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EEFFECTS OF TOPICAL AND INTRAVENOUS HEPARIN ON THROMBOSIS OF MICROVASCULAR ANASTOMOSES (미세혈관문합시 헤파린의 국소 및 전신 투여가 혈전 형성에 미치는 영향)

  • Kim, Sung-Youl;Ryu, Seong-Hee;Park, Hong-Ju;Oh, Hee-Kyun;Ryu, Sun-Youl;Kim, Ok-Joon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.29 no.4
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    • pp.232-238
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    • 2003
  • This study was performed to evaluate the effect of topical and intravenous heparin on thrombosis and patency in the microvascular anastomosis of the traumatized veins. Nine white rabbits weighing about 2 kg were used. After exposure of both femoral veins, the veins were crushed by the jaws of smooth needle holder in order to create a thrombosis model. Transectional incision was made in the vein. The animals were then divided into 3 groups based on the administration method of heparin: 1) Experimental Group I, topical irrigation of lumen with heparin saline solution (n=6); 2) Experimental Group 2, topical irrigation of lumen with heparin saline solution and intravenous injection of heparin (0.75 mg/kg) via the marginal ear vein for 3 days; 3) Control Group, topical irrigation of lumen with saline solution (n=6). The patency was evaluated with empty-and-refill test and thrombus formation was judged by surgical microscope. The results were as follows: 1. Thirty minutes after microvascular anastomosis, the patency of all Experimental Groups was better than Control group. However, there was no significant difference among groups. 2. Three days after anastomosis, the patency of all Experimental Groups was much more improved than that of Control Group (P<0.05). There was no significant difference between Experimental Group 1 and 2. 3. Three days after anastomosis, the amount of thrombus in all Experimental Groups was much less than that of Control Group (P<0.05). 4. In histologic findings a lot of luminal thrombus were observed around sutured area in Control Groups. Few luminal thrombus was observed in all Experimental Groups. Mild necrosis in the vessel wall was observed around sutured area in all specimens. These results indicate that topical irrigation of heparin may improve the patency and inhibit the formation thrombus in the microvascular anastomosis of the traumatized veins.

Immediate implant placement into extraction sites with periapical lesions in the esthetic zone: a case report (치근단 병소를 가진 치아의 발치 후 즉시 임플란트 식립 및 보철을 통한 심미성 회복)

  • Yi, Jae-Young;Kim, Jee-Hwan;Han, Dong-Hoo
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.3
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    • pp.191-197
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    • 2012
  • Esthetics is important in restoring maxillary anterior area. Alveolar bone resorption and loss of interdental papilla may be minimized by immediate implantation. Previous studies showed successful results with the immediate implantation in healthy extraction socket, while many of these studies objected the immediate implantation into extraction sites with periapical lesions. Recent studies, however, reported successful results of the immediate implantation into extraction sites with periapical lesions with careful debridement of extraction sockets and general medication of antibiotics prior to implantation. A 73-year-old female visited the department of Prosthodontics in ${\bigcirc}{\bigcirc}$ University Dental Hospital with the chief complaint of fallen post-core and crown on left maxillary incisor. Although the incisor was with vertical root fracture and periapical lesion, the immediate implantation following the extraction of tooth was planned. Thorough socket debridement, irrigation with chlorhexidine, and tetracycline soaking were followed by immediate implantation. The general medication of antibiotics (Moxicle Tab.$^{(R)}$, 375 mg) was prescribed before and after the surgery. Immediate provisional restoration was delivered two days after the surgery, and the definitive metal-ceramic restoration was placed about six months later after reproducing the emergence profile from the provisional restoration. This case presents satisfying result esthetically and functionally upto two years after the placement of prosthesis with the harmonious gingival line and no loss of marginal bone.

Reversely Zoned Compositional Variations and their Origins of the Andong Pluton, Andong Batholith, Korea (안동심성암체의 역누대 초성변화와 그 성인)

  • 황상구;이보현
    • Economic and Environmental Geology
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    • v.35 no.1
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    • pp.75-95
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    • 2002
  • The Andong pluton in the Andong Batholith is composed of comagmatic plutonic rocks, in which the lithofacies comprise hornblende biotite tonalite in the central paft biotite granodiorite in the marginal paft and porphyritic biotite granite at the topside (noJthea~tern paft) of the pluton. The pluton is petrographically and petrochemically zoned, having more mafic center than margin and topside. Distribution pallern of the lithofacies represents a reverse zoning in the pluton. Modal and chemical data in the pluton show progressive and gradual compositional variations from the centrer via the margin to the topside. Quartz and K-teldspar increase toward the topside of the pluton, whereas hornblende, biotite and color index increase toward the center. The bulk composition in the pluton is also reversely zoned, with high $Si0_2$ and $K_{2}O$ in the topside facies, and high MnO, CaO, $Ti0_2$, $Fe_{2}O_{3}$t, MgO and $P_{2}O_{5}$ in the central facies. The reverse zoning is also evident in higher Cr. V, Ni, Sc and Sr of the more mafic tonalite in the interior. The reversely zoned pluton results from remobilization (resurgence) of the lower more mafic compositional zone into the upper more felsic zones of the pluton modified by thennogravitational diffusion and fractional crystallization. In the initial stages of evolution, the pluton was a petrochemical system that fonned chemical compositional zonation with mafic tonalitic magma in the lower. granodioritic one in the middle and granitic one in the upper paft of the magma chamber. Periodic influxes of more mafic magma from the ba~e resulted in mingling of liquids and redistribution of minerals, and may have triggered the remobilil.ation of the lower compositional zone into the upper more felsic zones.

Geochemistry of Granites in the Southern Gimcheon Area of Korea (김천남부에 분포하는 화강암류의 지구화학)

  • 윤현수;홍세선
    • The Journal of the Petrological Society of Korea
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    • v.12 no.1
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    • pp.16-31
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    • 2003
  • The granites in the southern Gimcheon area can be divided into two parts, marginal hornblende biotite granodiorite (Mgd) and central biotite granodiorite to granite (Cgd). Mgd and Cgd are gray in color and display gradational contact relations and are mainly composed of coarse-grained and medium-grained rocks, respectively. Mgd has more frequent and larger mafic enclaves than Cgd, and the two granites partly show parallel foliation at thire contact with gneisses. From representative samples of the granites, K-Ar biotite ages of 197∼207 Ma were obtained. Considering the blocking temperature of biotite, it is suggested that the emplacement age of the granitic magma was probably late Triassic. The anorthite contents of plagioclases in Mgd display less variation than those of Cgd, indicating that Mgd crystallized within a narrow range of temperatures. In the Al$\_$total/-Mg diagram, the biotites from the granites plot within the subalkaline field, and the smooth slope indicates differentiation from a single magma. All amphiboles from the granites belong to magnesio-hornblende. The linear trends of major oxides, AFM and Ba-Sr-Rb indicate that Mgd and Cgd were fractionally differentiated from a single granitic magma body crystallizing from the margin inwards. The relations of modal (Qz+Af) vs. Op, K$_2$O vs. Na$_2$O, Fe$_2$ $O_3$ vs. FeO, Fe$\^$+3/(Fe$\^$+3/+Fe$\^$+2/) and K/Rb vs. Rb/Sr show that they belong to I-type and magnetite-series granitic rocks developed by the progressive melting products of fixed sources. REE data, normalized to chondrite value, have trends of enriched LREE and depleted HREE together with weakly negative Eu anomalies.

Origin of Layering and Its Relation to Magma Convection in the Skaergaard Intrusion (Skaergaard 암체에서 layering의 기원과 그의 마그마 대류와의 관계)

  • Yun D. Jang
    • Economic and Environmental Geology
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    • v.34 no.6
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    • pp.627-648
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    • 2001
  • At least two distinct types of layering are present in the middle zone of the Skaergaard intrusion; alternating plagioclase-rich and pyroxene-rich, macro-rhythmic layers, and smaller scale, modally-graded, rhythmic layers. The macro-rhythmic layers are ubiquitous in the middle zone of the Layered Series, but are not observed in the lower and upper zone of the Layered Series or in the wall or roof tories of the intrusion. They range from 0.3 to 17.3 m in thickness, have sharp upper and lower boundaries, and can be traced laterally for over 2 ]fm in outcrop. Although individual macrorhythmic layers are not internally graded, many contain smaller-scale, modally-graded layers. Modally-graded. rhythmic layers are a common feature of the Layered Series but are not abundant in either the Upper Border Series or the Marginal Border Series. They range in thickness from 1 to 50 cm and can be traced laterally in outcrop for up to 100 m. Their lateral termination ranges from abrupt to gradational, and they are often associated with cut and fill structures and crossbedding suggestive of current activity. They are characterized by sharp lower and gradational upper contacts, and by strong intra-layer modal grading with olivine, ilmenite, and magnetite concentrated at the base, pyroxene concentrated above the base, and plagioclase concentrated at the top. The layers are also grain-size graded with the maximum size for each phase occurring at the horizon in the layer where the phase is most abundant. Modally-graded, rhythmic layers in the middle zone of the Layered Series occur within both plagioclase-rich and pyroxene-rich macro-rhythmic layers.

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Estimate of Particulate Organic Carbon Export Flux Using $^{234}Th/^{238}U$ Disequilibrium in the Southwestern East Sea During Summer (동해 서남해역에서 여름철 $^{234}Th/^{238}U$ 비평형을 이용한 입자상 유기탄소 침강플럭스 추정)

  • Kim, Dong-Seon;Choi, Man-Sik;Oh, Hae-Young;Kim, Kyung Hee;Noh, Jae-Hoon
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.14 no.1
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    • pp.1-9
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    • 2009
  • Export fluxes of particulate organic carbon were estimated for the first time by using $^{234}Th/^{238}U$ disequilibrium in the southwestern East Sea during August 2007. They were calculated by multiplying POC/$^{234}Th_p$ ratios of sinking particles (larger than 0.7 ${\mu}m$) obtained from 150-200 m water depths to $^{234}Th$ fluxes that were estimated by integrating $^{234}Th/^{238}U$ disequilibrium from surface to 100 m water depth. Export fluxes ranged from 14 to 505 mg C $m^{-2}$ $day^{-1}$, with the highest value at station A2 and the lowest value at station D4. Primary production was well correlated with export flux, indicating that it was a major factor controlling export flux. Export flux in the East Sea was generally higher than those estimated in the open ocean and similar to or somewhat higher than those in the continental marginal seas. Export flux/primary production (EF/PP) ratios varied from 0.29 to 0.62, with an average of 0.43 and were somewhat higher in the basin area than in the coastal area. EF/PP ratio in the East Sea was rather similar to those estimated in the North Sea and Chukchi Sea, but much higher than those in the Labrador Sea, Barents Sea, and Gulf of Lions. Therefore, the East Sea is one of the major areas where a large amount of organic carbon produced in the euphotic zone sinks into the deep layer below 200 m water depth.

Effect of rhPMP-2 coated implants on alveolar ridge augmentation in dogs (성견에서 골형성단백질이 코팅된 임플란트가 치조골 증대에 미치는 영향)

  • Park, Chan-Kyung;Kim, Jong-Eun;Shin, Ju-Hee;Ryu, Jae-Jun;Huh, Jung-Bo;Shin, Sang-Wan
    • The Journal of Korean Academy of Prosthodontics
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    • v.48 no.3
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    • pp.202-208
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    • 2010
  • Purpose: This study was aimed to evaluate the effect of rhPMP-2 coated implants on alveolar ridge augmentation in dogs. Materials and methods: Six Beagle dogs were used in this study. Six 8.0 mm long anodized surface titanium implants were placed 5 mm into the mandibular alveolar ridge following 6 month of healing period after extraction. Each animal received three implants coated with rhBMP-2 and three uncoated control implants using the randomized split-mouth design. Radiographic examinations were undertaken immediately at implant placement (baseline), at weeks 4 and 8 after implant placement. The amount of bone augmentation was evaluated by measuring the distance from the uppermost point of the coverscrew to the marginal bone. Implant Stability Quotient (ISQ) values were measured immediately at implant placement and 8 weeks after implant placement. For the statistical analysis, Man-Whitney ranksum test and Wilcoxon signed rank test of SPSS 12.0 software were used (P=.05). Results: The BMP group exhibited radiographic vertical bone augmentation about $0.6{\pm}0.7$ mm at 8 weeks later while controls showed bone loss about $0.4{\pm}0.6$ mm. There was significant difference among the rhBMP-2 group and controls in bone level change (P<.05). The ISQ values were significantly higher in the BMP-2 group than the control group at 8 weeks later (P<.05), while there was no significant difference at surgery. Conclusion: Within the limitation of this study, the rhBMP-2 coated on anodized implant could stimulate vertical alveolar bone augmentation, which may increase implant stability significantly on completely healed alveolar ridge.

Frameless Fractionated Stereotactic Radiaton Therapy in Recurrent Head & Neck Cancers (국소재발된 두경부종양의 무고정틀 정위적 분할방사선치료)

  • Kim In-Ah;Choi Ihl-Bhong;Jang Ji-Young;Kang Ki-Mun;Jho Seung-Ho;Kim Hyung-Tae;Lee Kyung-Jin;Choi Chang-Rak
    • Korean Journal of Head & Neck Oncology
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    • v.14 no.2
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    • pp.156-163
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    • 1998
  • Background & Objectives: Frameless fractionated stereotactic radiotherapy(FFSRT) is a modification of stereotactic radiosurgery(SRS) with radiobiologic advantage of fractionation without losing mechanical accuracy of SRS. Local recurrence of head and neck cancer at or near skull base benefit from reirradiation. Main barrier to successful palliation is dose limitation secondary to normal tissue tolerance. We try to evaluate the efficacy and safety of FFSRT as a new modality of reirradaton in these challenging patients. Materials & Methods: Seven patients with recurrent head & neck cancer involving at or near skull base received FFSRT from September 1995 to November 1997. Six patients with nasopharyngeal cancer had received induction chemotherapy and curative radiation therapy. One patient with maxillary sinus cancer had received total maxillectomy and postoperative radiation therapy as a initial treatment. Follow-up ranged from 11 to 32 months with median of 24 months. Three of 7 patients received hyperfractionated radiation therapy(1.1-1.2Gy/fraction, bid, total 19.8-24Gy) just before FFSRT. All patients received FFSRT(3-5Gy/fraction, total 15-30Gy/5-10fractions). Chemotherapy(cis-platin $100mg/m^2$) were given concurrently with FFSRT in four patients. Second course of FFSRT were given in 4 patients with progression or recurrence after initial FFSRT. Because IF(irregularity factor; ratio of surface area of target to the surface area of sphere with same volume as a target) is too big to use conventional stereotactic RT using multiple arc method for protection of radiation damage to critical normal tissue, all patients received FFSRT with conformal method using irregular static ports. Results: Five of 7 patients showed complete remission in follow-up CT &/or MRI. Three of these five patients who developed marginal, in-field, and out-field recurrences, respectively. Another one of complete responders has been dead of G-I bleeding without evidence of local recurrence. One partial responder who showed progressive disease 15 months after initial FFSRT has received additional FFSRT, and then he is well-being with symptomatic improvement. One minmal responder who showed progression of locoregional disease 9 months after $1^{st}$ FFSRT has received 2nd FFSRT, and then he is alive with stable disease. Five of 7 case had showed direct invasion to skull base and had complaint headache and various symptoms of cranial nerve involvement. Four of these five case showed improvement of neurologic symptoms after FFSRT. No significant neurologic complicaltion related to FFSRT was observed during follow-up periods. Tumor volumes were ranged from 3.9 to 50.7 cc and surface area ranged from 16.1 to $114.9cm^2$. IF ranged from 1.21 to 1.74. The average ratio of volume of prescription isodose shell to target volume was 1.02 that indicated the improvement of target coverage and dose distribution with FFSRT with conformal method compared to target coverage with FFSRT with multiple arc method. Conclusion: Our initial experience suggests that FFSRT with conformal method was relatively effective and safe modality in the treatment of recurrent head and neck cancer involving at or near skull base. Treatment benefit included good palliation of symptoms and reasonable radiographic response. However, more experience and additional follow-up are needed to better assess its ultimate role in treating these challenging patients.

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Geology and Soils of Chojeong-Miwon Area (초정-미원지역의 지질과 토양에 관한 연구)

  • 나기창
    • The Journal of the Petrological Society of Korea
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    • v.9 no.1
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    • pp.13-28
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    • 2000
  • Chojeong area is mainly composed of the Ogcheon Group which consists of regionally metamorphosed, age-unknown sedimentary rocks. In the northwestern parts, the Group is intruded by the Jurassic Daebo granite and Cretaceous felsic and mafic dykes. The lowermost, Midongsan Formation which consists of milky white impure quartzite, crops out along the anticline axes with N40E trend. Ungyori quartzite Formation is intercalated with quartzite and slate. Miwon Formation is most widely exposed in the area and consists mainly of phyllitic sandy rocks with a thin crystalline limestone bed. Hwajeonri Formation is divided into two parts, pelitic lower and calcareous upper parts, composed with phyllite and slate. Changri and Hwanggangri Formations are typical members of Ogcheon Group, the former bearing coally graphite seams consists mainly of black slate and phyllite with intercalated greenish grey phyllite, the latter is pebble bearing phyllite formation of which matrix and pebbles are variable in compositions and size. Biotite granite, porphyritic granite and two mica granite belong to Jurassic so-called Dabo granite. They intruded the Ogcheon Group forming vast contact metarnophic zone. Quartz porphyry, mafic dyke and felsite intruded along the marginal zone of porphyritic granite batholith and fracture of NS trend. Main structural lineaments in Ogcheon Group shows N25-45E, NS and N30-45W trends. The N25-45E trends are mainly from general ductile deformation during regional metamorphism, showing isoclinal folding, Fl foliations and lithological erosional characters. Some of these trends are due to normal faults. The NS and N30-45W trends represent brittle deformation including faults and joints. In the area of granitic batholith, NS to N30- 45 trends are from the direction of dykes. In the soils of the area, average contents of heavy metal elements such as Cd, Cr, Cu, Pb, and Zn are 0.2, 50.6, 35.5, 27.9, and 93.4 ppm respectively, which are not higher than the average values of natural soils, under the tolerable level. Enrichment Index does not show any heavy metal pollution in the area. Average depths of weathering(5m vs. 2m), porosities(43.94 vs. 51.80), densities(l.29 vs. 1.15), and permeabilities(2.52 vs. 8.07) are comparable in granite areas and in the phyllite areas of Ogcheon Group.

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Multivessel Coronary Revascularization with Composite LITA-RA Y Graft (좌내흉동맥-요골동맥 복합이식편을 이용한 다중혈관 관상동맥우회술)

  • Lee Sub;Ko Mgo-Sung;Park Ki-Sung;Ryu Jae-Kean;Jang Jae-Suk;Kwon Oh-Choon
    • Journal of Chest Surgery
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    • v.39 no.5 s.262
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    • pp.359-365
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    • 2006
  • Background: Arterial grafts have been used to achieve better long-term results for coronary revascularization. Bilateral internal thoracic artery (ITA) grafts have a better results, but it may be not used in some situations such as diabetes and chronic obstructive pulmonary disease (COPD). We evaluated the clinical and angiographic results of composite left internal thoracic artery-radial artery (LITA-RA) Y graft. Material and Method: Between April 2002 and September 2004, 119 patients were enrolled in composite Y graft for coronary bypass surgery. The mean age was $62.6{\pm}8.8$ years old and female was 34.5%. Preoperative cardiac risk factors were as follows: hypertension 43.7%, diabetes 33.6%, smoker 41.2%, and hyperlipidemia 22.7%, There were emergency operation (14), cardiogenic shock (6), left ventricle ejection fraction (LVEF) less than 40% (17), and 17 cases of left main disease. Coronary angiography was done in 35 patients before the hospital discharge. Result: The number of distal anastomoses was $3.1{\pm}0.91$ and three patients (2.52%) died during hospital stay. The off-pump coronary artery bypass (OPCAB) was applied to 79 patients (66.4%). The LITA was anastomosed to left anterior descending system except three cases which was to lateral wall. The radial Y grafts were anastomosed to diagonal branches (4), ramus intermedius (21), obtuse marginal branches (109), posterolateral branches (12), and posterior descending coronary artery (8). Postoperative coronary angiography in 35 patients showed excellent patency rates (LITA 100%, and RA 88.5%; 3 RA grafts which anastomosed to coronary arteries <70% stenosed showed string sign with competitive flow). Conclusion: The LITA-RA Y composite graft provided good early clinical and angiographic results in multivessel coronary revascularization. But it should be cautiously used in selected patients.