser irradiated and fluoride treated samples had a mean ΔZ ranging between 209 ± 133 and 403 ± 245 for an average 55% ± 9% reduction in mineral loss (ANOVA test, P < 0.0001). Increased mean mineral loss (ΔZ between 1166 ± 571 and 1339 ± 347) was found for the non-laser treated controls without additional fluoride. In contrast, the laser treated groups without additional fluoride showed a ΔZ between 470 ± 240 and 669 ± 209 (ANOVA test, P < 0.0001) representing an average 53% ± 11% reduction in mineral loss. Scanning electron microscopical assessment revealed that 3 µs pulses did not markedly change the enamel surface, while 7 µs pulses caused some enamel ablation. CONCLUSION: The CO2 9.3 µm short-pulsed laser energy renders enamel caries resistant with and without additional fluoride use. The observed enhanced acid resistance occurred with the laser irradiation parameters used without obvious melting of the enamel surface as well as after irradiation with energies causing cutting of the enamel. Lasers Surg. Med. 48:546-554, 2016. Published 2016. This article is a U.S. Government work and is in the public domain in the USA.

Comparison of artificial neural network (ANN) and partial least squares (PLS) regression models for predicting respiratory ventilation: an exploratory study.

The objective of this study was to assess the potential for using artificial neural networks (ANN) to predict inspired minute ventilation (V(I)) during exercise activities. Six physiological/kinematic measurements obtained from a portable ambulatory monitoring system, along with individual's anthropometric and demographic characteristics, were employed as input variables to develop and optimize the ANN configuration with respect to reference values simultaneously measured using a pneumotachograph (PT). The generalization ability of the resulting two-hidden-layer ANN model was compared with a linear predictive model developed through partial least squares (PLS) regression, as well as other V(I) predictive models proposed in the literature. Using an independent dataset recorded from nine 80-min step tests, the results showed that the ANN-estimated V(I) was highly correlated (R(2) = 0.88) with V(I) measured by the PT, with a mean difference of approximately 0.9%. In contrast, the PLS and other regression-based models resulted in larger average errors ranging from 7 to 34%. In addition, the ANN model yielded estimates of cumulative total volume that were on average within 1% of reference PT measurements. Compared with established statistical methods, the proposed ANN model demonstrates the potential to provide improved prediction of respiratory ventilation in workplace applications for which the use of traditional laboratory-based instruments is not feasible. Further research should be conducted to investigate the performance of ANNs for different types of physical activity in larger and more varied worker populations.

Laboratory evaluation of a physiologic sampling pump (PSP).

Recently, physiologic sampling pumps (PSPs), which can adjust their sampling rates in proportion to wearers' minute ventilation (V[combining dot above](E)), have been proposed to better estimate exposure to airborne contaminants in the workplace. A laboratory evaluation was conducted to compare the performance of a new PSP with a traditional sampling pump (TSP) in an exposure chamber. Fifteen subjects (aged 19-36 years) performed two replicate sessions of step-tests for correlated and uncorrelated exposure scenarios on four separate days. When exposed to a scenario in which subject V[combining dot above](E) is highly correlated with m-xylene concentration over the sampling period (r = 0.93), the PSP-measured time-weighted average (TWA) concentrations are higher than TSP-measured concentrations (average ratio of PSP to TSP = 1.18). The ratio of PSP- and TSP-measured TWA concentrations for the uncorrelated scenario (r = 0.02) is closer to one, as expected, with an average value of 0.94. The test results of the linear mixed model further indicate that the performance of the PSP is unaffected by the anthropometric and physiological characteristics of the wearer. Potential differences in exposure estimates resulting from the use of the two instruments were examined in light of various schemes which can potentially occur in the field. With the capability of estimating the total volume of air inhaled over the sampling period with improved accuracy, PSPs show promise in reducing the inherent uncertainty in current risk assessment approaches that entail constant-flow (TSP) sampling approaches.

A novel physiologic sampling pump capable of rapid response to breathing.

The merits of using physiologic sampling pumps (PSPs) instead of using constant-flow sampling pumps, i.e., "traditional sampling pumps" (TSPs), are discussed. A novel PSP that overcomes shortcomings of previous PSP designs is presented. Calibrated valves are used to obviate pump inertia that has limited the system response and accuracy of prior work. Technologies that provide minute ventilation (V[combining dot above](E)) of subjects in real time may therefore be used to the limit of their own accuracies to sample inhalation exposures. Analysis of the design and data from a prototype are presented to show how air sampling can be modulated to follow breathing.

Risk assessment for loader- and dozer-related fatal incidents in U.S. mining.

The paper presents the results of research aimed at developing a risk assessment process that can be used to more thoroughly characterise risks associated with loader- and dozer-related fatal incidents in US mining. The assessment is based on historical data obtained from the US Mine Safety and Health Administration investigation reports, which includes 77 fatal incidents that occurred from 1995 to 2006. The Preliminary Hazard Assessment method is used in identifying and quantifying risks. Risk levels are then developed using a pre-established risk matrix that ranks them according to probability and severity. The resulting assigned risk value can then be used to prioritise risk control strategies. A total of 10 hazards were identified for loaders. The hazards 'failure to follow adequate maintenance procedure' and 'failure of mechanical/electrical/hydraulic components' were the most severe and frequent hazards and they fell into the category of 'high' risk. The same number of hazards was identified for dozers. The hazard 'failure to identify adverse site/geological conditions' was the most severe and frequent hazard and it fell into the category of 'high' risk.

Exposure assessment by physiologic sampling pump--prediction of minute ventilation using a portable respiratory inductive plethysmograph system.

A study was conducted to evaluate a portable respiratory inductive plethysmograph (RIP) as a means to estimate minute ventilation (V(E)) for use in controlling the flow rate of a physiologic sampling pump (PSP). Specific aims were to: (1) evaluate the ability of the portable RIP system to measure V(E) using a direct (individual) fixed-volume calibration method (Direct RIP model), (2) develop and evaluate the performance of indirect (group) regression models for V(E) prediction using output data from the portable RIP and subject demographic characteristics (Indirect RIP model), and (3) compare V(E) estimates from indirect and direct portable RIP calibration with indirect estimation models published previously. Nine subjects (19-44 years) were divided into calibration (n = 6) and test (n = 3) datasets and performed step-tests on three different days while wearing the portable RIP and breathing through a pneumotachometer (reference). Minute ventilation and portable RIP output including heart rate, breathing rate, and a motion index were recorded simultaneously during the 80 minute sessions. Calibration data were used to develop a regression model for V(E) prediction that was subsequently applied to the test dataset. Direct calibration of the portable RIP system produced highly variable estimates of V(E) (R2 = 0.62, average % error = 15 +/- 50) while Indirect RIP model results were highly correlated with the reference (R2 = 0.80-0.88) and estimates of total volume were within 10% of reference values on average. Although developed from a limited dataset, the Indirect RIP model provided an alternative approach to estimation of V(E) and total volume with accuracy comparable to previously published models.

Evaluation of a fluorometric method for measuring low concentrations of ammonia in ambient air.

A fluorometric method developed for measuring low concentrations of ammonium in marine and freshwater ecosystems was adapted for the analysis of ammonia in ambient air. The modified method entails collection of samples on an acid-treated solid adsorbent followed by analysis using a fluorometer. Optimal results were obtained using a commercially available sorbent tube containing 100 mg of acid-treated silica gel for sample collection, and an analytical protocol consisting of sample desorption in DI water, addition of orthopthaldialdehyde (OPA) working reagent, and room temperature incubation. Method accuracy and precision were evaluated by comparing experimentally determined quantities of ammonia to expected levels for sample loadings ranging from 0.16 [micro sign]g to 550 [micro sign]g-accuracy was generally within +/-20%. The estimated LOQ for the method is 0.08 [micro sign]g ammonia per sample which represents a 25-375-fold improvement in sensitivity compared to current NIOSH and OSHA methods for the measurement of ammonia in ambient air. The new method should be useful for applications requiring measurement of low concentrations of ammonia using personal sampling equipment or in the characterization of short-term fluctuations of ammonia concentrations in air.

Laboratory and field evaluation of a SAW microsensor array for measuring perchloroethylene in breath.

This article describes the laboratory and field performance evaluation of a small prototype instrument employing an array of six polymer-coated surface acoustic wave (SAW) sensors and a thermal desorption preconcentration unit for rapid analysis of perchloroethylene in breath. Laboratory calibrations were performed using breath samples spiked with perchloroethylene to prepare calibration standards spanning a concentration range of 0.1-10 ppm. A sample volume of 250 mL was preconcentrated on 40 mg of Tenax GR at a flow rate of 100 mL/min, followed by a dry air purge and thermal desorption at a temperature of 200 degrees C. The resulting pulse of vapor was passed over the sensor array at a flow rate of 20 mL/min and sensor responses were recorded and displayed using a laptop computer. The total time per analysis was 4.5 min. SAW sensor responses were linear, and the instrument's limit of detection was estimated to be 50 ppb based on the criterion that four of the six sensors show a detectable response. Field performance was evaluated at a commercial dry-cleaning operation by comparing prototype instrument results for breath samples with those of a portable gas chromatograph (NIOSH 3704). Four breath samples were collected from a single subject over the course of the workday and analyzed using the portable gas chromatograph (GC) and SAW instruments. An additional seven spiked breath samples were prepared and analyzed so that a broader range of perchloroethylene concentrations could be examined. Linear regression analysis showed excellent agreement between prototype instrument and portable GC breath sample results with a correlation coefficient of 0.99 and a slope of 1.04. The average error for the prototype instrument over a perchloroethylene breath concentration range of 0.9-7.2 ppm was 2.6% relative to the portable GC. These results demonstrate the field capabilities of SAW microsensor arrays for rapid analysis of organic vapors in breath.

Prototype sampling system for measuring workplace protection factors for gases and vapors.

A prototype sampling system for measuring respirator workplace protection factors (WPFs) was developed. Methods for measuring the concentration of contaminants inside respirators have previously been described; however, these studies have typically involved continuous sampling of aerosols. Our work focuses on developing an intermittent sampling system designed to measure the concentration of gases and vapors during inspiration. This approach addresses two potential problems associated with continuous sampling: biased results due to lower contaminant concentrations and high humidity in exhaled air. The system consists of a pressure transducer circuit designed to activate a pair of personal sampling pumps during inspiration based on differential pressure inside the respirator. One pump draws air from inside the respirator while the second samples the ambient air. Solid granular adsorbent tubes are used to trap the contaminants, making the approach applicable to a large number of gases and vapors. Laboratory testing was performed using a respirator mounted on a headform connected to a breathing machine producing a sinusoidal flow pattern with an average flow rate of 20 L/min and a period of 3 seconds. The sampling system was adjusted to activate the pumps when the pressure inside the respirator was less than -0.1 inch H(2)O. Quantitative fit-tests using human subjects were conducted to evaluate the effect of the sampling system on respirator performance. A total of 299 fit-tests were completed for two different types of respirators (half- and full-facepiece) from two different manufacturers (MSA and North). Statistical tests showed no significant differences between mean fit factors for respirators equipped with the sampling system versus unmodified respirators. Field testing of the prototype sampling system was performed in livestock production facilities and estimates of WPFs for ammonia were obtained. Results demonstrate the feasibility of this approach and will be used in developing improved instrumentation for measuring WPFs.