• Journal of Periodontal and Implant Science
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• 제37권4호
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• pp.719-732
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• 2007

Purpose: Various bone graft materials are being used for periodontal tissue regeneration. Th materials are being developed continuously for ideal clinical effects. Therefore, it is necessary to identify the clinical characteristics of each bone graft material through comparing the various bone graft materials statistically and in doing so, proposing a more efficient bone graft material. In this study, the following results were attained through comparing the clinical effects among the bone graft materials, using the statistical method based on the clinical studies published at the department of periodontology of Yonsei hospital. Materials and Method: 6 selected studies of department of Periodontology at Yonsei University Hospital were based on clinical study of bone grafting in intrabony defects. It was compared the clinical parameters among the 6 clinical studies, using the statistical META analysis. Result: When comparing the probing depth reduction, there was a relatively great amount of decease when using the xenograft, Anorganic Bovine Derived Hydroxapatite Bone Matrix/Cell Binding Peptide(ABM/P-15: PepGen $P-15^{(R)}$) and the autogenous bone and absorbable membrane, d, 1-alctide/glycolide copolymer(GC: $Biomesh^{(R)}$). The allogfrafts showed a relatively low decrease in the probing depth and clinical attachment change. It also showed a slight decrease in the bone probing depth. The allografts showed various results according to different bone graft materials. When comparing the ABM/P-15 and bovine bone $powder(BBP^{(R)})$, ABM/P-15 showed a relatively high clinical attachment level and the bovine bone powder showed a relatively high clinical attachment level. The probing depth change and gingival recession change showed a lower value than the mean value between the two bone graft materials. The synthetic bone showed a relatively high decrease in clinical attachment level and periodontal probing depth change. There was a relatively larger amount of gingival recession when using Bioactive Glass(BG) but a relatively low bone regeneration effect was seen. Conclusion: Good restorative results of the periodontal tissue can be attained by applying the various bone graft materials being used today after identifying the accurate clinical effects.

• Korean Chemical Engineering Research
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• 제56권6호
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• pp.819-825
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• 2018

본 연구는 ${\alpha}-Fe_2O_3$ 중공입자로 구성된 다공성 1차원 나노구조체를 전기방사 공정 및 두단계의 후 열처리 과정을 통해 주형법과 커켄달 효과를 동시 적용하여 합성했다. 열처리 과정 중, 수 nm의 치밀한 Fe 금속입자는 커켄달 효과에 의해 중공구조를 갖는 ${\alpha}-Fe_2O_3$ 입자로 최종 변환되었다. 또한, 전기방사 용액에 첨가한 PS 나노비드는 첫 열처리 과정 중 분해되어 구조체 내 수많은 기공을 형성, 환원 및 산화를 위한 가스들이 구조체 내부로 원활히 침투될 수 있는 역할을 했다. 최종 생성물인 ${\alpha}-Fe_2O_3$ 중공입자로 구성된 다공성 1차원 구조체를 리튬 이차전지의 음극활물질로 적용한 결과, $1.0A\;g^{-1}$의 높은 전류밀도에도 불구하고 30 사이클 후 $776mA\;h\;g^{-1}$의 높은 방전 용량을 나타냈다. 이와 같은 우수한 리튬 저장특성은 본 구조체를 구성하는 중공형 ${\alpha}-Fe_2O_3$ 입자와 입자들 사이의 나노기공으로부터 기인한 결과이다. 본 연구에서 제안한 중공 입자로 구성된 다공성 1차원 나노구조체 합성 방법은 다양한 전이금속 화합물 조성에 적용 가능하므로 에너지 저장 분야를 포함한 여러 분야에 응용 가능하다.

• Journal of Korean Neurosurgical Society
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• 제64권4호
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• pp.562-574
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• 2021

Objective : This study is to evaluate the efficacy and safety of demineralized bone matrix (DBM) gel versus DBM gel with recombinant human bone morphogenetic protein-2 (rhBMP-2) used in transforaminal lumbar interbody fusion (TLIF). Methods : This study was designed as a prospective, multi-center, double-blind method, randomized study. All randomized subjects underwent TLIF with DBM gel with rhBMP-2 group (40 patients) as an experimental group or DBM gel group (36 patients) as a control group. Post-operative observations were performed at 12, 24, and 48 weeks. The spinal fusion rate on computed tomography scans and X-rays films, Visual analog scale pain scores, Oswestry disability index and SF-36 quality of life (QOL) scores were used for the efficacy evaluation. The incidence rate of adverse device effects (ADEs) and serious adverse device effects (SADEs) were used for safety evaluation. Results : The spinal fusion rate at 12 weeks for the DBM gel with rhBMP-2 group was higher with 73.68% compared to 58.82% for the DBM gel group. The 24 and 48 weeks were 72.22% and 82.86% for the DBM gel with rhBMP-2 group and 78.79% and 78.13%, respectively, for the DBM gel group. However, there were no significant differences between two groups in the spinal fusion rate at 12, 24, and 48 weeks post-treatment (p=0.1817, p=0.5272, p=0.6247). There was no significant difference between the two groups in the incidence rate of ADEs (p=0.3836). For ADEs in the experimental group, 'Pyrexia' (5.00%) was the most common ADE, followed by 'Hypesthesia', 'Paresthesia', 'Transient peripheral paralysis', 'Spondylitis' and 'Insomnia' (2.50%, respectively). ADEs reported in control group included 'Pyrexia', 'Chest discomfort', 'Pain', 'Osteoarthritis', 'Nephropathy toxic', 'Neurogenic bladder', 'Liver function analyses' and 'Urticaria' (2.86%, respectively). There was no significant difference between the two groups in the incidence rate of SADEs (p=0.6594). For SADE in the experimental group, ''Pyrexia' and 'Spondylitis' were 2.50%. SADE reported in the control group included 'Chest discomfort', 'Osteoarthritis' and 'Neurogenic bladder'. All SADEs described above were resolved after medical treatment. Conclusion : This study demonstrated that the spinal fusion rates of DBM gel group and DBM gel with rhBMP-2 group were not significantly different. But, this study provides knowledge regarding the earlier postoperative effect of rhBMP-2 containing DBM gel and also supports the idea that the longer term follow-up results are essential to confirm the safety and effectiveness.

• 대한두개안면성형외과학회지
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• 제11권2호
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• pp.85-90
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• 2010

Purpose: The goals of a blow-out fracture reconstruction are to restore the osseous continuity, provide support for the orbital contents and prevent functional and anatomic defects. Over the past several years, a range of autogenous and synthetic implants have been used extensively in orbital reconstructions. None of these implants have any absolute indications or contraindications in certain clinical settings. However, in extensive blow-out fractures, it is difficult to restore support of the orbital contents, which can cause more complications, such as enophthalmos. This study examined the clinical outcomes of extensive or comminuted blow-out fractures that were reconstructed by the simultaneous use of a titanium mesh plate and $Medpor^{(R)}$. Methods: Eighty six patients with extensive orbital fractures, who were admitted between March 1999 and February 2007, were reviewed retrospectively. The patients' chart and CT were inspected for review. Twenty three patients were operated on with both a titanium mesh plate (Matrix MIDFACE pre-formed orbital plate, Synthes, USA) and $Medpor^{(R)}$ (Porex, GA, USA). The patients underwent pre-operative CT scans to evaluate the fracture site and measure the area of the fracture. A transconjunctival approach was used, and titanium mesh plates were inserted subperiosteally with screw fixation. $Medpor^{(R)}$ was inserted above the titanium mesh plate. The patients were evaluated post-operatively for enophthalmos, diplopia, sensory disturbances and eyeball movement for a period of at least 6 months. Results: No implant-related complications were encountered during the follow-up period. Enophthalmos occurred in 1 patient, 1 patient had permanent sensory disturbance, and 3 patients complained of ocular pain and fatigue, which recovered without treatment. Although there were no significance differences between groups, the use of 2 implants had fewer complications. Therefore, it can be an alternative method for treating blow out fractures. Conclusion: The use of both a titanium mesh plate and $Medpor^{(R)}$ simultaneously may be a safe and acceptable technique in the reconstruction of extensive blow-out fractures.

• 분석과학
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• 제31권4호
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• pp.161-170
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• 2018

메스암페타민(methamphetamine, MA)과 암페타민(amphetamine, AP)은 전세계적으로 널리 퍼진합성 흥분제로 보건 및 사회 문제, 경제적 비용 발생 등의 다양한 문제를 일으킨다. 또한 이러한 마약은 중독 및 남용 가능성이 매우 높기 때문에 확산 방지를 위한 방안의 하나로 복용자의 생체시료에서 이들 마약을 검출하기 위한 분석법 개발이 필요하다. 따라서 본 연구에서는 액체크로마토그래피-질량분석법(liquid chromatography-tandem mass spectrometry, LC-MS/MS)를 이용하여 소변에서 MA와 4-하이드록시메스암페타민(4-hydroxymethamphetamine, 4HMA), AP, 4-하이드록시암페타민(4-hydroxyamphetamine, 4HA)을 동시에 분석할 수 있는 분석법을 개발하였고 유효성 평가를 수행하였다. 전처리 시간 단축을 위해 50000 g에서 3 min 동안 초고속원심분리 후 시료 희석 주입법을 이용하여 LC-MS/MS에 주입하였다. 분리관은 역상 C18 컬럼을 사용하였고, 정량분석을 위해 MRM (multiple reaction monitoring) 모드를 적용하였다. 가중계수 $1/x^2$에서 정량 범위는 MA는 10-2500 ng/mL, AP는 1.0-800 ng/mL, 4HA와 4HMA는 2.0-200 ng/mL로 설정하였고, 검량선의 직선성은 결정계수($r^2$)를 구하여 평가하였다. 초고속원심분리법의 효율성을 확인하기 위해 전처리 과정으로 시린지 필터(membrane-filtration)를 적용한 결과와 비교하였고, 그 결과 분석물질에 따라 6-15 % 성능이 우수한 것으로 나타났다. 일내(intra-day)와 일간(inter-day) 정밀도는 6.6 % 미만이었고, 정확도는 -14.9-11.3 % 였다. 최저정량한계(LLOQ)는 2.0 ng/mL (4HA 및 4HMA), 1.0 ng/mL (AP), 10 ng/mL (MA)로 확인되었다. 선택성, 검출한계, 희석무결성, 기질효과, 효율성, 안정성을 평가한 결과 만족스러운 측정값을 얻었다. 또한 개발된 분석법을 마약 복용자의 소변에 적용하여 분석법의 유용성을 확인하였다.

• 분석과학
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• 제9권4호
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• pp.336-344
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• 1996

뇨시료 중 혼적량의 코발트, 구리, 니켈, 카드뮴, 납 및 아연을 흑연로 원자흡수분광 광도법으로 정량하기 위한 dithizone이 포함된 chloroform으로의 용매추출에 관하여 연구하였다. 실험조건인 시료의 전처리 과정, 추출용액의 pH, 킬레이트제인 dithizone의 농도, 역추출할 때 사용하는 산의 종류와 농도에 관하여 최적화하였다. 유기물의 방해를 제거하고자 뇨시료 100.0mL에 진한 질산 30mL를 가하고 30% 과산화수소 50mL를 5.0mL씩 단계적으로 가하면서 가열하여 유기물질을 분해하였다. 삭힌 뇨시료를 100mL로 만들어 분별 깔때기에 넣고 시판용 완충용액으로 pH가 8이 되게 조절한 다음 0.1% dithizone을 포함하는 chloroform 15.0mL를 가했다. 진탕기(shaker)를 이용하여 90분 동안 흔들어 준 후 상분리시켜 용매층을 분리하였다. 카드뮴, 납, 아연은 0.2M 질산용액 10.0mL로 역추출하여 직접 정량하였고, 이런 조건으로 역추출되지 않은 코발트, 구리, 니켈은 유기 용매를 증발 건고시킨 다음 잔류물을 $HNO_3$ $H_2O_2$로 녹이고, 정확히 10.0mL가 되게 탈염수로 묽혀서 정량하였다. 최적의 추출조건을 찾기 위하여 인공 뇨시료를 제조하여 검토하였고, 얻은 최적조건으로 검정곡선을 작성하였다. 삭힌 각 시료에 일정량 첨가된 원소를 정량하여 얻은 회수율은 77 내지 109%였고, 검출한계는 Cd(II) 0.09, Pb(II) 0.59, Zn(II) 0.18, Co(II) 0.24, Cu(II) 1.3, Ni(II) 1.7ng/mL였다. 이로써 본 방법이 과량의 유기물과 알칼리 및 알칼리 토금속이 포함된 뇨시료에서 혼적량 원소들을 정량적으로 분리 분석할 수 있음 을 알았다.