Comparison between visual clinical examination and the replica method for assessments of sealant retention over a 2-year period

To compare the levels of agreement and the survival rates of sealant retention for different sealing materials over a 2-year period assessed using the visual clinical examination and replica methods, sealant retention data were obtained by visual clinical examination and from replicas of the same sealed tooth at baseline and at 0.5-, 1- and 2-year evaluation points in 407 children and were compared for agreement using kappa coefficients. Survival curves of retained sealants on occlusal surfaces were created using modified categorisation （fully retained sealants and those having all pits and fissures partly covered with the sealant material versus completely lost sealants that included pit and fissure systems that had /〉 1 pit re-exposed） according to the Kaplan-Meier method. The kappa coefficient for the agreement between both assessment methods over the three evaluation time points combined was 0.38 （95% confidence interval （CI）： 0.35-0.41）. More sealant retention was observed from replicas than through visual clinical examination. Cumulative survival curves at the three evaluation times were not statistically significantly higher when assessed from replicas （P=0.47）. Using the replica method, more retained sealant material was observed than through visual clinical examination during the 2-year period. This finding did not result in a difference in the survival rates of sealants assessed by the two assessment methods. When replicas cast in die stone are used for assessing sealant retention, the level of reliability of the data is higher than that of data obtained through the commonly used visual clinical examination, particularly if such assessments are conducted over time.

Analysis of Spectral Signatures of Silicone-Based Sealant Materials Used in Residential and Commercial Buildings

In the construction industry, silicone is primarily used as sealant material to fill gaps and cracks providing water and air-tightness to vertical construction projects reducing energy usage bills and enhancing the integrity of construction materials. This paper reports the results of spectral analysis of commonly used building sealant materials used in residential and commercial buildings. A dozen commercially available silicone-based sealant materials composed of different ingredients representing three manufacturer brands are characterized using Raman and UV-VIS-NIR spectroscopic techniques. The characteristic vibrational fingerprints of the selected sealant materials are summarized, and the Raman and reflectance spectra of the samples are also presented. It is observed that most of the samples appear to have similar vibrational band assignments and reflectance spectra. However, analysis of the Raman spectral positions and the reflectance spectra reveals that there are distinct differences among the sealant materials.

Reduction of the closure time of postoperative enterocutaneous fistulas with fibrin sealant

AIM: To assess whether the use of fibrin sealantshortens the closure time of postoperative enterocutaneous fistulas (ECFs). METHODS: The prospective case-control study included 70 patients with postoperative ECFs with an output of < 500 mL/d, a fistulous tract of > 2 cm and without any local complication. They were divided into study (n = 23) and control groups (n = 47). Esophageal, gastric and colocutaneous fistulas were monitored under endoscopic visualization, which also allowed fibrin glue application directly through the external hole. Outcome variables included closure time, time to resume oral feeding and morbidity related to nutritional support. RESULTS: There were no differences in mean age, fistula output, and follow-up. Closure-time for all patients of the study group was 12.5 ± 14.2 d and 32.5 ± 17.9 d for the control group (P < 0.001), and morbidity related to nutritional support was 8.6% and 42.5%, respectively (P < 0.01). In patients with colonic fistulas, complete closure occurred 23.5 ± 19.5 d after the first application of fibrin glue, and spontaneous closure was observed after 36.2 ± 22.8 d in the control group (P = 0.36). Recurrences were observed in 2 patients because of residual disease. One patient of each group died during follow-up as a consequence of septic complications related to parenteral nutrition. CONCLUSION: Closure time was significantly reduced with the use of fibrin sealant, and oral feeding was resumed faster. We suggest the use of fibrin sealant for the management of stable enterocutaneous fistulas.

Fibrin sealant for closure of mucosal penetration at the cardia during peroral endoscopic myotomy: A retrospective study at a single center

AIM To assess the efficacy and safety of fibrin sealant for closure of mucosal penetration at the cardia during peroral endoscopic myotomy(POEM).METHODS Twenty-four patients who underwent POEM and experienced mucosal injury of the cardia during the procedure were retrospectively identified. Of the 24 patients, 21 had mucosal penetration and 3 had only slight mucosal damage without penetration. The 21 patients with mucosal penetration received fibrin sealant for closure at the site of penetration. Penetration-related characteristics, treatment, and recovery were reviewed for all 21 patients to assess the efficacy and safety of fibrin sealant for closure of mucosal penetration at the cardia. Clinical data, including general characteristics, procedure-related parameters, Eckardt scores, lower esophageal sphincter pressures (LESP), and esophagogastroduodenoscopy(EGD) results, were analyzed to determine their influence on treatment success after mucosal penetration during POEM.RESULTS All 21 patients had a solitary mucosal penetration in the cardia (12 in esophageal region of the cardia, 9 in the stomach region of the cardia, and 1 in both the esophageal and stomach regions). Twelve had ahole-like penetration and 9 had a linear penetration. For those with a hole-like penetration, the mean size was 0.14 cm2 (0.02-0.32 cm2). For those with a linear penetration, the median size was 0.37 cm (0.10-1.00 cm). Closure of the mucosal penetration using fibrin sealant was performed successfully in all 21 patients(two patients required 5 m L fibrin sealant, and the remaining 19 patients required 2.5 mL). Two patients had a nasogastric tube placed for five days after POEM; the remaining 19 patients were kept fasting for 3 d. All 21 patients were discharged after a median of 5 d(range: 5-7 d) postoperatively. During a median 42 mo (range: 9-62 mo) follow-up, all 21 patients with a mucosal penetration successfully healed without the occurrence of infection, ulcer, or esophagitis. Furthermore, the median LESP decreased from 31.9 mm Hg (range: 21.9-67.1 mm Hg) preoperatively to 20.3 mm Hg (range: 6.0-41.0 mm Hg) postoperatively(P < 0.05). The median preoperative and postoperative Eckardt scores were 5.0(range; 4-10) and 1.0(range: 0-4), respectively (P < 0.05). Of the 21 patients with mucosal penetration, symptom remission, which is defined as a postoperative Eckardt score ≤ 3, was achieved in 20 patients(95.2%) indicating that mucosal penetration did not influence the success of POEM treatment if closed successfully using fibrin sealant.CONCLUSION Fibrin sealant is safe and effective for closure of mucosal penetration during POEM. Mucosal penetrations do not appear to influence the treatment success of POEM if closed successfully using fibrin sealant. Additional studies regarding the feasibility, efficacy, and safety of fibrin sealant for closure of larger mucosal penetrations is warranted.

Effect of implanting fibrin sealant with ropivacaine on pain after laparoscopic cholecystectomy

AIM:To investigate the safety and efficacy of implant-ing fibrin sealant with sustained-release ropivacaine in the gallbladder bed for pain after laparoscopic chole-cystectomy(LC).METHODS:Sixty patients(American Society of Anes-thesiologists physical status wasⅠorⅡand underwent LC)were randomly divided into three equal groups:group A(implantation of fibrin sealant in the gallbladder bed),group B(implantation of fibrin sealant carrying ropivacaine in the gallbladder bed),and group C(normal saline in the gallbladder bed).Postoperative pain was evaluated,and pain relief was assessed by visual analog scale(VAS)scoring.RESULTS:The findings showed that 81.7%of patients had visceral pain,50%experienced parietal,and 26.7% reported shoulder pain after LC.Visceral pain was significantly less in group B patients than in the other groups(P<0.05),and only one patient in this group experienced shoulder pain.The mean VAS score in group B patients was lower than that in the other groups.CONCLUSION:Visceral pain is prominent after LC and can be effectively controlled by implanting fibrin sealant combined with ropivacaine in the gallbladder bed.

Bioinspired Injectable Self-Healing Hydrogel Sealant with Fault-Tolerant and Repeated Thermo-Responsive Adhesion for Sutureless Post-Wound-Closure and Wound Healing

Hydrogels with multifunctionalities,including sufficient bonding strength,injectability and self-healing capacity,responsive-adhesive ability,fault-tolerant and repeated tissue adhesion,are urgently demanded for invasive wound closure and wound healing.Motivated by the adhesive mechanism of mussel and brown algae,bioinspired dynamic bonds cross-linked multifunctional hydrogel adhesive is designed based on sodium alginate(SA),gelatin(GT)and protocatechualdehyde,with ferric ions added,for sutureless post-wound-closure.The dynamic hydrogel cross-linked through Schiff base bond,catechol-Fe coordinate bond and the strong interaction between GT with temperature-dependent phase transition and SA,endows the resulting hydrogel with sufficient mechanical and adhesive strength for efficient wound closure,injectability and self-healing capacity,and repeated closure of reopened wounds.Moreover,the temperature-dependent adhesive properties endowed mispositioning hydrogel to be removed/repositioned,which is conducive for the fault-tolerant adhesion of the hydrogel adhesives during surgery.Besides,the hydrogels present good biocompatibility,near-infrared-assisted photothermal antibacterial activity,antioxidation and repeated thermo-responsive reversible adhesion and good hemostatic effect.The in vivo incision closure evaluation demonstrated their capability to promote the post-wound-closure and wound healing of the incisions,indicating that the developed reversible adhesive hydrogel dressing could serve as versatile tissue sealant.

Effects of Ultraviolet Radiation,High Temperature and Alkaline Chemicals on Ageing of Silicone Sealants Used in Ballastless Track Expansion Joints

Expansion joints silicone sealants used in high speed railway construction suffer from ultraviolet radiation（UV）, high temperature combined with the alkaline environment. To evaluate the durability and analyse the ageing mechanism, six one-component silicone sealants from different companies were selected and subjected to accelerated ageing tests including UV, thermal and alkali ageing treatments. The ageing effects on the performance of the sealants were evaluated via the appearance and the mechanical property changes. The changes in molecular structure were studied by means of Fourier transform infrared spectroscopy（FTIR）, differential scanning calorimetry（DSC） and thermogravimetry（TG）. This study revealed that different materials displayed different sensibilities to the ageing methods, in which 15 %-20 % decreases of mechanical properties could be observed under UV radiation test, owning the most significant effects. Structure analysis showed that the physical changes of aggregative states were the principal factors to the performance, along with the chemical slight changes. The glossiness dropped significantly in ageing test, which could be used as one of the effective evaluation parameters for ageing conditions in the field.

Evaluation and Selection of Sealants and Fillers Using Principal Component Analysis for Cracks in Asphalt Concrete Pavements

The objective of this paper was to develop a comprehensive evaluation method and index to evaluate the performance of sealants and fillers for cracks in asphalt concrete pavements using the method of principal component analysis. The performance experiments including cone penetration, softening point, flow, resilience and tension at low temperature respectively were conducted by reference of ASTM D5329 for eight sealants and fillers often used in China. There by a principal component model was developed and weight of every index was calculated. The experimental results show that there are significantly different performances for sealants and fillers often used in China. Principal component analysis is an objective method that evaluates and selects the performance of sealants and fillers for cracks in asphalt concrete pavements.

Pancreatic duct disruption and nonoperative management: the SEALANTS approach

Pancreatic-duct disruption (PDD) can be difficult to manage, with diverse etiologies and sequelae in a heterogeneous population. Common etiologies include pancreatitis, iatrogenic injury, and trauma. Sequelae of PDD include pseudocyst, pancreatic ascites,

Fibrin sealant use in pilonidal sinus: Systematic review

AIM: To review the current data about the success rates of fibrin sealant use in pilonidal disease.METHODS: Fibrin sealant can be used for different purposes in pilonidal sinus treatment, such as filling in the sinus tracts, covering the open wound after excision and lay-open treatment, or obliterating the subcutaneous dead space before skin closure. We searched Pubmed, Google-Scholar, Ebsco-Host, clinicaltrials, and Cochrane databases and found nine studies eligible for analysis; these studies included a total of 217 patients(84% male, mean age 24.2 ± 7.8). RESULTS: In cases where fibrin sealant was used to obliterate the subcutaneous dead space, there was no reduction in wound complication rates(9.8% vs 14.6%, P = 0.48). In cases where sealant was used to cover the laid-open area, the wound healing time and patient comfort were reported better than in previous studies(mean 17 d, 88% satisfaction). When fibrin sealant was used to fill the sinus tracts, the recurrence rate was around 20%, despite the highly selected grouping of patients.CONCLUSION: Consequently, using fibrin sealant to decrease the risk of seroma formation was determined to be an ineffective course of action. It was not advisable to fill the sinus tracts with fibrin sealant because it was not superior to other cost-effective and minimally invasive treatments. New comparative studies can be conducted to confirm the results of sealant use in covering the laid-open area.

Fibrin sealant for esophageal anastomosis:A phase II study

BACKGROUND Esophagectomy is a pivotal curative modality for localized esophageal or esophagogastric junction cancer(EC or EJC).Postoperative anastomotic leakage(AL)remains problematic.The use of fibrin sealant(FS)may improve the strength of esophageal anastomosis and reduce the incidence of AL.AIM To assess the efficacy and safety of applying FS to prevent AL in patients with EC or EJC.METHODS In this single-arm,phase II trial(Clinicaltrial.gov identifier:NCT03529266),we recruited patients aged 18-80 years with resectable EC or EJC clinically staged as T1-4aN0-3M0.An open or minimally invasive McKeown esophagectomy was performed with a circular stapled anastomosis.After performing the anastomosis,2.5 mL of porcine FS was applied circumferentially.The primary endpoint was the proportion of patients with AL within 3 mo.RESULTS From June 4,2018,to December 29,2018,57 patients were enrolled.At the data cutoff date(June 30,2019),three(5.3%)of the 57 patients had developed AL,including two(3.5%)with esophagogastric AL and one(1.8%)with gastric fistula.The incidence of anastomotic stricture and other major postoperative complications was 1.8%and 17.5%,respectively.The median time needed to resume oral feeding after operation was 8 d(Interquartile range:7.0-9.0 d).No adverse events related to FS were recorded.No deaths occurred within 90 d after surgery.CONCLUSION Perioperative sealing with porcine FS appears safe and may prevent AL after esophagectomy in patients with resectable EC or EJC.Further phase III studies are warranted.

Evaluation on High-temperature Adhesion Performance of Hot-applied Sealant for Asphalt Pavement

In order to investigate the high-temperature performances of the asphalt pavement hot-applied sealant, as well as to reduce failures of the sealant pullout, the softening point test and the flow test（two existing methods for evaluating high-temperature performances） were conducted. It was found that both tests could not accurately reflect the adhesion performances of the sealant at high temperatures. For this purpose, the adhesion test for PSAT（pressure sensitive adhesive tape） has been taken as a reference to develop a device that is suitable for evaluating the adhesion performances, by modifying relevant test parameters according to the road conditions at high temperatures. Thirteen common sealants were tested in the modified adhesion test, softening point test and f low test. The experimental results show that no significant correlation（p〉0.05） exists between the adhesion value, softening point, adhesion value and flow value; while a significant correlation（p〈0.05） exists between the softening point and flow value. The modified adhesion test is efficient in distinguishing the hightemperature adhesion performances of different sealants, and can be used as a standard method for evaluating such performances.

Compatibility between glass sealants and electrode materials of solid oxide fuel cells

BaO-CaO-Al2O3-SiO2-La2O3-B2O3 system glass materials were investigated as sealants for a solid oxide fuel cell （SOFC）. The transition temperature （Tg and the crystal temperature （Td） values decrease greatly with the increase of BaCO3 content when the other components do not change. For the thermal expansion coefficient （TEC） values, the trend is inverse. The sealant has superior thermal expansion coefficient matching properties with La（Sr）MnO3 （LSM） cathode, La（Sr）FeO3 （LSF） cathode, Ni-LDC （La doped CeO2） anode, and Ni-YSZ （yttria stabilized zirconia） cermet anode. The sealant also has superior stability, compatibility, and good bonding characteristic with these electrode materials at 800-900℃. The results indicate that the aluminosilicate system glass sealant possesses superior compatibility with electrode materials of the solid oxide fuel cell

Synthesis and Application of a Novel Organosilane Modifier for Surface Paintability of Organosiloxane Sealants

A novel organosilane, N-n-butyl-γ-aminopropylmethyldimethoxysilane was synthesized through aminization reaction and the chemical structure of resulting products was characterized by 1HNMR, 13CNMR, FT-IR and elemental analysis. The results of test on probation for this organosilane proved that it was effective to modify surface-paintability of organosiloxane sealants.

Effects of primary suture and fibrin sealant on hemostasis and liver regeneration in an experimental liver injury

AIM: To investigate the effects of fibrin sealant on hemostasis and liver regeneration and intra-abdominal adhesions in an experimental liver injury. METHODS: Thirty-six Wistar rats were randomly divided into primary suture group (n = 15), fibrin sealant group (n = 15) and control group (n = 6). A wedge resection was performed on the left lobe of the liver. In primary suture group, liver was sutured using polypropylene material, while fibrin glue was administrated on the liver surface in fibrin sealant group. RESULTS: More intra-abdominal adhesions were observed in the primary suture group compared to the fibrin sealant group on 3rd (2.50 ± 0.5 vs 0.25 ± 0.5, P = 0.015), 10th (2.75 ± 0.5 vs 0.50 ± 0.6, P = 0.06) and 20th (1.75 ± 0.5 vs 0.70 ± 0.5, P = 0.015) postoperative days. Histopathological scores were better in the fibrin sealant group in comparison with the primary suture group on 3rd (8.75 ± 0.5 vs 6.75 ± 0.5, P = 0.006), 10th (7.50 ± 1.0 vs 5.5 ± 0.6, P = 0.021) and 20th (6.40 ± 1.7 vs 3.20 ± 1.6, P = 0.025) postoperative days. CONCLUSION: Out data suggest that fibrin sealant is preferred over primary suture in appropriate cases including liver trauma since it causes less intra-abdominal adhesions while allowing shorter hemostasis time as assessed in experimental liver trauma.

High-temperature glassy-ceramic sealants SiO_2-Al_2O_3-BaO-MgO and SiO_2-Al_2O_3-ZrO_2-CaO-Na_2O for solid oxide electrochemical devices

Glasses of the SiO_2-Al_2O_3-BaO-MgO and SiO_2-Al_2O_3-ZrO_2-CaO-Na_2O systems were synthesized in the perspective to apply them as sealants in SOFC at operating temperatures of 700-900 °C. Thermal properties of the chosen glass compositions and their compatibility with the SOFC materials(YSZ-electrolyte and alloy-interconnector Crofer22 APU, 15Х25Т) were investigated by means of synchronic thermal analysis and high-temperature dilatometry. The elemental analysis was performed by atomic emission spectroscopy. The average values of the temperature coefficients of the linear extension are 10.0×10^(-6) °С^(-1) for glass 45%SiO_2-15%Al_2O_3-25%BaO-15%MgO and 9.5×10^(-6) °С^(-1) for glass 60%SiO_2-10%Al_2O_3-10%ZrO_2-5%CaO-15%Na_2O. The gluing microstructure in YSZ/glass/Crofer22 APU was studied by scanning electron microscopy. The crystallization process of silicate phases was revealed to occur in the SiO_2-Al_2O_3-BaO-MgO glass. The analysis of the crystallization products was performed by Raman spectroscopy and X-ray diffraction. Glassy ceramics was proved to possess better parameters in comparison with amorphous glass to be used as a sealant in electrochemical sensors and oxygen sensors. The SiO_2-Al_2O_3-ZrO_2-CaO-Na_2O low-temperature amorphous glass can be applied in SOFC.

Evaluation of Ion Release from Four Dental Sealants

The purpose of this study was to determine the ion release from four commercially available pit-and-fissure sealants [3M Clinpro, 3M ConciseTM, BeautiSealant （BS）, and GI FX-Ⅱ）]. With each brand, 18 specimens were prepared. Their fluoride release in de-ionized water was measured by fluoride electrode, while the release of silicate （Si）, aluminum （A1）, sodium （Na）, calcium （Ca）, strontium （Sr）, and phosphorus （P） was measured by inductively coupled plasma atomic emission spectroscopy （ICP-AES） on days 1, 3, 7, 14, 21, and 28. The result showed that fluoride was not released from 3M ConciseTM. GI FX-II displayed the largest fluoride release, which, however, dropped rapidly on day 3.3M Clinpro exhibited less fluoride release than GI FX-II and BS did. At any time during the 28-day experimental period, GI FX-II released more Na than the other sealants （P〈0.001）. BS ranked the second in Na release, and a small amount of Na ions was released from the 3M Clinpro and 3M ConciseTM samples. Al ions were only detected from BS and GI FX-Ⅱ, but not from the 3M Clinpro and 3M ConciseTM. Additionally GI FX-II had the largest Si release among the four brands at any time during the experimental period （P〈0.001）. Ca ions were detected from 3M Clinpro and 3M ConciseTM, but not from GI FX-Ⅱ. BS released more Sr than the other sealants at any time during the experimental period （P〈0.001）. All the samples released similar amounts of P continuously during these 28 days. In conclusion, based on the type and the amount of ion release, BS is the best pit-and-fissure sealant among the four brands.

Safety and biodegradability of a synthetic dural sealant patch(Liqoseal)in a porcine cranial model

Background:Liqoseal consists of a watertight layer of poly(ester)ether urethane and an adhesive layer containing polyethylene glycol-N-hydroxysuccinimide(PEG-NHS).It is designed to prevent cerebrospinal fluid(CSF)leakage after intradural surgery.This study assessed the safety and biodegradability of Liqoseal in a porcine craniotomy model.Methods:In 32 pigs a craniotomy plus durotomy was performed.In 15 pigs Liqoseal was implanted,in 11 control pigs no sealant was implanted and in 6 control pigs a control dural sealant(Duraseal or Tachosil)was implanted.The safety of Liqoseal was evaluated by clinical,MRI and histological assessment.The degradation of Liqoseal was histologically estimated.Results:Liqoseal,2 mm thick before application,did not swell and significantly was at maximum mean thickness of 2.14(±0.37)mm at one month.The foreign body reaction induced by Liqoseal,Duraseal and Tachosil were comparable.Liqoseal showed no adherence to the arachnoid layer and was completely resorbed between 6 and 12 months postoperatively.In one animal with Liqoseal,an epidural fluid collection containing CSF could not be excluded.Conclusion:Liqoseal seems to be safe for intracranial use and is biodegradable.The safety and performance in humans needs to be further assessed in clinical trials.

Bilayered Glass-Ceramics as Sealants for SOFCs

Glass-ceramics are often used as sealants in solid oxide fuel cells (SOFC). But interfacing components, such as ferritic stainless steel and YSZ electrolyte, may vary in their requirements regarding sealing properties, especially in terms of thermal expansion. A bilayered glass-ceramic system was developed to overcome the mismatch in coefficients of thermal expansion (CTE) between ferritic steel and YSZ. Therefore, two different glass-ceramics with slightly different CTEs were developed, one with good bonding characteristics to the ferritic steel and the other to the YSZ electrolyte. Steel and electrolyte components were coated with a layer of their corresponding glass sealant paste and heated up to form a sandwich sample. During the heat treatment of the sealing process, the glasses are crystallized into glass-ceramics. The resulting interface between the two glass-ceramics is of special interest. Cross-sections of the sandwich samples were cut, polished and investigated using SEM. The glass-ceramics show continuous, gap-free layers and excellent bonding to both steel and YSZ. Energy release rates are measured for single and bilayered glass sealants by mechanical testing. The designed bilayered glass-ceramics fulfill the special requirements of ferritic steel and YSZ. They show excellent potential to become a new outstanding sealant for SOFCs.

Fibrin Sealant Patch to Treat Dialysis-Associated Hemorrhagic Pericarditis

A 73-year-old male patient with a 3-year history of hemodialysis was admitted for the treatment of pericardial effusion. Echocardiography suggested a diagnosis of effusive pericarditis. Pericardiocentesis was performed several times. Six weeks after the admission, the patient developed cardiac tamponade. Surgical pericardiotomy showed the epicardium had a diffuse shaggy and hemorrhagic surface. To control diffuse oozing, fibrin sealant patches (Tachosil;CSL Behring, Tokyo, Japan) were attached to the epicardium. Oozing was then controlled.