7 results on '"Tseng EY"'
Search Results
2. Management for A Depressive Patient with Femoral Neck Fracture by Electroconvulsive Therapy during COVID-19 Pandemic: A Case Report and Literature Review.
- Author
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Chiu NM and Tseng EY
- Subjects
- Male, Humans, Adult, Pandemics, Treatment Outcome, Electroconvulsive Therapy adverse effects, Depressive Disorder, Major therapy, COVID-19, Femoral Neck Fractures
- Abstract
Electroconvulsive therapy (ECT) is an effective treatment for refractory major depressive disorder with suicidal ideation. The most common adverse medical events are transient retrograde amnesia, falls and pneumonia. Hip fractures, associated with high-energy trauma by convulsions, were occasionally reported in western countries, in the period before the COVID-19 pandemic. Strict COVID-19 regulations influenced the course and further investigation of the treatment of post-ECT complications. A 33-year-old man, previously diagnosed with major depressive disorder, had a history of nine successful sessions of ECT treatment for depression five years ago. He was hospitalized again for 12 sessions of ECT for recurrent depression. Unfortunately, an ECT-induced right hip-neck fracture was noted after the ninth session of ECT, in March 2021. After receiving close reduction and internal fixation of the right femoral neck fracture, with three screws, his original daily function was restored. His treatment was regularly followed up at the outpatient clinic for 20 months; he achieved partial remission with three combined antidepressants. This case of ECT-induced right hip-neck fracture informed psychiatric staff to be aware of this rare adverse complication and ensure its appropriate management, especially during the COVID-19 pandemic.
- Published
- 2023
- Full Text
- View/download PDF
3. Self-cross-linked hyaluronic acid hydrogel in ethmoidectomy: a randomized, controlled trial.
- Author
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Matheny KE, Tseng EY, Carter KB Jr, Cobb WB, and Fong KJ
- Subjects
- Adult, Aged, Carboxymethylcellulose Sodium chemistry, Chronic Disease, Cicatrix etiology, Cross-Linking Reagents chemistry, Edema etiology, Endoscopy, Female, Follow-Up Studies, Humans, Hydrogel, Polyethylene Glycol Dimethacrylate, Male, Middle Aged, Postoperative Complications, Prospective Studies, Wound Healing, Young Adult, Ethmoid Bone surgery, Hyaluronic Acid chemistry, Rhinitis surgery, Rhinoplasty, Sinusitis surgery
- Abstract
Background: This study was designed to evaluate the safety and efficacy of a novel, self-cross-linked hyaluronic acid (HA) hydrogel compared with carboxymethylcellulose (CMC) viscous foam in promoting healing when applied after ethmoidectomy. A prospective, randomized, controlled, blinded clinical trial was performed. The study was performed by four surgeons operating in two community hospitals., Methods: Thirty patients with bilateral chronic rhinosinusitis underwent bilateral total ethmoidectomy. Intraoperatively, each patient received 5 mL of HA hydrogel in one ethmoid cavity and 5 mL of CMC contralaterally. The material applied within each ethmoid cavity was randomly assigned before surgery. An independent surgeon, blinded to the material used to treat each ethmoid cavity, evaluated postoperative endoscopic video at 1 and 2 weeks for edema, crusting, and mucopurulence and at 6 and 12 weeks for remucosalization and scarring/synechiae. Twenty-item Sino-Nasal Outcome Test SNOT-20 data were collected at each visit. A small sample underwent endoscopic mucosal biopsy., Results: Twenty-nine of 30 patients completed the protocol. The difference in edema, crusting, and mucopurulence at 1 and 2 weeks was not statistically significant; however, at 6 and 12 weeks, the HA hydrogel showed statistically significant reduction in both overall endoscopic grade (p < 0.05), as well as synechiae formation (p < 0.05), with a trend toward superiority in remucosalization (p = 0.08). Histological analysis of six subjects at 12 weeks showed a nonsignificant trend toward a greater amount of regenerated cilia present with the HA hydrogel (p = 0.23). SNOT-20 scores declined 78.8% from preoperative scores., Conclusion: Self-cross-linked HA hydrogel provides superior wound healing to CMC after ethmoidectomy.
- Published
- 2014
- Full Text
- View/download PDF
4. Safety, feasibility, and efficacy of placement of steroid-eluting bioabsorbable sinus implants in the office setting: a prospective case series.
- Author
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Matheny KE, Carter KB Jr, Tseng EY, and Fong KJ
- Subjects
- Absorbable Implants, Adult, Chronic Disease, Endoscopy, Feasibility Studies, Female, Humans, Male, Middle Aged, Otorhinolaryngologic Surgical Procedures adverse effects, Patient Satisfaction, Postoperative Complications, Prospective Studies, Surveys and Questionnaires, Treatment Outcome, Young Adult, Drug Implants, Glucocorticoids administration & dosage, Otorhinolaryngologic Surgical Procedures methods, Paranasal Sinuses surgery, Rhinitis drug therapy, Sinusitis drug therapy
- Abstract
Background: The outcomes of endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS) can be compromised by postoperative inflammation, recurrent polyposis, middle turbinate lateralization, and synechiae, often requiring subsequent interventions. A bioabsorbable steroid-eluting sinus implant placed in the operating room following ESS has been proven safe and effective in 2 randomized controlled trials and a subsequent meta-analysis, for its ability to preserve sinus patency, and reduce medical and surgical interventions. This trial sought to evaluate the safety, feasibility, and outcomes of implants placed in the office after achieving hemostasis., Methods: Twenty patients with CRS underwent ESS including bilateral ethmoidectomy. A steroid-eluting bioabsorbable implant was deployed into each ethmoid cavity in the office within 7 days after ESS. Endoscopic appearance of the ethmoid cavities was evaluated at 1 week, 2 weeks, and 4 weeks postoperatively by the operating surgeon and an independent blinded evaluator. Procedural tolerance was assessed at week 2 using a patient preference questionnaire. The 20-item Sino-Nasal Outcome Test (SNOT-20) questionnaire was completed at baseline, week 2, and week 4., Results: In-office placement of steroid-eluting bioabsorbable implants was well tolerated, with 90% of patients very satisfied with the overall experience, and 80% very satisfied with the recovery process. At 1 month, there were no significant adhesions or frank polyposis, and middle turbinate lateralization was only 5%. Compared to baseline, ethmoid sinus inflammation was significantly reduced (p = 0.03), and the mean SNOT-20 score was significantly improved (p < 0.001)., Conclusion: In-office placement of steroid-eluting bioabsorbable implants after achieving hemostasis was well tolerated and might improve local drug diffusion and surgical outcomes., (© 2014 ARS-AAOA, LLC.)
- Published
- 2014
- Full Text
- View/download PDF
5. Porcelain to dentin bond strength with a dentin adhesive.
- Author
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Tseng EY, Cooley RL, and Evans JG
- Subjects
- Analysis of Variance, Humans, Materials Testing, Tensile Strength, Composite Resins, Dental Bonding, Dental Enamel, Dental Porcelain, Dentin, Dentin-Bonding Agents, Methacrylates
- Abstract
Adhesion of porcelain to dentin may be important in those cases with little remaining enamel. The purpose of this study was to determine the bond strength of porcelain to dentin using a dentin adhesive (All-Bond) and compare it to the enamel bond strength. Sixty human molar teeth had either a dentin or enamel bonding site prepared by flat grinding to a 600 grit. The teeth were divided into three groups of 20 each. Sixty porcelain cylinders were prepared, hydrofluoric acid etched on one end and silane treated. Twenty of the cylinders were bonded to enamel, 20 bonded to dentin with a dentin adhesive to be tested at 48 hours, and 20 bonded to dentin with a dentin adhesive to be tested after 24 hours of thermocycling (800 cycles at 6 degrees C to 60 degrees C). The specimens were tested in an Instron at a crosshead speed of 0.5 mm/minute. The following bond strengths were found: enamel (19.0 +/- 2.9 MPa), dentin at 48 hours (14.4 +/- 5.4 MPa), and dentin after thermocycling (10.1 +/- 3.8 MPa). When this data was subjected to statistical analysis (ANOVA), there was a significant difference between the groups. A Scheffe's test found that the dentin-porcelain bond at 48 hours was stronger than the thermocycled group, and that the enamel bond was significantly stronger than the two dentin bonds.
- Published
- 1992
- Full Text
- View/download PDF
6. Dentinal bond strengths and microleakage of a 4-META adhesive to amalgam and composite resin.
- Author
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Cooley RL, Tseng EY, and Barkmeier WW
- Subjects
- Coloring Agents, Composite Resins, Dental Alloys, Dental Amalgam, Dental Cavity Lining, Dental Materials, Dental Stress Analysis, Humans, Materials Testing, Organic Chemicals, Tensile Strength, Dental Bonding, Dental Leakage diagnosis, Dentin, Methacrylates
- Abstract
A 4-META-containing adhesive was evaluated for its ability to bond a composite resin and two types of amalgam to dentin. One group of composite resin was tested after 24 hours and another group after 24 hours of thermocycling. Shear bond strengths were: composite resin at 24 hours = 22.38 MPa; thermocycled composite resin = 20.86 MPa; spherical alloy = 3.38 MPa; admixed alloy = 3.84 MPa. Microleakage was evaluated after the 4-META adhesive was applied to cavity preparations and compared to that of a group treated with a cavity varnish. There was statistically significantly less microleakage in the 4-META group at both the occlusal and gingival margins.
- Published
- 1991
7. Evaluation of a 4-META porcelain repair system.
- Author
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Cooley RL, Tseng EY, and Evans JG
- Subjects
- Adhesives, Chromium Alloys, Materials Testing, Tensile Strength, Boron Compounds, Dental Bonding, Dental Cements, Dental Porcelain, Methacrylates, Methylmethacrylates
- Abstract
A recently introduced porcelain repair system utilizing 4-META (Etch-Free Primer with C & B-Metabond) was evaluated for bond strength to porcelain. This system purportedly eliminates hydrofluoric acid-etching and silane pretreatment. Forty porcelain specimens were prepared and treated with the 4-META repair system. A resin cylinder was bonded to the treated porcelain surface. Twenty of the specimens were tested after 24 hours while the other 20 were tested after thermocycling (800 cycles at 6 degrees C to 60 degrees C). The mean bond strengths were: 24 hours 17.4 MPa (+/- 4.8), thermocycled 19.1 MPa (+/- 7). Cohesive failure of the porcelain occurred in all of the specimens, both the 24 hour and the thermocycled. These bond strengths compare favorably with or exceed those of other porcelain repair systems tested in other studies.
- Published
- 1991
- Full Text
- View/download PDF
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