• 제목/요약/키워드: Above Apex

검색결과 70건 처리시간 0.025초

Loeffler`s endocarditis 에 합병한 승모판 폐쇄부전 치험 (Surgical treatment of Loeffler`s endocarditis associated mitral insufficiency)

  • 이병우
    • Journal of Chest Surgery
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    • 제16권4호
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    • pp.526-532
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    • 1983
  • This is a report of one case of Loffler`s eosinophilic endocarditis associated with mitral insufficiency and LV thrombi treated surgically at the department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital. This patient was a 42 year old female and she has complains of dyspnea, palpitation, orthopnea and generalized edema. Above symptoms has been going for 4 months and NYHA classification was IV. On examination, blood eosinophil was 45 to 50% [WBC-9800 ]. MI and LV thrombi were confirmed by LV ventriculography and echocardiography. Pulmonary congestion and congestive cardiac failure were diagnosis by X-Ray examination, EKG finding and clinical feature and others there were no organic functional disturbance. Mitral valve replacement was performed with Ionescu-Shiley pericardial valve [29mm] replacement. Adjust thumb sized grayish brown colored two thrombi were excluded, lodged in the apex and septal endocardium of LV. Endocardial fibrosis was reliably confirmed under the gross pathology in the heart. The patient had smooth postoperative course and there were no operative complication.

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상악동저 거상술과 임플란트 식립 후 상악동저 변화에 대한 연구 (Radiographic change of grafted sinus floor after maxillary sinus floor elevation and placement of dental implant)

  • 조상호;김옥수
    • Journal of Periodontal and Implant Science
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    • 제36권2호
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    • pp.345-359
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    • 2006
  • Loss of maxillary molar teeth leads to rapid loss of crestal bone and inferior expansion of the maxillary sinus floor (secondary pneumatization). Rehabilitation of the site with osseointegrated dental implants often represents a clinical challenge because of the insufficient bone volume resulted from this phenomenon. Boyne & James proposed the classic procedure for maxillary sinus floor elevation entails preparation of a trap door including the Schneiderian membrane in the lateral sinus wall. Summers proposed another non-invasive method using a set of osteotome and the osteotome sinus floor elevation (OSFE) was proposed for implant sites with at least 5-6mm of bone between the alveolar crest and the maxillary sinus floor. The change of grafted material in maxillary sinus is important for implant survival and the evaluation of graft height after maxillary sinus floor elevation is composed of histologic evaluation and radiomorphometric evaluation. The aim of the present study was radiographically evaluate the graft height change after maxillary sinus floor elevation and the influence of the graft material type in height change and the bone remodeling of grafts in sinus. A total of 59 patients (28 in lateral approach and 31 in crestal approach) who underwent maxillary sinus floor elevation composed of lateral approach and crestal approach were radiographically followed for up to about 48 months. Change in sinusgraft height were calculated with respect to implant length (IL) and grafted sinus height(BL). It was evaluated the change of the graft height according to time, the influence of the approach technique (staged approach and simultaneous approach) in lateral approach to change of the graft height, and the influence of the type of graft materials to change of the graft height. Patients were divided into three class based on the height of the grafted sinus floor relative to the implant apex and evaluated the proportion change of that class (Class I, in which the grafted sinus floor was above the implant apex; Class II, in which the implant apex was level with the grafted sinus floor; and Class III, in which the grafted sinus floor was below the implant apex). And it was evaluated th bone remodeling in sinus during 12 months using SGRl(by $Br\ddot{a}gger$ et al). The result was like that; Sinus graft height decreased significantly in both lateral approach and crestal approach in first 12 months (p$MBCP^{TM}$ had minimum height loss. Class III and Class II was increased by time in both lateral and crestal approach and Class I was decreased by time. SGRI was increased statistically significantly from baseline to 3 months and 3 months(p<0.05) to 12 months(p$ICB^{(R)}$ single use, more reduction of sinusgraft height was appeared. Therefore we speculated that the mixture of graft materials is preferable as a reduction of graft materials. Increasing of the SGRI as time goes by explains the stability of implant, but additional histologic or computed tomographic study will be needed for accurate conclusion. From the radiographic evaluation, we come to know that placement of dental implant with sinus floor elevation is an effective procedure in atrophic maxillary reconstruction.

만곡 근관에서 엔진 구동용 Ni-Ti File과 초음파 기구에 의한 근관성형 능력의 비교 (THE COMPARISON OF CANAL SHAPING ABILITY BY ENGINE-DRIVEN NICKEL-TITANIUM FILE AND ENDOSONIC FILE IN CURVED CANAL)

  • 김현주;오원만;양규호
    • Restorative Dentistry and Endodontics
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    • 제20권2호
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    • pp.758-767
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    • 1995
  • The purpose of this study was to evaluate canal shaping ability after canal preparation by using engine-driven nickel-titanium file and endosonic file in curved canals. 30 mesiobuccal canals of molars extracted within recent 3 months were divided into 3 groups. Group I and group II were prepared by using engine-driven nickel-titanium Gates-Glidden drill type and the engine-driven nickel-titanium file type. Group III prepared by using en do sonic file. The image of preinstrumented canals was taken by X-ray. The image of postinstrumented canal was taken by X-ray in the same condition of preinstrumentation. A magnified X-ray image on magnifier screen was traced and then compared the preinstrumentated canal image with the postinstrumentated canal image by superimposing method. The following results were obtained : 1. In the change of canal curvature, the engine-driven nickel-titanium Gates-Glidden drill type showed the least change and the ultrasonically filing showed the greatest change. 2. In the percentage of canal enlargement, the engine-driven nickel-titanium file type was greatest at all level(p<0.05), the apex of all group was the greatest, the difference of ultrasonically filing group showed greater between apex and cervix. 3. The percentage of canal enlargement on convex side was greater than that of on concave side in apex of each group(p<0.05). In the ultrasonically filing group, both sides of canal enlargement showed sharply difference(p<0.01). 4. The percentage of canal enlargement on convex side was greater than that of on concave side in the third of cervix of the engine-driven nickel-titanium file type and the ultrasonically filling. The percentage of canal enlargement of convex and concave side in the third of middle of the engine-driven nickel-titanium Gates-Glidden drill type show a similar canal enlargement between convex side and concave side. As above result, the engine-driven nickel-titanium file type was greater in canal enlargement than the other instruments. The engine-driven nickel-titanium Gates-Glidden dirll type was efficient endodontic instrument for curved canal preparation because it was least change in canal curvature.

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Rabbit maxillary sinus augmentation model with simultaneous implant placement: differential responses to the graft materials

  • Kim, Young-Sung;Kim, Su-Hwan;Kim, Kyoung-Hwa;Jhin, Min-Ju;Kim, Won-Kyung;Lee, Young-Kyoo;Seol, Yang-Jo;Lee, Yong-Moo
    • Journal of Periodontal and Implant Science
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    • 제42권6호
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    • pp.204-211
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    • 2012
  • Purpose: This study was performed to establish an experimental rabbit model for single-stage maxillary sinus augmentation with simultaneous implant placement. Methods: Twelve mature New Zealand white rabbits were used for the experiments. The rabbit maxillary sinuses were divided into 3 groups according to sinus augmentation materials: blood clot (BC), autogenous bone (AB), and bovine-derived hydroxyapatite (BHA). Small titanium implants were simultaneously placed in the animals during the sinus augmentation procedure. The rabbits were sacrificed 4 and 8 weeks after surgery and were observed histologically. Histomorphometric analyses using image analysis software were also performed to evaluate the parameters related to bone regeneration and implant-bone integration. Results: The BC group showed an evident collapse of the sinus membrane and limited new bone formation around the original sinus floor at 4 and 8 weeks. In the AB group, the sinus membrane was well retained above the implant apex, and new bone formation was significant at both examination periods. The BHA group also showed retention of the elevated sinus membrane above the screw apex and evident new bone formation at both points in time. The total area of the mineral component (TMA) in the area of interest and the bone-to-implant contact did not show any significant differences among all the groups. In the AB group, the TMA had significantly decreased from 4 to 8 weeks. Conclusions: Within the limits of this study, the rabbit sinus model showed satisfactory results in the comparison of different grafting conditions in single-stage sinus floor elevation with simultaneous implant placement. We found that the rabbit model was useful for maxillary sinus augmentation with simultaneous implant placement.

홍조 붉은실속 식물의 분류학적 재검토: 누은새붉은실과 가시새붉은실의 형태와 생식 (Taxonomic Reassessment of the Genus Polysiphonia (Rhodomelaceae, Rhodophyta): Morphology and Reproduction of Neosiphonia decumbens and N. harlandii)

  • 김명숙
    • ALGAE
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    • 제18권2호
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    • pp.107-119
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    • 2003
  • Neosiphonia is separated from the traditionally well known genus Polysiphonia (Rhodomelaceae, Rhodophyta) and 12 species includes in Korea. In this study, the vegetative and reproductive developments of two Neosiphonia species, N. decumbens (Segi) M.S. Kim et I.K. Lee and N. harlandii (Harvey) M.S. Kim et I.K. Lee, are reinvestigated. N. decumbens is diagnosed by following combination of the characters: plants 1-3 cm high, dwarf, decumbent, main axes indistinct, irregularly branched in dichotomous manner, and alternately or secundly ramified with wide angles above. N. harlandii is distinguished by the features: plants 4-8 cm high, usually solitary and saxicolous, erect, densely corticated at base of distinct main axes, rather irregularly alternate in branch, and with cicatrigenous branchlets developed numerously on every part of frond. The two species share typical characteristics of the genus Neosiphonia, such as a base attached by unicellular rhizoids, cut off by cross wall, pericentral cells in 4, trichoblasts moderately developed near the apex of branches, leaving persistent scar-cells, tetrasporangia arranged in a spiral series, procarps with 3-celled carpogonial branch, and spermatangial branches arising as a primary branch of trichoblast. Taxonomy of the two Neosiphonia in regard to Polysiphonia is discussed.

구개근 절제술을 이용한 상악 제일 대구치의 치료 (Palatal root resection of compromised maxillary first molars)

  • 정성념
    • Journal of Periodontal and Implant Science
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    • 제39권3호
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    • pp.375-381
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    • 2009
  • Purpose: Root resection can be a valuable procedure when the tooth in question has a high strategic value. The prognosis of root resection has been well documented in previous studies, but the results focused on the palatal root resection have not been discussed in depth. I represent here the short term effectiveness of palatal root resection of maxillary first molars. Methods: Palatal root resection was performed on maxillary first molars of three patients. All the palatal roots were floating state on the radiographic finding and showed full probing depth and purulent exudation at initial examination. Reduction of palatal cusp and occlusal table was performed concomitantly. Endodontic therapy was completed after root resection. Results: Compromised maxillary first molars were treated successfully by palatal root resection in 3 cases. The mobility of resected tooth was decreased a little bit. The probing pocket depth of remaining buccal roots was not increased compared to initial depth. All the patients satisfied with comfort and cost effective results and the fact they could save their natural teeth. Conclusions: Within the above results, palatal root resection is an effective procedure treating compromised maxillary first molar showing advanced palatal bone loss to root apex with or without pulp involvement when proper case selection is performed.

Clinochlore를 이용한 Cordierite 소지의 생성 및 성질에 미치는 $Al_2$O$_3$의 영향 (The Effects of $Al_2$O $_2$ on the Formation and Properties of Cordierite Bodies with Clinochlore)

  • 안영필;황정길;최롱
    • 한국세라믹학회지
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    • 제12권4호
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    • pp.29-36
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    • 1975
  • Korean clinochlore, kaolin, pyrophillite and a technical grade of alumina have been used to investigate the effects of Al2O3 on the formation and properties of cordierite bodies. The body compositions were formulated from the proper proportions of the above raw materials to cover the range of composition from the point corresponding to the stoichiometric formula of cordierite, bythe consecutive increasment of 0.2mol. Al2O3, toward the apex of Al2O3 on the MgO-Al2O3-SiO2 triaxial diagram. Each of bodies was fired with the elevated temperatures from 110$0^{\circ}C$ to 140$0^{\circ}C$ by 5$0^{\circ}C$ interval. Linear shrinkage and water absorption were taken as measures for the firing range of the bodies. The formation of cordierite was estimated from the comparative study of X-ray diffraction and dilatometry of the fired bodies. The formation of a large amount of cordierite was initiated about 120$0^{\circ}C$. The content of Al2O3 exceeded up to 0.8 mol. comparing to the stoichiometric formula of cordierite broadens the firing range of the body.

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흉부 전산화 단층촬영을 이용한 혈흉의 정량분석 (Quantitative analysis of hemothorax by computed tomography)

  • 강청희
    • Journal of Chest Surgery
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    • 제28권3호
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    • pp.228-232
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    • 1995
  • Computed tomography[CT is an effective technique for the evaluation of the thorax following blunt trauma. To evaluate multiply injured 30 patients who were diagnosed as hemothorax in emergency room, computed tomography of thorax was done. The thickness of slice was one centimeter and the entire pleural cavity from the apex to the costophrenic angle was included in the evaluation. Integration and addition of the hemothorax area for each CT slice was made and amount of blood in the pleural cavity was estimated. The slice which showed largest area of hemothorax was selected and the height and width of the hemothorax area were measured. The number of slices which showed radiographic evidence of hemothorax was counted. Regression analysis was done and measured amount of hemothorax, the height and width of the hemothorax area for each slice and number of slices were put as variables. And following equation was derived. V=108.3A-0.8B-7.4C+84.7 [R2=0.74 [ V: amount of hemothorax, A: height, B: width, C: number of slices Total amount of blood from thoracic drainage was compared to the measured amount by computed tomography and the relation between the two values was statistically significant.[p=0.001 In conclusion, quantitative estimation of size of hemothorax was possible by the above equation and the process was very helpful for determination policy of treatment of individual patient.

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좌심방 양심실 연결증 [DOLA] (Double Outlet Left Atrium: A rare form of the atrioventricular septal defect with malposition of the atrial septum)

  • 이재원;서경필
    • Journal of Chest Surgery
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    • 제18권2호
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    • pp.273-278
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    • 1985
  • The case of a patient with abnormal position of the atrial septum resulting in a left atrium with two atrioventricular valves and a disconnected right atrium is presented with review of related articles. Anatomic details showed atrial situs solitus and a left sided cardiac apex. The right atrium received both venae cavae and a coronary sinus. No AV valve was found in the right atrium, and the floor of this chamber was placed above the posterior wall of right ventricular chamber. The atrial septum with secundum ASD was displaced to right anteriorly at its lower portion and inserted to right of tricuspid annulus. The tricuspid and mitral valve configuration was that of so-called partial ECD, i.e. mitral cleft with large anterior mitral leaflets. The ventricular septum was intact and both ventricular chambers were equally well developed with normal relationships. Surgical repair of this anomaly was performed by resecting the abnormally positioned lower part of the atrial septum, repairing the cleft of the anterior mitral leaflet, and septating the atrium for diverting the systemic and pulmonary venous blood to RV and LV, respectively.

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콤퓨터를 이용한 간질환자 뇌파의 극파 자동검출 방법에 관한 연구 (A Study on Computer-Assisted Automatic Spike Detection System in EEG Signal of Epileptic Patients)

  • 박광석;민병구;이충웅
    • 대한전자공학회논문지
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    • 제17권6호
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    • pp.28-32
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    • 1980
  • 병질우자의 뇌파에서 나타나는 비정상적인 극파(spike)를 삼각파형의 모델을 사용하여 자동검출하는 방법을 디지탈시스템으로 구성하였다. 이 방법은 극파가 일정한 시간폭과 큰 기울기와 정상에서 날카로운 특성을 갖는 파형이라는 성질을 이용한 것이다. 본 논문에서는 뇌파를 채집하여 신호처리한 다음 이러한 극파의 특성을 나타내는 모개변수들로부터 극파를 구별하여 판정해내는 프로그램을 구성하였다. 이러한 신호처리 과정과 검출과정을 모두 미니콤퓨터를 이용하여 구성했으며 마이크로프로세서에의 응용을 위한 기본단계라고 할 수 있다.

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