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Repeated failure of implants at the same site: a retrospective clinical study

  • Kang, Dong-Woo;Kim, So-Hyun;Choi, Yong-Hoon;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.27.1-27.9
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    • 2019
  • Background: Implants are becoming the first choice of rehabilitation for tooth loss. Even though they have a high success rate, failures still occur for many reasons. The objective of this study is to analyze the reasons for recurring failure at the same site and the results of re-implantation. Methods: Thirteen patients (11 males and 2 females, mean age 60 ± 9.9 years) who experienced implant surgery failure at the same site (same tooth extraction area) two or more times in the Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital, between 2004 and 2017 were selected. The medical records on a type, sites, diameter, and length of implants; time and estimated cause of failure; and radiographs were reviewed. Data were collected and analyzed retrospectively, and the current statuses were evaluated. Results: A total of 14 implants experienced failure in the same site more than two times. Twelve implants were placed in the maxilla, while 2 implants were placed in the mandible. The maxillary molar area was the most common site of failure (57.1%), followed by the mandibular molar, anterior maxilla, and premolar areas (14.3% each). The first failure occurred most commonly after prosthetic treatment (35.7%) with an average period of failure of 3.8 months after loading. Ten cases were treated as immediate re-implantation, while the other 4 were delayed reimplantation after an average of 3.9 months. The second failure occurred most commonly after prosthetic treatment (42.9%), with an average of 31 months after loading; during the healing period (42.9%); and during the ongoing prosthetic period (14.3%). In 3 cases (21.4%), the treatment plan was altered to an implant bridge, while the other 11 cases underwent another implant placement procedure (78.6%). Finally, a total of 9 implants (64.3%) survived, with an average functioning period of 60 months. Conclusions: Implants can fail repeatedly at the same site due to overloading, infection, and other unspecified reasons. The age and sex of the patient and the location of implant placement seem to be associated with recurring failure. Type of implant, bone augmentation, and bone materials used are less relevant.

Full-scale tests and analytical model of the Teflon-based lead rubber isolation bearings

  • Wang, Lu;Oua, Jin;Liu, Weiqing;Wang, Shuguang
    • Structural Engineering and Mechanics
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    • v.48 no.6
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    • pp.809-822
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    • 2013
  • Base isolation is widely used in seismic resisting buildings due to its low construction cost, high reliability, mature theory and convenient usage. However, it is difficult to design the isolation layer in high-rise buildings using the available bearings because high-rise buildings are characterized with long period, low horizontal stiffness, and complex re-distribution of the internal forces under earthquake loads etc. In this paper, a simple and innovative isolation bearing, named Teflon-based lead rubber isolation bearing, is developed to address the mentioned problems. The Teflon-based lead rubber isolation bearing consists of friction material and lead rubber isolation bearing. Hence, it integrates advantages of friction bearings and lead rubber isolation bearings so that improves the stability of base isolation system. An experimental study was conducted to validate the effectiveness of this new bearing. The effects of vertical loading, displacement amplitude and loading frequency on the force-displacement relationship and energy dissipation capacity of the Teflon-based lead rubber isolation bearing were studied. An analytical model was also proposed to predict the force-displacement relationship of the new bearing. Comparison of analytical and experimental results showed that the analytical model can accurately predict the force-displacement relationship and elastic shear deflection of the Teflon-based lead rubber isolation bearings.

Formulation and In vitro Evaluation of Transdermal Drug Delivery System for Galantamine

  • Hossain, Md. Kamal;Subedi, Robhash Kusam;Chun, Myung-Kwan;Kim, Eun-Jung;Moon, Hwan-Shik;Choi, Hoo-Kyun
    • Journal of Pharmaceutical Investigation
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    • v.41 no.1
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    • pp.1-7
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    • 2011
  • The effects of different formulation variables including pressure sensitive adhesive (PSA), permeation enhancer, thickness of the matrix and loading amount of drug on the transdermal absorption of galantamine were investigated across the hairless mouse skin. The permeation profile of galantamine was different depending on the types of PSA, loading amount of drug, thickness of the matrix and type of enhancer used. Highest flux of galantamine was obtained from acrylic PSA but crystals were formed in the patch within 72 h. Among the PSAs screened, crystal formation was not observed only in the patches formulated in Styrene Butadiene Styrene (SBS) matrix. Permeation rate increased linearly as the concentration of galantamine in SBS matrix increased from 2.5 to 15% w/w. Among the enhancers screened, Brij$^{(R)}$ 30 provided highest flux of galantamine. Matrix thickness of 80 ${\mu}m$ was optimum for maintaining adhesiveness as well as consistently delivering galantamine for longer period of time.

Prevalence and risk factors of peri-implant mucositis and peri-implantitis after at least 7 years of loading

  • Ahn, Dae-Hee;Kim, Hyun-Joo;Joo, Ji-Young;Lee, Ju-Youn
    • Journal of Periodontal and Implant Science
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    • v.49 no.6
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    • pp.397-405
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    • 2019
  • Purpose: This study examined the prevalence and risk factors of peri-implant disease after at least 7 years of dental implant loading. Methods: A total of 111 patients with 218 dental implants were treated. The follow-up period for all implants was at least 7 years. The patients' dental records were collected and risk factors of peri-implant disease were investigated through logistic regression analysis. Results: The overall implant survival rate was 95.87%, because 9 of the 218 implants failed. The prevalence of peri-implant mucositis and peri-implantitis was 39.7% and 16.7%, respectively. As risk factors, smoking and prosthetic splinting showed significant associations with peri-implantitis (P<0.05). Conclusions: Within the limits of this study, no significant correlations were found between any risk factors and peri-implant mucositis, but a significantly elevated risk of peri-implantitis was observed in patients who smoked or had splinted prostheses in 2 or more implants.

Seismic base isolation of precast wall system using high damping rubber bearing

  • Tiong, Patrick L.Y.;Adnan, Azlan;Rahman, Ahmad B.A.;Mirasa, Abdul K.
    • Earthquakes and Structures
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    • v.7 no.6
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    • pp.1141-1169
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    • 2014
  • This study is aimed to investigate the seismic performance of low-rise precast wall system with base isolation. Three types of High Damping Rubber Bearing (HDRB) were designed to provide effective isolation period of 2.5 s for three different kinds of structure in terms of vertical loading. The real size HDRB was manufactured and tested to obtain the characteristic stiffness as well as damping ratio. In the vertical stiffness test, it was revealed that the HDRB was not an ideal selection to be used in isolating lightweight structure. Time history analysis using 33 real earthquake records classified with respective peak ground acceleration-to-velocity (a/v) ratio was performed for the remaining two types of HDRB with relatively higher vertical loading. HDRB was observed to show significant reduction in terms of base shear and floor acceleration demand in ground excitations having a/v ratio above $0.5g/ms^{-1}$, very much lower than the current classification of $0.8g/ms^{-1}$. In addition, this study also revealed that increasing the damping ratio of base isolation system did not guarantee better seismic performance particularly in isolation of lightweight structure or when the ground excitation was having lower a/v ratio.

The Processing of Livestock Waste Through the Use of Activated Sludge - Treatment with Intermittent Aeration Process -

  • Osada, T.
    • Asian-Australasian Journal of Animal Sciences
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    • v.13 no.5
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    • pp.698-701
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    • 2000
  • To prevent surface and underground water pollution, wastewater treatment is essential. Four bench-scale activated sludge units (10 L operational volumes) were operated at 5, 10 and $20^{\circ}C$ for evaluation of treatment efficiencies with typical wastewater from swine housing. The units were set for a 24-hour cycle. As compared to the conventional process, high removal efficiencies for organic substances, nitrogen and phosphorus in swine wastewater were obtained simultaneously with an intermittent aeration process (lAP). The NOx-N produced during an aeration period was immediately reduced to nitrogen gas (e.g. $N_2$ or $N_2O$) in the subsequent non-aeration periods, and nitrification in aeration periods occurred smoothly. Under these conditions, phosphorus removal occurred with the release of phosphorus during the non-aeration periods followed by the excess uptake of phosphorus in the activated sludge during aeration periods. It was confirmed that the lAP had a better ability to remove pollutants under both low temperatures and high nitrogen loading conditions than the ordinary method did. In addition to that, the total emission of $N_2O$ from lAP was reduced to approximately 1/50 of the conventional process for the same loading. By adopting an adequate aeration programme for individual swine wastewater treatment, this system will provide a promising means for nitrogen and phosphorus control without pH control or addition of methanol.

A Study on Cargo Handling Accident Analysis and Prevention for irregular employee in Incheon Port (인천항 비상용 근로자의 재해분석 및 예방대책에 관한 연구)

  • Nam, Young-Woo;Jho, Yong-Chul;Lee, Chang-Ho
    • Journal of the Korea Safety Management & Science
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    • v.11 no.2
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    • pp.1-8
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    • 2009
  • The port, differently from general working place, is a closed area to execute security, customs, and quarantine procedures. The loading and unloading is being done differently by cargoes, ships, berths, and equipments. To load and unload a lot of equipments and different types of labor are required, in which work flow is very complicated. As above mentioned the port is very unique and deteriorated working place including danger. Now frequency of cargo handling accidents in port is highest for the second time among all industries. The purpose of this study is to propose ways to analyze and establish the preventive measure for cargo handling accidents in port. We have collected 45 accidents happened at Incheon Port during the period from 2007 to 2009. And the result of analysis, we proposed the new safety management system and safety education to reduce cargo handling accidents and to promote the quality of cargo handling in Incheon Port. Within the framework of effective safety management of cargo handling in port, this study will help to revise and establish system, education, and standard working manual with respect to the port loading and unloading system.

A Study on Material Degradation and Fretting Fatigue Behavior (재질 열화와 프레팅 피로거동 평가에 관한 연구)

  • Kwon, Jae-Do;Choi, Sung-Jong;Sung, Sang-Suk
    • Proceedings of the KSME Conference
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    • 2001.06a
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    • pp.157-162
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    • 2001
  • Fretting is a potential degradation mechanism of structural components and equipments exposed to various environments and loading conditions. The fretting degradation, for example, can be observed in equipments of nuclear, fossil as well as petroleum chemical plants exposed to special environments and loading conditions. It is well known that a cast stainless steel(CF8M) used in a primary reactor coolant(RCS) degrades seriously when that material is exposed to temperature range ken $290^{\circ}C{\sim}390^{\circ}C$ for long period. This degradation can be resulted into a catastrophical failure of components. In the present paper, the characteristics of the fretting fatigue are investigated using the artificially aged CF8M specimen. The specimen of CF8M are prepared by an artificially accelerated aging technique holding 1800hr at $430^{\circ}C$ respectively. Through the investigations, the simple fatigue endurance limit of the virgin specimen is not altered from that obtained from the fatigue tests imposed the fretting fatigue. The similar tests are performed using the degraded specimen. The results are not changed from those of the virgin specimen. The significant effects of fretting fatigue imposed on both virgin and degraded specimen on the fatigue strength are not found.

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Evaluation of In Vitro Release Profiles of Fentanyl-Loaded PLGA Oligomer Microspheres

  • Gilson Khang;Seo, Sun-Ah;Park, Hak-Soo;John M. Rhee;Lee, Hai-Bang
    • Macromolecular Research
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    • v.10 no.5
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    • pp.246-252
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    • 2002
  • In order to the development of the delivery device of long-acting local anesthetics for postoperative analgesia and control of chronic pain of cancer patient, fentnyl-loaded poly (L-lactide-co-glycolido) (PLGA, molecular weight, 5,000 g/mole; 50 : 50 mole ratio by lactide to glycolide) microspheres (FMS) were studied. FMS were prepared by an emulsion solvent-evaporation method. The influence of several preparation parameters such as initial drug loading, PLGA concentration, emulsifier concentration, oil phase volume, and fabrication temperature has been investigated on the fentanyl release profiles. Generally, the drug showed the biphasic release patterns, with an initial diffusion followed by a lag period before the onset of the degradation phase, but there was no lag time in our system. Fentanyl was slowly released from FMS over 10 days in vitro with a quasi-zero order property. The release rate increased with increasing drug loading as well as decreasing polymer concentration with relatively small initial burst effect. From the results, FMS may be a good formulation to deliver the anesthetic for the treatment of chronic pain.

Formulation and Evaluation of Loxoprofen Plasters (록소프로펜 플라스터의 제제설계 및 평가)

  • 김태성;전인구
    • Biomolecules & Therapeutics
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    • v.9 no.4
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    • pp.298-306
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    • 2001
  • To develop a novel transdermal delivery system of loxoprofen (LP), a potent antiinflammatory and analgesic agent, the effects of vehicle composition and drug loading dose on the skin permeation property were investigated. And in vivo skin absorption property studied by analysing the $C_{max}$ and AUC was investigated after applying the developed plaster systems on rabbit back skin. Addition of isopropyl myristate (IPM) and IPM-diethylene glycol monoethyl ether (DGME) cosolvent in the plaster showed higher permeation rates than those from propylene glycol laurate-DGME cosolvent systems. As the concentration of LP in the plaster increased from 0.56 mg/$\textrm{cm}^2$ to 1.19 mg/$\textrm{cm}^2$, the drug release and skin permeation rates increased linearly. At loading dose of 1.19 mg/$\textrm{cm}^2$, the flux reached 35.6 $\mu$g/$\textrm{cm}^2$/hr. New LP plasters showed a good adhesive property onto skin, and showed no crystal formation. The AU $C_{0-24hr}$ and $C_{max}$ after dermal application of LP plaster (60 mg/70 $\textrm{cm}^2$) were found to be 6951$\pm$230 ng.hr/ml and 400$\pm$44 ng/ml, respectively. And the plasma concentration maintained above 300 ng/ml up to 24 hr period. In the carrageenan-induced rat paw edema test, LP plaster showed similar inhibition rate with marketed ketoprofen (Ketoto $p^{R}$) plaster.aster.r.

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