• Korean Journal of Clinical Pharmacy
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• v.27 no.2
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• pp.83-91
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• 2017

Background: Piperacillin/tazobactam (TZP) is an antibiotic against a broad spectrum of gram-positive, gram-negative, and aerobic and anaerobic strains of bacteria. Due to changes in its pharmacokinetic and pharmacodynamic parameters by TZP-treated patients' renal functions and obesity, it is important to administrate and monitor TZP based on their renal functions and Body Mass Index (BMI) levels. The purpose of this study was to determine the appropriateness of administration doses of TZP based on renal functions of obese cancer patients in a tertiary hospital. Methods: This study was retrospectively conducted with obese cancer patients with $BMI{\geq}30kg/m^2$ in a tertiary hospital, Korea from September 2004 to August 2014. Data were collected through Electronic Medical Record (EMR) which contained laboratory data and TZP dosing of each patient. Results: Among 7,058 patients during the study period, 102 prescriptions were selected based on inclusion and exclusion criteria and classified by their renal functions. Although TZP should be used based on patients' renal functions to adjust its dose, its initial dose and dosing interval were consistently used without considering patients' renal functions on a regular basis. Especially, in the comparison with FDA dosing standard of TZP, approximately twice patients with $20mL/min{\leq}CrCl{\leq}40mL/min$ received domestically 4.5 g instead of 2.25 g as the TZP starting dose. Conclusion: The appropriate doses of TZP were administered to almost all of obese cancer patients; however, the recommended TZP dose was different between Korea and other countries by twice the amount. Further related studies are necessary to clearly determine the results, to optimize TZP treatment for obese patients with cancer in clinical practice, and to design and develop new TZP formulations for them in pharmaceutical industry.

• The Journal of Advanced Prosthodontics
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• v.11 no.3
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• pp.162-168
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• 2019

PURPOSE. The aim of this study was to evaluate the effect of occlusal adjustments on the surface roughness of yttria-tetragonal zirconia polycrystal (Y-TZP) and wear of opposing artificial enamel. MATERIALS AND METHODS. Twenty-five Y-TZP slabs from each brand (Lava, 3M and Bruxzir, Glidewell Laboratories) with different surface conditions (Control polished - CPZ; Polished/ground - GRZ; Polished/ground/repolished - RPZ; Glazed - GZ; Porcelain-veneered - PVZ; n=5) were abraded (500,000 cycles, 80 N) against artificial enamel (6 mm diameter steatite). Y-TZP roughness (in ${\mu}m$) before and after chewing simulation (CS) and antagonist steatite volume loss (in $mm^3$) were evaluated using a contact surface profilometer. Y-TZP roughness was analyzed by three-way analysis of variance (ANOVA) and steatite wear by two-way ANOVA and Tukey Honest Difference (HSD) (P=.05). RESULTS. There was no effect of Y-TZP brand on surface roughness (P=.216) and steatite loss (P=.064). A significant interaction effect (P<.001) between surface condition and CS on Y-TZP roughness was observed. GZ specimens showed higher roughness after CS (before CS - $3.7{\pm}1.8{\mu}m$; after CS - $13.54{\pm}3.11{\mu}m$), with partial removal of the glaze layer. Indenters abraded against CPZ ($0.09{\pm}0.03mm^3$) were worn more than those abraded against PVZ ($0.02{\pm}0.01mm^3$) and GZ ($0.02{\pm}0.01mm^3$). Higher wear caused by direct abrasion against zirconia was confirmed by SEM. CONCLUSION. Polishing with an intraoral polishing system did not reduce the roughness of zirconia. Wear of the opposing artificial enamel was affected by the material on the surface rather than the finishing technique applied, indicating that polished zirconia is more deleterious to artificial enamel than are glazed and porcelain-veneered restorations.

• 전자공학회논문지 IE
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• v.49 no.2
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• pp.1-8
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• 2012

The effects of the addition of either monoclinic $ZrO_2(pure)$ or tetragonal $ZrO_2$ containing 5.35wt% $Y_2O_3(Y-TZP)$ on the mechanical properties and thermal shock resistance of $Al_2O_3$ ceramics were investigated. The addition of $ZrO_2$(m) and Y-TZP increased sintered density of $Al_2O_3$. The Vickers hardness also increased as the volume fraction of Y-TZP increased going through a maximum at 20wt%. The hardness of the specimens was found to be dependent on the sintered density. The higher volume fraction of either $ZrO_2(m)$ or Y-TZP resulted in the higher fracture toughness of the composite was. This result may be taken as evidence that toughening of $Al_2O_3$ can be achieved by not only the transformation toughening but microcrack toughening of $ZrO_2$. The thermal shock property for $Al_2O_3-ZrO_2$ composites was improved by increasing the volume fraction of monoclinic $ZrO_2(pure)$. The grain size increased as the volume fraction of $ZrO_2$ did.

• The Korean Journal of Ceramics
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• v.5 no.4
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• pp.371-374
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• 1999

Y2O3 and Nb2O5 co-doped tetragonal zirconia polycrystals((Y, Nb)-TZP) containing 10 to 30 vol% $Al_2O_3$ were prepared and hydrothermal stability of the composites was evaluated after aging for 5 h at the temperature range of $150^{\circ}C$ $250^{\circ}C$ under 4 MPa $H_2O$ vapor pressure in an autoclave. The (Y, Nb)-TZP/Al2O3 composites showed excellent phase stability under the hydrothermal conditions, as compared with the 3Y-TZP/$Al_2O_3$ composites, due to the combined effects of the Y-Nb ordering in the $t-ZrO_2$ lattice, the reduction of oxygen vacancy concentration, and the $Al_2O_3$ addition. The strength and fracture toughness of the (Y, Nb)-TZP/$Al_2O_3$ composite, containing 20 vol% of 2.8 $Al_2O_3$ particles, were 700 MPa and 8.1 MP.$am^{1/2}$, respectively.

• Journal of the Korean Ceramic Society
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• v.34 no.6
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• pp.645-651
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• 1997

Tetragonal zirconia polycrystals (TZPs) doped with $Y_{2}O_{3}$ and $Nb_{2}O_{5}$ were prepared by the conventional sintering to enhance fracture toughness and phase stability of TZPs without controlling the grain size. TZP composites were obtained by adding the transformable TZP to the non-transformable TZP in wt%. The monolithic tetragonal $ZrO_2$, same as the composite composition containing 15 wt% transformable TZP, sintered at $1550^{\circ}C$ for 10h in air, exhibited the fracture toughness of 9$MPam^{1/2}$ and no low-and high-temperature degradation at temperatures in the range of 220 to $1000^{\circ}C$ for 100h in air. The corresponding single composition was 90.24 mol% $ZrO_2$-5.31 mol% $Y_{2}O_{3}$-4.75 mol% $Nb_{2}O_{5}$. The microstructure observation revealed that the t-$ZrO_2$ grains grew grandually with sintering time and no microcraking and twinning were observed.

• Journal of the Korean Crystal Growth and Crystal Technology
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• v.19 no.6
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• pp.311-317
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• 2009

3Y-TZP block doped with $HfO_2$ and $CeO_2$ for dental ceramic block to the proliferation of CAD/CAM systems was prepared by heating at $800{\sim}1100^{\circ}C$ and then sintering at $1450^{\circ}C$. The influences of heating temperature and addition of $HfO_2$ and $CeO_2$ on the mechanical and chemical properties of 3Y-TZP block were investigated. Using the EDS mapping images, $HfO_2$ and $CeO_2$ was well dispersed in the 3Y-TZP matrix. 3 wt% $HfO_2$ doped block showed the optimum biaxial strength (1 GPa), while 3 wt% $CeO_2$ doped block enhanced the stability of $t-ZrO_2$ under hydrothermal atmosphere.

• The Journal of Advanced Prosthodontics
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• v.6 no.3
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• pp.224-232
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• 2014

PURPOSE. The purpose of the present study was to evaluate the effect of thermocycling and mechanical loading on the biaxial flexural strength and the phase transformation of one Ce-TZP/$Al_2O_3$ and two Y-TZP core materials. MATERIALS AND METHODS. Thirty disc-shaped specimens were obtained from each material. The specimens were randomly divided into three groups (control, thermocycled, and mechanically loaded). Thermocycling was subjected in distilled water for 10000 cycles. Mechanical loading was subjected with 200 N loads at a frequency of 2 Hz for 100000 times. The mean biaxial flexural strength and phase transformation of the specimens were tested. The Weibull modulus, characteristic strength, 10%, 5% and 1% probabilities of failure were calculated using the biaxial flexural strength data. RESULTS. The characteristic strengths of Ce-TZP/$Al_2O_3$ specimens were significantly higher in all groups compared with the other tested materials (P<.001). Statistical results of X-ray diffraction showed that thermocycling and mechanical loading did not affect the monoclinic phase content of the materials. According to Raman spectroscopy results, at the same point and the same material, mechanical loading significantly affected the phase fraction of all materials (P<.05). CONCLUSION. It was concluded that thermocycling and mechanical loading did not show negative effect on the mean biaxial strength of the tested materials.

• Journal of Korea Society of Digital Industry and Information Management
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• v.12 no.3
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• pp.25-31
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• 2016

Mechanical properties of Y2O3-containing tetragonal ZrO2 polycrystals(Y-TZP) were investigated. Several additives were used to modify the hardness and fracture toughness of Y-TZP. The effects of these individual additives were discussed and their interactions were also analysed. Each additive, such as CoO, Fe2O3, MnO2 was found to deteriorate the mechanical properties of Y-TZP when it was used singly. But the fracture toughness of Y-TZP was significantly improved when these additives and Al2O3 were added in combination at a certain ratio. The addition of CoO, Fe2O3 and MnO2 into Y-TZP resulted in the more complex behavior of fracture toughness and hardness. The specimen with 1.5 wt%-Fe2O3, 3.0 wt% -Al2O3 and 1.5 wt%-CoO showed the monoclinic to tetragonal phase ratio of 18% and the highest toughness of $10.8MPa{\cdot}m1/2$ with Vickers hardness of 1201 kgf/mm2. However, the toughness decreased as the ratio increased and macrocracks developed beyond the ratio of 25%. Sample No. 16 is improved high Physical and Mechanical Properties.

• The Journal of Advanced Prosthodontics
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• v.13 no.6
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• pp.385-395
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• 2021

PURPOSE. To characterize the microstructure of three yttria partially stabilized zirconia ceramics and to compare their hardness, indentation fracture resistance (IFR), biaxial flexural strength (BFS), and fatigue flexural strength. MATERIALS AND METHODS. Disc-shaped specimens were obtained from 3Y-TZP (Vita YZ HT), 4Y-PSZ (Vita YZ ST) and 5Y-PSZ (Vita YZ XT), following the ISO 6872/2015 guidelines for BFS testing (final dimensions of 12 mm in diameter, 0.7 and 1.2 ± 0.1 mm in thicknesses). Energy-dispersive X-ray spectroscopy (EDX), X-ray diffraction (XRD) and scanning electron microscopy (SEM) analyses were performed, and mechanical properties were assessed by Vickers hardness, IFR, quasi-static BFS and fatigue tests. RESULTS. All ceramics showed similar chemical compositions, but mainly differed in the amount of yttria, which was higher as the amount of cubic phase in the diffractogram (5Y-PSZ > 4Y-PSZ > 3Y-TZP). The 4Y- and 5Y-PSZ specimens showed surface defects under SEM, while 3Y-TZP exhibited greater grain uniformity on the surface. 5Y-PSZ and 3Y-TZP presented the highest hardness values, while 3Y-TZP was higher than 4Y- and 5Y-PSZ with regard to the IFR. The 5Y-PSZ specimen (0.7 and 1.2 mm) showed the worst mechanical performance (fatigue BFS and cycles until failure), while 3Y-TZP and 4Y-PSZ presented statistically similar values, higher than 5Y-PSZ for both thicknesses (0.7 and 1.2 mm). Moreover, 3Y-TZP showed the highest (1.2 mm group) and the lowest (0.7 mm group) degradation percentage, and 5Y-PSZ had higher strength degradation than 4Y-PSZ group. CONCLUSION. Despite the microstructural differences, 4Y-PSZ and 3Y-TZP had similar fatigue behavior regardless of thickness. 5Y-PSZ had the lowest mechanical performance.

• Journal of the Korean Ceramic Society
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• v.31 no.7
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• pp.703-714
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• 1994

Sintering and microstructure of Ce-TZP/Al2O3 composite with $\alpha$-Al2O3 matrix containing dispersed 5~50 vol% ZrO2 were discussed. Sintered density was increased with elevating forming pressure in range of 6~300 MPa and about >99.2% of theoretical density was obtained at 1$600^{\circ}C$ for 2h in case of 300 MPa of 6~300 MPa uniaxially cold-pressed compacts containing 20 vol% ZrO2. All kinds of different batch composition exhibited nearly the same shrinkage behaviour with end-point shrinkage between 20 and 24%, and had the maximum shrinkage rate (0.41~0.54%/min) around 140$0^{\circ}C$. Grain growth was occurred faster in $\alpha$-Al2O3 than in {{{{ gamma }}-Al2O3 starting matrix during sintering at 1$600^{\circ}C$. Bimodal pore size distribution of interaglomerate pores with size of 0.03~0.2 ${\mu}{\textrm}{m}$ and of interaglomerate pores with size of around 60 ${\mu}{\textrm}{m}$ was obtained in Ce-TZP/$\alpha$-Al2O3 composite sintered at 130$0^{\circ}C$. But unimodal pore size distribution with around 0.1 ${\mu}{\textrm}{m}$ was observed in Ce-TZP/{{{{ gamma }}-Al2O3 composite sintered at the same temperature. Microcracks were occurred due to the tlongrightarrowm transformation of ZrO2 on cooling process.