• Title/Summary/Keyword: treatment failure

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Cr-Mo鋼 熔接熱影響部의 破壞靭性과 熔接入熱量에 관한 硏究 II

  • 임재규;정세희
    • Journal of Welding and Joining
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    • v.5 no.2
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    • pp.9-16
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    • 1987
  • Post weld heat treatment (PWHT) is carried out to increase the fracture toughness in heat affected zone(HAZ) and remove the residual stress. There occur some problems such as toughness decreement and stress relief cracking(SRC) in the coarse grained HAZ subjected to the effect of tempering treatment. Especially, embitterment of structure directly relates to the mode of fracture and is appeared as the difference of fracture surface, that is, grain boundary failure. Therefore, in this paper, PWHT was carried out under the stress of 0, 10, 20 and $30kg/cm^2$ to simulate residual stress in HAZ welded by heat input of 10, 30 and 40KJ/cm. Applied stress in weld HAZ during PWHT assisted precipitin of over saturated alloying element in the structure, and grain boundary failure according to welding heat input didn't almost appear at the heat input of 10 KJ/cm, but it appeared from being the applied stress of $30kg/cm^2$ at $30KJ/cm and 20kg/mm^2$ at 40KJ/cm.

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Application of torsemide to two dogs with congestive heart failure

  • Park, Hyung-Jin;Lee, Dong-Hyun;Kim, Jae-Hun;Seo, Kyoung-Won;Song, Kun-Ho
    • Korean Journal of Veterinary Research
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    • v.54 no.2
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    • pp.123-126
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    • 2014
  • An 11-year-old castrated male Maltese weighing 3.6 kg and a 12-year-old intact female Shih-tzu weighing 6.5 kg were admitted to the Veterinary Medical Teaching Hospital of Chungnam National University with decompensatory congestive heart failure. Diuretic resistance was suspected due to long term diuretic therapy with furosemide. However, the patients improved after the furosemide treatment was changed to torsemide, demonstrating the benefits of application of torsemide to treat diuretic resistance caused by long term use of furosemide. These findings suggest that torsemide should be applied for treatment of diuretic resistance caused by long term use of furosemide.

Recent Advances of Osseointegrated Implants Removal (골유착된 임프란트 제거의 최신지견)

  • Kim, Nam Yoon
    • The Journal of the Korean dental association
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    • v.54 no.4
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    • pp.258-273
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    • 2016
  • In spite of appropriate treatment of peri-implantitis, the peri-implant bone loss was keep going, the clinician should remove the osseointegrated implant. the conventional methods are like a extraction of natural teeth, and use of trephine drills. In these days, many exclusive instruments are invented by implant companies. these instruments can make easy, least invasive, less traumatic removal of osseointegrated implants. In generally peri-implant bone loss progress steadily less sign and symptoms that the patient do not want to remove their implants. However, the failure of dental implant is big burden to clinicians and also patients. In the dental implant treatment, there is no 'failure' but only is 'replacement' or 'change'.

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Traumatic Tricuspid Regurgitation Cause by Chordal Rupture: A Case Report (건삭 파열에 의한 외상성 삼천판 역류: 증례보고)

  • Keum, Min Ae;No, Hyo Keun;Sun, Byung Joo;Hong, Suk-Kyung
    • Journal of Trauma and Injury
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    • v.28 no.2
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    • pp.67-70
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    • 2015
  • Traumatic tricuspid regurgitation is a rare complication of blunt chest trauma caused by chordal rupture, anterior papillary muscle rupture and anterior leaflet tear. Since clinical symptoms are vague, early diagnosis is difficult and some patient exhibit symptoms of right heart failure. Right heart failure has been the traditional indication for surgical treatment, such as tricuspid valve replacement. Recently, early detection using transthoracic echocardiography and surgical treatment, like valve repair, prior to overt right heart failure have been shown to better prognosis. We report a case of traumatic tricuspid regurgitation with chordal rupture in patient due to traffic accident.

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Home mechanical ventilation in children with chronic respiratory failure: a narrative review

  • Soyoung Kwak
    • Journal of Yeungnam Medical Science
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    • v.40 no.2
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    • pp.123-135
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    • 2023
  • Advances in perinatal and pediatric intensive care and recent advances in mechanical ventilation during the last two decades have resulted in an exponential increase in the number of children undergoing home mechanical ventilation (HMV) treatment. Although its efficacy in chronic respiratory failure is well established, HMV in children is more complex than that in adults, and there are more considerations. This review outlines clinical considerations for HMV in children. The goal of HMV in children is not only to correct alveolar hypoventilation but also to maximize development as much as possible. The modes of ventilation and ventilator settings, including ventilation masks, tubing, circuits, humidification, and ventilator parameters, should be tailored to the patient's individual characteristics. To ensure effective HMV, education for the parent and caregiver is important. HMV continues to change the scope of treatment for chronic respiratory failure in children in that it decreases respiratory morbidity and prolongs life spans. Further studies on this topic with larger scale and systemic approach are required to ensure the better outcomes in this population.

Effects of colored zirconia surface treatment on the bond strength of veneering ceramics

  • Kim, SA-Hak;Kim, Chong-Kyen
    • Journal of Technologic Dentistry
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    • v.43 no.4
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    • pp.160-167
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    • 2021
  • Purpose: In this study, when the etching treatment method, which is a chemical surface treatment method, is applied to colored zirconia, the shear bond strength between the veneering ceramic material and colored zirconia is compared with that without surface treatment, and the fracture type is observed to evaluate the etching treatment effect of colored zirconia. Methods: Experiments were conducted after dividing the study sample into two groups, which are the zirconia control group without surface treatment using colored zirconia blocks (without etching zirconia, NZC group) and the zirconia group treated with a commercially available etching solution (etching liquid zirconia, EZC group). Results: The mean shear bond strength of the NZC group was 20.31±2.32 Mpa, and that of the EZC group was 25.95±2.34 Mpa, and the difference between these two values was statistically significant (p<0.05). Further, the surface roughness Ra value was higher in the EZC group than in the NZC group. In the fracture pattern, cohesive fractures were dominant, and adhesive fractures and cohesive fractures were mixed. Conclusion: The bond strength was significantly higher in the group treated with colored zirconia. The fracture pattern was mostly cohesive failure in the group not treated with etching and changed to mixed failure as the etching treatment progressed.

Frailty, Sarcopenia, Cachexia, and Malnutrition in Heart Failure

  • Daichi Maeda;Yudai Fujimoto;Taisuke Nakade;Takuro Abe;Shiro Ishihara;Kentaro Jujo;Yuya Matsue
    • Korean Circulation Journal
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    • v.54 no.7
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    • pp.363-381
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    • 2024
  • With global aging, the number of patients with heart failure has increased markedly. Heart failure is a complex condition intricately associated with aging, organ damage, frailty, and cognitive decline, resulting in a poor prognosis. The relationship among frailty, sarcopenia, cachexia, malnutrition, and heart failure has recently received considerable attention. Although these conditions are distinct, they often exhibit a remarkably close relationship. Overlapping diagnostic criteria have been observed in the recently proposed guidelines and position statements, suggesting that several of these conditions may coexist in patients with heart failure. Therefore, a comprehensive understanding of these conditions is essential, and interventions must not only target these conditions individually, but also provide comprehensive management strategies. This review article provides an overview of the epidemiology, diagnostic methods, overlap, and prognosis of frailty, sarcopenia, cachexia, and malnutrition in patients with heart failure, incorporating insights from the FRAGILEHF study data. Additionally, based on existing literature, this article discusses the impact of these conditions on the effectiveness of guideline-directed medical therapy for patients with heart failure. While recognizing these conditions early and promptly implementing interventions may be advantageous, further data, particularly from well-powered, large-scale, randomized controlled trials, are necessary to refine personalized treatment strategies for patients with heart failure.

Risk Factors of Treatment Failure in Diabetic Foot Ulcer Patients

  • Lee, Kyung Mook;Kim, Woon Hoe;Lee, Jang Hyun;Choi, Matthew Seung Suk
    • Archives of Plastic Surgery
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    • v.40 no.2
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    • pp.123-128
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    • 2013
  • Background Some diabetic feet heal without complication, but others undergo amputation due to progressive wounds. This study investigates the risk factors for amputation of diabetic feet. Methods A total of 55 patients who visited our institution from 2008 to 2012 were included in the study. The patients with abnormal fasting blood sugar levels, lower leg vascularity, and poor nutrition were excluded from the study group, and the wound states were unified. The patients were categorized into a treatment success group (n=47) and a treatment failure group (n=8), and their hemoglobin A1C (HgA1C), C-reactive protein (CRP), white blood cell count (WBC), and serum creatinine levels were analyzed. Results The initial CRP, WBC, and serum creatinine levels in the treatment failure group were significantly higher than that of the treatment success group, and the initial HgA1C level was significantly higher in the treatment success group. The CRP and WBC levels of both groups changed significantly as time passed, but their serum creatinine levels did not. Conclusions The initial CRP, WBC, and serum creatinine levels were considered to be risk factors for amputation. Among them, the serum creatinine level was found to be the most important predictive risk factor. Because serum creatinine represents the renal function, thorough care is needed for the feet of diabetic patients with renal impairment.

Prevalence and treatment of mandibular first molar eruption disturbances (하악 제 1대구치 맹출 장애의 빈도와 치료)

  • Son, Woo-Sung;Song, Hyo-Kyung;Kim, Seong Sik
    • The Journal of the Korean dental association
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    • v.55 no.5
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    • pp.328-338
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    • 2017
  • Introduction: The aim of the current study was to describe the prevalence and treatment of mandibular first molar eruption disturbances. Methods: A total of 38 mandibular first molars(M1mn) from 36 patients(17 males and 19 females; aged 9 years 2 months?35 years 10 months) were identified from the 13,391 patients that received orthodontic treatment from 1983?2012. The subjects were classified into 3 categories based on panoramic radiographic examination: impaction due to ectopic position of the tooth germ relative to the contra-side same tooth(Group 1), impaction due to obstruction of the eruption path with cyst or calcium mass (Group 2), and primary and secondary retention due to defects in the follicle or periodontal ligament(PDL; Group 3). The treatment outcomes were evaluated into four categories: no treatment(A), orthodontic traction(B), autotransplantation(C), and extraction due to orthodontic traction failure(D). Results: The prevalence rate of M1mn eruption disturbances in this sample was 0.27%. In Groups 1 and 2, most of the impacted M1mn were erupted successfully by orthodontic traction. In Group 3, most of the retained M1mn were failed to erupt and recommended for extraction. Conclusions: Treatment prognosis was favorable on Group 1 & 2 than Group 3. After removing an element of the cause in case of Group 1 & 2, orthodontic traction or periodic observation will be recommended.

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ENGINEERING A BIOARTIFICIAL LIVER DEVICE

  • Park, Jae-Sung;Yarmush, Martin L.;Tilles, Arno W.
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1419-1426
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    • 2008
  • Fulminant hepatic failure is a clinical syndrome associated with a high mortality rate. Orthotopic liver transplantation is the only clinically proven effective treatment for patients with end-stage liver disease who do not respond to medical management. A major limitation of this treatment modality is the scarcity of donor organs available, resulting in patients dying while waiting for a donor liver. An extracorporeal bioartificial liver (BAL) device containing viable hepatocytes has the potential to provide temporary hepatic support to liver failure patients, serving as a bridge to transplantation while awaiting a suitable donor. In some patients, providing temporary hepatic support may be sufficient to allow adequate regeneration of the host liver, thereby eliminating the need for a liver transplant. Although the BAL device is a promising technology for the treatment of liver failure, there are several technical challenges that must be overcome in order to develop systems with sufficient processing capacity and of manageable size. In this overview, the authors describe the critical issues involved in developing a BAL device. They also discuss their experiences in hepatocyte culture optimization within the context of a microchannel flat-plate BAL device.

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