Purpose: While regurgitation is a common and often benign phenomenon in infants and younger children, it can also be a presenting symptom of gastroesophageal reflux disease (GERD). If untreated, GERD can lead to dangerous or lifelong complications. Clinical practice guidelines (CPGs) have been published to inform clinical diagnosis and management of pediatric GERD, but to date there has been no comprehensive review of guideline quality or methodological rigor. Methods: A systematic literature search was performed, and a total of eight CPGs pertaining to pediatric GERD were identified. These CPGs were evaluated using the Appraisal of Guidelines for Research and Evaluation instrument. Results: Three CPGs were found to be "high" quality, with 5 of 6 domains scoring >60%, one "average" quality, with 4 of 6 domains meeting that threshold, and the remaining four "low" quality. Conclusion: Areas of strength among the CPGs included "Scope and Purpose" and "Clarity and Presentation," as they tended to be well-written and easily understood. Areas in need of improvement were "Stakeholder Involvement," "Rigor of Development," and "Applicability," suggesting these CPGs may not be appropriate for all patients or providers. This analysis found that while strong CPGs pertaining to the diagnosis and treatment of pediatric GERD exist, many published guidelines lack methodological rigor and broad applicability.
The purpose of this study was to evaluate the clinical usefulness of plasma arc light which can reduce the curing time dramatically compared by shear bond strengths and failure patterns of the brackets bonded with visible light in direct bracket bonding. Some kinds of brackets were bonded with the Transbond$^{\circledR}$ to the human premolars which were embedded in the resin blocks according to the various conditions. After bonding, the shear bond strength was tested by Instron universal testing machine and in addition , the amount of residual adhesive remaining on the tooth after debonding was measured by the stereoscope and assessed with adhesive remnant index(ARI). The results were as follows : 1. When plasma arc light was used for bonding the brackets, the shear bond strength was clinically sufficient in both metal and ceramic brackets, but resin brackets showed significantly lower bond strength but which was clinically useful. 2. When metal brackets were bonded using visible light, there was no significant difference in shear bond strength due to the light-curing time and the bond strength was clinically sufficient. 3. When the adhesive failure patterns of brackets bonded with plasma arc light were observed by using the adhesive remnant index, the bond failure of the metal and resin bracket occurred more frequently at bracket-adhesive interface but the failure of the ceramic bracket occurred more frequently at enamel-adhesive interface. 4. There was no statistically significant difference of the shear bond strength and adhesive failure pattern between metal bracket bonded for 2 seconds by curing with plasma arc light and 10 seconds by curing with visible light. 6. When metal brackets were bonded using plasma arc light, the shear bond strength decreased as the distance from the light source increased. The above results suggest that plasma arc light can be clinically useful for bonding the brackets without fear of the decrease of the shear bond strength.
This study evaluated the effects of various cleaning methods on the shear bond strength of zirconia ceramics after saliva contamination. Eighty zirconia disk specimens were divided into 8 groups. All groups were treated with one coat of MDP primer. All specimens (except the negative control) were contaminated with human saliva on the zirconia surface. The positive control went through the bonding procedure immediately after contamination without any cleaning procedure. With the exception of control groups, the remaining six groups were rinsed with water and either applied with MDP recoating (WATER+MDP) or without MDP recoating (WATER). While some were cleaned with a Ivoclean with MDP recoating (IVOCLEAN+MDP) or not applied with MDP recoating(IVOCLEAN), others were cleaned with a 1% NaOCl solution with MDP recoating (NaOCl+MDP) or without MDP recoating (NaOCl). The shear bond strength of all specimens were measured after being stored in distilled water at $37^{\circ}C$ for 24 hours. The data was analyzed statistically by an analysis of ANOVA, Tukey's post hoc test and Student's t-test was used to compare the shear bond strength according to the re-coating of MDP after the cleaning procedure. The positive control group showed the lowest shear bond strength value, and the WATER group and NaOCl group showed no significant difference when compared to the positive control group. The IVOCLEAN group showed significantly higher shear bond strength when compared to Water group and NaOCl group but not with the group of negative control. After rinsing with water or the NaOCl solution, the comparison of the single coating of MDP and re-coating of MDP showed different shear bond strengths but there was no significant difference to the negative control. After rinsing with Ivoclean, there was no significant difference to the negative control regardless of the recoating of MDP. In conclusion, the shear bond strength was affected by the cleansing procedure and Ivoclean was found to be effective regardless of the re-coating of MDP. When water or the NaOCl solution is used to remove surface contaminants, the re-coating of MDP provides a positive effect on cementation.
Journal of the Korea Academia-Industrial cooperation Society
/
v.18
no.6
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pp.673-680
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2017
Research and commercialization of wood chips-urethane resin mixtures as paving materials for park trails and tourist attractions are underway. The aim of this study was to expand the use of such paving materials to the playgrounds, where vigorous physical movements occur frequently. For this purpose, the physical properties and safety of the paving material, in which some or all of the wood chips(passing through a 10mm sieve and remaining in a 3mm sieve) were replaced with sawdust, were studied experimentally. Strength, elastic modulus, slip resistance, shock absorption and heavy metal content tests were carried out by varying the mixing ratio of urethane resin, sawdust and wood chip. As a result, in the case of wood chip-resin mixtures with mass ratios of the resin to total mass of sawdust and wood chips of 1.0 and 1.2 and having a ratio of sawdust mass to total mass of sawdust and wood chips of 0-0.4, it was found that the properties satisfied KS F 3888-2. On the other hand, in case of using sawdust only as a woody material, the shock absorbability was below standard, and the mass ratio of resin to sawdust required 1.2 or more to ensure the specified tensile strength.
In this study, reinforced dual concrete beam (RDC beam) composed of steel fiber reinforced concrete (SFRC) in the tension part and normal strength concrete (NSC) in the compression and remaining part is proposed. It is the epochal structural system that improves the overall structural performances of beam by partially superseding the steel fiber reinforced concrete in the lower tension part of conventional reinforced concrete beam (RC beam). Flexural and shear tests are performed to prove the structural excellence of RDC beam in comparison with RC beam. An analytical method is proposed to understand the flexrual behavior and is compared to experimental results. And for shear behavior, experimental results are compared to empirical equations predicting the ultimate shear strength of full-depth fiber reinforced concrete beam to examine the behavior of RDC beam under shear. From this studies, it is proved that RDC beam has more superior structural performance than RC beam, and the analytical method for flexural behavior agrees well with experimental results, and the partial-depth fiber reinforcements have no noticeable effect on ultimate shear strength but it is considerably effective to control and prevent evolutions of crack.
Journal of the Microelectronics and Packaging Society
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v.28
no.2
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pp.71-79
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2021
In this study, we have successfully fabricated the Sn-Ni paste and evaluated the bonding properties for high-temperature endurable EV (Electric Vehicle) power module applications. From evaluating of the micro-structural changes in the TLPS (Transient Liquid Phase Sintering) joints with Sn and Ni contents in the Sn-Ni pastes, a lack of Ni powders and Ni particle agglomerations by Ni surplus were observed in the Sn-20Ni and Sn-50Ni joints (in wt.%), respectively. In contrast, relatively dense microstructures are observed in the Sn-30Ni and Sn-40Ni TLPS joints. From differential scanning calorimetry (DSC) thermal analysis results of the fabricated Sn-Ni paste and TLPS bonded joints, we confirmed that the complete reactions of Sn with Ni to form Ni-Sn intermetallic compounds (IMCs) at bonding temperatures occurred, and there is no remaining Sn in the joints after TLPS bonding. In addition, the interfacial reactions and IMC phase changes of the Sn-30Ni joints under various bonding temperatures were reported, and their mechanical shear strength were investigated. The TLPS bonded joints were mainly composed of residual Ni particles and Ni3Sn4 intermetallic phase. The average shear strength tended to increase with increasing bonding temperature. Our results indicated a high shear strength value of approximately 30 MPa at a bonding temperature of 270 ℃ and a bonding time of 30 min.
Journal of the Korean Recycled Construction Resources Institute
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v.10
no.3
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pp.314-320
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2022
The function of reinforcing fibers used in building materials is to maintain resistance to bending loads and to function for cracking caused by drying shrinkage. High-density fiber-cement composites are mainly used for linear plates and are used to increase bending resistance. Therefore, tensile properties, bonding strength with cement hydrate, alkali resistance, and the like are required. Recently, as the non-combustible performance has been strengthened, a function to minimize the occurrence of sparks during high-temperature heating has been added. Therefore, the use of organic fibers is limited. In this study, a study was conducted to replace polypropylene used as reinforcing fiber with hemp fiber with excellent heat resistance. Hemp fibers have excellent heat resistance, good affinity with cement, and excellent alkali resistance. Based on the total volume of polypropylene fibers used in the existing formulation, the non-combustible performance was compared and evaluated by using hemp fibers instead of the polypropylene fibers, and basic physical properties such as flexural strength were tested. As a result of conducting a non-combustibility and physical property test using hemp fibers with a fiber length of 7 mm using 2 % and 3 % by weight, it was found that there is no remaining time of the flame, and the flexural strength can be secured at 95 % level of the existing polypropylene fiber.
Asmhan Tariq;Fatmah Bin Nakhi;Fatema Salah;Gabass Eltayeb;Ghada Jassem Abdulla;Noor Najim;Salma Ahmed Khedr;Sara Elkerdasy;Natheer Al-Rawi;Sausan Alkawas;Marwan Mohammed;Shishir Ram Shetty
Imaging Science in Dentistry
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v.53
no.3
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pp.193-198
/
2023
Purpose: Artificial intelligence (AI) is poised to play a major role in medical diagnostics. Periodontal disease is one of the most common oral diseases. The early diagnosis of periodontal disease is essential for effective treatment and a favorable prognosis. This study aimed to assess the effectiveness of AI in diagnosing periodontal bone loss through radiographic analysis. Materials and Methods: A literature search involving 5 databases (PubMed, ScienceDirect, Scopus, Health and Medical Collection, Dentistry and Oral Sciences) was carried out. A specific combination of keywords was used to obtain the articles. The PRISMA guidelines were used to filter eligible articles. The study design, sample size, type of AI software, and the results of each eligible study were analyzed. The CASP diagnostic study checklist was used to evaluate the evidence strength score. Results: Seven articles were eligible for review according to the PRISMA guidelines. Out of the 7 eligible studies, 4 had strong CASP evidence strength scores (7-8/9). The remaining studies had intermediate CASP evidence strength scores (3.5-6.5/9). The highest area under the curve among the reported studies was 94%, the highest F1 score was 91%, and the highest specificity and sensitivity were 98.1% and 94%, respectively. Conclusion: AI-based detection of periodontal bone loss using radiographs is an efficient method. However, more clinical studies need to be conducted before this method is introduced into routine dental practice.
Jin-Man Kim;Sang-Chul Shin;Kyoung-Nam Min;Ha-Seog Kim
Journal of the Korean Recycled Construction Resources Institute
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v.11
no.1
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pp.55-61
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2023
This study aims to develop CLSM fill material for emergency restoration using landfill coal ash. As a result of examining physical properties such as particle size distribution and fines content of landfill coal ash, bottom ash, fly ash, and general soil were mixed, and SP was found to have a density of 2.03 and a residual particle pass rate of 7.8 %. CLSM materials that secure fluidity in unit quantities without using chemical admixtures such as glidants and water reducing agents have a high risk of material separation due to bleeding. As a result of this experiment, it was found that the bleeding ratio did not satisfy the standard in the case of the specimen with a large amount of fly ash and a lot of addition of mixing water. As a result of the compressive strength test, the strength development of 0.5 MPa or more for 4 hours was found to be satisfactory for the specimens using hemihydrate gypsum with a unit binder amount of 200 or more, and the remaining gypsum showed poor strength development. Although it is judged that landfill coal ash can be used as a CLSM material, it is necessary to identify and apply the physical and chemical characteristics of coal ash buried in the ash treatment plant of each power generation company.
Journal of the korean academy of Pediatric Dentistry
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v.27
no.1
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pp.45-53
/
2000
Enamel microabrasion is a means by which superficial enamel discoloration is removed using hydrochloric acid and fine pumice. As enamel microabrasion alone may not be sufficient in cases of deeper discoloration, composite resin restoration is recommended in areas where there is remaining discoloration. The purpose of this study was to investigate the effects of different methods and number of applications of enamel microabrasion on the shear bond strength of composite resin to enamel. Untreated control was designated as group 1. 5-second applications of a mixture of 18% HCl and fine pumice were performed 5 and 10 times on groups 2 and 3, respectively. A commercially available mixture of 10% HCl and abrasives(PREMA) was applied using a 10 : 1 gear reduction handpiece 5 and 10 times on groups 4 and 5, respectively, with each application lasting 20 seconds. After etching with 37% phosphoric acid, composite resin was bonded. Thermocycling was performed and shear bond strength was measured. The following results were obtained : 1. Group 2 showed the highest bond strength$(24.36{\pm}3.34)$, while group 3 showed the lowest$(19.35{\pm}3.43)$, Shear bond strength decreased in the following order: 2>4>5>1>3. 2. Group 2 showed bond strength significantly higher compared to groups 1 and 3(p<0.05). 3. There were no significant differences between groups 2 and 3, which had been microabraded using HCl and pumice, and groups 4 and 5, to which PREMA had been applied, when bond strengths were compared(p>0.05). 4. When modes of fracture were examined, adhesive failure was observed in groups 3 and 4, while cohesive failure was observed in groups 1, 2, 3 and 4. Only mixed failures were found group 5. 5. When viewed using a SEM, groups 2 and 3, which had been microabraded using HCl and pumice, showed surface appearances similar to that of enamel etched with phosphoric acid. Groups 4 and 5, treated with PREMA, exhibited a smooth surface similar to that of group 1. All oops showed similar, typical surface characteristics following phosphoric acid etching.
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