• 제목/요약/키워드: Critical Defects

검색결과 339건 처리시간 0.024초

A critical assessment of the medication-related osteonecrosis of the jaw classification in stage I patients: a retrospective analysis

  • Ristow, Oliver;Hurtgen, Lena;Moratin, Julius;Smielowski, Maximilian;Freudlsperger, Christian;Engel, Michael;Hoffmann, Jurgen;Ruckschloss, Thomas
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제47권2호
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    • pp.99-111
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    • 2021
  • Objectives: It is unclear whether the extent of intraoral mucosa defects in patients with medication-related osteonecrosis of the jaw indicates disease severity. Therefore, this study investigated whether mucosal lesions correlate with the true extent of osseous defects in stage I patients. Materials and Methods: Retrospectively, all patients with stage I medication-related osteonecrosis of the jaw who underwent surgical treatment between April 2018 and April 2019 were enrolled. Preoperatively, the extent of their mucosal lesions was measured in clinical evaluations, and patients were assigned to either the visible or the probeable bone group. Intraoperatively, the extent of necrosis was measured manually and with fluorescence. Results: Fifty-five patients (36 female, 19 male) with 86 lesions (46 visible bone, 40 probeable bone) were enrolled. Intraoperatively, the necrotic lesions were significantly larger (P<0.001) than the preoperative mucosal lesions in both groups. A significant (P<0.05) but very weak (R2<0.2) relationship was noted between the extent of the mucosal lesions and the necrotic bone area. Conclusion: Preoperative mucosal defects (visible or probeable) in patients with medication-related osteonecrosis of the jaw do not indicate the extent of bone necrosis or disease severity.

EfficientNetV2 및 YOLOv5를 사용한 금속 표면 결함 검출 및 분류 (Metal Surface Defect Detection and Classification using EfficientNetV2 and YOLOv5)

  • ;김강철
    • 한국전자통신학회논문지
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    • 제17권4호
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    • pp.577-586
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    • 2022
  • 철강 표면 결함의 검출 및 분류는 철강 산업의 제품 품질 관리에 중요하다. 그러나 정확도가 낮고 속도가 느리기 때문에 기존 방식은 생산 라인에서 효과적으로 사용할 수 없다. 현재 널리 사용되는 알고리즘(딥러닝 기반)은 정확도 문제가 있으며 아직 개발의 여지가 있다. 본 논문에서는 이미지 분류를 위한 EfficientNetV2와 물체 검출기로 YOLOv5를 결합한 강철 표면 결함 검출 방법을 제안한다. 이 모델의 장점은 훈련 시간이 짧고 정확도가 높다는 것이다. 먼저 EfficientNetV2 모델에 입력되는 이미지는 결함 클래스를 분류하고 결함이 있을 확률을 예측한다. 결함이 있을 확률이 0.3보다 작으면 알고리즘은 결함이 없는 샘플로 인식한다. 그렇지 않으면 샘플이 YOLOv5에 추가로 입력되어 금속 표면의 결함 감지 프로세스를 수행한다. 실험에 따르면 제안된 모델은 NEU 데이터 세트에서 98.3%의 정확도로 우수한 성능을 보였고, 동시에 평균 훈련 속도는 다른 모델보다 단축된 것으로 나타났다.

모듈러 공공주택의 하자분석을 통한 품질 개선 방안 (Quality Improvement Measures of Modular Public Rental Apartment Houses through Defects Analysis)

  • 이순구;김규용;남정수
    • 한국건축시공학회지
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    • 제24권4호
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    • pp.425-436
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    • 2024
  • 국내 공공주택으로 활용되고 있는 모듈러 공동주택은 도입 초기 단계에 있다. 그 발생된 입주단계 하자와 입주 후 유지보수 단계의 하자를 구분하여 분석한 결과 입주단계에서 높은 비율을 차지하는 도배 및 바닥재 공사는 보양 등의 품질관리가 요구된다. 유지보수단계에서는 많이 발생하는 누수하자에 대해서 지붕공사의 노출방수공법 보완과 저층부 콘크리트 골조와 모듈러 연결부위, 그리고 모듈러 발코니 부위의 철저한 설계 및 시공관리가 필요하다. 또한 골조 및 유닛모듈 시공업체를 1개 업체로 발주하여 전체 시공 관리를 일원화하는 것이 요구된다. 이로써 모듈러 공공주택의 품질을 향상시킬 수 있을 것으로 판단되며 모듈러 공법의 활성화에도 기여할 수 있을 것으로 기대된다.

Regenerative capacity of augmented bone in rat calvarial guided bone augmentation model

  • Kubota, Tatsuya;Hasuike, Akira;Ozawa, Yasumasa;Yamamoto, Takanobu;Tsunori, Katsuyoshi;Yamada, Yutaka;Sato, Shuichi
    • Journal of Periodontal and Implant Science
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    • 제47권2호
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    • pp.77-85
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    • 2017
  • Purpose: Guided bone regeneration (GBR) is the most widely used technique to regenerate and augment bones. Even though augmented bones (ABs) have been examined histologically in many studies, few studies have been conducted to examine the biological potential of these bones and the healing dynamics following their use. Moreover, whether the bone obtained from the GBR procedure possesses the same functions as the existing autogenous bone is uncertain. In particular, little attention has been paid to the regenerative ability of GBR bone. Therefore, the present study histologically evaluated the regenerative capacity of AB in the occlusive space of a rat guided bone augmentation (GBA) model. Methods: The calvaria of 30 rats were exposed, and plastic caps were placed on the right of the calvaria in 10 of the 30 rats. After a 12-week healing phase, critical-sized calvarial bone defects (diameter: 5.0 mm) were trephined into the dorsal parietal bone on the left of the calvaria. Bone particles were harvested from the AB or the cortical bone (CB) using a bone scraper and transplanted into the critical defects. Results: The newly generated bone at the defects' edge was evaluated using micro-computed tomography (micro-CT) and histological sections. In the micro-CT analysis, the radiopacity in both the augmented and the CB groups remained high throughout the observational period. In the histological analysis, the closure rate of the CB was significantly higher than in the AB group. The numbers of cells positive for runt-related transcription factor 2 (Runx2) and tartrate-resistant acid phosphatase (TRAP) in the AB group were larger than in the CB group. Conclusions: The regenerative capacity of AB in the occlusive space of the rat GBA model was confirmed. Within the limitations of this study, the regenerative ability of the AB particulate transplant was inferior to that of the CB particulate transplant.

"Over-inlay" block graft and differential morphometry: a novel block graft model to study bone regeneration and host-to-graft interfaces in rats

  • Ghiacci, Giulia;Graiani, Gallia;Ravanetti, Francesca;Lumetti, Simone;Manfredi, Edoardo;Galli, Carlo;Cacchioli, Antonio;Macaluso, Guido Maria;Sala, Roberto
    • Journal of Periodontal and Implant Science
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    • 제46권4호
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    • pp.220-233
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    • 2016
  • Purpose: The aim of this study was to present new a model that allows the study of the bone healing process, with an emphasis on the biological behavior of different graft-to-host interfaces. A standardized "over-inlay" surgical technique combined with a differential histomorphometric analysis is presented in order to optimize the use of critical-size calvarial defects in pre-clinical testing. Methods: Critical-size defects were created into the parietal bone of 8 male Wistar rats. Deproteinized bovine bone (DBBM) blocks were inserted into the defects, so that part of the block was included within the calvarial thickness and part exceeded the calvarial height (an "over-inlay" graft). All animals were sacrificed at 1 or 3 months. Histomorphometric and immunohistochemical evaluation was carried out within distinct regions of interest (ROIs): the areas adjacent to the native bone (BA), the periosteal area (PA) and the central area (CA). Results: The animals healed without complications. Differential morphometry allowed the examination of the tissue composition within distinct regions: the BA presented consistent amounts of new bone formation (NB), which increased over time ($24.53%{\pm}1.26%$ at 1 month; $37.73%{\pm}0.39%$ at 3 months), thus suggesting that this area makes a substantial contribution toward NB. The PA was mainly composed of fibrous tissue ($71.16%{\pm}8.06%$ and $78.30%{\pm}2.67%$, respectively), while the CA showed high amounts of DBBM at both time points ($78.30%{\pm}2.67%$ and $74.68%{\pm}1.07%$, respectively), demonstrating a slow remodeling process. Blood vessels revealed a progressive migration from the interface with native bone toward the central area of the graft. Osterix-positive cells observed at 1 month within the PA suggested that the periosteum was a source of osteoprogenitor elements. Alkaline phosphatase data on matrix deposition confirmed this observation. Conclusions: The present model allowed for a standardized investigation of distinct graft-to-host interfaces both at vertically augmented and inlay-augmented sites, thus possibly limiting the number of animals required for pre-clinical investigations.

Are critical size bone notch defects possible in the rabbit mandible?

  • Carlisle, Patricia L.;Guda, Teja;Silliman, David T.;Hale, Robert G.;Baer, Pamela R. Brown
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제45권2호
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    • pp.97-107
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    • 2019
  • Objectives: Small animal maxillofacial models, such as non-segmental critical size defects (CSDs) in the rabbit mandible, need to be standardized for use as preclinical models of bone regeneration to mimic clinical conditions such as maxillofacial trauma. The objective of this study is the establishment of a mechanically competent CSD model in the rabbit mandible to allow standardized evaluation of bone regeneration therapies. Materials and Methods: Three sizes of bony defect were generated in the mandibular body of rabbit hemi-mandibles: $12mm{\times}5mm$, $12mm{\times}8mm$, and $15mm{\times}10mm$. The hemi-mandibles were tested to failure in 3-point flexure. The $12mm{\times}5mm$ defect was then chosen for the defect size created in the mandibles of 26 rabbits with or without cautery of the defect margins and bone regeneration was assessed after 6 and 12 weeks. Regenerated bone density and volume were evaluated using radiography, micro-computed tomography, and histology. Results: Flexural strength of the $12mm{\times}5mm$ defect was similar to its contralateral; whereas the $12mm{\times}8mm$ and $15mm{\times}10mm$ groups carried significantly less load than their respective contralaterals (P<0.05). This demonstrated that the $12mm{\times}5mm$ defect did not significantly compromise mandibular mechanical integrity. Significantly less (P<0.05) bone was regenerated at 6 weeks in cauterized defect margins compared to controls without cautery. After 12 weeks, the bone volume of the group with cautery increased to that of the control without cautery after 6 weeks. Conclusion: An empty defect size of $12mm{\times}5mm$ in the rabbit mandibular model maintains sufficient mechanical stability to not require additional stabilization. However, this defect size allows for bone regeneration across the defect. Cautery of the defect only delays regeneration by 6 weeks suggesting that the performance of bone graft materials in mandibular defects of this size should be considered with caution.

월경성 객혈로 발현되고, 부분폐엽절제술로 치료된 폐실질의 자궁내막증식증 1예 (Catamenial Hemoptysis Caused by the Endometriosis of the Lung Parenchyme, Treated with Bisegmental Wedge Resection)

  • 이선민;정성철;김상돈;마경애;김영준;송영구;황성철;이이형;류한영;이철주;박경주;김정선;한명호
    • Tuberculosis and Respiratory Diseases
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    • 제44권1호
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    • pp.197-202
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    • 1997
  • 저자들은 반복적인 월경성 객혈을 주소로 내원한 35세 여자 환자에서 흉부 전산화 단층촬영으로 병소를 확인한 후 부분폐엽절제술로 치유한 우측 폐실질내의 자궁내막증식증을 경험하였기에 보고하는 바이다.

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The influence of root surface distance to alveolar bone and periodontal ligament on periodontal wound healing

  • Montevecchi, Marco;Parrilli, Annapaola;Fini, Milena;Gatto, Maria Rosaria;Muttini, Aurelio;Checchi, Luigi
    • Journal of Periodontal and Implant Science
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    • 제46권5호
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    • pp.303-319
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    • 2016
  • Purpose: The purpose of this animal study was to perform a 3-dimensional micro-computed tomography (micro-CT) analysis in order to investigate the influence of root surface distance to the alveolar bone and the periodontal ligament on periodontal wound healing after a guided tissue regeneration (GTR) procedure. Methods: Three adult Sus scrofa domesticus specimens were used. The study sample included 6 teeth, corresponding to 2 third mandibular incisors from each animal. After coronectomy, a circumferential bone defect was created in each tooth by means of calibrated piezoelectric inserts. The experimental defects had depths of 3 mm, 5 mm, 7 mm, 9 mm, and 11 mm, with a constant width of 2 mm. One tooth with no defect was used as a control. The defects were covered with a bioresorbable membrane and protected with a flap. After 6 months, the animals were euthanised and tissue blocks were harvested and preserved for micro-CT analysis. Results: New alveolar bone was consistently present in all experimental defects. Signs of root resorption were observed in all samples, with the extent of resorption directly correlated to the vertical extent of the defect; the medial third of the root was the most commonly affected area. Signs of ankylosis were recorded in the defects that were 3 mm and 7 mm in depth. Density and other indicators of bone quality decreased with increasing defect depth. Conclusions: After a GTR procedure, the periodontal ligament and the alveolar bone appeared to compete in periodontal wound healing. Moreover, the observed decrease in bone quality indicators suggests that intrabony defects beyond a critical size cannot be regenerated. This finding may be relevant for the clinical application of periodontal regeneration, since it implies that GTR has a dimensional limit.

Effect of MBCP block as carrier of rhBMP-2 in combination with ePTFE membrane on bone formation in rat calvarial defects

  • Shin, Chul-Woo;Cho, Kyoo-Sung;Jung, Sung-Won;Kim, Chang-Sung;Choi, Seong-Ho;Yun, Jeong-Ho
    • Journal of Periodontal and Implant Science
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    • 제38권sup2호
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    • pp.325-334
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    • 2008
  • Purpose: The carrier used as delivery agent for bone morphogenetic proteins(BMPs) should also act as a scaffold for new bone formation. Moreover, bone formation should be predictable in terms of the volume and shape. This study examined the osteogenic effect of macroporous biphasic calcium phosphate (MBCP) block combined with ePTFE membrane as a carrier for recombinant human bone morphogenetic proteins (rhBMP-2). In addition, the additive effect of ePTFE membrane on bone formation was evaluated. Materials and Methods: Eight-millimeter critical sized calvarial defects were created surgically in 28 male Sprague-Dawley rats. The animals were divided into 2 groups containing 14 animals each. The defects were treated with either rhBMP-2/MBCP block (rhBMP-2/MBCP group) or rhBMP-2/MBCP block/ePTFE membrane (rhBMP-2/MBCP/ePTFE group). A disc-shaped MBCP block (3 mm height and 8 mm diameter) was used as the carrier for the rhBMP-2 and ePTFE membrane was used to cover the rhBMP-2/MBCP block. The histologic and histometric parameters were used to evaluate the defects after 2- or 8-week healing period (7 animals/group/healing interval). Results: The level of bone formation in the defects of both groups was significantly higher at 8 weeks than that at 2 weeks (P < 0.05). The ePTFE membrane has no additional effect compared with the rhBMP-2/MBCP block only. However, at 8 weeks, rhBMP-2/MBCP/ePTFE group showed more even bone formation on the top of the MBCP block than the rhBMP-2/MBCP group. Conclusion: These results suggest that the ePTFE membrane has no additive effect on bone formation when a MBCP block is used as a carrier for rhBMP-2.

$C_4H_6O_5$ 도핑된 $MgB_2/Fe$ 선재의 임계특성에 대한 열처리 온도의 영향 (Influence of the Heat-treatment Temperature on the Critical Properties of $C_4H_6O_5$-doped $MgB_2/Fe$ Wire)

  • 전병혁;김정호;;김찬중
    • Progress in Superconductivity
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    • 제9권1호
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    • pp.62-67
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    • 2007
  • The effects of the heat-treatment temperature on the carbon (C) substitution amount, full width at half maximum (FWHM) value, critical temperature ($T_c$), critical current density ($J_c$) have been investigated for 10 wt % malic acid ($C_4H_6O_5$)-doped $MgB_2/Fe$ wires. All the samples were fabricated by the in-situ powder-in-tube (PIT) method and heat-treated within a temperature range of $650^{\circ}C$ to $1000^{\circ}C$. As the heat-treatment temperature increased, it seemed that the lattice distortion was increased by a more active C substitution into the boron sites from the malic acid addition. These increased electron scattering defects seemed to enhance the $J_c-H$ properties in spite of an improvement in the crystallinity, such as a decrease of the FWHM value and an increase of the $T_c$. Compared to the un-doped wire heat-treated at $650^{\circ}C$ for 30 min, the $J_c$ was enhanced by the C doping in a high-field regime. The wire heat-treated at $900^{\circ}C$ resulted in a higher magnetic $J_c$ of approximately $10^4\;A/cm^2$ at 5 K and 8 T.

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