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ObjectiveTo explore the effect of Ganshuang granule on liver fibrosis （S1 and S2） in chronic hepatitis B （CHB） with liver depression spleen deficiency and blood stasis syndrome. MethodA total of 100 patients were classified into the control group （50 in total with 4 lost and 2 rejected， 44 finally included） and observation group （50 in total with 5 lost and 2 rejected， 43 finally included） with the random number table method. Both groups were given oral entecavir tablets （0.5 mg/time， once a day， 12 months）， and oral glutathione tablets was applied depending on the conditions of patients. In addition， the control group took the analog drug of Ganshuang granule （3 g/time， 3 times/day， 12 months） and the observation group received Ganshuang granules （3 g/time， 3 times/day， 12 months）， followed by histological examination of the liver by puncture biopsy. The two groups were compared in terms of inflammatory activity grade and fibrosis stage， as well as liver stiffness measure （LSM）， liver function， hepatitis B virus （HBV） DNA， liver depression and spleen deficiency syndrome score， aspartate aminotransferase （AST）-to-platelet ratio index （APRI）， and fibrosis index based on the four factors （FIB-4）. ResultAfter treatment， liver fibrosis in the observation group was milder than that in the control group （P<0.05） and the inflammatory activity grade in the observation group was lower than that in the control group （P<0.05）. The effective rate in down-regulating inflammatory activity grade in the observation group was 77.78% as compared with the 45.83% in the control group （χ2=5.546， P<0.05）. The effective rate in decreasing the fibrosis stage in the observation group was 59.26%， which was higher than that （16.67%） in the control group （χ2=9.669， P<0.01）. The LSM and score of the liver stagnation and spleen deficiency syndrome in the observation group were lower than those in the control group at the 6th months and 12th months of treatment （P<0.05，P<0.01）. The levels of alanine aminotransferase （ALT）， AST， and alkaline phosphatase （ALP） in the observation group were lower than those in the control group （P<0.01）. The APRI and FIB-4 in the observation group were lower than those in the control group （P<0.01）. ConclusionThe Ganshuang granule combined with entecavir can alleviate inflammation and liver fibrosis， delay and reverse liver fibrosis， protect liver， and improve the traditional Chinese medicine syndrome of liver fibrosis （S1 and S2） in CHB， which is worth of clinical use and further research.
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<p><b>OBJECTIVE</b>To evaluate the effect of sandblasting particle sizes of Al2O3 on the bonding strength between porcelain and titanium fabricated by laser rapid forming (LRF).</p><p><b>METHODS</b>The thermal expansion coefficient, roughness (Ra), contact angle, surface morphology of titanium surface and the bonding strength between titanium and porcelain were evaluated after the titanium surface being sandblasted using different sizes of Al2O3 (50 microm, 120 microm, 250 microm) at a pressure of 0.5 MPa. The cast titanium specimens were used as control, and were sandblasted with 50 microm Al2O3 at the same pressure.</p><p><b>RESULTS</b>The thermal expansion coefficient of cast titanium [(9.84 +/- 0.42) x 10(-6)/ degrees C] and LRF Ti [(9.79 +/- 0.31) x 10(-6)/ degrees C) matched that of Noritake Ti-22 dentin porcelain [(8.93 +/- 0.36) x 10(-6)/ degrees C). When larger size of Al2O3 was used, the value of Ra and contact angle increased as well. There was no significant difference in bonding strength between the LRF Ti-50 microm [(25.91 +/- 1.02) MPa] and cast titanium [(26.42 +/- 1.65) MPa]. Significantly lower bonding strength was found in LRF Ti-120 microm [(21.86 +/- 1.64) MPa] and LRF Ti-250 microm [(19.96 +/- 1.03) MPa].</p><p><b>CONCLUSIONS</b>The bond strength between LRF Ti and Noritake Ti-22 dentin porcelain was above the lower limit value in the ISO 9693 (25 MPa) after using 50 microm Al2O3 sandblasting in 0.5MPa air pressure.</p>
Subject(s)
Humans , Dental Bonding , Dental Porcelain , Radiation Effects , Dental Restoration Failure , Lasers , Materials Testing , Particle Size , Surface Properties , Titanium , Radiation EffectsABSTRACT
<p><b>OBJECTIVE</b>To measure the microstructure of laser-welded cast pure titanium by different gap distance.</p><p><b>METHODS</b>Forty specimens were sectioned and welded at four gaps (0.00 mm, 0.25 mm, 0.50 mm and 1.00 mm). Took microhardness test and metallographic examination of welded zone surface.</p><p><b>RESULTS</b>There were no difference in microhardness value and metallographic observation between welded specimens. The width of heat-effected zone was different. The smaller grains and needle-like alphamartensitic structure were found in the heat-affected zone.</p><p><b>CONCLUSION</b>The effects of the joint gap were not significant.</p>