Conscious sedation in dentistry: knowledge and practice among dental professionals in Tanzania

Sales, Nicco,Sohal, Karpal Singh,Moshy, Jeremiah Robert,Owibingire, Sira Stanslaus,Deoglas, David K,Laizer, Paulo J The Korean Dental Society of Anesthsiology 2021 Journal of Dental Anesthesia and Pain Medicine Vol.21 No.6

Background: Conscious sedation is a useful adjunct in the treatment of patients in dentistry; however, a lack of knowledge among the dental profession regarding sedation is a restricting factor in the practice of dental sedation. Therefore, this study was conducted to assess the knowledge and practice of sedation in dentistry among dental professionals in Tanzania. Methods: This was a cross-sectional study conducted for five months targeting all practicing dental professionals in Tanzania. A modified questionnaire contained 14 questions regarding knowledge about sedative agents and a section on the practice of sedation. The data obtained from this study were coded and entered into a computer program and analyzed using SPSS software version 23.0. The data are presented as frequencies and percentages in tables and charts. Statistical significance was set at P < 0.05. Results: The age range of participants was between 24 and 63 years (mean 36.6 ± 7.7 years). There were 107 men (78.1%), and the male-to-female ratio was 3.6:1. The majority (76.6%) of participants only had an undergraduate dental degree. Thirty-one percent of participants only worked in publicly owned health facilities. Slightly more than half (59.9%) of participants had satisfactory knowledge regarding sedation in dentistry. There was no statistically significant association between the level of sedation-related knowledge and the demographic characteristics of the participants. Only 21.9% reported using sedation in their practice, and the most commonly used sedative drug was diazepam. The reasons for not using dental sedation in clinical practice included a perceived lack of knowledge on sedation, lack of equipment, and cost. Conclusion: Most dental professionals in Tanzania have basic knowledge of sedation in dentistry, although knowledge regarding sedative agents is generally low. The practice of sedation in dentistry in Tanzania is very low compared to that in middle- and high-income countries. Inadequate knowledge, lack of equipment, and the cost of practicing sedation are the main reasons for not practicing sedation.

Detection of furcation involvement using periapical radiography and 2 cone-beam computed tomography imaging protocols with and without a metallic post: An animal study

Fernanda Cristina Sales Salineiro,Ivan Onone Gialain,Solange Kobayashi-Velasco,Claudio Mendes Pannuti,Marcelo Gusmão Paraiso Cavalcanti 대한영상치의학회 2017 Imaging Science in Dentistry Vol.47 No.1

Purpose: The purpose of this study was to assess the accuracy, sensitivity, and specificity of the diagnosis of incipient furcation involvement with periapical radiography (PR) and 2 cone-beam computed tomography (CBCT) imaging protocols, and to test metal artifact interference. Materials and Methods: Mandibular second molars in 10 macerated pig mandibles were divided into those that showed no furcation involvement and those with lesions in the furcation area. Exams using PR and 2 different CBCT imaging protocols were performed with and without a metallic post. Each image was analyzed twice by 2 observers who rated the absence or presence of furcation involvement according to a 5-point scale. Receiver operating characteristic (ROC) curves were used to evaluate the accuracy, sensitivity, and specificity of the observations. Results: The accuracy of the CBCT imaging protocols ranged from 67.5% to 82.5% in the images obtained with a metallic post and from 72.5% to 80% in those without a metallic post. The accuracy of PR ranged from 37.5% to 55% in the images with a metallic post and from 42.5% to 62.5% in those without a metallic post. The area under the ROC curve values for the CBCT imaging protocols ranged from 0.813 to 0.802, and for PR ranged from 0.503 to 0.448. Conclusion: Both CBCT imaging protocols showed higher accuracy, sensitivity, and specificity than PR in the detection of incipient furcation involvement. Based on these results, CBCT may be considered a reliable tool for detecting incipient furcation involvement following a clinical periodontal exam, even in the presence of a metallic post.

Detection of furcation involvement using periapical radiography and 2 cone-beam computed tomography imaging protocols with and without a metallic post: An animal study

Salineiro, Fernanda Cristina Sales,Gialain, Ivan Onone,Kobayashi-Velasco, Solange,Pannuti, Claudio Mendes,Cavalcanti, Marcelo Gusmao Paraiso Korean Academy of Oral and Maxillofacial Radiology 2017 Imaging Science in Dentistry Vol.47 No.1

Purpose: The purpose of this study was to assess the accuracy, sensitivity, and specificity of the diagnosis of incipient furcation involvement with periapical radiography (PR) and 2 cone-beam computed tomography (CBCT) imaging protocols, and to test metal artifact interference. Materials and Methods: Mandibular second molars in 10 macerated pig mandibles were divided into those that showed no furcation involvement and those with lesions in the furcation area. Exams using PR and 2 different CBCT imaging protocols were performed with and without a metallic post. Each image was analyzed twice by 2 observers who rated the absence or presence of furcation involvement according to a 5-point scale. Receiver operating characteristic (ROC) curves were used to evaluate the accuracy, sensitivity, and specificity of the observations. Results: The accuracy of the CBCT imaging protocols ranged from 67.5% to 82.5% in the images obtained with a metallic post and from 72.5% to 80% in those without a metallic post. The accuracy of PR ranged from 37.5% to 55% in the images with a metallic post and from 42.5% to 62.5% in those without a metallic post. The area under the ROC curve values for the CBCT imaging protocols ranged from 0.813 to 0.802, and for PR ranged from 0.503 to 0.448. Conclusion: Both CBCT imaging protocols showed higher accuracy, sensitivity, and specificity than PR in the detection of incipient furcation involvement. Based on these results, CBCT may be considered a reliable tool for detecting incipient furcation involvement following a clinical periodontal exam, even in the presence of a metallic post.

Nutrient requirements and evaluation of equations to predict chemical body composition of dairy crossbred steers

Silva Flavia Adriane de Sales,Valadares Filho Sebastião de Campos,Costa e Silva Luiz Fernando,Fernandes Jaqueline Gonçalves,Lage Bruno Corrêa,Chizzotti Mario Luiz,Felix Tara Louise 아세아·태평양축산학회 2021 Animal Bioscience Vol.34 No.4

Objective Objectives were to estimate energy and protein requirements of dairy crossbred steers, as well as to evaluate equations previously described in the literature (HH46 and CS16) to predict the carcass and empty body chemical composition of crossbred dairy cattle. Methods Thirty-three Holstein×Zebu steers, aged 19±1 months old, with an initial shrunk body weight (BW) of 324±7.7 kg, were randomly divided into three groups: reference group (n = 5), maintenance level (1.17% BW; n = 4), and the remaining 24 steers were randomly allocated to 1 of 4 treatments. Treatments were: intake restricted to 85% of ad libitum feed intake for either 0, 28, 42, or 84 d of an 84-d finishing period. Results The net energy and the metabolizable protein requirements for maintenance were 0.083 Mcal/EBW0.75/d and 4.40 g/EBW0.75, respectively. The net energy (NEG) and protein (NPG) requirements for growth can be estimated with the following equations: NEG (Mcal/kg EBG) = 0.2973(±0.1212) ×EBW0.4336(±0.1002) and NPG (g/d) = 183.6(±22.5333)×EBG−2.0693(±4.7254)×RE, where EBW, empty BW; EBG, empty body gain; and RE, retained energy. Crude protein (CP) and ether extract (EE) chemical contents in carcass, and all the chemical components in the empty body were precisely and accurately estimated by CS16 equations. However, water content in carcass was better predicted by HH46 equation. Conclusion The equations proposed in this study can be used for estimating the energy and protein requirements of crossbred dairy steers. The CS16 equations were the best estimator for CP and EE chemical contents in carcass, and all chemical components in the empty body of crossbred dairy steers, whereas water in carcass was better estimated using the HH46 equations. Objective: Objectives were to estimate energy and protein requirements of dairy crossbred steers, as well as to evaluate equations previously described in the literature (HH46 and CS16) to predict the carcass and empty body chemical composition of crossbred dairy cattle.Methods: Thirty-three Holstein × Zebu steers, aged 19 ± 1 months old, with an initial shrunk body weight of 324 ± 7.7 kg, were randomly divided into three groups: reference group (n = 5), maintenance level (1.17% BW; n = 4), and the remaining 24 steers were randomly allocated to 1 of 4 treatments. Treatments were: intake restricted to 85% of <i>ad libitum</i> feed intake for either 0, 28, 42, or 84 d of an 84-d finishing period.Results: The net energy and the metabolizable protein requirements for maintenance were 0.083 Mcal/EBW^0.75/d and 4.40 g/EBW^0.75, respectively. The net energy (NE_G) and protein (NP_G) requirements for growth can be estimated with the following equations: NE_G (Mcal/kg EBG) = 0.2973_{(± 0.1212)} × <i>EBW</i>^{0.4336(± 0.1002)} and NP_G (g/d) = 183.6_{(± 22.5333)} × EBG – 2.0693_{(± 4.7254)} × RE, where EBW = empty body weight, EBG = empty body gain, and RE = retained energy. Crude protein (CP) and ether extract (EE) chemical contents in carcass, and all the chemical components in the empty body were precisely and accurately estimated by CS16 equations. However, water content in carcass was better predicted by HH46 equation.Conclusion: The equations proposed in this study can be used for estimating the energy and protein requirements of crossbred dairy steers. The CS16 equations were the best estimator for CP and EE chemical contents in carcass, and all chemical components in the empty body of crossbred dairy steers, whereas water in carcass was better estimated using the HH46 equations.

HEAVY VEHICLES BRAKE DRUMS – AN ACCURATE EVALUATION ON THERMAL LOADS IN SEVERE SERVICE CONDITIONS

Eduardo Umaras,Ahmad Barari,Sales Guerra Tsuzuki 한국자동차공학회 2021 International journal of automotive technology Vol.22 No.2

Heavy vehicles service brakes are subject to severe loading conditions that can exceed the design conditions of safe operating performance in critical situations. Materials are prone to lose their design properties at high temperatures. Since the function of brakes is to convert the vehicle kinetic energy into heat by friction, temperature is the main variable to be considered, due to the fade of the linings composite material and cast iron drum deformation. The intent of this work is to evaluate the thermal loads of brake drums, when subjected to severe service conditions, in order to allow further analyses, mainly related to their dimensional and form variation. A case study is described, showing the possibility of the development of high temperatures and consequent risk of accidents in a real long downhill descent. Experimental data were preferably used to assure higher accuracy to the analysis. In the authors’ further work, a FEA simulation will be conducted with the data supplied in the present paper.

RC deep beams with unconventional geometries: Experimental and numerical analyses

Agno Alves Vieira,Guilherme Sales S.A. Melo,Antonio C.O. Miranda 사단법인 한국계산역학회 2020 Computers and Concrete, An International Journal Vol.26 No.4

This work presents numerical and experimental analyses of the behavior of reinforced-concrete deep beams with unconventional geometries. The main goal here is to experimentally and numerically study these geometries to find possible new behaviors due to the material nonlinearity of reinforced concrete with complex geometries. Usually, unconventional geometries result from innovative designs; in general, studies of reinforced concrete structures are performed only on conventional members such as beams, columns, and labs. To achieve the goal, four reinforced-concrete deep beams with geometries not addressed in the literature were tested. The models were numerically analyzed with the Adaptive Micro Truss Model (AMTM), which is the proposed method, to address new geometries. This work also studied the main parameters of the constitutive model of concrete based on a statistical analysis of the finite element (FE) results. To estimate the ultimate loads, FE simulations were performed using the Monte Carlo method. Based on the obtained ultimate loads, a probabilistic distribution was created, and the final ultimate loads were computed.

Pemphigus foliaceus patients (Fogo Selvagem) treated with kinesiotherapy presented lower levels of proinflammatory cytokines

Rodolfo Pessato Timóteo,Helioswilton Sales-Campos,Marcos Vinicius Silva,Djalma Alexandre Alves da Silva,Jonatas Da Silva Catarino,Marlos Aureliano Dias de Sousa,Virmondes Rodrigues Júnior,Leonardo Eur 한국운동재활학회 2019 JER Vol.15 No.3

Comparison of the Combined Anterior-Posterior Approach versus Posterior-Only Approach in Scoliosis Treatment

Hossein Hojjat Pourfeizi,Jafar Ganjpour Sales,Ali Tabrizi,Ghanbar Borran,Sahar Alavi 대한척추외과학회 2014 Asian Spine Journal Vol.8 No.1

Study Design: This is descriptive analytical study. Purpose: The present study aims at comparing treatment results found between the two groups comprising of patients who underwent posterior spinal fusion using thoracic pedicle screws and the ones who underwent combined anterior-posterior method, respectively. Overview of Literature: There was controversy about surgical techniques including anterior, posterior, or a combined anteriorposterior approaches are applied to treat non-congenital scoliosis with surgical indications. Methods: Medical records of 50 patients suffering from thoracic non-congenital scoliosis with curves exceeding 70° were reviewed. In this study, 25 patients who underwent posterior spinal fusion using thoracic pedicle screws were compared with 25 patients who underwent combined anterior-posterior method. Results: Patients treated through posterior-only and combined approaches were respectively hospitalized for 11.84±5.18 and 26.5±5.2 days (p =0.001). There was a significant difference between these two groups considering intensive care unit admission duration (p =0.001), correction in sagittal view of X-ray (p =0.01), and number of days the patients underwent traction (0.001). Finally, coronal view was corrected without any significant difference (p =0.2). Conclusions: According to our findings, it is hypothesized that posterior-only method is associated with some significant advantages and is an advisable method in patients with severe scoliosis over than 70°.

Does vitamin blends supplementation affect the animal performance, carcass traits, and nutrient digestibility of young Nellore finishing bulls?

Dhones Rodrigues de Andrade,Flavia Adriane de Sales Silva,Jardeson de Souza Pinheiro,Julia Travassos da Silva,Nathalia Veloso Tropia,Leticia Artuzo Godoi,Rizielly Saraiva Reis Vilela,Fernando Alerrand Asian Australasian Association of Animal Productio 2023 Animal Bioscience Vol.36 No.12

Objective: This study was realized to evaluate the effects of supplementation with blends of water and fat-soluble vitamins on animal performance and carcass traits of young Nellore bulls. Methods: Forty-three Nellore bulls, with an initial weight of 261±27.3 kg and a mean age of 8±1.0 months, were used. Five animals were slaughtered at the beginning of the experiment (reference group), to determine the initial empty body weight of the bulls that remained in the experiment. The remaining 38 bulls were fed ad libitum and distributed in a completely randomized design in a 2×2 factorial scheme, with or without supplementation of water-soluble (B-blend+ or B-blend-) and fat-soluble (ADE+ or ADE-) vitamin blends. Diets were isonitrogenous (120 g of crude protein/kg dry matter [DM] of total mixed ration) and consisted of a roughage:concentrate rate of 30:70 based on total DM of diet. The experiment lasted 170 days, with 30 days of adaptation and 140 days for data collection. At the beginning and end of the experimental period, the bulls were weighed to determine the average daily gain. To estimate the apparent digestibility of nutrients and microbial efficiency, spot collections of feces and urine were performed for five consecutive days. Results: DM, ashes, organic matter, crude protein, ethereal extract, neutral detergent fiber corrected for residual ash and residual nitrogenous, and N intake and apparent digestibility were not influenced by vitamin supplementation, but total digestible nutrients intake and non-fibrous carbohydrates digestibility were influenced by B complex vitamin supplementation. Nitrogen balance, microbial efficiency, and performance data were not influenced (p>0.05) by vitamin supplementation. Conclusion: Vitamin supplementation (a blend of water-soluble and fat-soluble vitamins or their combinations) does not influence the animal performance and carcass traits of young Nellore bulls.

Synthesis of hexyl butyrate (apple and citrus aroma) by Candida rugosa lipase immobilized on Diaion HP-20 using the Box-Behnken design

Marta Maria Oliveira dos Santos,Luiz Henrique Sales de Menezes,Eliézer Luz do Espirito Santo,Marise Silva de Carvalho,Márcia Soares Gonçalves,Iasnaia Maria de Carvalho Tavares,Adriano Aguiar Mendes,Hé 한국식품과학회 2023 Food Science and Biotechnology Vol.32 No.5

This study aims at the synthesis of hexyl butyrate by Candida rugosa lipase (CRL) immobilized on Diaion HP 20. The lipase load used was 28.7 ± 2.1 mg/g (mg of lipase/g of support), whose hydrolytic activity was 132.0 ± 2.5 U/g. To obtain the maximum production of hexyl butyrate, the Box-Behnken design statistical planning was used, having as independent variables; biocatalyst concentration, temperature and acid:alcohol molar ratio and ester conversion as a dependent variable at 60, 180 and 480 min. For 60 min, 90.8% conversion was obtained at 47.25 ºC, 1:1.4 molar ratio and 17.65% of biocatalyst; 180 min, 94.5% conversion at 59.5 ºC, 1:2 molar ratio and 15.8% biocatalyst; 480 min, 95.01% conversion at 47.0 ºC, 1:2 molar ratio and 16.9% biocatalyst. CRL-Diaion HP 20 retained 60% of its initial activity after ten cycles of reactions showing potential for industrial use. The ester produced was identified by gas chromatography analyses.