• Title/Summary/Keyword: orthopedic effect

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Effect of Metals used in Orthopedic on Magnetic Resonance Imaging II (정형 보철용 금속이 자기공명영상에 미치는 영향 II)

  • Kim, Hyeong-Gyun;Choi, Seong-Dae
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.11 no.5
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    • pp.115-120
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    • 2012
  • Metals used orthopedic in human magnetic resonance imaging scan of the metal to be inserted, The information to users about the image distortion is to propose a basis for judgment. Metals used orthopedic on Stainless, Titanium and Clip using ferromagnetic artifacts and distortion of the image were measured. Using Phantom "Effect of Metals used in Orthopedic on Magnetic Resonance ImagingI" pig in a paper subsequently was carried out using the same bone. Experimental results using a pure Titanium is a relatively high diagnostic value was found that.

Cut-Through versus Cut-Out: No Easy Way to Predict How Single Lag Screw Design Cephalomedullary Nails Used for Intertrochanteric Hip Fractures Will Fail?

  • Garrett W. Esper;Nina D. Fisher;Utkarsh Anil;Abhishek Ganta;Sanjit R. Konda;Kenneth A. Egol
    • Hip & pelvis
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    • v.35 no.3
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    • pp.175-182
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    • 2023
  • Purpose: This study aims to compare patients in whom fixation failure occurred via cut-out (CO) or cut-through (CT) in order to determine patient factors and radiographic parameters that may be predictive of each mechanism. Materials and Methods: This retrospective cohort study includes 18 patients with intertrochanteric (IT) hip fractures (AO/OTA classification 31A1.3) who underwent treatment using a single lag screw design intramedullary nail in whom fixation failure occurred within one year. All patients were reviewed for demographics and radiographic parameters including tip-to-apex distance (TAD), posteromedial calcar continuity, neck-shaft angle, lateral wall thickness, and others. Patients were grouped into cohorts based on the mechanism of failure, either lag screw CO or CT, and a comparison was performed. Results: No differences in demographics, injury details, fracture classifications, or radiographic parameters were observed between CO/CT cohorts. Of note, a similar rate of post-reduction TAD>25 mm (P=0.936) was observed between groups. A higher rate of DEXA (dual energy X-ray absorptiometry) confirmed osteoporosis (25.0% vs. 60.0%) was observed in the CT group, but without significance. Conclusion: The mechanism of CT failure during intramedullary nail fixation of an IT fracture did not show an association with clinical data including patient demographics, reduction accuracy, or radiographic parameters. As reported in previous biomechanical studies, the main predictive factor for patients in whom early failure might occur via the CT effect mechanism may be related to bone quality; however, conduct of larger studies will be required in order to determine whether there is a difference in bone quality.

Neurotropin protects rotator cuff tendon cells from lidocaine-induced cell death

  • Abe, Ryunosuke;Ohzono, Hiroki;Gotoh, Masafumi;Nakamura, Yosuke;Honda, Hirokazu;Nakamura, Hidehiro;Kume, Shinichiro;Okawa, Takahiro;Shiba, Naoto
    • Clinics in Shoulder and Elbow
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    • v.24 no.4
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    • pp.224-230
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    • 2021
  • Background: Local anesthetics often are used in rotator cuff tears as therapeutic tools, although some cases have reported that they have detrimental effects. Neurotropin (NTP) is used widely in Japan as a treatment for various chronic pain conditions and is shown to have protective effects on cartilage and nerve cells. In this study, we investigated the protective effect of NTP against lidocaine-induced cytotoxicity. Methods: Tenocytes from rotator cuff tendons were incubated with lidocaine, NTP, lidocaine with NTP, and a control medium. Cell viability was evaluated using the WST-8 assay. Cell apoptosis was detected via annexin V staining using flow cytometry. The expression of BCL-2 and cytochrome c, which are involved in the intrinsic mitochondrial pathway of apoptosis, was evaluated via Western blotting and immunohistochemical staining. Results: In the cell viability assay, lidocaine decreased cell viability in a dose-dependent manner, and NTP did not affect cell viability. Moreover, NTP significantly inhibited the cytotoxic effect of lidocaine. The flow cytometry analysis showed that lidocaine significantly induced apoptosis in tenocytes, and NTP considerably inhibited this lidocaine-induced apoptosis. Western blotting experiments showed that lidocaine decreased the protein expression of BCL-2, and that NTP conserved the expression of BCL-2, even when used with lidocaine. Immunohistochemical staining for cytochrome c showed that 0.1% lidocaine increased cytochrome c-positive cells, and NTP suppressed lidocaine-induced cytochrome c expression. Conclusions: NTP suppresses lidocaine-induced apoptosis of tenocytes by inhibiting the mitochondrial apoptotic pathway. Intra-articular/bursal injection of NTP with lidocaine could protect tenocytes in rotator cuff tendons against lidocaine-induced apoptosis.

Effect and Tolerability of Nasal Spray of Salmon Calcitonin in the Relief of Pain due to Bone Metastasis (전이성골암에 의한 통증에 대한 Salmon Calcitonin($Miacalcic^{(R)}$) 비강분무의 효능 및 안정성)

  • Lee, Soo-Yong;Jeon, Dae-Geun;Lee, Jong-Seok;Kim, Sug-Jun;Hong, Seok-Il;Choi, Soo-Yong;Jang, Jin-Dae
    • The Journal of the Korean bone and joint tumor society
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    • v.2 no.1
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    • pp.72-77
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    • 1996
  • Metastaic bone tumors are usually accompanied with severe pain. The treatment modalities for this pain are so variable that patients are sometimes afraid of using them. Salmon calcitonin has a function to increase beta-endorphines followed by increasing the blood level of prostaglandin and thromboxan A2, which results in analgesic effect. This drug also has been known to decrease bone resorption. There were a few reports that parenteral use of salmon calcitonin decrease the pain from metastatic bone tumor. We wanted to know the effectiveness and tolerability of nasal spray of salmon calcitonin in relieving bone pain with metastatic tumor. We analyzed the effectiveness in the aspects of pain, sleep, performance status, mobility, supplementary analgesic use. The biologic effect of salmon calcitonin was analysed with CBC, Ca/P, BUN/Cr, uric acid. Simple radiography, alkaline phosphatase, osteocalcin, pyrilink-K were used as parameters for bone change. Eighteen cases of metastatic bone tumors took nasal spray of salmon calcitonin($Miacalcic^{(R)}$, 200IU/day) for 4 weeks, to relieve bone pain. With Wilcoxon Matched-Pairs Signed Ranks Test, we could find pain decreased significantly at 3 week and mobility become improved at 4 week of salmon calcitonin use. Other parameters didn't show any significant changes. We think the analgesic effect is mainly due to effect not on the local bone lesion but on the central nervous system, and that increased dose of salmon calcitonin can induce earlier and stronger analgesic effect.

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Effect of Physical Therapy Intervention on the Constipation Assessment Scale and Weekly Bowel Frequency in Patients with Constipation

  • Koo, Ja Pung;Kim, Hyeon Ae;Kim, Hong Rae
    • Journal of International Academy of Physical Therapy Research
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    • v.7 no.2
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    • pp.1011-1017
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    • 2016
  • The purpose of our study was to determine the effect of Maitland orthopedic manual therapy, Silver Spike Point, dietary fiber and gymnastic exercise on the improvement of constipation. Forty patients with constipation participated in the study (Maitland Orthopedic Manual Therapy Group(n=10), Silver Spike Point Therapy Group(n=10), Dietary Fiber Group(n=10) and Gymnastics Exercise Group(n=10)). The assessment scale and weekly bowel frequency were measured before and after the experiment. Assessment scale was significantly increased in Silver Spike Point Therapy, Maitland orthopedic therapy, gymnastic exercise compare to dietary fiber. Weekly bowel frequency was significantly increased in gymnastic exercise compared to dietary fiber. The results of this study suggest that Silver Spike Point Therapy, Maitland orthopedic therapy, gymnastic exercise improve the symptom in patients with constipation.

Quercetin induces apoptosis and cell cycle arrest in triple-negative breast cancer cells through modulation of Foxo3a activity

  • Nguyen, Lich Thi;Lee, Yeon-Hee;Sharma, Ashish Ranjan;Park, Jong-Bong;Jagga, Supriya;Sharma, Garima;Lee, Sang-Soo;Nam, Ju-Suk
    • The Korean Journal of Physiology and Pharmacology
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    • v.21 no.2
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    • pp.205-213
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    • 2017
  • Quercetin, a plant-derived flavonoid found in fruits, vegetables and tea, has been known to possess bioactive properties such as anti-oxidant, anti-inflammatory and anti-cancer. In this study, anti-cancer effect of quercetin and its underlying mechanisms in triple-negative breast cancer cells was investigated. MTT assay showed that quercetin reduced breast cancer cell viability in a time and dose dependent manner. For this, quercetin not only increased cell apoptosis but also inhibited cell cycle progression. Moreover, quercetin increased FasL mRNA expression and p51, p21 and GADD45 signaling activities. We also observed that quercetin induced protein level, transcriptional activity and nuclear translocation of Foxo3a. Knockdown of Foxo3a caused significant reduction in the effect of quercetin on cell apoptosis and cell cycle arrest. In addition, treatment of JNK inhibitor (SP 600125) abolished quercetin-stimulated Foxo3a activity, suggesting JNK as a possible upstream signaling in regulation of Foxo3a activity. Knockdown of Foxo3a and inhibition of JNK activity reduced the signaling activities of p53, p21 and GADD45, triggered by quercetin. Taken together, our study suggests that quercetin induces apoptosis and cell cycle arrest via modification of Foxo3a signaling in triple-negative breast cancer cells.

Effect of Metals used in Orthopedic on Magnetic Resonance Imaging III (정형 보철용 금속이 자기공명영상에 미치는 영향 III)

  • Kim, Hyeong-Gyun;Choi, Seong-Dae
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.11 no.6
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    • pp.42-47
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    • 2012
  • Followed by a paper on the Pig and Bone orthopedic prosthetic, this experiment using Phantom and Bone MRI imaging I, II of orthopedic prosthetic metal effect combines magnetic resonance imaging on metal signal-to-noise ratio(Signal to noise : SNR) and CNR(Contrast to noise: CNR), fat signal suppression(Fat-suppression) images was compared. Specimen trees to measure the reliability of the experimental reproducibility tests and statistical analysis using the SPSS statistical package was applied program SPSS(IBM SPSS Statistice 19) by * P = 0.000 < significance level $({\alpha})$ = 0.01 as a significant there was a correlation(** P < 0.01). SNR and CNR results did not directly proportional to the Titanium, Stainless, Clip CNR and fat signal suppression of the order of images of blood specimens was found to be close to the image. The impact of orthopedic prosthetic metals on magnetic resonance imaging in the diagnostic value of Titanium is relatively high and are meant more.