• 제목/요약/키워드: Survival Rates

검색결과 2,483건 처리시간 0.031초

Cranioplasty Using Autologous Bone versus Porous Polyethylene versus Custom-Made Titanium Mesh : A Retrospective Review of 108 Patients

  • Kim, Jun-Ki;Lee, Sang-Bok;Yang, Seo-Yeon
    • Journal of Korean Neurosurgical Society
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    • 제61권6호
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    • pp.737-746
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    • 2018
  • Objective : The purpose of this study was to compare the cosmetic outcome and complications after cranioplasty (CP) due to three different implant materials, and analyze the mean implant survival and cumulative survival rate based on these results. Methods : We reviewed 108 patients retrospectively who underwent CP between January 2014 and November 2016. Autologous bone (AB; 45 patients) and synthetic materials with porous polyethylene (PP; 32 patients) and custom-made 3-dimensional printed titanium mesh (CT; 31 patients) were used as implants. Results : Regardless of implanted materials, more than 89.8% of the CP patients were satisfied with the cosmetic outcome. No statistically significant difference was observed among the three groups. The overall postoperative complication rates of each group were 31.1% in the AB group, 15.6% in the PP group and 3.2% in the CT group. The CT group showed lower complication rates compared with AB and PP groups (${\chi}^2$-test : AB vs. PP, p=0.34; AB vs. CT, p=0.00; PP vs. CT, p=0.03). The AB and PP groups demonstrated a higher post-CP infection rate (11.1% and 6.3%) than the CT group (3.2%). However, no significant difference in the incidence of post-CP infection was observed among the three groups. The PP and CT groups demonstrated a higher mean implant survival time and cumulative survival rate than the AB group at the last follow-up (p<0.05). Conclusion : In comparison with AB and PP, cranioplasty with CT shows benefits in terms of lower post-CP complication, less intraoperative bleeding loss, shorter operation time and in-hospital stay. The PP and CT groups showed higher implant survival time and cumulative survival rate compared with the AB group.

Long-term effect of implant-abutment connection type on marginal bone loss and survival of dental implants

  • Young-Min Kim;Jong-Bin Lee;Heung-Sik Um;Beom-Seok Chang;Jae-Kwan Lee
    • Journal of Periodontal and Implant Science
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    • 제52권6호
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    • pp.496-508
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    • 2022
  • Purpose: This study aimed to compare the long-term survival rate and peri-implant marginal bone loss between different types of dental implant-abutment connections. Methods: Implants with external or internal abutment connections, which were fitted at Gangneung-Wonju National University Dental Hospital from November 2011 to December 2015 and followed up for >5 years, were retrospectively investigated. Cumulative survival rates were evaluated for >5 years, and peri-implant marginal bone loss was evaluated at 1- and 5-year follow-up examinations after functional loading. Results: The 8-year cumulative survival rates were 93.3% and 90.7% in the external and internal connection types, respectively (P=0.353). The mean values of marginal bone loss were 1.23 mm (external) and 0.72 mm (internal) (P<0.001) after 1 year of loading, and 1.20 mm and 1.00 mm for external and internal abutment connections, respectively (P=0.137) after 5 years. Implant length (longer, P=0.018), smoking status (heavy, P=0.001), and prosthetic type (bridge, P=0.004) were associated with significantly greater marginal bone loss, and the use of screw-cement-retained prosthesis was significantly associated (P=0.027) with less marginal bone loss. Conclusions: There was no significant difference in the cumulative survival rate between implants with external and internal abutment connections. After 1 year of loading, marginal bone loss was greater around the implants with an external abutment connection. However, no significant difference between the external and internal connection groups was found after 5 years. Both types of abutment connections are viable treatment options for the reconstruction of partially edentulous ridges.

소 수정란 이식에서의 배사멸과 임신율 (Embryonic Mortality and Pregnancy Rate in Bovine Embryo Transfer)

  • 김창근
    • 한국수정란이식학회지
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    • 제6권2호
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    • pp.1-17
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    • 1991
  • It is widely recognized that the embryonic or fetal loss after breeding is common in the cattle and that it is an important factor affecting reproductive efficiency. The causes of this loss have been subject of extensive researches and the results indicate that the embryonic mortality may he primary factor responsible for low pregnancy rates in non-embryo transfer bovine populations as well as embryo transfer programs. However, it's causes are still not clearly understood. The embryonic mortality or pregnancy rate has been influenced by various embryonic and maternal effects related to genetic and environmental factors. The timing and extent of embryonic mortality vanes greatly according to authors and estimating methods, because it is difficult to make direct measurements. The major important factors that may influence the embryonic losses or pregnancy rates after embryo transfer can be summeirized. 1.When an embryo is transferred to unmated recipients, the contralateral transfer to corpus luteum results in a lower survival rate than ipsilateral deposition. When the embryos are transferred for the production of twin calves, their survivals and twin pregnancies have quite inconsistent according to the transfer methods either to the unmated-synchronized or already mated recipients and more works are needed to accurrately clarify the previous results. 2.Although embryos can be cultured in vitro some hours without the great declines in pregnancy rates, the rates differ markedly among culture times and media but may be improved by co-transfer systems. 3.Embryo developmental stages and quality grades clearly affect the survival rate following freezing and the pregnancy rate after transfer and the selection of embryos without chromosome abnormalities and of high fertile semen may also be considered to increase the pregnancy rates. 4.Many researches have attempted to relate the plasma progesterone levels to pregnancy rates and others have done either direct progesterone supplementation or luteal stimulation by hCG treatment in order to increase the pregnancy rates. However, these effects on pregnancy rates are inconsistent and also contradictory. 5.The asynchrony between donors or embryos and recipients may he a major cause of embryo death and low pregnancy rate and the sensitivity to uterine asynchyony differs in according to the quality and stages of embryos. 6.The extremes of poor or over nutrition during early pregnancy in the recipients are detrimental to the survival of embryos and the good body condition is required to prevent a reduejion of pregnancy rates. The uterine pathogens in embryonic mortality or fertility have been questioned but the infection of C.pyogenes and Campylobacter fetus is still important pathogens. 7.The heat stress during early pregnancy may reduce conceptus weight and possibly increase the embryonic mortality.

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비인두암의 방사선치료 결과 (Results of Radiotherapy in Nasopharyngeal Cancer)

  • 신병철;마선영;문창우;염하용;정태식;유명진
    • Radiation Oncology Journal
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    • 제13권3호
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    • pp.215-223
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    • 1995
  • Purpose : The aim of this study was to assess the effectiveness, survival rate and complication of radiation in nasopharyngeal cancer. Materials and Methods : From January 1980 to May 1989. Fifty patients who had nasopharyngeal carcinoma treated with curative radiation therapy at Kosin Medical Center were retrospectively studied. Thirty seven patients($74{\%}$) were treated with radiation therapy alone(Group I) and 13 patients ($26{\%}$) treated with combination of chemotherapy and radiation (Group II). Age distribution was 16-75 years(median : 45.8 years). In histologic type, squamous cell carcinoma was in 30 patients($60{\%}$), undifferentiated carcinoma in 17 patients($34{\%}$), and lymphoepithelioma in 3 patients($6{\%}$). According t AJCC staging system. 4 patients($8{\%}$) were in $T_1$, 13 patients($26{\%}$) in $T_2$. 20 patients($40{\%}$) in $T_3$, 13 patients($26{\%}$) in $T_4$ and 7 patients($14{\%}$) in $N_0$, 6 patients($12{\%}$) $N_1$, 23 patients($46{\%}$) in $N_2$, 14 patients($28{\%}$) in $N_3$. Total radiation dose ranges were 5250-9200cGy(median : 7355 cGy) in Group I and 5360-8400cGy(median : 6758cGy) in Group II Radiotherapy on 4-6MV linear accelerator and/or 6-12MeV electron in boost radiation was given with conventional technique to 26 patients($52{\%}$), with hyperfractionation(115-120cGy/fr., 2times/day) to 16 patients($32{\%}$), with accelerated fractionation(160cGy/fr., 2 times/day) to 8 patients($16{\%}$). In chemotherapy, 5 FU 1000mg daily for 5 consecutive days, pepleomycin 10mg on days 1 and 3, and cisplatin 100mg on day 1 were administered with 3weeks interval, total 1 to 3 cycles(average 1.8cycles) prior to radiation therapy. Follow up duration was 6-140 months(mean : 58 months). Statistics was calculated with Chi-square and Fisher's exact test. Results : Complete local control rates in Group I and II were $75.7{\%},\;69.2{\%} Overall 5 year survival rates in Group I and II were $56.8{\%},\;30.8{\%}$. Five year survival rates by histologic type in Group I and II were $52.2{\%},\;14.3{\%}$ is squamous cell carcinoma and $54.5{\%},\;50{\%}$ in undifferentiated carcinoma. Survival rates in Group I were superior to those of Group II though there were not statistically significant. In both group, survival rates seem to be increased according to increasing total dose of radiation up to 7500cGy, but not increased beyond it. There were not statistically significant differences in survival rates by age, stage, and radiation techniques in both group. Twenty four patients($48{\%}$) experienced treatment failures. Complications were found in 12 patients($24{\%}$). The most common one was osteomyelitis(4 patients, $33.3{\%}$) involving mandible (3 patients) and maxilla(1 patient). Conclusion : Chemotherapy in combination with radiotherapy was found to be not effective to nasopharyngeal cancer and the survival rate was also inferior to that of radiation alone group though it was statistically not significant due to small population in chemotherapy combined group.

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경사방향이 목초의 월동성에 미치는 영향 (Effect of Slope Exposure on Winter Hardiness of Grasses)

  • 이주삼;천소을
    • 한국초지조사료학회지
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    • 제14권2호
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    • pp.93-98
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    • 1994
  • 경사방향의 차이가 Orchardgrass가 우점된 산지초지에서 목초의 월동성에 미치는 영향을 조사하였다. 1. 원동전 식물체의 초세는 1번초의 생육과 포장생존율 및 월동성에 미치는 영향이 컸다고 생각된다. 2. 상대경수출현율당 개체중(DW/RTAR)은 초세와 유의한 부의 상관을 나타낸 반면에, 월동전 개체당 경수, 1번초의 개체당 경수, 개체중, 포장생존율 및 상대경수출현율과는 유의한 정상관을 나타내었다. 3. 월동성은 서>북북서>동남동>남남서 사면의 순으로 높았다.

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Proportion of Surviving and Physiological Changes of Granular ark, Tegillarca granosa to Air Exposure

  • Shin, Yun-Kyung;Moon, Tae-Seok
    • 한국패류학회지
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    • 제22권2호
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    • pp.151-155
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    • 2006
  • Proportion of Tegillarca granosa surviving after 2-6 hrs air exposure with 12 hrs interval at $20^{\circ}C$ and $28^{\circ}C$ for 20 days showed 85-100%, 80-100%, respectively. The survival rate was somewhat lower at high temperature but not significant (p < 0.05). Subsequent exposures for 7-9 days showed survival rate of 8.0-24.1% at $20^{\circ}C$ and $28^{\circ}C$. Oxygen consumption rates and filtration rates were significantly higher for 4 to 6 hrs exposures, compared with the preceding exposures. On the other hand, at $28^{\circ}C$, oxygen consumption rates in adult granular ark for 6 hrs exposure during 20 days had significantly decreased. Filtration rates in study groups increased a little over extended period of exposure, compared with those in control groups, and were similar irrelevant to the time of exposure and size of experimental animals. It is concluded, in view of their viability and oxygen consumption rate during air exposure, that ark shells have quite a high resistance to air exposure with their limited range of responses.

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동갈돗돔, Hapalogenys nitens 난과 자치어의 생존 및 성장에 미치는 저염분 및 저수온의 영향 (Influence of Low Salinity and Cold Water Temperature on the Hatching, Survival and Growth of the Offspring of Grunt, Hapalogenys nitens)

  • 강희웅;전제천;강덕영;조기채;최기호;김규희
    • 한국어류학회지
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    • 제21권3호
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    • pp.158-166
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    • 2009
  • 본 연구는 동갈돗돔의 양식생물학적 기초자료를 확보하고자 염분의 영향과 수온의 영향을 조사하였다. 염분의 경우 수정란의 부화와 부상률, 자어의 부상률 및 생존율, 치어의 성장과 생존에 미치는 영향을 조사하였다. 수온의 경우 일간 수온 변화 정도, 급성 저수온 충격, 완만한 수온 감소에 따른 생존, 먹이섭식 및 유영능력을 조사하였다. 염분의 영향에서 수정란의 부화율과 부상률 및 자어의 부상률과 생존율은 자연 해수 염분(32 psu)에 가까울수록 높게 나타났다. 치어의 성장과 생존의 경우에는 기수의 염분(5~20 psu)의 경우 해수 염분(25~32 psu)과 유의한 차이가 없었다. 다만 담수의 경우만 유의하게 낮았다. 수온의 영향에 관한 3가지 실험 모두에서 급성이던 만성이던 수온의 하락폭이 클수록 생존율, 먹이섭식 및 유영활동이 감소하는 것을 확인할 수 있었다. 결론적으로 본 실험을 통해 동갈돗돔은 성장과 생존은 일반 해수염분에서 가장 좋았고, 월동의 임계수온은 $8^{\circ}C$로 나타났다.

햄스터 난자의 동결보존과 그의 임상적 이용에 관한 연구 (Cryopreservation of Hamster Oocytes and its Clinical Uses)

  • 김재명;서병희;이재현;유승환;정길생
    • Clinical and Experimental Reproductive Medicine
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    • 제18권1호
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    • pp.81-87
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    • 1991
  • There studies were carried for evaluation of the efficiency of freezing of hamster oocytes for use in a human sperm penetration assay. The hamster oocytes fully equilibrated in various cryoprotectant agents and inseminated with human sperm. After insemination with hamster oocytes, there was no difference in penetrated rates. Cumulus free oocytes equilibrated in 1.5M various cryoprotective agents and slowely cooled to temperature $-30^{\circ}C$ before rapid cooling and storage in nitrozen tank. After rapid thawing, survival rates of frozen oocytes according to cryo-protective agents were examined and the human sperm penetration assay with zona free hamster oocytes was conducted. 1. Survival rates of oocytes after cryoprotectants exposure have no significant difference (range 88-91%) and peneration rate was 51.1%. 2. Recovery and survival rate of frozen-thawed oocytes were 85.1 and 66.8%. There was no significant difference on cryoprotective agents. 3. Penetration rates of the frozen-thawed and intact oocytes were 69.0 and 77.0%, respectively. 4. Hamster oocytes cryopreservation provides a convenient way of supplying and trans-porting hamster oocytes for the assessment of the fertilizing potential of human spermatozoa.

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Implant-supported overdentures with different bar designs: A retrospective evaluation after 5-19 years of clinical function

  • Rinke, Sven;Rasing, Hajo;Gersdorff, Nikolaus;Buergers, Ralf;Roediger, Matthias
    • The Journal of Advanced Prosthodontics
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    • 제7권4호
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    • pp.338-342
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    • 2015
  • PURPOSE. This retrospective study evaluated the outcome of implant-retained overdentures (IODs) after 5-19 years of clinical function. MATERIALS AND METHODS. A retrospective analysis of patient files was performed referring to 27 patients who received 36 IODs with 3 different bar designs (group A=prefabricated round bars, n=7; group B=one-piece anterior milled bars, n=20; and group C=two bilaterally placed milled bars, n=9) in the mandible (n=24) and/or in the maxilla (n=12). The analysis focused on the survival and success rates (according to Kaplan-Meier) of the implants and prostheses. Technical complication rates for each type of restoration were analyzed and compared via one-way ANOVA and the Chi-squared test. The prevalence of peri-implantitis (radiographic bone loss ${\geq}3.5mm$) was evaluated by digital analysis of panoramic radiographs taken postoperative (baseline) and after 5-19 years of clinical function (follow-up). RESULTS. The mean observational time was 7.3 years. The survival rates of the prostheses and implants were 100% and 97.7%, respectively. Technical complications occurred more frequently in group A (mean: 3.5 during observational time) than in the other two groups (B: 0.8; C: 1.0). However, this difference was not statistically significant (P=0.58). Peri-implantitis was diagnosed for 12.4% of the implants in 37% of the patients. CONCLUSION. Bar-retained IODs are an adequate treatment option for edentulous jaws. These restorations may exhibit high implant/prosthesis survival rates (>97%), and a limited incidence of technical complications after a mean observational period of >7 years. Nevertheless, peri-implantitis was identified as a frequent and serious biological complication for this type of reconstruction.