• Title/Summary/Keyword: Preservation practice

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Alveolar ridge preservation with a collagen material: a randomized controlled trial

  • Schnutenhaus, Sigmar;Doering, Isabel;Dreyhaupt, Jens;Rudolph, Heike;Luthardt, Ralph G.
    • Journal of Periodontal and Implant Science
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    • v.48 no.4
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    • pp.236-250
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    • 2018
  • Purpose: Resorption of the alveolar bone is an unavoidable consequence of tooth extraction when appropriate alveolar ridge preservation (ARP) measures are not taken. The objective of this trial was to test the hypothesis that dimensional changes in the alveolar bone after tooth extraction would be reduced by inserting an equine collagen membrane and a collagen cone to fill and seal the alveolus (as ARP), in comparison to extraction with untreated alveoli. Methods: In this randomized clinical trial, 31 patients were directly treated with the collagen material after extraction of a tooth from the maxilla (the ARP group). Twenty-nine patients served as the control group. After extraction, no further treatment (i.e., no socket preservation measures) was performed in the control group. Changes in the alveolar process immediately after extraction and after an 8 (${\pm}1$)-week healing period were evaluated 3-dimensionally. Blinded analyses were performed after superimposing the data from the digitalized impressions and surfaces generated by cone-beam computed tomography. Results: Both the ARP and control groups showed a reduction of bone in the alveolar area after tooth extraction. However, significantly less bone resorption was detected in the clinically relevant buccal region in the ARP group. The median bone reduction was 1.18 mm in the ARP group and 5.06 mm in the control group (P=0.03). Conclusions: The proposed hypothesis that inserting a combination material comprising a collagen cone and membrane would lead to a difference in alveolar bone preservation can be accepted for the clinically relevant buccal distance. In this area, implantation of the collagen material led to significantly less alveolar bone resorption. German Clinical Trials Register at www.drks.de, DRKS00004769.

A Study on the Legal Aspect of the Concept for Medical Practice in Korean Medicine through Cases Analysis (판례분석을 통한 한방의료행위개념의 법적 근거 고찰)

  • Lee, Mee-Sun;Kwon, Young-Kyu
    • Korean Journal of Oriental Medicine
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    • v.15 no.3
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    • pp.19-28
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    • 2009
  • Objectives : The lawsuits associated with medical practice in Korean medicine are increasing gradually. However, the clear definition for medical practice in Korean medicine has not been existed in Korean law. Only we may understand the concept regulated by judicial precedents of the court of justice or the authoritative interpretation by the government. Methods : For study, a database was established for medical lawsuits involving Korean medicine(1968~2009, n=130). Results : According to court rulings, the medical practice in Korean medicine is an act to diagnose a person's illness, prescribe and treat to cure based on traditional Korean medicine, to be understood as a medical care, to have some factor to create or increase danger for the preservation of health or hygiene, and to be practiced by medical specialists based on their professional knowledge. Conclusions : But, such definition is not proper and exceedingly vague. Besides medical circumstances Koreans Medicine are changing, and new precedent to the definition of the practice of medicine is establishing. Therefore the meaning and scope of the medical practice in Korean medicine should be modified and amended, reflecting these conditions.

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The Study on the Recognition and the Rate of class practice of Home Economics teachers on the contents relevant to the environmental education in the unit of 'Clothing Life' of Middle School 'Technology-Home Economics' 8 Grade in the 7th Curriculum (제7차 중학교 '기술.가정' 8학년 의생활 단원의 환경교육 내용에 관한 가정과교사의 인식과 수업실행도)

  • Bae, Hyun-Young;Lee, Jong-Soon;Lee, Hye-Ja
    • Journal of Korean Home Economics Education Association
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    • v.22 no.2
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    • pp.31-43
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    • 2010
  • We investigated the extent of recognition and the rate of class practice on the contents relevant to the environmental education in the units of 'Clothing Life' of the 7th 'Technology-Home Economics' curriculum in Korean middle school teachers. Two hundred sixty teachers, who had taught the units of 'Clothing Life' and responded to the questionnaires by mail from December 2007 to January 2008, were enrolled and each item in the questionnaires was analyzed in this study. Most teachers recognized the serious environmental issues in their residential area resulting in a harmful influence on their lives. Also they exhibited increased practice will such as joining to the environmental organizations and showed high practice of the environmental preservation. They commented relatively high rate of class practice on the contents relevant to the environmental education and enhanced practice of the environmental preservation in all units of 'Clothing Life' of the 7th 'Technology-Home Economics' curriculum except the units of 'Clothing Skill and Dress Clothes' and 'Simple Clothes Making'. Moreover, teachers with higher age and longer teaching career had the higher level of recognition and the greater rate of class practice on the environmental education compared to those without. Teachers should try to raise the students' recognition and practice will on the environmental issues in the class of 'Clothing Life' of the 7th 'Technology-Home Economics' curriculum in Korean middle school.

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Gonadotrophin Releasing Hormone Analogues for Ovarian Function Preservation in Young Females Undergoing Chemotherapy

  • Bansal, Anshuma;Patel, Firuza Darius;Rai, Bhavana;Dhanireddy, Bhaswanth;Sharma, Suresh Chand
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.5
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    • pp.2185-2190
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    • 2014
  • Chemotherapy has significantly improved the prognosis of cancer patients with various malignancies. However, female patients, especially those whoich are premenopausal, suffer from significant chemotherapy induced ovarian function impairment, which decreases their quality of life. Many new techniques for ovarian preservation have been established in recent years. Although the use of gonadotrophin releasing hormone analogues (GnRHa) for this purpose is not a new concept, its effectiveness in protection of ovarian function is still debatable. This article deals with studies and metaanalyses which have been undertaken in the past, demonstrating the impact of GnRHa in ovarian function preservation, and whether their use can be implemented in routine practice.

Microsurgical Training using Preserved Saphenous Vein (혈관문합 연습을 위한 보존된 복재정맥의 활용)

  • Song, Jennifer K.;Hwang, So-Min;Lim, Kwang-Ryeol;Jung, Yong-Hui
    • Archives of Plastic Surgery
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    • v.37 no.4
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    • pp.391-395
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    • 2010
  • Purpose: Given that the critical nature of the microvascular anastomosis to what is often a long and difficult reconstructive operation, trainees need to have a high level of microsurgical competence before being allowed to perform microsurgery on patients. Some artificial substitutes and dead or live animal models have been used to improve manual dexterity under the operating microscope. Yet, most surgeons are not equipped with such models, so search for easy available and appropriate microsurgical practice model have been an issue. Umbilical artery, placental vessels and gastroepiploic arteries have been previously suggested as a microsurgical training model, which involves other surgical departments. The purpose of this article is to introduce that saphenous vein specimen obtained from varicose vein surgery is useful and has many advantages as training model for the practice of microvascular anastomosis. Methods: The conventional technique using perforation/inversion method with a metallic stripper is widely performed for varicose vein patients. The stripper is inserted through disconnected safeno-femoral junction and retrieved at the knee or the medial side of ankle. The length of saphenous vein specimens removed is about that of one's leg and inversed from inside out. Obtained saphenous vein specimens are re-inversed and cleansed with normal saline, to be readily available for microsurgical practice. Preserved in a squeezed wet saline gauze and refrigerated, frozen or glycerated specimens were investigated into their comparative quality for microsurgical practice. Results: Varicose vein surgery remains one of the common operations performed in the field of plastic surgery. Convenient informed consent regarding the vessel donation can be easily signed. The diameter of the obtained saphenous vein is as variable as 1.5 to 6 mm, which is already stripped, and is in sufficient length corresponding to that of patient's leg. Vessels specimens were available for microsurgical practice within 1 week period when preserved with squeezed wet saline gauze, and the preservation period could be extended monthly by freezing it. Conclusion: Saphenous vein obtained from varicose vein patients provide with variable size of vessel lumen with sufficient length. The practice can be cost effective and does not require microsurgical laboratory. Additionally there is no need of involving other surgical departments in acquiring vessel specimens. Furthermore, simple preservation method of refrigerating for a week or freezing with squeezed wet saline gauze for a month period, allow the saphenous vein obtained after varicose vein surgery as an excellent model for the microsurgical practice.

Fertility preservation during cancer treatment: The Korean Society for Fertility Preservation clinical guidelines

  • Kim, Jayeon;Kim, Seul Ki;Hwang, Kyung Joo;Kim, Seok Hyun
    • Clinical and Experimental Reproductive Medicine
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    • v.44 no.4
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    • pp.171-174
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    • 2017
  • While many fertility preservation (FP) options now exist for reproductive-aged cancer patients, access to these services continues to be limited. A comprehensive FP program should be organized to serve oncofertility patients effectively. Also, much effort is needed from various individuals-patients, specialists from various fields, and consultants-to facilitate FP in a timely manner. Various challenges still exist in improving access to FP programs. To improve access to FP treatment, it is important to educate oncologists and patients via electronic tools and to actively navigate patients through the system. Reproductive endocrinology practices that receive oncofertility referrals must be equipped to provide a full range of options on short notice. A multidisciplinary team approach is required, involving physicians, nurses, mental health professionals, office staff, and laboratory personnel. The bottom line of FP patient care is to understand the true nature of each patient's specific situation and to develop a patient flow system that will help build a successful FP program. Expanding the patient flow system to all comprehensive cancer centers will ensure that all patients are provided with adequate information regarding their fertility, regardless of geography.

Influence of preserved brewing yeast strains on fermentation behavior and flocculation capacity

  • Cheong, Chul;Wackerbauer, Karl;Beckmann, Martin;Kang, Soon-Ah
    • Nutrition Research and Practice
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    • v.1 no.4
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    • pp.260-265
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    • 2007
  • Preservation methods on the physiological and brewing technical characters in bottom and top brewing yeast strains were investigated. The preserved yeasts were reactivated after 24 months storage and grown up to stationary phase. The samples of filter paper storage indicated a higher cell growth and viability during propagation than those of nitrogen and lyophilization storage independent on propagation temperature. In addition, the filter paper storage demonstrated a faster absorption of free amino nitrogen and a highest level of higher aliphatic alcohols production during propagation than other preservation methods, which can be attributed to intensive cell growth during propagation. Moreover, the filter paper storage showed a faster accumulation for glycogen and trehalose during propagation, whereas, in particular, lyophilization storage noted a longer adaptation time regarding synthesis of glycogen and trehalose with delayed cell growth. In beer analysis, the filter paper storage formed an increased higher aliphatic alcohols than control. In conclusion, the preservation of filter paper affected positively on yeast growth, viability and beer quality independent on propagation temperature. In addition, in this study, it was obtained that the HICF and Helm-test can be involved as rapid methods for determination of flocculation capacity.

An Analysis on Digital Curation Process in Special Libraries (전문도서관의 디지털 큐레이션 프로세스 분석)

  • Seo, Eun-Gyoung
    • Journal of the Korean Society for information Management
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    • v.34 no.4
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    • pp.247-271
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    • 2017
  • Digital curation which maintains digital information over time and adds value becomes, nowadays, one of the important business process in the special libraries. This study is to investigate the business practice level of the digital curation in the special libraries and the librarians' perception on the importancy of digital curation. In results, it is found that most librarian, in general, think that the level of digital curation practice in the special libraries is insufficiency. Also, the study finds that the librarians of special libraries have difficulties in terms of the lack of willingness and funding problems as well as the lack of long-term policies and suitable business procedures; they only focus the cycle of information organization-information storage-information use among the 8 processes of digital curation; they need to recognize the importance of digital preservation as one of the essential process of digital curation and make effort to extend technological capacity of digital preservation.

Understanding the Ongoing Archival Research on the Permanent Preservation of Electronic Records (전자문서의 영구보존을 위한 표준화 연구 동향)

  • Park, Eun-Gyung
    • Journal of Korean Society of Archives and Records Management
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    • v.2 no.1
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    • pp.97-117
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    • 2002
  • In the fast growing digital environment, assuring continued authenticity is an essential and intransigent preservation consideration for digital data and records. Several key issues need to be addressed, including: What are electronic records and data?; Which intellectual and technical elements of data and records are essential for assuring authenticity in electronic format?; How should these be maintained and preserved over time?; How are authentic data and records used in various systems of practice?; and What are the best strategies of preserving authentic electronic records and data?. There have been many research projects to answer these questions to date. This paper discusses the characteristics of electronic records in light of preservation consideration and reports the activities and findings of some of the research projects in brief. This paper focuses on explaining the InterPARES (International Research on Permanent Authentic Records in Electronic Systems) Project, which is defining requirements for authenticity that can help develop strategies for long-term preservation in electronic records. To identify those requirements, more than thirty case studies have been conducted with government agencies, academic institutions, and various organizations in America, Canada, Europe, Asia and Australia and models developed for appraisal, preservation, and strategies in relation to the management of electronic records. The paper also suggests research questions and implications for preserving authentic electronic records as well as the encouragement for Korean research on digital preservation.

The Sasang Constitutional Approach for Health Preservation of Cancer Survivors (암 환자의 양생(養生)에 대한 사상의학적 접근)

  • Park, Sora;Jeon, Hyeonjin;Lee, Sookyung
    • Journal of Sasang Constitutional Medicine
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    • v.28 no.3
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    • pp.233-245
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    • 2016
  • Objectives There is growing interest in the management of cancer survivors due to the increase in long-term survivors. But no literature research focusing on the management of cancer survivors has been done in Sasang Constitutional Medicine despite the superiority in comprehensive management of patients. Therefore, we planned to look into the perspective of health preservation in Sasang Constitutional Medicine.Methods We investigated the 『Donguisusebowon-Sasangchobongwon(東醫壽世保元 四象草本卷)』. We classified the contents which might be applicable to cancer patients. After classifying, we compared the contents with clinical experience and health preservation methods of Western Medicine.Results and Conclusions The health preservation is mentioned mostly as Joyang(調養). The Sasang Constitutional Medicine classifies the lives of people in 8 stages. Depending on the stages, there is a difference in the prognosis and management. Cancer patients can be regarded as being in the stages of Noeok(牢獄) and Wiegyeong(危傾). In these stages, patient's health preservation is important. In order to achieve long-term survival and to prevent disease progression, it is important to maintain requisite energy(保命之主). The attitudes that patient must have are simplicity(簡約), attentiveness(勤幹), vigilance(警戒), knowledgeability(聞見) for keeping one's own health and fulfilling the social obligations of human relations. The concept of health preservation in Sasang Constitutional Medicine covers the wide range of health. But detailed methods for patients to understand and practice are lacking. Moreover, it is hard for cancer patients to access the information. Therefore, further researches should be done to make the concept more specific and easy to access for cancer patients.