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Orthodontic protraction of the third molars to the posterior teeth missing area (구치 결손 환자에서 제3대구치의 교정적 활용)

  • Lee, Kang-gyu;Park, Je-Hyeok;Jeon, Jin;Kang, Jae-yoen;Kim, Jong Ghee;Jeon, Young-Mi
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.4
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    • pp.260-269
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    • 2019
  • The prolonged neglect of the posterior teeth missing area may cause mesial drift, extrusion, unexpected movement of the adjacent teeth and alveolar bone loss with occlusion collapse. Therefore it is recommended to treat that area by the prosthesis as soon as possible after tooth missing. However, if orthodontic treatment is applied to move the remained teeth, it can create improved biomechanical dentoalveolar environment. The use of the third molars in teeth missing area provides advantages as optimizing of prosthesis size. However, crown shape, location, soundness of the third molar and possible of eruption failure should be considered. In this case report, two patients closed a second teeth missing site and reduced the size of the first and second teeth missing area for an implant by protraction of impacted third molars. This case reports the considerations for closing or reducing the posterior teeth space with protracting the third molars by comparing two patients.

Gluteal Perforator Flaps for Coverage of Sacral Pressure Sores (둔부 천공지피판을 이용한 천골부 욕창의 재건)

  • Heo, Chan Yeong;Jung, Jae Hoon;Lee, Sang Woo;Kim, Jung Yoon;Kwon, Soon Sung;Baek, Rong Min;Minn, Kyeong Won;Kim, Yong Kyu
    • Archives of Plastic Surgery
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    • v.34 no.2
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    • pp.191-196
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    • 2007
  • Purpose: Gluteal perforator is easily identified in the gluteal region and gluteal perforator flap is a very versatile flap in sacral sore reconstruction. We obtained satisfying results using the gluteal perforator flap, so we report this clinical experiences with a review of the literature. Methods: Between November of 2003 and April 2006, the authors used 16 gluteal perforator flaps in 16 consecutive patients for coverage of sacral pressure sores. The mean age of the patients was 47.4 years (range, 14 to 78 years), and there were 9 male and 7 female patients. All flaps in the series were supplied by musculocutaneous arteries and its venae comitantes penetrating the gluteus maximus muscle and reaching the intrafascial and suprafascial planes, and the overlying skin forming a rich vascular plexus arising from gluteal muscles. Patients were followed up for a mean period of 11.5 months. Results: All flaps survived except one that had undergone total necrosis by patient's negligence. Wound dehiscence was observed in three patients and treated by secondary closure. There was no recurrence during the follow-up period. Conclusion: Gluteal perforator flaps allow safe and reliable options for coverage of sacral pressure sores with minimal donor site morbidity, and do not sacrifice the gluteus maximus muscle and rarely lead to post-operative complications. Freedom in flap design and easy-to perform make gluteal perforator flap an excellent choice for selected patients.

Reconstruction of the Defect in Perineum using Local perforator based flap (천공지 기저 국소 피판을 이용한 회음부 결손의 재건)

  • Lee, Joo Hong;Yun, In Sik;Lee, Dong Won;Lee, Won Jai;Rah, Dong Kyun
    • Archives of Plastic Surgery
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    • v.36 no.5
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    • pp.565-570
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    • 2009
  • Purpose: Numerous techniques have been introduced to reconstruct the perineal area in order to preserve function of both the recipient and the donor site while satisfying aesthetic results. There are several advantages of using the pudendal aretery perforator based flap in that it provides thin coverage of defect area and a relatively excellent circulation through perforators. The perineal region can be divided into two areas : the urogenital triangle and the anal triangle. Since each area differs in structure and function so does its reconstructive plan. The authors of this article report clinical results obtained from pudendal artery perforator based reconstructed cases according to each differrent triangles. Methods: A total of 15 patients who underwent perineal reconstruction were enrolled in our study between the year 2002 and 2006. There were 4 cases of vaginal cancer, 4 cases of extramammary Paget's disease, 1 case of rectovaginal fistula in females and 2 cases of Paget's disease and 4 cases of Fournier's gangrene in male cases. The follow up period was on average 6 month. In female, superfical pudendal artery perforator based local flap were used to reconstruct the urogenital triangle defects, while internal pudendal artery perfoator based local flaps were used to reconstruct the anal traingle defects. In males the gracilis myocutaneous flap and internal pudendal artery perforator based local flaps were used in reconstruction of the scrotum and perineal defect. Result: In females, there was 1 case of partial flap necorsis that employed the superficial pudendal artery perforator but secondary repair through the internal pudendal artery perforator based local flap was done. In addition, there were 4 wound dehiscence cases in females and 2 cases in males. Conclusion: We believe that a better aesthetic and functional outcome can be achieved in perineal reconstruction if discrete surgical planning is carried out systematically categorizing the choice of flap employed acccording to distinct anatomical regions : the urogenital and the anal triangle.

Reoperation for Hemorrhage Following Open Heart Surgery with Cardiopulmonary Bypass A Report of 81 cases (개심술후 출혈로 인한 응급 개흉술 81례의 임상적 고찰)

  • 오중환
    • Journal of Chest Surgery
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    • v.18 no.4
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    • pp.753-758
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    • 1985
  • Hemorrhage is an important complication after operation with cardiopulmonary bypass and sometimes necessitates a further emergency operation. Between July, 1962 and June, 1985, reoperation for hemorrhage was carried out on 81 patients [3.1%] out of a total 2634 patients who had previously undergone cardiopulmonary bypass surgery at the Department of Thoracic and Cardiovascular Surgery, Yonsei University Medical Center. There were 38 males and 43 females, with an average age of 25 years [ranging 6 months to 60 years] and an average body weight of 38 kg [ranging 5 to 77 kg].There were 43 patients of cyanotic heart disease, 32 patients of acquired valvular heart disease, 4 patients of coronary artery occlusive disease, 2 patients of ascending aorta aneurysm and annuloaortic ectasia. The average amount of blood loss in the case of cyanotic heart disease was 71.7140ml/kg, in acyanotic heart disease 45.16.3ml/kg, in acquired heart disease, 56.514.4ml/kg and in coronary artery occlusive disease, 50.618.7ml/kg during first post operative day. But there was no statistical difference [p>0.05]. The mean blood loss below 10 years old was 70.412.1 ml/kg. Those below 10 years old were believed to bleed more than any other group. But there was also no statistical difference [p>0.05]. Indications for reoperation were continued excessive blood loss [74%], cardiac tamponade or hypotension [23%] and radiological evidence of a large hematoma in the thorax and pericardium [2%]. Average bypass time was 2.10.1 hours [ranging 30 minutes to 5 hours]. The interval between operation and reoperation was as follows; less than 12 hours in 49 patients [60%], 12 to 24 hours in 20 patients [25%], 24 to 48 hours in 8 patients [10%], more than 48 hours in 4 patients [5%]. The commonest sites for bleeding were chest wall [36%], heart [34%], aorta [12%], pericardium [6%], thymus [5%] and others [6%]. But no definite source was found in ll patients [31%]. Twenty seven out of 81 patients [31%] had wound problems and 5 patients [6%] were expired. [Mean SEM]. In conclusion, in order to decrease the amount of blood loss after open heart surgery with cardiopulmonary bypass, shortening of bypass time and bleeding control at the wire suture site during chest wall closure were important. If the amount of blood loss was over 45 ml/kg or 8 m/kg/hour, reoperation should be considered as soon as possible. After operating, careful wound dressings were applied to prevent wound problems.

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Volcanic Origin Potential Acid Sulfate Soil Material : Hydrothermally Altered Pyrite Rich Andesite (열수변질 함황철석 안산암 기원의 잠재성 특이산성토 물질)

  • Kim, Jae Gon;Chon, Chul-Min;Yun, Eul-Soo;Zhang, Yong-Seon;Jung, Pil-Kyun;Jung, Yeun-Tae
    • Korean Journal of Soil Science and Fertilizer
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    • v.33 no.5
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    • pp.311-317
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    • 2000
  • Acid sulfate soil and potential acid sulfate soil material are worldwide in distribution and are problematic in agriculture and environment due to their present and potential acidity developed by the oxidation of sulfides. Most of them are sedimentary origin and a few cases are reported as volcanic or metamorphic origin. We report a potential acid sulfate soil material originated from volcanic activity during Mesozoic. A profile of Bongsan series-weathered nonpyritic andesite-hydrothermally altered pyrite rich andesite was studied with field examination, chemistry, and mineralogy. Once, the pyrite rich andesite was exposed to atmosphere by excavation and leveling works for a residential area and the lay out site had subsequent acidification problem of soil and surface water. The parent material and soil profile of Bongsan series had no signs of presence of pyrite and acid sulfate weathering such as yellow mottles. However, the hydrothermally altered andesite substrata contained significant amount of pyrite showing characteristics of hydrothermal origin such as cubic and pyritohedron morphology and occurrence along cracks.

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Inhabitation Characteristics of Sphagnum palustre in Abandoned Paddy Terrace Wetland: a Case Report in Ansan (계단식 묵논습지에서의 물이끼 서식 특성: 안산시 사례를 중심으로)

  • Hong, Mun-Gi;Kim, Jae Geun
    • Journal of Wetlands Research
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    • v.15 no.1
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    • pp.71-78
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    • 2013
  • An exceptional case of inhabitation of a Sphagnum sp. was firstly confirmed at abandoned paddy terrace (APT) wetland in Ansan. Water sampling for analyzing of physicochemical conditions including nutrients such as NP, $Ca^{2+}$ and $Mg^{2+}$ was performed and the vegetation map for distribution of Sphagnum sp., topographical map, and flora list for companion species were made at field in June 2011. From the results, the Sphagnum sp. in the study site was identified as S. palustre and it covered about 8% of the wetland cover of 3,200 $m^2$. Most distributions of S. palustre were observed at tussock structures as micro-topography by sedges and grasses within a wetland (74%) and the shaded slope area under Pinus densiflora's canopy in wetland boundary (26%). Despite that APT in Ansan is relatively lower wetland in altitude than high moors, the contents of calcium ($0.45{\pm}0.2$) and magnesium ($1.48{\pm}0.6$) ion which are critical limiting factors for Sphagnum spp. were very low levels as well as NP ($PO_4$-P, $0.02{\pm}0.0$; $NO_3$-N, $0.25{\pm}0.3$; $NH_4$-N, $0.06{\pm}0.1$) and it could enable the inhabitation of S. palustre in lower APT.

Orchiectomy in the Asiatic Black Bear (Ursus thibetanus) (반달가슴곰에서 시행된 고환절제술)

  • Jeong, Dong-Hyuk;Lee, Seung-Yong;Yang, Jeong-Jin;Seok, Seong-Hoon;Kong, Ju-Yeon;Park, Se-Jin;Jin, So-Young;Kim, Min-Hyang;Lee, Bae-Keun;Lee, Hee-Chun;Yeon, Seong-Chan
    • Journal of Veterinary Clinics
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    • v.32 no.4
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    • pp.363-365
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    • 2015
  • The Asiatic black bear (Ursus thibetanus) is globally protected species and involved in a species restoration program by the Korea National Park Service. However, the bears could not be released into the wild were required regulation of population due to the limited space of breeding facility, so surgical castration was performed in two males. Bears were immobilized with a combination of 2 mg/kg tiletamine-zolazepam and $40{\mu}g/kg$ medetomidine, and general anesthesia was maintained with isoflurane via endotracheal tube intubation. Orchiectomy was carried out by the closed method using the LigaSure vessel sealing device through pre-scrotal incision. Subcutaneous tissues of the incision site were sutured by continuous pattern with absorbable suture material, and the skin incision was closed with tissue glue. The bears recovered uneventfully from general anesthesia after a duration of 58 min (bear A) and 53 min (bear B). Total surgical time was 26 min (bear A) and 24 min (bear B). No postoperative swelling or complications were observed. This is the first report that describes the use of the LigaSure for orchiectomy in the Asiatic black bear.

Current Status and Perspectives of Weed Science in the World (세계 잡초연구 동향 및 전망)

  • Lee, In-Yong;Park, Tea-Seon;Choi, Jung Sup;Ko, Young-Kwan;Park, Kee Woong;Seo, Hyun-A
    • Weed & Turfgrass Science
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    • v.5 no.3
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    • pp.105-110
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    • 2016
  • This paper provides the current status of weed science and prospects for the development of weed science based on the research trends presented at the 7th International Weed Science Conference in 2016. Approximately 520 researchers from 59 countries, including Korea, participated in the conference and presented 625 papers in nine research areas. Major research topics were herbicide resistance, weed ecology, weed management in agricultural and non-agricultural lands, herbicide spray technology, and non-chemical weed control. Studies on herbicide resistance presented more than 30% of all papers presented. Particularly, resistance to non-selective herbicides, such as glyphosate and glufosinate-ammonium, and non-target sites of resistance mechanisms were the main subjects of the herbicide resistance research area. Moreover, the conference focused on research concerning herbicide resistant weeds of staple crops of the world (corn, wheat, and rice). Arylex was introduced as a new compound which has a mode of herbicidal action similar to synthetic auxin. Three compounds being developed as HPPD inhibitors were studied for ways to reduce their toxicity and tested as mixed with safeners. Additionally, parasitic weeds, which are not native to Korea, are an expanding research subject in the world. Although 45 years have passed since the first report of herbicide resistance in 1970, herbicide resistance remains a serious problem in most intensive cropping systems of the world and will continue to be a major area of study in the future.

Smad-dependent Expression of Gadd45b Gene during TGF-β-induced Apoptosis in EpH4 Cells. (EpH4 세포에서 TGF-β에 의한 세포사멸시 Smad 단백질에 의존한 Gadd45b 유전자의 발현 변화)

  • Cho, Hee-Jun;Yoo, Ji-Yun
    • Journal of Life Science
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    • v.18 no.4
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    • pp.461-466
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    • 2008
  • Transforming growth $factor-{\beta}$ ($TGF-{\beta}$)-dependent apoptosis is important in the elimination of damaged or abnormal cells from normal tissues in vivo. Gadd45b has been known to participate in $TGF-{\beta}-induced$ apoptosis by the activation of p38 kinase. In this report, we show that Gadd45b is an immediate-early response gene for $TGF-{\beta}$ during apoptosis in EpH4 cells. To elucidate the molecular mechanism of $TGF-{\beta}-induced$ Gadd45b gene expression, we cloned the 5'-flanking region of the mouse Gadd45b gene. When transfected into EpH4 cells, this 5'-flanking region conferred promoter activity and inducibility by $TGF-{\beta}$. Deletion analyses demonstrated that the minimal promoter activity was detected in the proximal region 220 bp upstream of the transcription initiation site. We also found that the proximal Gadd45b promoter is activated by $TGF-{\beta}$ through the action of Smad2, Smad3, and Smad4. Finally, we show that the expression of Gadd45b gene by $TGF-{\beta}$ is suppressed in EpRas cells in which $TGF-{\beta}$ could not induce apoptosis, suggesting that Gadd45b may be a crucial target for $TGF-{\beta}-induced$ apoptosis in EpH4 cells.

A Case of Suprachoroidal Hemorrhage after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment (열공망막박리 환자에서 유리체절제술 후 발생한 맥락막상강출혈 1예)

  • Kim, Min Han;Oh, Jong-Hyun
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.11
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    • pp.1082-1086
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    • 2018
  • Purpose: To report a case of a 60-year-old female with rhegmatogenous retinal detachment, presenting with suprachoroidal hemorrhage after vitrectomy. Case summary: A 60-year-old woman visited our clinic complaining of floaters, flashing, and blurred vision. Best-corrected visual acuity was 0.1 in her left eye, and fundus examination of her left eye revealed macula-involved retinal detachment with a retinal break at the superotemporal quadrant. She underwent cataract surgery, 23-gauge transconjunctival sutureless vitrectomy, and 14% C3F8 gas tamponade under general anesthesia. One hour after anesthesia recovery, she suddenly complained of severe pain in her left eye. The intraocular pressure measured after removal of the pressure patch from her left eye was as high as 58 mmHg. Her ocular pain improved spontaneously within 10 minutes, and the intraocular pressure decreased to 8 mmHg. Fundus examination of her left eye revealed a reddish-brown raised lesion, suggesting suprachoroidal hemorrhage. She was placed in a prone position with a pressure patch over her left eye. Bleeding through the sclerotomy site was observed 1 day after surgery. Subsequently, hemorrhagic choroidal detachment of her left eye continued to decrease without deterioration. Three weeks after surgery, the patient received an intravitreal injection of 100% C3F8 gas into her left eye. At 3 months after surgery, best-corrected visual acuity had improved to 0.8 in her left eye, and the retina was stable. Conclusions: Suprachoroidal hemorrhage may be suspected in a patient complaining of severe ocular pain after vitrectomy.