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Introduction: Artifacts created by the presence of metal objects in the jaw negatively affect the cone-beam computed tomographic image quality. This study compares artifacts produced by metal objects outside of the field of view (FOV) in a small FOV CBCT image with those produced in a large FOV image in which the metal object is within the FOV., Methods: We methodically placed 4 titanium implant-sized rods and 4 zirconium crown-sized disks on 1 side of a human cadaver mandible. Using the Accuitomo 170 CBCT machine (J Morita, Irvine, CA), a total of 18 scans (9 with a small FOV and 9 with a large FOV) were made. Ten axial slices from each scan were transferred to ImageJ software (National Institutes of Health, Bethesda, MD) for analysis. The mean standard deviation of all voxel values of a fixed region of interest (ie, uniform air located lingual to tooth #30) was compared between small and large FOV slices. Two blinded observers subjectively rated the images for diagnostic quality and the presence of artifacts., Results: The Wilcoxon signed rank test showed that the standard deviation for both small and large FOV slices increases as the number of metal objects increases. The mean of the standard deviation for small and large FOVs is 3.6 and 2.5, respectively (P = .0000). Fifty-three percent of the small FOV slices had more artifacts in the subjective analysis. One hundred percent of the small FOV slices were rated as higher quality., Conclusion: Metal objects outside of the FOV in the contralateral quadrant do affect the quality of small FOV images. However, small FOV images have a higher resolution compared with large FOV images., (Copyright © 2021 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.)

Purpose: Osteopontin (OPN) is a phosphoglycoprotein, with a wide range of physiological and pathological roles. High expression of OPN promotes aggressive behavior, causes poor prognosis in tumor cells, and reduces the survival of patients. Since overexpression of OPN gives rise to radioresistance, the effects of the gene knock out using the CRISPR/Cas9 system in combination with radiation are emphasized., Material and Methods: We used the CRISPR/Cas9 technique to knock out the OPN gene in the MDA-MB-231 cell line. After transfection, the cells were irradiated. The changes of the OPN mRNA levels, the apoptosis, and the differences in cell viability were assessed., Results: A significant reduction in the OPN expression was observed alone or along with irradiation. The knocked out gene alone increased apoptosis rate. The cell viability decreased to after knocking out of the OPN gene. The gene knocking-out combined with irradiation led to more decline of cell viability., Conclusion: Our results demonstrated that after knocking out the OPN gene, the MDA-MB-231 cells showed a significant radiosensitivity. Therefore, the OPN knock out in combination with conventional radiotherapy, may become an efficient therapeutic target in the future., (Copyright © 2020 Société française de radiothérapie oncologique (SFRO). Published by Elsevier Masson SAS. All rights reserved.)

Introduction: Acute and chronic apical abscesses are 2 dramatic ways that periradicular tissues may react to pulpal infection and necrosis. Although both of these clinical states are the response to pulpal infection, their clinical manifestations are significantly different. It is not clear why the body responds to root canal infection in one way or another. The objective of this study was to evaluate the size and pattern of bone loss in patients with acute apical abscess (AAA) and chronic apical abscess (CAA) using cone-beam computed tomographic images., Methods: Twenty-three cone-beam computed tomographic images of cases with AAA and 25 cases with CAA were selected and evaluated. The presence and location of fenestration and the volume and pattern of the periradicular lesions were recorded and compared between the 2 groups using the Fisher exact and Mann-Whitney U tests., Results: One hundred percent of cases with CAA had cortical fenestration, but only 47% of cases with AAA had cortical fenestration (P < .05). The median volume of the lesions was 233 mm 3 in the CAA group and 109 mm 3 in the AAA group (P > .05). CAA cases, in comparison with the AAA group, had a relatively larger cortical disruptions., Conclusions: Cortical fenestration is fundamental for the development of CAA. However, periradicular lesions without evident cortical fenestration can still cause AAA and fascial space involvement., (Copyright © 2019 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.)

Introduction: In the absence of nodal metastasis, pathologic tumor (pT) size remains one of the most important factors in adjuvant treatment decisions and patient prognosis in breast cancer. The aim of this study was to evaluate the effect of core needle biopsy (CNB) tumor size on final pT stage., Materials and Methods: Our information system was searched to identify all patients who underwent excisional procedures for invasive breast carcinoma from January 1 , 2014 to December 31, 2015. The tumor size on CNB and final excision, the number of cases in which the CNB size was larger, and the percentage of cases in which using the CNB tumor size changed the final pT stage were recorded., Results: From 1380 primary breast excisions/mastectomies, a total of 870 cases were included. In 82 (9.4%) the CNB tumor size was larger (63 of 82 cases) or no residual tumor was identified on excision (19 of 82 cases). From these 82 cases, 40 (48.7%) were properly staged on the basis of CNB tumor size, 16 (19.5%) were not staged, and 26 (31.7%) were staged using the final excision tumor size. Change in stage occurred in 7 of these 26 patients., Conclusion: Our study revealed that in most cases, the largest tumor size is found in the excision/mastectomy specimen. However, in 9.4% (82 of 870), the CNB contains the most accurate tumor size for pT staging. On the basis of our results, including the largest linear tumor extent on the CNB report is recommended., (Copyright © 2018 Elsevier Inc. All rights reserved.)

Introduction: Many studies have investigated the morphology of the mandibular molar, but the prevalence of the middle mesial (MM) canal in the mesial root of the mandibular molar is still the subject of controversy. In addition, in previous literature, a true MM canal has not been clearly distinguished from an isthmus between the mesiobuccal and mesiolingual canals. Therefore, the objectives of this study were 2-fold: METHODS: Ninety limited field of view cone-beam computed tomographic scans were observed. One hundred twenty-two mature mandibular first and second molars with no previous root canal treatment, no root resorption, and intact crowns were retrospectively evaluated. Data regarding the sex, age, presence of MM canals, and number of root canals in the mesial root were recorded., Result: Of the 122 teeth, 20 (16.4%) had true MM canals. The prevalence of MM canals was 26% in first molars and 8% in second molars (P < .05). The frequency of isthmi in the mesial roots was 64.7%. The frequency of isthmi was higher in second molars, but the difference was not statistically significant (P > .05)., Conclusions: This study showed a high prevalence of mandibular molars with MM canals or isthmi. The detection and biomechanical cleaning of these areas during nonsurgical or surgical root canal treatment are critical., (Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.)

In the present investigation, three different solid wastes namely almond green hull, eggplant hull, and moss were initially treated and used as adsorbents for the adsorption of strontium ion from aqueous solutions. Adsorbent types and chemical treatments are proved to have effective roles on the adsorption of Sr(II) ion. Among the three adsorbents, almond green hull demonstrated strong affinity toward strontium ion in different solutions. The effectiveness of this new adsorbent was studied in batch adsorption mode under a variety of experimental conditions such as: different chemical treatments, various amounts of adsorbent, and initial metal-ion concentration. The optimum doses of adsorbent for the maximum Sr(II) adsorption were found to be 0.2 and 0.3 g for 45 and 102 mg L(-1) solutions, respectively. High Sr(II) adsorption efficiencies were achieved only in the first 3 min of adsorbent's contact time. The kinetics of Sr(II) adsorption on almond green hull was also examined and it was observed that it follows the pseudo second-order behavior. Both Langmuir and Freundlich models well predicted the experimental adsorption isotherm data. The maximum adsorption capacity on almond green hull was found to be 116.3 mg g(-1). The present study also confirmed that these low cost agriculture byproducts could be used as efficient adsorbents for the removal of strontium from wastewater streams., (2010 Elsevier B.V. All rights reserved.)

Almond green hull, an agriculture solid waste, was chemically treated and used for the adsorption of Co (II) from aqueous solutions. The efficiency of this new adsorbent was studied using batch adsorption technique under different experimental conditions such as sorbent amount, initial metal-ion concentration, contact time, adsorbent particle size, and chemical treatment. Optimum dose of sorbent for maximum metal-ion adsorption were 0.25 g for 51.5 mg l(-1) and 0.4 g for 110 mg l(-1) solutions, respectively. High removal efficiencies of Co (II) were occurred in the first 1 min of sorbent contact time. The adsorption of Co (II) on almond green hull was also observed to follow the pseudo second-order kinetics. Adsorption isotherms were expressed by Langmuir and Freundlich adsorption models. The Langmuir adsorption model fits the experimental data reasonably well compared to the Freundlich model. The maximum adsorption capacity of this new sorbent was found to be 45.5 mg g(-1). The present study revealed that such a low cost material could be used as an efficient sorbent for the removal of cobalt from wastewater streams.

Patellofemoral joint stability is a result of the restraining effects of the quadriceps muscles, the retinacular structures, and engagement of the bones. The role and significance of these mechanisms in restraining patellar lateral displacement was investigated in this study by measuring the force needed to cause 5 mm lateral displacement (i.e. the mechanical stability, or 'stabilising force') of the patella. Six cadaver knees had 175 N quadriceps load distributed among three muscle groups. With a force ratio matching the muscles physiological cross sectional areas, no significant change occurred in the patellar stabilising force between 0 and 60 degrees knee flexion, but a significant increase occurred between 60 and 90 degrees, presumably reflecting the contribution of the femoral groove. Variation of the quadriceps force distribution changed the stability significantly. Relaxing the vastus lateralis increased the patellar lateral stabilising force 52+/-8%, while relaxing vastus medialis reduced the stabilising force 47+/-9%. The minimum stabilising force was at 30 degrees knee flexion. Transection of the medial retinaculum reduced the lateral stabilising force 34% in the extended knee. This effect disappeared by 45 degrees knee flexion. It was concluded that the quadriceps muscles had a significant and consistent effect across the whole range of knee flexion, but the contribution of the medial retinaculum was restricted to extended knee postures.