• 제목/요약/키워드: Defect Repair

검색결과 592건 처리시간 0.02초

심방교체수술을 시행한 대혈관 전위증환자에서의 동맥전환술-1례 보고- (Conversion Arterial Switch Operation for Failed Sensing Procedure in TGA with VSD -One Case Report-)

  • 조유원;서동만
    • Journal of Chest Surgery
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    • 제29권1호
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    • pp.86-89
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    • 1996
  • 심실중격 결손을 동반한 대 혈관전위 에서 심방교체술(denning Procedure)후에 동맥전환술로 성공적인 치료를 했기에 보고하는 바이다 15개월 남아는 생후 8개월에 심방교체술(Senning operation)을 받은 이후에 심부전의 악화로 입원하였다. 혈관조영술상 우심부전, 삼천판막 폐쇄부전 및 잔류 심실중격 결손이 있었고, 심도자 검사에서 폐동맥심실/(LV/RV) 압력비는 75185여서 Senning (심방교체술)을 해체하고, 심실중격 결손은 포편 (patch)봉합하였으며, 폐동맥 밴딩하지않고 동맥전환술을 시행하였다. 수술후 심실기능이 정상으로 회복되었고 잘지내고 있다.

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Osteogenic Differentiation Potential in Parthenogenetic Murine Embryonic Stem Cells

  • Kang, Ho-In;Cha, Eun-Sook;Choi, Young-Ju;Min, Byung-Moo;Roh, Sang-Ho
    • International Journal of Oral Biology
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    • 제33권3호
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    • pp.91-95
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    • 2008
  • Embryonic stem cells have a pluripotency and a potential to differentiate to all type of cells. In our previous study, we have shown that embryonic stem cells (ESCs) lines can be generated from murine parthenogenetic embryos. This parthenogenetic ESCs line can be a useful stem cell source for tissue repair and regeneration. The defect in full-term development of parthenogenetic ESCs line enables researchers to avoid the ethical concerns related with ESCs research. In this study, we presented the results demonstrating that parthenogenetic ESCs can be induced into osteogenic cells by supplementing culture media with ascorbic acid and $\beta$-glycerophosphate. These cells showed morphologies of osteogenic cells and it was proven by Von Kossa staining and Alizarin Red staining. Expression of marker genes for osteogenic cells (osteopontin, osteonectin, alkaline phosphatase, osteocalcin, bone-sialoprotein, collagen type1, and Cbfa1) also confirmed osteogenic potential of these cells. These results demonstrate that osteogenic cells can be generated from parthenogenetic ESCs in vitro.

Dentin Matrix Block의 치조골 복원 능력에 관한 임상적 연구 (Clinical Study on the Alveolar Bone Repair Capacity of Dentin Matrix Block)

  • 김경욱
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제35권1호
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    • pp.55-59
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    • 2013
  • In the oral and maxillofacial area, bone defects are created by various reasons and demand for bone grafts, while dental implant implantation has been increased consistently. To solve these problems, there has been development of autogenous tooth-bone graft material (AutoBT$^{(R)}$, Korea Tooth Bank Co., Korea), and we have collected ground reasons to substitute free autobone graft with this material in clinical use. This autogenous tooth-bone graft material is produced in powder type and block type. Block type is useful in esthetic reconstruction of the defect site and vertical and horizontal augmentation of alveolar bone because this type has high strength value, well maintained shape and is less absorbed. Therefore, the author of this study gained favorable result by grafting the block type autogenous tooth-bone graft material after dental implant implantation on the bone defects of the mandibular molar extraction site. Moreover, the author represents this case with literature review after confirming bone remodeling on the computed tomography image and by histological analysis.

고집적 메모리의 고장 및 결함 위치검출 가능한 BIST/BICS 회로의 설계 (A design of BIST/BICS circuits for detection of fault and defect and their locations in VLSI memories)

  • 김대익;배성환;전병실
    • 한국통신학회논문지
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    • 제22권10호
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    • pp.2123-2135
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    • 1997
  • 고집적 SRAM을 구성하고 있는 일반적인 메모리 셀을 이용하여 저항성 단락을 MOSFET의 게이트-소오스, 게이트-드레인, 소오스-드레인에 적용시키고, 각 단자에서 발생 가능한 개방 결함을 고려하여 그 영향에 따른 메모리의 자장노드의 전압과 VDD에서의 정전류를 PSPICE 프로그램으로 분석하였다. 해석 결과를 고려하여 메모리의 기능성과 신뢰성을 향상시키기 위해 기능 테스트와 IDDQ 테스트에 동시에 적용할 수 있는 O(N)의 복잡도를 갖는 테스트 알고리즘을 제안하였다. 테스트의 질과 효율을 좀 더 향상시키기 위해 메모리에서 발생되는 고장을 검출하는 BIST 회로와 정전류의 비정상적인 전류의 흐름을 발생시키는 결함을 검출하는 BICS를 설계하였다. 또한 구현한 BIST/BICS 회로는 고장 메모리의 수리를 위해 고장 및 결함의 위치를 검출할 수 있다.

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Carbon Fibres for the Repair of Abdominal Wall Defects in Rabbits

  • Gangwar, A.K.;Sharma, A.K.;Kumar, Naveen;Maiti, S.K.;Kumar, N.;Gupta, O.P.;Goswami, T.K.;Singh, Rajendra
    • Carbon letters
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    • 제6권1호
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    • pp.15-24
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    • 2005
  • Sixteen clinically healthy New Zealand white rabbits of either sex were divided into two equal groups I and II of 8 animals each. Under thiopental sodium (2.5%) anaesthesia a linear full thickness abdominal wall defect of 3 cm in length was created and repaired with continuous suture pattern using 3000 filaments of carbon fibres and 1~0 black braided nylon suture, ingroup I and II respectively. Increased vascularity was observed in carbon fibres (group I) and on day 30 the carbon fibres were covered by white fibrous tissue. Significantly higher (P < 0.05) values of glucose was seen on day 14 in group I, whereas, decrease in glucose value was observed in group II. Histopathologically, the carbon fiber implant induced extensive fibrous tissue (collagen fiber) reaction. Negligible inflammatory cells in the stroma indicate the host tissue tolerance to carbon fibers. Histochemically, gradually increased alkaline phosphatase activity up to day 14 in group I, suggested the proliferation of fibroblasts in early stages.

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개방성동맥관의 술전혈역학적상태와 외과적치료에 대하여 (Patent ductus arteriosus associated with cardiovascular anomalies and severe pulmonary hypertension: Preoperative hemodynamics and surgical observation in 51 patients.)

  • 서경필
    • Journal of Chest Surgery
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    • 제7권1호
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    • pp.85-92
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    • 1974
  • During the years 1959 to 1974, 99 patients with patent ductus arteriosus were admitted to National University Hospital. These includes 5 patients with additional cardiovascular and 5 patients with severe pulmonary hypertension. All were operated upon except three refused operation. In all instances, the diagnosis was made by history and physical, roentgenological and electrographic examinations. In addition, in 53 patients, special diagnostic procedures were carried out either for diagnosis or for evaluation of pulmonary hypertension and associated cardiovascular anomalies. Right cardiac catheterization was resorted to in 51 patients. In one of these patients catheterization was incorrectly interpreted [ventricular septal defect]. Retrograde aortogram was performed in two patients. In both cases the ductus itself was visualized on the x-ray film. An additional vascular anomaly, namely the persistent left superior vena cava, was confirmed by retrograde angiogram in one of them. In 5 cases the pulmonary arterial pressure was elevated well over 80 mmHg. In these instances,the operative mortality was 80% [4 out of 5 patients]. The management of patent ductus arteriosus when associated with severe pulmonary hypertension. and/or other cardiac anomalies is controversial. Opinions differ as to how to close the ductus and to repair the cardiac anomalies as well as to whether a one-staged or two-staged procedure should be resorted to. The author is of the that each case must be evaluated individually before any specific surgical treatment is ou.tlined. The literature on the subject is reviewed in this paper.

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성인 선천성 심장기형의 외과적 치료 (Surgical correction of congenital heart defects in adult)

  • 신현종
    • Journal of Chest Surgery
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    • 제22권1호
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    • pp.95-105
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    • 1989
  • The records of 248 patients over 16 years of age who had undergone a surgical correction of a congenital cardiovascular malformation during the period of 10 years from August, 1978 to July, 1988 were reviewed. During this period, the incidence of congenital cardiovascular malformation in adult was 18.2% of 1376 total heart disease operated on and 25.5% of 986 congenital heart defects. Among them, there were 200 patients in acyanotic group and 48 patients in cyanotic group. Male versus female ratio was 1:1.28. The oldest patient was 59 years old female who had atrial septal defect. The mean age was 24.4 years old. The distribution of the lesions showed a large preponderance of atrial septal defects [37.19o] followed in frequency by ventricular septal defects [918.1%], patent ductus arteriosus [17.3%], tetralogy of Fallot [16.1%], and a variety of other complex malformations[3.2%]. In the pediatric age group, relative frequency was different from that of this adult group, showing ventricular septal defects, tetralogy of Fallot, patent ductus arteriosus and atrial septal defects in order of incidence. The hospital mortality and late mortality were 6.0% and 1.7% respectively. The causes of hospital death were low cardiac output in 10 patients, arrhythmia in 2, air embolism in 1, sepsis in 1 and respiratory failure in l. Clinical improvement upto NYHA functional class I or II postoperatively has been achieved and sustained in all patients following repair except the patients of late death and receiving reoperation. This result confirms that congenital heart defects in the adults can be corrected with a good outcome and an aggressive operative approach seems justified.

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부분 폐정맥 환류 이상과 심실 중격 결손을 동반한 대동맥 축착증의 완전교정 -1예 보고- (Surgical Management of Coarctation of the Aorta with a Ventricular Septal Defect and Coexisting Partial Anomalous Pulmonary Venous Connection -A case report-)

  • 김시호;이영석;우종수;조광조
    • Journal of Chest Surgery
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    • 제39권6호
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    • pp.479-481
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    • 2006
  • 심부전으로 입원한 3.4 kg 여자 환아에게서 심실 중격 결손을 동반한 대동맥 협착증과 함께 좌측 폐정맥의 환류 이상이 의심되었다. 심혈관 영화 촬영상에서 좌측 상부 폐정맥이 무명 정맥으로 환류되는 것을 확인하였고 생후 19일째 수술적 완전 교정을 시도하여 성공적인 결과를 얻었기에 보고하는 바이다.

MRONJ 예방과 치료를 위한 최신지견 (Contemporary Concept for Prevention and treatment of MRONJ (Medication Related Osteonecrosis of Jaw))

  • 박정현;김선종
    • 대한치과의사협회지
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    • 제54권4호
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    • pp.274-283
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    • 2016
  • Bisphosphonates are widely used mainly for the treatment of osteoporosis and bone metastasis of malignancy. Since the first report of MRONJ, there have been many studies associated, however the pathogenesis of MRONJ is not yet clear. Medication-related osteonecrosis of the jaws (MRONJ) is a serious complication associated with long-term medication therapy. It is characterized by exposed necrotic bonein the jaw, which has persisted for more than 8weeks despite continuous treatment by dentist. The mechanism of development of MRONJ is still unclear and there is no definitive standard treatment for MRONJ. The purpose of this study is to investigate the jaw bone destruction mechanism of accumulated bisphosphonates, so that we can develop therapeutic method to repair the defect and stop the destruction process. The authors performed simultaneous application of PRF(Platelet rich fibrin) and BMP-2(Bone morphogenetic protein-2) to stimulate not only soft tissue healing but also osseous regeneration. Our case series demonstrate that simultaneous application of platelet rich fibrin and bone morphogenetic protein-2 can be a treatment of choice for MRONJ.

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성인 활로씨 사징증의 외과적 교정 (Surgical Correction of TO in Adults - 42 Cases Report -)

  • 안욱수
    • Journal of Chest Surgery
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    • 제24권1호
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    • pp.1-7
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    • 1991
  • This report describes our 10-year experience with intracardiac repair in 42 patients older than 16 year with tetralogy of Fallot. The mean age was 22.0$\pm$5.18 years[range 16~41]. The preoperative clinical manifestations were cyanosis & clubbing[93%], frequent URI [55%], anoxic spell[40%], pulmonary tuberculosis[21%], tuberculous empyema[7%], chronic renal failure[7%], congestive heart failure[7%] and subacute bacterial endocarditis [2%], etc. The previous shunt procedure for palliation had been performed in 7 patients. The type of VSD were typical perimembranous type[67%], total canal defect[28%] and combined type[5%]. The right ventricular outflow tract obstruction were combined type[69%], infundibular type[21%] and valvular type[10%]. Transannular patch was used in 50% of patients. Associated cardiovascular anomalies were ASD[33%], PFO[31%], Rt. aortic arch[10%], Lt. SVC[10%], single Rt. pulmonary artery, single Lt. coronary artery, ASI, proximal stenosis of Rt. pulmonary artery and anomalous systemic venous return, etc. Hospital mortality was 7.1%[3 cases]in overall. The causes of hospital deaths were revealed low cardiac output & acute renal failure[2 cases], postoperative bleeding[1 case]. There were 2 late deaths 3 & 68 months after surgery. Residual intracardiac shunt was detected in 2 patients. one patient was successfully reoperated and another patient had Qp /Qs ratio less than 1.5.

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