• Clinics in Shoulder and Elbow
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• 제21권4호
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• pp.246-251
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• 2018

Compared to single row repair, use of lateral row anchors in suture bridge rotator cuff repair enhances repair strength and increases footprint contact area. If a lateral knotless anchor (push-in design) is inserted into osteoporotic bone, pull-out of the lateral row anchor can developed. However, failures of lateral row anchors have been reported at several months after surgery. In our cases, even though complete cuff healing occurred, delayed pull-out of the lateral row anchor in the suture bridge repair occurred. In comparison to a conventional medial anchor, further biomechanical evaluation of the pull-out force, design, and insertion angle of the lateral anchor is needed in future studies. We report three cases with delayed pull-out of lateral row anchor in suture bridge rotator cuff repair with a literature review.

• Restorative Dentistry and Endodontics
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• 제22권1호
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• pp.93-109
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• 1997

Finding a right repair material for furcation perforation is one of the major issues in clinical endodontics. In this experiment, three materials, calcium sulfate, amalgam, and calcium hydroxide were tested for perforated furcation repair. Sixty premolars and molars of five dogs were used. A #4 round bur was used to create the perforation. All experimental teeth were divided into two repair-time groups. One was immediate-repair group, where the perforation was repaired immediately, the other was delayed-repair group, where the perforation was left open for four weeks and then repaired with the same manner as in the immediate-repiar group. All chamber openings were sealed with amalgam and then radiographed. The animals were sacrificed at eighth week following the repair procedure. Radiographic evaluation for furcal bone destruction was done. Histologic evaluation was ranked as 0,1,2,3 according to the inflammation degrees. New bone formation was also recorded. The following conclusions were drawn within the limits of the experimental results: 1. In immediate-repair group, no significant differences existed between the materials. 2. In delayed-repair group, calcium sulfate showed significantly less furcal bone destruction and lower inflammation degree than amalgam.(p<0.05) 3. Overextruded specimens showed more severe inflammation than unextruded specimens. 4. Most of the specimens showed certain degrees of inflammatory reaction and incomplete hard tissue healing. 5. In delayed-repair group, treated group showed less inflammation than untreated control group.

• Clinics in Shoulder and Elbow
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• 제22권4호
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• pp.190-194
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• 2019

Background: The duration of immobilization after arthroscopic rotator cuff repair and the optimal time to commence rehabilitation are still the subject of ongoing debates. This study was undertaken to evaluate the functional outcome and rotator cuff healing status after arthroscopic rotator cuff repair by comparing early and delayed rehabilitation. Methods: Totally, 76 patients with small, medium, and large sized rotator cuff tears underwent arthroscopic repair using the suturebridge technique. In early rehabilitation group, 38 patients commenced passive range of motion at postoperative day 2 whereas 38 patients assigned to the delayed rehabilitation group commenced passive range of motion at postoperative week 3. At the end of the study period, clinical and functional evaluations (Constant score, the University of California, Los Angeles [UCLA] shoulder score) were carried out, subsequent to measuring the range of motion, visual analogue scale for pain, and isokinetic dynamometer test. Rotator cuff healing was confirmed by magnetic resonance imaging at least 6 months after surgery. Results: No significant difference was obtained in range of motion and visual analogue scale between both groups. Functional outcomes showed similar improvements in the Constant score (early: 67.0-88.0; delayed: 66.9-91.0; p<0.001) and the UCLA shoulder score (early: 20.3-32.3; delayed: 20.4-32.4; p<0.001). Furthermore, rotator cuff healing showed no significant differences between the groups (range, 6-15 months; average, 10.4 months). Conclusions: Delayed passive rehabilitation does not bring about superior outcomes. Therefore, early rehabilitation would be useful to help patients resume their daily lives.

• 한국방사선학회논문지
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• 제11권3호
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• pp.147-151
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• 2017

HFL-I 세포를 이용하여 immediate assay를 시행하였다. 발생한 repair의 양이 없기 때문에 $LogSn=-n{\gamma}({\alpha}d+{\beta}d^2$)에서 ${\gamma}$의 값은 1이며 이는 LQ model과 같다. 그리고 세포생존율의 데이터를 바탕으로 ${\alpha}$, ${\beta}$, ${\alpha}/{\beta}$의 값을 얻었다. 또한 12시간, 36시간, 48시간 후 delayed assay를 시행하여 marchese model 통해 ${\gamma}$값을 도출한 후 Pot entially lethal damage repair (PLDR)가 발생한 양을 확인하였다. delay time이 길어질수록 ${\gamma}$값은 감소함으로써 PLDR의 양이 증가함을 확인하였고 이에 따라 세포생존율은 상승됨을 보였다. 탄소빔의 1분할, 2분할, 3분할, 4분할 조사 시 각각의 interval 시간동안 나타나는 ${\gamma}$값 역시 감소하고 있음을 확인하여 PLDR의 발생을 확인할 수 있었지만 ${\gamma}$값만 감안한 marchese model을 surviving fraction값에 적용 시 오류 발생함을 보였다. 이는 탄소빔 분할조사 시 다른 회복의 매커니즘이 존재함을 뜻하여 이를 적용할 수 있는 새로운 파라미터가 고려되어져야 할 것이다.

• 구강회복응용과학지
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• 제34권2호
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• pp.89-96
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• 2018

목적: 본 연구의 목적은 비스 아크릴 복합 레진의 수리 시 지연시간, 표면처리, 수리재료가 미치는 영향을 전단 결합강도 비교를 통해 알아보고, 폴리메틸 메타크릴레이트 레진을 이용한 비스 아크릴 복합 레진 수리의 효용성을 평가하고자 하는 것이다. 연구 재료 및 방법: 총 90개의 비스 아크릴 복합 레진 시편을 제작하였고, 지연시간, 표면처리, 수리재료에 따라 10개씩 9개의 실험군으로 분류하였다. 각각의 시편들은 제작 직후 만능시험기를 사용하여 전단 결합강도를 측정하였고, 통계분석 프로그램(IBM SPSS statistics 20)을 이용하여 분석하였다. 전단 결합강도 측정 후 시편의 파절 단면을 관찰하였다. 결과: 시편 제작 직후, 접착제(bonding agent)를 이용하여 광중합형 유동성 복합 레진을 접착한 실험군에서 가장 높은 전단 결합강도를 보였다($17.54{\pm}3.14MPa$). 결론: 비스 아크릴 복합 레진을 수리할 때 경과시간에 따라 재제작 여부를 고려해야 하며, 효과적인 수리를 위해 사용부위나 목적에 따라 알맞은 재료와 표면처리 방법을 고려하는 것이 바람직할 것이다.

• 건축역사연구
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• 제29권4호
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• pp.7-16
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• 2020

The purpose of this study is to reveal the development process of modern repair systems in the Korean peninsula. Sasungjeon, one of the main buildings of Jangansa temple located in Geumgangsan, was repaired from 1941 to 1944. It was the very last restoration work of historic wooden architecture performed during the Japanese colonial era. This work was delayed multiple times because of insufficient materials and human resources. The Bureau of Education(學務局), which was in charge of repair work, understood that the problems of the repair system and suggested reorganizing the system as a solution. This study examined the repair work of Sasungjeon as a background of the bureau's suggestion and considered this suggestion as an attempt to transform the repair system.

• Journal of Chest Surgery
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• 제28권11호
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• pp.977-982
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• 1995

Early repair of complex congenital heart malformation may lead to life-threatening respiratory and hemodynamic embarrassment on sternal closure. We performed delayed sternal closure in nine neonates to avoid a fatal outcome in these situations. Primary elective open sternum was used in 8 [66.7% and primary sternal closure in 4 [33.3% of the 12 patients studied. one patient with primary sternal closure underwent delayed sternal reopening in the intensive care unit. Of the 9 patients with open sternum, 2 patients died of low cardiac output and acute renal failure respectively before delayed sternal closure. 7 patients could undergo delayed sternal closures 3 days after initial operation. The mean age at open cardiac procedure was 14.3 days [range 3 to 30 and mean preoperative weight was 3.4kg [range 2.8 to 4.1 . The aortic cross-clamping time was longer in the group with open sternum than the group with closed sternum [p=0.042 . There was no morbidity and mortality related to delayed sternal closure. Given the low morbidity and potential benifits, this technique should be used in neonates after open heart procedures when postoperative mediastinal compression produces frank low cardiac output or respiratoy compromise during a trial of sternal closure.

• 한국주거학회논문집
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• 제17권5호
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• pp.87-95
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• 2006

Building components have been deteriorated by various factors such as location, a building type, a surrounding environment and so on. In addition, each component has a peculiar characteristics, compared with other components in properties of matter an used part. Building components would be required to maintain its function and performance to provide the resident with a decent living condition. It is important to decide the repair time, scope and a required cost in repair plan, considering the each component's characteristics. In this parer, it aimed at providing the economic repair pattern to analyze the relation of the time-elapse and the cumulative repair cost in the apartment housing using 3rd quadratic function. Results of the study are as follows: First, the shape of the function for the economic repair is classified into two type. One is the continuous increase type of the cumulative cost which properly means the iterative repair type after built. The other is that the function has the maximum state at a point which means one-repair after its repair would be delayed to a scheduled time. Second, the iterative repair pattern would include window, roof proof, lighting and water supply pipe. The other repair pattern would include the paintings, heating pipe and sign board.

• 대한두개안면성형외과학회지
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• 제19권4호
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• pp.300-303
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• 2018

Intraorbital wooden foreign bodies may present difficulties in diagnosis due to their radiolucent nature. Delayed recognition and management can cause significant complications. We present a case report that demonstrates these problems and the sequela that can follow. A 56-year-old man presented with a 3-cm laceration in the right upper eyelid, sustained by a slipping accident. After computed tomography (CT) scanning and ophthalmology consultation, which revealed no fractures and suggested only pneumophthalmos, the wound was repaired by a plastic surgery resident. Ten days later, the patient's eyelid displayed signs of infection including pus discharge. Antibiotics and revisional repair failed to solve the infection. Nearly 2 months after the initial repair, a CT scan revealed a large wooden fragment in the superomedial orbit. Surgical exploration successfully removed the foreign body and inflamed pocket, and the patient healed uneventfully. However, the prolonged intraorbital infection had caused irreversible damage to the superior rectus muscle, with upgaze diplopia persisting 1 year after surgery and only minimal muscle function remaining. We report this case to warn clinicians of the difficulties in early diagnosis of intraorbital wooden foreign bodies and the grave prognosis of delayed management.

• Archives of Plastic Surgery
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• 제48권6호
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• pp.714-716
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• 2021