• Title/Summary/Keyword: CREST

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Eruption of a venous malformation through an iliac bone harvesting site after trauma

  • Kono, Tatsuki;Saiga, Atsuomi;Tamagawa, Keiichi;Katsuki, Kensuke;Nomura, Misako;Hokazono, Toshinori;Uchida, Yuuki
    • Archives of Plastic Surgery
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    • v.45 no.6
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    • pp.588-592
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    • 2018
  • Harvesting grafts from the anterior iliac bone has been associated with various complications. A 50-year-old woman presented to our department with a chief complaint of right inguinal swelling and pain. Autologous bone grafts had been harvested on two previous occasions from the right anterior iliac crest for use in the reconstruction of multiple facial fractures. Computed tomography and magnetic resonance imaging revealed a full-thickness bone defect in the right anterior iliac crest. A mass was noted in the right gluteus minimus, while a multilocular cystic mass extended from the right iliac crest defect to the right inguinal region. Both the inguinal mass and gluteal mass were removed under general anesthesia. Following histopathological analysis, the gluteal mass was diagnosed as a venous malformation (VM). Based on the patient's clinical course, iliac bone graft harvesting and trauma to the gluteal region triggered hemorrhaging from the VM. Blood components leaked out from the fragile portion of the iliac bone defect, forming a cystic lesion that developed into the inguinal mass. In this case, a coincidental VM resulted in a rare complication of iliac bone graft harvesting. These sequelae could have been avoided by planning for more appropriate ways to collect the grafts.

Reliability Analysis of Maximum Overtopping Volume for Evaluating Freeboard of Vertical Breakwaters (직립식 방파제의 마루높이 산정을 위한 최대월파량에 대한 신뢰성 해석)

  • Lee, Cheol-Eung
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.23 no.2
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    • pp.154-162
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    • 2011
  • A reliability analysis model is developed for evaluating the crest freeboard of vertical breakwaters based on the concepts of maximum overtopping volume of individual wave. A reliability function is formulated by defining the margin of admissible overtopping volume and maximum overtopping volume that is depend on the number of overtopping waves, dimensionless crest freeboard, and mean overtopping discharge. In addition, Level III MCS technique is straightforwardly suggested by which the related empirical parameters to reliability function can be considered to be random variables with the wide range of different uncertainties. It can be possible to calculate the probabilities of failure according to the relative crest freeboard with the variations of the incident wave directions, the structural types of vertical breakwaters, and admissible overtopping volumes in conditions of the long and short crested-waves.

Reconstruction of the Glenoid Using Iliac Bone Graft for Recurrent Anterior Shoulder Instability with Severe Glenoid Bone Defect - A Report of Two Cases - (관절와의 심한 골결손을 동반한 견관절 전방 불안정성에서 장골 이식술을 이용한 관절와 재건술 - 2예 보고 -)

  • Lee, Seong-Man;Jung, Won-Ju;Lee, Hyun-Joo;Jeon, In-Ho
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.117-122
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    • 2010
  • Purpose: The purpose of this report was to assess a surgical technique-using an autogenous tricortical iliac crest bone graft in patients with epilepsy-for anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with severe glenoid deficiency. Materials and Methods: We studied two cases of recurrent anterior dislocation of the shoulder due to epilepsy. These cases were treated with anatomical glenoid reconstruction using an autogenous tricortical iliac crest bone graft. Results: Both cases achieved bone union in 5 months. There was no recurrence of instability and pain. Both cases had normal range of motion. Conclusion: Anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with severe glenoid deficiency using an autogenous tricortical iliac crest bone graft is a successful surgical technique for achieving shoulder stability.

Long-term Settlement Prediction of Center-cored Rockfill Dam using Measured Data (계측자료를 이용한 중심코어형 석괴댐의 장기침하량 예측)

  • Lee, Chungwon;Kim, Yongseong
    • Journal of the Korean GEO-environmental Society
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    • v.15 no.11
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    • pp.21-27
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    • 2014
  • In this study, the prediction methods for the crest settlement after impounding and the maximum internal settlement during dam construction were proposed through the analysis on settlement data at 46 monitored points of 37 Center-Cored Rockfill Dams (CCRDs). Results from this analysis provided that the crest settlement increases with elapsed time, and from the relationship between the dam height and the maximum internal settlement during dam construction, it is confirmed that the internal settlement was largely evaluated when the coarse-grained material was used as the dam core. This internal settlement increased in proportion to the dam height. In addition, the crest settlement of the CCRD with the core compacted with fine-grained material was relatively large. It is expected that the results of this study would provide the practical tool for the design, construction and management of CCRDs.

Nox4-Mediated Cell Signaling Regulates Differentiation and Survival of Neural Crest Stem Cells

  • Lee, Ji-Eun;Cho, Kyu Eun;Lee, Kyung Eun;Kim, Jaesang;Bae, Yun Soo
    • Molecules and Cells
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    • v.37 no.12
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    • pp.907-911
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    • 2014
  • The function of reactive oxygen species (ROS) as second messengers in cell differentiation has been demonstrated only for a limited number of cell types. Here, we used a well-established protocol for BMP2-induced neuronal differentiation of neural crest stem cells (NCSCs) to examine the function of BMP2-induced ROS during the process. We first show that BMP2 indeed induces ROS generation in NCSCs and that blocking ROS generation by pretreatment of cells with diphenyleneiodonium (DPI) as NADPH oxidase (Nox) inhibitor inhibits neuronal differentiation. Among the ROS-generating Nox isozymes, only Nox4 was expressed at a detectable level in NCSCs. Nox4 appears to be critical for survival of NCSCs at least in vitro as down-regulation by RNA interference led to apoptotic response from NCSCs. Interestingly, development of neural crest-derived peripheral neural structures in Nox4-/- mouse appears to be grossly normal, although Nox4-/- embryos were born at a sub-Mendelian ratio and showed delayed over-all development. Specifically, cranial and dorsal root ganglia, derived from NCSCs, were clearly present in Nox4-/- embryo at embryonic days (E) 9.5 and 10.5. These results suggest that Nox4-mediated ROS generation likely plays important role in fate determination and differentiation of NCSCs, but other Nox isozymes play redundant function during embryogenesis.

Clinical and histopathological study using platelet-rich plasma and bone graft in the localized alveolar bone defects (치조제 결손부에 매식체 식립 시 혈소판 농축 혈장과 골이식술의 사용이 골형성에 미치는 영향에 대한 임상 및 조직 병리학적 연구)

  • Jung, Ui-Young;Lim, Sung-Bin;Chung, Chin-Hyung;Hong, Ki-Seok;Lee, Chong-Heon
    • Journal of Periodontal and Implant Science
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    • v.35 no.1
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    • pp.251-261
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    • 2005
  • Alveolar ridge defects may limit or restrict placement of implants. The purpose of this study was to evaluate clinical and histopathologic results which occur following guided bone regeneration using platelet-rich plasma, bovine bone powder and e-PTFE membrane in the localized alveolar bone defects. Ten patients who required guided bone regeneration in implant placemnet, were slelected. Alveolar crest height and width were measured at baseline and, afer 2nd surgery 5 months later At 5 months , we obtained histopathological results as follows: 1. Alveolar crest height was an average of $8.20{\pm}3.74$ mm preoperatively and decreased to an average of $7.40{\pm}1.84$ mm postoperatively. There was no significant difference. 2. Alveolar crest width was an average of $4.25{\pm}2.03$ mm preoperatively and significantly increased to an average of $7.20{\pm}2.44$ mm postoperatively (P<0.01) 3. The change of Alveolar crest height and width were $0.80{\pm}1.40$ mm, $2.95{\pm}1.09$ mm 4. Histopathological evaluations revealed new bone formation with graft material and laminated bone containing the presence of osteocyte-like cell In conclusion, guided bone regeneration using platelet-rich plasma, bovine bone powder and e-PTFE membrane would provide a viable therapeutic alternative for implant placement in the localized alveolar defect or implant failure

Variation of Incident Wave Angle in the Surf Zone Observed from Digital Videos (해안 비디오로부터 관측된 쇄파지역에서 입사각의 변화)

  • Yoo, Je-Seon;Shin, Dong-Min;Cho, Yong-Sik
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.21 no.2
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    • pp.154-163
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    • 2009
  • Incident wave angles are conventionally estimated by the directional spectrum analysis of wave data collected from in-situ sensors. The in-situ measurements are limited in monitoring incident wave angles in the wide surf zone, since the techniques are typically expensive, labor-intensive, and point-measuring. In this study, estimation of incident wave angles using wave crest features captured in digital video imagery is proposed to observe incident wave directions over the surf zone. Line signatures of wave crests having high image pixel intensities are extracted by moving an interrogation window to identify high intensity pixels in sequential video images. Wave angles are computed by taking the first derivative of the extracted crest signatures, i.e. local slope of the crest signatures in the two-dimensional physical plane. Compared to the wave angle estimates obtained by the directional spectrum analysis, video-based wave angle estimates show good agreements in general.

Estimation on the Wave Transmission and Stability/Function Characteristics of the Submerged Rubble-Mound Breakwater (수중 잠제구조물의 파랑 전달율과 안정성 및 기능성 평가)

  • KIM Yong Woo;YOON Han Sam;RYU Cheong Ro;SOHN Byung Kyu
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.36 no.5
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    • pp.528-534
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    • 2003
  • The 2-D hydraulic experimental results for the submerged rubble-mound structure, we have been concerned with the slability/function characteristics of the structures by the effects of wave force, scour/deposition at the toe and the wave transmission ratio at the lee-side sea. So, to investigate the variation characteristics of the wave transmission ratio which depended on a geometrical structure of the submerged breakwater profiles, the critical conditions for the depth of submergence and crest width were obviously presented. In summary, the results lead us to the conclusion that the wave control capabilities of submerged breakwaters by the variation of the submergence depth is higher than about 4 times the degree at the efficiency than the that of crest width. The destruction of the covering block at the crest generated at the region which was located between the maximum and minimum damage curve, and it's maximum damage/failure station from the toe of the structure was $0.2\;L_s.$ As the wave transmission coefficient and the slope of the structure increase, the damage/failure ratio and the maximum scour depth at the toe was extended, respectively. When the maximum scour depth happened, the destruction of the covering block which was located at the toe generated at the front of the submerged rubble-mound breakwater. Finally, it was found from the results that the optimization of the structure may be obtained by the efficient decision of the submergence depth and crest width in the permissible range of the wave transmission ratio.

Bone thickness of the infrazygomatic crest area in skeletal Class III growing patients: A computed tomographic study

  • Lee, Hyub-Soo;Choi, Hang-Moon;Choi, Dong-Soon;Jang, Insan;Cha, Bong-Kuen
    • Imaging Science in Dentistry
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    • v.43 no.4
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    • pp.261-266
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    • 2013
  • Purpose: This study was performed to investigate the bone thickness of the infrazygomatic crest area by computed tomography (CT) for placement of a miniplate as skeletal anchorage for maxillary protraction in skeletal Class III children. Materials and Methods: CT images of skeletal Class III children (7 boys, 9 girls, mean age: 11.4 years) were taken parallel to the Frankfurt horizontal plane. The bone thickness of the infrazygomatic crest area was measured at 35 locations on the right and left sides, perpendicular to the bone surface. Results: The bone was thickest (5.0 mm) in the upper zygomatic bone and thinnest (1.1 mm) in the anterior wall of the maxillary sinus. Generally, there was a tendency for the bone to be thicker at the superior and lateral area of the zygomatic process of the maxilla. There was no clinically significant difference in bone thickness between the right and left sides; however, it was thicker in male than in female subjects. Conclusion: In the infrazygomatic crest area, the superior and lateral area of the zygomatic process of the maxilla had the most appropriate thickness for placement of a miniplate in growing skeletal Class III children with a retruded maxilla.

Experimental study on the discharge coefficient of slope-type and step-type weirs (경사형 및 계단형 보의 유량계수 산정을 위한 실험연구)

  • Kang, Joon Gua;Kim, Jong Tae
    • Journal of Korea Water Resources Association
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    • v.49 no.12
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    • pp.961-969
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    • 2016
  • Due to the recent requirement of installing low-head structures considering environmental aspects, various types of fixed weir have been suggested. However, the design guideline of transverse structures for practical application is very limited. The purpose of the present study is to analyze the hydraulic properties of the fixed weirs installed at the small and middle sized rivers of Korea depending on the physical specifications to provide fundamental data that may be reflected to the design of a low-head fixed weir considering the relevant environmental aspects. The basic discharge coefficient of slope-type and step-type weirs depending on change of crest was estimated, and a stage-discharge curve was developed. In addition, the flow properties under free flow and submerged flow conditions were analyzed by varying the hydraulic conditions such as discharge and crest.