• Title/Summary/Keyword: REMNANT

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Feasibility & Limitations of Endovascular Coil Embolization of Anterior Communicating Artery Aneurysms

  • Hwang, Sung-Kyun;Benitez, Ronald;Veznedaroglu, Erol;Rosenwasser, Robert H.
    • Journal of Korean Neurosurgical Society
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    • v.38 no.2
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    • pp.89-95
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    • 2005
  • Objective : The purpose of this study is to analyze aneurysm morphology and define limitations and feasibility in endovascular Gugliemi detachable coil[GDC] embolization for anterior communicating artery [ACoA] aneurysms. Methods : From January 2000 through October 2003, 123patients were treated with endovascular coil embolization for ACoA aneurysms. There were 75women and 48men, with a mean age of 63years. All ruptured aneurysms were treated within 15days of rupture. Aneurysm morphology was classified according to neck size and projection of aneurysm dome as follows-A : neck of aneurysm <4mm & anterior projection, B : neck of aneurysm [4mm & anterior projection, C : neck of aneurysm<4mm & posterior [superior] projection, D : neck of aneurysm [4mm & posterior [superior] projection, E : neck of aneurysm<4mm & inferior projection, and F : neck of aneurysm [4mm & inferior projection. Endovascular procedures were categorized as either "successful" or "unsuccessful". Clinical follow-up was estimated at discharge and at 6months, post treatment results were classified according to Glasgow Outcome Scale[GOS]. Results : Successful embolization for ACoA was performed in 86patients of 123patients [69.9%]. Complete or near complete aneurysm occlusion was observed in 102patients [82.9%]; a neck remnant was observed in 6patients [4.9%]; partial embolization was done in 3patients [2.4%]; and embolization was attempted in 12patients [9.8%]. Among 55patients with follow-up angiographic results, 18patients [32.7%] were defined as recanalization of the aneurysm sac. Morphological analysis demonstrated that anterior projecting aneurysms and morphological classifications [morphological classifications worsens [A - D] chances of successful coil occlusion significantly decrease] were major factors in successful embolization, and, inferiorly projecting and wide neck [${\ge}4mm$] aneurysms are highly related to recanalization of aneurysms. Conclusion : Endovascular coil embolization of ACoA aneurysms shows good outcome in our study. Nevertheless, there is a limitation in the endovascular approach to ACoA, even though advanced modern techniques evolve rapidly. Compensatory surgical approach with the endovascular approach is required for successful treatment of ACoA aneurysms.

Video-Assisted Thoracic Surgery (VATS) (비디오 흉강경을 이용한 흉부수술에 대한 고찰)

  • Kim, Jin;Kim, Min-Ho;Kuh, Ja-Hong;Kim, Kong-Soo
    • Journal of Chest Surgery
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    • v.29 no.10
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    • pp.1143-1147
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    • 1996
  • Video-assisted thoracic surgery(VATS) is emerging as a potentially less invasive means of managing a wide variety of thoracic disorders. VATS was performed in 46 cases, in the Department of Thoracic & Cardiovascular Surgery of Chonbuk national University Hospital from August 1992 to July 1995. There were 20 men and 26 women, whose age ranged from 14 to 56 years. They were diagnosed hyperhidrosis in 21 cases, mediastinal tumor in 12 cases, pneumothorax in· 10 cases, and one case each of lelomyoma of the esophagus, Raynaud's syndrome, Burger's disease. Operation time averaged 89.7 minutes, and no patient was converted to d thoracotomy. The number of troche used, period of chest tube drainage, and postoperative hospitalization were 3, 1.8 days, and 4.B days, respectively. The postoperative complication ocurred in 5 cases (remnant pneumothorax 1 case, phrenic nerve aralysis 1 case, persistant air leakage 2 cases, compensatory hyperhidrosis 1 case). One patient with persistent air leak was managed by thoracotomy on postoperative) days, and the other patient by chemical pleurodesis. One patient diagnosed pathologically as thymic carcinoma, was managed by radiation therapy. There was no postoperative death. VATS has the benefits of reduced postoperative pain and postoperative hospitalization, and good cutsmetic effect.

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Bronchoplastic Procedures for Bronchogenic Carcinoma (폐암 환자에서 기관지성형술)

  • 금동윤;최세영
    • Journal of Chest Surgery
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    • v.29 no.3
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    • pp.315-321
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    • 1996
  • Bronchoplastlc procedures including sleeve lobectomy were initially introduced for patients whose pulmonary function was insufficient to tolerate pneumonectomy In more recent years, sleeve lobectomy has evolved as an alternative to pneumonectomy in carefully selected cases of bronchogenic carcinoma, especially for centrally located lesions. Between 1992 and 1995, bronchoplastic procedures for bronchogenic carcinoma were performed in 15 patients and the majority of operative procedures were sleeve lobectomy (W: 12). All procedures were considered as complete and potentially curative. Mean age was 62.3 years (range 46 to 70 years) and there were 12 males and 3 females. Of 15 patiients, 7 underwent right upper sleeve, 2 underwent right lower sleeve, 5 underwent left upper sleeve, and 1 underwent right sleeve pneumonectomy. Postoperative staging was , stage I in 3, stage ll in 8, stage llla in 3 and stage lII in 1. The postoperative complications included anastomosis site obstruction due to granulation tissue in 1, local recurrence in 3, and wound infection in 1 There were 1 operative death due to sepsis and 2 late deaths. The three-year survival rate was 80%. The significant correlation was observed (r=0.11) between the predicted FEVI (1.851 L) and measured FEVI (1 762L). In conclusion, bronchoplastic procedure will have better prognosis than pneumonectomy in selected lung cancer patients because of preserving good function in remnant lung.

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Petrographical study for the enclaves of the granitic rocks, in the Gyeongsang Basin, Korea (경상분지 화강암류에서 발견되는 엔클레이브(포유암)에 대한 암석기재적 연구)

  • 김종선;김건기;좌용주;이준동
    • The Journal of the Petrological Society of Korea
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    • v.13 no.1
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    • pp.1-15
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    • 2004
  • In this study we propose that the ‘enclaves’ which occur in the granites should be translated into ‘Po-yu-am’in Korean. Also we suggest some criteria to discriminate the mafic microgranular enclaves (MME) of igneous origin from the xenoliths, which possibly come from the plutonic, volcanic and sedimentary country rocks. The color of the MME is gray green∼dark gray and the mineral grains are fine and equigranular. The MME are generally of ellipsoidal shape and can be easily found within the granites. They do not show any evidence of contact metamorphism by granite host. On the other hand. the xenoliths are generally of angular shape and are of the same mineral assemblage and texture as the country rocks around the granites. The distribution of the xenoliths is mostly concentrated along the intruding plane of the granites near the country rocks. The xenoliths were partly metamorphosed by the granite intrusion. The xenoliths from the plutonic rocks are easily distinguished from the MME in terms of their angular shape and coarser grain size, but they do not have any metamorphic mineral assemblage and texture. The xenoliths from the tuffaceous rocks show angular shape and porphyritic and pyroclastic textures. Large size xenoliths from the sedimentary rocks specifically preserve bedding structure which are indicative of the sedimentary strata. However, the sedimentary xenoliths of small size are often difficult to distinguish from the MME. Metamorphic minerals and texture are a useful key to discriminate the small-sized sedimentary xenoliths from the MME. In summary the xenoliths in the granites can be megascopic ally distinguished from the MME by comparing their color, shape, grain size and remnant original structure like bedding. Additionally the metamorphic mineral assemblage and texture are microscopic discriminators between the xenoliths and the MME in the granites.

A COMPARATIVE STUDY ON SHEAR BOND STRENGTHS INFLUENCED BY TIME ELAPSED AFTER BRACKET BONDING WITH A LIGHT-CURED GLASS IONOMER CEMENT (광중합형 글래스아이오노머 시멘트의 브라켓 접착후 시간 경과에 따른 전단결합강도의 비교연구)

  • Lee, Ki-Soo;Lim, Ho-Nam;Park, Young Guk;Shin, Kang-Seob
    • The korean journal of orthodontics
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    • v.25 no.5 s.52
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    • pp.605-611
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    • 1995
  • The purpose of this study was to evaluate effects of time on shear bond strengths of a light-cured glass ionomer cement and chemically cured resin cement to enamel, and to observe the failure patterns of bracket bondings. Shear bond strength of a light-cured glass ionomer cement were compared with that of a resin cement. Metal brackets were bonded on the extracted human bicuspids. Specimens were subjected to a shear load(in an Instron machine) after storage at room temperature for 5 and 15 minutes; after storage in distilled water at $37^{\circ}C$ for 1 or 35 days. The deboned specimens were measured In respect of adhesive remnant index. The data were evaluated and tested by ANOVA, Duncan's multiple range test, and t-test, and those results were as follows. 1. The shear bond strength of light-cured glass ionomer cement is higher than that of resin cement at 5 and 15 minutes. 2. The shear bond strengths of both light-cured glass ionomer cement and resin cement increase with time. There was no significant difference in those of both 1 day group and 35 day group 3. Light-cured glass ionomer cement is suitable as orthodontic bracket adhesives

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A COMPARATIVE STUDY OF BOND STRENGTH OF RECYCLED BRACKETS (재생 브라켓의 전단접착강도에 관한 비교 연구)

  • Shur, Cheong-Hoon;Choi, Eun-Ah
    • The korean journal of orthodontics
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    • v.28 no.4 s.69
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    • pp.641-657
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    • 1998
  • This study was undertaken to compare the bond strength and the fracture site of new and recycled brackets according to the base design. 252 sound premolars extracted for orthodontic treatment were collected and Type I, Type II, Type III brackets were divided into four groups by recycling method Each bracket was then bonded to an extracted premolar. Instron Universal Testing Machine(model W) was used to measure the shear bond strength, and the surface of the recycled brackets were viewed in SEM For the analysis of the results, one way ANOVA and Scheffe's multiple range test was executed using the SPSSWIN program. 1. The shear bond strength showed statistically significant difference according to the bracket base design(p<0.001). Type III bracket(round indentation base, micro-etched) showed the highest bond strength, Type I bracket(foil-mesh base) was second, and Type II bracket(grooved integral base, micro-etched) was last. 2. The effect of recycling on the bond strength was different according to bracket type. The shear bond strength of Type I, Type II brackets showed the smallist reduction when treated for 1 minute in Big Jane(p<0.05), but the shear bond strength of Type III brackets showed no statistically significant difference according to recycling method(p>0.05). 3. In Type I, Type II brackets, frequent fracture site was bracket-resin interface, but in Type III brackets, about half of the resin was retained on the tooth surface frequently. 4. The shear bond strength was highest when about half of the resin was retained on the tooth surface(p<0.05). 5. The resin remnant on the bracket base after recycling had no effect on the shear bond strength.

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SHEAR BOND STRENGTH AND FAILURE PATTERNS ACCORDING TO THE THICKNESS OF RESIN BASE IN BRACKET BONDING (브라켓 부착시 레진 베이스의 두께에 따른 전단결합강도와 파절양상에 관한 연구)

  • Kim, Jae-Hyuk;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.28 no.4 s.69
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    • pp.659-668
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    • 1998
  • The purpose of this study was to evaluate the possibility of the decrease of bond strength due to increased thickness of resin base in indirect bracket bonding technique. Metal brackets were bonded to the resin blocks involving bovine lower incisors and the thickness of resin bases was increased by increments of 0.5 mm from 0.0 mm to 2.0 mm. They were divided into two groups, one group is that the thickness of resin base was increased but the loading point from the tooth surface was maintained constantly, the other group is that the loading point from the tooth surface and the resin base thickness were increased concomitantly. The shear bond strength was tested on universal testing machine and the failure patterns were assessed with the adhesive remnant index(ARI). The results were as follows: 1. When the distance from the tooth surface to the loading point was maintained constantly, shear bond strength was increased significantly according to the decrease of distance from the bracket base to the loading point and the increase of resin base thickness. 2. When the distance from the tooth surface to the loading point and the resin base thickness were increased concomitantly, shear bond strength was decreased according to the increase of resin base thickness but significant differences were ignorable. 3. There were no significant differences in ARI scores according to the change in the thickness of resin base. The results of the present study indicated that shear bond strength was not much affected by the thickness of resin base, whereas was decreased according to the increase of distance from bracket base to the loading point.

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Shear bond strength between gold alloy and orthodontic metal bracket using light emitting diode curing light (Light emitting diode를 이용한 광중합 시 금합금과 교정용 금속 브라켓의 전단접착강도)

  • Jung, Min-Ho;Chung, Shin-Hye;Shon, Won-Jun
    • The korean journal of orthodontics
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    • v.40 no.1
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    • pp.27-33
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    • 2010
  • Objective: The need to bond orthodontic brackets onto various alloys has increased because of the increasing demand for adult orthodontic treatment. This study tried to evaluate the shear bond strength between gold alloy and metal bracket using light emitting diode (LED) light curing after metal primer and silicoating surface conditioning. Methods: Half of the type III gold alloy plates were treated with sandblasting with aluminum oxide and metal primer containing 4-META. the other half were treated with silica and silane. Metal brackets were bonded with Transbond XT light curing adhesive on these plates and shear bond strength were evaluated 1 hour, 6 hours, and 24 hours later. The differences of shear bond strength between groups were evaluated with two-way ANOVA. Results: The results showed higher bond strength in the silicoating group and a tendency of bond strength increase over time. Conclusions: When using LED curing lights for metal bracket bonding to alloy surfaces, long curing time and silicoating can produce a reliable bonding strength.

SHEAR BOND STRENGTH AND FAILURE PATTERNS ACCORDING TO THE MATERIAL OF RESIN BASE IN INDIRECT BRACKET BONDING (브라켓 간접부착시 레진 베이스의 재료에 따른 전단결합강도와 파절양상 비교)

  • Jeon, Man-Bae;Hwang, Hyeon-Shik;Kim, Jong-Chul
    • The korean journal of orthodontics
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    • v.28 no.2 s.67
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    • pp.277-284
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    • 1998
  • The purpose of this study was to evaluate the propriety of making use of the light-cured resin base in indirect bracket bonding technique by study of shear bond strength and failure patterns according to the material of resin base. Metal brackets were bonded to the stone models of specimens involving bovine lower incisor with chemical-cured(Excel), light-cured(Light-Bond) and thermal-cured(Therma-Cure) resin. They were transferred to the specimens and bonded using sealant. The shear bond strength was tested on Instron. After bracket removal, the bracket base was examined and assessed with the adhesive remnant index(ARI). The results were as follows : 1. No significant differences in shear bond strength were found among the three groups (P>0.05). 2. No significant differences in ARI score were found among the three groups (P>0.05). The above results suggest that light-cured resin base in addition to chemical-cured and thermal-cured resin bases is useful in the indirect bonding technique.

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A Study on the Electric and Ferroelectric Properties of PZT(30/70) Thick Film Prepared by Using 1,3-Propanediol (1, 3-Propanediol 을 이용해 제작된 PZT(30/70) 후막의 전기적 및 강유전 특성에 관한 연구)

  • 송금석;장동훈;강성준;윤영섭
    • Journal of the Institute of Electronics Engineers of Korea SD
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    • v.40 no.9
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    • pp.631-637
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    • 2003
  • We have evaluated structural and electric, ferroelectric properties of PZT(30/70) thick film prepared by using 1,3-propanediol based sol-gel method on Pt/Ti/SiO$_2$/Si substrates. Rapid thermal annealing (RTA) is used to reduce the thermal stress and final furnace annealing is processed at $650^{\circ}C$. As the results of SEM analysis, we find that we get 350 nm in thickness for one coating and 1 $\mu$m for three times of coating. In the results of C-D analysis at 1 kHz, dielectric constant ($\varepsilon$$_{r}$) and dissipation factor were 886 and 0.03, respectively. C-V curve is shaped as a symmetrical butterfly. Leakage current density at 200 kV/cm is 1.23${\times}$10$^{-5}$ A/cm$^2$ and in the results of hysteresis loops measured at 150 kV/cm, the remnant polarization (P$_{r}$) and the coercive field (E$_{c}$) are 33.8 $\mu$C/cm$^2$ and 56.9 kV/cm, respectively. PZT(30/70) thick film exhibits relatively good ferroelectric, electric properties.s..