• Journal of Yeungnam Medical Science
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• v.40 no.2
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• pp.164-171
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• 2023

Background: The study aimed to evaluate the effect of prehydration solution on hearing thresholds after cisplatin chemotherapy. Methods: In this retrospective cohort study, we reviewed the data of patients who underwent ≥3 courses of cisplatin-based chemotherapy for locally advanced head and neck cancers at a tertiary referral center (n=64). The dextrose solution (DW) group (n=26) received 2 L of normal saline and 1 L of 5% dextrose. The Hartmann solution (HS) group (n=38) received 2 L of normal saline and 1 L of HS. Hearing data were measured 1 day before starting the first course of chemotherapy, and again 20 days after the first, second, and third courses of chemotherapy. The severity of hearing loss was evaluated using the Common Terminology Criteria for Adverse Events (CTCAE). Results: Thresholds at all frequencies after chemotherapy were greater in the DW group than in the HS group. The increase in thresholds in 1 to 4 kHz after the third course of chemotherapy was greater in the DW group than in the HS group. CTCAE grades after the second and third courses of chemotherapy were greater in the DW group than in the HS group. Logistic regression showed that the odds ratio for CTCAE grade 3 or 4 after the third course of chemotherapy in the DW group was 4.84 on univariate analysis. Conclusion: Prehydration using a solution with salt was associated with a decrease in change in hearing thresholds after cisplatin chemotherapy in patients with head and neck cancers.

• Journal of the Korean Geotechnical Society
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• v.20 no.7
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• pp.141-158
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• 2004

The dependency of criteria used to terminate compatibility tests on the prehydration and quality of bentonite in geosynthetic clay liners (GCLs) is evaluated based on permeation with chemical solutions containing 5, 10, 20, 50, and 100 mM calcium chloride ($CaCl_2$). The hydraulic conductivity tests are not terminated before chemical equilibrium between the effluent and the influent chemistry has been established, resulting in test durations ranging from < 1 day to > 900 days, with longer test durations associated with lower $CaCl_2$ concentrations. The evaluation includes both physical termination criteria (i.e., volumetric flow ratio and steady hydraulic conductivity based on ASTM D 5084, ${\ge}2$ pore volumes of flow, constant thickness of specimen) and chemical termination criteria requiring equilibrium between influent and effluent chemistry (viz., electrical conductivity, pH, and $Ca^{2+}\;and\;Cl^-$ concentrations). For specimens permeated with 5, 10, and 20 mM $CaCl_2$ solutions, only the criterion based on chemical equilibrium in $Ca^{2+}$ concentration correlates well with equilibrium in hydraulic conductivity, regardless of prehydration or quality of bentonite. However, all of the termination criteria, except for the volumetric flow ratio and 2 pore volumes of flow for the prehydrated specimens, correlate well with equilibrium in hydraulic conductivity regardless of prehydration or quality of bentonite when permeated with 50 and 100 mM $CaCl_2$ solutions. The results illustrate the uniqueness of the termination criterion based on solute concentration equilibrium between the effluent and the influent with respect to both prehydration and quality of bentonite in the GCLs.