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Fusion Criteria for Posterior Lumbar Interbody Fusion with Intervertebral Cages : The Significance of Traction Spur

  • Kim, Kyung-Hoon;Park, Jeong-Yoon;Chin, Dong-Kyu
    • Journal of Korean Neurosurgical Society
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    • v.46 no.4
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    • pp.328-332
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    • 2009
  • Objective : The purpose of this study was to establish new fusion criteria to complement existing Brantigan-Steffee fusion criteria. The primary purpose of intervertebral cage placement is to create a proper biomechanical environment through successful fusion. The existence of a traction spur is an essential predictable radiologic factor which shows that there is instability of a fusion segment. We studied the relationship between the existence of a traction spur and fusion after a posterior lumbar interbody fusion (PLIF) procedure. Methods : This study was conducted using retrospective radiological findings from patients who underwent a PLIF procedure with the use of a cage without posterior fixation between 1993 and 1997 at a single institution. We enrolled 183 patients who were followed for a minimum of five years after the procedure, and used the Brantigan-Steffee classification to confirm the fusion. These criteria include a denser and more mature bone fusion area than originally achieved during surgery, no interspace between the cage and the vertebral body, and mature bony trabeculae bridging the fusion area. We also confirmed the existence of traction spurs on fusion segments and non-fusion segments. Results : The PLIF procedure was done on a total of 251 segments in 183 patients (71 men and 112 women). The average follow-up period was $80.4{\pm}12.7$ months. The mean age at the time of surgery was $48.3{\pm}11.3$ years (range, 25 to 84 years). Among the 251 segments, 213 segments (84.9%) were fused after five years. The remaining 38 segments (15.1%) were not fused. An analysis of the 38 segments that were not fused found traction spur formation in 20 of those segments (52.6%). No segments had traction spur formation with fusion. Conclusion : A new parameter should be added to the fusion criteria. These criteria should be referred to as 'no traction spur formation' and should be used to confirm fusion after a PLIF procedure.

Study on the Thermal Decomposition Behavior of[ABS/PC/Triphenyl Phosphate/Transition Metal Chloride] Compounds ([ABS/PC/Triphenyl Phosphate/Transition Metal Chloride] 컴파운드의 열분해 거동 연구)

  • Jang Junwon;Kim Jin-Hwan;Bae Jin-Young
    • Polymer(Korea)
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    • v.29 no.4
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    • pp.338-343
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    • 2005
  • The thermal degradation of ABS/PC/triphenyl phosphate compounds in the presence of transition metal chloride catalysts has been studied by thermogravimetric analysis (TGA). The reaction of transition metal chloride catalysts (cobalt chloride, ferric chloride, nickel chloride and zinc chloride) and ABS/PC/triphenyl phosphate compounds has been found to occur during the thermal degradation of the compounds. In a nitrogen atmosphere, char formation is observed, and $3\~13\%$of the reaction product is non-volatile at $600^{circ}$. The resulting enhancement of char formation in a nitrogen atmosphere has been explained as a catalytic crosslinking effect of transition metal chloride catalysts. On the other hand, transition metal chloride catalyzed char formation of ABS/PC/triphenyl phosphate compounds in air was unsuccessful due to the oxidative degradation of the char at a higher temperature.

Three-Dimensional Numerical Simulation of Mold-Filing and Void Formation During Vacuum-Assisted Resin Transfer Molding (VARTM 공정에서의 금형 충전 및 기공 형성에 관한 3차원 수치해석)

  • 강문구;배준호;이우일
    • Composites Research
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    • v.17 no.3
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    • pp.1-7
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    • 2004
  • In the vacuum assisted RTM (VARTM) process that has become the center of attention for manufacturing massive composite structures, a good evacuation of air in the fiber preform is recognized as the prime factor. The microvoids, or the dry spots, are formed as a result of improper gate/vent locations and the mold geometry. The non-uniform resin velocity at the flow front leads to the formation of microvoids in the fibers, whereas the air in the microvoids can migrate along with the resin flow during mold filling. The residual air in the internal voids of a composite structure may cause a degradation of the mechanical properties as well as the structural failure. In this study, a unified macro- and micro analysis methods were developed to investigate the formation and transport of air in resin during VARTM process. A numerical simulation program was developed to analyze the three-dimensional flow pattern as well as the macro- and microscopic distribution of air in a composite part fabricated by VARTM process.

Ultrastructure in Porcine Oocytes following Intracytoplasmic Injection of Murine Spermatozoa

  • Kim, N. H.;Jun, S. H;Park, S. H.;J. Y. Yoon;D. I, Jin;S, H. Lee;Park, C. S.
    • Korean Journal of Animal Reproduction
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    • v.26 no.4
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    • pp.353-360
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    • 2002
  • Although successful pronuclear formation and apposition were seen in porcine oocytes following mouse sperm injection, little is known on the morphology of male and female pronuclei following sperm injection. The objective of this study is to describe the ultrastructure of porcine zygote following murine sperm injection in relation to the chronology of pronuclear S phase. At 40h ~ 44h following in vitro maturation, Cumulus cells were removed in TCM-HEPES with 0.1% hyaluronidase. Then, spermatozoa was injected into the cytoplasm of oocytes. After. injection, all oocytes were transferred to NCSU23 medium and cultured at 39$^{\circ}C$ under 5% $CO_2$ in air. Oocytes were fixed in 2% glutaraldehyde in Dulbeccos phosphate-buffered saline and observed by Transmission Electron Microscopy. Nuclear precursor bodies were observed in each pronucleus. A cluster of large and small granules was attached in the nucleolus precursor body. After the apposition of male and female chromatin, chromatin condensation was observed throughout the nucleoplasm and nucleolus precursor bodies and condensed chromatin in contact with clusters of small and large granules and the nuclear envelope were found in apposed pronuclear regions. These results suggest that non-species specific nuclear cytoplasmic interactions take place during pronuclear formation and apposition following sperm injection.

Effects of Hin Recombinase Dimer Interface Mutants on DNA Binding and Recombination

  • Lee, Hee-Jung;Lee, Sun-Young;Lee, Hee-Jin;Lim, Heon-Man
    • Proceedings of the Korean Society for Applied Microbiology Conference
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    • 2001.06a
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    • pp.27-31
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    • 2001
  • Previous biochemical assays and a structural model indicated that the dimer interface of the Hin recombinase is composed of the two a-helices. To elucidate the structure and function of the helix, amino acids in the N-terminal end of the helix, where the two helices contact most, were randomized, and inversion-incompetent mutants were selected. To investigate why the mutants lost their inversion activities, the DNA binding, hix-pairing, invertasome formation, and DNA cleavage activities were assayed using in vivo and in vitro methodologies. Results indicated that the mutants could be divided into 4 classes based on their DNA binding activity. We proposed that the a-helices might place a DNA binding motif of Hin properly to the minor DNA groove of the recombination site. All the mutants except the non-binders were able to perform hix-pairing and invertasome formation, suggesting that the dimer interface is not involved in the process of hix-pairing or invertasome formation. The inversion-incompetent phenotype of the binders was caused by the inability of mutants to perform the DNA cleavage activity. The less binders exhibited wild-type level of hix-pairing activity because the hix-pairing activity overcomes the DNA binding defect of the less binders. This phenotype of the less binders suggests that the binding domains of Hin could mediate Hin-Hin interaction during hix-pairing..

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Arteriovenous Fistula on Forehead after Autologous Fat Injection: A Case Report (이마부위 자가 지방이식 후 발생한 동정맥 샛길 치험례)

  • Hu, Jung-Woo;Oh, Deuk Young;Yoon, Suk Ho;Seo, Je Won;Rhie, Jong Won;Ahn, Sang Tae
    • Archives of Plastic Surgery
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    • v.36 no.4
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    • pp.489-492
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    • 2009
  • Purpose: Autologous fat injection is ideal for patients who wish to add contour, projection and gross volumization of the aging, atrophic face and is claimed to be a safe procedure. However, there are several case reports in the literature where patients have suffered from acute visual loss and cerebral infarction after facial fat injection. This paper will explore a rare case of vessel related complication, an arteriovenous fistula that occurs after fat injection on forehead. Method: A 28 - year - old female who showed a non - tender, soft $1.0{\times}2.5cm$ sized mass on forehead for 3 weeks. A thrill could be detected on the totuous dilatated vessel - like structure around the mass. She had a fat injection on forehead for soft tissue augmentation 3 months prior to developing the mass. 3 - dimensional brain CT angiography showed arteriovenous fistula. Results: The fistula is totally excised with ligation of feeding vessels. Pathology report showed an atypical vessel which had intimal thickening, myxoid degeneration and thrombus formation. There were no evidences of recurrence at least for 2 months of follow - up. Conclusion: An occurrence of arteriovenous fistula after autologous fat injection is very rare. After perforation of artery and vein by coincidence, blood extravasates with the formation of a hematoma capsule and a pseudocapsule around it. The hematoma capsule would expand and clot would reabsorb resulting in a cavity leading to fistula formation. Other vessel related complications like acute visual loss or cerebral infarction are very severe. Therefore, surgeons should be cautious during facial fat injection to avoid vessel injuries.

Significance of Unreduced ( 2n ) Gametes in Plant Breeding (식물육종에 있어서 비환원 ( 2n ) 배우자의 중요성)

  • Rim, Yong-Woo
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.17 no.1
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    • pp.1-10
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    • 1997
  • Unreduced (2n) gametes are meiotic products (pollen or egg) having a sporophytic (somatic) chromosome number, resulting from abnormalities during either microsporogenesis or megasporogenesis. They occur naturally at a low frequency in many plant species. Unreduced (2n) gametes in plants can be identified for four possible ways as follow i) pollen size and/or shape differences between haploid (n) and diploid (2n) pollen, ii) ploidy analysis (chromosome number) of progeny or meiotic analysis (presence of dyads andlor triads at the microspore stage), iii) progeny performance and fertility and iv) dosage of isozyme and DNA markers. Unreduced (2n) gametes can be an effective breeding tool in synthesizing new cultivars, providing a unique method to maximizing heterozygosity, i.e., transferring a large proportion of the non-additive genetic effects (intra- and inter- locus interactions) h m parent to offspring and can also be used to overcome infertility of interploidy crosses. Sexual polyploidization through 2n gametes has been a major route to the formation of naturally occurring polyploids. The three mechanisms of 2n pollen formation in potato have been discovered as follow: i) parallel spindles (ps) or tripolar spindles (ts), ii) premature cytokinesis (pc-I, pc-2) and iii) synaptic mutants (sy-2, sy-3, sy-4). Genetic analysis indicated that the mechanisms of 2n gamete formation were controlled by single recessive gene in potato, alfalfa, red clover, etc., and by two recessive genes in wheat. The use of 2n gametes which can efficiently transfer germplasm fiom wild relatives to cultivated species, especially fiom diploid to tetraploid could make a contribution to the improvement of germplasm base in breeding programs.

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Study on the Effect of Iron-based Metal Catalysts on the Thermal Decomposition Behavior of ABS (Iron계 금속 촉매가 ABS의 열분해 거동에 미치는 영향에 관한 연구)

  • Jang, Junwon;Kim, Jin-Hwan;Bae, Jin-Young
    • Applied Chemistry for Engineering
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    • v.16 no.4
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    • pp.496-501
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    • 2005
  • The thermal degradation of ABS in the presence of iron-based metal catalysts has been studied by thermogravimetric analysis (TGA). The reaction of iron-based metal catalysts (ferric nitrate nonahydrate, ammonium ferric sulfate dodecahydrate, iron sulfate hydrate, ammonium ferric oxalate, iron(II) acetate, iron(II) acetylacetonate and ferric chloride) with ABS has been found to occur during the thermal degradation of ABS. In a nitrogen atmosphere, char formation was observed, and at $600^{\circ}C$ approximately 3~23 wt% of the reaction product was non-volatile char. The resulting enhancement of char formation in a nitrogen atmosphere has been primarily due to the catalytic crosslinking effect of iron-based metal catalysts. On the other hand, char formation of ABS in air at high temperature by iron-based metal catalyst was unsuccessful due to the oxidative degradation of the char.

Effects of Musculoskeletal Transplant Foundation on Bone Formation in Human Fetal Osteoblasts (사람태아골모세포에 대한 근골격이식재의 골형성 유도에 관한 효과)

  • Park, Jae-young;Pi, Sung-Hee;Shin, Hyung-Shik
    • Journal of Periodontal and Implant Science
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    • v.36 no.2
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    • pp.449-459
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    • 2006
  • DFDBA(Decalcified freeze-dried bone allograft) is one of the allograft materials for periodontal bone regeneration. DFDBA provides an osteoconductive surface and osteoinductive factors. Therefore, DFDBA have been used successfully to regenerate the attachment apparatus during periodontal treatment. But recent studies was reported that wide variations in commercial bone bank preparations of DFDBA do exist, including the ability to induce new bone formation. DFDBA was experimental materials that was recovered, processed, tested, shipped and invoiced through Musculoskeletal Transplant Foundation. MTF(Musculoskeletal Transplant Foundation) is the world largest, non-profit, AATB(American Association of Tissue Banks) accredited tissue bank. The objective of this study was to determine the effects of serial dilutions of a DFDBA on human fetal osteoblastic cell proliferation and their potential to form and mineralize bone nodules. Human fetal osteoblastic cell line(hFOB 1.19) was cultured with DMEM and SSE($1{\mu}g/m{\ell}$,$10{\mu}g/m{\ell}$, $100{\mu}g/m{\ell}$, $1mg/m{\ell}$) at $34^{\circ}C$ with 5% CO2 in 100% humidity. Cell proliferation was significantly increased at $1mg/m{\ell}$, $100{\mu}g$, $10{\mu}g/m{\ell}$, $1{\mu}g/m{\ell}$, $100ng/m{\ell}$, $10ng/m{\ell}$, $1ng/m{\ell}$ of DFDBA after 5 days incubation (p<0.05). Alkaline Phosphatase(ALP) level was significantly increased in $100ng/m{\ell}$, $10ng/m{\ell}$, $1ng/m{\ell}$ of DFDABA(p<0.05). A quantified calcium accumulation was significantly increased at $1ng/m{\ell}$, $10ng/m{\ell}$ of MTF(p<0.05). These results indicated that DFDBA has an inductive effect on bone formation in vitro.

Effect of inorganic polyphosphate on guided bone regeneration (무기인산염이 골유도재생에 미치는 영향)

  • Chung, Jong-Hyuk;Kwon, Young-Hyuk;Park, Joon-Bong;Herr, Yeek
    • Journal of Periodontal and Implant Science
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    • v.35 no.2
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    • pp.491-510
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    • 2005
  • This study was performed to evaluate the effect of inorganic polyphosphate on bone formation in the calvaria of rabbit in the procedure of guided bone regeneration with bovine cancellous bone graft and titanium reinforced expanded polytetrafluoroethylene(TR-ePTFE) membrane. The rabbits were divided into four groups. Control group I used only TR-ePTFE membrane, control group II used TR-ePTFE membrane and deproteinized bovine bone mineral soaked in saline, experimental group III and IV used TR-ePTFE membrane and deproteinized bovine bone mineral soaked in 1% or 2% inorganic polyphosphate respectively. After decortication in the calvaria, GBR procedure was performed on 12 rabbits with titanium reinforced ePTFE membrane filled with deproteinized bovine bone mineral soaked in saline or inorganic polyphosphate. The animals were sacrificed at 2 weeks, 4 weeks, and 8 weeks after the surgery. Decalcified and non-decalcified specimens were processed for histologic and immunohistochemistric analysis. 1. Titanium reinforced ePTFE(TR-ePTFE) membrane showed good spacemaking and cell occlusiveness capability, but it showed poor wound stabilization. 2. The deproteinized bovine bone mineral did not promote bone regeneration, but it acted as a space filler. 3. There was no complete resorption of the deproteinized bovine bone mineral within 8 weeks. 4. 1% inorganic polyphosphate did not promote bone formation, but 2% inorganic polyphosphate promoted bone formation. Within the above results, 2% inorganic polyphosphate could be used effectively for bone regeneration.