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Experimental studies of acute anterior cruciate ligament injury and repair.

Ten dogs and six rhesus monkeys underwent transection and repair of the anterior cruciate ligament. One-half of the procedures involved the femoral end, the other half involved the tibial end of the ligament. Seven of the 10 canine and all of the primate ligaments, that had been transected and repaired, did heal. Functional and clinical instability was demonstrable in all repaired knees. The monkeys developed fewer degenerative changes with more grossly normal appearing ligaments after the repairs than did the dogs. Failure testing on an Instron materials testing machine revealed maximum strength of the repaired ligaments to be 10.4% for the repairs at the femoral end and 2.0% for repairs at the tibial ends in dogs when compared with the contralateral control knees. In monkeys the femoral repairs were 46.8% and the tibial repairs were 62.6% of the control knees. Inadequate immobilization and early stress were believed to be principal causes of the poorer results in dogs. The observations in monkeys support the suggestion that injured anterior cruciate ligaments that can be repaired, should be repaired.

Animals

A new foam for support of the physically handicapped.

This article is intended to inform professionals in the fields of rehabilitation medicine and biomedical engineering of some of the more significant properities of Temper Foam, a new foam for support of the physically handicapped. The unique properties of this foam are explained in terms of its microstructure, illustrated by scanning electron micrographs and by mechanical tests using an Instron Materials Testing machine. Fourteen non-ambulatory patients with Duchenne muscular dystrophy are using this foam in custom-fitted contoured support systems. Normally, these children show increasing signs of discomfort and skin breakdown due to their inability to alternate areas of weight bearing and high local pressure such as the ischial tuberosities. In our support systems lined with Temper Foam these problems have completely dissappeared. We find that Temper Foam types T-36, T-38 and -41 are ideally suited for patients weighing up to 35 kg. T-41 may be used for patients weighing up to 70 kg.

Bedding and Linens

Surface changes on dental materials. II. The influence of two different dentifrices on surface roughness measured by laser reflexion and profilometer techniques.

Surface changes on eight different dental materials were investigated, using laser reflexion technique and a profilometer. The tested materials were: Acrylic veneers Isosit, Isosit N, K+B+, Multiplus and K+Bpaste Gold Sjödings C Titanium pure non-rolled titanium Ceram a potential ceramic direct filling material The materials were subjected to brushing in a brushing machine, with a toothpaste-water slurry. Two different toothpastes were used separately; Clinomyn and Colgate. The new ceramic material showed no measurable wear by the brushing. All the other materials were affected to some extent. On titanium increasing values of light intensity were obtained thus indicating a smoother surface. Among the veneer materials K+Bpaste was the most wear resistant.

Acrylic Resins

Tissue responses to Hydron, assessed by intramuscular implantation.

Freshly mixed polymerized Hydron root canal filling material, fully set AH26 and Teflon were implanted in the quadriceps muscle of guinea pigs and assessed histologically at 2 days, 1, 2, 3, 12 and 26 weeks after implantation. All materials were characterized by peri-implant fibrous connective tissue capsule formation. Von Kossa-positive calcific material was observed at the implant-tissue interface of Hydron implants. The amount of apparently calcified material increased with time. Inflammation was not a prominent tissue response for any of the test materials, nor was a foreign body giant cell response.

Animals

Analytic study of the Tadoma method: discrimination ability of untrained observers.

This study reports the ability of two observers with normal-hearing and sight to discriminate pairs of speech elements through the Tadoma method of speechreading. The observers were blindfolded and exposed to masking noise to eliminate visual and auditory cues. They placed their right hand over the speaker's face and neck so that the thumb rested lightly on the lips and the fingers fanned out over the cheek and neck. The discrimination tests were conducted using an ABX procedure. Average discrimination scores for the five types of test materials used in the ABX tests were 87% on W-22 words, 83% on Modified Rhyme Test words, 70% on vowels, 77% on CV and VC nonsense syllables, and 71% on consonant clusters. In all of the ABX tests, the inexperienced observers performed at least as well as the experienced Tadoma user studied by Norton, et al (1977). This finding indicates that the basic tactile sensitivity of inexperienced observers is comparable to that of an experienced deaf-blind Tadoma user.

Cues

Proficiency testing of platelet counting in Ontario.

Proficiency testing results provide data for interlaboratory comparisons. The Laboratory Proficiency Testing Program of Ontario, Canada, has tested platelet counting for a decade and other hematology parameters for 15 years. Despite the fact that all testing programs are compromised by the type of testing material used, for platelet count testing, conclusions are possible. The data indicate that most laboratories in Ontario have greater difficulty performing reproducible platelet counting as compared with other components of hematologic cytometry. A major contributor to this shortfall is the method used by the laboratory. It was not a surprise that manual counting had a high coefficient of variation. Unexpectedly, the semiautomated methods used in the mid-1980s also displayed a high coefficient of variation.

Humans

Microimmunodiffusion test for diagnosis of ovine progressive pneumonia.

Two microimmunodiffusion tests (MIDT) for detection and measurement of ovine progressive pneumonia antibody are described. Substrates of various salt concentrations and pH were used to determine the optimal conditions for the tests. In comparisons between two MIDT and one macroimmunodiffusion test, sera from cull ewes were used. The MIDT require less reagents and were more responsive than the macroimmunodiffusion test. After extended incubation of the test materials, results in all three tests were comparable.

Animals

[Examination of the water supply with the alkali and alkali-earth supplement optimized DIN luminescent bacteria test, exemplified by the Saar river].

The light intensity emitted by luminescent bacteria is influenced by both the osmolarity and the ion composition of the test medium. The addition of potassium and calcium ions to a sodium chloride solution causes a considerable increase in the light intensity of bacteria. If these elements occur in the proper concentrations in the test material, the luminescence in the test sample will be higher than in the control sample containing only sodium chloride. This physiological dependence did not find the due consideration in the establishment of the German standard method for the luminescent bacteria test using Microtox bacteria (German Institute for Standardization DIN 38,412, Part 34--edition March 1991) where only the osmotic balancing by sodium chloride was taken into account. For testing chemicals, the luminescent bacteria test with Microtox reagent can be run without problems by the procedure that is recommended by Microbics Corporation and which became part of the DIN standard method. The situation is different when analyses of natural waters or effluents from wastewater plants are concerned, where matrix effects have to be expected. Stimulation of light intensity can be a reflection of a nonoptimized test medium and in the worst case may cause false negative results. The new ASW (artificial sea-water) luminescent bacteria medium according to Klein, which besides sodium contains potassium, magnesium, and calcium ions, brings stimulation to both samples and controls, effectively reducing enhancement and increasing the inhibitory effects of samples from the River Saar. However, high light stimulation rates measured in parallel tests with the DIN procedure could not be caused by the low concentrations of alkaline and alkaline-earth ions in the samples. The experiments indicate that there must be additional influencing substances which have not yet been identified. Furthermore, the experiments show that the matrix effects of unknown origin that will exert a positive influence on the light emission may be compensated by addition of alkaline and alkaline-earth ions.

Animals

Enamel bonding plastic materials in modifying the form of abutment teeth for the better functioning of partial prostheses.

The potential uses of enamel bonding sealants and composite filling materials in increasing the retentive form of abutment teeth and covering the preparations for the occlusal supports of partial prostheses were studied in laboratory conditions. The materials tested were Nuva and Concise sealants and composite resins. Extracted permanent human molars, premolars and canines were inserted into acrylic blocks, two teeth in each block. An unretentive clasp framework was made on every test block. A retention prominence was built up separately of sealants and of composite materials occlusally to the tip of each clasp arm. The bond strength and wear resistance of the materials was tested in a device designed for this study. The bond of the prominences was very good, only two out of 114 prominences loosened. The retention gained with prominences was, on average, 18 N measured by the force needed for removal. The decrease in the total retention of the four clasp arms was measured by the force needed to remove the clasp framework. The total retention of the prominences made of Nuva and Concise sealants after 5000 removals was 53 and 50% of the original, when long, flexible clasp arms were used. The corresponding figures for composite resins were 56 and 59%. Short rigid clasp arms caused a distinctly faster abrasion. The prominences made of sealants, in particular, were abraded rapidly, one-fifth of retention being left after 3000 removals.

Composite Resins

Accuracy of one-step versus two-step putty wash addition silicone impression technique.

This study compared the accuracy of one-step putty wash with two-step putty wash impression techniques. Five addition silicone impression materials-Mirror 3 (MR), Mirror 3 Extrude (ME), Express (E), Permagum (P), and Absolute(A)--were tested. A stainless steel model containing two full-crown abutment preparations was used as the positive control. Five replications for one-step and two-step putty wash impressions of the master model were made for each test material. Accuracy of the materials was assessed by measuring six dimensions on stone dies poured from impressions of the master model. Accuracy of addition silicone impression material is affected more by material than technique. Accuracy of the putty wash one-step impression technique was not different from the putty wash two-step impression technique except at one of the six dimensions where one-step was more accurate than two-step. Mirror 3 putty wash two-step impression presented less distortion than Mirror 3 Extrude putty wash one-step or two-step impression.

Analysis of Variance

[Technological studies on high pressure polymerization of dental plastic materials].

The author in his present paper reports a program of comparative materials testing of which the purpose was to assess the value of positive pressure polymerization of thermosets. This particular program required polymerization temperature measurements. K-value determinations, and cone indentation hardness tests to be made on samples of plastic material polymerized under positive liquid or steam pressure and in cuvets, respectively, the conditions of polymerization being those which are used in actual practice. The results obtained indicated a favorable influence of positive liquid pressure polymerization on the final hardness of the plastic material.

Dental Materials

[Mutual relations between plastic materials and bacteria (author's transl)].

The complex problems of microbiological degradation of synthetic plastics and a fairly wide variety of 62 testing materials, belonging to 14 major groups of plastics, are described. Adaequate and reliable testing techniques had to be devised. Drawing on the experiences of H. Braun, 1930, and of Bushnell and Haas, 1941, as to the metabolism of bacteria and the utilization of certain hydrocarbons by microorganisms, and previous research work by A. Schwartz in Berlin, 1959-60, on microbial corrosion of plastics, methods of laboratory testing were developed. The bacteriological technique was based on selection of aerobic microorganisms, which were, by starvation, adapted to use the plastic materials as their only carbon source; foreign carbon sources had to be strictly eliminated; emphasis was laid on proper, double control cultures. The test organisms involved included P. aeruginosa and fluorescens strains, also a certain species of Candida, and mixtures of soil, sewage and garbage organisms grown on exposed plastic surfaces. By means of series of passages the selective adaptation and conservation of these organisms was continued up to 4 1/2 years. An anaerobic adaptation method for Desulfovibrio desulfuricans was developed and used successfully. After preliminary experimentation (Soil burial, sewage and garbage exposure tests) in the laboratory as well as in the open, a large scale Field testing programme under realistic and to some extent extreme conditions was implemented: Nine different plastic materials comprising eight plain high polymer plastics and for comparison one synthetic Cellulose derivate, together with glass control samples, were exposed in twelve different sewage, garbage, and soil media over a period of 3 months to 2 years, and subsequently examined. On the basis of the bacteriological results obtained from the adaptation series the test materials were classified into three categories, corresponding to the stimulation of bacterial growth: Group one, which allowed strong proliferation, included certain types of plasticized P.V.C. and Cellulose esters, as expected, and, as a new result, Polyurethane rubber; the latter showed clear signs of surface corrosion. Group two, which induced a clear but moderate growth, comprised a nylon trade type of Polyamide. Gruop three, allowing weak but still recognisable growth, included Formaldehyde pressure resing (Bakelite). This was surprising as it was thought that the formaldehyde and phenol components would exert a bacteriocidic or at least bacteriostatic effect. The results of the long and time consuming adaptation series with Pseudomonas aeruginosa were confirmed by the manometric dissimilation method of O. Warburg by means of the Braun/Melsungen apparatus. With this subtle but elegant procedure results and graphical recordings were obtained within hours and days...

Candida

Sensitivity to isopropyl alcohol.

Positive patch test reactions to isopropyl alcohol in connection with proved allergy to ethyl alcohol have already been published. A case of allergy to isopropyl alcohol with positive reactions to isopropanol (unpurified test material) and negative reactions to ethanol and methanol has also been reported. We report a case of a occupationally acquired sensitivity to isopropyl alcohol in which, on testing with gas chromatographically purified material, positive patch test reactions were found to 1-propanol, 1-butanol, 2-propanol, 2-butanol and methanal (formaldehyde) but not to the primary alcohols methanol, ethanol and amyl alcohol; not to the aldehydes acetal (acetaldehyde) and butanal; nor to the ketones acetone, butanon and isobutyl ketone, nor to methanoic (formic)acid. A tentative explanation for this peculiar pattern of reactions is given.

1-Propanol

Validation of the 3-oz water swallow test for aspiration following stroke.

A 3-oz water swallow test identified 80% (16/20) of patients aspirating during a subsequent videofluoroscopic modified barium swallow examination (sensitivity, 76%; specificity, 59%). It also identified patients with more severe dysphagia aspirating larger amounts (sensitivity, 94%; specificity, 26%) or thicker consistencies (sensitivity, 94%; specificity, 30%) of test material. The 3-oz water swallow test is a sensitive screening tool for identifying patients at risk for clinically significant aspiration who need referral for more definitive modified barium swallow evaluation.

Aged

Contact angles and wetting of pharmaceutical powders.

Contact angles of pharmaceutical powders were determined by the h-epsilon method, which consists essentially of measuring the maximum height of a drop of liquid fomed on a presaturated compact of the material. Determinations with aspirin as the test material indicate that the measured value is independent of the particle size of the powder and the porosity of the cake. The method was extended to include determinations on mixed powder systems. The results show that the hydrophobic material dominates with large particle-size powders; with small particle sizes, a linear relationship between the cosine of the contact angle of the mixed system and the proportion of the components is obtained. Results are presented for a wide variety of materials of pharmaceutical interest.

Aspirin