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Background: Chlorhexidine varnish (Cervitec- Ivoclar Vivadent- Liechtenstein) is a sustained-release delivery system that can provide protection against white spots and gingivitis, which are common iatrogenic side effects of orthodontic treatment. Chlorhexidine in varnish form does not depend on patient compliance, does not stain teeth or alter taste sensation like the mouth rinse. Materials and Methods : A split-mouth technique was followed in the treatment of 30 patients selected by stringent selection criteria, evaluating a single application of the test varnish on two randomly allotted quadrants along with a placebo on the other two quadrants. Streptococcus mutans counts responsible for white spots and P. gingivalis count [using PCR test] responsible for gingivitis were done at the start of the study, and then 1 and 3 months later. Results: The chlorhexidine varnish reduced the Streptococci mutans count at the end of 1 month, and this reduction was statistically significant. At the end of 3 months, there was no difference in the S. mutans counts between the two groups. There was a statistically significant reduction in the P. gingivalis count at the end of both 1 and 3 months in comparison to the placebo group. Conclusion: Chlorhexidine varnishes are capable of reducing S. mutans and P. gingivalis and gingivitis, thus improving the overall oral health of the patient. The side effects of chlorhexidine mouth rinses are not seen with this varnish. An application schedule of at least once a month is recommended as the effectiveness is reduced comparatively at the end of 3 months.

Geothermal energy has traditionally been viewed as a baseload energy source, but the rapid growth of intermittent renewable energy has led to a need for more flexibility in power generation to avoid mandatory curtailment imposed by grid operators. This study of curtailment at The Geysers provides insights into the magnitude, duration, frequency, temporal and spatial distribution, and potential causes of curtailment events between 2013 and 2018. Annual levels of curtailment range during this period from 9 to 47 GW h, representing 0.15 to 0.81 % of the net generation. Most curtailments occurred at the power plants connected to a lower capacity transmission line and may result from transmission constriction. There is a clear link between negative pricing and economic curtailment, especially when solar production is higher. Economic curtailment events tend to be only a few hours and vary in magnitude up to almost 300 MW, whereas transmission-related curtailment events can be up to several weeks in duration. It is likely that curtailment of geothermal power will be an increasing concern, and could be mitigated by flexible generation strategies and increases in energy storage. It is critical to know the nature of curtailment events so that flexible generation options can be assessed properly.

Objective:To compare and analyze the precision, accuracy, and reliability of commonly used cone-beam computed tomography (CBCT) software in predicting the mesiodistal diameter of impacted canines.Methods:This study was conducted on 11 patients (six males and five females, mean age: 17.5±5.5 years) with either unilateral or bilateral impacted canines in the maxilla or mandible. DICOM data sets of the patients obtained from CBCT scans were then loaded and visualized with four selected CBCT software to measure the widest mesiodistal diameter of the impacted teeth. Physical measurements using a digital vernier caliper, kept as a control, were also made on the extracted teeth and orthodontically erupted teeth. The collected data underwent statistical analysis, and the statistical significance level was set at p

The current study focuses on enhancing the fidelity of the hydraulic performance of Rotating Packed Beds (RPB) by modifying the conventional geometrical construction of the inner cavity, outlet pipe, and its packing. RPB technology has been playing an increasing role in intensifying different petrochemical processes, such as CO2 capture, due to the potential of a several-order-of-magnitude mass transfer enhancement induced by the HiGee field. In this context, four novel geometries of the RPB are proposed and analyzed using a validated CFD model that utilizes the porous media approach to model the pressure losses in the RPB packing. The impact of liquid distributor was also investigated and compared to the original design. Results of the modified geometries conclude that optimizing the flow pattern at the exit of the packing by modifying the inner cavity's shape reduces the total pressure drops by up to 22%. At the same time, it is found that a further decrease of 13% in the pressure drop can be achieved by attaching a nozzle at the entry of the outlet pipe. On the other hand, the modified packing that imposes a constant radial flow velocity increases the packing's pressure drop by 10%. Furthermore, the data analysis show that a lower pressure drop within the inner cavity could be achieved, in principle, by regulating the exit packing velocity or raising the free vortex pressure. Finally, it is noted that the gross pressure drop reduction, which is be obtained from combining the two former modifications, can reach up to 33% at the high gas volume flow rates. This reduction accounts for 60% of the inner cavity pressure drop, which can help avoid costly and complicated engineering designs.

Aim: To evaluate the demineralization resistance and the shear bond strength of enamel surfaces after erbium, chromium: yttrium-scandium-gallium-garnet (Er, Cr:YSGG) laser etching (2 W/15 Hz, 2 W/25 Hz) and to compare them with conventional acid etching for orthodontic bonding. Materials and Methods: A total of 60 extracted human premolars with intact enamel surface were used for this study. Demineralization Resistance was estimated using ion-coupled plasma atomic emission spectrometer (ICP-AES). Shear bond strength was evaluated using Universal Testing Machine--Instron. Results: Statistically significant difference (P < .001) was found in the concentration of dissolved calcium (Ca) and phosphorus (P), with the highest mean Ca and P in the acid-etched group, followed by 2 W/15 Hz laser-etched group and least with 2 W/25 Hz laser-etched group. Maximum bond strength was found in the acid-etched group (12.06 MPa), followed by the 2 W/25 Hz laser-etched group (9.01 MPa) and 2 W/15 Hz laser-etched group (8.39 MPa). The differences were statistically significant. Conclusions: Laser conditioning of enamel surface revealed significant demineralization resistance with a minimal dissolution of Ca and P ions in the demineralizing solution. Moreover, optimum bond strength was obtained similar to that of acid etching; hence, Er,Cr:YSGG laser conditioning of enamel surface is preferred over the conventional phosphoric acid etching for orthodontic bonding. [ABSTRACT FROM AUTHOR]

Pyometra is one of the most common uterine pathologies of intact bitch at middle to advanced age. In the early stages, the disease shows subtle changes, making diagnosis a challenge. In contrast, at later stages, it manifests as potentially life-threatening systemic inflammatory response syndrome. Ultrasonographic examination of the uterus aids in the diagnosis, although it has limitation in ascertaining the clinical severity of pyometra. Moreover, differentiation of cystic endometrial hyperplasia from pyometra could not be discerned with greater accuracy. Therefore, false negative diagnosis of pyometra patients leads to development of systemic inflammatory response, which delays administration of therapies and results in deaths during early course of treatment. Further, indiscriminate use of broad-spectrum antimicrobials at higher dose in false positive cases considerably contributes to the rising pool of drug resistant pathogens, thereby increasing the risk of case fatality due to sepsis in a long-term. Monitoring the circulating pro-inflammatory cytokines, acute phase proteins, endotoxin, growth factors and inflammatory mediators is the current trend in pyometra research, especially for developing diagnostic and prognostic biomarkers. The present review deals with the prospects of developing diagnostic and prognostic biomarkers in the canine pyometra.

In the past decade, kisspeptin research was primarily focussed on the regulation of GnRH release in hypothalamus. Present study was designed to explore the expression of extra-hypothalamic kisspeptinergic (Kiss1- Kiss1r) system in the follicular compartment of buffalo ovary. Buffalo genitalia (n=32) were collected immediately after exsanguinations and categorized into early luteal (EL), mid luteal (ML), follicular (FL) and acyclic (n=8 per group), based on the gross ovarian morphology. Ovarian follicular tissue samples were subjected to total RNA extraction, cDNA synthesis and qPCR amplification of Kiss1, Kiss1r, follicle stimulating hormone receptor (FSHR) and luteinizing hormone receptor (LHR) along with an endogenous control (β-actin) gene. The expression of ovarian Kiss1 transcripts was abundant in the cyclic than acyclic stage. The fold change was significantly upregulated in ML (66.79 fold) followed by EL (28.64 fold) and FL (14.09 fold) stages against the acyclic stage (calibrator). Similarly, the Kiss1r expression was highest at ML (77.26 fold). The expression of FSHR was upregulated at FL (15.08 fold) stage in response to follicular activity and subsequently observed to be down regulated at EL (0.09 times) and ML (0.27 times). Further, the expression of Kiss1 was positively correlated with FSHR only at ML and FL. From this study, it could be concluded that Kiss1 and Kiss1r are expressed in the buffalo ovarian follicle and their expression is associated with the stage of estrous cycle.

Context: Despite the advances in orthodontic material and treatment mechanics, the placement of fixed appliances increases the risk of enamel demineralization. The development of fluoride release adhesives has attracted considerable interests because the combined use of antimicrobials and fluoride enhances the cariostatic effect.Aim: To compare the shear bond strength (SBS) of fluoride release adhesives with established orthodontic adhesives and assess failure mode using adhesive remnant index (ARI).Settings and Design: The present study included 80 maxillary premolars which were randomly divided into four groups (n = 20) and were further subdivided into two subgroups A - Pumice prophylaxis (PP) and subgroup B - No PP (n = 10).Materials and Methods: Stainless steel brackets were bonded with Transbond XT, Transbond plus (TP) color change adhesive, Light Bond, and Clearfil protect bond. After debonding, the ARI was used to assess the mode of bracket failure.Statistical Analysis: The data were analyzed using two-way analysis of variance, Post-hoc Tukey Honest significant differences test, and Chi-square test.Results: The mean SBS of Group 4 was comparably higher regardless of PP. Brackets bonded with TP showed a comparable SBS to conventional Transbond XT. The ARI scores were predominately 2.Conclusions: Fluoride releasing adhesives combined with antibacterial monomer can play a vital role in reducing white spot lesions by enhancing the cariostatic effect especially in noncompliant\medically compromised patients. [ABSTRACT FROM AUTHOR]

Background: To assess the efficiency and treatment outcome of patients treated with corticotomy-assisted en-masse orthodontic retraction as compared with the en-masse retraction without corticotomy. Materials and Methods: Forty adult patients with bimaxillary protrusion requiring correction of bidental proclination constituted the sample. The study group consisted of 22 patients (male 11, female 11) willing to undergo surgery to reduce the duration of their orthodontic treatment and 18 patients (male 9, female 9) desirous of undergoing conventional orthodontic treatment without surgical intervention constituted the control group. Comparison of rate of retraction and anchor loss between the study and the control group was assessed. Results: Average rate of space closure of 1.8 mm/month in the maxilla and 1.57 mm/month in the mandible was observed in the study group compared to 1.02 mm/month in the maxilla and 0.87 mm/month in the mandible in the control group. The rate of retraction accelerated during the first 2 months of retraction. Molar anchor loss of approximately 0.6 mm occurred in the study group, and 1.8 mm occurred in the control group during the 4 months. Conclusion: The rate of retraction with study group was twice as faster when compared to the control group, accelerating during the first 2 months of retraction. There was better anchorage control with the undecorticated molar segment during the retraction period but was found to increase as time advanced. [ABSTRACT FROM AUTHOR]