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Regenerative Endodontic Treatment Without Discoloration of Infected Immature Permanent Teeth Using Retro MTA : Two Case Reports (치수 괴사된 미성숙 영구치에서 Retro MTA를 이용한 변색 없는 재생적 근관치료 : 증례 보고)

  • Kim, Yujeong;Kim, Seonmi;Choi, Namki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.4
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    • pp.335-343
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    • 2014
  • Regenerative endodontic treatment has the potential to heal a necrotic pulp, which can affect root development in immature teeth. However, several drawbacks and unfavorable outcomes are associated with regenerative endodontic treatment, of which the most significant is coronal discoloration due to the presence of minocycline in triple antibiotic paste and mineral trioxide aggregate (MTA). To prevent tooth discoloration following pulp treatment, the modified triple antibiotics (ciprofloxacin, metronidazole, clindamycin) were used as canal disinfectants and Retro MTA, a $ZrO_2$-containing calcium aluminate cement, was used to seal the canal. Following access cavity acquisition, the canal was copiously irrigated with 2.5% sodium hypochlorite. A modified triple antibiotic paste was then applied to the canal. Once the tooth was asymptomatic (after between 3 and 8 weeks), Retro MTA was carefully placed over the blood clot or a collagen plug. Follow-up radiographs revealed normal periodontal ligament space and root development. In two cases, successful regenerative endodontic treatment of the infected immature tooth, without discoloration, was achieved with disinfection using modified triple antibiotics and Retro MTA sealing.

Design of Triple-band Triple Dipole Quasi-Yagi Antenna for WLAN and WiMAX Applications (무선 랜과 WiMAX 응용을 위한 삼중 대역 삼중 다이폴 준-야기 안테나 설계)

  • Yeo, Junho;Lee, Jong-Ig
    • Journal of Advanced Navigation Technology
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    • v.26 no.1
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    • pp.29-34
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    • 2022
  • In this paper, the design of a triple dipole quasi-yagi antenna operating in the 2.45 GHz and 5 GHz wireless LAN frequency bands and the 3.5 GHz WiMAX frequency band was studied. The proposed quasi-Yagi antenna consists of three dipoles connected in series with a V-shaped ground plane. The longest half-bow-tie-shaped dipole resonates in the 2.45 GHz band, whereas the medium-length dipole resonates at 3.5 GHz. The shortest dipole resonates in the 5 GHz band. By adjusting the length and width of the dipoles and the spacings between the dipoles, a triple-band directional antenna operating in the 2.45 GHz, 3.5 GHz, and 5 GHz bands are designed, and fabricated on an FR4 substrate with a size of 45 mm × 55 mm. It was confirmed that the fabricated antenna operates in the designed triple bands of 2.32-2.57 GHz, 3.26-3.69 GHz, and 4.50-6.56 GHz for a voltage standing wave ratio less than 2. Gain is maintained above 3 dBi in the three bands.

Study of compressive behavior of triple joints using experimental test and numerical simulation

  • Sarfarazi, Vahab;Wang, Xiao;Nesari, Mojtaba;Ghalam, Erfan Zarrin
    • Smart Structures and Systems
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    • v.30 no.1
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    • pp.49-62
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    • 2022
  • Experimental and discrete element methods were used to investigate the effects of triple joints lengths and triple joint angle on the failure behavior of rock mass under uniaxial compressive test. Concrete samples with dimension of 20 cm × 20 cm × 5 cm were prepared. Within the specimen, three imbedded joint were provided. The joint lengths were 2 cm, 4cm and 6 cm. In constant joint lengths, the angle between middle joint and other joints were 30°, 60°, 90°, 120° and 150°. Totally 15 different models were tested under compression test. The axial load rate on the model was 0.05 mm/min. Concurrent with experimental tests, the models containing triple joints, length and joint angle are similar to the experiments, were numerical by Particle flow code in two dimensions (PFC2D). Loading rate in numerical modelling was 0.05 mm/min. Tensile strength of material was 1 MPa. The results show that the failure behaviors of rock samples containing triple joints were governed by both of the angle and the length of the triple joints. The uniaxial compressive strengths (UCS) of the specimens were related to the fracture pattern and failure mechanism of the discontinuities. Furthermore, it was shown that the compressive behavior of discontinuities is related to the number of the induced tensile cracks which are increased by decreasing the joint length. Along with the damage failure of the samples, the acoustic emission (AE) activities are excited. There were only a few AE hits in the initial stage of loading, then AE hits rapidly grow before the applied stress reached its peak. In addition, every stress drop was accompanied by a large number of AE hits. Finally, the failure pattern and failure strength are similar in both methods i.e., the experimental testing and the numerical simulation methods.

The expression of Rab5 and its effect on invasion, migration and exosome secretion in triple negative breast cancer

  • Lei Qiao;Chao Dong;Jiaojiao Zhang;Gang Sun
    • The Korean Journal of Physiology and Pharmacology
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    • v.27 no.2
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    • pp.157-165
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    • 2023
  • Triple-negative breast cancer (TNBC) is the most aggressive subtype of breast cancer and current therapeutic strategies are limited in their effectiveness. The expressions of Rab5 and the M2 tumor-associated macrophage marker CD163 in tissues were detected by Western blot. The migration and invasion of cells were determined using a Transwell assay. The expressions of the exosome markers were evaluated by Western blot. The polarization of human macrophages (THP-1) was determined by incubation of THP-1 cells with conditioned medium or exosomes collected from MDA-MB-231 cells with indicated transfections or by a coculture system of THP-1 and MDA-MB-231 cells. The M1 and M2 macrophage markers were evaluated by qRT-PCR. The expression of Rab5 in TNBC was significantly higher than that in normal breast tissue. Rab5 expressions in triple-negative and luminal A breast cancer were higher than those in other molecular subtypes. Higher CD163 expression was observed in triple-negative breast cancer and in triple-negative and luminal B subtypes. Rab5 knockdown suppressed but Rab5 overexpression promoted the migration and invasion capacity of MDA-MB-231 cells. The levels of CD63 and CD9 in the medium of Rab5 knockdown cells were lower than those in control cells, whereas higher levels of CD63 and CD9 were observed in Rab5 overexpression cells. Rab5 knockdown decreased the excretion but did not alter the diameter of the exosomes. Knockdown of Rab5 facilitated the anti-tumor polarization of macrophages, which was partially reversed by Rab5 overexpression. Therefore, Rab5 is expected to be a potential therapeutic target for triple-negative breast cancer.

Outcome of Inhaler Withdrawal in Patients Receiving Triple Therapy for COPD

  • Kim, Sae Ahm;Lee, Ji-Hyun;Kim, Eun-Kyung;Kim, Tae-Hyung;Kim, Woo Jin;Lee, Jin Hwa;Yoon, Ho Il;Baek, Seunghee;Lee, Jae Seung;Oh, Yeon-Mok;Lee, Sang-Do
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.1
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    • pp.22-30
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    • 2016
  • Background: The purpose of this study was to document outcomes following withdrawal of a single inhaler (step-down) in chronic obstructive pulmonary disease (COPD) patients on triple therapy (long-acting muscarinic antagonist and a combination of long-acting ${\beta}2$-agonists and inhaled corticosteroid), which a common treatment strategy in clinical practice. Methods: Through a retrospective observational study, COPD patients receiving triple therapy over 2 years (triple group; n=109) were compared with those who had undergone triple therapy for at least 1 year and subsequently, over 9 months, initiated inhaler withdrawal (step-down group, n=39). The index time was defined as the time of withdrawal in the step-down group and as 1 year after the start of triple therapy in the triple group. Results: Lung function at the index time was superior and the previous exacerbation frequency was lower in the step-down group than in the triple group. Step-down resulted in aggravating disease symptoms, a reduced overall quality of life, decreasing exercise performance, and accelerated forced expiratory volume in 1 second ($FEV_1$) decline ($54.7{\pm}15.7mL/yr$ vs. $10.7{\pm}7.1mL/yr$, p=0.007), but there was no observed increase in the frequency of exacerbations. Conclusion: Withdrawal of a single inhaler during triple therapy in COPD patients should be conducted with caution as it may impair the exercise capacity and quality of life while accelerating $FEV_1$ decline.

Breast Cancer Recurrence According to Molecular Subtype

  • Shim, Hee Jin;Kim, Sung Hun;Kang, Bong Joo;Choi, Byung Gil;Kim, Hyeon Sook;Cha, Eun Suk;Song, Byung Joo
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.14
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    • pp.5539-5544
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    • 2014
  • Background: To evaluate the location of tumor relapse and imaging modality for detection according to the breast cancer subtype: luminal A, luminal B, HER2 positive luminal B, nonluminal HER2 positive, and triple negative. Materials and Methods: A total of 1244 patients with breast cancer with known estrogen receptor (ER), progesterone receptor (PR), Ki-67 and human epidermal growth factor receptor 2 (HER2), who underwent breast surgery from 2009 to 2012 were analyzed. Patients were classified into the following categories: luminal A (n=458), luminal B (n=241), HER2 positive luminal B (n=227), nonluminal HER2 positive (n=145) and triple negative (n=173). A total of 105 cases of relapse were detected in 102 patients: locoregional recurrence (n=46), recurrence in the contralateral breast (n=28) and distant metastasis (n=31). Comparison of proportions was used to determine the difference between subtypes. Results: Relapse rates by subtypes are as follows: luminal A 23 of 458 (5.02%), luminal B 19 of 241(7.88%), HER2 positive luminal B 15 of 227 (6.61%), nonluminal HER2 postive 19 of 145 (13.10%) and triple negative 29 of 173(16.76%). Luminal A tumors had the lowest rate of recurrence and had significantly lower recurrence rate in comparison with nonluminal HER2 postive (p=0.0017) and triple negative subtypes (p<0.0001). Compared with all other subtypes except nonluminal HER2 positive, triple negative tumors had the highest rate of tumor recurrence (p<0.01). Triple negatives were most likely to develop contralateral recurrence against all subtypes (p<0.05). Detection rate of locoregional and contralateral tumor recurrence were 28.3% on mammography (n=17/60). Conclusions: Luminal A tumors are associated with a low risk of recurrence while triple negative lesions have a high risk. In case of triple negative tumors, the contralateral breast has much more recurrence as compared with all other subtype. In terms of detection rates, breast USG was the best modality for detecting tumor recurrence, compared with other modalities (p<0.05). Subtyping of breast tumors using a molecular gene expression panel can identify patients who have increased risk of recurrence and allow prediction of locations of tumor recurrence for each subtype.

Development of Bi-directional Triple-eccentric Type Butterfly Valve (양방향 삼중편심 버터플라이 밸브 개발)

  • Kim, Soo-Young;Lee, Dong-Myung;Bae, Jung-Hoon;Shin, Sung-Chul;Sul, Chang-Ho
    • Journal of the Society of Naval Architects of Korea
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    • v.46 no.5
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    • pp.545-551
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    • 2009
  • In naval architecture and offshore engineering, the development and a broad use has been achieved in the field of flow control valves for pipe system. Butterfly valves are also widely used for flow control, but there are not many studies for triple-eccentric butterfly valves. Moreover, if the fluid of pipeline flows in the bi-direction then it makes more complicate to adapt triple-eccentric butterfly valves to flow control. In this study, we are trying to develop a bi-directional triple-eccentric butterfly valve through sealing mechanism and stem design study. Digital mockup using 3D CAD was constructed for shape interference check and structural analysis was conducted for structural safety. Also we performed leakage test to check out the durability of the bi-directional pressure for the developed valve.

A Review on Triple-A Supply Chain Performance

  • Ishaq, Muhammad Ishtiaq;Hussain, Nazia;Khaliq, Waseem;Waqas, Muhammad
    • Asian Journal of Business Environment
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    • v.2 no.2
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    • pp.35-39
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    • 2012
  • Purpose - Today's world is rapidly changing due to swift changes in organization's infrastructures and supply chain is becoming an important factor which affects the organization's global competitiveness. Research design / data / methodology - Researchers indicated that environment uncertainty is considered an external driving force to establish a unique supply chain. Market competition, reducing the gap of performance and quality between the products are compelling the practitioners and researcher to change the paradigm of managing the business processes effectively and efficiently. Results - In old times, supply chain of any organization was measured on the basis of inventory turns, defect rats, lead times, stock buffering and service level. But, Lee H.L. in 2004, published an article in Harvard Business Review who proposed three A (Adaptable, Agile and Aligned) termed as "Triple-A" of successful supply chain. Conclusions - He claimed that organizations can compete through the creation of Triple-A supply chain. Hence, the basic aim of this review paper is to develop basic insights regarding what is Triple-A of supply chain, its importance and functioning in today's competitive world.

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A Study on the Design of Triple-tuned Filter for Line Commutated Converter HVDC (HVDC시스템 적용을 위한 Triple-tuned 필터 설계방법 연구)

  • Lee, Seong-Doo;Choi, Soon-Ho;Kim, Chan-Ki;Cha, HanJu
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.64 no.9
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    • pp.1288-1296
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    • 2015
  • The ac side current of a line commutated converter(LCC) high voltage direct current (HVDC) is characterized by highly non-sinusoidal waveform. If the harmonic current is allowed to flow in the connected ac network, it may cause unacceptable levels of distortion. Therefore, ac side filters are required as part of the total HVDC converter station, in order to reduce the harmonic distortion of the ac side current and voltage to acceptably low levels. The ac filters are also employed to compensate the requested reactive power because LCC HVDC also consume substantial reactive power. Among different types of filters, triple-tuned filters have been widely utilized for HVDC system. This paper presents two design methods of triple-tuned filter; equivalent method and parametric method. Using a parametric method, in particular this paper proposes a design algorithm for a triple tuned filter. Finally, the performance of the design algorithm is evaluated for a 250kV HVDC system in Jeju island. The results cleary demonstrate the effectiveness of proposed design method in harmonics reduction.

A Case of Triple A Syndrome (소아의 Triple A 증후군의 변형 1례)

  • Han, Jae-Hyuk;Yoo, Jee-Hyung;Lee, Chang-Han;Chung, Ki-Sup
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.3 no.2
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    • pp.188-194
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    • 2000
  • Achalasia is very uncommon in children, and cases accompanied with alacrima and adrenal insufficiency is even more uncommon. When these three disorders are seen altogether, it is called triple A syndrome. It is inherited in an autosomal recessive manner and has potentially life-threatening sequelae. So, pediatricians should always consider the possibility of triple A syndrome when seeing children with achalasia. Neurological abnormalities such as autonomic neuropathy, peripheral neuropathy, sensory impairment and mental retardation occasionally accompany. We report a 2-year-old girl who presented with repeated vomiting, short stature and alacrima. Diagnosis of achalasia was made after perfoming esophagogram and endoscopy and was confirmed with esophageal manometry. After pneumatic dilatation, she became asymptomatic.

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