Background: preparation of root canals is an important step in root canal treatment. Mechanical instrumentation of root canals cause an irregular layer of debris, known as the smear layer. As a result, several studies reported that preferring the removal of the smear layer. Objective: To study the influence of the energy (100 mJ) of Erbium, Chromium: Yttrium Scandium Gallium Garnet (Er,Cr:YSGG) laser at short pulse duration (60 μs) on smear layer removal of apical third after using Photon induced photoacoustic streaming technique. Materials and methods: Eighteen straight single-rooted mandibular premolars were used. The roots length were uniform to 14mm from the anatomic apex and instrumented using Protaper Gold Rotary NiTi file system to size 40 taper 0.06. Er,Cr:YSGG pulsed laser (waterlase iplus Biolase, CA, USA) 2780 nm was used at short pulse duration (60 μs, 5 Hz ,air and water off) delivered by MD/iplus Glass Tips (MZ6) 600 μm in diameter, length=6 mm, calibration factor= 1.00. Ultrasonic activator ENDO1 (Guilin Woodpecker Medical Instrument Co., Ltd.china) was used with Ultrasonic activator tip ED98 (25#, 2% taper, 18.5mm) (Guilin Woodpecker Medical Instrument Co., Ltd.china). The samples were arbitrarily divided into three groups (n=6) and used as follows: (A) conventional irrigation with 5 ml of 17 % EDTA, (B) passive ultrasonic irrigation with 5 ml of 17 % EDTA, (C) Er,Cr:YSGG induced photoacoustic streaming with 5 ml of 17 % EDTA. After final irrigation with normal saline and drying, the roots were painted with nail varnish externally, and 2% methylene blue dye injected into canal until the canal filled with dye. The tooth was splitted at the fourth millimeters from root apex with a diamond disc representing the apical third. Picture was taken by Professional Digital SLR camera (Nikon D7100, Nikon Corporation, Thailand) with 40X magnification. The dye penetration was measured by using analytical software (measure picture CAD-KAS Kessler Germany). ANOVA test was used to analyse repeated measure mean between tested concentration (5.25% NaOCL, 17% EDTA) and control. Data was expressed as mean±SD. LSD (Least Significant Difference) test was used to calculate the significant differences between tested mean. Results: The mean values of the percentage of dye penetration area in two experimental groups was higher than the control group, as the follow (20.79±1.15control, 34.5453±0.45 ultrasonic group, 85.9804±2.69 Er,Cr.YSGG+17%EDTA at 0.5 W). The Percentage of dye penetration in Er,Cr:YSGG laser induced photoacoustic streaming with 17% EDTA was significantly high (P value 0.001), followed by ultrasonic activated group, while control group result in less Percentage of dye penetration than both study groups. Conclusion: In this study, we concluded that Er,Cr:YSGG pulsed laser (0.5 W,5 Hz , air and water off) at short pulse duration (60 μs) with 17% EDTA using PIPS technique for activation of irrigant in endodontic treatment give better result than ultrasonic activation in smear layer removal
BACKGROUND: Idiopathic immune thrombocytopenia purpura is an autoimmune bleeding disorder that accounts for approximately one-third of clinical hemorrhagic diseases. Pathophysiologically, it involves a complicated imbalance in the immune system. OBJECTIVES: This study focuses on evaluating the levels of the immunomodulatory cytokines interleukin (IL)-35, interleukin-10, and transforming growth factor-β (TGF)-β in patients with refractory idiopathic immune thrombocytopenia undergoing treatment with romiplostim. MATERIALS AND METHODS: A cross-sectional study encompassed 78 individuals with idiopathic immune thrombocytopenia and conducted measurements of different immunomodulatory cytokines in response to different responses of idiopath
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Diabetic kidney disease is an illness of the glomerulus that interferes with the glomerular filtration barrier (GFB), which is worked to enable kidney to selective purification of water and solutes in addition to limiting the movement of large macromolecules such as albumin. In the glomerular endothelium, mesangial cells, foot cells, and the brush border of the proximal tubules, ACE-2 is expressed and that the kidneys represent the highest-expressing region of this enzyme. Thus, the current study aimed to evaluate ACE-2 level in this case compared to healthy condition. The study Conducted with 120 male and female ranging in age (30-65) years old. Ninety patients with type 2 diabetes subdivided into three groups on the basis of A
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Objective : Sciatic nerve block (popliteal approach) and femoral N block is a new technique other than general anesthesia in below knee surgery because it provides adequate muscle relaxation, with good intraoperative and post-operative analgesia. Nefopam is non opioid, non-respiratory depressant and non-sedative was mixed with local anesthetics drug to study the effects. This study was done to compare the onset and duration of sensory and onset time and duration of action of motor block following administration of either bupivacaine alone with administration of bupivacaine and Nefopam in patients undergoing below knee lower limb surgeries under ultrasound guided regional anesthesia.
Methods: 100 patients with American society of anest
The research includes the synthesis and identification of the mixed ligands complexes of M(II) Ions in general composition [M(Lyn)2(phen)] Where L- lysine (C6H14N2O2) commonly abbreviated (LynH) as a primary ligand and 1,10-phenanthroline(C12H8N2) commonly abbreviated as "phen," as a secondary ligand . The ligands and the metal chlorides were brought in to reaction at room temperature in ethanol as solvent. The reaction required the following molar ratio [(1:1:2) (metal): phen:2 Lyn -] with M(II) ions, were M = Mn(II),Cu(II), Ni(II), Co(II), Fe(II) and Cd(II). Our research also includes studying the bio–activity of the some complexes prepared against pathogenic bacteria Escherichia coli(-),Staphylococcus(-) , Pseudomonas (-), Bacillus (-)
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New Schiff base ligand 2-((4-amino-5-(3, 4, 5-trimethoxybenzyl) pyrimidin- 2-ylimino) (phenyl)methyl)benzoic acid] = [HL] was synthesized using microwave irradiation trimethoprim and 2-benzoyl benzoic acid. Mixed ligand complexes of Mn((ІІ), Co(ІІ), Ni(ІІ), Cu(ІІ), Zn(ІІ) and Cd(ІІ) are reacted in ethanol with Schiff base ligand [HL] and 8-hydroxyquinoline [HQ] then reacted with metal salts in ethanol as a solvent in (1:1:1) ratio. The ligand [HL] is characterized by FTIR, UV-Vis, melting point, elemental microanalysis (C.H.N), 1H-NMR, 13C-NMR, and mass spectra. The mixed ligand complexes are characterized by infrared spectra, electronic spectra, (C.H.N), melting point, atomic absorption, molar conductance and magnetic moment me
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