Moderate Adhesion Research Articles

Evaluation of the Biological Properties of the Bacteriodaceae Family Using the Caco-2 Cell Line.

Disorders in the composition of the microbiota are often associated with pathological processes in the body. The use of new biotherapeutic drugs containing bacteria from normal microflora to correct these disorders may contribute to more effective treatment. The Bacteroidaceae family dominating in microflora is a candidate for inclusion in bacterial preparations. The adhesion properties of five bacterial strains from the Bacteroidaceae family were analyzed using the Caco-2 cell line and their effect on the transepithelial electrical resistance parameters (TEER) was assessed to determine the extent of their impact on the cell monolayer integrity. This approach allowed the selection of strain B. intestinalis 181, which was characterized by a moderate adhesion activity combined with a relatively low effect on the TEER parameter.

Novel biomimetic sandwich-structured electrospun cardiac patches with moderate adhesiveness and excellent electrical conductivity

Clinical cardiac patches exhibit unsatisfied biocompatibility, low adhesion, and inadequate compliance and suboptimal mechanical properties for cardiac disorders repair. To address these challenges, herein we have innovatively proposed a biomimetic nanofiber electrospun membrane with a sandwich structure strategy. The composite patch comprises a stretchable polyurethane (PU) as basic material, then infiltrated with biocompatible silk fibroin methacryloyl (Silk-MA) as the middle layer via electrospinning and finally covered with Bio-ILs (chemically modified biocompatible ionic liquids) to impart electrical conductivity. Results indicated that the incorporation of Bio-ILs significantly enhances the conductivity reaching 2877 mS/m; particularly due to the positive charges of Bio-ILs, the composite film exhibits mild adhesive properties, inducing minimal damage to the substrate tissue. Furthermore, the basic PU of bilayer nanofiber membrane increased the film's stretching strain to approximately 250%, the Silk-MA hydrogel coating changed the film from hydrophobic to hydrophilic, creating a favorable and biocompatible microenvironment. Finally, in vitro experiments on cardiomyocytes confirmed that the material exhibits low cytotoxicity and excellent biocompatibility. Overall, the biomimetic sandwich electrospun membrane could restore electrical conduction and synchronized contraction function, providing a promising strategy for the treatment of cardiac tissue engineering.

Safety assessment of probiotic Lactiplantibacillus plantarum MCC5231 and its persistence in gastrointestinal tract

Probiotics are the health beneficial microorganisms and suitable for food industry if found fit for human consumption. In the present study, Lactiplantibacillus plantarum MCC5231, a probiotic bacterium included in vegetable-based beverages, was evaluated for its safety characteristics and gastrointestinal survival using a combined in silico and in vitro approach. The strain was found to be devoid of hemolytic, lecithinase and gelatinase activities. Additionally, it does not consist any transferable antibiotic resistance genes. Further, whole genome sequence analysis revealed the presence of three intact prophages and 14 virulence-associated genes, however, none of them posed a pathogenic threat. Importantly, MCC5231 do not possess any gene associated with toxin production. The strain harbored a CRISPR system, enhancing defense against prophages. Survival assays under simulated gastric and intestinal fluid conditions demonstrated viability rates of 71.4 % and 83.3 %, respectively. Genetic analysis of the mucin binding protein indicated possession of a type II mucin binding domain, suggesting moderate adhesion to intestinal cells. Furthermore, L. plantarum MCC5231 exhibited the ability to produce exopolysaccharides and form biofilms, which may confer additional protection in the gastrointestinal tract. Based on these findings, L. plantarum MCC5231 appears to be a safe probiotic candidate suitable for commercial use in the food industry.

Effectiveness of degradable polymer film in the management of severe or moderate intrauterine adhesions (PREG-2): a randomized, double-blind, multicenter, stratified, superiority trial

To study the effectiveness of a new intrauterine degradable polymer film (Womed Leaf®) in the management of moderate to severe IUA. PREG2 study was a multi-centre, double-blind, randomised, controlled, stratified, two-arm superiority clinical trial conducted in 16 centres in 7 countries. Patients ≥18 years scheduled for hysteroscopic adhesiolysis because of symptomatic severe or moderate adhesions (according to American fertility society (AFS) IUA score) were considered eligible for the study. Following adhesiolysis, patients were randomised at a 1:1 ratio to either have a Womed Leaf film inserted (intervention group) or not (control group). The primary effectiveness endpoint of the study was the change in AFS IUA score on second-look hysteroscopy (SLH), assessed by an independent evaluator, compared to baseline. Information on rate of no IUA and responder rate were collected as secondary effectiveness outcomes, and reported adverse events and patient reported outcomes as safety and tolerability measures. Between October 26, 2021, and September 28, 2023, a total of 160 women were randomised (Womed Leaf: n=75 and controls: n=85). The reduction in IUA AFS score on SLH was significantly higher in the intervention compared to the control group (mean 5.2 ± 2.8 vs. 4.2 ± 3.2; p=0.0153). Similarly, the absence of adhesions on SLH was significantly higher in the intervention group (41% vs 24% OR 2.44 [CI 1.161 - 5.116]; p=0.0189). None of the reported adverse events were serious or considered related to the device. Womed Leaf is effective and safe in the management of symptomatic severe or moderate intrauterine adhesions.

Alginate-based water-soluble adhesives: effect of incorporated phenolic hydroxy groups on adhesiveness

Abstract Alginic acid (Alg) was modified with tyramine (TA), homoveratrylamine (HVTA), and 2-phenylethylamine (PA) to obtain Alg-based adhesives, AlgTA, AlgHVTA, and AlgPA. The adhesiveness of the modified Algs were evaluated and compared with previously reported catechol-modified alginate, AlgDA. AlgTA showed adhesion tendency differently from AlgDA, depending on the incorporation ratios of TA. AlgHVTA with protected phenolic hydroxy groups showed lower adhesiveness than AlgDA for mica surfaces, but higher for polymethyl methacrylate surfaces. AlgPA without a phenolic hydroxy group also exhibited moderate adhesiveness for mica.

The anesthetic approach to repeated cesarean sections: A prospective cohort study

ObjectiveEach repeat cesarean section (CS) potentially adds surgical complexity. The determination of appropriate anesthesia strategy to meet the surgical challenge is of crucial importance for the maternal and neonatal outcome. Study designThis prospective cohort study was conducted from 1-Jan-2021 to 31-Dec-2021 at a single large obstetric centre of all repeat CS. We compared the characteristics and the appropriateness of the anesthesia techniques for low-order repeat CS (LOR-CS) (1 or 2 previous CS) and high order repat CS (HOR-CS) group (3 or more repeat CS). ResultsDuring the study period, 1057 parturients met the study entry criteria, with 821 parturients in the LOR-CS group and 236 parturients in the HOR-CS group. The use of spinal anesthesia was more common for HOR-CS 84.3%. Overall surgical time varied between LOR-CS (38 min, 29–49) and HOR-CS (42 min, 31–57) (p = 0.004).The rate of moderate and severe adhesions was relatively high in HOR-CS and the duration of overall surgical time for cases with mild adhesions was 38 min (29–48), for moderate adhesions was 44 min (34.8–56.5), and for severe adhesions was 56 min (44.8–74.3). There was no significant difference in the Estimated Blood Loss (EBL) between LOR-CS and HOR-CS, with values of 653 ± 292 ml vs. 660 ± 285 ml, respectively. ConclusionOur data indicate that spinal anesthesia, standard monitoring and regular anesthetic setup are safe and suitable for the majority of HOR-CS, except in cases with high suspicion of placental accreta spectrum.

Electrodeposition of copper on niobium for cryocooler application

The electrodeposition of copper onto niobium using commercial acidic and alkaline electrolytes was tested. The continuous dense polycrystalline copper films were successfully obtained in aqueous alkaline-type bath containing copper sulphate, sodium hydroxide and sodium gluconate. The effect of benzotriazole and sodium lauryl sulphate additives on the morphology and crystal structure of the deposited copper was investigated by optical and scanning electron microscopy, and X-ray diffraction. No copper oxides were found in the grown films. Copper films had moderate adhesion properties that would be insufficient for cryocooler application. We are currently exploring different compositions of electrolyte baths for obtaining the coatings on niobium with improved adhesion.

Fretting wear behavior of in-situ (TiC+TiB) reinforced Ti-based composite by laser power bed fusion: Role of friction counterparts and operating frequency

The CP-Ti alloy reinforced by whisker-shaped TiB and nearly granular TiC was in-situ fabricated through laser powder-bed fusion (LPBF) of Ti-B4C-C composite system. The influences of operating frequency and counterpart materials on fretting wear behavior of the LPBF-ed composite in 0.9 wt% NaCl solution were investigated. The results reveal that a relative density of nearly 99.1% and high-quality surface of the LPBF-ed composite are acquired as a result of the intense thermodynamics within molten pool induced by the carbon additive. For the ZrO2 counterpart, the average coefficient of friction (COF) of composite experienced an initially sharp reduction from 0.42 to 0.16 and a subsequently gradual decrease to 0.13 as successively increasing the operating frequency. The determined wear mechanism transferred from the severe abrasive wear with moderate adhesion wear to the predominated abrasive wear with a reduction of wear volume due to the formation of titanium oxide layer caused by the accumulation of increased wear debris. For GCr15 counterpart, the average COF nearly remained stable, but the wear volume exhibited a moderate increase and a subsequent reduction to 3.56 × 106 μm3, due to the partial or nearly complete covering of the accumulated wear debris on the worn surface.

Considerations on the Wear Behavior of Vacuum-Remelted ZrO2-Reinforced Self-Fluxing Ni-Based Thermally Sprayed Alloys.

Without proper post-processing (often using flame, furnace, laser remelting, and induction) or reinforcements' addition, Ni-based flame-sprayed coatings generally manifest moderate adhesion to the substrate, high porosity, unmelted particles, undesirable oxides, or weak wear resistance and mechanical properties. The current research aimed to investigate the addition of ZrO2 as reinforcement to the self-fluxing alloy coatings. Mechanically mixed NiCrBSi-ZrO2 powders were thermally sprayed onto an industrially relevant high-grade steel. After thermal spraying, the samples were differently post-processed with a flame gun and with a vacuum furnace, respectively. Scanning electron microscopy showed a porosity reduction for the vacuum-heat-treated samples compared to that of the flame-post-processed ones. X-ray diffraction measurements showed differences in the main peaks of the patterns for the thermal processed samples compared to the as-sprayed ones, these having a direct influence on the mechanical behavior of the coatings. Although a slight microhardness decrease was observed in the case of vacuum-remelted samples, the overall low porosity and the phase differences helped the coating to perform better during wear-resistance testing, realized using a ball-on-disk arrangement, compared to the as-sprayed reference samples.

Cathode stripping behavior: Simulation by the finite element method and experimental effect of cathode surface roughness and its repeated use

In order to increase productivity and reduce operating costs, a moderate adhesion between the electroplated metal and the mother blank is required. In this study, the influence of deposit thickness and adhesion strength on the stripping behavior of zinc deposits was investigated using finite element analysis (FEA), while the effect of cathode surface roughness and repeated use of the cathode (i.e., without intermediate brushing between plating cycles) was measured experimentally. The results showed that the aluminum cathode roughness increased with the number of plating cycles. The adhesion strength increased as the cathode roughness increased. Increasing the number of plating cycles also increased the amount of residual zinc particles on the aluminum surface. The FEA significantly improved the understanding of the stripping behavior. This analysis considered the adhesion, bending, and friction forces involved in the operation in relation to the stripping force. The bending force, which was found to be proportional to the variation in deposit thickness, represents the major component of the stripping force. Adhesion strengths have been shown to be responsible for the bend angle and consequently the amount of deposit deformation after stripping. The results of this study contribute to current knowledge and the implementation of operating conditions and routines that maximize productivity and reduce operating costs by reducing zinc sticking.

Can pirfenidone prevent tendon adhesions? An experimental study in rats.

In this experimental study, we aimed to investigate the effectiveness of oral pirfenidone (PFD) treatment on preventing tendon adhesion and tendon healing in rats. A total of 21 rats were assigned into three groups including seven rats in each group. In Group 1 (sham group), no surgical procedure was performed. In Group 2 (control group), tendon repair was performed following right achillotomy. In Group 3 (treatment group), the rats also underwent tendon repair after right achillotomy. Additionally, 30 mg/kg of oral PFD was initiated from the postoperative Day 1 and administered via gavage for 28 days. At the end of the study, tendon healing and fibrosis levels in the tendon repair site were compared macroscopically, histopathologically, and immunohistochemically among the groups. Macroscopically, moderate and severe adhesions were observed in four and three rats, respectively in the control group, while no adhesion was found in four rats and filmy adhesions were observed in three rats in the treatment group (p<0.01). Microscopically, there was moderate adhesions in three rats and severe adhesions in four rats in the control group, while three rats had no adhesions and four rats had slight adhesions in the treatment group (p<0.01). Microscopically, tendon healing was good in six rats and fair in one rat in the control group, while five rats showed excellent tendon healing and two rats showed good tendon healing in the treatment group (p<0.01). Immunohistochemically, expressions of collagen I (p<0.01), collagen III (p<0.001), vascular endothelial growth factor (VEGF) (p<0.001), and proliferating cell nuclear antigen (PCNA) (p<0.001) significantly decreased in the treatment group compared to the control group. Our study results indicated that PFD decreased collagen synthesis and prevented the formation of peritendinous adhesion in rats; however, it did not impair tendon healing.

Development and quality assessment of glutathione tripeptide loaded niosome containing carbopol emulgels as nanocosmeceutical formulations

This study focuses on the preparation, physicopharmaceutical and mechanical characterization of reduced glutathione tripeptide loaded niosome containing emulgels as a novel nanocosmeceutical product. Prepared emulgel formulations were mainly composed of oily phase containing different lipids such as glycerine dibehenate, cetyl alcohol, cetearyl alcohol, etc., and aqueous phase containing Carbopol934® as gelling agent. Niosomal lipidic vesicles prepared from Span 60 and cholesterol were subsequently incorporated into optimum emulgel formulations. The pH, viscosity, and textural/mechanical properties of emulgels were examined before and after the incorporation of niosomes. The viscoelasticity and morphological characterization were performed on the final formulation before the packed formulation's microbiological stability test. The hardness and compressibility results ensured easy removal of the emulgel from the container. Due to the carboxyl groups of Carbopol934®, moderate adhesiveness with good cohesiveness was achieved. The rheological characteristics of the emulgels were estimated by oscillatory testing and the data fitted with the Herschel-Bulkley model. Thus, the viscoelastic properties and shear-thinning flow of emulgels were demonstrated. The final formulation was microbiologically stable, and pathogens or skin-irritating allergens were not detected. An anti-aging cosmeceutical preparation containing glutathione tripeptide loaded lipid-based niosome dispersion, suitable for topical use due to its textural and viscosity properties, was successfully produced.

Single Port Robotic Hysterectomy after the Previous Robotic Radical Trachelectomy

<h3>Study Objective</h3> The basic treatment for cervix cancer is hysterectomy. For nullipara women, trachelectomy may be considered. In this video, we described the technique of a single port robotic hysterectomy to a patient who underwent a multi-port robotic radical trachelectomy previously. <h3>Design</h3> Case Report. <h3>Setting</h3> Academic medical center. <h3>Patients or Participants</h3> This 32-year-old woman presented with a recurrence of cervical cancer. She had a history of robotic radical trachelectomy with pelvic lymphadenectomy for stage IA1 cervical cancer 9 years earlier. <h3>Interventions</h3> At first, we described the typical multi-port robotic radical trachelectomy which preserved the main uterine artery and round ligament. There was no recurrence in follow up MRI and colposcopy after the surgery. But in December 2021, her pap-smear revealed adenocarcinoma. MRI of the pelvis and PET CT were all normal. After careful consideration, our team used DaVinci SP system to perform the hysterectomy and BS. The operation was similar to a general hysterectomy, but there was an adhesion between the uterus and the ovary due to the previous operation. Although several branches of the uterine artery were ligated, the blood supply to the uterus was sufficient. The uterus and bladder also had moderate adhesion. After the colpotomy, the thread of cervical cerclage in the previous operation was confirmed. The subsequent procedure was similar to that of a typical hysterectomy. <h3>Measurements and Main Results</h3> The operation was performed successfully with no intraoperative complications. <h3>Conclusion</h3> Single port robotic hysterectomy after the previous robotic trachelectomy is a safe and effective approach for the recurrence of cervical cancer patients. There was some difficulty in finding the incision margin between the uterus ithmus and the upper vagina. The bladder and vagina fornix should be carefully dissected. The secondary assistant should push the colpotomizer in the same direction as the incision. Single port Robotics can help to overcome the limitations of laparoscopy, especially in complicated procedures.

Tamoxifen Prevents Peritendinous Adhesions: A Preliminary Report

Background Scarless healing comprises the ultimate goal after an injury. Since tendon healing results in a fibrotic scar, an injured tendon can never regain the mechanical potential and strength of its uninjured form. A wide variety of studies focus on the tendon healing with an absent or minimal peritendinous adhesions. However, no simple method has managed it at all. Possible complex actions and peritendinous environmental events take place during the tendon healing process. Tamoxifen (TAM), besides its breast cancer-related usage, is a potent antifibrotic drug. Here, we aimed to reduce the peritendinous adhesion with TAM administration. Methods Achilles tendons of 44 Wistar albino rats were randomly distributed in 4 groups. In group 1, bilateral lower extremities were used as control and sham. Groups 2 and 3 were comprised of low-dose (1 mg/kg) and high-dose (40 mg/kg) systemic administration of TAM, respectively. Group 4 included local administration (1 mg/kg) of TAM. Biomechanical, macroscopical, and histopathological analyses were done and compared statistically. Biomechanically, the maximum force that led to tendon rupture was determined, and tensile force data were recorded via tensile testing device. Macroscopical and histopathological analysis were composed of the quantity, quality, and grade of peritendinous adhesions. Results Macroscopic and histopathologic findings revealed that groups 2 and 3 had a variety of values ranging between slight to severe adhesions. In group 2, almost half of the animals had moderate adhesions, whereas in group 3, the majority of the animals had moderate adhesions. There were no animals with moderate or severe adhesions in group 4. Statistically significant values were calculated between sham and control groups. Biomechanically, group 2 showed the most significant result. The tendons in group 2 had the highest stiffness when maximal force was applied to rupture the tendons. Henceforth, all these consequences were proven statistically. Conclusion We achieved less peritendinous adhesion with the local administration of TAM when compared to systemic administration of TAM. A better understanding of the peritendinous environmental process will reveal to develop new therapies in the prevention of peritendinous adhesions.

Hydrogen-Induced Aggregation of Au@Pd Nanoparticles for Eye-Readable Plasmonic Hydrogen Sensors.

Plasmonic materials provide a promising platform for optical hydrogen detection, but their sensitivities remain limited. Herein, a new type of eye-readable H2 sensor based on Au@Pd core-shell nanoparticle arrays (NAs) is reported. After exposed to 2% H2, Au@Pd (16/2) NAs demonstrate a dramatic decrease in the optical extinction intensity, along with an obvious color change from turquoise to gray. Experimental results and theoretical calculations prove that the huge optical change resulted from the H2-induced aggregation of Au@Pd nanoparticles (NPs), which remarkably alters the plasmon coupling effect between NPs. Moreover, we optimize the sensing behavior from two aspects. The first is selecting appropriate substrates (either rigid glass substrate or flexible polyethylene terephthalate substrate) to offer moderate adhesion force to NAs, ensuring an efficient aggregation of Au@Pd NPs upon H2 exposure. The second is adjusting the Pd shell thickness to control the extent of NP aggregation and thus the detection range of the as-prepared sensors. This work highlights the advantage of designing eye-readable plasmonic H2 sensors from the aspect of tuning the interparticle plasmonic coupling in NP assemblies. Au@Pd NAs presented here have several advantages in terms of simple fabrication method, eye-readability in air background at room temperature, tunable detection range, and high cost-effectiveness.

Estradiol and intrauterine device treatment for moderate and severe intrauterine adhesions after transcervical resection

ObjectiveTo explore the effect of 4 mg/day, 6 mg/day, and 8 mg/day estradiol alone or in combination with an intrauterine device (IUD) in patients with moderate and severe intrauterine adhesion (IUA) after transcervical resection of adhesion (TCRA).MethodsPatients with moderate or severe IUA who reived 4 mg/day, 6 mg/day, and 8 mg/day estradiol alone or in combination with an intrauterine device (IUD) after TCRA in Women’s Hospital, Zhejiang University School of Medicine, from March 2014 to December 2014 were enrolled in this retrospective case–control study. In group A, 14 patients received estradiol 4 mg/day + IUD after the first operation; in group B, 29 patients (group B0) received estradiol 6 mg/day after the first operation, and 73 patients (group B1) received estradiol 6 mg/day + IUD; in group C, 14 patients received estradiol 8 mg/day + IUD after the first operation. Referring to ESGE's IUA diagnostic classification method, 72 patients had moderate adhesion, and 58 cases had severe adhesion. Outpatient follow-up was performed at 1 and 23 months and after 1 year. The postoperative menstrual improvement, uterine cavity recovery, drug side effects at two to three months, and pregnancy situation at one year were recorded.ResultsThere were no significant differences in age, BMI, and previous intrauterine operation times between the 3 groups (all p > 0.05). Compared with Group A, more patients in group C had severe IUA (p = 0.008). In addition, there were no differences in menstrual recovery, uterine cavity recovery, and pregnancy in one year between the 3 groups (p > 0.05) and between groups B0 and B1 (p > 0.05). In group B1, 51 (69.86%) patients had IUD incarceration.ConclusionThis data suggests that 4 mg/d doses of estrogen may have the same effect in improving the menstrual condition, uterine cavity morphology, and reproductive ability compared to a higher dosage (6 mg/day estrogen and 8 mg/day). In addition, the placement of IUD in the uterine cavity during TCRA may cause IUD incarceration, and the treatment results for the prevention of IUA are not better than without IUD.

Evaluation of uterine cavity and blood flow after conservative surgical management of placenta previa /accrete (Cross Sectional Study)

The aim of the work is aiming at determining the impact on Fertility and pregnancy outcomes of uterine artery ligation or Compression sutures for severe PPH based on a large single-center cohort, The secondary objectives were to compare maternal long term. 4 18 cases continued the follow up at 6 month Two out of 47 cases of the follow up got pregnant after 3 months postpartum by asking them by telephone and confirmed positive pregnancy tests. 6 months postpartum 5 women got pregnant .3 of the 7 cases we could follow up by telephone and they got delivered at GA of 38 w by elective C.S with no recurrence of placenta previa or accrete and no post-operative complications and for luck one of those we followed up at 3 month and moderate adhesions were found in office hysteroscopy and followed her by telephone by asking on her menstrual pattern which was irregular at first for 2months and regulated by hormonal treatment after which she got pregnant and was followed up for recurrence of placenta previa or accrete but her placenta was normal situated and underwent an elective C.S at 38 weeks with no postoperative or intraoperative complications .

084 Twist 'n turn: Chronic pelvic pain following conservative management of adnexal torsion in an adolescent girl

Background: Current practice guidelines for the treatment of ovarian torsion in adolescents advise conservative management with detorsion of the affected adnexa, even in the case of suspected necrosis.[ [1] Adnexal Torsion in Adolescents ACOG Committee Opinion No, 783. Obstet Gynecol. 2019 Aug; 134: e56-e63 Crossref PubMed Scopus (26) Google Scholar ] Clinical follow-up with ultra-sonography shows preserved ovarian function in the majority of cases.[ [2] Santos X.M. Cass D.L. Dietrich J.E. Outcome Following Detorsion of Torsed Adnexa in Children. J Pediatr Adolesc Gynecol. 2015 Jun; 28: 136-138 Abstract Full Text Full Text PDF PubMed Scopus (33) Google Scholar ] Literature on long-term postoperative pain and the prevalence of intra-abdominal adhesions however remains scarce. Only one publication describes second-look laparoscopy in six patients’ weeks after conservative management of ovarian torsion. All patients were asymptomatic, however in all of them mild to moderate adhesions were seen.[ [3] Fujishita A. Araki H. Yoshida S. et al. Outcome of conservative laparoscopic surgery for adnexal torsion through one-stage or two-stage operation. J Obstet Gynaecol Res. 2015 Mar; 41: 411-417 Crossref PubMed Scopus (13) Google Scholar ].

Adhesive strength of 3 long-term resilient liners to CAD-CAM denture base polymers and heat-polymerized polymethyl methacrylate with thermocycling

Statement of problemComputer-aided design and computer-aided manufacturing (CAD-CAM) technologies have become popular for manufacturing complete dentures. However, the adhesive strength of resilient liners to the polymers used to fabricate CAD-CAM complete dentures is unclear. PurposeThe purpose of this in vitro study was to determine the adhesive strength of 3 long-term resilient liners to CAD-CAM denture base polymers and heat-polymerized PMMA with thermocycling. Material and methodsA total of 90 specimens were fabricated, 30 per group of denture base material (Lucitone 199, Ivo Base CAD, Denture Base LP). For each denture base polymer, 10 specimens were relined with 1 of 3 resilient liners (Permasoft, Mucopren Soft, Molloplast-B). Five specimens of each group were thermocycled, and the other 5 specimens were stored in distilled water. Subsequently, the adhesive strength of the specimens was assessed by tensile testing. The resulting data were analyzed by using a 3-way analysis of variance (ANOVA) (α=.05). ResultsAfter thermocycling, the adhesive strengths of all the resilient liners were found to be statistically different from each other for the same denture base polymer (P≤.012). Mucopren Soft displayed a high mean ±standard deviation adhesive strength to Lucitone 199 (1.78 ±0.32 MPa), followed by Molloplast-B (1.27 ±0.21 MPa) and Permasoft (0.66 ±0.06 MPa). For Ivo Base CAD, Molloplast-B exhibited a high mean ±standard deviation adhesive strength (1.70 ±0.36 MPa), followed by Mucopren Soft (1.11 ±0.16 MPa) and Permasoft (0.53 ±0.04 MPa). Molloplast-B displayed high mean ±standard deviation adhesive strength to Denture Base LP (1.37 ±0.08 MPa), followed by Mucopren Soft (0.68 ±0.20 MPa) and Permasoft (0.32 ±0.04 MPa). The adhesive strength of the majority of resilient liners not exposed to thermocycling was statistically different from each other for the same type of denture base polymer (P<.001). The only exception was the difference between the adhesive strength of Molloplast-B and Mucopren Soft to Lucitone 199 with mean ±standard deviation values of 1.42 ±0.18 and 1.66 ±0.40 MPa, respectively, (P=.067). Without thermocycling, the mean ±standard deviation adhesive strength to Lucitone 199 of Permasoft (0.57 ±0.02 MPa) was statistically different from that of Molloplast-B and Mucopren Soft (P<.001). Molloplast-B displayed a high mean ±standard deviation adhesive strength to Ivo Base CAD (1.83 ±0.25 MPa), followed by Mucopren Soft (1.26 ±0.19 MPa) and Permasoft (0.58 ±0.08 MPa). Molloplast-B displayed a high mean ±standard deviation adhesion to Denture Base LP (1.76 ±0.23 MPa), followed by Mucopren Soft (0.88 ±0.14 MPa) and Permasoft (0.25 ±0.06 MPa). Only Molloplast-B was significantly adversely affected by thermocycling (P=.009). ConclusionsMolloplast-B displayed high adhesive strength to both CAD-CAM denture base polymers regardless of the storage conditions. Mucopren Soft displayed high adhesion to Lucitone 199. Permasoft presented moderate adhesion to PMMA-based denture bases and low adhesion to DBLP. Combining Permasoft with Denture Base LP should be considered carefully and limited to short-term use. Thermocycling had a detrimental effect on the adhesive strength of Molloplast-B.

Pharmaceutical Properties of a Tinted Formulation of a Biguanide Antiseptic Agent, Olanexidine Gluconate.

Olanexidine gluconate-containing preoperative antiseptic (OLG-C) is colorless, which makes it difficult to determine its area of application. To overcome this drawback, we realized a stable orange-tinted antiseptic (OLG-T) by adding new additives to OLG-C and investigated its pharmaceutical properties compared with OLG-C and povidone iodine (PVP-I). We evaluated the influence of the additives on the antimicrobial activity and adhesiveness of medical adhesives to OLG-T-applied skin by in vitro time-kill/ex vivo micropig skin assays and a peel test using excised micropig skin, respectively. In the in vitro time-kill assay, the bactericidal/fungicidal activity of OLG-T and OLG-C were equivalent. In the ex vivo micropig skin assay, their fast-acting and persistent bactericidal activities against vancomycin-resistant Enterococcus faecalis were higher than that of PVP-I. In the peel test, the adhesion force of the incise drape and the amount of stripped corneocytes on the peeled drape were comparable between OLG-T- and OLG-C-applied skin, but both were less than those of PVP-I-applied skin. The drapes for OLG-T- and OLG-C-applied skin had moderate adhesion force, and the drape-related injuries were expected to be weak. These results suggest that OLG-T performs no worse than OLG-C in terms of its antimicrobial activity and medical adhesive compatibility. Therefore, we expect OLG-T to lead to more convenient preoperative skin preparation and further contribute to lowering surgical site infection rates.