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At least 343 records · Page 19Linked to original sources

A novel collagen-based composite offers effective hemostasis for multiple surgical indications: Results of a randomized controlled trial.

BACKGROUND: Intraoperative bleeding is ubiquitous during open surgical procedures and uniformly effective hemostasis remains elusive. We conducted a randomized controlled trial to determine the effectiveness of a novel collagen-based composite (CoStasis Surgical Hemostat) compared with standard methods of hemostasis during general, hepatic, cardiac, and orthopedic operations. METHODS: Hemostatic treatment was assigned randomly to 347 subjects; 318 subjects (167 CoStasis, 151 controls) underwent operation, received treatment, and provided hemostatic success data. CoStasis was applied to the bleeding site without manual pressure as a sprayable liquid composite of bovine microfibrillar collagen, bovine thrombin, and autologous plasma. Manual compression was used as the control hemostat. Hemostatic success was achieved if bleeding had ceased completely within 10 minutes (3 minutes for cardiac subjects). The time to controlled bleeding (ie, slight oozing) and time to complete hemostasis were recorded for all subjects. RESULTS: Hemostatic success was achieved in more than 90% (153/167) of CoStasis subjects compared with 58% (88/151) of control subjects (P =.01). Superior hemostatic effectiveness with CoStasis was realized in every surgical specialty: general (77/79 vs 49/75, P =.01), hepatic (38/39 vs 20/29, P =.01), cardiac (28/37 vs 17/37, P =.02), and orthopedic (10/12 vs 2/10, P =.01). The duration of bleeding was also significantly shorter with CoStasis. The median time to controlled bleeding (42 seconds vs 150 seconds, P =.0001) and time to complete hemostasis (75 seconds vs 252 seconds, P =.0001) were both markedly longer with the control intervention. There were no serious adverse events related to the use of CoStasis. CONCLUSIONS: CoStasis is more effective at controlling and stopping diffuse intraoperative bleeding than standard methods of hemostasis in 4 distinct surgical indications representing a wide variety of operative interventions.

Adult↗

Oligonucleotides with conjugated dihydropyrroloindole tripeptides: base composition and backbone effects on hybridization.

The ability of conjugated minor groove binding (MGB) residues to stabilize nucleic acid duplexes was investigated by synthesis of oligonucleotides bearing a tethered dihydropyrroloindole tripeptide (CDPI3). Duplexes bearing one or more of these conjugated MGBs were varied by base composition (AT- or GC-rich oligonucleotides), backbone modifications (phosphodiester DNA, 2'-O-methyl phosphodiester RNA or phosphorothioate DNA) and site of attachment of the MGB moiety (5'- or 3'-end of either duplex strand). Melting temperatures of the duplexes were determined. The conjugated CDPI3 residue enhanced the stability of virtually all duplexes studied. The extent of stabilization was backbone and sequence dependent and reached a maximum value of 40-49 degrees C for d(pT)8. d(pA)8. Duplexes with a phosphorothioate DNA backbone responded similarly on CDPI3 conjugation, although they were less stable than analogous phosphodiesters. Modest stabilization was obtained for duplexes with a 2'-O-methyl RNA backbone. The conjugated CDPI3 residue stabilized GC-rich DNA duplexes, albeit to a lesser extent than for AT-rich duplexes of the same length.

Nucleic Acid Hybridization↗

Fracture resistance of PMMA and resin matrix composite-based interim FPD materials.

PURPOSE: The aim of this study was to compare the fracture strength of several commercial interim fixed partial denture (FPD) materials in an artificial oral environment. MATERIALS AND METHODS: Twenty identical three-unit FPDs of the PMMA materials Trim and Cronsin and the composite-based materials Protemp 3 Garant, Protemp Garant, Luxatemp, and Tempofit were cemented on Co-Cr alloy dies. Ten FPDs of each material were stored for 14 days in distilled water and artificially aged. Ten FPDs of each material were stored for 24 hours in distilled water as a control group. Fracture resistance was determined using a testing machine. RESULTS: The tested interim materials showed initial fracture values between 484 and 1,081 N. During artificial aging, the PMMA FPDs failed because of irreversible deflection. All Tempofit FPDs, four Luxatemp FPDs, two Protemp Garant FPDs, and one Protemp 3 Garant FPD failed because of fracture during artificial aging. The remaining FPDs showed fracture values of 759 N (Luxatemp), 772 N (Protemp Garant), and 956 N (Protemp 3 Garant). CONCLUSION: The PMMA FPDs and the composite Tempofit FPDs showed poor stability during artificial aging, whereas the highest strength values in combination with low fracture rates were found for the Protemp 3 Garant composite FPDs.

Acrylic Resins↗

Evolution of transcript structure and base composition of rDNA expansion segment D3 in ticks.

Four to thirty-two copies of the rDNA 28S gene expansion segment D3 and flanking H14 stem were sequenced in six species of ticks (Ixodes: Ixodidae: Acari). Sequence match among species varied from 66% to 97%. Sequence length averaged 130 bases in I. persulcatus across eight Eurasian sites and averaged 186 bases in five other species across 19 Eurasian and North American sites. The difference in length represents one or more deletions totalling about 60 bases that correspond to stems S3 or S4 of the folded transcript. The typical transcript conformation was observed as one possible low energy structure in the five species of longer D3. The structure entails a basal loop with four stem/loop structures, S1-S4 (moving 5' to 3') atop stem H14. A secondary structure lacking S4 but possessing all other putative standard features of the D3 transcript is possible with the shorter I. persulcatus sequences. Interspecific sequence differences occur at higher frequency in loops and bulges vs. complementary pairing regions of stems. Insertion/deletion events (indels) and base substitutions accounted equally for sequence differences. Indels are flanked by similar sequences, suggesting that they occur by slippage during replication. The D3 of Ixodes species is composed of a degenerate set of subrepeats. Thus, unequal exchange among subrepeats may have caused the reduction in length of the I. persulcatus D3. Compensatory base substitution and compensatory insertion/deletion events are indicated by the failure of mutations to affect secondary structure. Transversions accounted for 64% of sequence differences and were biased toward the gain of G and U and the loss of A and C. This bias could re-establish intramolecular base pairing when disrupted by insertions or deletions that shift one side of a stem relative to the other. The distribution of sequence differences, biased substitution, and conservation of transcript conformation in D3 suggest selective constraint.

Animals↗

[Distribution of pyrimidine sequences of different length and base composition in bacteriophage T5 DNA].

Distribution of pyrimidine tracts of different length (isopliths) with general formula PynPn+1 in bacteriophage T5 DNA was studied. The first seven isoplith fractions were subfractionated by the chain length and the quantity of the resulting non-isomeric oligonucleotides was determined. The pattern of distribution of pyrimidine tracts of various length and base composition in bacteriophage T5 DNA is different from that previously observed in the DNAs of bacteriophages T3 and T7. The observed differences in distribution of pyrimidine nucleotides are in accordance with the other peculiarities of bacteriophage T5 genome.

Base Sequence↗

Effect of different denaturing agents on the detectability of specific DNA sequences of various base compositions by in situ hybridisation.

In situ hybridisation of certain AT rich and GC rich satellite DNA complementary RNAs (cRNAs) to their homologous chromosomes at their respective optimal rate temperatures (TOPTS) after denaturation with various reagents (0.2 N HCl, 0.07 N NaOH, 90% formamide and heat) led to the following conclusions. -- Heat denaturation of chromosomal DNA in 0.1 X SSC at 100 degrees C gives significantly higher grain counts regardless of DNA base composition, HCl denaturation discriminates markedly against GC rich DNA. Chromosome morphology is best preserved after HCl and heat denaturation.

Animals↗

Base composition of deoxyribonucleic acid of the temperature-sensitive kanamycin-resistant R factor, Rts1.

The buoyant density of deoxyribonucleic acid (DNA) from the temperature-sensitive R factor, Rts1, was determined by CsCl density-gradient centrifugation. Rts1 was found to consist of a single species of DNA of density 1.705 g/cm(3), which corresponds to a base composition of 45% guanine plus cytosine. This value is distinct from the densities previously reported for other R factors, suggesting that Rts1 represents a new molecular class of R factors.

Centrifugation, Density Gradient↗

Differentiation of Gluconacetobacter liquefaciens and Gluconacetobacter xylinus on the basis of DNA base composition, DNA relatedness, and oxidation products from glucose.

Gluconacetobacter liquefaciens and Gluconacetobacter xylinus share very similar phenotypic characteristics. They are differentiated by the production of a reddish-brown water-soluble pigment of the former and cellulose production of the latter. However, the loss of the two distinguishing features questions the separate standings of the two species. The DNA base composition and the DNA relatedness of strains of the two species, including other established species of acetic acid bacteria, were determined. G. liquefaciens strains had the higher guanine-plus-cytosine content (G+C content) in DNA, ranging from 63.5 to 66.9 mol%, and G. xylinus had the lower range, from 59.4 to 63.2 mol%. DNA hybridization revealed a low level of DNA similarity between the two species. G. liquefaciens strains produced 2,5-diketogluconic acid and pyrones from glucose, and G. xylinus strains produced 5-ketogluconic acid. From these results, it is unequivocal that G. liquefaciens is a distinct species from G. xylinus.

Journal Article↗

Skull base cerebrospinal fluid leakage control with a fibrin-based composite tissue adhesive.

Cerebrospinal fluid (CSF) leaks can be responsible for significant patient morbidity and mortality. While the majority of leaks induced after head trauma will seal without intervention, spontaneous or surgically-induced leaks often require operative repair. Many modifications on standard surgical technique are available for repair of CSF fistulae, but none assures adequate closure. We have studied the efficacy of a novel fibrin-based composite tissue adhesive (CTA) for closure of experimentally-induced CSF leaks in rats. Fistulae were created in two groups of animals. Two weeks after creation of the leaks, the animals were sacrificed and analyzed for persistence of leak. A 58% leakage rate was noted in the control group (n = 12), and no leaks were noted in the experimental group closed after application of CTA to the surgical defect followed by skin closure (n = 11). Comparing the control group to the experimental group, results were statistically significant (p = 0.015). These data suggest that CTA may be effective as an adjunct for the closure of CSF fistulae.

Journal Article↗

Sequence evolution in bacterial endosymbionts having extreme base compositions.

A major limitation on ability to reconstruct bacterial evolution is the lack of dated ancestors that might be used to evaluate and calibrate molecular clocks. Vertically transmitted symbionts that have cospeciated with animal hosts offer a firm basis for calibrating sequence evolution in bacteria, since fossils of the hosts can be used to date divergence events. Sequences for a functionally diverse set of genes have been obtained for bacterial endosymbionts (Buchnera) from two pairs of aphid host species, each pair diverging 50-70 MYA. Using these dates and estimated numbers of Buchnera generations per year, we calculated rates of base substitution for neutral and selected sites of protein-coding genes and overall rates for rRNA genes. Buchnera shows homogeneity among loci with regard to synonymous rate. The Buchnera synonymous rate is about twice that for low-codon-bias genes of Escherichia coli-Salmonella typhimurium on an absolute timescale, and fourfold higher on a generational timescale. Nonsynonymous substitutions show a greater rate disparity in favor of Buchnera, a result consistent with a genomewide decrease in selection efficiency in Buchnera. Ratios of synonymous to nonsynonymous substitutions differ for the two pairs of Buchnera, indicating that selection efficiency varies among lineages. Like numerous other intracellular bacteria, such as Rickettsia and Wolbachia, Buchnera has accumulated amino acids with codons rich in A or T. Phylogenetic reconstruction of amino acid replacements indicates that replacements yielding increased A + T predominated early in the evolution of Buchnera, with the trend slowing or stopping during the last 50 Myr. This suggests that base composition in Buchnera has approached a limit enforced by selective constraint acting on protein function.

AT Rich Sequence↗

Shrinkage behavior of a resin-based composite irradiated with modern curing units.

OBJECTIVE: The present study determined the influence of different light curing regimes (four light-emitting diode (LED) units (Freelight 1 and 2, 3M-ESPE; e-light, GC; Bluephase (prototype), Ivoclar Vivadent), two quartz-tungsten-halogen (QTH) lights (Astralis 10, Ivoclar Vivadent; Swiss Master Light, EMS) and one plasma-light curing unit (Easy Cure, DMDS)) on the curing behavior of a resin-based composite material (InTen-S, Ivoclar Vivadent). METHODS: Polymerization shrinkage was induced by light curing the tested material with 14 different regimes of the curing units mentioned above. The contraction stress was recorded for 300 s at room temperature with a Stress-Strain-Analyzer (c(FACTOR)=0.3). The maximum contraction stresses after 300 s, the time until gelation (t(0.5N)), and the coefficient of near linear fit of contraction force/time (gradient) were analyzed. The statistical analysis was conducted using ANOVA (alpha=0.05) and Tukey's post hoc test. RESULTS: The five tested regimes of the LED unit e-light revealed the lowest statistically significantly maximum contraction stress followed by the low intensity LED unit Freelight 1 and the plasma curing unit Easy Cure. The high intensity LED unit Freelight 2 exhibited a significantly higher contraction stress compared to Freelight 1. No significant differences between the standard and exponential modes within these curing units were found. No significant differences were found between the LED unit Freelight 2 and the pulse program of the halogen light curing unit Astralis 10. The highest polymerization stresses were observed for the high energy curing units, either QTH (Swiss Master Light and Astralis 10) or LED (Bluephase). SIGNIFICANCE: Fast contraction force development, high contraction stress and an early start of stress build-up cause tension in the material with possible subsequent distortion of the bond to the tooth structure. The lowest polymerization stress was observed for the low energy LED lamps, while the plasma unit and the high energy QTH and LED curing units produced two to three times higher stress.

Analysis of Variance↗

Molar fracture resistance after adhesive restoration with ceramic inlays or resin-based composites.

PURPOSE: To determine the fracture resistance of teeth, following treatment with various types of adhesive restorations. MATERIALS AND METHODS: 5 0 caries-free, extracted human molars were randomly divided into five groups consisting of 10 molars each. MOD cavities were prepared in 40 molars with a width in the facio-lingual direction of 50% of the intercuspal distances. The cavities were filled with the following materials: Cerec or IPS Empress ceramic inlays, Arabesk or Charisma F resin-based composite (RBC) restorations. The control group consisted of 10 sound, non-restored molars. All 50 teeth were loaded occlusally until fracture using a tensile testing machine. The statistical analysis included ANOVA, Kolmogorov-Smimov-test, Scheffé test, and boxplots. RESULTS: There was no significant difference (P > 0.05) between the mean values of the sound teeth (2,102 N) and the teeth with the Cerec ceramic inlays (2,139 N). However, both groups demonstrated a significant difference (P < 0.05) when compared with the teeth with IPS Empress ceramic inlays (1,459 N) and Arabesk RBC restorations (1459 N). No significant differences were found between the last two groups. Molars restored with Charisma F composite restorations (1,562 N) revealed no significant difference when compared with all other groups including controls (P > 0.05). A stabilization of molars is possible by means of an adhesive restoration in the form of an "internal splinting" regardless of the restorative material used.

Acrylates↗

Calculating the expected frequencies of potential secondary structure in nucleic acids as a function of stem length, loop size, base composition and nearest-neighbor frequencies.

A formula is derived to estimate the expected frequency of potential secondary structure of a given stem length and loop size in a random sequence of nucleotides of known length and composition. An example is provided using the SV40 sequence which shows significant non-randomness in stem length but whose significance is reduced by more than six orders of magnitude by taking nearest neighbor frequencies into account.

Base Composition↗

Purification and base composition analysis of phage lambda early promoters.

RNA-polymerase of Escherichia coli was allowed to bind to DNA of phage lambda in the absence of precursors. The resulting complex was excised by nuclease digestion and the protected DNA was recovered by phenol-extraction and ethanol precipitation. Acrylamide gel electrophoresis of protected DNA fragments reveals the existence of two distinct oligonucleotide peaks corresponding, respectively, to 45-52 and 7-10 nucleotide residues along with species of intermediate sizes. Peak I molecules have two properties: (a) their existence is dependent on the presence of sigma factor during the initial binding step, and (b) they are considerably enriched in A-T (up to 67%). On the contrary, peak II molecules have the same base composition as DNA of phage lambda, whether obtained in the presence or absence of sigma factor. Peak I molecules are thus believed to contain DNA sequences involved in promoter recognition, whether they are the promoters themselves, adjacent, or related sequences.

Acrylamides↗

Response to polyetherimide based composite materials implanted in muscle and in bone.

The in-vivo response to a composite material obtained with polyetherimide (PEI) reinforced with carbon/glass fibers was investigated by histological methods by implanting cylinders in muscle and in bone of the New Zealand White rabbit. A common metallic alloy, widely used in orthopaedic surgery, was used as control (Stellite). The aim of the study was to analyze the biological response towards the surface of the material. Composite implants and metallic implants did not induce adverse or inflammatory reactions. The morphological picture produced was similar, in muscle and in bone, for both materials. In muscle, cylinders were confined by an extremely thin fibrous layer and the overall appearance of the muscular tissue was normal. In bone, cylinders were confined by a nearly annular rim of newly formed bone. From these data it is possible to derive that the response to PEI-based composite material is comparable with the response to metallic substrate and, then, the material can be suitable for clinical application.

Journal Article↗