• Title/Summary/Keyword: 이식 전이

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Successful Rescue of Refractory Ventricular Tachycardia after One and a Half Repair in Ebstein's Anomaly by Extracorporeal Membrane Oxygenation (부분 양심실 교정을 받은 엡스타인 기형에서 발생한 심실성 빈맥에 대해 체외막 산소화 장치를 이용한 성공적인 구출)

  • Seo, Hong-Joo;Whang, Sung-Wook;Lee, Cheul;Lim, Hong-Gook;Yu, Jai-Kun;Lee, Chang-Ha
    • Journal of Chest Surgery
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    • v.40 no.3 s.272
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    • pp.220-224
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    • 2007
  • Extracorporeal membrane oxygenation (ECMO) provides mechanical cardiopulmonary support and has been used for children with severe respiratory failure, intractable heart failure, sepsis, pulmonary hypertension, and as a bridge to heart transplantation. There have been few reports of the use of ECMO to provide cardiac support in children with low cardiac output as a result of arrhythmias. We report the case of a 15-year-old female with circulatory collapse due to refractory ventricular arrhythmia after one and a half repair in Ebstein's anomaly, who was successfully resuscitated using ECMO.

Effect of Electrical Preactivation of Recipient Cytoplasm on Nuclear Remodelling in Nuclear Transplant Rabbit Embryos (수핵란의 전 활성화가 토끼 핵이식 수정란의 핵 재구성에 미치는 효과)

  • 전병균;김윤연;정기화;곽대오;이효종;최상용;박충생
    • Korean Journal of Animal Reproduction
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    • v.21 no.3
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    • pp.229-238
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    • 1997
  • Chromosome condensation and swelling of the donor nucleus have been known as the early morphological indicators of chromatin remodelling after injection of a foreign nucleus into an enucleated recipient cytoplasm. The effects of non-preactivation and electrical preactivation of recipient cytoplasm, prior to fusing a donor nucleus, on the profile of nuclear remodelling in the nuclear transplant rabbit embryos were evaluated. The embryos of 16-cell stage were collected and synchronized to G1 phase of 32-cell stage. The recipient cytoplasms were obtained by removing the first polar body and chromosome mass by non-disruptive microsurgical procedure. The separated G1 phase blastomeres of 32-cell stage were injected into non-preactivated recipient cytoplasms. Otherwise, the enucleated recipient cytoplasms were preactivated by electrical stimulation and the separated G1 phase blastomeres of 32-cell stage were injected. After culture until 20h post-hCG injection, the nuclear transplant oocytes were electrofused by electrical stimulation. The nuclei of nuclear transplant embryos fused into non-preactivated and/or preactivated recipient cytoplasm were stained by Hoechst 33342 at 0, 1.5, 2, 4, 6, 8, 10 hrs post-fusion and were observed under an fluorescence microscopy. Accurate measurements of nuclear diameter were revealed with an ocular micrometer at 200$\times$. Upon blastomere fusion into non-preactivated recipient cytoplasm, a prematurely chromosome condensation at 1.5 hrs post-fusion and nuclear swelling at 8 hrs post-fusion were occurred as 91.6% and 86.1%, respectively. But the nuclei of nuclear transplant embryos fused into preactivated recipient cytoplasm, as o, pp.sed to non-preactivated recipient cytoplasm, were not occurred chromosome condensation and extensive nuclear swelling. Nuclear diameter fused into non-preactivated and preactivated recipient cytoplasm at hrs post-fusion was 30.2$\pm$0.74 and 15.2$\pm$1.32${\mu}{\textrm}{m}$, respectively. These results indicated that onset of unclear condensation and swelling which was associated with oocytes activation were critical steps in the process of chromatin swelling. Futhermore, complete reprogramming seemed only possible after remodelling of the donor nucleus by chromosome condensation and nuclear swelling.

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Studies on Transfer of In Vitro Fertilized Mouse Embryos Following Ultrarapid Freezing II. Effect of Treatment of pH, Osmolality and Sperm Preincubation on Development of In Vitro Fertilization Mouse Embryos (생쥐 체외수정난의 초급속동결 및 이식에 관한 연구 II. pH, 삼수압 및 정자 전배양처리가 생쥐 처리수정난의 발달에 미치는 영향)

  • 장규태;민관식;오석두;강대진;윤창현
    • Korean Journal of Animal Reproduction
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    • v.16 no.3
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    • pp.209-215
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    • 1992
  • These studies were carried out to overcome 2-cell block and in vitro development to blastocysts in vitro fertilization of mouse embryos. The unfertilized ova were obtained by superovulation in ICR mice of 4 to 6 weeks old. Tyrode's 280 solution was used as basal media, and the pH range of media examined was designed from 6.5 to 7.5 with 0.2 interval and the range of osmolality from 250 to 370 mOsm with 20 interval, and the period of sperm preincubation examined was 30, 60, 120, and 180 minutes. The ova developed to 2-cell embryos after 26hrs of incubation with preincubated sperm were evaluatated as in vitro fertilized ones. The results obtained were summarized as follows: 1. The optimal ranges of pH and osmolality of culture media and of sperm preincubation time for in vitro development of in vitro fertilized ova to blastocyst were pH 7.1 to 7.3, 250 to 350 mosmol and 60 to 180 min, respectively. 2. With the media of pH 7.1, 310 mOsm and sperm preincubation period of 120min in another experiment of large sample size, the in vitro fertilized ova was found 66.5% and the in vitro development of in vitro fertilized ova to blastocyst was found 35.8%. From the above results it was concluded that the optimal conditions of pH and osmolality of the media for mouse IVF and embryo culture, and the period of sperm preincubation might be 7.1, 310 mOam and 120min, respectively.

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SPONTANEOUS NORMAL ERUPTION OF PERMANENT TOOTH WITH ABNORMAL ERUPTION PATH (비정상적인 맹출 경로를 보이는 소구치의 자발적 맹출 유도)

  • Kim, Sang-Min;Park, Ho-Won;Lee, Ju-Hyun;Seo, Hyun-Woo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.1
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    • pp.82-87
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    • 2011
  • The pulp infection of primary tooth is often caused by dental caries or trauma. But, if it is not managed properly, it can be produce the periapical lesion. The periapical lesion can cause some complications such as enamel hypoplasia, displacement, root dilaceration and impaction. Treatment options of displaced permanent successor are clinical and radiological follow-up after extraction of primary teeth, surgical opening, orthodontic traction, transplantation and extraction. In these cases, the premolars with abnormal eruption path caused by periapical lesion of the primary tooth have shown successful spontaneous eruption just as a result of extraction of infected primary tooth and space maintenance.

Isolation and Culture of Dental Pulp Stem Cells from a Supernumerary Tooth (과잉치로부터 줄기세포의 분리 배양)

  • An, So-youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.2
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    • pp.191-200
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    • 2009
  • Dental Pulp Stem Cells are superior to other types of adult stem cell. Because of teeth are easy to access and are extracted throughout life. A supernumerary tooth is an important clinical problem found in various populations of the world. The incidence of supernumerary teeth varies depending on the literature source. Pediatric dentists are routinely extracted them. However, no studies have been reported regarding Dental Pulp stem cells in a supernumerary tooth, and we failed to note that a valuable source of human stem cell. Herein, we tried to show that a supernumerary tooth contains cells that display the characteristic features of stem cells.

Neuroprotective Effect of Rapamycin (Autophagy Enhancer) in Transgenic SOD1-G93A Mice of Amyotrophic Lateral Sclerosis (근위축성측삭경화증의 SOD1-G93A 유전자 이식 마우스 모델에서 라파마이신의 신경보호효과)

  • Ahn, Suk-Won;Jeon, Gye Sun;Park, Kwang-Yeol;Hong, Yoon-Ho;Lee, Kwang-Woo;Sung, Jung-Joon
    • Annals of Clinical Neurophysiology
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    • v.15 no.2
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    • pp.53-58
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    • 2013
  • Background: The autophagy is the major route for lysosomal degradation of misfolded protein aggregates and oxidative cell components. We hypothesized that rapamycin (autophagy enhancer) would prolong the survival of motor neuron and suppress the disease progression in amyotrophic lateral sclerosis (ALS). Methods: A total of 24 transgenic mice harboring the human G93A mutated SOD1 gene were used. The clinical status involving rotarod test and survival, and biochemical study of ALS mice model were evaluated. Results: The onset of symptoms was significantly delayed in the rapamycin administration group compared with the control group. However, after the clinical symptom developed, the rapamycin exacerbated the disease progression and shortened the survival of ALS mice model, and apoptosis signals were up-regulated compared with control group. Conclusions: Even though further detailed studies on the relevancy between autophagy and ALS will be needed, our results revealed that the rapamycin administration was not effective for being novel promising therapeutic strategy in ALS transgenic mice and exacerbated the apoptosis.

Model for Transport of Accidently Released Radionuclides onto Rice-Fields and its Comparison with Experimental Data (사고시 논으로 유출된 핵종 이동 모델 및 실험결과와의 비교)

  • Keum, Dong-Kwon;Lee, Han-Soo;Choi, Heui-Joo;Kang, Hee-Suk;Lim, Kwang-Muk;Choi, Young-Ho;Lee, Chang-Woo
    • Journal of Radiation Protection and Research
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    • v.29 no.2
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    • pp.117-127
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    • 2004
  • A dynamic compartment model was developed to evaluate the transport of accidently released radionuclides onto rice-fields. In the model, the surface water compartment and shoot-base absorption were introduced to account for the effect of irrigation, which is essential to a rice cultivation. The soil mixing by plough and irrigation before transplanting rice was also considered, and the rate of root-uptake and shoot-base absorption were modeled in terms of the function of biomass. In order to test the validation of the model, it was applied to the analysis of some simulated $^{137}Cs$ deposition experiments that were performed while cultivating rice in a greenhouse using soils sampled from rice-fields around Kori, Yonggwang and Ulchin nuclear power plants. The model prediction was generally agreed within about one order of magnitude with experimental data.

Full mouth rehabilitation of a patient with severe periodontitis using immediate loading after computer aided flapless implant surgery (심한 치주질환을 가진 환자에서 computer aided flapless surgery와 즉시 부하를 통한 전악 구강 회복 증례)

  • Kang, Seong hun;Choi, Yeon jo;Ryu, Jae jun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.1
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    • pp.46-55
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    • 2018
  • Oral rehabilitation of a patient having severe periodontitis with alveolar bone resorption and periodontal inflammation presents a challenge to clinicians. However, if appropriate implant placement according to the bone shape is selected, unnecessary bone grafting or soft tissue surgery can be minimized. In recent years, using cone beam CT and software, it has become possible to operate the planned position with the surgical guide made with 3D printing technology. This case was a 70 years old female patient who required total extraction of teeth due to severe periodontitis and performed a full-mouth rehabilitation with an implant - supported fixed prosthesis. During the surgery, the implant was placed in a flapless manner through a surgical guide. Immediate loading of the temporary prosthesis made by CAD/CAM method before surgery was done. Since then, we have produced customized abutments and zirconia prostheses, and have reported satisfactory aesthetic and functional recovery.

A Study on Automatic Tooth Root Segmentation For Dental CT Images (자동 치아뿌리 영역 검출 알고리즘에 관한 연구)

  • Shin, Seunghwan;Kim, Yoonho
    • The Journal of Society for e-Business Studies
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    • v.19 no.4
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    • pp.45-60
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    • 2014
  • Dentist can obtain 3D anatomical information without distortion and information loss by using dental Computed Tomography scan images on line, and also can make the preoperative plan of implant placement or orthodontics. It is essential to segment individual tooth for making an accurate diagnosis. However, it is very difficult to distinguish the difference in the brightness between the dental and adjacent area. Especially, the root of a tooth is very elusive to automatically identify in dental CT images because jawbone normally adjoins the tooth. In the paper, we propose a method of automatically tooth region segmentation, which can identify the root of a tooth clearly. This algorithm separate the tooth from dental CT scan images by using Seeded Region Growing method on dental crown and by using Level-set method on dental root respectively. By using the proposed method, the results can be acquired average 19.2% better accuracy, compared to the result of the previous methods.

The Effect of Assisted Hatching (AHA) on Pregnancy Rates in Human IVF-ET (인간의 체외수정배아이식술에서 보조부화술이 임신률에 미치는 영향에 관한 연구)

  • Lee, H.J.;Kim, J.W.;Byun, H.K.;Jun, J.H.;Son, I.P.;Jun, J.Y.
    • Clinical and Experimental Reproductive Medicine
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    • v.22 no.2
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    • pp.183-189
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    • 1995
  • In human IVF-ET, the development and morphology of the embryo have been known to affect implantation and pregnancy rates(PRs). Recently, pregnancy has been reported to related to the embryos with thick zona-pellucida, high levels of fragmentation, poor blastomere development and zona hardening. Although the mechanism of implantation is unclear, it is thought that the hatching process precedes implantation and that the hatching is related to implantation and PRs. This study was carried out to investigate the effect of assisted hatching(AHA) on the improvement of PRs in human IVF-ET. The results were as follows; 1. The PRs of the AHA group (40.8%) was significantly higher than that of control group(27.2%)(P<0.01). 2. According to the age of patients, the PRs of control and AHA groups were 33.9%(20/59), 44,4%(12/27) in <30 yrs, 26.1%(30/115), 38.3%(18/47) in 31-35 yrs, 22.4%(13/58), 41.4%(12/29) in >36 yrs, respectively. 3. According to the factors of infertility in AHA group, unexplained(immunologic factor) (40.0%) and male factors(41.9%) were higher than female(tubal obstruction, endometriosis, adhesion) factor (28.9%). As a result, it is suggested that AHA technique improve the PRs in poor prognosis patients. It is concluded that AHA method can be used to improve the PRs in human lVF-ET.

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