Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0015672 (fatigue)
 51,768 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The development of intervertebral cages has significantly innovated the original technique of posterior lumbar interbody fusion (PLIF). In this study we present the results of patients treated for degenerative or postoperative segmental spinal instabilities by PLIF with cages and pedicular stabilisation (360 degrees-instrumentation). Between 1992 and 1999 we implanted either CFRP-, PEEK- or Titanium-cages in 86 patients. 78 patients were adequately followed up over a period of at least 12 months (average 2,6 years). 5 patients were stabilised over 2 segments, so that ultimately 83 fused segments were evaluated.15% of all patients had an excellent, 51% a good, 28% a moderate and 5% an insufficient clinical result. Degenerative instabilities had a better outcome with 73% good or excellent clinical results, compared to postoperative instabilities (56%). Based on stringent radiographic fusion criteria we found true bony fusion in 52% of all segments after 12 months, 63% after 24 months, 72% after 36 months, and 78% after 48 months. In 21 segments cage packing was performed with autologous spongiosa, while in 62 segments a combination of cortical bone and spongiosa obtained from osseous structures at the operation-site were used as packing material. At the 24 month radiographic control we found a slightly higher fusion rate for those segments treated with autologous spongiosa obtained from the iliac crest. Neither for cages nor for pedicular screws was implant failure or material fatigue found. Serious entero-, pulmo-, cardio- or urological complications were not observed. Nonetheless the necessity for operative revision was 9%. A postoperative semiquantitative evaluation of segments neighbouring the fused vertebra revealed in 28% an increase in degenerative changes. Particularly after 360 degrees-instrumentation, interpretation of the fusion-status should be based on structural and not on functional criteria. The modification of PLIF with cages compared to the use of only autologous spongiosa has the advantage of a high primary stability. Long-term studies are necessary to determine the implications of a radiographically evident uncertain fusion-status.
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PMID:[The posterior lumbar interbody fusion with cages (PLIF) and transpedicular stabilization]. 1188 26

The replacement of missing posterior teeth using all-ceramic bridges remains a challenge. This study compares the fracture resistance of all-ceramic 3-unit bridges for the replacement of first molars to conventional porcelain-fused-to-metal bridges. Human premolars and molars were used to create two test groups and one control group of 16 specimens each. To simulate clinical parameters, the specimens were exposed to cyclic fatigue loading in an artificial mouth with simultaneous thermocycling. All samples were thereafter exposed to fracture strength testing. Porcelain-fused-to-metal bridges showed significantly higher fracture strengths than all-ceramic bridges. However, the fracture strength of the all-ceramic bridges was higher than peak physiological chewing forces.
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PMID:Fracture strength of all-ceramic lithium disilicate and porcelain-fused-to-metal bridges for molar replacement after dynamic loading. 1205 Nov 27

Fracture of dental implants is a rare phenomenon with severe clinical results. In this article, the literature is reviewed and various causative factors that may lead to fracture are presented. Galvanic activity has not been mentioned before as a possible cause for implant fracture, yet, it can occur at the level of contact with the superstructure. This is illustrated by the case of a titanium implant restored with a non-precious porcelain-fused-to-metal cemented crown that fractured 4 years after loading. The radiographs show alveolar bone resorption around the fixture. Metallurgical analysis of the implant indicated that the fracture was caused by metal fatigue and that the crown metal, a nickel-chromium-molybdenum alloy, exhibited corrosion. These findings suggest a new explanation for implant fractures; cytotoxic nickel ions, leaching from the base metal alloy may cause bone resorption. This in turn leads to increased mobility, facilitating washout of the luting cement. Contact of the base metal with titanium in the presence of oral fluids produces galvanic currents that hasten corrosion and leaching out of nickel ions, thus leading to further bone resorption. Loss of bone support allows lateral bending moments that cause metal fatigue, eventually leading to fracture. Therefore, good treatment planning and appropriate case selection might have prevented this fracture. Furthermore, the use of nonprecious metal alloy for the crown's infrastructure had further contribution to the chain of events that led to the implant's fracture.
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PMID:Fracture of dental implants: literature review and report of a case. 1207 95

The sublaminar wiring procedure has been commonly used for stabilizing the atlantoaxial complex. Multistrand braided cables were introduced in the early 1990s. In previous biomechanical studies these cables were demonstrated to be superior to monofilament wires in terms of their flexibility, mechanical strength, and fatigue-related characteristics. To the authors' knowledge, they are the first to describe clinically the occurrence of delayed spinal cord compression resulting from multistrand cables after the completion of rigid spinal arthrodesis in the upper cervical spine. Three patients underwent posterior atlantoaxial fusion in which two sublaminar multistrand cables were placed. Between 15 and 48 months postoperatively, they suffered from upper- and lower-extremity numbness as well as gait disturbance. Plain radiography and computerized tomography myelography revealed spinal cord compression caused by the sublaminar cables, although fusion was complete and physiological alignment was maintained at the fused segment. The radiographs obtained immediately after surgery demonstrated that the initial cable placement had been properly performed. The shape of the cable at the initial surgery was oval and then gradually became circular. The anterior arc of the circular shape of the cable in fact led to the spinal cord compression. Considering the mechanism of this late complication, a cable tends to spring open because of its high flexibility and becomes circular shaped even after the complete arthrodesis. When applying multistrand cables for intersegmental fixation at the atlantoaxial complex, delayed complications related to bowing of the cables is possible.
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PMID:Spinal cord compression by multistrand cables after solid posterior atlantoaxial fusion. Report of three cases. 1240 93

The aim of this study was to characterize neuromuscular fatigue in knee extensor muscles after a prolonged cycling exercise. During the two days preceding a 140-km race (mean +/- SD duration: 278.2 +/- 24.9 min) and 15 to 30 min after, maximal percutaneous electrical stimulations were applied to the femoral nerve of 11 trained cyclists. Electrically evoked superimposed twitches and trains of 6 stimulations were delivered during isometric maximal voluntary contraction (MVC) to determine maximal voluntary activation (% VA). Knee extensors MVC decreased with fatigue from 158.2 +/- 29.6 to 144.2 +/- 30.0 Nm (p < 0.01), but no central activation failure was detected after the race. The average rate of twitch force development increased significantly from 414 +/- 106 to 466 +/- 102 N x m x s-1 (p < 0.05) and a tendency toward higher peak twitch tension (p = 0.052) was found in the fatigued state. Short tetanus at 20 Hz and 80 Hz were also applied to 4 cyclists, but these fused and unfused tetanic forces were not significantly modified with fatigue. From these results, it can be concluded that the small but significant isometric strength loss measured less than 30 min after the end of a long distance road cycling race is not due to central fatigue. It is also suggested that a raise in peak twitch tension is not necessarily associated with enhanced neuromuscular function.
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PMID:Alteration of neuromuscular function after a prolonged road cycling race. 1274 Jul 37

To elucidate the cause of brittleness of porcelain fused to pure titanium (PFPT) which leads to chipping and cracking similar to that of conventional porcelain in clinical use, fracture toughness KIc, hardness (Hv and Hk) and fracture energy gamma reflecting the bonding energy of atoms were evaluated. In KIc there were no differences between PFPT and conventional porcelain, nor for Hv and Hk, but for the gamma of PFPT calculated from the KIc and the Young modulus measured by the resonance method there was less than that of conventional porcelain. These results indicate that mechanical properties such as KIc and hardness cannot always substantiate the brittleness of PFPT experienced in practical use. However, a comparatively small gamma of PFPT may suggest a fatigue crack growth as a more likely phenomenon as it occurs more easily than the conventional one in oral.
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PMID:Evaluation of brittleness of porcelain fused to pure titanium by fracture toughness, hardness and fracture energy. 1500 30

A stack of liquid-crystal displays is expected to reduce visual fatigue caused by a flat-panel three-dimensional (3D) display. We previously developed a compact depth-fused 3D (DFD) display by using a stack of two twisted-nematic (liquid-crystal) LC panels, but its viewing-angle characteristics and color reproducibility were not so good. Therefore recent wide-view LC panels should be used. We report calculated and measured luminance addition characteristics, which are essential for evaluating 3D display characteristics, of a stack of two multidomain LC panels. We found that LC panels with super in-plane switching, patterned vertical alignment, multiple vertical alignment, and continuous pinwheel alignment modes are suitable for DFD display application.
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PMID:Luminance addition of a stack of multidomain liquid-crystal displays and capability for depth-fused three-dimensional display application. 1575 80

IFN-gamma (interferon-gamma) has several applications in the treatment of IFN-gamma-related skin disorders. While systemic delivery - the major route used to administer IFN-gamma - results in significant side effects and toxicity, including fever, fatigue, nausea, vomiting and neurotoxicity, transdermal delivery has a very low transduction efficiency. In order to improve the efficiency of transdermal IFN-gamma delivery, we introduced a Pen (penetratin) peptide, a 16-amino-acid-long polypeptide corresponding to the third helix of the DNA-binding domain (homoeodomain) of Antennapedia (a Drosophila transcription factor). The human IFN-gamma gene was then fused with a gene fragment that encodes the Pen of Antennapedia in a bacterial expression vector, producing a genetic in-frame Pen-IFN-gamma. The expressed and purified Pen-IFN-gamma was then found to have a much more efficient transduction profile than native IFN-gamma. In addition, compared with native IFN-gamma, Pen-IFN-gamma exhibited similar activities when added exogenously to a culture medium: (i) induction of IRF-1 gene expression, and (ii) NF-kappaB (nuclear factor kappaB) luciferase reporter activation. These results indicate that the transdermal delivery system using Pen may be an excellent way to replenish IFN-gamma in the various disorders related to this cytokine.
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PMID:Transdermal delivery of interferon-gamma (IFN-gamma) mediated by penetratin, a cell-permeable peptide. 1580 34

We have designed and synthesized two photochromic compounds incorporating fused indoline and benzooxazine fragments. Variable-temperature 1H NMR spectroscopy demonstrates that their central [1,3]oxazine ring opens thermally with free energy barriers ranging from 14 to 19 kcal mol(-1). The ring-opened species reverts rapidly to the original isomer and can only be detected after chemical trapping. Specifically, the nucleophilic attack of a hydroxide anion to the indolium cation of the ring-opened species prevents re-isomerization. Laser excitation of both compounds induces the opening of the [1,3]oxazine ring in less than 6 ns with quantum yields up to 0.1. The photoinduced ring opening generates a 4-nitrophenolate chromophore, which absorbs strongly at 440 nm. The photogenerated species reverts to the original form with a lifetime of 22 ns for both compounds. Thus, these transformations can be exploited to interconvert the two isomers of each species with nanosecond switching speeds. Furthermore, thousands of switching cycles can be repeated consecutively without any sign of degradation, even in the presence of molecular oxygen. These processes can be reproduced efficiently in poly(methyl methacrylate) matrixes. Under these conditions, the thermal re-isomerization occurs with biexponential kinetics in submillisecond time scales. In principle, the fast isomerization kinetics and excellent fatigue resistance of both compounds offer the opportunity to modulate rapidly and efficiently a variety of molecular and macroscopic properties. Thus, our molecular design can evolve into the realization of a new family of photochromic compounds and materials with promising photoresponsive character.
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PMID:Fast and stable photochromic oxazines. 1627 45

Albumin-interferon-alpha (IFN-alpha) is a novel 85.7-kDa recombinant protein consisting of IFN-alpha that is genetically fused to human serum albumin. In this Phase I/II, multicentre, open-label study, we evaluated the safety and tolerability, pharmacokinetics and pharmacodynamics of albumin-IFN-alpha in IFN-alpha-experienced patients with chronic hepatitis C. Albumin-IFN-alpha was administered in 22 escalating doses (7-900 microg) in a single injection or in two injections 14 days apart. In the 119 patients studied, there were no discontinuations because of adverse events, and albumin-IFN-alpha had a favourable safety profile at doses up to 900 microg. The most common adverse events were headache (56%), fatigue (52%), injection site erythema (38%), arthralgias (32%) and pyrexia (27%). Reduced clearance resulted in a mean elimination half-life of 159 h, which supports dosing at 2- to 4-week intervals. Induction of the IFN-specific gene OAS1 was maintained for > or = 28 days following a single injection of albumin-IFN-alpha at doses of > or = 40 microg. Dose-dependent antiviral activity was observed in this IFN-alpha-experienced study population. Antiviral activity of > or = 1.0-log reductions in HCV RNA was observed in 47% (37/78) of patients in the 120- to 900-microg cohorts and in 59% (16/27) in the 400- to 900-microg double-injection cohorts. These results support further clinical studies of albumin-IFN-alpha for the treatment of patients with chronic hepatitis C.
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PMID:A Phase I/II study evaluating escalating doses of recombinant human albumin-interferon-alpha fusion protein in chronic hepatitis C patients who have failed previous interferon-alpha-based therapy. 1651 58


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