• Title/Summary/Keyword: 골 용해

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Prognostic factors in Osteosarcoma (골육종의 예후인자)

  • Jeon, Dae-Geun;Lee, Jong-Seok;Kim, Sug-Jun;Yang, Hyun-Seok;Lee, Soo-Yong
    • The Journal of the Korean bone and joint tumor society
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    • v.3 no.1
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    • pp.1-8
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    • 1997
  • Osteosarcoma is the most common primary bony malignancy and its survivorship has been progressed markedly through refined chemotherapy and surgery. But still there are many non-responders and analysis of prognostic factors may be helpful for them. Two hundred and sixty-six patients were enlisted between Mar, 1985 and Sep. 1994. Among them our inclusion criteria were: 1)primary, nonmetastatic classical osteosarcoma 2)extremity in location 3)no prior treatment at other institute and completed neoadjuvant chemotherapy and surgery according to our protocol. One hundred and eleven cases were eligible. Analyzed factors were:age, sex, location, tumor size, and pathologic response. Statistical methods were log-rank test for univariate and Cox's test for multivariate analysis. Male to female ratio was 69:42 with an average age of 17.2 years. Locations of tumor were distal femur 59, proximal tibia 29, and proximal humerus 8. Tumor size were measured by its maximal diameter and 48 cases were above 10cm and 47 cases were below 10cm. For pathologic response, 57 cases showed more than 90% and 54 cases were less than that. Limb salvage procedure was 101 cases and amputation was 10 cases and their local recurrence rate were 3.6%. Average follow-up period was 24(9-78.2) months and their final status was CDF 86, AWD 8, NED 5, and DOD 12 cases. In univariate study: type of operation(p=0.005), tumor size(p=0.005), and pathologic response(p=0.02) were significant variables. Pathologic response(p=0.03) and type of operation(p=0.01) were meaningful prognostic factors on multivariate analysis. But the latter result was interpreted as a bias, so pathologic response remained as a sole meaningful prognostic factor. More aggressive chemotherapy will be needed to improve the survival.

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Hard and soft tissue management in esthetic zone: A Case Report (경조직과 연조직의 증강을 통한 상악전치부 임플란트 수복: 증례보고)

  • Kim, Na-Hong;Lee, Kyu-Won;Moon, Ji-Kyung;Park, Pil-Kou;Lee, Dong-Woon
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.24 no.1
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    • pp.13-24
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    • 2015
  • With the development of treatment of hard and soft tissue around the implants, the implant restoration is increasingly used in the maxillary anterior region which is very important aesthetically. However, the aesthetic reconstruction of the maxillary anterior region is still challenged. Three following conditions should be fully satisfied for aesthetic prosthesis restoration; reconstruction of hard tissue, soft tissue and harmonic prosthesis. In this case report, hard and soft tissue augmentations were performed at atrophied maxillary incisor. Additionally, customized impression coping and provisional restoration were used to make the final restoration.

Incomplete Reduction that Influence Reduction of Sesamoid as a Cause for Recurrence of Hallux Valgus (무지 외반증 재발의 한 원인으로 생각되는 종자골 정복에 영향을 주는 인자)

  • Yune, Young-Phil;Lee, Chul-Hyung;Jeong, Hyun-Yoon;Kim, Young-Woo;Jung, Jae-Yong
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.1
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    • pp.21-24
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    • 2010
  • Purpose: The incomplete reduction of the sesamoid has lately been issued as cause for recurrence. In this study, we analysed factors that may influence reduction of sesamoid. Materials and Methods: The study consists of 50 cases operated by single surgeon. Eighteen cases were done by proximal chevron osteotomy, and 32 cases were done by scarf osteotomy. Hallux valgus (HV) angle and intermetatarsal (IM) angle were measured before and three months after the surgery. Sesamoid position (SP) was classified according to Hardy and Clapham grade system. Results: After the proximal chevron osteotomy, the correction of the mean HV angle was $19.5^{\circ}$, and IM angle was $6.2^{\circ}$. SP was changed from 5.6 to 3.4 grade. After the Scarf osteotomy, the correction of the mean HV angle was 25 degree, and IM angle was $9^{\circ}$. SP was changed from 5.5 to 2.8 grade. There was difference of sesamoid's correction between two different method of surgery (p=0.127). However, better correction of sesamoid was witnessed with bigger correction angle regardless of method of surgery (p=0.002, 0.001). Conclusion: We believe surgical method do not effect sesamoid's correction but more correction angle can result in better correction of sesamoid position.

Effect of Vibration on Trabecualr Bone of OVX Rats (기계적 자극이 난소 제거한 쥐 해면골에 미치는 영향 분석)

  • Ko C.Y.;Lee T.W.;Woo D.G.;Kim H.S.;Kim C.H.;Lee B.Y.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.183-184
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    • 2006
  • Some researchers proposed positive effects of whole body vibration (WBV) on osteoporotic trabecular bones of animals. In the present study, the correlation between the improvement of morphological characteristics and the effect of WBV was investigated and analyzed in OVX rats. The rats were randomly assigned to 5 groups: control, sham, WBV 17Hz, WBV 30Hz and WBV 45Hz. The WBV groups were exercised on a vibration platform (magnitude : $1mm_{peak-peak}$, frequency : 17Hz, 30Hz and 45Hz, 30 minutes/day for 5 days/week). The 4th lumbar on rats was scanned by In-vivo Micro-CT at the week 0(just before WBV) and the week 8(after WBV). Structural parameters of the 4th lumbar, based on two dimensional (2D) scan image data, were investigated and analyzed. The quantitative decrement rate of trabecular bone on WBV groups with 30Hz and 45Hz were lower than control and sham groups. The results showed the positive effect of WBV on osteoporotic bones of OVX rats.

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Effect of Vibration on Trabecualr Bone of OVX Rats (기계적 자극이 난소 제거한 쥐 해면골에 미치는 영향 분석)

  • Ko C.Y.;Lee T.W.;Woo D.G.;Kim H.S.;Kim C.H.;Lee B.Y.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.649-650
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    • 2006
  • Some researchers proposed positive effects of whole body vibration (WBV) on osteoporotic trabecular bones of animals. In the present study, the correlation between the improvement of morphological characteristics and the effect of WBV was investigated and analyzed in OVX rats. The rats were randomly assigned to 5 groups: control, sham, WBV 17Hz, WBV 30Hz and WBV 45Hz. The WBV groups were exercised on a vibration platform (magnitude $1mm_{peak-peak}$, frequency : 17Hz, 30Hz and 45Hz, 30 minutes/day for 5 days/week). The 4th lumbar on rats was scanned by In-vivo Micro-CT at the week 0(iust before WBV) and the week 8(after WBV). Structural parameters of the 4th lumbar, based on two dimensional (2D) scan image data, were investigated and analyzed. The quantitative decrement rate of trabecular bone on WBV groups with 30Hz and 45Hz were lower than control and sham groups. The results showed the positive effect of WBV on osteoporotic bones of OVX rats.

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Effects of Unloading induced Denervation on Trabecular Bone of Growing Mice; Gender-difference (궁둥신경절제술을 통한 무부하가 성별에 따른 성장기 쥐 해면골에 미치는 영향)

  • Seo, Dong-Hyun;Ko, Chang-Yong;Kang, Sun-Young;Lim, Do-Hyung;Kim, Han-Sung
    • Journal of the Korean Society for Precision Engineering
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    • v.26 no.10
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    • pp.122-128
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    • 2009
  • The aim of this study was to investigate, through a longitudinal tracking, whether gender influences morphological characteristics on trabeucular bone of tibia during unloading. 12 male and 15 female ICR mice at 6 week of age were used and randomly allocated into two groups in each gender; unloading and normal group, respectively Mice in unloading group were operated on denervation (sciatic neurectomy). The tibiae were scanned by using in vivo micro-computed tomography (micro-CT) at 0 day (before denervation) and after 14 days. Structural parameters and BMD on tibia were measured. In female, BV/TV (65%), Tb. Th (5%), Tb.N (61%) and BMD (62%) were significantly decreased and BS/BV (17%), Tb.Sp (54%), SMI (19%) and Tb.Pf (75%) were significantly increased after unloading (p<0.05). In male, BV/TV (1%) and Tb.N (10%) were significantly decreased and SMI (5%) was significantly increased after unloading (p<0.05). In addition, trabeuclar bone loss of female was significantly bigger than that of male (p<0.05). These results indicated that effects of unloading on trabecular bone in growing mice might have difference between female and male, although unloading result in loss of quantity and quality on trabecular bone both female and male.

A Study on Deformation Capacity of High Strength Steel Beam-to-Column Connections According to Welding Detail at Beam End (보 단부 용접상세에 따른 고강도강 기둥-보 접합부의 변형능력에 관한 연구)

  • Oh, Sang Hoon;Park, Hae Yong
    • Journal of Korean Society of Steel Construction
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    • v.26 no.4
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    • pp.335-348
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    • 2014
  • For high-strength steel, it is difficult to be applied to flexible structural member because it have high yield ratio and low basic material's toughness. One of the great problems when using high-strength steel connections is the brittle fracture at the end of the beam member in common with general mild steel connections. In the cases of mild steel connections, it has be developed that special moment frame connection details by reinforcing structural member or improvement of welding access hole. But, it is incomplete at yet about applicability estimation of high-strength steel connections. This study is the initial step research for the applicability estimation of beam-to-column connections being applied to developed high-strength steel, HSA800. And, it studied about structural performance of the high-strength steel connections according to the details of welding access hole through full-scale test and analytical method.

인공관절의 수명 향상을 위해 Plasma Immersion Ion Implantation & Deposition 공정으로 증착된 NbN 박막에 대한 UHMWPE Liner 소재의 마모량 평가

  • Park, Won-Ung;Kim, Eun-Gyeom;Jeon, Jun-Hong;Choe, Jin-Yeong;Mun, Seon-U;Im, Sang-Ho;Han, Seung-Hui
    • Proceedings of the Korean Vacuum Society Conference
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    • 2012.02a
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    • pp.137-137
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    • 2012
  • 인공관절은 노인성 질환이나 자가 면역질환, 신체적인 외상 등으로 인하여 발생하는 관절의 손상 부위를 대체하기 위하여 고안된 관절의 인공 대용물이다. 인공 관절 중 인공 고관절의 경우 라이너(Liner)와 헤드(Head) 부분이 직접적인 마모 운동을 수행하게 되므로, 이 부분의 소재 특성에 따라 인공관절의 수명이 결정 되게 된다. 현재 헤드 소재로서는 Co-Cr-Mo 합금이, 라이너 소재로서는 고분자 소재인 UHMWPE (Ultra High Molecular Weight Polyethylene)가 주로 사용되고 있다. 이러한 MOP (Metal-On-Polymer) 구조의 인공관절의 경우, 충격흡수의 장점이 있는 반면, 관절 운동시 발생하는 UHMWPE 의wear debris에 의해 골용해가 발생하게 되어 인공관절의 수명이 저하되는 문제점이 있으며, 금속 헤드의 마모로 인한 금속이온의 용출은 세포 독성의 문제를 야기하여 인공관절의 수명을 저하시키는 또 다른 원인이 되고 있다. 따라서 본 연구에서는 PIII&D (Plasma Immersion Ion Implantation & Deposition) 공정을 이용하여 금속 (Co-Cr-Mo 합금)소재 위에 세라믹 (niobium nitride) 박막을 증착하여 상대재인 UHMWPE의 마모를 줄이고자 하는 연구를 진행하였다. 금속 소재 위에 증착된 세라믹 박막은 상대재인 UHMWPE의 마모량을 줄여줄 뿐만 아니라 금속이온의 용출을 막아준다는 장점이 있으나, 장시간의 마모 운동에 의하여 발생하는 박막의 박리 현상은 인공관절의 수명을 급격히 저하시키는 또 다른 원인이 된다. 이러한 단점을 해결하기 위하여, 박막의 증착 초기에 이온주입과 증착을 동시에 수행하는 dynamic ion mixing공정을 수행하였다. Dynamic ion mixing 공정을 수행함에 따라 박막과 금속 사이의 접착력이 증가하게 되어, UHMWPE의 마모량이 2배 가까이 감소하는 것을 확인할 수 있었으며, 장시간의 마모시험에서도 우수한 결과를 얻을 수 있었다. 또한 UHMWPE의 마모량을 감소시키기 위하여 박막을 증착하기 전에 금속 소재에 질소 이온주입을 수행하는 pre-ion implantation 공정을 도입하였다. 질소 이온주입 결과 Co-Cr-Mo 합금 표면에 부분적으로 CrN, Cr2N의 세라믹 상이 형성 되는 것을 확인할 수 있었으며, 그에 따라 UHMWPE의 마모량이 2배 이상 감소 되는 것을 확인 할 수 있었다.

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Microanatomical Structure of the Digestive Diverticulum of Mytilus galloprovincialis (Bivalvia: Mytilidae) (지중해담치, Mytilus galloprovincialis 소화맹낭의 미세해부학적 구조)

  • Ju, Sun-Mi;Lee, Jung-Sick
    • Applied Microscopy
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    • v.41 no.4
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    • pp.257-263
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    • 2011
  • The microanatomy and ultrastructure of the digestive diverticulum of Mytilus galloprovincialis were described using light and electron microscopy. The digestive diverticulum of tawny color was surrounded the stomach and connected to stomach by a primary duct. Digestive diverticulum is composed of numerous digestive tubules. The epithelial layer of a simple digestive tubule, which is simple, is composed of basophilic cells and digestive cells. Basophilic cells are columnar in shape, and has a well-developed endoplasmic reticula, tubular mitochondria, Golgi complex and membrane-bounded granules of high electron density in the cytoplasm. Whereas digestive cells are columnar in shape, with development of microvilli and cilia on the free surface. Pinocytic vasicles, active lysosomes and numerous mitochondria were observed in the apical cytoplasm of digestive cells. The results of this study suggest that basophilic cell and digestive cell of the digestive tubule are specialized in the extracellular and intracellular digestion, respectively.

Study on the characteristics and biodegradable of synthetic PLGA membrane from lactic acid and glycolic acid (젖산 및 글리콜산에서 합성된 PLGA 멤브레인의 특성과 생분해성에 관한 연구)

  • Xie, Yuying;Park, Jong-Soon;Kang, Soon-Kook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.4
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    • pp.2958-2965
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    • 2015
  • The PLGA(Poly lactide-co-glycolide) Copolymer have been actively applied to the medical implant material as biomaterials. PLGA membrane was able to alveoloplasty with osteotomy for favorable degradation characteristics and possibilities for sustained drug delivery. In this study, PLGA membrane was prepared using phase inversion method, and examined to optical method analysis(NMR, IR), mechanical property measurement (tearing strength) and thermal characteristic analysis(DSC). In addition, the biodegradation characteristics of the PLGA membrane filled with a PBS(Phosphate Buffered Solution) of the water bath ($60^{\circ}C$) according to the degree of surface degradation in the degradation time, the pH change of the solution and change of the mass of the membrane were measured.