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The effect of peri-implant bone exposure on soft tissue healing and bone loss in two adjacent implants

  • Shin, Seung-Yun;Kye, Seung-Boem;Hong, Jong-Rak;Paeng, Jun-Young;Yang, Seung-Min
    • Journal of Periodontal and Implant Science
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    • v.42 no.1
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    • pp.20-24
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    • 2012
  • Purpose: The purpose of this study was to evaluate the soft tissue and bone change around two adjacent implants in onestage implant surgery. Methods: Eleven subjects (7 males, 4 females) who were needed placement of 2 adjacent implants in the molar area were included. The two implants were placed with the platform at the level of the alveolar crest. The interproximal bone between the 2 implants was not covered with gingiva. After surgery, an alginate impression was taken to record the gingival shape and radiographs were taken to evaluate implant placement. Using a master cast, the gingival height was measured at baseline, 4 weeks, and 12 weeks. In the radiograph, the alveolar bone level was measured at the mesial and distal side of both implants at baseline and 12 weeks. Results: The exposed bone was covered with gingiva at both 4 and 12 weeks. Loss of alveolar bone around implants was found in all areas. The alveolar bone level in the exposed bone area did not differ from that in the non-exposed area. Conclusions: This study showed that the alveolar bone level and gingival height around 2 adjacent implants in the exposed bone area did not differ from that in unexposed bone area.

Heat Resistant Low Emissivity Oxide Coating on Stainless Steel Metal Surface and Characterization of Emissivity (스테인리스강 금속 표면에 내열 저방사 산화물 코팅제 적용과 방사 특성 평가)

  • Lim, Hyung-Mi;Kwon, Tae-Il;Kim, Dae-Sung;Lee, Sang-Yup;Kang, Dong-Pil;Lee, Seung-Ho
    • Korean Journal of Materials Research
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    • v.19 no.12
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    • pp.649-656
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    • 2009
  • Inorganic oxide colloids dispersed in alcohol were applied to a stainless steel substrate to produce oxide coatings for the purpose of minimizing emissive thermal transfer. The microstructure, roughness, infrared emissive energy, and surface heat loss of the coated substrate were observed with a variation of the nano oxide sol and coating method. It was found that the indium tin oxide, antimony tin oxide, magnesium oxide, silica, titania sol coatings may reduce surface heat loss of the stainless steel at 300${\circ}C$. It was possible to suppress thermal oxidation of the substrate with the oxide sol coatings during an accelerated thermal durability test at 600${\circ}C$. The silica sol coating was most effective to suppress thermal oxidation at 600${\circ}C$, so that it is useful to prevent the increase of radiative surface heat loss as a heating element. Therefore, the inorganic oxide sol coatings may be applied to improve energy efficiency of the substrate as the heating element.

Effectiveness and Safety of Tranexamic Acid in Spinal Deformity Surgery

  • Choi, Ho Yong;Hyun, Seung-Jae;Kim, Ki-Jeong;Jahng, Tae-Ahn;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • v.60 no.1
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    • pp.75-81
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    • 2017
  • Objective : Spinal deformity surgery has the potential risk of massive blood loss. To reduce surgical bleeding, the use of tranexamic acid (TXA) became popular in spinal surgery, recently. The purpose of this study was to determine the effectiveness of intra-operative TXA use to reduce surgical bleeding and transfusion requirements in spinal deformity surgery. Methods : A total of 132 consecutive patients undergoing multi-level posterior spinal segmental instrumented fusion (${\geq}5$ levels) were analyzed retrospectively. Primary outcome measures included intraoperative estimated blood loss (EBL), transfusion amount and rate of transfusion. Secondary outcome measures included postoperative transfusion amount, rate of transfusion, and complications associated with TXA or allogeneic blood transfusions. Results : The number of patients was 89 in TXA group and 43 in non-TXA group. There were no significant differences in demographic or surgical traits between the groups except hypertension. The EBL was significantly lower in TXA group than non-TXA group (841 vs. 1336 mL, p=0.002). TXA group also showed less intra-operative and postoperative transfusion requirements (544 vs. 812 mL, p=0.012; 193 vs. 359 mL, p=0.034). Based on multiple regression analysis, TXA use could reduce surgical bleeding by 371 mL (37 % of mean EBL). Complication rate was not different between the groups. Conclusion : TXA use can effectively reduce the amount of intra-operative bleeding and transfusion requirements in spinal deformity surgery. Future randomized controlled study could confirm the routine use of TXA in major spinal surgery.

Neuroprotective Effect of β-Lapachone in MPTP-Induced Parkinson's Disease Mouse Model: Involvement of Astroglial p-AMPK/Nrf2/HO-1 Signaling Pathways

  • Park, Jin-Sun;Leem, Yea-Hyun;Park, Jung-Eun;Kim, Do-Yeon;Kim, Hee-Sun
    • Biomolecules & Therapeutics
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    • v.27 no.2
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    • pp.178-184
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    • 2019
  • Parkinson's disease is a neurodegenerative disease characterized by the progressive loss of dopaminergic neurons within the substantia nigra pars compacta. In the present study, we investigated whether ${\beta}-Lapachone$ (${\beta}-LAP$), a natural naphthoquinone compound isolated from the lapacho tree (Tabebuia avellanedae), elicits neuroprotective effects in a 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced Parkinson's disease mouse model. ${\beta}-LAP$ reduced the tyrosine hydroxylase (TH)-immunoreactive fiber loss induced by MPTP in the dorsolateral striatum, and alleviated motor dysfunction as determined by the rotarod test. In addition, ${\beta}-LAP$ protected against MPTP-induced loss of TH positive neurons, and upregulated B-cell lymphoma 2 protein (Bcl-2) expression in the substantia nigra. Based on previous reports on the neuroprotective role of nuclear factor-E2-related factor-2 (Nrf2) in neurodegenerative diseases, we investigated whether ${\beta}-LAP$ induces upregulation of the Nrf2-hemeoxygenae-1 (HO-1) signaling pathway molecules in MPTP-injected mouse brains. Western blot and immunohistochemical analyses indicated that ${\beta}-LAP$ increased HO-1 expression in glial fibrillary acidic protein-positive astrocytes. Moreover, ${\beta}-LAP$ increased the nuclear translocation and DNA binding activity of Nrf2, and the phosphorylation of upstream adenosine monophosphate-activated protein kinase (AMPK). ${\beta}-LAP$ also increased the localization of p-AMPK and Nrf2 in astrocytes. Collectively, our data suggest that ${\beta}-LAP$ exerts neuroprotective effect in MPTP-injected mice by upregulating the p-AMPK/Nrf2/HO-1 signaling pathways in astrocytes.

The Study of Implant Patient's Type and Implant Distribution (임플란트 환자의 유형 및 분포에 대한 연구)

  • Hong, Sung-Jae;Paik, Jeong-Won;Kim, Chang-Sung;Choi, Seong-Ho;Lee, Keun-Woo;Chai, Jung-Kiu;Kim, Chong-Kwan;Cho, Kyoo-Sung
    • Journal of Periodontal and Implant Science
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    • v.32 no.3
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    • pp.539-554
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    • 2002
  • It has been approximately 40 years since $Br{{\aa}}nemark$ first introduced osseo-integration for implants in the early 1960s. Unlike crown and bridge or denture treatment, implant treatment helps preserve existing bone and improve masticatory functions. Thus, the awareness of implant treatment has grown rapidly among dentists and patients alike in Korea, as it becomes a widely accepted treatment. The following results on patients type and implant distribution were compiled from 1814 implant cases of 640 patients treated at the periodontal dept. of Y University Hospital during 1992 to 2001. 1. There are no dissimilarities between men and women, with patients in their 40,50s accounting for 49% of patients and 56% of implant treatments; the largest share of patients and implant treatments. 2. Mn. posterior area accounted for 59% of implant treatments followed by Mx. posterior area(21%), Mx anterior area(l4%) and Mn anterior area 2%. 3. Partial edentulous patients treated by single crown and bridge-type prosthesis accounted for 98% and fully edentulous patient accounted for the remaining 2% 4. The major cause of tooth loss is periodontal disease, followed by dental caries, trauma and congenital missing. Compared to women, men are more likely to suffer from tooth loss due to periodontal disease. Also, older people are more likely to suffer from tooth loss due to periodontal disease rather than dental caries. 5. The distribution of bone quality for maxillae was 52% for type III, followed by 23% for type II, 20% for type IV and 0% for type I. As for mandible, the distribution was 52% for type II, followed by 37% for type III, 7% for type IV and 4% for type I. 6. The distribution of bone quantity for maxillae was 49% for type C, followed by 34% for type B, 14% for type D, 3% for type A, and 0% for type E. As for mandible, the distribution was 52% for type B, followed by 35% for type C, 6% for type D, 3% for type A and 0% for type E. 7. The majority of implants were those of 10-14mm in length (80%) and regular diameter in width (79%). The results provided us with basic data on patient type, implant distribution, bone condition, etc. We wish that our results coupled with other research data helps assist in the further study for better implant success/survival rates, etc.

Expression Pattern of Caspase 2 in Korean Gastric Cancers (한국인 위암에서 Caspase 2 단백 발현 양상)

  • Kim, Chang-Jae;Park, Jik-Young;Lee, Jong-Heun;Cho, Young-Gu;Lee, Jong-Woo;Song, Young-Hwa;Kim, Young-Sil;Park, Cho, Hyun;Nam, Suk-Woo;Lee, Sug-Hyung;Yoo-Nam-Jin;Park, Won-Sang;Lee, Jung, Young
    • Journal of Gastric Cancer
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    • v.3 no.1
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    • pp.38-43
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    • 2003
  • Purpose: Caspase 2, a member of the family of ICE-like proteases, is activated by the Fas pathway and induces apoptosis by triggering the caspase cascade. The purpose of this study was to determine whether the expression pattern of caspase 2 might be associated with gastric cancer development and if so, to determine to which pathologic parameter it is linked. Materials and Methods: For the construction of the gastric cancer tissue microarray, 78 paraffin-embedded tissues containing gastric cancer areas were cored 3 times and transferred to the recipient master block. The expression pattern of caspase 2 was examined on tissue microarray slides by using immunohistochemistry and was compared with pathologic parameters, including histologic type, depth of invasion, lymph node metastasis, and peritoneal dissemination. Results: Caspase 2 was expressed on superficial and foveolar epithelial cells and lymphocytes in the gastric mucosa, mainly in cytoplasm. We found loss of caspase 2 expression in 41 ($52.6\%$) of the 78 gastric cancer tissues. Statistically, histologic type and other pathologic parameters were not related with loss of caspase 2 expression Conclusion: Our findings provide enough evidence that loss of caspase 2 expression may contribute to the development of Korean gastric cancer and that it might be one of the possible escape mechanisms from apoptosis in gastric cancer.

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Electromagnetic Shielding Effectiveness of a Soft Magnetic Film for Application of Noise Reduction In RE Range (RF대역 노이즈 저감용 연자성 필름의 전자기파 차폐효과)

  • Kim Sang-Woo;Yun Yong-Woon;Kim Gwang-Yoon;Lee Yo-Chun;Lee Kyung-Sup
    • Journal of the Microelectronics and Packaging Society
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    • v.11 no.3 s.32
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    • pp.31-36
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    • 2004
  • We charaterized electromagnetic shielding properties of a soft magnetic film using by a ASTM method and 2-port flanged coaxial line method in a RF range and quantitatively analyzed factors for the shielding effectiveness of the soft magnetic film in far field. The shielding effectiveness of the soft magnetic film was dominantly affected by absorption loss not reflection loss in high frequency range of 4-13.5 GHz.

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Method for Locating Arc-events by Utilizing Transmission Loss of Plastic Optical Fiber (플라스틱 광섬유의 손실 특성을 활용한 아크플래시 위치추적 방법)

  • Jeong, Hoonil;Kim, Young Ho;Kim, Youngwoong;Rho, Byung Sup;Kim, Myoung Jin
    • Journal of Sensor Science and Technology
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    • v.25 no.4
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    • pp.280-284
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    • 2016
  • For an arc-flash protection system, the selection of arc-flash sensor in implementation is largely dependent on the coverage area and the spatial resolution. Typically, a point sensor is used to accurately measure an arc event within a very narrow region; whereas, a loop or a line sensor can cover several electrical compartment at the same time, but with a poor resolution. In this work, a novel scheme for an arc-flash sensor was developed by making use of the transmission loss of plastic optical fibers (POFs) to cover a broad range with a high spatial resolution. By relating the amplitude ratio of the arc-signals at the ends of the POF with the arc-location, arc events could be located with a resolution of ~5 cm within a spatial range of 10 m, which has not been reported yet.

Analysis on the Mass Loss in Self-blast type $SF_6$ Gas Circuit Breaker (Self-blast형 $SF_6$ 가스 차단기의 노즐용삭 분석)

  • Jeong, Young-Woo;Bae, C.Y.;Ahn, H.S.;Choi, J.W.;Oh, I.S.
    • Proceedings of the KIEE Conference
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    • 2006.07c
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    • pp.1422-1423
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    • 2006
  • In our study, the PTFE nozzle ablation in the high-voltage self-blast type $SF_6$ gas circuit breaker was investigated. The test circuit breaker has the structure that the pin electrode is moving and the pressure reservoir volume and the dimension is almost same as commercial 145kv 40kA circuit breaker for similar result in real circuit breaker. The variation of current and arcing time was the range of $36kA_{rms}$(symmetry) - $40kA_{rms}$(asymmetry) and 10-16 ms. From the measured data the tendecy of the mass loss of the nozzle to current load and arc energy was estimated. In this process, the distance from the arc to nozzle(PTFE) surface, area which was exposed to arc and stroke contour was considered. These results will be used to enhance the accuracy of the computational fluid dynamics analysis in circuit breaker and estimate the residual life time of a circuit breaker.

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Using Lymphovenous Anastomosis and Lymph Node to Vein Anastomosis for Treatment of Posttraumatic Chylothorax with Increased Thoracic Duct Pressure in 3-Year-Old Child

  • Kim, Yeongsong;Kim, Hyung B.;Pak, Changsik J.;Suh, Hyunsuk P.;Hong, Joon P.
    • Archives of Plastic Surgery
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    • v.49 no.4
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    • pp.549-553
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    • 2022
  • Chylothorax is a rare disease and massive lymph fluid loss can cause life-threatening condition such as severe malnutrition, weight loss, and impaired immune system. If untreated, mortality rate of chylothorax can be up to 50%. This is a case report of a 3-year-old child with iatrogenic chylothorax. Despite conservative treatment and procedures, like perm catheter insertion, the patient failed to improve the respiratory symptoms over 3 months of period. As an alternative to surgical option, such as pleurodesis and thoracic duct ligation which has high complication rate, the patient underwent lymphovenous anastomosis (LVA) and lymph node to vein anastomosis (LNVA). Follow-up at fourth month showed clear lungs without breathing difficulty despite perm catheter removal. This is the first report to show the effectiveness of LVA and LNVA against iatrogenic chylothorax.