• Title/Summary/Keyword: Treatment failures

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Nephroprotective Effects of Taeksa-san Aqueous Extracts on Cisplatin-induced Rat Acute Renal Failure (택사산(澤瀉散) 추출물(抽出物)이 Cisplatin으로 유발(誘發)된 흰쥐의 급성신부전(急性腎不全)에 미치는 영향(影響))

  • Yu, Dong-Jo;Yoon, Kyeong-Min;Jang, Su-Yeong;Lee, Yeon-Keong;Kang, Seok-Bong
    • The Journal of Internal Korean Medicine
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    • v.30 no.4
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    • pp.832-844
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    • 2009
  • Objectives : This study was to observe the nephroprotective effects of the traditional prescription, Taeksa-san(TSS). TSS has generally been used for treating various renal diseases, including renal failure. Methods : Three different dosages of TSS extract were orally administered once a day for 28 days, At the 23rd day after TSS extract treatment, cisplatin was also treated. Then, 5 days after cisplatin treatment, all the rats (6 groups of 8 rats each) were sacrificed. Changes in the body weight, kidney weight, serum BUN and creatinine levels were observed with changes on the kidney MDA and GSH contents. The results were compared with captopril 100mg/kg, of which the effects on cisplatin-induced acute renal failures are already confirmed. Results : Dramatic decrease of body weight, increase of kidney weight, increase of serum BUN and creatinine levels were detected in the cisplatin control as compared with the intact control. In addition, marked increase of kidney MDA contents and decrease of kidney GSH contents were also detected in the cisplatin control as compared with the intact control. This means that cisplatin-induced ARF is induced by oxidative stress and related lipid peroxidation in the present study. However, these ARFs and inhibition of antioxidant effects induced by cisplatin were dose-dependently reduced by treatment with all three different dosages of TSS extracts. Conclusion : This study suggests that TSS extracts show favorable effects on cisplatin-induced rat ARF.

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Nephroprotective Effects of Manjeonmoktong-san on Cisplatin-induced Rat Acute Renal Failure (만전목통산(萬全木通散)이 Cisplatin으로 유발(誘發)된 흰쥐의 급성신부전(急性腎不全)에 미치는 영향(影響))

  • Kim, Do-Nyeon;Yoon, Gyeong-Min;Shin, Hyeon-Chul;Kang, Seok-Bong
    • The Journal of Internal Korean Medicine
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    • v.31 no.3
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    • pp.620-630
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    • 2010
  • Purpose : The object of this study was to observe the nephroprotective effects of Manjeonmoktong-san(MJMTS), which has traditionally been used as Korean medicine for treating various renal diseases, on cisplatin-induced rat acute renal failure. Methods : At first, three different dosages of MJMTS extract were orally administered once a day for 28 days. On the 23rd day after MJMTS extract treatment, cisplatin was treated. Then, 5 days after cisplatin treatment, all the rats (6 groups of 8 rats each) were checked in the present study. The changes to the body weight, kidney weight, serum BUN and creatinine levels were observed with changes on the kidney MDA and GSH contents. The results were compared with captopril 100mg/kg in which the effects on cisplatin-induced acute renal failures were already confirmed. Results : It showed dramatical decrease on the body weight, increase of serum BUN and creatinine levels were detected in cisplatin control as compared with intact control. In addition marked increase of kidney MDA contests and decrease of kidney GSH contents were also detected in cisplatin control as compared with intact control. it means that cisplatin induced ARF are induced by oxiidative stress and related lipid peroxidation in the present study. However, these ARFs and inhibition of antioxidant effects induced by cisplatin were dose-dependently reduced by treatment of all three different dosages of MJMTS extracts. Conclusion : This study suggests that MJMTS extracts have favorable effects on the cisplatin-induced rat ARF.

The effect of repeated surface treatment of zirconia on its bond strength to resin cement

  • Maciel, Lucas Campagnaro;Amaral, Marina;Queiroz, Daher Antonio;Baroudi, Kusai;Silva-Concilio, Lais Regiane
    • The Journal of Advanced Prosthodontics
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    • v.12 no.5
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    • pp.291-298
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    • 2020
  • PURPOSE. The aim of this study is to evaluate the influence of repeated surface treatments on wettability and surface roughness for zirconia surface and bond strength of zirconia-based ceramics to resin cement. MATERIALS AND METHODS. Seventy blocks (10 × 10 × 3 mm) of zirconia-based ceramics were fabricated and divided into two groups according to the surface treatments: (A) 110 ㎛ Al2O3 airborne-particle abrasion and (R) 110 ㎛ silica modified Al2O3 airborne-particle abrasion. At stage 2, each group was subdivided into 5 groups according to the surface retreatments: (a) 110 ㎛ Al2O3 airborne-particle abrasion, (r) 110 ㎛ silica modified Al2O3 airborne-particle abrasion, (D) diamond bur, (Da) diamond bur + 110 ㎛ Al2O3 airborne-particle abrasion, and (Dr) diamond bur + 110 ㎛ silica modified Al2O3 airborne-particle abrasion. Cylinders of self-adhesive resin cement were cemented onto each treated ceramic surface and subjected to micro-shear bond strength test. Additional specimens were prepared for roughness and wettability analyses. The data were subjected to t-test and One-way ANOVA followed by Tukey's post hoc test (α=.05). RESULTS. At stage 1, group R presented higher bond strength values than group A (P=.000). There was a statistically significant increase of bond strength at stage 2 for group A (P=.003). The diamond bur influenced the surface roughness, increasing the values (P=.023). Group R provided better wettability. Regardless of the applied surface treatment, most of failures were adhesive. CONCLUSION. The combination of application and reapplication of Rocatec Plus showed the best results of bond strength. Surface retreatment and recementation might be an indicated clinical strategy.

Radiation Therapy in The Treatment of $T_1$ Glottic Cancer (병기 $T_1$ 성대종양 환자의 방사선치료성적에 관한 고찰)

  • Lee Y.G.;Loh J.K.;Lee C.G.;Lee J.Y.;Kim G.E.;Suh C.O.;Houng W.P.
    • Korean Journal of Head & Neck Oncology
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    • v.4 no.1
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    • pp.29-34
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    • 1988
  • Radiation therapy is generally considered to be the treatment of choice in $T_1$ glottic cancer, maninly because of preservation of voice function and its local control rate is comparable to that of surgery. Failures from radiation therapy can be ultimately salvaged by surgery. A retrospective analysis of the treatment of 25 patients with $T_1$ glottic cancer seen at the Yonsei Cancer Center from 1980 to 1984 is presented. Radiation dose to the target volume varied from 6400 to 7000 cGy in 6-7 weeks. The local control rate is 84%. Four patients had primary failure and three of these patients had salvage surgery. Of the 3 patients who had salvage surgery, 2 were cured and aonther one was died with progression of the disease. 5-year acturial and disease free survival rate are 91.1%,78.0% respectively.

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A CLINICAL AND RADIOGRAPHIC STUDY OF THE CONSERVATIVE TREATMENT OF THE NECROTIC AND INFECTED PRIMARY MOLARS (괴사유치(壞死乳齒)의 보존적 처치에 관한 연구)

  • Hur, No-Jeong;Yang, Joung-Kang
    • Journal of the korean academy of Pediatric Dentistry
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    • v.2 no.1
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    • pp.67-75
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    • 1975
  • The conserative treatment of the necrotic and infected primary molars is often necessary in order to avoid extractions which may lead to inability to masticate or loss of space and subsequent problems concerning the development of the occlusion in the permanent dentition. The purpose of this study was to evaluate the clinical significance of the conservative treatment of the infected primary molars with necrotic pulps employing the formocresol pulpotomy technique same as in vital teeth and surgical intervention in the cases with a parulis, fistula or cellulitis. The materials consisted of 25 primary molars of 9 boys and 4 girls ranging in age from 4 to 7 years. This study included clinical and radiographic observation at 3-month intervals postoperatively. The following results were obtained. 1. Clinically, 20 cases of 25 were successful, exhibiting no clinical problems such as fistula, mobility, toothache and tenderness to percussion, etc. 5 cases were regarded as failures. 2. Radiographiclly, 14 cases revealed normal features, in 6 cases slight rarefaction was observed in the periapical and interradicular region, and marked periapical and interradicular rarefaction was observed in 5 cases. 3. Marked bony deposition was observed in the periapical and interradicular regions in all the remainder except for 5 failurese. 4. Pathologic root resorption was observed in 2 cases. 5. No alveolodental ankylosis was observed. 6. Regeneration of the dental sac of the permanent tooth was observed in 1 case of 2 cases which had revealed loss of the dental sac.

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SCANNING ELECTRON MICROSCOPIC STUDY OF IMPLANT SURFACE AFTER Er,Cr:YSGG LASER IRRADIATION (Er,Cr:YSGG 레이저를 조사한 임플란트 표면의 주사전자현미경적 연구)

  • Jo, Pil-Kwy;Min, Seung-Ki;Kwon, Kyung-Hwan;Kim, Young-Jo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.5
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    • pp.454-469
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    • 2006
  • Today, there is considerable evidence to support a cause-effect relationship between microbial colonization and the pathogenesis of implant failures. The presence of bacteria on implant surfaces may result in an inflammation of the peri-implant mucosa, and, if left untreated, it may lead to a progressive destruction of alveolar bone supporting the implant, which has been named as peri-impantitis. Several maintenance regimens and treatment strategies for failing implants have been suggested. Recently, in addition to these conventional tools, the use of different laser systems has also been proposed for treatment of peri-implant infections. As lasers can perform excellent tissue ablation with high bactericidal and detoxification effects, they are expected to be one of the most promising new technical modalities for treatment of failing implants. It is introduced that Er,Cr:YSGG laser, operating at 2780nm, ablates tissue by a hydrokinetic process that prevents temperature rise. We studied the change of the titanium implant surface under scanning electron microscopy after using Er,Cr:YSGG laser at various energies, irradiation time. In this study, Er,Cr:YSGG laser irradiation of implant fixture showed different effects according to implant surface. Er,Cr:YSGG laser in TPS surface with RBM not alter the implant surface under power setting of 4 Watt(W) and irradiation time of 30sec. But in TPS surface with $Ca_3P$ coating alter above power setting of 2W and irradiation time of 10sec. TPS surface with RBM showed microfracture in 4W, 30sec and TPS surface with $Ca_3P$ coating showed destruction of fine crystalline structure, melting in excess of 2W, 10sec. We concluded that proper power setting, air, water of each implant surface must be investigated and implant surface must be irradiated under the damaged extent.

Design and Implementation of A Medical Image Guided System for Vertebroplasty (척추성형술을 위한 의료 영상 시스템의 설계 및 개발)

  • Tack, Gye-Rae;Lee, Sang-Bum;Lee, Sung-Jae
    • The KIPS Transactions:PartB
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    • v.10B no.5
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    • pp.503-508
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    • 2003
  • Since surgical treatment of the spine should overcome neurological compromises, the operative procedures need to be carefully planned and carried out with high degree of precision. Percutaneous vertebroplasty is a surgical procedure that was introduced for the treatment of compression fracture of the vertebrae. This procedure includes puncturing vertebrae and filling with polymethylmethacrylate (PMMA). Recent studies have shown that the procedure could provide structural reinforcement for the osteoporotic vertebrae while being minimally invasive and safe with immediate relief of pain. However, failures of treatment due to excessive PMMA volume injection have been reported as one of complications in vertebroplasty. It is believed that the control of PMMA volume is one of the most critical factors that can reduce the incidence of complications. Therefore, clinical success of vertebroplasty can be dependent on the volume of PMMA injection for a given patient. In this study, the optimal volume of PMMA injection for vertebroplasty was predicted based on the image analysis of a given patient.

Therapeutic Analysis of Squamous Cell Carcinoma of the Oral Tongue (구강설 편평상피암의 치료성적)

  • 최은창;이정준;김광문;홍원표
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.94-94
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    • 1993
  • Squamous cell carcinoma of the oral tongue was reviewed retrospectively for the evaluation of clinical features and for the comparison between treatment modalities. Medical records of 112 patients who underwent treatment between 1916 and 1989 at Yonsei University Severance Hospital were reviewed.22 eases were excluded from this study due to incomplete treatment. Minimum follow up period was 36 months and median follow up was 41 months(range 1 to 135 months). The most common site of the tumor was lateral border of the tongue. 45.6% of the patients showed nodal metastasis. The 5-year survival rate of the patients with stage I, II was 78.8%, and those with III, IV was 20.7%. Over all 5-year survival rate was 58.5% . Survival rate of the patients treated with radiation was 19.7% in contrast to 55.7%, 66.2% in surgery plus radiation and surgery alone. The most common sites of failures were the primary site. Reducing the rate of local recurrence and more radical therapy is desired to improve the survival of this cancer.

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Effects of endodontic tri-antibiotic paste on bond strengths of dentin adhesives to coronal dentin

  • Mirzakoucheki, Parvin;Walter, Ricardo;Khalighinejad, Navid;Jahromi, Maryam Zare;Mirsattari, Sanaz;Akbarzadeh, Navid
    • Restorative Dentistry and Endodontics
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    • v.40 no.2
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    • pp.136-142
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    • 2015
  • Objectives: The aim of this study was to evaluate the effects of tri-antibiotic paste (TAP) on microtensile bond strengths (MTBS) of dental adhesives to dentin. Materials and Methods: Sixty extracted molars had their occlusal surfaces flattened to expose dentin. They were divided into two groups, i.e., control group with no dentin treatment and experimental group with dentin treatment with TAP. After 10 days, specimens were bonded using self-etch (Filtek P90 adhesive) or etch-and-rinse (Adper Single Bond Plus) adhesives and restored with composite resin. Teeth were sectioned into beams, and the specimens were subjected to MTBS test. Data were analyzed using two-way ANOVA and post hoc Tukey tests. Results: There was a statistically significant interaction between dentin treatment and adhesive on MTBS to coronal dentin (p = 0.003). Despite a trend towards worse MTBS being noticed in the experimental groups, TAP application showed no significant effect on MTBS (p = 0.064). Conclusions: The etch-and-rinse adhesive Adper Single Bond Plus presented higher mean bond strengths than the self-etch adhesive Filtek P90, irrespective of the group. The superior bond performance for Adper Single Bond when compared to Filtek P90 adhesive was confirmed by a fewer number of adhesive failures. The influence of TAP in bond strength is insignificant.

Surface erosion of MICP-treated sands: Erosion function apparatus tests and CFD-DEM bonding model

  • Soo-Min Ham;Min-Kyung Jeon;Tae-Hyuk Kwon
    • Geomechanics and Engineering
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    • v.33 no.2
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    • pp.133-140
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    • 2023
  • Soil erosion can cause scouring and failures of underwater structures, therefore, various soil improvement techniques are used to increase the soil erosion resistance. The microbially induced calcium carbonate precipitation (MICP) method is proposed to increase the erosion resistance, however, there are only limited experimental and numerical studies on the use of MICP treatment for improvement of surface erosion resistance. Therefore, this study investigates the improvement in surface erosion resistance of sands by MICP through laboratory experiments and numerical modeling. The surface erosion behaviors of coarse sands with various calcium carbonate contents were first investigated via the erosion function apparatus (EFA). The test results showed that MICP treatment increased the overall erosion resistance, and the contribution of the precipitated calcium carbonate to the erosion resistance and critical shear stress was quantified in relation to the calcium carbonate contents. Further, these surface erosion processes occurring in the EFA test were simulated through the coupled computational fluid dynamics (CFD) and discrete element method (DEM) with the cohesion bonding model to reflect the mineral precipitation effect. The simulation results were compared with the experimental results, and the developed CFD-DEM model with the cohesion bonding model well predicted the critical shear stress of MICP-treated sand. This work demonstrates that the MICP treatment is effective in improving soil erosion resistance, and the coupled CFD-DEM with a bonding model is a useful and promising tool to analyze the soil erosion behavior for MICP-treated sand at a particle scale.