• Title/Summary/Keyword: Talc

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Which is the More Effective Option for Pleurodesis to Prevent the Recurrence of Malignant Pleural Effusion? Large-Particle Talc or Mistletoe Extract (ABNOVA Viscum Injection)

  • Changsung Han;Jonggeun Lee;Jeong Su Cho;Hyo Yeong Ahn
    • Journal of Chest Surgery
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    • v.56 no.5
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    • pp.353-358
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    • 2023
  • Background: Malignant pleural effusion affects many patients with advanced cancer. When chemotherapy or radiotherapy fails to relieve malignant pleural effusion and related symptoms, drainage and pleurodesis can help. Although surgical talc pleurodesis is the most widely used method, Viscum album, which has been recently used in surgical or bedside procedures, has demonstrated significant results and is as effective as talc. This study aimed to determine the most effective agent and procedure. Methods: Between January 2015 and July 2022, chemical pleurodesis was performed in 137 patients with malignant pleural effusion, using a V. album surgical procedure in 48, a V. album bedside procedure in 55, and a talc surgical procedure in 34 patients. We reviewed patients' clinical responses and disease progression after chemical pleurodesis. Results: The success rate was not significantly different among the V. album surgical procedures (91.7%), V. album bedside procedures (83.6%), and talc surgical procedures (91.2%). However, the total drainage amount and tube insertion duration in both Viscum groups were more effective than those in the talc group. Furthermore, the bedside Viscum group showed significantly lower post-pleurodesis pain scores than the other 2 groups. Conclusion: According to our results, talc and V. album can be considered ideal agents for chemical pleurodesis. However, Viscum pleurodesis showed safer outcomes in terms of ensuring quality of life than talc. Additionally, the bedside Viscum group showed significantly lower pain scores than the other groups. Hence, patients for whom surgical procedures are inappropriate can undergo bedside Viscum pleurodesis without diminishing the therapeutic effect.

Inactivation of the Preservative in Cosmetic by the Addition of Inorganic Powder (화장품에서 무기분말에 의한 방부제의 효능저하)

  • 정광수
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.11 no.1
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    • pp.13-20
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    • 1985
  • The decreased preservative effect by tale and $TiO_2$ for emulsions obtained with polyoxyethylene surfactant was studied by various analytical methods and biological test. The preservative effect of methyl p-hydroxybenzoate was decreased by the addition of talc and $TiO_2$ and this result was attributed to the adsorption of methyl p-hydroxybenzoate on them. Talc exhibited more decreased preservative effect than that of $TiO_2$. The amount of the adsorption of methyl p-phydroxybenzoate by talc at $20^{\circ}C$ could be represented by the following equation; $a=11.511C^{0.747}$.

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Two Cases of Fatal Hypoxemia after Talc Pleurodesis for Recurrent Malignant Pleural Effusion (Talc 늑막유착술 이후 발생한 치명적 저산소증 2 예)

  • Park, Shin Ae;Lee, Han Hee;Kim, Dae Jun;Shim, Byoung Yong;Song, So Hyang;Kim, Chi Hong;Ahn, Myeong Im;Cho, Deog Gon;Cho, Kyu Do;Kim, Hoon-Kyo
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.3
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    • pp.217-222
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    • 2007
  • Talc pleurodesis is a safe and effective treatment for a recurrent malignant pleural effusion. However, acute hypoxemia, pulmonary edema or acute respiratory failure can develop in a small number of patients. We report 2 patients who developed fatal hypoxemia after talc pleurodesis which was necessary the control recurrent pleural effusion. The first case was an 18-year old male diagnosed with Ewing's sarcoma with bilateral lung metastases and pleural effusion. The performance status was ECOG (Eastern Cooperative Foncology Group) grade 3. Fever along with hypoxemia and leukocytosis developed 10 hours after the second talc pleurodesis on the right side for an uncontrolled pleural effusion, The patient died from respiratory failure after 13 days. The second case was a 66-year old female diagnosed with non-small cell lung cancer with a bone metastasis. Two weeks after systemic chemotherapy, she complained of dyspnea, and a pleural effusion was observed on the right side. Her performance status was ECOG grade 3. Talc pleurodesis was performed for recurrent pleural effusion, but hypoxemia developed 6 days after pleurodesis and she died from respiratory failure 10 days after pleurodesis. In conclusion, talc pleurodesis should be performed very carefully in patients with a poor performance status, in cases with repeated pleurodesis, bilateral pleural effusion, recent chemotherapy, radiotherapy and when there are parenchymal metastatic lesions present.

Phase equilibria between coexisting minerals in the talc ores and process of talc formation in the Daeheung Talc Deposits, Korea (대흥활석광상에 있어서 공존하는 광물의 상평형과 활석화 과정)

  • 이상헌
    • The Journal of the Petrological Society of Korea
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    • v.3 no.2
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    • pp.156-170
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    • 1994
  • The talc ore deposits can be divided into chloritic and dolomitic ores according to mineral assemblages. The former is mainly composed of chlorite and talc accompanied with dolomite, muscovite and opaque mineral, and the latter of dolomite and talc with serpentine, calcite and magnesite in places. Talc was originated from chlorite and serpentine. Carbonate minerals were formed either directly from the introduced hydrothermal solution or secondarily as a by-product of steatitization of chlorite and serpentine. The process of talc formation may be governed by the chemical composition of the host rocks and the amount and/or chemical composition of the hydrothermal solution which may be different in places. However, the representative reactions producing talc from chlorite and serpentine are as follows : (1) chlorite+$Mg^{++}+Si^{4+}+H_2O$=talc, (2) chlorite+$Mg^{++}+Si^{4+}+Ca^{++}+CO_2+O_2+H_2O$=talc+ dolomite+ magnesite, and (3) serpentine +$Mg^{++}+Fe^{++}+Si^{4+}+Ca^{++}+CO_2+H_2O$=talc+dolomite. The reactions indicate that the carbonate minerals can be formed when the hydrothermal solution have high $fO_2$ and $fCO_2$. The steatitization might be proceeded by the hydrothermally metasomatic reaction between chlorite schist or chlorite gneiss intercalated in the granitic gneiss and hydrothermal solution accompanied to the wet granitization.

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Mineralogical Characteristics and Genesis of Phlogopite in the Talc Deposits of the Chungnam Area, Korea (충남지역 활석광상에서 산출되는 금운모의 광물특성 및 기원)

  • Kim Geon-Young;Kim Soo Jin;Koh Yong Kwon;Bae Dae Seok
    • Journal of the Mineralogical Society of Korea
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    • v.17 no.3
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    • pp.221-233
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    • 2004
  • Mineralogical characteristics and genesis of phlogopite in the talc deposits of the chungnam area were studied. Mica is one of the major impurity of talc ores in the study area. Talc-related micas show typical phlogopite composition, whereas talc-unrelated micas show wide compositional variations between biotite and phlogopite. Phlogopite mainly occurs in the black-wall type zone, especially in the nodular talc ores near the outer part of talc ore bodies. Interleaving textures of phlogopite and chlorite are easily observed under the optical microscope and back-scattered electron images. Interleaving textures of phlogopite and talc are observed also. Examination of the phlogopite by transmission electron microscope reveals that 14 $\AA$ layers of chlorite are randomly interlayered within the 10 $\AA$ layers of phlogopite, which suggests that the genesis of phlogopite is closely related to chlorite. Considering the occurrence and mineralogical characteristics of phlogopite, and the possible origin of K for the formation of phlogopite, phlogopite of the study area was formed by interaction between talc ore body and hydrothermal solution containing sufficient K at the late stage of talc formation. K might be introduced from the granitic gneiss at the contact zone between the talc ore body and the granitic gneiss under favorable structural condition for the potash metasomatism.

The High temperature stability limit of talc, $Mg_3Si_4O_{10}(OH)_2$ (활석 $Mg_3Si_4O_{10}(OH)_2$의 고온 안정영역에 관한 실험적 연구)

  • 조동수;김형식
    • The Journal of the Petrological Society of Korea
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    • v.6 no.2
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    • pp.123-132
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    • 1997
  • In the system $MgO-SiO_2-H_2O$, Talc[$Mg_3Si_4O_{10}(OH)_2$] has been synthesized hydrothermally at 200 MPa, $600^{\circ}C$ from the oxide mixture of the bulk composition of talc. The oxide mixture of the bulk composition of anthophyllite$[Mg_7Si_8O_{22}(OH)2]$ converted to talc, enstatite $(MgSiO_3)$, quartz at 200 MPa, $750^{\circ}C$ with excess of $H_2O$. In low to medium pressure metramorphism, enstatite-talc assemblage is metastable relative to anthophyllite with the reaction talc + 4 enstatite=anthophyllite (Greenwood, 1963). The high temperature stability of talc is bounded with the dehydration reaction to anthophyllite rather than that to enstatite(Greenwood, 1963; Chernosky et al., 1985). Therefore our experiment result assemblage, enstatite-talc-quatz at 200 MPa, $750^{\circ}C$ from oxide mixture of bulk compostion of anthophyllite is metastable assemblage. The hydrothermal experiment performed at 41 to 243 MPa, 680 to $760^{\circ}C$ with the starting material composed of synthetic talc, enstatite and quartz. Talc or enstatite grows during the runs and no extra phases including anthophyllite nucleated. Based on the increase or decrease of the each phase from run products, one of the possible reactions is talc=3 enstatite+quartz+H_2O$. The reversal bracket of the reaction is 699 to $700^{\circ}C$ at 100 MPa. Talc is stable up to $740^{\circ}C$ at 200 MPa and enstatite grow at $680^{\circ}C$, 40 MPa and at $760^{\circ}C$, 250 MPa. Though the high temperature limit of talc around 200 MPa is bounded thermodynamically by the reaction, 7 talc=3 anthophyllite+4 quartz+4 H_2O$, talc persisted throughout the previous reaction up to the reaction, talc=3 enstatite+quartz+$H_2O$.

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A Case of Acute Respiratory Distress Syndrome(ARDS) after Talc Pleurodesis (Talc를 이용한 늑막유착술 후 발생한 급성 호흡곤란증후군 1례)

  • Kim, Ki-Up;Cha, Kun-Young;Han, Sang-Hoon;Yun, Yeo-Il;Park, Sung-Woo;Kim, Do-Jin;Na, Mun-Jun;Uh, Soo-Taek;Kim, Yong-Hoon;Park, Choon-Sik
    • Tuberculosis and Respiratory Diseases
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    • v.51 no.3
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    • pp.265-269
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    • 2001
  • Presently talc is one of the agents most commonly used for producing a pleurodesis in patients with either a recurrent pleural effusion or a spontaneous pneumothorax. Talc can be instilled into the pleural space either as an aerosol (insufflation) or as a suspension (slurry) in saline. They are quite effective in producing a pleurodesis. However, they rarely have acute serious adverse effects including acute respiratory distress syndrome, and recently a discussion for using pleurodesis has been reported. We experienced a case of acute respiratory distressed syndrome after talc pleurodesis. A 64 year old man, who was diagnosed lung cancer with a malignant pleural effusion at the same side, was treated by pleurodesis using talc to control the effusion. After 3 days, he suffered fever, chill and breathlessness. The chest P A and CT revealed a bilateral infiltration in both lungs and the blood gas analysis confirmed hypoxemia, which required mechanical ventilation.

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Effects of Talc on Cyclophosphamide-Induced Cystitis in the Rat (Cyclophosphamide유발 방광염에 대한 활석의 효능)

  • Ryu, Ji-Won;Hong, Eun-Suk;Choi, Yung-Hyun;Lee, Yong-Tae;Choi, Byung-Tae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.2
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    • pp.429-433
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    • 2005
  • We investigated the effects of aqueous extract from talc for suppression in the process of cyclophosphamide-induced cystitis in the rat. The weight of urinary bladder was increased in the cyclophosphamide-injected rat compared with normal, but the increase of weight was arrested by intake of talc. More similar results showed in the uric test involving nitrate content and blood cell number and serum analysis involving the content of blood urea nitrogen and uric acid in the talc challenged rat compared with control one. More severe histological changes of urinary bladder such as edema, wall thickness, bleeding, vacuolation in mucosal epithelium were demonstrated in the rat injected with cyclophosphamide compared with normal. Fewer scores of these changes such as edema and bleeding were observed in rats treated with talc. In the immunohistochemical analysis, the expression of inflammatory-related protein examined tended to increase in the urinary bladder of cyclophosphamide-injected rat, especially COX-2 and $TNF-{\alpha}$ in mucosal epithelium and iNOS and $IL-1{\beta}$ in mucosal and muscular layer. The decline of these immunoreation were observed in the talc treated rat, significant decrease of COX-2 was detected in mucosal epithelium and iNOS in submucosal layer. These results suggest that talc may use as a useful therapeutic agent for noninfectious cystitis.

The Origin and Mineralogy of the Dongyang Talc Deposit (동양활석광상(東洋滑石鑛床)에서 산출(産出)되는 활석(滑石)에 대한 광물화학적(鑛物化學的) 및 성인적(成因的) 연구(硏究))

  • Moon, Hi-soo;Kim, Seong Tae
    • Economic and Environmental Geology
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    • v.21 no.3
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    • pp.235-255
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    • 1988
  • Talc deposit of pipe-like form occurrs in the lower part of the Hyangsanri Dolomite with a strike of N40 -50 E and a dip of 40 -50 NW which is one formation of the Ogcheon Super Croup. The pipi-like ore body plunge at about $40^{\circ}$ to the west and are parallel to the lineation developed in the area. Structural formulae of tales occurred in this deposit are close to the ieal composition $Mg_6Si_8O_{20}(OH)_4$ showing limited deviation from ideal one. Substitution of Al for Si in tetrahedral site is of little or nothing ranging 0-0.04 and octahedral occupancy is close to six ranging 5.88-5.98 atoms per unit cell. Predominant octahedaral cation is Mg and proportion of divalent cations is generally over 97percent. Calcite -dolomite thermometry is obtained by determining the mol % $MgCO_3$using of EPMA and XRD methods. The peak metamorphic temperature can be estimated at $470{\pm}30^{\circ}C$ in the area whereas carbonates occurred at near talc ore show lower temperature than $400^{\circ}C$ that the calcite solvus limit is not well established. It indicates that the talc deposit was formed at the lower temperature that the metamorphic temperature. Cosequently, the formation of talc by metamorphism is questionable and the alteratin zone developed around the talc ore is very limited. The occurrence of talc ore in the dolomite as well as mineralogy, calcite-dolomite geothermometry, chlorite geothermometry, field and microscopic evidence suggest that siliceous ascending hydrothermal solution along the fracture is responsible for the formation of talc. It was considered that the slight fracturing of dolomite was formed by deformation prior to the mineralization.

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Study on Characteristics of the Bodies composed of Chamotte-Plastic Clay-Talc and added Agalmatolite System (Chamotte-점토-골석계 및 랍석 첨가계 소결체의 특성에 관한 연구)

  • 박금철;최영섭
    • Journal of the Korean Ceramic Society
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    • v.14 no.4
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    • pp.215-225
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    • 1977
  • In this study, we are observe to the sagger which is composed of cordierite-mullite system. And especialy, we investigated the characteristics of the body which composed of Chamotte-Kaolin-Plastic clay-Talc (or Clinochlore) system and Chamotte-Kaolin-Plastic clay-Agalmatolite-Talc (or Clinochlore) system. The obtained results are as follows. 1. Modulus of rupture and apparent porosity were improved by particle size of talc and clinochlore in order that -16 mesh, -6 mesh, 6-16 mesh. 2. When the body composed of talc, the modulus of rupture was increased as firing temperature was rising up but composed of clnochlore, it was reversed. 3. When added to the agalmatolite, firing shrinkage, modulus of rupture and apparent porosity were improved. 4. Mineral phases of samples fired at 125$0^{\circ}C$ above consist of cordierite, mullite and $\alpha$-cristobalite.

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