The intrusiveness of the symptoms of Meniere’s disease accounted for 32% of the variance in depression scores, which were high; illness uncertainty did not account for additional variance. Dizziness handicap
accounted for 31% of the variation in depression. Although the symptoms of Meniere’s disease may not be alleviated by psychological methods, programs that target cognitions in relation to the embarrassment in front of others, PF-00299804 chemical structure and the feeling of being handicapped, may lessen the psychosocial impact of the symptoms of Meniere’s disease, which may reduce some of the depression felt in this group.”
“Different treatments of dentin walls, as laser irradiation, prior to obturation can influence the adhesion ability of endodontic sealers. Therefore, the objective of this study was to compare in vitro the shear bond strength of four resin-based sealers to dentin treated with citric acid solution or erbium: yttrium, aluminum, garnet (Er:YAG) irradiation. A total of 240 slices with 1.6 mm of thickness were cut using middle third of 84 teeth. Each slice was widened using a #45 taper.06 rotary K3 instrument. The sample was divided
into groups according to dentin pretreatment (15 % citric acid or Er:YAG laser) and sealer used (AH Plus, Acroseal, EndoREZ, or RealSeal). Shear bond strength was measured using a universal materials testing machine. As results, significant differences were found when comparing sealers between all groups (p < 0.05) by Kruskal-Wallis test, regardless of the pretreatment used. Comparing pretreatments, 15 % citric acid solution had better outcomes than Er:YAG laser, with significant differences in all groups, Selleckchem Bafilomycin A1 except for Acroseal groups (p < 0.05). It was concluded that RealSeal and 15 % citric acid solution achieved the best results regarding the sealer and pretreatment used, respectively.”
“Background: Few studies to date have examined the accuracy of computed tomographic angiography (CTA) compared to digital subtraction angiography (DSA) in diagnosing intracranial stenosis. The purpose of this study was to compare CTA to DSA in diagnosing selleck intracranial stenosis and to explore the impact of the addition
of DSA on the management of stroke patients. Methods: We retrospectively reviewed all ischemic stroke or patients with transient ischemic attack who underwent CTA and DSA within 30 days of each other at our institution between January 2008 and July 2011. For each study, 2 blinded observers rated the degree of stenosis of 11 intracranial vessels. Disagreements were adjudicated by a third blinded observer. Sensitivity, specificity, negative predictive value, and receiver operating characteristic curves were determined using DSA as the criterion standard. All patient charts were reviewed to determine if the addition of DSA to CTA impacted clinical management. Results: Six hundred twenty-seven arterial segments were reviewed. The sensitivity of CTA to diagnose stenosis >50% was 96.