• Title/Summary/Keyword: EPT

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Use of ultrasound Doppler to determine tooth vitality in a discolored tooth after traumatic injury: its prospects and limitations

  • Cho, Yong-Wook;Park, Sung-Ho
    • Restorative Dentistry and Endodontics
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    • v.39 no.1
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    • pp.68-73
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    • 2014
  • When a tooth shows discoloration and does not respond to the cold test or electric pulp test (EPT) after a traumatic injury, its diagnosis can be even more difficult due to the lack of proper diagnostic methods to evaluate its vitality. In these case reports, we hope to demonstrate that ultrasound Doppler might be successfully used to evaluate the vitality of the tooth after trauma, and help reduce unnecessary endodontic treatments. In all three of the present cases, the teeth were discolored after traumatic injuries and showed negative responses to the cold test and EPT. However, they showed distinctive vital reactions in the ultrasound Doppler test during the whole observation period. In the first case, the tooth color returned to normal, and the tooth showed a positive response to the cold test and EPT at 10 wk after the injury. In the second case, the tooth color had returned to its normal shade at 10 wk after the traumatic injury but remained insensitive to the cold test and EPT. In the third case, the discoloration was successfully treated with vital tooth bleaching.

Strengthening Depth Effect in Externally Post-tensioning Shear Strengthening of Pre-cracked Reinforced Concrete Beam (사전균열이 발생한 철근콘크리트 보의 외적 포스트텐셔닝 전단보강에서 보강깊이의 효과)

  • Lee, Swoo-Heon;Shin, Kyung-Jae;Lee, Hee-Du
    • Journal of the Architectural Institute of Korea Structure & Construction
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    • v.34 no.11
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    • pp.19-26
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    • 2018
  • This paper presents the shear strengthening effect of externally post-tensioning (EPT) method using high-strength steel rod in pre-cracked reinforced concrete (RC) beams. Three- and four-point bending tests were performed on a total of 8 specimens by adjusting the strengthening depths in the deviator position of EPT. The effective strengthening depths were 435, 535, and 610 mm. The pre-loading up to about 2/3 of ultimate load capacity measured in unstrengthened RC beam were applied in the beam to be post-tensioned. The EPT method was then applied to the pre-damaged RC beams and re-loading was added until the end of the test. EPT restored deflections of 3 mm or more, which account for about 40% of deflection when the pre-loading was applied. The shear strengthening increases more than 3 times and 36~107% in terms of the stiffness and load-carrying capacity compared to unstrengthening RC beams. The increased load-carrying capacities of the post-tensioned beam with strengthening depths of 435 and 535 mm are almost the same as 36~61%, and those of 610 mm are 84~107%, which shows the greatest shear strengthening effect.

Bond behavior investigation of ordinary concrete-rebar with hinged beam test and eccentric pull-out test

  • Arslan, Mehmet E.;Pul, Selim
    • Computers and Concrete
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    • v.26 no.6
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    • pp.587-593
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    • 2020
  • In this study, bond behavior of ordinary concrete and rebars with different diameters and development length was investigated by using Hinged Beam Test (HBT) and Eccentric Pull-Out Test (EPT) comparatively. For this purpose, three different rebar size and development length depending on rebar diameter were chosen as variables. Three specimens were produced for each series of specimens and totally 54 specimens were tested. At the end of the tests it was observed that obtained results for both tests were quite similar. On the other hand, increased bar size, especially for the specimen with 14 mm bar size and 14 development length (lb), caused shear failure of test specimens. This situation infers that when bigger bar size and lb are used in such test, dimensions of test specimens should be chosen bigger and stirrups should be used for producing of test specimens to obtain more adequate result by preventing shear failure. Also, a nonlinear regression analysis was employed between HBT and EPT results. There was a high correlation between the EPT values, lb, rebar diameters and estimated theoretical HBT. In addition, at the end of the study an equation was suggested to estimate bond strength for HBT by using EPT results.

Pulp Vitality Evaluation and Comparison with Old Methods Using Pulse Oximetry (맥박산소측정기(pulse oximetry)를 이용한 치수 생활력 측정과 기존 방법과의 비교)

  • Kwon, Ik-Jae;Seo, Kwang-Suk;Kim, Jung-Wook;Chang, Ju-Hea;Kong, Hyoun-Joong
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.1
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    • pp.17-23
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    • 2012
  • Background: This study evaluated pulp vitality of anterior permanent teeth using pulse oximetry (PO), which is already used for monitoring of patient's $SpO_2$ and pulse rates (PR). Also we compared with ice tests and electric pulp test (EPT). Methods: 9 teeth, endodontic treated, were selected as non-vital teeth group. 17 vital teeth were selected as control group. Our aim is to compare sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of ice test, electric pulp test and pulse oximetry, respectively. Pulse oximetry has two test results, $SpO_2$ and pulse rates. Also we calculated correlation and statistical significances by Pearson's test between EPT and pulse oximetry. Results: Sensitivity, specificity, PPV, NPV were calculated on each tests. Ice test has results of 1.00, 0.89, 0.94 and 1.00, respectively. EPT has results of 0.94, 0.78, 0.89 and 0.88 respectively. $SpO_2$ has results of 0.94, 1.00, 1.00 and 0.90, respectively. PR has results of all 1.00. Conclusions: PO showed relatively accurate, stable and objective results on both $SpO_2$ and PR. Percentage of ability of accurate diagnosis for vital teeth is 94% for ice test, 89% for EPT, 100% for $SpO_2$ and PR. Percentage of ability of accurate diagnosis for non-vital teeth is 100% for ice test, 88% for EPT, 90% for $SpO_2$ and 100% for PR. In additions, PR could be more accurate and significant tests than $SpO_2$.

The Effectiveness of the Empowering Parents Training Program for the Improvement of children's Basic Life Habits (EPT 부모교육 프로그램이 유아의 기본생활습관 향상에 미치는 효과)

  • Park, Hee Suk;Chung, Ock Boon
    • Korean Journal of Child Studies
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    • v.22 no.2
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    • pp.15-28
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    • 2001
  • This study investigated the effectiveness of the Empowering Parents Training(EPT) program of the Settling Life Foundation on the improvement of children's basic life habits, a parent education program. The subjects were 72 mothers of 3- to 6-year-old children in 2 kindergartens located in Yangchun-gu and Nowon-gu in the City of Seoul. There were 36 mothers each in the experimental group and the control group. The mothers in the experimental group took part in a $2{\frac{1}{2}}$ hour Settling Life Foundation program in 4 sessions. The results revealed differences between the experimental and control groups in children's basic life habits. Mothers taking part in the program showed very positive reactions.

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Effects of Cooling Rate and Equilibration Time on the Survival and Development of Frozen-thawed Bovine Immature Oocytes (동결속도와 평형시간이 소 미성숙 난자의 동결 융해후 생존율에 미치는 영향)

  • 양병철;양보석;성환후;임기순;최선호;장원경;진동일;임경순
    • Korean Journal of Animal Reproduction
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    • v.25 no.1
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    • pp.19-28
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    • 2001
  • The present study was undertaken to investigate the effects of cooling rate and equilibration time on the survival, in vitro maturation and development to embryos of frozen-thawed bovine immature oocytes(Germinal Vesicle Stage). The cryoprotectants are used 10% ethylene glycol(EG) as permeating cryoprotectant and 0.05M soc.ose(S) or trehalose(T) as low molecular weight nonpermeating cryoprotectants and 5% ficoll(F) or polyvinylpyrrolidone(PVP) as high molecular weight nonpermeating cryoprotectants. Four freezing solution were uysed in this experiment(EFT: 10% EG + 5% F + 0.05M T, EFS: 10% EG + 5% F + 0.05M S, EPT: 10% EG + 5% P + 0.05M T, EPS: 10% EG + 5% P + 0.05M S). The best equilibration time and freezing solution was 15 min in EPT(83% survival rate of frozen-thawed bovine immature oocytes). When frozen-thawed bovine oocytes were cultured following IVM and IVF, there was no significant difference in cleavage and development rates among the EFT, EFS, EPT and EPS solutions. When 9 blastocysts derived from frozen bovine oocytes were transferred to 6 recipients, two recipients were pregnant. And one was aborted at 45 days of pregnancy and the other had a stillbirth.

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Clinical Manifestation of Extrapulmonary Tuberculosis in Children : A Single Center Experience (단일기관에서 경험한 소아 폐외결핵의 임상적 고찰)

  • Seung, So Jin;Kwak, Ga Young;Lee, Soo Young;Kang, Jin Han
    • Pediatric Infection and Vaccine
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    • v.15 no.2
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    • pp.167-173
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    • 2008
  • Purpose : We evaluated the prevalence and clinical, microbiological features of extrapulmonary tuberculosis (EPT) in pediatric patients. Methods : We retrospectively reviewed medical records of pediatric patients diagnosed with EPT at The Catholic University of Korea, Incheon St. Mary's Hospital between 2000 and 2007. Results : Of 109 patients diagnosed with tuberculosis (TB), 12 patients (11%) were admitted with EPT. At 2006-2007, the proportion of patients with EPT among patients with TB was the highest (20%) comparing with last 6 years. The ratio of male to female patients was 1.4:1 and the mean age was 9.2 years (range, 3 months-15 years). The involved sites were pleura in 5 (41.6%), central nervous system in 3 (25%), miliary TB in 2 (16.7%), gastrointestinal tract in 1 (8.3%) and bone and joint in 1 (8.3%). The most common symptom at admission was fever (91.6%) and mean duration of fever was 15.8 days (range, 0-47 days) in spite of the proper treatment. Confirmed rate for acid fast bacillus stain, culture, and polymerase chain reaction were 33.3%, 41.6% and 41.6%. Of 5 culture proven cases, 4 (80%) were resistant to more than one antituberculosis drugs. Eleven patients recovered without complication and 1 patient died. Conclusion : Total incidence of TB decreased steadily according to the nationwide survey. However, our results suggest that the proportion of diagnosis with EPT among diagnosis with TB in children has increased. Microbiological diagnosis of EPT in children was more difficult than that of pulmonary TB. And drug resistance rate has increased.

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Coronary Computed Tomography Angiography for the Diagnosis of Vasospastic Angina: Comparison with Invasive Coronary Angiography and Ergonovine Provocation Test

  • Jiesuck Park;Hyung-Kwan Kim;Eun-Ah Park;Jun-Bean Park;Seung-Pyo Lee;Whal Lee;Yong-Jin Kim;Dae-Won Sohn
    • Korean Journal of Radiology
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    • v.20 no.5
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    • pp.719-728
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    • 2019
  • Objective: To investigate the diagnostic validity of coronary computed tomography angiography (cCTA) in vasospastic angina (VA) and factors associated with discrepant results between invasive coronary angiography with the ergonovine provocation test (iCAG-EPT) and cCTA. Materials and Methods: Of the 1397 patients diagnosed with VA from 2006 to 2016, 33 patients (75 lesions) with available cCTA data from within 6 months before iCAG-EPT were included. The severity of spasm (% diameter stenosis [%DS]) on iCAGEPT and cCTA was assessed, and the difference in %DS (Δ%DS) was calculated. Δ%DS was compared after classifying the lesions according to pre-cCTA-administered sublingual nitroglycerin (SL-NG) or beta-blockers. The lesions were further categorized with %DS ≥ 50% on iCAG-EPT or cCTA defined as a significant spasm, and the diagnostic performance of cCTA on identifying significant spasm relative to iCAG-EPT was assessed. Results: Compared to lesions without SL-NG treatment, those with SL-NG treatment showed a higher Δ%DS (39.2% vs. 22.1%, p = 0.002). However, there was no difference in Δ%DS with or without beta-blocker treatment (35.1% vs. 32.6%, p = 0.643). The significant difference in Δ%DS associated with SL-NG was more prominent in patients who were aged < 60 years, were male, had body mass index < 25 kg/m2, and had no history of hypertension, diabetes, or dyslipidemia. Based on iCAG-EPT as the reference, the per-lesion-based sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of cCTA for VA diagnosis were 7.5%, 94.0%, 60.0%, 47.1%, and 48.0%, respectively. Conclusion: For patients with clinically suspected VA, confirmation with iCAG-EPT needs to be considered without completely excluding the diagnosis of VA simply based on cCTA results, although further prospective studies are required for confirmation.