• Title/Summary/Keyword: Fracture rate

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A Retrospective Study of the Pattern and Treatment of Traumatic Dental Injury to Primary and Permanent Teeth (유치와 영구치의 외상 양상 및 치료에 대한 후향적 연구)

  • Kim, Yujeong;Kim;Choi, Namki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.4
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    • pp.314-321
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    • 2014
  • This study investigated the pattern and treatment of traumatic dental injury (TDI), with respect to the time elapsed prior to the initial visit to the Department of Pediatric Dentistry, Chonnam National University Dental Hospital for TDI, from January 2009 to December 2013. The dental trauma records of a total of 378 patients (940 traumatic teeth) were analyzed. The prevalence rate of dental trauma was twofold higher in males versus females. The principal cause of injury, among all participants, was falling (36.5%). The most commonly affected teeth were the maxillary central incisors (66.9%). Subluxation (43.9%) represented the most common trauma for primary teeth, and uncomplicated crown fracture in permanent teeth (30.9%). Only 10% of patients visited the dental clinic within 1 hour of sustaining trauma. The principal treatment provided for primary teeth, during the initial clinical visit, was follow-up (53.2%); for permanent teeth it was root canal treatment (27.3%). The prevalence of root canal treatment for permanent teeth increased commensurate with the time elapsed since injury. These data suggest that delayed checkup following trauma may increase the risk of loss of pulp vitality.

Rutin Improves Bone Histomorphometric Values by Reduction of Osteoclastic Activity in Osteoporosis Mouse Model Induced by Bilateral Ovariectomy

  • Lee, Hye-Hwa;Jang, Jae-Won;Lee, Jung-Kil;Park, Choon-Keun
    • Journal of Korean Neurosurgical Society
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    • v.63 no.4
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    • pp.433-443
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    • 2020
  • Objective : Osteoporosis is a disease of unbalanced bone metabolism that results in low bone mineral density with increased bone fragility and propensity for fractures. The increased rate of bone fracture due to osteoporosis places a significant burden on public health care expenditures. Therefore, numerous studies have been designed and performed to identify the drugs or health foods that can improve the bone quality or quantity. This study was designed to evaluate and analyze the therapeutic effects of rutin on histomorphometric values of the spine and femur in an osteoporotic mouse model induced by bilateral ovariectomy. Methods : Thirty female ICR mice (8 weeks old) underwent either a sham operation (only abdominal incision, sham group, n=10) or bilateral ovariectomy (n=20). The ovariectomized (OVX) animals were randomly divided into two groups : untreated OVX group (OVX-C, n=10), or rutin-administered group (OVX-R, n=10). The OVX-C group received weight-adjusted doses of saline vehicle and the OVX-R group received 50 mg/kg of rutin intraperitoneally, starting 1 day after surgery. At 4 and 8 weeks after surgery, serum estrogen, osteocalcin, alkaline phosphatase (ALP), and the telopeptide fragment of type I collagen C-terminus (CTX-1) were analyzed. Interleukin (IL)-1β, IL-6, IL-10, and tumor necrosis factor (TNF)-α were also analyzed. Bone histomorphometric parameters of the 4th lumbar vertebra and femur were determined by micro-computed tomography. Results : In OVX-C group, ALP, osteocalcin, CTX-1, IL-1β, IL-6, and TNF-α levels were significantly increased at 4 and 8 weeks compared to sham operation group. Rutin administration after OVX statistically significantly reduced ALP, CTX-1, IL-1β, IL-6, and TNF-α levels at 4 and 8 weeks. Rutin administration also improves bone histomorphometric parameters including trabecular bone volume fraction, trabecular thickness, and trabecular number. Trabecular separation was also decreased in OVX-R group compared to OVX-C group. Conclusion : The present study demonstrated that rutin has therapeutic effects on improving bone histomorphometric values in an OVX mouse model. The improvement in histomorphometric values may be associated with the reduction of osteoclastic activity via inhibition of IL-1β, IL-6, and TNF-α. In future studies, the mechanism for the effect of rutin on osteoporosis should be demonstrated more clearly to use rutin in human osteoporosis.

Surgical Outcomes and Complications Following All Posterior Approach for Spinal Deformity Associated with Neurofibromatosis Type-1

  • Park, Byoung-Joo;Hyun, Seung-Jae;Wui, Seong-Hyun;Jung, Jong-Myung;Kim, Ki-Jeong;Jahng, Tae-Ahn
    • Journal of Korean Neurosurgical Society
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    • v.63 no.6
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    • pp.738-746
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    • 2020
  • Objectives : The purpose of this study was to evaluate surgical outcomes and complications of spinal deformity associated with neurofibromatosis type-1 (NF-1). Methods : From 2012 to 2018, patients suffering from spinal deformity associated with NF-1 who underwent surgical correction were identified. Demographic data and radiographic measures were retrospectively reviewed. Pre- and postoperative whole spine radiograph images were used to determine both coronal and sagittal Cobb angles. All of patients underwent 3-dimentional computed tomographic scan and magnetic resonance imaging scan to confirm dystrophic features. For evaluation of clinical outcomes, we surveyed the pre- and postoperative scoliosis research society-22r (SRS-22r) score. Results : Seven patients with spinal deformity associated with NF-1 were enrolled in this study. The mean age of patients was 29.5±1.2 years old. The mean follow-up period was 2.8±1.4 years. The apex of the deformity was located in cervicothoracic (n=1), thoracic (n=4), and lumbar region (n=2). Most patients have poor bone quality and decreased bone mineral density with average T-score of -3.5±1.0. All patients underwent surgical correction via posterior approach. The pre- and postoperative mean coronal and sagittal Cobb angle was 61.6±22.6° and 34.6±38.1°, 56.8±18.5° and 40.2±9.1°, respectively. Mean correction rate of coronal and sagittal angle was 44.7% and 23.1%. Ultimate follow-up SRS-22r score (average score, 3.9±0.4) improved comparing to preoperative score (average score, 3.3±0.9). Only one patient received revision surgery due to rod fracture. No serious complication occurred, such as neurological deficit, and viscerovascular injury. Conclusion : The surgical correction of patients having spinal deformity associated with NF-1 is challenging, however the radiographic and clinical outcomes are satisfactory. The all posterior approach can be a safe and effective surgical option for patients having dystrophic curves associated with NF-1.

Fire Resistance Study of PP Thermoplastic Composites with Particulate Reinforcements and Br Flame Retardants (무기 입자 강화제와 브롬(Br) 난연제에 따른 폴리프로필렌 복합재료의 난연성 향상에 관한 연구)

  • 곽성복;황성덕;남재도;고재송;최형기
    • Polymer(Korea)
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    • v.26 no.2
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    • pp.260-269
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    • 2002
  • The fire resistance of particulate polypropylene composite systems were investigated by using various reinforced particles such as zeolite, talc, $CaCO_3$ particles. In this study, The effect of particle size on the thermal properties of composite and the effect of reinforced particles on the fire resistance were studied. The inorganic reinforced particles used in this study were recycled zeolite(average particle diameter=85.34 $mu extrm{m}$), $CaCO_3$ (33.93 $mu extrm{m}$), and talc (18.51 $mu extrm{m}$). The fire resistance of composite systems was thoroughly examined by measuring limited oxygen index (LOI, ASTM D2863) and cone calorimetry (ASTM E1354, ISO 5660). Thermal stability of composite systems was thoroughly examined by measuring TGA. The flame retardants (DBDPO) and reinforced particles reduce the maximum heat release rate (M-HRR) in the order of Talc > $CaCO_3$ > recycled Zeolite. Comparing the cone calorimetry experimental results of the particle reinforced polymer composite system exhibited twice higher efficiency than DBDPO in polypropylene systems, and the LOI also showed similar trends to the cone calorimetry experiments. The optical and scanning electron microscopy techniques were used to investigate the composites ash layer and the core fracture surfaces in the burning process. The reinforcing inorganic particles seemed to accumulate at the surface of ash layer, and subsequently intercept the oxygen transport and heat transfer into the core area.

EFFECT OF WETTING CONDITION ON BONDING OF RESIN CEMENT TO DENTIN (상아질 표면의 건조에 따른 습윤상태가 레진세멘트의 접착에 미치는 영향)

  • Son, Kang-Ha;Park, Jin-Hoon;Cho, Kyeu-Zeung
    • Restorative Dentistry and Endodontics
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    • v.20 no.1
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    • pp.97-112
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    • 1995
  • The purpose of this study was to evaluate the effect of wetting condition made by drying time on bonding of resin cement to dentin. Freshly extracted bovine teeth were grinded to expose flat dentin surfaces. After the exposed dentin surfaces were treated with pretreatment agents and water rinse, each wetting condition of dentin surfaces was made according to drying times and methods including slight blow bry for I-second by air syringe, blow dry for 20-second by air syringe, and 12-hour dry in desiccator respectively. and then, previously made composite resin specimens were bonded onto each conditioned dentin surface of the specimen using Panavia-21(Kuraray Co.), Bistite(Tokuso Co.), and Choice(use with All bond-2, Bisco Inc.) resin cement according as manufacturer's instruction. Bonded specimens were stored in $37^{\circ}C$ distilled water for 24 hours, then the tensile bond strength was measured, cohesive failure rate was calculated, and fractured dentin surfaces and acrylic rod sides were examined under scanning electron microscope. The result were as follows ; In the group of bonding with Panavia-21 resin cement, higher tensile bond strength was seen in 12-hour dry group than in I-second and 20-second dry group(p<0.01). In the group of bonding with Bistite resin cement, higher tensile bond strength was seen in 1-second dry group than in 20-second and 12-hour dry group(p<0.01). In the group of bonding with Choice resin cement, no significant differences of bond strength under given drying time were seen. Cohesive failure rates derived from the groups of bonding with Panavia-21 and Choice resin cement were increased with the increase of tensile bond strength in each drying time. On SEM examination of fractured surface, adhesive failure mode with fractured resin tags was mostly seen in wet condition with I-second drying time in the group of bonding with Panavia-21 resin cement, mixed failure mode with shortened and fractured resin tag was seen in the group of bonding with Bistite resin cement, and regardless of drying time, and cohesive-adhesive mixed failure mode with fracture of 'Hollow' typed resin tags was mainly seen in the group of bonding with Choice resin cement.

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Analyses of Scenarios Based on a Leakage of Highly Compressed Air and Fire Anticipated in CAES (Compressed Air Energy Storage) Facility (압축공기에너지저장 시설에서 발생 가능한 압축공기 유출 및 화재 시나리오 분석)

  • Yoon, Yong-Kyun;Ju, Eun-Hye
    • Tunnel and Underground Space
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    • v.25 no.6
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    • pp.568-576
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    • 2015
  • In this study, scenarios based on the leakage of highly compressed air and fire occurrence turned out to be high risks in an operation stage of CAES facility were constructed and estimated. By combining Bernoulli equation with momentum equation, an expression to calculate an impact force of a jet flow of compressed air was derived. An impact force was found to be proportional to the square of diameter of fracture and the pressure of compressed air. Four types of fire scenarios were composed to evaluate an effects that seasonal change and location of fire source have on the spread behavior of smoke. Smoke from the fire ignited in the vicinity of CAES opening descended more quickly below the limit line of breathing than one from the fire occurred 10 m away from CAES opening, which is expected to occur due to a propagation of wave front of smoke. It was shown that a rate of smoke spread of the winter fire is faster than one of the summer fire and smoke from the winter fire spreads farther than one of the summer fire, which are dependent on the direction of air flow into access opening. Evacuation simulation indicated that the required safe evacuation time(RSET) of the summer and winter fires are 262, 670 s each.

Structure/Property of Adhesives and Adhesion Performance (접착제의 구조물성과 접착특성)

  • Hiroshi Mizumachi
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.29 no.1
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    • pp.73-83
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    • 1997
  • Most of the materials used in various industrial fields and also in our daily life are multi-component materials or composite materials, and it is well known that there are many cases where adhesion between the constituents within the bonded systems plays an important role. There are various types of performance evaluation tests for the bonded materials, among which tests for evaluating the bond performance under various conditions may be regarded as the most interesting ones for those engaged in work related to adhesion. I have studied on the mechanism of adhesion form the rheological standpoint with my colleagues, including some students from Korea, and I am very happy to be able to have a talk on some of our research works. In Japan, the so-called "adhesives" are usually classified into two categories;adhesives and pressure sensitive adhesives (PSA). Adhesives are the materials which solidify after bonding and are after used as the structural adhesives because the adhesive strength is comparatively strong. On the other hand, the pressure sensitive adhesives never solidify and are used as PSA tapes, labels or decals. About the adhesives, we have examined the dependence of adhesive strength(shear, tensile, peel) upon both temperature and rate of deformation, and found out some empirical rules which are applicable to most of the adhesive systems. We have also developed a simplified theory of adhesion, which is deseribed in terms of mechanical equivalent mode1 and a few failure criteria. Although some of the common rules can be accounted for according to this theory, it must be pointed out that a fracture mechanical approach ms inevitable especially in the region where the meehanical relaxation time of the adhesive is extremely large [W. W. Lim and H. Mizumachi]. About the pressure sensitive adhesives, we have studied on the PSA performance (peel, tack, holding power) as a function of both the viscoelastic properties and surface chemical properties of the materials, and found out some rules, and again we have developed a theory which deseribes the mechanism. And in addition, we have studied on the miscibility between linear polymers and oligomers, because PSA is generally manufactured by blending gums and tackifier resins. Many phase diagrams have been found and some of them have been analyzed on thermodynamic basis, and it became evident that the miscibility is a very important factor in PSA [H. J. Kin and H. Mizumachi]. In this presentation, I want to emphasize the fact that the adhesion performance is closely related to the structure/property of the adhesives.adhesives.

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Clinical Review of Totally Implantable Venous Catheter (완전 거치형 정맥도관의 임상분석)

  • Kim, Jung-Tae;Oh, Tae-Yoon
    • Journal of Chest Surgery
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    • v.40 no.10
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    • pp.691-695
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    • 2007
  • Background: The introduction of central venous catheters in 1979 has aided the administration of chemotherapy to oncologic patients. We analyzed the clinical reviews and complications of totally implantable venous catheters in an effort to achieve optimal management. Material and Method: We retrospectively studied 100 cases with totally implantable venous catheter at our hospital and we report the results. Result: 100 totally implantable venous catheters were placed in the right subclavian vein in 74 cases (74%), the left subclavian vein in 21 cases, the right jugular vein in 3 cases, the left jugular vein in 1 case and the right femoral vein in 1 case. The immediate complications were 5 cases in malposition of the catheter and 5 cases of arterial puncture. The late complications were 1 case of subclavian vein thrombosis, which was treated with anticoagulation, and 2 cases of pinch-of syndrome. There were no other early or late complications. Conclusion: The low rate of complications in this study confirms the safety and convenience of using totally implantable venous catheter in patients undergoing prolonged chemotherapy. Yet because Infection, thrombosis, and catheter fracture are the most common long term complications of totally implantable venous catheters, early diagnosis and management of these problems can prevent severe complications.

Numerical simulation of groundwater flow in LILW Repository site:II. Input parameters for Safety Assessment (중.저준위 방사성폐기물 처분 부지의 지하수 유동에 대한 수치 모사: 2. 처분 안전성 평가 인자)

  • Park, Kyung-Woo;Ji, Sung-Hoon;Koh, Yong-Kwon;Kim, Geon-Young;Kim, Jin-Kook
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.6 no.4
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    • pp.283-296
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    • 2008
  • The numerical simulations for groundwater flow were carried out to support the input parameters for safety assessment in LILW repository site. As the input parameters for safety assessment, the groundwater flux into the underground facilities during construction, flow rate through the disposal silo after closure of disposal silo and flow pathway from the disposal silo to discharge area were analyzed using the 10 cases groundwater flow simulations. From the total 10 numerical simulation results, the statistics of estimated output were similar to among 10 cases. In some cases, the analyzed input parameters were strongly governed by locally existed high permeable fracture zone at radioactive waste disposed depth. Indeed, numerical simulation for well scenario as a human intrusion scenario was carried out using the hydraulically severe case model. Using the results of well scenario, the input parameters for safety assessment were also obtained through the numerical simulation.

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Assessment of Fatigue Life of Out-Of-Plane Gusset Welded Joints using 3D Crack Propagation Analysis (3차원 피로균열 진전해석을 통한 면외거셋 용접이음의 피로수명 평가)

  • Jeong, Young-Soo;Kainuma, Shigenobu;Ahn, Jin-Hee;Lee, Wong-Hong
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.22 no.1
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    • pp.129-136
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    • 2018
  • The estimation of the fatigue design life for large welded structures is usually performed using the liner cumulative damage method such as Palmgren-Miner rule or the equivalent damage method. When a fatigue crack is detected in a welded steel structure, the residual service life has to be estimated base on S-N curve method and liner elastic fracture mechanics. In this study, to examine the 3D fatigue crack behavior and estimate the fatigue life of out-of-plane gusset fillet welded joint, the fatigue tests were carried out on the model specimens. Investigations of three-dimensional fatigue crack propagation on gusset welded joint was used the finite element analysis of FEMAP with NX NASTRAN and FRANC3D. Fatigue crack growth analysis was carried out to demonstrate the effects of aspect ratio, initial crack length and stress ratio on out-of-plane gusset welded joints. In addition, the crack behaviors of fatigue tests were compared with those of the 3D crack propagation analysis in terms of changes in crack length and aspect ratio. From this analysis result, SIFs behaviors and crack propagation rate of gusset welded joint were shown to be similar fatigue test results and the fatigue life can also be predicted.