• Title/Summary/Keyword: wet bone

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ACTIVE BLEEDING CARE DURING SURGICAL EXTRACTION OF MANDIBULAR THIRD MOLAR: REPORT OF TWO CASES (하악지치 발치 중 극심한 출혈 치험례)

  • Kim, Jong-Bae;Yoo, Jae-Ha;Moon, Seon-Jae;Kim, Seung-Beom
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.6
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    • pp.560-564
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    • 2001
  • The experienced surgeon can be surprised & challenged by the hazards of active bleeding during oral & maxillofacial surgical procedure, because of alterations in the surgical anatomy, bleeding disorders and surgical intervention of infected tissues. This is a report of two cases of active bleeding during surgical extraction of mandibular third molar, that had the pericoronitis, osteitis and adjacent neurovascular bundle in its apex. When the abrupt active bleeding was occurred during surgical extraction of mandibular third molar, pressure packing by hemostatie agent(bone wax) & wet gauze biting were applied into the extraction socket during 30 minutes. After 30 minutes, the wound was explored about the bleeding and active bleeding was then continued. In spite of repeated bleeding control method of the pressure dressing, the marked hemorrhage was generated continuously. Therefore, the author decised the bleeding as immediately uncontrollable hemorrhage and the pressure dressing was again applied for the more longer duration without wound closure. After 3 days, the pressure dressing was removed and iodoform gauze drainge was then established without the bleeding. The drain was changed as the interval of 3~5 days for prevention of infection & secondary hemorrhage and relatively good wound healing was then resulted in 6 weeks.

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AN EXPERIMENTAL STUDY FOR THE EFFECT OF ALL-BOND 2, GLUMA, SCOTCH BOND MULTI-PURPOSE (수종 상아질 접착제의 제 V급 와동에서의 미세 변연누출에 관한 비교연구)

  • Kang, Chang-Seong;Park, Seong-Ho;Lee, Chong-Suck
    • Restorative Dentistry and Endodontics
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    • v.20 no.1
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    • pp.261-274
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    • 1995
  • This study aimed to evaluate the marginal microleakage of Class V cavities of All-bond 2 (Wet - bonding system), Gluma (Adhesion of resin to exposed collagen fibers), and Scotchbond Multi-purpose(Mild Etching System). Hundred extracted human teeth divided into a control and three experimental groups consisting of eight teeth. The experimental group was further subdivided into All- bond2, Gluma and Scotchbond MP groups, Vitrebond served as the control. The positive control group consisted of specimens filled with resin and with no etching, primer and bonding procesure. Polished specimens underwent temperature changed from $5^{\circ}C$ to $55^{\circ}C$ a thousand times. After thermocycling, speciemens were placed in 2 % methylene blue dye solution for 24 hours in an incubator set at $37^{\circ}C$. The teeth were sectioned buccolingually and the degree of dye penetration was observed with a stereomicroscoped(*20). The following results were obtained. 1. Both the control and the experimental group showed a lower degree of dye penetration on enamel than on dentin margins(p<0.05) 2. Gluma exhibited a statistically significant lower degree of dye penetration than All-bond 2 on enamel margins(p<0.05) Scotchbond MP also exhibited a lower degree of dye penetration than All-bone 2 but was no statistically significant. Gluma and Scotchbond MP exhibited a similar degree of dye penetration. 3. The degree of dye penetration of All-bond 2, Gluma and Scotch bond MP showed no statistically singnificance on enamel margins but was significantly lower than in the control using Vitrebond. 4. All-bond 2 exhibited a statistically significant lower degree of dye penetration than Gluma on dentin margins. All- bond 2 and Scotchbond MP showed a similar degree of dye penetration. 5. The degree of dye penetration of All-bond 2, Gluma and Scotchbond MP showed no statistically significance on dentin margins. There was neither a statistical significance with the control.

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자가 치아 이식술에 사용되는 Computer Aided Rapid Prototyping model(CARP model)의 실제 치아에 대한 오차

  • Lee, Seong-Jae;Kim, Ui-Seong;Kim, Gi-Deok;Lee, Seung-Jong
    • The Journal of the Korean dental association
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    • v.44 no.2 s.441
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    • pp.115-122
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    • 2006
  • Objective : The purpose of this study was to evaluate the dimensional errors between real tooth, 3D CT image and CARP model. Materials and Methods : Two maxilla and two mandible block bones with intact teeth were taken from two cadavers. Computed tomography was taken either in dry state and in wet state. After then, all teeth were extracted and the dimensions of the real teeth were measured using a digital caliper at mesio-distal and bucco-lingual width both in crown and cervical portion. 3D CT image was generated using the V-works $4.0^{TM}$ (Cybemed Inc., Seoul, Korea) software. Twelve teeth were randomly selected for CARP model fabrication. All the measurements of 3D Ct images and CARP models were made in the same manner of the real tooth group. Dimensional errors between real tooth, 3D CT image model and CARP model was calculated. Results : 1) Average of absolute error was 0.199 mm between real teeth and 3D CT image model, 0.169 mm between 3D CT image model and CARP model and 0.291 mm between real teeth and CARP model, respectively. 2) Average size of 3D CT image was smaller than real teeth by 0.149 mm and that of CARP model was smalier than 3D CT image model by 0.067mm. Conclusion : Within the scope of this study, CARP model with the 0.291 mm average of absolute eror can aid to enhance the success rate cf autogenous tooth transplantation due to the increased accuracy of recipient bone and donor tooth.

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Comparative Evaluation of Clothing Pressure and Subjective Sensation Exerted by Foundation (파운데이션 착용으로 인한 의복압과 주관적 감각의 비교 평가)

  • Jeong, Jeong-Rim;Kim, Hee-Eun
    • Journal of the Korean Society of Clothing and Textiles
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    • v.30 no.11 s.158
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    • pp.1531-1537
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    • 2006
  • This study was conducted to investigate the relation between clothing pressure and subjective sensation exerted by foundation. Nineteen females volunteered as subjects. Experimental foundations were brassiere with 70B, 70C, 75B and 75C size which were widely distributed in pilot test and two types of girdle of which size were 64, 70 and 76. Clothing pressure with an air pack system and subjective sensation were measured at 5 points in brassiere and 7 points in the girdle. As the result of this study, brassiere's band and girdle's waist line, of which clothing pressure are high, is needed to improve. Generally the more pressure makes the more tightness, however, in some regions more or less pressure can give comfort. The tightness rating may not only related to clothing pressure, but also related to factors such as body size, body fat, resilience of muscle and bone structure. Other subjective sensation such as tactile feeling, hot/wet feeling, etc. in addition to the study with consideration of these factors could be used in future research to evaluate the effectiveness of foundation.

The Effects of Elevated Carbon Dioxide in Seawater on the Early Life Stages of Black Sea Bream Acanthopagrus schlegelii (해수 중 이산화탄소의 증가가 감성돔( Acanthopagrus schlegelii)의 초기성장에 미치는 영향)

  • Shim, JeongHee;Kim, Kyungsu;Kim, Suam
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.46 no.6
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    • pp.862-867
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    • 2013
  • Since the industrial revolution, seawater has increased in temperature and acidity due to the increase in anthropogenic carbon dioxide in the atmosphere. To understand the effect of elevated $CO_2$ on the early life stages of fish, we reared fertilized eggs of black sea bream Acanthopagrus schlegelii under three $CO_2$ concentrations (400, 850 and 1550 ppm) for 3 weeks. The standard length and wet weight of black sea bream larvae declined with enhanced $CO_2$ concentration in the rearing water (P<0.05). However, chemical analysis using ICP-OES on internal tissues of black sea bream larvae indicated that the whole-body calcium concentration increased with $CO_2$ concentration in the rearing water. These conflicting results suggest that future experiments should examine the acid-base balance to investigate the formation of bone and otolith during larval growth.

Numerical analysis of fracture mechanisms for porous calcium phosphate (다공성 칼슘포스파이트에 대한 파괴분석)

  • Park, Jin-Hong;Bae, Ji-Yong;Shin, Jae-Bum;Jeon, In-Su
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1301-1302
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    • 2008
  • In this study, the fracture strength for fracture mechanism porous calcium phosphate made from sintered with ${\beta}$-tricalcium phosphate obtained by wet precipitation procedure is analyzed using finite element method and experiment measurement. First, three $3{\times}3{\times}3mm^3$ and $5{\times}5{\times}5mm^3$ specimens are prepared and tomographic images of one $5{\times}5{\times}5mm^3$ specimen are obtained by micro focus X-ray CT. The compression tests using the specimens are carried out to measure the elastic modulus and fracture strength to analyze the fracture mechanism of porous calcium phosphate specimen. The tomographic images are reconstructed by 3D reconstruction program. The finite elements are directly built up in the reconstructed specimen. The numerical simulation for the compression tests is performed using the element. The mechanism of calcium phosphate of simulation are obtained by the compression tests using there cylindric specimen of height 19.5 mm and diameter 10 mm. From the results, the applicability of porous calcium phosphate is evaluated to care fracture and vacant bone of a patient as the reinforcement material.

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Management and rehabilitation of moderate-to-severe diabetic foot infection: a narrative review

  • Chi Young An;Seung Lim Baek;Dong-Il Chun
    • Journal of Yeungnam Medical Science
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    • v.40 no.4
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    • pp.343-351
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    • 2023
  • Diabetic foot is one of the most devastating consequences of diabetes, resulting in amputation and possibly death. Therefore, early detection and vigorous treatment of infections in patients with diabetic foot are critical. This review seeks to provide guidelines for the therapy and rehabilitation of patients with moderate-to-severe diabetic foot. If a diabetic foot infection is suspected, bacterial cultures should be initially obtained. Numerous imaging studies can be used to identify diabetic foot, and recent research has shown that white blood cell single-photon emission computed tomography/computed tomography has comparable diagnostic specificity and sensitivity to magnetic resonance imaging. Surgery is performed when a diabetic foot ulcer is deep and is accompanied by bone and soft tissue infections. Patients should be taught preoperative rehabilitation before undergoing stressful surgery. During surgical procedures, it is critical to remove all necrotic tissue and drain the inflammatory area. It is critical to treat wounds with suitable dressings after surgery. Wet dressings promote the formation of granulation tissues and new blood vessels. Walking should begin as soon as the patient's general condition allows it, regardless of the wound status or prior walking capacity. Adequate treatment of comorbidities, including hypertension and dyslipidemia, and smoking cessation are necessary. Additionally, broad-spectrum antibiotics are required to treat diabetic foot infections.

Anti-climacterium Effects of Gagamguibiondam-tang in Ovariectomized Rats (난소적출로 유발된 랫트 갱년기 장애에 대한 가감귀비온담탕의 생리활성 효과 평가)

  • Han, Sang-Gyeom;Kim, Dong-Chul
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.4
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    • pp.18-44
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    • 2017
  • Purpose: The object of this study was to observe the anti-climacterium activity of Gagamguibiondam-tang (GGOT) on ovariectomized (OVX) rats, a well-documented rodent models resembles with women postmenopausal climacterium symptoms, as including cardiovascular diseases, obesity, hyperlipidemia, osteoporosis, organ steatosis and mental disorders. Methods: In this study, anti-climacteric effects were evaluated separated into three categories; 1) anti-obese, 2) anti-uterine atrophy and 3) anti-osteoporotic effects. Five groups were used (8 rats in each group); sham control, OVX control, GGOT 500, 250 and 125 mg/kg administered groups. Twenty-eight days after bilateral OVX surgery, GGOT were orally administered, once a day for 84 days, and then the changes on the body weight and gain during experimental periods, serum estradiol levels, abdominal fat pad and uterus weights with histopathology of abdominal fat pads (total thickness and mean adipocyte diameters) and uterus (total, epithelial and mucosal thickness, percentages of uterine gland regions) for anti-obese and estrogenic effects. In addition, femur, tibia and fourth or fifth lumbar vertebrae (L4 or L5) wet, dry and ash weights, mineral density (BMD), bone strength (failure load), serum osteocalcin and bone specific alkaline phosphatase (bALP) contents, histological and histomorphometrical analyses - bone mass and structure with bone resorption, were monitored for anti-osteoporosis activity. Results: As a result of OVX, noticeable increases of body weight and gains, food and water consumption, weights of abdominal fat pad deposited in dorsal abdominal cavity, serum osteocalcin levels were demonstrated in this experiment with decrease of uterus, femur, tibia and L5 weights, serum bALP and estradiol levels. In addition, marked hypertrophic changes of adipocytes located in deposited abdominal fat pads, uterine disused atrophic changes, decreases of bone mass and structures of femur, tibia and L4 were also observed in OVX control rats with dramatic increases of bone resorption markers, the Ocn and OS/BS at histopathological and histomorphometrical analysis in this study as compared with sham-operated control rats, suggesting the estrogen-deficient climacterium symptoms - obese and osteoporosis were induced by OVX, respectively. However, these estrogen-deficient climacterium symptoms induced by bilateral OVX in rats were significantly inhibited by 84 days of continuous oral treatment of GGOT 500, 250 and 125 mg/kg, respectively. Especially, GGOT 500, 250 and 125 mg/kg showed clear dose-dependent inhibitory activities on the OVX-induced climacterium signs. Conclusion: The results suggest that oral administration of GGOT 500, 250 and 125 mg/kg has clear dose-dependent favorable anti-climacterium effects - estrogenic, anti-obese and anti-osteoporotic activities in OVX rats in this experiment.

EFFECTS OF VARIOUS ETCHING TIMES ON DEPTH OF ETCH AND SHEAR BOND STRENGTH OF AN ORTHODONTIC RESIN TO BOVINE ENAMEL (부식시간이 소의 법랑질 부식깊이와 교정용 레진의 전단결합강도에 미치는 영향)

  • Kim, Jeong-Hoon;Lee, Ki-Soo;Park, Young-Guk
    • The korean journal of orthodontics
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    • v.23 no.1 s.40
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    • pp.75-88
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    • 1993
  • Recent reports indicate that shorter etching times than 60 seconds can be adopted without affecting the bond strength and clinical disadvantages. The purpose of this in vitro study was to compare the shear bone strength and to measure depth of etch at different etching time length. One hundred and eight extracted bovine lower central incisors were embedded each in a tooth cup with cold-cure acrylic resin. The facial surfaces of the teeth were ground wet with 600-, 800-, 1000-, and 1200-grit Sic papers, and finally polished with a water slurry of extrafine silicon carbide powder, washed with tap water, and dried with hot air. Nine groups of nine prepared teeth were etched with a commercial($38\%$ phosphoric acid solution) for 0, 5, 10, 15, 20, 30, 60, 90, and 120 seconds, respectively, rinsed with tap water, and dried with hot air. One conditioned teeth from every group was selected randomly for the scanning electron microscopic examination, and the remaining eight teeth of the groups were used for measuring the push shear bond strength after bonding brackets and immensing them in the $36.5^{\circ}C$ water for 24 hours. Another nine groups of three teeth were used for measuring the depth of etch and surface roughness with a surface profilometer. after pieces of adhesive tape of 3mm inner diameter positioned on the ground enamel surfaces, and etched with the above mentioned. The data obtained form the above expeiments were analysed statistically with one way ANOVA and Dunkan's multiple range test with the $95\%$ confidence level. The results and conclusion of the study were as follows; 1. The results of shear bond strength for the given experimental etching times were not statistically different, but showed the tendency of decreasing shear bone strength after over 60 seconds etching times. 2. On the scanning election microscopic examination, it was observed that the morphological patterns of etched enamel surface for 5 to 20 seconds were similar and consitent, and those for 30 to 120 seconds showed increasing over-etched patterns depending on the length of etching times. 3. The depth of etch was increased almost proportionally by the length of etching times, but it was not associated with the shear bond strength. 4. The surface roughness increased depending on the length of etching times, but it was not associated with the shear bond strength. 5. This experiment indicated that proper etching time with $38\%$ phosphoric acid solution is in the range of 5 to 30 seconds.

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Application of Waste Resources for the Stabilization of Heavy Metals (Pb, Cu) in Firing Range Soils (폐자원을 이용한 사격장 토양내 중금속(Pb, Cu) 안정화 처리)

  • Lee, Keun-Young;Moon, Deok-Hyun;Kim, Kyoung-Woong;Cheong, Kyung-Hoon;Kim, Tae-Sung;Khim, Jee-Hyeong;Moon, Kyoung-Ran;Choi, Su-Bin
    • Journal of Korean Society of Environmental Engineers
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    • v.33 no.2
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    • pp.71-76
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    • 2011
  • In this study, a heavy metal stabilization treatment using waste resource stabilizing agents was utilized on army firing range soil contaminated with Pb and Cu. Both calcined oyster shells (COS; 5% w/w) and waste cow bone (WCB; 3% w/w) were applied for a wet-curing duration of 28 days. Following the stabilization treatment, the process efficiency was evaluated by various extraction methods for Pb and Cu. Neutral and weak acid extraction methods, such as water soluble extraction and SPLP, did not show positive results for heavy metal stabilization with very low leachability. On the other hand, TCLP and 0.1 N HCl extraction showed that the stabilizing agents significantly reduced the amount of the heavy metals leached from the soil, which strongly supports that the treatment efficiency is positively evaluated in acidic leaching conditions. Specifically, in the 0.1 N HCl extraction, the reduction efficiencies of Pb and Cu leaching were 99.9% and 83.9%, respectively. From the sequential extraction results, a difference between Pb and Cu stabilization was observed, which supports that Pb stabilization is more effective due to the formation of insoluble Pb complexes. This study demonstrates that the application of waste resources for the stabilization of heavy metals is feasible.