• Title/Summary/Keyword: ASTRA

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Efficacy and Safety of Long-Term Administration of Esomeprazole in Japanese Pediatric Patients Aged 1-14 Years with Chronic Gastric Acid-Related Disease

  • Masaaki Mori;Yoshiko Nakayama;Shigeo Nishimata;Tadafumi Yokoyama;Ryo Matsuoka;Reiko Hatori;Masaki Shimizu;Katsuhiro Arai;Yuri Etani;Tsuyoshi Sogo;Tomoko Ishizu;Masahiro Nii;Ryosuke Nakashima;Toshiaki Shimizu
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.27 no.5
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    • pp.274-285
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    • 2024
  • Purpose: To evaluate prolonged esomeprazole use in Japanese pediatric patients for reflux esophagitis (RE) maintenance therapy and prevention of gastric (GU) and/or duodenal ulcers (DU) while using non-steroidal anti-inflammatory drugs (NSAIDs) or low-dose aspirin (LDA). Methods: This multicenter, open-label, parallel-group, phase III study (NCT03553563) included patients who were administered esomeprazole according to body weight (10 mg/day [Groups 1 and 3] and up to 20 mg/day [Groups 2 and 4] for patients weighing 10-20 kg and ≥20 kg, respectively). Efficacy outcomes for Groups 1 and 2 (maintenance therapy for healed RE) and Groups 3 and 4 (prevention of long-term NSAID/LDA use-associated GU/DU) were the presence/absence of RE relapse and GU/DU recurrence, respectively. Results: Esomeprazole as maintenance therapy was associated with a low RE recurrence rate, independent of body weight or dosage. Recurrence rates of RE were 0.0% and 5.3% for Groups 1 and 2, respectively. In patients previously diagnosed with GU and/or DU due to long-term NSAID/LDA use, the recurrence rates of GU/DU during weeks 0-32 were 11.1% and 0.0% in Groups 3 and 4, respectively. Conclusion: Long-term use of 10- or 20-mg, once-daily esomeprazole demonstrated a favorable benefit-risk balance in preventing RE and suppressing recurrence of GU and/or DU secondary to NSAID or LDA therapy in Japanese pediatric patients. No new safety concerns were identified. Esomeprazole may be a viable option for managing RE and preventing GU and DU in Japanese pediatric patients.

A study on the compatibility of implant drivers (임플란트 드라이버의 호환성에 대한 연구)

  • Kim, Min-Soo;Lee, Jong-Hyuk
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.1
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    • pp.34-41
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    • 2014
  • Purpose: In this study, the diameter of each implant driver was measured and compared to find out the compatibility of implant drivers. Materials and methods: Drivers from 12 implant systems being used in Dankook University Dental Hospital were included in this study. The shapes of the implant drivers were segregated, and the effective length and the diameter of upper, middle, lower part of driver tips were measured (n=10). The measured data were mathematically analyzed for its compatibility. Results: A driver with the smallest diameter (1.17 mm) had the highest compatibility at the upper part of driver tip. This driver could be used for a bigger driver up to 1.35 mm in diameter. There were several driver groups which had the same diameter so as to be interchangeable each other. In the middle part, the smallest diameter measured was 1.2 mm and this was able to replace a driver up to 1.40 mm diameter. Since the diameter generally became thicker from upper part (the tip of driver) to the lower part (the shank of driver), some drivers with bigger diameter at the upper part so which was failed to show any compatibility became compatible with a driver which had smaller diameter at the upper part but wider in the middle part. The compatibility of torx shape drivers were affected by the inner diameter of the drivers not only by the outer diameter. Furthermore, the inner diameter of torx drivers decided the compatibility between torx and hex drivers. Conclusion: From the study it was found that compatibility in drivers existed among certain implant systems and to check its compatibility the diameter at a certain effective length should be measured. However, there has been not enough studies about long-term use of compatible drivers, so effects of using compatible drivers on drivers and implants are unknown. Therefore, usage in inevitable cases only is recommended and further study is needed.

Statistical approach to a SHM benchmark problem

  • Casciati, Sara
    • Smart Structures and Systems
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    • v.6 no.1
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    • pp.17-27
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    • 2010
  • The approach to damage detection and localization adopted in this paper is based on a statistical comparison of models built from the response time histories collected at different stages during the structure lifetime. Some of these time histories are known to have been recorded when the structural system was undamaged. The consistency of the models associated to two different stages, both undamaged, is first recognized. By contrast, the method detects the discrepancies between the models from measurements collected for a damaged situation and for the undamaged reference situation. The damage detection and localization is pursued by a comparison of the SSE (sum of the squared errors) histograms. The validity of the proposed approach is tested by applying it to the analytical benchmark problem developed by the ASCE Task Group on Structural Health Monitoring (SHM). In the paper, the results of the benchmark studies are presented and the performance of the method is discussed.

Experimental studies on the fatigue life of shape memory alloy bars

  • Casciati, Sara;Marzi, Alessandro
    • Smart Structures and Systems
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    • v.6 no.1
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    • pp.73-85
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    • 2010
  • The potential offered by the thermo-mechanical properties of shape memory alloys (SMA) in structural engineering applications has been the topic of many research studies during the last two decades. The main issues concern the long-term predictability of the material behaviour and the fatigue lifetime of the macro structural elements (as different from the one of wire segments). The laboratory tests reported in this paper are carried out on bar specimens and they were planned in order to pursue two objectives. First, the creep phenomenon is investigated for two different alloys, a classical Ni-Ti alloy and a Cu-based alloy. The attention is then focused on the Cu-based alloy only and its fatigue characteristics at given temperatures are investigated. Stress and thermal cycles are alternated to detect any path dependency.

Experimental and numerical studies toward the implementation of shape memory alloy ties in masonry structures

  • Casciati, Sara;Hamdaoui, Karim
    • Smart Structures and Systems
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    • v.4 no.2
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    • pp.153-169
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    • 2008
  • The use of pre-tensioned shape memory alloy (SMA) wires to retrofit historic masonry structures is investigated. A small wall, serving as a prototype masonry specimen, is constructed to undergo a series of shaking-table tests. It is first studied in its original state, and its dynamic characteristics (in terms of modal frequencies) are extracted from the recorded signals. The results are then compared with those obtained when an increasing number of couples of pre-stressed SMA wires are introduced in the specimen to link the bricks together. A three-dimensional finite element model of the specimen is developed and calibrated according to the modal parameters identified from each experimental test (with and without SMA wires). The calibration process is conducted by enhancing the masonry mechanical behaviour. The results and the effectiveness of the approach are presented.

Guillain-Barré Syndrome-like Neurological Symptoms after COVID-19 Vaccination Treated with Traditional Korean Medicine: A Case Report

  • Hyeon-muk Oh;Chang-gue Son
    • The Journal of Internal Korean Medicine
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    • v.43 no.6
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    • pp.1255-1263
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    • 2022
  • Objective: To report a clinical case of Guillain-Barré syndrome-like neurological symptoms, including limb weakness, phantosmia, and nausea/vomiting after COVID-19 vaccination (AstraZeneca) that was improved by traditional Korean medicine (TKM) treatment. Methods: A 73-year-old male complained of extreme limb weakness, severe phantosmia, and nausea/vomiting after COVID-19 vaccination. No abnormalities had appeared in various radiological and laboratory tests, but the symptoms had continued to worsen for three months before visiting our clinic. Results: The patient was diagnosed with neurological complications suspicious of Guillain-Barré syndrome after COVID-19 vaccination. The patient was treated with acupuncture, moxibustion, herbal drugs (Banhabakchulchunma-tang), and nasal inhalation therapy with Aquilariae Lignum. Three weeks after Korean medicine treatment, his neurological symptoms had improved. Nausea/vomiting and phantosmia continued to show improvement, and muscle strength was gradually recovered in both lower limbs. Conclusion: Traditional Korean medicine could be a choice for the treatment of neurological complications after COVID-19 vaccination.

Effects of grooved abutment on stability of implant abutment screw (Grooved abutment가 임플란트 지대주 연결나사의 안정성에 미치는 영향)

  • Sim, Il-Gwang;Yang, Seung-Won;Shim, June-Sung;Kim, Jee-Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.387-392
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    • 2016
  • Purpose: The aim of this study was to investigate the effects of grooved abutments on abutment screw loosening. Materials and methods: This study was conducted to evaluate the abutment screw loosening after 6 months for 50 patients (51 implants) treated at the department of Prosthodontics in Yonsei University Dental Hospital from March, 2015 to July, 2015. A control group with non-grooved abutment consists of 30 implants, and an experimental group with grooved abutment consists of 21 implants. Astra, Straumann, Implantium, Osstem system were used in the study. The abutments with loose screws cases after a period of 6 months has been investigated, with two kinds of measurements: 1) measuring the additional rotational angle on abutment during placement with the same force, 2) measuring the PTV on bucco-cervical area of implant crown. All data collected has been analyzed by normality test followed by Mann-Whitney test using SPSS program. Results: No complications were reported after 6 months for the 51 implants. Abutment screw loose and crown fracture have not been seen in the study groups. The data collected from the two measurements showed no significant differences between the two groups with P-value 0.576 (average= control group: $7.35^{\circ}$, experimental group: $4.75^{\circ}$) for the additional rotational angle measurement and with P-value 0.767 for PTV. Conclusion: There are no significant differences between the grooved and non-grooved abutment in screw stability. However, further studies with long-term followups and larger group of patients is needed in order to investigate the effects of grooved abutment on screw stability.

Finite Element Stress Analysis of Implant Prosthesis According to Friction Fit or Slip Fit of Internal Connection System between Implant and Abutment (임플랜트와 지대주 간 내측연결 시스템에서 Friction Fit와 Slip Fit에 따른 유한요소 응력분석)

  • Jang, Doo-Ik;Jeong, Seung-Mi;Chung, Chae-Heon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.21 no.2
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    • pp.113-132
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    • 2005
  • The purpose of this study was to assess the stress-induced pattern at the supporting bone, the implant fixture, the abutment and the abutment screw according to a friction-fit joint (Astra; Model 1) or slip- fit joint (Frialit-2; Model 2) in the internal connection system under vertical and inclined loading using finite element analysis. In conclusion, in the internal connection system of the implant and the abutment connection methods, the stress-induced pattern at the supporting bone, the implant fixture, the abutment and the abutment screw according to the abutment connection form had difference among them, and the stress distribution pattern usually had a widely distributed tendency along the inner surface of the implant fixture contacting the abutment post. The magnitude of the stress distributed in the supporting bone, the implant fixture, the abutment and the abutment screw was higher in the friction-fit joint than in the slip-fit joint. But it is considered that the further study is necessary about how this difference in the magnitude of the stress have an effect on the practical clinic.

Finite Element Stress Analysis in Supporting Bone according to Crest Module Shape of Fixture in Internal Connection System (내측연결 시스템에서 임플란트 고정체의 경부 형태에 따른 지지골에서의 유한요소 응력분석)

  • Park, Young-Nam;Kim, Hee-Jung;Oh, Sang-Ho;Chung, Chae-Heon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.1
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    • pp.55-74
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    • 2006
  • The external contour of an implant can have significant effects on the load transfer characteristics and may result in different bone failure rates for different implant system. The purpose of this study was to investigate the effects of crest module shape and occlusal load direction on bone failure modes of five commercially available dental implant systems. Five different implant systems with internal connection; ITI (Model 1), Astra (Model 2), Bicon (Model 3), Friadent (Model 4), and Paragon (Model 5), comparable in size, but different in thread profile and cest module shapes, were compared using the finite element method. Conclusively, in the internal connection system of the implant-abutment connection methods, the stress-induced pattern at the supporting bone according to the abutment connection form had differenence among them, and implants with narrowing crestal module cross-sections at the top of the cortical bone created more favorable load transfer characteristics in this region. But it is considered that the future study is necessary about how this difference in the magnitude of the stress have an effect on the practical clinic.

First records of nine free-living heterotrophic flagellates from South Korea

  • Lee, Won Je
    • Journal of Species Research
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    • v.9 no.4
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    • pp.448-454
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    • 2020
  • Nine free-living heterotrophic flagellates were cultured from marine intertidal sediments and freshwater sediments from Korea. These species are described with uninterpreted records based on light microscopy of living cells and reported taxonomically for the first time from Korea. Diagnostics of these species are as follows; Notosolenus hemicircularis: 9-11.8 ㎛ long with flagellar reservoir, ventrally flattened and dorsally convex with hyaline semicircular collar around short anterior neck, and 8 ridges on cell surface. Thecamonas tranhens: 4.5-7.1 ㎛ long, plastic with proboscis comprising an anterior flagellum surrounded by membranous sleeve. Bodomorpha minima: 4.5-7.0 ㎛ long, rigid with small rostrum in anterior end and active anterior flagellum. Cercomonas hiberna: 5.6-10.9 ㎛ long, very plastic with pseudopodia, cytoplasmic strand and 1 or 2 contractile vacuoles. Cercomonas pellucida: 7.5-13 ㎛ long, plastic with pseudopodia, cytoplasmic strand and single contractile vacuole. With nucleus closely connected to basal bodies. Eocercomonas echina: 4.7-6.5 ㎛ long, plastic with pseudopodia, cytoplasmic strand and 1 or 2 contractile vacuoles. Paracercomonas astra: 5.7-7.3 ㎛ long, moderately metabolic with pseudopodia, cytoplasmic strand and 1 or 2 contractile vacuoles. Paracercomonas minima: 5-9 ㎛ long, metabolic with pseudopodia, cytoplasmic strand and single contractile vacuole. Paracercomonas producta: 6.1-9.9 ㎛ long, very metabolic with pseudopodia, long cytoplasmic strand and single contractile vacuole.