Site Preparation Research Articles

Anthoxanthum odoratum (Poaceae) as a bioindicator of arbuscular mycorrhizal fungi abundance prior to native revegetation on agricultural soils

ABSTRACT Mycorrhizal fungi, which form symbiotic associations with plant roots, can be critical to the successful establishment of plants. Up to 90% of land plant species form associations with arbuscular mycorrhizal fungi (AMF), which develop fungal structures inside host roots. Common site preparation practices prior to ecological restoration, such as soil disturbance and herbicide application, may lessen the availability of AMF, potentially jeopardising plant establishment. However, the state of the soil microbiome can be difficult to assess directly. This study examines the potential of the widespread pasture grass Anthoxanthum odoratum (Sweet Vernal, Poaceae) as a bioassay of AMF abundance in soils. We present a rapid clearing and staining protocol for visualising AMF structures in the roots of A. odoratum. We then compare % colonisation on roots of naturally established A. odoratum plants collected from undisturbed pastures vs. sprayed and tilled pastures. Roots of A. odoratum collected from sprayed and tilled pastures showed a significantly lower average AMF colonisation at 43.8% compared with 57.6% on roots from undisturbed pastures. However, all plants sourced from the sprayed and tilled pastures still showed some AMF structures. Our results strongly suggest that A. odoratum can be a useful bioindicator of AMF presence and abundance in soils, offering a promising tool for seed-based restoration on retired agricultural land.

Risk Factors for Implant Failure Following Transcrestal Sinus-Floor Elevation: A Case Report and Literature Review.

Although transcrestal sinus floor elevation (TSFE) is widely used for cases of insufficient residual bone height in the posterior maxilla, few studies focus on the risk factors of early implant failure associated with TSFE procedures. This study aimed to identify and summarize the possible risk factors of implant failure associated with TSFE to ensure a more predictable implant survival rate using TSFE. We report the treatment of a patient with implant failure following TSFE and discuss this case's possible associated risk factors. A standard implant with a diameter of 4.8 mm and length of 10 mm was used after the TSFE procedure. Implant loosening was suddenly observed 6 weeks after the initial surgery. Factors that could result in early implant failure included patient-related risk factors, anatomical factors of the operational area, and operation- and implant-related factors. Within the current study's limitations, the graft material particles between the implant surface and socket could be considered a direct risk factor resulting in implant failure. Therefore, more attention should be paid to socket cleaning during the TSFE procedure, and loose particulate grafting materials should be discouraged. Another significant consideration for implant loss is the possibility of fractures in the buccal or palatal cortical plates during the site preparation and implant insertion. Thus, these factors should be studied further and receive more clinical attention.

Characteristics and impacts of dental implant displacement into the maxillary sinus

Background/purposeDental implants displaced into the maxillary sinus are considered to require surgical removal as the treatment of choice. However, displaced implants have been reported to affect the maxillary sinus in different ways. This study aimed to evaluate characteristics and impacts of dental implant displacement into the maxillary sinus. Materials and methodsFourteen sinuses with displaced implants into the maxillary sinus were included. Demographic data and radiographic images were analyzed, with a focus on the impact of various factors such as demographic data, timing of displacement, duration of retention, and residual bone height on maxillary sinus opacification and sinus wall thickness. ResultsImplants were displaced during or in the early stage after implant placement in 9 cases and after functional loading in 5 cases. Radiographic evaluations showed higher sinus opacification score (P = 0.019) and increased wall thickness (P = 0.198) in cases with displacement after functional loading, although the difference in wall thickness was not statistically significant. When the duration of implant retention in the sinus was longer, higher sinus opacification and sinus wall thickness were observed, although the differences were not statistically significant. Univariate regression analysis demonstrated that the timing of displacement significantly influenced maxillary sinus opacification (P = 0.013) and sinus wall thickness (P = 0.013). For all cases, evidence of site preparation and the use of short implants were not observed. ConclusionThis study suggests that adequate pre-implant site preparation and timely intervention are essential to prevent and manage implant displacement into the maxillary sinus.

PELAKSANAAN PEKERJAAN STRUKTUR BAWAH BANGUNAN GEDUNG SERBAGUNA GELANGGANG GENERASI MUDA MAJALENGKA

The Majalengka Regency Youth Center Development Project is an important historical milestone for infrastructure development in the Majalengka Regency area. The concept of an oval-shaped building like a stadium gives uniqueness to the design of the foundation of this building. Basically, the substructure is a very vital component for the success of a building, so the author is interested in looking further into the substructure, especially in work methods or work implementation. This research uses a qualitative approach, which can be interpreted as directly describing the work of the lower structures in the project which is used as the research object. The implementation of the lower structure work starts with the piling work and then continues with the pile cap work, carried out in stages using a zone system. In the realization of the implementation of the lower structure work on the GGM project, namely the piling work starting from site preparation, mobilization and set up of HSPD piling tools, measuring pile points, driving piles using the hydraulic jack-in pile method, testing piles, and pile head treatment, continued with the implementation of pile cap work starting from preparation, measurement and bow plank, soil excavation, installation of formwork, reinforcement and casting.

Osseodensification technique in crestal maxillary sinus elevation-A narrative review.

Osseodensification is a novel approach that has significantly advanced the field of implant dentistry, particularly in the context of transcrestal maxillary sinus floor elevation. This technique involves the use of specially designed burs that compact and densify bone along the osteotomy walls, thereby enhancing implant primary stability and facilitating osseointegration in low-density bone. This article reviews the historical evolution of implant site preparation, and the biomechanical, histological, and clinical evidence of osseodensification with a special focus on its application in sinus floor augmentation. The integration of this technique into contemporary practice represents a paradigm shift, offering a minimally invasive and efficient solution for addressing the challenges of posterior maxilla, with improved patient-reported outcomes and low complication rate. Three different protocols for sinus lift and implant placement using osseodensification burs are proposed based on available literature, and risk factors for Schneiderian membrane perforation based on residual bone height are discussed, along with implant-related outcomes and patient-reported outcome measures. The potential for osseodensification to become a standard practice in sinus floor augmentation is emphasized, highlighting key aspects such as surgical protocol and patient selection.

Enhanced Water Resistance of TiO2-GO-SMS-Modified Soil Composite for Use as a Repair Material in Earthen Sites.

Most earthen sites are located in open environments eroded by wind and rain, resulting in spalling and cracking caused by shrinkage due to constant water absorption and loss. Together, these issues seriously affect the stability of such sites. Gypsum-lime-modified soil offers relatively strong mechanical properties but poor water resistance. If such soil becomes damp or immersed in water, its strength is significantly reduced, making it unviable for use as a material in the preparation of earthen sites. In this study, we achieved the composite addition of a certain amount of sodium methyl silicate (SMS), titanium dioxide (TiO2), and graphene oxide (GO) into gypsum-lime-modified soil and analyzed the microstructural evolution of the composite-modified soil using characterization methods such as XRD, SEM, and EDS. A comparative study was conducted on changes in the mechanical properties of the composite-modified soil and original soil before and after immersion using water erosion, unconfined compression (UCS), and unconsolidated undrained (UU) triaxial compression tests. These analyses revealed the micro-mechanisms for improving the waterproof performance of the composite-modified soil. The results showed that the addition of SMS, TiO2, and GO did not change the crystal structure or composition of the original soil. In addition, TiO2 and GO were evenly distributed between the modified soil particles, playing a positive role in filling and stabilizing the structure of the modified soil. After being immersed in water for one hour, the original soil experienced structural instability leading to collapse. While the water absorption rate of the composite-modified soil was only 0.84%, its unconfined compressive strength was 4.88 MPa (the strength retention rate before and after immersion was as high as 93.1%), and the shear strength was 614 kPa (the strength retention rate before and after immersion was as high as 96.7%).

A transcrestal sinus floor elevation strategy based on a haptic robot system: An in vitro study.

To reveal the force profiles recorded by haptic autonomous robotic force feedback during the transcrestal sinus floor elevation (TSFE) process, providing a reference for the surgery strategy during TSFE. A total of 42 maxillary sinus models with different angles of the sinus floor (30°, 40°, 50°, 60°, 70°, 80°, and 90°, compared to vertical plane) were 3D printed. Implant site preparation was performed using a robotic system, and the total force (Ft) and axial force along the drill (Fz) during the surgery were recorded by the haptic robotic arm. The actual initial breakthrough point (drill contacting sinus floor) and complete breakthrough point (drill penetrating the sinus floor) were defined visually (the actual IBP and the actual CBP). The theoretical initial breakthrough point (the theoretical IBP) and the theoretical complete breakthrough point (the theoretical CBP) defined by the robot-guided system and the CBCT were determined by real-time force feedback and imaging distance measurement, respectively. The distance from the bottom of the resin model to the actual IBP and the actual CBP was defined as Di and Dt, respectively. The difference in Fz began to increase significantly at 70°, while the difference in Ft became significant at 60°. When the angle was greater than 70°, there was no significant difference in the discrepancy between the actual and theoretical perforation points. Compared to judging the breakthrough point by CBCT, real-time force feedback TSFE under robotic surgery achieved more accurate initial breakthrough point detection. The smaller the angle, the larger the breakthrough force for the drill. The real-time force feedback of haptic robotic system during TSFE could provide reliable reference for dentists. More clinical studies are needed to further validate the application of robotic surgery assisted TSFE.

AEROBIC BLOOD CULTURES AND COMPARISON TO CLINICAL FINDINGS OF FREE-RANGING GREEN TURTLES (CHELONIA MYDAS) IN EAST CENTRAL FLORIDA.

Positive blood cultures have been identified in debilitated, stranded, and deceased green turtles (Chelonia mydas), suggestive of septicemia. Interpretation of these results is often difficult because multiple studies have previously identified bacteremia in clinically healthy reptiles. In this study, paired blood cultures and skin cultures obtained after aseptic preparation of the venipuncture site were collected from 50 immature free-ranging green turtles from Port Canaveral, Florida. Blood culture results were compared with health status (apparently healthy versus unhealthy, based on physical examination findings and appropriate body condition), date of collection, presence of external fibropapillomatosis, healed or unhealed injuries, and presence of barnacles. Weight, body condition score, body condition index, morphometric measures, volume of blood collected, and body temperature were compared between blood culture-positive and blood culture-negative turtles. Positive blood cultures were identified in 14% (7 of 50) of all turtles, including 15.6% (5 of 32) of apparently healthy turtles. Vibrio spp., Bacillus megaterium, Cellulomonas sp., and Staphylococcus pasteuri were isolated in blood culture from apparently healthy individuals. There was a significant association (P = 0.048) between positive skin cultures and positive blood cultures, but isolates obtained were consistently different between paired results. There was no significant association (P > 0.05) between blood culture results and health status, evidence of healed or unhealed injuries, external fibropapillomatosis, or presence of barnacles. Based on the results of this study, positive blood cultures suggestive of nonclinical bacteremia may be present in apparently healthy green turtles. The results of this study will aid the attending clinician in interpretation of blood culture results of apparently healthy or presumed septicemic captive and rehabilitating green turtles as part of the conservation and population recovery of this threatened species.

A Comparison of Different Implant Site Preparation Techniques in Low-Density Bone: An Ex-Vivo Study.

Osseointegration is considered a prerequisite for the long-term success of dental implants, and many researchers have considered the stability of the implant when placed in the bone. Many techniques include undersized drilling, densifying burs, magnetic mallets, and expanders. These methods have led to higher initial insertion torque values. The present study aims to evaluate the effectiveness of expanders, densifying burs, and magnetic mallet methods for preparing the implant site in low-density bone and compare them in terms of achieving good initial implant stability. The present study was conducted in an ex vivo animal model using bovine rib bones. This study was performed on 20 bovine ribs; each rib had four implant site preparations divided into four groups according to the drilling method: a control group of the conventional technique (n=20), the expanders group (n=20), the densification burs group (n=20), and the magnetic mallet group (n=20). The measured values were Primary Insertion Torque and Implant Stability Quotient (ISQ). The highest average insertion torque was in the magnetic Mallet group, where the average was 43.75 N/cm2, followed by the burs group, where the average was 43.00 N/cm2, then the expanders group with an average of 32.80 N/cm2, then the conventional preparation group with 19.30 N/cm2as the lowest average among the study groups. The highest ISQ mean was in the burs group, where the mean was 80.30, followed by the magnetic Mallet group, where the mean was 80.20, then the expanders group with a mean of 68.90, then the conventional preparation group with 50.10 as the lowest mean among the study groups. Within the limitation of this study, we conclude that all methods used were better than conventional preparation in both ISQ and insertion torque, with the magnetic mallet group outperforming the insertion torque and the Densah burs outperforming the ISQ.

Slow drilling technique may enhance peri-operative patient-reported outcomes in dental implant surgery.

A randomized, controlled, single-blind clinical trial. To assess and compare patient-reported outcome measures (PROMs) between low-speed drilling without irrigation and high-speed drilling with irrigation for implant site preparation. The study adhered to the Declaration of Helsinki principles, obtained approval from the local Ethics Committee, was registered on ClinicalTrials.gov, and was written in accordance with CONSORT guidelines. Included were adult patients with single posterior edentulism who exhibited good oral hygiene, sufficient bone dimensions for implant placement, adequate keratinized mucosa, stable occlusion, and a healthy periodontium. Patients were randomly assigned to either the test group (low-speed drilling (150 rpm) without irrigation) or the control group (high-speed drilling (800 rpm) with irrigation). A single dental implant was placed for each patient, with all surgeries conducted by the same experienced operator according to a standardized protocol. Patient satisfaction during surgery, including drilling-time perception, vibration, pressure, noise, comfort, and drowning sensation, as well as postoperative pain and inflammation, were assessed using a 100-mm visual analog scale. Quality of life (QOL) was evaluated using a 5-graded Likert scale for mouth opening, chewing, speaking, sleeping, daily routine, and job. Follow up extended on daily basis for 7 days. The PROMs were collected and analyzed in a blinded manner by independent researchers and a statistician to prevent bias. The study included 66 patients (33 males and 33 females) with a mean age of 54.5 years. Patients in the test group reported a lower perception of drilling time, vibration, and noise but a higher perception of pressure compared to the control group; however, these differences were not statistically significant. Compared to the test group, patients in the control group experienced significantly greater drowning sensation and lesser comfort measures (p < 0.001). There was a moderate inverse correlation between drowning sensation and comfort (r = -0.57). The real drilling time was significantly longer in the test group compared to the control group (p < 0.001). The test group reported significantly lower pain levels during the first 12 h (p < 0.05), and significantly lower inflammation levels at the second day (p < 0.05) compared to the control group. No significant differences were observed between the groups at any time point for any of the QOL parameters (p > 0.05). For a single implant site preparation, low-speed drilling without irrigation seems to offer greater patient comfort compared to high-speed drilling with irrigation, mainly due to reduced drowning sensation. Patients reported less postoperative pain and inflammation with the low-speed technique. Confirming these findings will require more research.

Osteochondral Allograft Reaming Significantly Affects Chondrocyte Viability

Background: Chondrocyte viability is associated with the clinical success of osteochondral allograft (OCA) transplantation. Purpose: To investigate the effect of distal femoral OCA plug harvest and recipient site preparation on regional cell viability using traditional handheld saline irrigation versus saline submersion. Study Design: Controlled laboratory study. Methods: For each of 13 femoral hemicondyles, 4 cartilage samples were harvested: (1) 5-mm control cartilage, (2) 15-mm OCA donor plug harvested with a powered coring reamer and concurrent handheld saline irrigation (“traditional”), (3) 15-mm OCA donor plug harvested while submerged under normal saline (“submerged”), and (4) 5-mm cartilage from the peripheral rim of a recipient socket created with a 15-mm cannulated counterbore reamer to a total depth of 7 mm with concurrent handheld saline irrigation (“recipient”). The 15 mm–diameter plugs were divided into the central 5 mm and the peripheral 5 mm (2 edges) for comparisons. Samples were stained using calcein and ethidium, and live/dead cell percentages were calculated and compared across groups. Results: Compared with the submerged group, the traditional group had significantly lower percentages of live cells across the whole plug (71.54% ± 4.82% vs 61.42% ± 4.98%, respectively; P = .003), at the center of the plug (72.76% ± 5.87% vs 62.30% ± 6.11%, respectively; P = .005), and at the periphery of the plug (70.93% ± 4.51% vs 60.91% ± 4.75%, respectively; P = .003). The traditional group had significantly fewer live cells in all plug regions compared with the control group (77.51% ± 9.23%; P < .0001). There were no significant differences in cell viability between the control and submerged groups (whole: P = .590; center: P = .713; periphery: P = .799). There were no differences between the central and peripheral 5-mm plug regions for the traditional (62.30% ± 6.11% vs 60.91% ± 4.75%, respectively; P = .108) and submerged (72.76% ± 5.87% vs 70.93% ± 4.51%, respectively; P = .061) groups. The recipient group (61.10% ± 5.02%) had significantly lower cell viability compared with the control group (P < .0001) and the periphery of the submerged group (P = .009) but was equivalent to the periphery of the traditional group (P = .990). Conclusion: There was a significant amount of chondrocyte death induced by OCA donor plug harvesting using a powered coring reamer with traditional handheld saline irrigation, which was mitigated by harvesting the plug while the allograft was submerged under saline. Clinical Relevance: Mitigating this thermally induced damage by harvesting the OCA plug while the allograft was submerged in saline maintained chondrocyte viability throughout the plug and may help to improve the integration and survival of OCAs.

Play fairway analysis of geothermal resources across the state of Hawai‘i: 5. Slim hole drilling on Lāna‘i island

This paper builds on four earlier papers detailing the results of the Hawai‘i Play Fairway (PF) project's first two phases. In Phase 3 the project deepened a water well on the rim of the caldera of Lāna‘i Volcano to a maximum depth of just over 1 km. Due to funding constraints, the project deepened an already existing water well that was proximal to our area of highest resource probability within the caldera. Drilling preparation included: completion of an Environmental Assessment, lowering a camera down the well, deviation logging, coordinating site preparation, procure and shipping, and participating in multiple community meetings. Drilling occurred 24/7 the entire month of June 2019. The project deepened Lāna‘i Well 10 from 427 m to 1057 m, while collecting continuous core, and measured a roughly linear temperature gradient averaging 42 °C/km and a maximum bottom hole temperature of 66 °C. This gradient is more than twice the background for Hawai‘i and within a range of gradients measured in this depth range for some exploration wells within the volcanically active East Rift Zone of Kīlauea Volcano. Geothermal gradient determinations and computed chemical geothermometer temperatures indicate that accessible temperatures within Lāna‘i Well 10 are 130–200 °C between 2 and 3 km depth. This paper includes a summary of detailed core logging, which found pervasive hydrothermal alteration. We recommend drilling a slim hole within Lāna‘i's caldera to ∼2 km, where considerably higher temperatures may be encountered. The positive implications this project's results have for the island of O‘ahu are substantial. The shield stage of O‘ahu's volcanoes ended 1–2 Million years earlier, however O'ahu uses more electricity than the rest of the islands combined.

Integrating Audiovisual Immersion Into Pediatric Radiation Therapy Across Multiple Centers: Methodology, Timeliness, and Cost of the Audiovisual-Assisted Therapeutic Ambience in Radiation Therapy Prospective Multi-Institutional Trial

PurposeThe Audiovisual Assisted Therapeutic Ambience in Radiotherapy (AVATAR) trial was a prospective multicenter study (NCTXXXXXXXX) examining the combination of video immersion with radiotherapy and was successfully conducted through the collaboration of pediatric radiation oncology teams at 10 institutions independent of any preexisting consortium. We sought to analyze and report the methodology of trial conception and development, process map, and cost. Methods and MaterialsThe study enrolled patients aged 3-10 years preparing to undergo radiation therapy, integrated the combination of AVATAR-based video immersion during radiation therapy at each institution, and offered AVATAR use as an alternative to anesthesia, with rates of anesthesia use and outcomes of serial standardized anxiety and quality of life assessments assessed among the 81 children enrolled. A process map was created based on the trial timeline with the following components: study development time (time from conception of the trial to accrual of first patient, including design phase, agreement and approval phase and site preparation phase), and accrual duration time (time from the first to last accrual). Costs and institutional success rates were calculated. ResultsTime from inception of study to last accrual was 3.6 years (1313 days). The study development time was 417 days (31.7%) and accrual duration time was 896 days (68.3%), with the final 50% of accrual occurring in less than 6 months. Equipment cost was approximately $550 per institution and was covered by funding from the lead study institution. All 10 centers were successful with AVATAR implementation, defined as ≥50% of patients able to avoid anesthesia with use of AVATAR, including centers with both photon and proton therapy. ConclusionsThis report elaborates on the methodology and timeline of trial conception and development using data from a previously published supportive care study combining video immersion with radiotherapy among 10 cooperating pediatric oncology institutions. It highlights the potential for multicenter collaborations on prospective trials integrating supportive care therapies with radiotherapy.

Levelized Cost and Carbon Intensity of Solar Hydrogen Production from Water Electrolysis Using a Scalable and Intrinsically Safe Photocatalytic Z-Scheme Raceway System

The realization of an environmentally sustainable and widely-adopted hydrogen economy may require lowering hydrogen production costs of production pathways with ultra-low greenhouse gas emissions to $1/kg H2. The allocation of new or existing renewable electricity generation solely to hydrogen production remains contentious due to disputes regarding emissions accounting. Photoelectrochemical (PEC) hydrogen production technologies offer a unique solution, as hydrogen is produced directly from solar energy and water, without the need for electricity generation. However, cost projections for past photoelectrochemical designs have suggested that they are not cost competitive compared to conventional electrolysis systems manufactured at scale. Herein, we offer the first illustrative benchmark of cost and carbon intensity of hydrogen produced in a Type 2 Z-scheme photocatalytic reactor design that employs suspended semiconducting nanoparticles organized in two stacked baggies in a raceway design.To explore the near-term and future cost projection for hydrogen production via Type 2 photocatalytic Z-scheme raceways, the authors developed a bottom-up total installed capital cost model. This project cost model incorporates: 1) raceway reactor cost, derived from a Design for Manufacturing and Assembly (DFMA) process-based cost model, 2) mechanical balance of plant, including process equipment, piping, valves, and instrumentation, derived from equipment quotes, scaling, database values, and Aspen estimates; 3) electrical balance of plant, including wiring, derived from time and material cost correlations; 4) Site Preparation, focused on green field installation; and 5) Construction Overhead, including engineering, procurement, and construction (EPC) costs and project contingency. The capital cost model is fed into a Levelized Cost of Hydrogen (LCOH) discounted cash flow model that accounts for electricity and water consumption, in addition to other operating costs, including labor, maintenance, and raceway replacements.A hybrid life-cycle approach was used to develop an inventory of greenhouse gas emissions from all materials and energy flows associated with the facility life cycle. These flows are converted to emissions based on specific emission factors, or by using physical units-based input–output LCA models associated with the broader economic impacts of fuel and materials production, use, and end use.Estimates for levelized cost of hydrogen suggest that a 50 metric ton H2 per day (MTD) raceway plant can approach $2.50/kg H2 at an 8% solar-to-hydrogen efficiency with further cost improvements possible through increased performance and larger plant scales. Carbon intensity is estimated to be well under clean hydrogen targets for global warming potential of <2-4 kg CO2e/kg H2 produced. The results suggest a highly competitive and scalable technology, that justifies further experimental validation and prototyping in the field. Figure 1

The DTR Technique-Drilling through the Roots of Posterior Teeth for Anatomically Guided Immediate Implant Placement: A Cohort Study.

The present study clinically analyzes implant survival of immediate implant placement cases using the drilling through roots (DTR) technique for anatomically-guided implant site preparation, as an aid to placing immediate dental implants in multi-radicular teeth. This clinical analysis utilized patients' electronic dental records who underwent immediate implant surgery using the DTR technique. All immediately placed implants were followed up regularly every year, after restoration. Implant survival was assessed with the Albrektsson et al. criteria. Inferential statistics was performed using SPSS v 21(IBM Corp., Armonk, NY) software. The Kaplan-Meier survival analysis was done to assess the implant survival probability. A total of 250 records of dental implants placed in 227 subjects using the DTR technique were considered. Results showed that the mean survival duration of implants was found 63.29 months and the median survival duration to be 55 months. A 100% success rate was seen in implant fixed bridge cases, and about 97.6% success was seen in single crown cases. No significant difference was seen in the survival rates during the follow-up period when compared according to the quadrants/site of implant placement. The findings concluded that tooth-guided rapid implant placement is a unique strategy for convenient and safe insertion, providing accurate three-dimensional positioning. The DTR method is a novel approach that facilitates accurate positioning and angulation of the implant bed preparation by stabilizing and guiding the osteotomy drills using the retained root. As a result, it enables optimal implant positioning at multirooted extraction sites. How to cite this article: Mahesh L, Miselli A, Bhasin MT, et al. The DTR Technique-Drilling through the Roots of Posterior Teeth for Anatomically Guided Immediate Implant Placement: A Cohort Study. J Contemp Dent Pract 2024;25(5):432-439.

Road to Resettlement: Understanding Post-disaster Relocation and Resettlement Challenges and Complexities Through a Serious Game

Resettlement and relocation are among the most difficult policies to put into practice, but they may be the best ways to minimize future risks to settlements exposed to natural hazards both before and after disaster events. As climate-related disasters and forced migration become increasingly common worldwide, governments, humanitarian or development actors, and policymakers must now prioritize the implementation of a dignified and effective resettlement program as part of their planning and management responsibilities. Much of this effectiveness depends on the stakeholders and beneficiaries’ understanding and knowledge of the different resettlement phases, culture and customs of affected populations, activities, and the associated implementation challenges, costs, and benefits. Serious games are used in a variety of contexts to increase awareness, train and build capacity in stakeholders and beneficiaries. This article presents a serious game developed to educate practitioners, local agencies, students, and the public to understand the complexities and challenges involved in a successful resettlement. The game is based on a real proposed resettlement project initiated in the Chiradzulu District in southern Malawi after Cyclone Freddy in March 2023, which caused widespread flooding and landslides, forcing some villages to relocate permanently. The progression in the Road to Resettlement Game consists of six primary levels: land and site preparation, housing and livelihood, water, sanitation, and hygiene, health, education, and protection. These levels are meant to be completed in a sequence that adheres to the principles of resettlement. By engaging in the serious table-top board game, players gain an understanding of the resettlement activities, their sequence, and the associated practical (technical and social) and financial challenges.

How effective is dentin autograft for socket preservation and implant site preparation: A systematic review protocol.

Background Socket preservation is a surgical procedure aimed at preserving the dimensions of the alveolar bone following tooth extraction. It is performed by filling the extraction socket with bone graft material with or without a barrier membrane. Recently, dentine obtained from extracted teeth has been tried as an autograft for socket preservation. Studies have compared the use of dentin to other bone grafts, however, systematic reviews evaluating the efficacy of dentin for socket preservation are limited. Hence, this systematic review protocol is proposed to generate evidence on the efficacy of dentin as a viable alternative to other bone graft materials for socket preservation. Methods This systematic review protocol was prepared according to the Methodological Expectations of the Cochrane Intervention Reviews (MECIR) guidelines. It will be conducted using the Cochrane Handbook for Systematic Review of Interventions. PubMed, Scopus, Web of Science, EMBASE, Epistemonikos, Cochrane Central, and EBSCO databases and clinical trial registries, will be searched for all randomized controlled trials (RCTs) and non-randomized studies that have used autologous dentin graft (either in particulate/putty, or/matrix form) for socket preservation. The radiographic and clinical assessment of bone and soft tissue healing of the preserved sockets along with patient-related outcomes following surgery will be assessed. The risk of bias assessment of the RCTs and Non-RCTs will be assessed using the ‘Cochrane Risk of Bias assessment tool (ROB II) and ROBINS-I respectively. The certainty of evidence will be assessed by the GRADE approach. Discussion This evidence is important for dental clinicians and the public to make an informed decision when choosing graft material for socket preservation. The extracted teeth are considered biological waste; however, this evidence provides scope for using a less invasive autograft for bone regenerative procedures. Systematic review registration PROSPERO: CRD42021201958 (Registered on 15/02/2021).

Involvement of veterinary students in the placement of intravenous catheters in adult horses in a teaching hospital does not significantly increase the rate of catheter complications.

To determine whether student involvement in intravenous catheter (IVC) placement increases the risk for complications and to report the rate and types of complications associated with IVCs in adult horses in a university teaching hospital. 455 IVCs placed in 394 horses. Data relevant to IVC placement and removal were retrieved from an electronic medical record search including records of adult horses from January 1 to December 31, 2022. Data retrieved from records included the role of the individual who prepared the site and placed the IVC, site of IVC placement, and type of IVC. The reason for removal of the IVC and presence or absence of detectable changes within the vein at the time of removal were documented in addition to clinical data, allowing for classification of each case. Data were reviewed retrospectively, and statistical analyses were performed using mixed-effects logistic regression models. Significance was set at P ≤ .05. The overall rate of complications was 15.6%, and the most common type of complication was swelling of the vein. Students were involved in 87 of 455 IVC site preparations and placements, and there were no statistically significant differences in complication rates between IVC sites prepared or placed by veterinary students versus nonstudent personnel. Veterinary personnel and clients may be hesitant to allow student involvement in IVC placement in horses, but these data suggest that student involvement does not increase the risk of IVC complications.

Stereolithography (STL) model in dental autotransplant: A case report

The goal of this case report was to describe the use of the stereolithography (STL) model in dental autotransplantation. This report described autotransplantation of the lower wisdom tooth (48) to replace a missing lower first molar (46) due to caries. This approach used an STL model of 48 fabricated in the laboratory from cone-beam computed tomography (CBCT) images to assist in recipient site preparation before autotransplant. In conclusion, the use of the STL model could potentially increase the success rate of autotransplantation as it can help to preserve the periodontal ligament (PDL) cells on the root surface of the donor tooth, shorten the extraoral time of the donor tooth, and provide optimum contact between the recipient bone and the root surface of the transplanted tooth.

Pile burns as a proxy for high severity wildfire impacts on soil microbiomes

Wildfires in the western US are increasing in frequency, size, and severity. These disturbances alter soil microbiome structure and function, with greater fire severity leading to more pronounced impacts to bacterial, archaeal, and fungal communities. These changes have implications for the provisioning of microbially-mediated ecosystem services (e.g., carbon sequestration, clean water supplies) typically associated with forested watersheds. Challenges in sampling wildfire-impacted areas immediately post-burn have limited our assessment of short-term (i.e., days to weeks) changes in the soil microbiome and understanding of how microbial populations may influence post-fire biogeochemistry and ecosystem recovery. The identification of potential high severity wildfire proxies may help address some of these knowledge gaps. One potential proxy is pile burns scars, which are produced from a set of common techniques for fuel disposal and site preparation in conifer forests throughout the western US and beyond. We sampled depth-resolved layers from fire-impacted soil and combusted litter and woody materials in a series of recent pile burn scars near West Yellowstone, Montana and nearby unburned mineral soil controls to assess whether the pile burn scars exhibited microbial signatures characteristic of forest soils impacted by recent high severity wildfire. Changes in soil carbon and nitrogen chemistry and patterns of microbial alpha and beta diversity broadly aligned with those observed following wildfire, particularly the enrichment of so-called ‘pyrophilous’ taxa. Furthermore, many of the taxa enriched in burned soils likely encoded putative traits that benefit microorganisms colonizing these environments, such as the potential for fast growth or utilization of pyrogenic carbon substrates. We suggest that pile burn scars may represent a useful proxy along the experimental gradient from muffle furnace or pyrocosm studies to largescale prescribed burns in the field to advance understanding of the soil (and related layers, like ash) microbiome following high severity wildfires, particularly when coupled with experimental manipulation. Finally, we discuss existing research gaps that experimentally manipulated pile burns could be utilized to address.