• Title/Summary/Keyword: 차단 막

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Surgical Treatment of Ebstein Anomaly (Ebstein 기형의 외과적 치험)

  • 이종호;김병렬
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.5-9
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    • 1999
  • Background: Ebstein anomaly is a rare congenital disease distinguished by its unique deformity in tricuspid valve and right ventricle & atrium. In its surgical treatment , tricuspid valve reconstruction and valve replacement are well known method, but various surgical methods were suggested. Material and Method : From January 1984 to December 1995, 8 patients with Ebstein anomaly underwent surgical correction. Age and sex distribution, clinical symtoms, radiologic findings, preoperative studies, operative findings, operative methods and its results were analyzed. Result: The sex ratio was 5 to 3(male : female). Patients' ages were averaged 17.6(2-28) years. In all cases, it showed typical deformities of the tricuspid valve. Associated anomalies were permenant foramen ovale, atrial septum defect, pulmonary stenosis. Surgical procedures included tricuspid valve replacement(n=4) and tricuspid valve reconstuction(n=4). Two cases of sinus tachycardia and complete AV block occured postoperatively. There were two hospital death and no late death. All survivors are in NYHA class I or II with median follow up of 64.8 months. 2-D echocardiogram disclosed improvement tricuspid regurgitation during the follow up period. Conclusion: Even though operative method of Ebstein anomaly should be decided according to each anatomical characteristics, we recommended that tricuspid valvuloplasty and plication can be one of the good methods method in the selective cases.

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Comparative Evaluation on the Corrosion Resistance of Galvalume and Galvanized Steel Pipe (갈바륨 강관과 용융아연도금 강관의 내식성 비교 평가)

  • Choe, In-Hye;Park, Jun-Mu;Lee, Chan-Sik;Mun, Gyeong-Man;Lee, Myeong-Hun
    • Proceedings of the Korean Institute of Surface Engineering Conference
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    • 2016.11a
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    • pp.163-163
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    • 2016
  • 아연계 도금 강판은 우수한 내식성을 가지며 특히 아연의 희생방식기구에 의해 철의 부식을 억제하므로 선박, 건축자재, 전자기기 및 자동차 등 다양한 분야에서 그 수요와 사용범위가 증가하고 있다. 또한 도금 조성비 변화 및 다양한 표면처리 방법을 통해 가혹한 환경에서의 우수한 내식성에 대한 연구가 활발히 진행되고 있다. 그 중 갈바륨(Galvalume)은 55%의 알루미늄(Al)과 45%의 아연(Zn)으로 되어 있으며, 아연의 장점인 희생방식성과 내알카리성, 알루미늄의 장점인 내구성과 내열성, 내산성을 이상적으로 결합시킨 알루미늄(Al)-아연(Zn) 고내식 합금용융도금강판이다. 본 연구에서는 갈바륨 소재를 여러 산업현장에서 강관 형태로 사용할 경우의 내식성을 파악하기 위해 갈바륨 강관과 기존에 사용되고 있는 용융도금재인 용융아연도금 강관을 비교하며 실험을 진행하였다. 냉간압연강관에 용융아연도금 약 $25{\mu}m$, 갈바륨 약 $20{\mu}m$ 두께로 제작된 강관을 사용하였으며 제작된 도금층 표면 모폴로지는 SEM을 통해 관찰하였고, XRD 분석을 통해 결정 구조를 확인하였다. 또한 5% 염수분무 환경 중 노출시험(Salt spray test), 3% NaCl 용액에서의 자연침지 시험 및 3% NaCl 용액 중 전기화학적 양극분극 시험을 진행하여 평가하였다. 5% NaCl 환경에서의 염수분무 시험 결과 용융아연도금의 경우 단면에서는 90시간, 표면에서는 260시간 경과 후 적청이 발생하였다. 반면, 갈바륨의 경우에는 단면에서 210시간 경과 후에 적청이 발생하였고, 표면의 경우에는 900시간 이상에서도 적청이 발생하지 않았다. 이 결과를 통해 용융아연도금에 비해 갈바륨 도금의 내식성이 단면에서는 3배, 표면에서는 4~5배 이상 향상된 것으로 확인되었다. 또한 3% NaCl 용액 중 자연침지 시험 결과 용융아연도금 강관 표면은 24시간 경과 후 열화부를 중심으로 흑변하는 것을 확인할 수 있었으나 갈바륨의 경우에는 900시간 이상 실험이 진행되는 동안 No Scribe 및 Scribe 시편 모두 외관상 변화가 거의 없었다. 단면의 경우, 용융아연도금 시편은 900시간 이상 실험이 진행되는 동안 외관상 변화가 없었으며, 갈바륨 시편의 경우 300시간 경과 하면서 흰색의 아연 부식생성물이 나타났으나 900시간 이후로도 적청은 발생하지 않았다. 자연전위 측정결과 용융아연도금 및 갈바륨 시편 모두 유사한 전위거동을 나타냈지만 단면의 경우 갈바륨 시편이 용융아연도금에 비해 안정적인 거동을 보였다. 3% NaCl 용액 중 전기화학적 양극 분극 시험 결과 용융아연도금이 갈바륨에 비해 귀한 방향의 부식 전위 값을 나타냈으며, 부식 전류밀도도 용융아연도금이 갈바륨에 비해 더 높은 값을 나타내는 것을 확인할 수 있었다. 이상의 염수분무시험, 자연침지시험 및 전기화학적 양극분극시험을 통해 종합적으로 분석-고찰하여 보면, 그 부식이 진행되는 과정은 융융아연도금과 달리 갈바륨 도금의 경우가 다단계적인 부식 과정을 거치면서 우수한 내식 특성을 나타낸다는 것을 알 수 있었다. 즉, 갈바륨 도금은 그 도금 막에 분포된 합금상 원소 성분들이 상호 갈바닉(Galvanic) 작용하며 형성된 부식생성물이 수평적으로 자체 차단(Barrier) 역할을 하는 과정과 부분적 부식-회복 과정을 거치면서 다단계적으로 부식속도를 감소시키게 된다는 것을 확인 할 수 있었다.

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The Effect of composite Graft of allogenic DFDB and Calcium Sulfate with and without Calcium Sulfate barrier in Periodontal 1 wall intrabony defects in Dogs (성견 1면 골내낭에서 탈회 냉동 건조골과 calcium sulfate 혼합 이식 및 calcium sulfate 차단막 사용이 치주조직 치유에 미치는 영향)

  • Moon, Hee-Il;Cho, Kyoo-Sung;Chai, Jung-Kiu;Choi, Seong-Ho
    • Journal of Periodontal and Implant Science
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    • v.28 no.2
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    • pp.219-237
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    • 1998
  • Numerous bone graft materials have been used in Periodontics, in an attempt to reach the main goal of periodontal therapy, i.e. the regeneration of periodontal tissue lost due to destructive periodontal diseases. The present study investigates the effect of composite graft of DFDB and Calcium sulfate with and without Calcium sulfate barrier in Periodontal 1-wall intrabony defects in dogs. Following the initiation of general anesthesia by I.V. administration of 40mg/Kg of Pentobabital, second premolar was extracted and full thickness flap elevated. The crown portion of premolars was removed. Exposed root canals were sealed with Caviton and covered completely with flap. After the healing period of 8 weeks, the surgical sites were re-opened and 1-wall intrabony defects were created, and treated with flap operation alone(control group), with composit graft of 80% DFDB and 20% Calcium sulfate(Experimental group 1), with composite graft of DFDB and calcium sulfate with calcium sulfate membrane( Experimental group 2). Healing response was histologically observed after 8 weeks and the results were as follows : 1. New bone formation was 70 % in the control group, 93 % in the Experimental group I, 89 % in the Experimental group II. There was a no differences between Experimental groups. 2. New cementum formation was not significantly different between control and two Experimental groups. 3. The length of connective tissue adhesion was 30 % in the control, 7% in the Experimental group I and 11 % in the Experimental group II. 4. After 8weeks, calcium sulfate was completely resorbed, while DFDB particle remained. These results suggest that the use of composite graft of allogenic DFDB and Calcium sulfate with and without Calcium sulfate barrier in periodontal 1 wall intrabony defects have little effect on connective tissue adhesion, but has beneficial effect on new alveolar bone and new cementum formation, and prevent downgrowth of epithelium and connective tissue effectively.

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Clinical Study on Therapeutic Effects of Biodegradable membrane $Biomesh^{(R)}$ and autogenous bone grafts in infrabony defects (골내치주낭에 $Biomesh^{(R)}$ 차단막과 자가골이식의 치료효과에 대한 연구)

  • Suh, Jong-Jin;Chung, Ye-Jin;Choi, Byeong-Gap;Choi, Seong-Ho;Cho, Kyoo-Sung
    • Journal of Periodontal and Implant Science
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    • v.30 no.4
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    • pp.779-793
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    • 2000
  • The ultimate goal of periodontal disease therapy is to promote the regeneration of lost periodontal tissue, there has been many attempts to develop a method to achieve this goal, but none of them was completely successful. This study was designed to compare the effects of treatment using resorbable barrier membrane($Biomesh^{?}$) in combination with autogenous bone graft material with control treated by only modified Widman flap. 22 infrabony defecs from 10 patients with chronic periodontitis were used for this study, 10 sites of them were treated with resorbable barrier membrane and autogenous bone graft material as experimental group and 12 site were treated by only modified Widman flap as control group. Clinical parameters including probing depth, gingival recession, bone probing depth and loss of attachment were recorded at 6-8 months later, and the significance of the changes was statistically analyzed. The results are as follows : 1. Probing depth of the two group was reduced with statistically significance(P<0.05), but this changes were not different between the two experiment, control group with statistically significance. 2. Gingival recession showed statistically significant increase in control group(P<0.05), but not in experimental group, and initial values of the two group were in statistically significant difference(P<0.05). 3. Bone probing depth showed statistically significant decrease in experimental group(P<0.05), but not in control group, and this changes were different between the two experiment, control group with statistically significance(P<0.05). 4. Loss of attachment showed statistically significant decrease in experimental group(P<0.05), but not in control group, and this changes were different between the two experiment, control group with statistically significance(P<0.05) On the basis of these results, treatment using resorbable barrier membrane in combination with autogenous bone graft material improve the probing depth, bone probing depth and loss of attachment in infrabony defects.

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FACTORS INFLUENCING THE WOUND HEALING IN THE PERIODONTAL INTRABONY LESION IN HUMAN;I : EFFECT OF THE e-PTFE BARRIER MEMBRANE (골내낭 처치시 치조골 재생에 관한 연구;I. e-PTFE 차단막의 효과)

  • Kim, Chong-Kwan;Cho, Kyoo-Sung;Chai, Jung-Kiu;Choi, Eun-Jeong;Moon, Ik-Sang;Choi, Seong-Ho
    • Journal of Periodontal and Implant Science
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    • v.23 no.3
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    • pp.359-373
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    • 1993
  • The ultimate objective of periodontal therapy is not only stopping the progression of periodontal disease, but also promoting the regeneration of lost periodontal tissue. Guided Tissue Regeneration, which is based on the principle that the goal of periodontal regeneration can be achieved by preventing apical migration of gingival epithelium and blocking cells originating from connective tissue, has been developed and used as a clinical procedure, and although it has shown excellent results in connective tissue healing, there have not been many studies showing its effect on the regeneration of alveolar bone loss due to periodontal disease. The objectives of this study are to investigate the result of 12 months-long treatment following guided tissue regeneration using expanded polytetrafluoroehylene membrane, and to observe the presence of regenerated alveolar bone. Forty-one teeth from 28 patients with clinical diagnosis of periodontitis has been selected. In fifteen of those interproximal intrabony defects, only flap operation had been carried out, and designated as the control group. Twenty-six intrabony defects received e-PTFE membrane following flap operation, and designated as the experimental group. Eleven teeth whose membrane had been exposed were excluded from the experiment. Various measurements including probing depth, loss of attachment, probing bone level and gingival recession have been recorded at 6th month and 12th month, and the significance of the changes has been analyzed. The results are as follows: 1. Probing depth at 6th and 12th month has shown a significant decrease in both groups (p<0.01), but significantly higher decrease was found in the experimental group compared to the control at the month(p<0.05). 2. Loss of attachment at 6th and 12th month has shown a significant decrease in both groups, but significantly higher decrease was found in the experimental group compared to the control (p<0.05). 3. Probing bone level at 6th and 12th month has shown a insignificant decrease in the control group and significant decrease in the experimental group (p<0.01). Significantly higher decrease in probing bone level was found in the experimental group (p<0.05). 4. Gingival recession at 6th and 12th month has shown a statistically significant increase (p<0.05), and the control group showed higher increase compared to the experimental group although no statistical significance was found. As these results have shown, the use of e-PTFE membrane in intrabony pockets results in marked decrease in the loss of attachment and probing bone level. This seems to indicate that e-PTFE membrane may play a role in alveolar bone regeneration in intrabony defects.

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Design of a radiation-tolerant I-gate n-MOSFET structure and analysis of its characteristic (I 형 게이트 내방사선 n-MOSFET 구조 설계 및 특성분석)

  • Lee, Min-woong;Cho, Seong-ik;Lee, Nam-ho;Jeong, Sang-hun;Kim, Sung-mi
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.20 no.10
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    • pp.1927-1934
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    • 2016
  • In this paper, we proposed a I-gate n-MOSFET (n-type Metal Oxide Semiconductors Field Effect Transistor) structure in order to mitigate a radiation-induced leakage current path in an isolation oxide interface of a silicon-based standard n-MOSFET. The proposed I-gate n-MOSFET structure was designed by using a layout modification technology in the standard 0.18um CMOS (Complementary Metal Oxide Semiconductor) process, this structure supplements the structural drawbacks of conventional radiation-tolerant electronic device using layout modification technology such as an ELT (Enclosed Layout Transistor) and a DGA (Dummy Gate-Assisted) n-MOSFET. Thus, in comparison with the conventional structures, it can ensure expandability of a circuit design in a semiconductor-chip fabrication. Also for verification of a radiation-tolerant characteristic, we carried out M&S (Modeling and Simulation) using TCAD 3D (Technology Computer Aided Design 3-dimension) tool. As a results, we had confirmed the radiation-tolerant characteristic of the I-gate n-MOSFET structure.

Use of Oil Red O Staining Method in Non-Comedogenic Test for Cosmetics (화장품의 면포 비유발 평가에서 오일 레드 오 염색법의 응용)

  • Lee, Sun Hwa;Lee, Jung Im;Kim, Yoo-Ri;Lee, Bum Chun;Kang, Min Ji;Choi, Kwang Seong;Moon, Tae Kee
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.39 no.3
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    • pp.215-224
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    • 2013
  • It has been reported that certain ingredients added to cosmetics clog the skin pores and this can cause outbreaks of comedones which are the primary sign of acne leading to inflammatory acne. This research aims to establish objective evaluation criteria for non-comedogenic cosmetics suitable for acne prone skin. The research has been carried out to examine non-comedogenic test performed in foreign clinical institutions and to establish the evaluation method for detecting comedones outbreaks through repetitive closed back-patch test, Also, usability evaluation on face skin is performed additionally to the same subjects. The analysis of the comedones collected through repetitive closed back-patch test confirmed that the test products, moisturizer and sunscreen product, did not cause comedones. These results had no correlation with the analysis result of the comedones collected from face skin or visual evaluation of acne by Global Acne Grading System (GAGS) in face usability test. Additionally, Oil red O staining was performed on the collected comedones specimen for easy distinction of comedones from hair follicle in image analysis. The analysis result of stained specimen showed higher precision than that of non-stained specimen. This study established a new version of non-comedogenic test for cosmetics, whose objectivity and reliability were improved by inclusion of comedones staining step.

Initial tissue response of biodegradable membrane in rat subcutaneous model (백서 피하층에서 흡수성 차단막의 초기 조직 반응)

  • Lim, Hyun-Chang;Chae, Gyung-Joon;Jung, Ui-Won;Kim, Chang-Sung;Lee, Yong-Keun;Cho, Kyoo-Sung;Kim, Chong-Kwan;Choi, Seong-Ho
    • Journal of Periodontal and Implant Science
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    • v.37 no.4
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    • pp.839-848
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    • 2007
  • Purpose: Various kinds of biodegradable membranes are currently used in dental clinics. And the frequency and the necessity of their usage are increasing due to their numerous advantages. Therefore it is important to understand the difference of various membranes and histological reaction against implanted membranes. Materials and Methods: Biodegradable membranes of $Biogide^{(R)}$, $Resolute^{(R)}$, and $Tutodent^{(R)}$ were cut into small pieces by $1.0{\times}0.5cm$. The membranes were implanted 1.5cm apart from each other under the epithelium on the skull of 18 Sprague Dawley rats. The animals were sacrificed at 3, 7, and 14 days after surgical procedure. The specimens were examined by histological analysis. Results: 1. Early period after implantation of the membranes showed connective tissues surrounding membranes and there were a few inflammatory cells present. 2. In $Biogide^{(R)}$ and $Tutodent^{(R)}$ specimens, inflammatory cells and surrounding tissues were shown to infiltrate from outside with slight density difference inside. In $Resolute^{(R)}$ specimens, membranes were fragmented. Inflammatory cells and connective tissues were also observed inside. 3. In $Resolute^{(R)}$ specimen, giant cells were present which implicates that foreign body reaction has occurred. 4. $Biogide^{(R)}$ had lower integrity than other membranes and is not enough to be used alone in defect area. However, $Resolute^{(R)}$ had superior firmness than others. $Tutodent^{(R)}$ had middle level of integrity. Conclusion: This experimental model enabled to observe early inflammatory reactions and morphological changes of materials and can be used to develop and evaluate the efficacy of biodegradable membranes. Duplication of standardized human oral environment will be required in future experiments.

Effects of the Guided Tissue Regeneration Using Polylactic/Polyglycolic Copolymer Membrane in the Furcation Involvement (Polylactic/Polyglycolic copolymer 차단막의 이개부 병소의 치유 효과)

  • Huh, Ji-Sun;Kim, Hyun-Young;Kim, Chang-Sung;Choi, Seong-Ho;Cho, Kyoo-Sung;Chai, Jung-Kiu;Kim, Chong-Kwan
    • Journal of Periodontal and Implant Science
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    • v.31 no.2
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    • pp.345-356
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    • 2001
  • The purpose of the present study was to evaluate the clinical efficacy of guided tissue regeneration(GTR) using resorbable polylactic/polyglycolic copolymer(PLA/PGA) membrane in mandibular class II furcation involvement and to compare it to the clinical efficacy of only flap operation. Both procedures were conducted in 5 patients with class II furcation involvements. After 6 months of follow up, the probing pocket depth, clincial attachment level, bone probing depth, and radiographic changes were compared, and the following results were obtained: 1. GTR using PLA/PGA demonstrated a statistically significant reduction in probing pocket depth and bone probing depth, and the control group demonstrated a statistically significant reduction in bone probing depth. 2. The comparison between the experimental and control group failed to demonstrate statistically significant difference in clinical improvement, but more reduction in probing pocket depth and bone probing depth were observed in the experimental group. The probing pocket depth and the bone probing depth were $2.2{\pm}1.6mm$ and $2.4{\pm}1.1mm$ respectively in the control group, while they were $2.4{\pm}1.3mm$ and $3.0{\pm}1.2mm$ respectively in the experimental group. 3. Radiographic change was not detectable for the both groups during the 6 months of follow up. 4. Sites with deeper probing pocket depth at baseline examination showed greater amount of clinical improvement in both groups. Other clinical factors didn't have any significant effect on the treatment results. It is concluded that though there are some limitations, PLA/PGA membrane is effective for the treatment of mandibular class II furcation involvement.

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Protective Effects of Cellular Membrane and Component Analysis of Polygonum aviculare Extracts (마디풀 추출물의 세포 보호 효과 및 주성분 분석)

  • Park, Soo Nam;Kim, Min-Ji;Kim, Su Ji
    • Microbiology and Biotechnology Letters
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    • v.42 no.1
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    • pp.51-57
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    • 2014
  • In this study, the antioxidative effects and component analysis of Polygonum aviculare (P. aviculare) extracts were investigated. The ethyl acetate and the aglycone fraction from P. aviculare extracts were more active than (+)-${\alpha}$-tocopherol and $\small{L}$-ascorbic acid, which are known as strong antioxidants for their antioxidative activity by the DPPH method and chemiluminescence assay. The cellular protective effects of fractions of P. aviculare on the rose-bengal sensitized photohemolysis of human erythrocytes, increased in a concentration dependent manner ($1-10{\mu}l$). In particular, the ethyl acetate fraction at a concentration of $10{\mu}l$ showed the most prominent protective effect among all the extracts (${\tau}_{50}$, 314.70 min). TLC and HPLC chromatogram of the ethyl acetate fraction of P. aviculare extracts revealed 3 main bands (PA8, PA5, PA6) and peaks (peak 1, peak 2, peak 3), which were identified as myricetin-3-O-rhamnoside (myricitrin, PA8, peak 1), quercetin-3-${\alpha}$-rhamnoside (quercitrin, PA6, peak 3) by LC/ESI-MS/MS and $^1H$-NMR respectively. These results indicate that fractions from P. aviculare could be applicable to new functional cosmetics as antioxidants.