• 제목/요약/키워드: secondary tissue

검색결과 509건 처리시간 0.03초

Y-형 전방 기저 설 피판과 장골 이식을 이용한 양측성 치조열의 이단계 재건술 (Two stage reconstruction of bilateral alveolar cleft using Y-shaped anterior based tongue flap and iliac bone graft)

  • 이종호;김명진;강진한;강나라;이종환;최원재;최진영
    • 대한구순구개열학회지
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    • 제3권1호
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    • pp.23-31
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    • 2000
  • 전방 기저 설피판은 비교적 큰 구개 결손을 폐쇄하는데 안전하고 효과적이었으며 후에 장골 이식을 위한 건전한 피복을 제공하였다. 그리고 치조열 결손의 순측면까지 완전히 피복하기 위한 목적으로 양측성 치조열에 적용되도록 재단된 Y-형의 변형은 결과가 믿을 만하였으며 합병증도 무시할 만 하였다.

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

  • 김인아;최일봉;장지영;강기문;조승호;김형태;이경진;최창락
    • 대한두경부종양학회지
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    • 제14권2호
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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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잔디 엽병을 유발하는 잠재인자로서의 남조류(Blue-Green algae)에 대한 관찰보고 (Blue-green algae as a Potential agent Causing Turf Leaf Disease)

  • 박대섭;이형석;홍범석;최병만;전재찬
    • 아시안잔디학회지
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    • 제22권2호
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    • pp.161-170
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    • 2008
  • 본 연구는 아직 국내에서 보고된 바 없는 조류에 의한 잔디 병 발생 가능성에 대한 연구로, 2008년 7월 경기지역 골프장내 켄터키 블루그래스가 식재된 티잉그라운드에서 흑갈색 얼룩 반점병을 일으킨 잎조직이 발견되면서 조류에 의한 잔디 병 발생 요인과 대책을 조사하였다. 1. 켄터키 블루그래스의 흑갈색 반점 염조직으로부터 다수의 남조류(blue-green algae)가 관찰되었고, 흑갈색 반점이 형성 부위의 엽몸, 엽귀, 그리고 엽집에서 남조류가 다수 발견되었으며, 이병조직 이외의 개체내 건전부위와 줄기에서도 남조류 파편이 발견되었다. 발견된 남조류는 Oscillatoria 계통이 많았다. 2. 잔디밭에서 남조류는 토양 내 뿌리나 지제부에서 관찰되는데, 이번 관찰시에는 켄터키 블루그래스의 흑갈색 얼룩반점 병반부위인 상단 엽조직에서 남조류가 관찰되었다. 또한 이병조직 주위의 건전한 부위에서도 작은 파편형태의 남조류들이 발견되었다. 이것은 현재까지 식물조직 내 남조류의 이동경로에 대하여 알려진 바가 없지만 조직 내에서 남조류의 이동 가능성도 있다. 3. 흑갈색 얼룩반점이 형성된 켄터키 블루그래스 뿐만 아니라 황화현상이 발생한 벤트그래스 퍼팅그린의 잔디 잎에서도 남조류가 관찰되었으므로, 향후 초종에 따른 조류의 영향에 대한 세부연구가 수행되어져 야 할 것이다. 4. 약제처리로 조류 억제와 흑갈색 얼룩 반점 경감효과를 가져왔는데 프로피코나졸이 가장 우수하였고 이프로디온과 아족시스트로 빈 순으로 조류 억제가 관찰되었다. 6. 특히 고온 다습한 여름철에 조류 방제가 어렵고 적절한 조류억제제를 선택하기가 쉽지 않다. 이에 따라, 조류에 대한 일반적 관리에 머무르기보다는 더 적극적인 방제 방안 및 사전 예방 관리를 강구하여야 할 것이다. 6. 끝으로 향후 조류의 잔디 조직 내 이동 및 감염 경로를 규명하고자 하는 지속적인 연구가 진행되어야 할 것이다.

돼지의 심낭, 판막을 이용한 이종이식 보철편의 개발(고정 방법에 따른 조직학적 분석) (Development of Porcine Pericardial Heterograft for Clinical Application (Microscopic Analysis of Various Fixation Methods))

  • 김관창;최창휴;이창하;이철;오삼세;박성식;김웅한;김경환;김용진
    • Journal of Chest Surgery
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    • 제41권3호
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    • pp.295-304
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    • 2008
  • 배경: 지금까지 심장 및 혈관 등의 결손을 교정하기 위하여 자기 조직이 아닌 다른 보철편의 필요가 증가함에 따라, 그에 따른 다양한 대체제가 연구 개발되고 있으며, 임상에서 실제로 흔히 이용되고 있다. 본 연구는 새로운 조직의 처리방법을 개발하기 위하여 이미 상용화되고 있는 기존의 일부 이종이식 보철편들과, 여러 가지 조건들에서 제조되는 이종조직인 돼지 심낭과 대동맥, 페동맥판막 등의 보철편들의 임상적용 전에 각종 고정, 처리 방법에 따른 이종조직의 조직학적 변성이나 변화의 가능성을, 물리적, 구조적, 기능적 치적의 상태를 분석하기 위하여 광학 현미경 및 전자 현미경 소견을 통하여 알아보고자 하였다. 대상 및 방법: 1) 0.625% glutaraldehyde용액에 고정 전과 고정 후의 돼지 심낭과 대동맥, 폐동맥판막, 사람의 심낭, 그리고 상용화되고 있는 기존의 이종이식 보철편들과 광학 및 전자현미경으로 비교관찰 하였다. 2) 돼지 심낭과 대동맥, 페동맥판막을 0.625% glutaraldehyde 고정 전과 고정 후에 80% Ethanol 처리한 군과, sodium dodecylsulfate (SDS) 을 이용하여 무세포화 처리만 시행한 군, 무세포화과정 후에 0.625% glutaraldehyde 고정한 군, 80% ethanol 처리 후 다시 무세포화과정을 한 후 0.625% glutaraldehyde 고정한 군, 무세포화한 후 다시 ethanol 처리 후 다시 0.625% glutaraldehyde 고정한 군으로 나누어 각각을 광학 및 전자현미경으로 관찰하였다 결과: 1) 돼지 심낭은 장막 층(serosal layer), 섬유층(fibrosa), 심외막 결합조직(epicardial connective tissue)로 이루어져 있었으며, 여러 가지 처치 후에도 모두 콜라겐 섬유는 잘 유지되고 있었다. 하지만 무세포화만 시행하거나 먼저 무세포화 처리한 군의 콜라겐구조는 다른 군에 비해 느슨하게 연결된(loosely condensed) 양상이었다. 기존의 소나 돼지의 심낭으로 만들어진 Shelhign, Biocor, Supple Peri-guard 등의 제품들의 콜라겐 섬유는 비교적 잘 유지되고 있었다. 2) 돼지 대동맥, 폐동맥 판막은 섬유판(lamina fibrosa), 해면질판(lamina spongiosa), 심실판(lamina ventricularis) 세층으로 이루어져 있었으며 이 판막들은 여러 가지 처치 후에도 모두 세층과 콜라겐 섬유는 잘 유지되고 있었다. 하지만 무세포화만 시행하거나 민저 처리한 군은 신낭에서 처럼 콜라겐구조는 다른 군에 비해 약간 느슨하게 연결된(loosely condensed) 양상이었다. 돼지 대동맥판막으로 만들어진 Carpentier Edwards, Medtronics, Shelhigh, Biocor의 다른 제품들도 세 개의 층은 잘 유지되었고 콜라겐도 잘 유지되고 있었다. 결론: 이종이식 돼지심낭과 대동맥 판막, 폐동맥 판막 보철편은 여러 조건하의 고정 방법들에 따라 광학 및 전자 현미경적 구조의 확연한 차이를 보이지 않아, Glutaraldehyde를 이용한 각종 조직 처리과정 중 조직손상에 의한 구조적, 기계적손실은 없는 것으로 생각되며, sodium dodecylsulfate (SDS)을 이용하여 무세포화 처리를 시행한 경우 대부분의 보철편에서 콜라겐 조직의 미세한 변성이나 분해(degradation)가 광학 및 전자현미경에서 관찰되어, 무세포화의 처리방법이나 조건의 적절화가 필요한 것으로 생각되었다.

고에너지 방사선치료 시 치료변수에 따른 광중성자 선량 변화 연구 (Experimental investigation of the photoneutron production out of the high-energy photon fields at linear accelerator)

  • 김연수;윤인하;배선명;강태영;백금문;김성환;남욱원;이재진;박영식
    • 대한방사선치료학회지
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    • 제26권2호
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    • pp.257-264
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    • 2014
  • 목 적 : 고에너지 광자선을 이용한 방사선치료 시 발생되는 광중성자는 치료대상인 종양 주위의 인접한 정상조직에서 2차적인 암의 발생에 기인 될 수 있다고 알려져 있다. 본 연구에서는 방사선치료계획 시에 고려할 수 있는 변수 중 치료방법, 선속평탄여과판, 선량률, 갠트리 각도들을 변환시켰을 때 발생된 광중성자의 선량 변화를 비교 분석하였다. 대상 및 방법 : 실험에는 TrueBeam $ST{\time}TM$(Ver.1.5, Varian, USA)치료기를 사용하였다. 광중성자 측정 장비는 조직등가비례계수기(Tissue Equivalent Proportional Counter : TEPC)인 KTEPC를 이용하였으며, 치료대의 세로 방향으로 조사야 중앙 하단 6cm 지점에서 측정을 실시하였다. 치료방법, 선속평탄여과판의 사용유무, 선량율에 따른 광중성자 선량의 차이를 평가하기 위하여 모든 환자에 대하여 전산화치료계획시스템(Eclipse Ver 10.0, Varian, USA)으로 방사선치료계획을 각각 수립하였다. 치료방법으로는 세기변조방사선치료와 용적변조회전방사선치료로 구분하였으며, 선량율은 400MU/min, 1,200MU/min 및 2,400MU/min에 따른 차이를 평가하였다. 또한 방사선의 입사방향에 따른 광중성자 선량을 측정하였다. 결 과 : 치료방법의 차이에 따라 세기변조방사선치료와 용적변조회전방사선치료로 조사하였을 때 산란 광중성자 평균선량은 각각 $449.7{\mu}Sv$, $2940.7{\mu}Sv$로 측정되었다. 선속평탄여과판의 사용 유무에 따라 Flattening Filter(FF)모드와 Flattening Filter Free(FFF)모드에서의 산란 광중성자 평균선량은 $2940.7{\mu}Sv$, $232.0{\mu}Sv$로 측정되었다. 400, 1200, 2400 MU/min으로 선량률을 변환시켜 조사하였을 때 CASE I은 $3242.5{\mu}Sv$, $3189.4{\mu}Sv$, $3191.2{\mu}Sv$로, CASE II는 $3493.2{\mu}Sv$, $3482.6{\mu}Sv$, $3477.2{\mu}Sv$로, 그리고 CASE III에서 $4592.2{\mu}Sv$, $4580.0{\mu}Sv$, $4542.3{\mu}Sv$로 측정 되었다. $0^{\circ}$부터 $315^{\circ}$까지 $45^{\circ}$간격으로 갠트리 각도를 변환시켰을 때 산란 광중성자 선량은 10MV 광자선에 대하여 최소 $3.2{\mu}Sv$, 최대 $14.7{\mu}Sv$이었으며, 갠트리 각도가 $180^{\circ}$일 때 가장 높게 나타났다. 15MV 광자선의 경우 최소 $369.6{\mu}Sv$ 최대 $448.0{\mu}Sv$이었으며, 역시 갠트리 각도가 $180^{\circ}$일 때 가장 높게 측정되었다. 결 론 : 치료방법의 차이에 따른 실험은 용적변조회전방사선치료가 세기변조방사선치료 보다 산란된 광중성자 선량이 측정점에서 평균 6.5배 높게 측정되었다. 선속평탄여과판의 사용 차이에 따른 실험에서 선속평탄여과판을 사용하였을 때 12.7배 높게 측정되었다. 선량률을 변환에 따른 차이는 큰 차이를 보이지 않았다. 갠트리 각도에 따른 산란 광중성자 선량 측정에서는 광자선이 치료대를 지나는 각도인 $135^{\circ}$, $180^{\circ}$, $225^{\circ}$에서 산란 광중성자 선량이 증가하는 것을 확인할 수 있었다. TrueBeam $ST{\time}TM$을 이용한 FFF 모드와 세기변조방사선치료를 한 경우 산란 광중성자가 적게 발생한다는 것을 확인할 수 있었다. 지속적으로 더 많은 변수에 대한 실험을 계획하고 광중성자 측정에 대한 평가를 통하여, 보다 환자들에게 안전한 방사선치료에 기여할 수 있을 것으로 사료된다.

Sesquiterpenoids Bioconversion Analysis by Wood Rot Fungi

  • Lee, Su-Yeon;Ryu, Sun-Hwa;Choi, In-Gyu;Kim, Myungkil
    • 한국균학회소식:학술대회논문집
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    • 한국균학회 2016년도 춘계학술대회 및 임시총회
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    • pp.19-20
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    • 2016
  • Sesquiterpenoids are defined as $C_{15}$ compounds derived from farnesyl pyrophosphate (FPP), and their complex structures are found in the tissue of many diverse plants (Degenhardt et al. 2009). FPP's long chain length and additional double bond enables its conversion to a huge range of mono-, di-, and tri-cyclic structures. A number of cyclic sesquiterpenes with alcohol, aldehyde, and ketone derivatives have key biological and medicinal properties (Fraga 1999). Fungi, such as the wood-rotting Polyporus brumalis, are excellent sources of pharmaceutically interesting natural products such as sesquiterpenoids. In this study, we investigated the biosynthesis of P. brumalis sesquiterpenoids on modified medium. Fungal suspensions of 11 white rot species were inoculated in modified medium containing $C_6H_{12}O_6$, $C_4H_{12}N_2O_6$, $KH_2PO_4$, $MgSO_4$, and $CaCl_2$ for 20 days. Cultivation was stopped by solvent extraction via separation of the mycelium. The metabolites were identified as follows: propionic acid (1), mevalonic acid lactone (2), ${\beta}$-eudesmane (3), and ${\beta}$-eudesmol (4), respectively (Figure 1). The main peaks of ${\beta}$-eudesmane and ${\beta}$-eudesmol, which were indicative of sesquiterpene structures, were consistently detected for 5, 7, 12, and 15 days These results demonstrated the existence of terpene metabolism in the mycelium of P. brumalis. Polyporus spp. are known to generate flavor components such as methyl 2,4-dihydroxy-3,6-dimethyl benzoate; 2-hydroxy-4-methoxy-6-methyl benzoic acid; 3-hydroxy-5-methyl phenol; and 3-methoxy-2,5-dimethyl phenol in submerged cultures (Hoffmann and Esser 1978). Drimanes of sesquiterpenes were reported as metabolites from P. arcularius and shown to exhibit antimicrobial activity against Gram-positive bacteria such as Staphylococcus aureus (Fleck et al. 1996). The main metabolites of P. brumalis, ${\beta}$-Eudesmol and ${\beta}$-eudesmane, were categorized as eudesmane-type sesquiterpene structures. The eudesmane skeleton could be biosynthesized from FPP-derived IPP, and approximately 1,000 structures have been identified in plants as essential oils. The biosynthesis of eudesmol from P. brumalis may thus be an important tool for the production of useful natural compounds as presumed from its identified potent bioactivity in plants. Essential oils comprising eudesmane-type sesquiterpenoids have been previously and extensively researched (Wu et al. 2006). ${\beta}$-Eudesmol is a well-known and important eudesmane alcohol with an anticholinergic effect in the vascular endothelium (Tsuneki et al. 2005). Additionally, recent studies demonstrated that ${\beta}$-eudesmol acts as a channel blocker for nicotinic acetylcholine receptors at the neuromuscular junction, and it can inhibit angiogenesis in vitro and in vivo by blocking the mitogen-activated protein kinase (MAPK) signaling pathway (Seo et al. 2011). Variation of nutrients was conducted to determine an optimum condition for the biosynthesis of sesquiterpenes by P. brumalis. Genes encoding terpene synthases, which are crucial to the terpene synthesis pathway, generally respond to environmental factors such as pH, temperature, and available nutrients (Hoffmeister and Keller 2007, Yu and Keller 2005). Calvo et al. described the effect of major nutrients, carbon and nitrogen, on the synthesis of secondary metabolites (Calvo et al. 2002). P. brumalis did not prefer to synthesize sesquiterpenes under all growth conditions. Results of differences in metabolites observed in P. brumalis grown in PDB and modified medium highlighted the potential effect inorganic sources such as $C_4H_{12}N_2O_6$, $KH_2PO_4$, $MgSO_4$, and $CaCl_2$ on sesquiterpene synthesis. ${\beta}$-eudesmol was apparent during cultivation except for when P. brumalis was grown on $MgSO_4$-free medium. These results demonstrated that $MgSO_4$ can specifically control the biosynthesis of ${\beta}$-eudesmol. Magnesium has been reported as a cofactor that binds to sesquiterpene synthase (Agger et al. 2008). Specifically, the $Mg^{2+}$ ions bind to two conserved metal-binding motifs. These metal ions complex to the substrate pyrophosphate, thereby promoting the ionization of the leaving groups of FPP and resulting in the generation of a highly reactive allylic cation. Effect of magnesium source on the sesquiterpene biosynthesis was also identified via analysis of the concentration of total carbohydrates. Our current study offered further insight that fungal sesquiterpene biosynthesis can be controlled by nutrients. To profile the metabolites of P. brumalis, the cultures were extracted based on the growth curve. Despite metabolites produced during mycelia growth, there was difficulty in detecting significant changes in metabolite production, especially those at low concentrations. These compounds may be of interest in understanding their synthetic mechanisms in P. brumalis. The synthesis of terpene compounds began during the growth phase at day 9. Sesquiterpene synthesis occurred after growth was complete. At day 9, drimenol, farnesol, and mevalonic lactone (or mevalonic acid lactone) were identified. Mevalonic acid lactone is the precursor of the mevalonic pathway, and particularly, it is a precursor for a number of biologically important lipids, including cholesterol hormones (Buckley et al. 2002). Farnesol is the precursor of sesquiterpenoids. Drimenol compounds, bi-cyclic-sesquiterpene alcohols, can be synthesized from trans-trans farnesol via cyclization and rearrangement (Polovinka et al. 1994). They have also been identified in the basidiomycota Lentinus lepideus as secondary metabolites. After 12 days in the growth phase, ${\beta}$-elemene caryophyllene, ${\delta}$-cadiene, and eudesmane were detected with ${\beta}$-eudesmol. The data showed the synthesis of sesquiterpene hydrocarbons with bi-cyclic structures. These compounds can be synthesized from FPP by cyclization. Cyclic terpenoids are synthesized through the formation of a carbon skeleton from linear precursors by terpene cyclase, which is followed by chemical modification by oxidation, reduction, methylation, etc. Sesquiterpene cyclase is a key branch-point enzyme that catalyzes the complex intermolecular cyclization of the linear prenyl diphosphate into cyclic hydrocarbons (Toyomasu et al. 2007). After 20 days in stationary phase, the oxygenated structures eudesmol, elemol, and caryophyllene oxide were detected. Thus, after growth, sesquiterpenes were identified. Per these results, we showed that terpene metabolism in wood-rotting fungi occurs in the stationary phase. We also showed that such metabolism can be controlled by magnesium supplementation in the growth medium. In conclusion, we identified P. brumalis as a wood-rotting fungus that can produce sesquiterpenes. To mechanistically understand eudesmane-type sesquiterpene biosynthesis in P. brumalis, further research into the genes regulating the dynamics of such biosynthesis is warranted.

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상악동저 거상술 후 Osstem Implant (US II / SS II)의 다기관 후향적 임상연구 (A RETROSPECTIVE MULTICENTER CLINICAL STUDY OF INSTALLED US II / SS II IMPLANTS AFTER MAXILLARY SINUS FLOOR ELEVATION)

  • 국민석;박홍주;김수관;김영균;조용석;최갑림;오영학;오희균
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제34권3호
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    • pp.341-349
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    • 2008
  • Purpose: The purpose of this study was to evaluate the $Osstem^{(R)}$ implants (US II/SS II implants) through the retrospective study for the clinical success rate during the installation of the $Osstem^{(R)}$ implants (US II/SS II implants) by using of the procedures of maxillary sinus floor elevation. Materials and methods: The current study was researched in the 6 medical institutions: Chonnam National University, Chosun University, Pusan DaeDong Hospital, Bundang Seoul National University Hospital, Ap-Seon Clinic, and All Clinic. Based on the total number of 116 patients whose treatment was the installation of the US II/SS II implants with the procedures of the maxillary sinus floor elevation, they were conferred on the dental records of the patients under the joint consultation of the 6 medical institutions. On the dental recording charts, there were included in as the following; the name of the institutions, gender, age, with or without smoking or drinking, with or without the generalized diseases, the height of the alveolar bone on the operational sites, elapsed edentulous state period, the state of the opposed or adjacent teeth, the methods of the maxillary sinus floor elevation, secondary time period for surgery, the lengths, types, and diameters of implants, with or without bone transplantation or the types of bone, postoperative current bone height, current adjacent soft tissue state of the implants, with or without the success of the installations of the implants. We have done our survey with the clinical and radiolographical examinations and dental questionaries. The success and survival rate of the implants was evaluated. Results 1. Total number of the patients with the installation of the US II implants were 62. The 252 numbers of US II implants were installed on the 89 maxillary sinuses. The patient's mean age was 54.1 years old and there were 36 men and 27 women. 2. Total number of patients with the installation of SS II implant were 57. The 165 numbers of SS II implants were planted on the 80 maxillary sinuses. Their mean age was 48.7 years old and there were 37 men and 20 women. 3. The follow-up period was 30.7 months(21-49 mon) on average. The vertical bone loss of installed implants after the procedures of the maxillary sinus elevation was 1.1 mm on average in SS II and 1.3 mm on average in US II. There existed no statistical significance on each group. The mean enlarged bone height after the maxillary sinus floor elevation was 8.2 mm. 4. For the procedures of the maxillary sinus elevation, the Lateral approach technique occupied 87.1%, which was the most used one. In addition, the most frequently used transplanted bone was autogenous bone only which was 72.7% during the maxillary sinus floor elevation. 5. The complication of maxillary sinus floor elevation were perforation of sinus membrane, disesthesia on doner site, exposure of cover screw and exposure of maxillar bone. 6. The survival rate of US II and SS II after maxillary sinus floor elevation was 99.2% and 95.8%, respectively. And the success rate of US II and SS II after maxillary sinus floor elevation was 97.6% and 89.7%, respectively. Conclusion : On the evaluation of the analysis of our study, both US II and SS II implants showed the excellent clinical results by use of the procedures of maxillary sinus floor elevation.

돼지에서 연속형 $CO_2$ 레이저와 펄스형 $CO_2$ 레이저를 이용한 피부절개시 창상치유 평가 (Comparison of Wound Healing in Porcine Skin with Continuous-Wave and Pulsed Mode $CO_2$ Laser Incisions)

  • 이재연;조성환;박창식;김명철
    • 한국임상수의학회지
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    • 제27권6호
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    • pp.647-651
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    • 2010
  • 연속형 $CO_2$ 레이저와 펄스형 $CO_2$ 레이저를 이용한 돼지 피부절개 시 창상 치유에 미치는 영향을 평가하고자 본 실험을 실시하였다. 다섯 마리의 돼지(Landrace x Yorkshire) (45-51 kg, 4-6 개월령, 수컷 3마리, 암컷 2마리)를 이용 하였고, 각각의 돼지에서 우측 및 좌측의 등쪽 피부에 대칭적으로 연속형 $CO_2$ 레이저와 펄스형 $CO_2$ 레이저를 이용하여 절개($2{\times}2{\times}2cm^2$) 하였다. 양측 피부 절개는 Maxon 3-0 를 이용하여 봉합하였다. 수술 후 3, 7, 14, 21일에 병리조직학적 검사를 실시하였다. 창상 부위의 재상피화는 연속형 $CO_2$ 레이저 군에 비해 펄스형 $CO_2$ 레이저군에서 더 많이 이루어졌다. 육아조직 형성은 창상후 경과일 3일에 펄스 $CO_2$ 레이저군에서 유의적으로 높게 나타났다(P < 0.05). 섬유아세포는 창상후 경과일 7일에 펄스형 $CO_2$ 레이져군에서 유의적으로 많게 형성되었다(P < 0.05). 결론적으로 피부절개 시에 있어서 펄스형 $CO_2$ 레이저는 연속형 $CO_2$ 레이저에 비하여 재상피화, 육아조직형성 및 섬유아세포가 더 높게 나타났으며, 레이저 시술에 따른 조직손상을 적게 나타내었다. 따라서 피부절개 시에 있어서 펄스형$CO_2$ 레이저가 연속형 $CO_2$ 레이저 보다 더 적합할 것으로 판단된다.

녹용약침(鹿茸藥鍼)이 CIA 모델 생쥐의 염증인자 생성억제에 미치는 영향 (The Ability of Cervus Elaphus Sibiricus Herbal Acupuncture to Inhibit the Generation of Inflammatory Enzymes on Collagen-induced Arthritis Mice)

  • 황종순;황지혜;이현진;이동건;강민주;백성욱;조현석;김경호;김갑성
    • Journal of Acupuncture Research
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    • 제24권6호
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    • pp.1-14
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    • 2007
  • Backgrounds : Rheumatoid Arthritis(RA) is known as the chronic inflammatory diseasethat induces persistent inflammation in the joint cavity. The destruction of cartilage occurs as the result of bones destoyed by pannus, several influential cytokines induced by the synovial capsulitis, varieties of proteinases, $O_2$ radicals, and the secondary degenerative changes of articular cartilage. The type 2 collagen-induced arthritis model is used in recent experimental research on rheumatoid arthritis. Cervus elaphus sibiricus (Nockyong) has the effect of relieving pain by nourishing the muscles, joints, and bones. It is also known to be efficacious in promoting and enhancing the immune system. The objective of this study was to investigate the effect of Cervus elaphus sibiricus herbal acupuncture to inhibit the generation of proinflammatory enzyme on type 2 collagen-induced arthritis. I investigated the inhibition of mRNA transcription of MIF(macrophage migration inhibitory factor), $TNF-{\alpha}$(Tumor necrosis $factor-{\alpha}$) and MMP-9 (matrix metalloproteinase-9) of Cervus elaphus sibiricus herbal acupuncture using an in vitro test. Also investigated was the inhibition of differentiation of Th 1 cells and activation of cytokines(MIF, $TNF-{\alpha}$, IL-6, MMP-9), which are known to cause initial RA ,and are also related to the morphology of the synovial membranes of the joint capsule, by an in vivo test, using CIA(collagen induced arthritis) model mice. Materials & methods : The laboratory animals used in this experiment were 4 week-old DBA female mice, weighing approximately 20 grams, and adjusted to the laboratory environment. The experiment was divided into the normal group(NOR)-no treated group, control group(CON)-CIA induced group, and sample group(SAM)-Cervus elaphus sibiricus herbal acupuncture treated group. RA was induced in the mice via injection of $50{\mu}{\ell}$ C II mixed CFA. The Cervus elaphus sibiricus herbal acupuncture solution was applied on $GB_{35}$(陽陵泉) for 26 days from the 3rd day of RA inducement. The concentration of the solution was determined via a MTT assay. To research the effect on the expression of MIF, $TNF-{\alpha}$ and MMP-9 mRNA, RT-PCR was performed on synovial membrane cells from the knee joint of CIA mice. C II induced RA knee joint's histo-chemical synovial membrane was observed using a specimen model via the Hematoxilin and Eosin dying technique. Results : The expression of mRNA of RA-related cytokines such as MIF, $TNF-{\alpha}$, and MMP-9 dosedependently decreased in the cell from the synovial membranes of the joint, which is treated with Cervus elaphus sibiricus herbal acupuncture solution. In mice treated with Cervus elaphus sibiricusherbal acupuncture, the damage of synovial membranes of the joint was lessened, and differentiation of Th 1 cells was suppressed. The activation of RA-related cytokines such as MIF was suppressed, and the generation of $TNF-{\alpha}$ and MMP-9 showed a statistically significant decreas. Conclusions : It is speculated that Cervus elaphus sibiricus herbal acupuncture has the therapeutic effect of palliating the damage of the tissue impaired by RA by inhibition of the initial RA progression and by regulating excessive differentiation of Th 1 cell as it suppresses the generation of RA-related cytokines during the highest stage of RA by acting on pro-inflammatory enzymes.

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새조개, Fulvia mutica (Reeve)의 생식세포형성과정 및 생식주기 (Gametogenesis and Reproductive Cycle of the Cockle, Fulvia mutica (Reeve))

  • 장영진;이택열
    • 한국수산과학회지
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    • 제15권3호
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    • pp.241-250
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    • 1982
  • 자웅동체형 이매패인 새조개, Fulvia mutica,의 자원관리 및 양식을 위한 기초생물학적 연구로서, 1980년 10월부터 1981년 9월까지 월별로 채집한 여수근해산 재료를 대상으로 생식세포형성과정 및 생식월파를 조직학적 방법에 의해 제사하였다. 생식소는 복잡한 관상구조를 가진 않은 난소소낭과 정소소낭들이 서로 혼재된 자웅동체형을 나타내고 있다. 발달초기의 생식소에서 성장중인 생식세포와 함께 호산성 과립세포와 불분화간충조직들이 풍부하게 나타나고 있으며, 생식소 성숙함에 따라 점차 소실되어 간다. 완숙난의 크기는 $56\sim67{\mu}m$으로 젤라틴장의 피막에 둘러싸여 있고, 변태를 마친 완숙정자는 청소소의 내경신앙에 파상의 정자수을 형성한다. 새조채의 생식주기는 분열증식기, 성장기, 성숙기, 방출기, 퇴화기 및 회복기의 연연시인 6단계로 나눌 수 있었으며, 산난기는 수온 $20^{\circ}C$내외의 $5\sim10$월로써, 그 성기는 $6\sim7$과 9월인 것으로 나타났다. 특히, 5월의 조기산난개체들은 생식소를 곧 회복발달시켜 9, 10월 방난군에 다시 참여하는 것으로 추정되었다.

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