• Title/Summary/Keyword: 1-Wall defect

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Effectiveness of porcine-derived xenograft with enamel matrix derivative for periodontal regenerative treatment of intrabony defects associated with a fixed dental prosthesis: a 2-year follow-up retrospective study

  • Kim, Yeon-Tae;Jeong, Seong-Nyum;Lee, Jae-Hong
    • Journal of Periodontal and Implant Science
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    • v.51 no.3
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    • pp.179-188
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    • 2021
  • Purpose: Due to the difficulty of the hygienic care and sanitary management of abutment teeth and subpontic areas associated with fixed dental prostheses (FDPs), intrabony defects occur and accelerate due to the accumulation of plaque and calculus. This study aimed to evaluate the efficacy of regenerative periodontal surgery for intrabony defects associated with FDPs. Methods: The study inclusion criteria were met by 60 patients who underwent regenerative treatment between 2016 and 2018, involving a total of 82 intrabony defects associated with FDPs. Periodontal osseous lesions were classified as 1-, 2-, and 3-wall intrabony defects and were treated with an enamel matrix derivative in combination with bone graft material. The changes in clinical (pocket probing depth [PPD] and clinical attachment level [CAL]) and radiographic (defect depth and width) outcomes were measured at baseline and at 6, 12, and 24 months. Results: Six months after regenerative treatment, a significant reduction was observed in the PPD of 1-wall (P<0.001), 2-wall (P<0.001), and 3-wall (P<0.001) defects, as well as a significant reduction in the CAL of 2-wall (P<0.001) and 3-wall (P<0.001) intrabony defects. However, there was a significant increase in the CAL of 1-wall intrabony defects (P=0.003). Radiographically, a significant reduction in the depth of the 3-wall (P<0.001) defects and a significant reduction in the width of 2-wall (P=0.008) and 3-wall (P<0.001) defects were observed. The depth decreased in 1-wall defects; however, this change was not statistically significant (P=0.066). Conclusions: Within the limitations of the current study, regenerative treatment of 2- and 3-wall intrabony defects associated with FDPs improved clinical and radiological outcomes. Additional prospective studies are necessary to confirm our findings and to assess long-term outcomes.

Repair of Postinfarction Ventricular Septal Defect (심근경색 후 발생한 심실중격결손의 수술)

  • Choi, Jong-Bum;Cha, Byoung-Ki;Lee, Sam-Youn;Choi, Soon-Hoo
    • Journal of Chest Surgery
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    • v.39 no.12 s.269
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    • pp.906-912
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    • 2006
  • Background: Ventricular septal defect(VSD) is rare but feared complication after acute myocardial infarction. The patient could survive by surgery only, but the surgical mortality is still high. We investigate the surgical result and predictors for early surgical mortality. Material and Method: Between August 1993 and February 2006, 8 patients (male, 2: female, 6) with postinfarct VSD underwent surgical repair. Seven patients had one-vessel disease of left anterior descending artery, and 6 of them had wide extension of infarction to posterior septal wall as well as anterior septal wall of both ventricles. One patient had concomitant coronary bypass grafting to a coronary lesion unrelated to the infarction. Two patients had concomitant tricuspid annuloplasty and 1 patient mitral valvuloplasty. Result: Surgical mortality was 37.5%(3 patients). They all had only one-vessel disease of left anterior descending artery, which made extended posterior septal wall infarction as well as anterior septal wall infarction of both ventricles. In preoperative M-mode echocardiographic study of left ventricle, they had lower ejection fraction than survivors($34.9{\pm}4.2\;vs.\;54.8{\pm}12.3$; p=0.036). Conclusion: Most of patients with postinfarction VSD had one-vessel disease of left anterior descending artery. Early surgical mortality occurred in the patients with poor ejection fraction of left ventricle and the wide anterior septal wall infarction extending to the posterior septum.

Strength Properties of Wooden Retaining Walls Manufactured with Pinus rigida Miller

  • Park, Jun-Chul;Kim, Keon-Ho;Lee, Dong-Heub;Son, Dong-Won;Hong, Soon-Il
    • Journal of the Korean Wood Science and Technology
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    • v.39 no.2
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    • pp.140-147
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    • 2011
  • The strength properties of wooden retaining wall which was made with pitch pine were evaluated. Wooden retaining wall was made with diameter 90 mm of pitch pine round posts treated with CUAZ-2 (Copper Azole). The length of the front stretcher of the retaining wall was 3,000 mm. The distance between the headers (the notched member) is 1,000 mm in center and is 900 mm in side. There were connections every 2,000 mm because actually the length of stretcher is limited in the retaining wall. The strength test was carried out according to connection type because the section between stretchers can act as a defect. A result of the strength test according to connection type confirms that connection does not act as defect because the strength of retaining wall in single stretcher is similar to that in the section between stretchers. The strength test of the wooden retaining wall was carried out in 5 types according to the condition of the base section. When the upper soil pressure was 9.8 kN/$m^2$, the maximum load of the retaining wall fixing the front foundation shows higher values than those of others. But the total deformation is lower in the retaining wall not to fix a base section than in that to fix a base section. It is thought that the retaining wall not to fix a base section shows low value because the deformation is distributed throughout the retaining wall and it is confirmed that the soil pressure affects supporting the structure because the deformation of the retaining wall under low pressure is 3~4 fold higher than those of others. The failure mode of the retaining wall is the overturning type because the high section is deformed. Mostly, the failure mode is the separation of the header in the notched section.

Surgical Resection of the Aneurysm of the Thoracic Aorta: Report of A Case (흉부대동맥의 동맥류 절제 치험례)

  • 김영태
    • Journal of Chest Surgery
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    • v.6 no.1
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    • pp.51-56
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    • 1973
  • This is one case report of successful resection of the aneurysm of the thoracic aorta, which det-ected by thoractomy unexpectedly, in the Department of Thoracic Surgery, Hanyang University Hospital. The patient was a 34 years old woman and subjective complaints was not related with the aneurysm. Chest film showed a small round hazy shadow in the left margin of the upper posterior mediastinum. A saccular aneurysm located on the descending thoracic aorta, 7cm distal to the left subclavian artery and arouse from the antero-lateral wall of the aorta. Excision of the saccular aneurysm was performed by cross clamping the descending aorta above and below the aneurysm, and then the defect of the aortic wall was closed by aortorrhaphy with continuous suture. Crossclamping time was required 15 minute. Histopathologically, the wall of the aneurysm consisted of all layers of the arterial wall, that is, intima, media and adventitia. Postoperative course was uneventful and aortogram showed good continuity of the blood flow of the entire aorta.

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Unroofed Coronary Sinus and its Surgery; Associated with Partial Atrioventricular Canal Defect and Common Atrium (관상정맥동 결손과 좌상대정맥의 좌심방환류에 대한 수술및 수술방법의 연구;부분형 방실관결손과 공통심방이 동반된 1례)

  • 이상호
    • Journal of Chest Surgery
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    • v.26 no.4
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    • pp.312-315
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    • 1993
  • The malformation consisted of persistent left SVC terminating in left atrium, absence of coronary sinus, and atrial septal defect is considered as a developmental complex anomaly. We observed such a case associated with partial atrioventricular canal defect and common atrium. We operated it by intraatrial roofing [tunneling] along its course of the posterior wall of the left atrium using bovine pericardial patch, which was designed to contain some of thebesian veins, thereby, left superior vena caval and some coronary venous blood would be drained into venous side. Associated lesions were also corrected.

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Unroofed Coronary Sinus Syndrome (Report of one case) (관상정맥동 천정 결손증 (치험 1례))

  • 조광현
    • Journal of Chest Surgery
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    • v.22 no.4
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    • pp.655-660
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    • 1989
  • The unroofed coronary sinus syndrome is a spectrum of cardiac anomalies in which part or all the common wall between the coronary sinus and the left atrium is absent. This defect is part of a developmental complex which includes absence of the coronary sinus and termination of a persistent left superior vena cava in the left atrium. Recognition of this complex is important so that interruption or diversion of the left superior vena cava may be done to prevent subsequent central nervous system complications. Surgical correction uses an intraatrial baffle to divert flow from the left superior vena cava to right atrium and to close the atrial septal defect. This report describes a 7 years old female patient in whom the left superior vena cava was identified preoperatively and the complex [unroofed coronary sinus syndrome, common atrium, mitral valve cleft] recognized at the time of operation. Surgical correction, following repair of cleft mitral valve, utilized a Dacron patch baffle to route the left caval blood to the right atrium and included closure of the atrial septal defect

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Surgical Treatment of Post-Infarction Ventricular Septal Defect with Left Ventricular Rupture -A Case Report- (심근 경색후 발생한 좌심실 파열을 동반한 심실중격 결손의 외과적 치료 -1례 보고-)

  • Kim, Hyun-jo;Kim, Doo-Sang;Ahn, Hyuk
    • Journal of Chest Surgery
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    • v.28 no.9
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    • pp.857-860
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    • 1995
  • In a 53-year old male with post-infarction ventricular septal defect [VSD , owing to an acute exacerbation of pulmonary edema, respiratory failure developed, and the ventilatory support and intraaortic balloon counterpulsation [IABP were applied. At the following day, operation was performed with the aid of IABP. Under the cardioplumonary bypass, he underwent infarctectomy, trimming of VSD margin, patch closure of VSD and infarctectomy site. Left ventricular free wall rupture was detected during operation, which was confined with pericardial adhesion. Post-operative course was uneventful, and he could be discharged with minimal degree of dyspnea [NYHA class II .

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Interrupted Aortic Arch [Type A] associated with ventricular septal defect, patent ductus arteriosus and patent foramen ovale (심실중격결손증, 개방성 대동맥관 및 개방성난원공과 동반한 대동맥궁 결손증: 1례보고)

  • 김한용
    • Journal of Chest Surgery
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    • v.24 no.2
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    • pp.206-211
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    • 1991
  • Interruption of the aortic arch may be defined as discontinuity of the aortic arch in which either an aortic vessel or a patent ductus arteriosus supplies the descending aorta. This anomaly is a rare congenital malformation that usually occurs with severe associated intracardiac congenital anomalies, such as ventricular septal defect, patent foramen ovale and abnormal arrangement of the brachiocephalic arteries. Rarely, transposition of the great vessel, truncus arteriosus are coexistent. We experienced a case of the interrupted aortic arch [Type A] associated with VSD, PDA and patent foramen ovale in a 16 years old female. One stage total correction was done under profound hypothermia with total circulatory arrest. Aortic continuity was established using patent ductus arteriosus with anterior wall of main pulmonary artery, which was anastomosed obliquely to anteromedial side of the ascending aorta. Ventricular septal defect was closed using Dacron patch and patent foramen ovale was closed directly. Postoperative course was uneventful, except mild hoarseness.

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ASSESSMENT OF WALL-THINNING IN CARBON STEEL PIPE BY USING LASER-GENERATED GUIDED WAVE

  • Kim, Do-Youn;Cho, Youn-Ho;Lee, Joon-Hyun
    • Nuclear Engineering and Technology
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    • v.42 no.5
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    • pp.546-551
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    • 2010
  • The objective of this research is to estimate the crack location and size of a carbon steel pipe by using a laser ultrasound guided wave for the wall thinning evaluation of an elbow. The wall thinning of the carbon steel pipe is one of the most serious problems in nuclear power plants, especially the wall thinning of the carbon steel elbow caused by Flow-Accelerated Corrosion (FAC). Therefore, a non-destructive inspection method of elbow is essential for the nuclear power plants to operate safely. The specimens used in this study were carbon steel elbows, which represented the main elements of real nuclear power plants. The shape of the wall thinning was an oval with a width of 120mm, a length of 80mm, and a depth of 5mm. The L(0,1) and L(0,2) modes variation of the ultrasound guided wave signal is obtained from the response of the laser generation/air-coupled detection ultrasonic hybrid system represent the characteristics of the defect. The trends of these characteristics and signal processing were used to estimate the size and location of wall thinning.

A RADIOGRAPHIC STUDY OF EXPERIMENTALLY PRODUCED BONE DEFECTS IN THE POSTERIOR WALL OF THE MAXILLARY SINUS (상악동 후벽의 실험적 골결손부에 관한 방사선학적 연구)

  • Choi Eui-Hwan;Park Won-Kyl
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.26 no.2
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    • pp.153-163
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    • 1996
  • The purpose of this study was to evaluate the ability of radiographs in detecting experimental bony defect in the posterior wall of the maxillary sinus. For this study, experimentally five skulls were used, the bony defects with a diameter of 5mm were created at different locations in the posterior wall of the right maxillary sinus and the bony defects of 10mm were created at different locations in the posterior wall of th maxillary sinus. Panoramic view, panoramic sinus view, water's view, and computed tomogram were taken and the results analyzed. The obtanined results were as follows: 1. The panoramic view was superior to the panoramic sinus view in detecting the bony defects in the posterior wall of the maxillary sinus. 2. Panoramic view, panoramic sinus view, and waters's view were limitation to the detection of the bony defects in the posterior wall of the maillary sinus. 3. All the bony defects in the posterior wall of the maxillary sinus were excellently visualized on the computed tomogram.

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