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Biomedical subjects

S M Chung

Publications and source records attributed to S M Chung.

At least 91 records · Page 5Linked to original sources

Obstetrical paralysis.

Most patients with obstetrical paralysis have some useful functional return, and early recognition and treatment help prevent rapidly developing shoulder contractures. Initial physical therapy includes passive range of motion exercises. Fixed contractures must be released prior to reconstructive surgery designed to improve funtion. An approach to the diagnosis, evaluation, and treatment of obstetrical paralysis is given.

Birth Injuries↗

The effect of tissue plasminogen activator on premacular hemorrhage.

BACKGROUND AND OBJECTIVE: Early vitrectomy is recommended for eyes with premacular hemorrhage, which causes fibrovascular proliferation and macular traction. The purpose of this study was to investigate the therapeutic effects of tissue plasminogen activator (tPA) on premacular hemorrhage, and the clearing of hemorrhage from the macula. PATIENTS AND METHODS: The authors injected tPA (25-37.5 microg) into the vitreous cavity of 13 eyes with premacular hemorrhage. The causes of premacular hemorrhage were diabetic retinopathy in 11 eyes and traumatic injuries in 2 eyes. Prior to tPA injection, 4 eyes had complete posterior vitreous detachment (PVD) and 9 eyes had no PVD. RESULTS: After tPA injection, the hemorrhages in 10 eyes were completely absorbed. They were absorbed partially in 2 eyes and were not absorbed at all in 1 eye. Absorption of hemorrhage in the 4 eyes with complete PVD took an average of 5.5 days, and in the 6 eyes with no PVD, it took an average of 12.7 days (P=0.002). After tPA injection, visual acuity improved in 9 eyes, remained stable in 3 eyes, and worsened in 1 eye. In 5 eyes, pars plana vitrectomy (PPV) was required after tPA injection because of recurrent vitreous hemorrhage, macular traction or nonabsorbed premacular hemorrhage. CONCLUSION: TPA seems to be a good alternative method of treatment for premacular hemorrhage, especially in eyes with complete PVD. It appears to improve vision and defer the need for PPV.

Adult↗

Changes in flexural properties of composite restoratives after aging in water.

This study evaluated the changes in flexural properties of microfill (Filtek A110 [AO]), minifill (Filtek Z100 [ZO] and Z250 [ZT]), poly-acid modified (F2000 [FT]), and flowable (Filtek Flowable [FF]) composites after aging in water. The flexural strength and modulus of the composites were determined after one week and one month of aging in water at 37 degrees C. Samples were prepared and tested according to ISO specifications. Data was analyzed using ANOVA/Scheffe's test and independent samples t-test at significance level 0.05. Mean flexural strength (n=7) ranged from 66.61 to 147.21 and 68.74 to 142.69 MPa at one week and one month, respectively. Mean flexural modulus (n=7) at one week and one month ranged from 3.45 to 11.30 and 4.76 to 13.02 GPa, respectively. ZO and ZT were significantly stronger than AO, FT and FF and FF was significantly stronger than AO & FT at both time periods. At one week and one month, AO and FF were significantly more flexible than the ZO, ZT and FT. In addition, ZO and FT were significantly stiffer than ZT. With the exception of AO, a significant increase in flexural modulus was observed with all composites. Although flexural strength of FT and FF was significantly increased with aging in water, the flexural strength of ZT was significantly decreased.

Analysis of Variance↗

Effect of food-simulating liquids on the shear punch strength of composite and polyacid-modified composite restoratives.

This study evaluated the effects of food-simulating liquids on the shear punch strength of two composites (Tetric Ceram [TC], Vivadent; Esthet X [EX], Dentsply), a conventional (Compoglass [CG], Vivadent) and a posterior polyacid-modified (Dyract Posterior [DP], Dentsply) composite. Thirty-two specimens (10-mm in diameter and 1.6-mm thick) of each material were made, randomly divided into four groups of eight and conditioned for one week as follows--Group 1 (control): air at 37 degrees C; Group 2: distilled water at 37 degrees C; Group 3: 75% ethanol-water solution at 37 degrees C and Group 4: heptane at 37 degrees C. After conditioning, the specimens were restrained within the test apparatus and subjected to shear punch strength testing using a 3.2 mm diameter punch at a crosshead speed of 0.5 mm/minute. The shear punch strength of the specimens was computed and the data was subjected to ANOVA/Scheffe's tests at significance level 0.05. The effect of food-simulating liquids on shear strength was found to be material dependent. All materials with the exception of EX were significantly weakened by ethanol solution. For DP, a significant increase in strength was observed after conditioning in water. EX was significantly stronger than TC and DY after conditioning in air, water and ethanol solution. The shear punch strength of EX and CG was significantly higher than DY after conditioning in heptane.

Analysis of Variance↗

Influence of the polymerization process on composite resistance to chemical degradation by food-simulating liquids.

This study determined the influence of curing lights and modes on composite resistance to chemical degradation by various food-simulating liquids. Two different types of curing light (Halogen [H]-Elipar Trilight, 3M-ESPE; LED [L]-Freelight, 3M-ESPE) and two curing modes (standard [S]; exponential [E) were evaluated in the study. Forty-five composite (Z100 [3M-ESPE]) specimens were made for each light-curing mode combination (HS, HE, LS and LE). The specimens were randomly divided into five groups of nine and exposed to the following food-simulating liquids (FSL) for one week at 37 degrees C: distilled water, 50% aqueous ethanol solution, heptane and citric acid. Specimens stored in air were used as control. After the one week conditioning period, hardness testing was conducted with a digital microhardness tester (load = 500 gf; dwell time = 15 seconds). Mean hardness (HK)/hardness deterioration (deltaHK) were subsequently computed and data was subjected to analysis using ANOVA/Scheffe's test (p < 0.05). The resistance of composite to chemical degradation by FSL was light/curing mode dependent. Significant differences in HK and deltaHK were observed among the four curing techniques after conditioning in some FSL and air. After conditioning in water and citric acid, specimens polymerized with HE underwent significantly more softening compared to specimens polymerized with HS, LS and LE.

Analysis of Variance↗