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Effect of Sodium Alginate on Gastrointestinal Symptoms after Esophagogastroduodenoscopy with Biopsy: Randomized Controlled Trial.
Nam, SY, Lee, SW, Jeon, SW, Kwon, YH
Gut and liver. 2022;(1):37-43
Abstract
BACKGROUND/AIMS: After esophagogastroduodenoscopy (EGD) with biopsy, some patients experience gastrointestinal symptoms. This study investigated the effect of sodium alginate on biopsy-related gastrointestinal symptoms. METHODS In this open-label, randomized, controlled trial, patients undergoing EGD with biopsy were randomly assigned to a treatment or control group. In the treatment group, sodium alginate was orally administered for 3 days after EGD. Patients completed questionnaires about their gastrointestinal symptoms at baseline (past week), the day after returning home, and after another 3 days. Gastrointestinal symptoms, including abdominal pain, epigastric pain/soreness, heartburn, acid reflux, nausea/vomiting, borborygmus, abdominal distension, and belching, were rated using an upper gastrointestinal symptom rating scale (GSRS). RESULTS A total of 210 persons (138 men) who underwent EGD with biopsy were enrolled and allocated to the treatment (n=104) or control (n=106) group. At baseline, the demographic factors and GSRS scores were not different between the control and treatment groups. The epigastric pain/soreness score increased in the control group after endoscopic biopsy (+0.056), whereas the score was decreased in the treatment group (-0.067) (p=0.042). In the treatment group, the scores for acid regurgitation and epigastric soreness decreased during follow-up from those at baseline (p<0.05), whereas there were no significant reductions in the control group. The scores for belching and borborygmus decreased during follow-up only in the treatment group. Abdominal bloating decreased in both the control and treatment groups. CONCLUSIONS Sodium alginate reduced epigastric pain/soreness after EGD with biopsy. Therefore, the prescription of sodium alginate should be considered after endoscopic biopsy.
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Efficacy of a Restrictive Diet in Irritable Bowel Syndrome: A Systematic Review and Network Meta-analysis.
Yu, SJ, Lee, HS, Gung, HJ, Kim, JS, Kim, KB, Kwon, YH, Kim, JH, Koo, HS, Shin, HD, Jee, SR, et al
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi. 2022;(1):6-16
Abstract
BACKGROUND/AIMS: Dietary factors can aggravate the symptoms of irritable bowel syndrome (IBS). Many IBS patients try restrictive diets to relieve their symptoms, but the types of diets with an exacerbating factor are unknown. Therefore, this paper reports the results of a systematic review and network meta-analysis of randomized-controlled trials (RCTs) reviewing the efficacy of food restriction diets in IBS. METHODS The MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, and Clinicaltrials.gov databases were searched until July 21, 2021, to retrieve RCTs assessing the efficacy of restriction diets in adults with IBS. Two independent reviewers performed the eligibility assessment and data abstraction. RCTs that evaluated a restriction diet versus a control diet and assessed the improvement in global IBS symptoms were included. These trials reported a dichotomous assessment of the overall response to therapy. RESULTS A total of 1,949 citations were identified. After full-text screening, 14 RCTs were considered eligible for the systematic review and network meta-analysis. A starch- and sucrose-reduced diet and a diet with low-fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) showed significantly better results than a usual diet. Symptom flare-ups in patients on a gluten- free diet were also significantly lower than in those on high-gluten diets. CONCLUSIONS These findings showed that the starch- and sucrose-reduced, low FODMAP, and gluten-free diets had superior effects in reducing IBS symptoms. Further studies, including head-to-head trials will be needed to establish the effectiveness of dietary restrictions on IBS symptoms.
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Blueberries Improve Pain, Gait Performance, and Inflammation in Individuals with Symptomatic Knee Osteoarthritis.
Du, C, Smith, A, Avalos, M, South, S, Crabtree, K, Wang, W, Kwon, YH, Vijayagopal, P, Juma, S
Nutrients. 2019;11(2)
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Osteoarthritis (OA) is the most common joint disorder in the world. Inflammation is one of the major drivers of the progression of OA, which typically involves progressive loss of the structure and function of joint cartilage. Polyphenols, which are compounds found in plant foods such as spices, tea, dark chocolate and dark-coloured berries, have been studied for their anti-inflammatory properties. Blueberries are high in dietary polyphenols, so researchers proposed that the regular consumption of blueberries may help improve OA. The purpose of this randomised, double-blind trial was to examine the effect of freeze-dried whole blueberries on pain, inflammation and walking ability in people with knee OA. A group of adults aged 45 to 79 with knee OA, consumed either 40g freeze-dried blueberry powder or maltodextrin powder (placebo) daily for four months. Blood draws and assessment of pain and walking were conducted at baseline, two months, and four months. Pain, stiffness, and difficulty to perform daily activities improved significantly in the blueberry treatment group, with no change in the placebo group. Some measures of walking ability improved in the blueberry group. No statistically significant changes were observed in blood levels of inflammatory markers in either of the groups. However, an increasing trend for interleukin (IL)-13 concentration and a decreasing trend in monocyte chemoattractant protein-1 (MCP-1) concentration were seen in the blueberry group. The findings of this study suggest that daily incorporation of whole blueberries may reduce pain, stiffness, and difficulty to perform daily activities, while improving walking ability, and would therefore improve quality of life in individuals with knee OA.
Abstract
Osteoarthritis (OA) is the most common joint disorder in the world and is the most frequent cause of walking related disability among older adults in the US, which brings a significant economic burden and reduces quality of life. The initiation and development of OA typically involves degeneration or progressive loss of the structure and function of articular cartilage. Inflammation is one of the major drives of the progression of OA. Dietary polyphenols have been studied for their anti-inflammatory properties and potential anabolic effects on the cartilage cells. Blueberries are widely consumed and are high in dietary polyphenols, therefore regular consumption of blueberries may help improve OA. The purpose of the present study was to examine the effect of freeze dried whole blueberries on pain, gait performance, and inflammation in individuals with symptomatic knee OA. In a randomized, double-blind trial, adults age 45 to 79 with symptomatic knee OA, were randomized to either consume 40 g freeze-dried blueberry powder (n = 33) or placebo powder (n = 30) daily for four months. Blood draws and assessment of pain and gait were conducted at baseline, two months, and four months. Western Ontario McMaster Osteoarthritis Index (WOMAC) questionnaires were used to assess pain and GAITRite® electronic walkway was used to evaluate gait spatiotemporal parameters. WOMAC total score and sub-groups, including pain, stiffness, and difficulty to perform daily activities decreased significantly in the blueberry treatment group (p < 0.05), but improvement of WOMAC total score and difficulty to perform daily activities were not observed in the placebo group. Normal walking pace single support percentage for both limbs increased (p = or < 0.007), while double support percentage for both limbs decreased in the blueberry treatment group (p = or < 0.003). No significant changes were observed in plasma concentrations of tumor necrosis factor (TNF)-α, interleukin (IL)-1β, IL-6, IL-10, IL-13, matrix metalloproteinases (MMP)-3, MMP-13, and monocyte chemoattractant protein-1 (MCP-1) in both treatment groups. However, an increasing trend for IL-13 concentration and a decreasing trend in MCP-1 concentration were noted in the blueberry group. The findings of this study suggest that daily incorporation of whole blueberries may reduce pain, stiffness, and difficulty to perform daily activities, while improving gait performance, and would therefore improve quality of life in individuals with symptomatic knee OA.
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Acceleration of Intended Pozzolanic Reaction under Initial Thermal Treatment for Developing Cementless Fly Ash Based Mortar.
Kwon, YH, Kang, SH, Hong, SG, Moon, J
Materials (Basel, Switzerland). 2017;(3)
Abstract
Without using strong alkaline solution or ordinary Portland cement, a new structural binder consisting of fly ash and hydrated lime was hardened through an intensified pozzolanic reaction. The main experimental variables are the addition of silica fume and initial thermal treatment (60 °C for 3 days). A series of experiments consisting of mechanical testing (compressive and flexural strength, modulus of elasticity), X-ray diffraction, and measurements of the heat of hydration, pore structure, and shrinkage were conducted. These tests show that this new fly ash-based mortar has a compressive strength of 15 MPa at 91 days without any silica fume addition or initial thermal treatment. The strength increased to over 50 MPa based on the acceleration of the intensified pozzolanic reaction from the silica fume addition and initial thermal treatment. This is explained by a significant synergistic effect induced by the silica fume. It intensifies the pozzolanic reaction under thermal treatment and provides a space filling effect. This improved material performance can open a new pathway to utilize the industrial by-product of fly ash in cementless construction materials.
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Effect of DPSS laser on the shear bond strength of orthodontic brackets.
Park, SB, Kang, EH, Son, WS, Ko, CC, Kim, HI, Kwon, YH
American journal of dentistry. 2010;(4):205-7
Abstract
PURPOSE To test the bonding of orthodontic brackets to teeth using a diode-pumped solid state (DPSS) laser. METHODS A total of 60 extracted human teeth were divided randomly into four groups: Group 1 (control)--he brackets were bonded to teeth using the quartz-tungsten-halogen (QTH) light (800 mW/cm2) for 40 seconds; Groups 2-4--the brackets were bonded to teeth using the DPSS laser (500 mW/cm2) for 40 seconds, 20 seconds, and 10 seconds, respectively. The teeth were debonded using shear force in a universal testing machine, and the amount of residual adhesive remaining on each tooth was evaluated. Statistical analysis was carried out for the shear bond strength (SBS) and Adhesive Remnant Index (ARI). RESULTS The brackets bonded using the DPSS laser for 40 seconds showed the highest mean SBS (13.1 +/- 1.2 MPa) among the groups. Furthermore, the DPSS laser with 10 seconds light-curing could achieve 83% of the mean SBS obtained using the QTH light for 40 seconds. The ARI scores showed no differences among all four groups suggesting a similar failure mode.
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Influence of flowable resins on the shear bond strength of orthodontic brackets.
Park, SB, Son, WS, Ko, CC, García-Godoy, F, Park, MG, Kim, HI, Kwon, YH
Dental materials journal. 2009;(6):730-4
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Abstract
The present study tested the shear bond strength (SBS) of orthodontic brackets bonded to teeth using flowable resins. A total of 105 human teeth were divided into seven groups. The brackets in each group were bonded to the tooth substrates using a Transbond XT adhesive and six other different flowable resins, respectively. Each adhesive resin was light-cured using a quartz-tungsten-halogen (QTH) light for 40 seconds. The brackets were debonded in shear mode using a universal testing machine. The brackets bonded using Tetric Flow and Grandio Flow showed slightly greater SBS values (13.0+/-1.8 and 12.2+/-1.2 MPa, respectively) than the Transbond XT adhesive (12.1+/-1.2 MPa). However, the SBS values of Transbond XT, X-flow, Tetric Flow, Grandio Flow, and Filtek Z350 flow were not significantly different. As for Admira Flow and Aelite Flow, they scored significantly lower SBS values (7.0+/-2.1 and 9.2+/-1.3 MPa, respectively) than the other groups. On bracket failure mode, statistical analysis revealed a similar failure mode among all the seven test groups.