Effect of preparation design and endodontic access on fracture resistance of zirconia overlays in mandibular molars: An in vitro study.

Purpose: To evaluate the fracture resistance of zirconia overlays, considering various preparation designs and the presence of endodontic access.

Materials And Methods: Ninety translucent zirconia (5Y-PSZ) overlay restorations were divided into six groups (n = 15/group) based on different preparation designs, with and without endodontic access: chamfer margin 4 mm above the gingival level without (group 1) and with endodontic access (group 2); margin 2 mm above the gingival level without (group 3) and with endodontic access (group 4); overlay with no chamfer margin without (group 5) and with endodontic access (group 6). Restorations were bonded to mandibular first molar resin dies, and the groups with endodontic access were sealed with flowable resin composite.

Rib Fracture Map in High-Energy Injuries.

Objectives: To use a novel rib unfurling technology to investigate the locations of multiple rib fractures occurring from high-energy trauma to discern if there are reproducible rib fracture patterns.

Methods: Patients between the ages of 18 and 48 years presenting to a Level 1 academic trauma center with ≥2 rib fractures after a high-energy mechanism of injury between 2017 and 2019 were identified. Curved planar reformatting of CT scans was used to create two-dimensional unfurled rib images by flattening out the view of the ribs from a CT scan.

The accuracy comparison of 3D-printed post and core using castable resin and castable wax resin.

Purpose: The purpose of this research was to compare the accuracy of three-dimensionally (3D) printed post and core fabricated with two different materials: reinforced wax and castable resin. MATERIALS AND METHODS: Fifteen extracted single root central incisors were selected. Root canal treatment and tooth preparation for crown were performed on all teeth.

The Accuracy of Post and Core Fabricated with Digital Technology.

Purpose: To compare the accuracy of post and cores created with three different fabricating techniques: direct conventional, machine milling, and three-dimensional (3D) printing.

Materials And Methods: Thirteen extracted single root central incisors were selected. Root canal treatment and tooth preparation for crown were performed on all teeth.

Mapping of common rib fracture patterns and the subscapular flail chest associated with operative scapula fractures.

Background: Rib fractures occur in approximately 10% of trauma patients and are associated with more than 50% of patients with scapula fractures. This study investigates the location and patterns of rib fractures and flail chest occurring in patients with operatively treated scapula fractures. Novel frequency mapping techniques of rib fracture patterns in patients who also injure the closely associated scapula can yield insight into surgical approaches and fixation strategies for complex, multiple injuries patients.

Health and Welfare Survey of 30 Dairy Goat Farms in the Midwestern United States.

Dairy goat production in the Midwestern United States is increasing at a rapid rate and information on dairy goat husbandry practices applicable for producers in this region is limited. The objective of this study was to survey 30 dairy goat farms in the Midwestern US to provide insight into husbandry practices pertaining to health, welfare, and production, and to identify areas of future research. A questionnaire was developed and comprised 163 questions that were organized into categories including information on the producer (e.

Welfare Assessment of 30 Dairy Goat Farms in the Midwestern United States.

Dairy goat animal welfare assessment protocols have been developed and conducted in Europe and the United Kingdom for dairy goats; however, there are no published reports of large-scale welfare assessment for dairy goats on farms in the Midwestern United States (US). Therefore, the objective of this study was to perform welfare assessment of lactating dairy goats and identify the most prevalent welfare issues on 30 farms across the Midwestern US. Thirty dairy goat farms (self-selected) were enrolled in the study if they shipped milk for human consumption (regardless of herd size).

Children's Hospital Ambulatory Response to the 2019 Novel Coronavirus Disease (COVID-19) Pandemic.

The 2019 novel coronavirus disease (COVID-19) pandemic produced an abrupt and near shutdown of nonemergent patient care. Children's National Hospital (CNH) mounted a multidisciplinary, coordinated ambulatory response that included supply chain management, human resources, risk management, infection control, and information technology. To ensure patient access, CNH expanded telemedicine and instituted operational innovations for outpatient procedures.

Evaluating the Welfare of Small Ruminants: Practical Management Advice.

This article discusses key welfare issues for small ruminants and gives practical management advice. Welfare assessment is vital to ensure that optimal conditions are provided. Practitioners can play a key role in identifying areas of potential welfare compromise and implement interventions.

Cautery Disbudding Iron Application Time and Brain Injury in Goat Kids: A Pilot Study.

Cautery disbudding is a painful procedure performed on goat kids to prevent horn growth that may result in brain injury. Thermal damage to the cerebral cortex of the brain and subsequent neurologic disease is a primary concern. Cautery iron application time may affect transmission of heat to the brain; however, research in this area is scarce.

Topography-Guided Refractive Astigmatism Outcomes: Predictions Comparing Three Different Programming Methods.

Purpose: To identify the laser programming strategy that will achieve optimal refractive outcomes of LASIK with a topography-guided laser for eyes with a disparity between cylinder measured by manifest refraction and cylinder measured by topography.

Setting: Six surgeons at 5 clinical sites in the USA.

Design: Retrospective data review.

Acute cortisol and behavior of dairy goat kids administered local anesthesia, topical anesthesia or systemic analgesia prior to cautery disbudding.

Cautery disbudding of goat kids causes thermal burns and tissue destruction, which results in acute and post-operative pain and negatively affects animal welfare. The objectives of this study were to evaluate acute cortisol concentrations and behavioral responses associated with (1) injecting a lidocaine ring block prior to cautery disbudding and comparing this to saline injections and (2) pain mitigation strategies (lidocaine ring block, topical eutectic mixture of local anesthetics (EMLA) cream, oral meloxicam) on cautery disbudded dairy goat kids. Sixty doe kids were allocated to one of six treatments: (1) disbudding without pain relief (DB), (2) a ring block using 1% lidocaine (DBLA) 20 min before disbudding, (3) saline injection (DBSA) 20 min before disbudding, (4) oral meloxicam 60 min before disbudding (DBMEL), (5) EMLA cream rubbed into the buds 60 min before disbudding (DBEM) and (6) handled but not disbudded (HAND).

Efficacy of Amphotericin B Against Fusarium and Aspergillus in Corneal Storage Medium.

Purpose: The incidence of postkeratoplasty fungal infection is increasing in the United States, and our most commonly used corneal storage medium, Optisol-GS, contains antibiotics but no antifungal agents. We previously demonstrated the efficacy of amphotericin B additives in eliminating Candida albicans contaminants in Optisol-GS. The purpose of this study was to determine whether amphotericin B would also be efficacious against Fusarium solani and Aspergillus fumigatus.

Systemic Fungal Infections in Donors for Corneal Transplantation.

Purpose: To determine the prevalence of postkeratoplasty fungal infection when corneal tissue from donors with a recent medical history of oral thrush or respiratory, urine, wound, sputum, bronchial, tracheal, or throat culture positive for fungus is identified before recovery and after decontamination of the corneal tissue with 5% povidone-iodine flush to the donors' eyes during recovery.

Methods: This is a prospective analysis of corneas from 42 donors with a documented medical history of fungus or positive fungal culture, which were recovered between January 2010 and November 2010. Standard aseptic swab of the donors' corneas before and after application of 5% povidone-iodine solution was performed.

Rate of Rejection After Descemet Stripping Automated Endothelial Keratoplasty in Fuchs Dystrophy: Three-Year Follow-up.

Purpose: To evaluate the rate of rejection after Descemet stripping automated endothelial keratoplasty (DSAEK) in patients with Fuchs endothelial dystrophy (ED) and to analyze potential risk factors for rejection.

Methods: An observational retrospective chart review of 400 patients with Fuchs ED was performed. The primary outcome was the rate of endothelial graft rejection.

Influence of IFNL3 and HLA-DPB1 genotype on postpartum control of hepatitis C virus replication and T-cell recovery.

Chronic hepatitis C virus (HCV) infection is characterized by exhaustion of virus-specific T-cells and stable viremia. Pregnancy is an exception. Viremia gradually climbs during gestation but sometimes declines sharply in the months following delivery.

In vitro evaluation of the marginal integrity of CAD/CAM interim crowns.

Statement Of Problem: The accuracy of interim crowns made with computer-aided design and computer-aided manufacturing (CAD/CAM) systems has not been well investigated.

Purpose: The purpose of this in vitro study was to evaluate the marginal integrity of interim crowns made by CAD/CAM compared with that of conventional polymethylmethacrylate (PMMA) crowns.

Material And Methods: A dentoform mandibular left second premolar was prepared for a ceramic crown and scanned for the fabrication of 60 stereolithical resin dies, half of which were scanned to fabricate 15 Telio CAD-CEREC and 15 Paradigm MZ100-E4D-E4D crowns.

Mitomycin C-associated scleral stromalysis after pterygium surgery.

Purpose: To describe complications after use of mitomycin C (MMC) as a surgical adjuvant in pterygium surgery.

Methods: This is a retrospective chart review of patients presenting to a tertiary referral center over a 7-year period with a diagnosis of scleral stromalysis after previous pterygium removal.

Results: Sixteen eyes of 15 patients were identified with scleral stromalysis after pterygium surgery with the use of adjuvant MMC.

Android and ODK based data collection framework to aid in epidemiological analysis.

Periodic collection of field data, analysis and interpretation of data are key to a good healthcare service. This data is used by the subsequent decision makers to recognize preventive measures, provide timely support to the affected and to help measure the effects of their interventions. While the resources required for good disease surveillance and proactive healthcare are available more readily in developed countries, the lack of these in developing countries may compromise the quality of service provided.

Needle contamination in the setting of intravitreal injections.

Background/purpose: To evaluate the risk of intravitreal needle contamination through speaking versus breathing in an office setting.

Methods: This was a prospective sampling assay. Participants held a sterile 30-gauge half-inch needle 25 cm from their mouth for 30 seconds under 2 conditions: (1) while speaking and (2) while breathing silently.

Validation of cooling effect of insulated containers for the shipment of corneal tissue and recommendations for transport.

Purpose: To determine the cooling effect of generic insulated shipping containers in ambient and high-temperature environments.

Methods: Twenty-seven shipping containers were packed with wet ice according to industry standards. The ice in each container was weighed.

Preparation of corneal donor eyes comparing 1% versus 5% povidone-iodine.

Purpose: To compare the effect of 1% versus 5% polyvinylpyrrolidone-iodine (PVP-I) chemical preparation (prep) of the eye on the recovery of organisms from donor globes before in situ recovery of donor corneal tissue.

Methods: One hundred consecutive pairs of donor corneas (200 eyes) were randomized to receive either 1% or 5% PVP-I drops applied to the conjunctival cul-de-sac, which was left in place for 2 minutes. Limbal cultures were obtained before and after prepping of the eye.