• 제목/요약/키워드: Experimental surgery

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수종의 레진 모노머가 우식 유발성 세균의 활성에 미치는 영향 (EFFECT OF RESIN MONOMERS ON THE ACTIVITY OF CARIOGENIC BACTERIA)

  • 서영주;국중기;윤정훈;김수관;이난영;이상호
    • 대한소아치과학회지
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    • 제31권2호
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    • pp.247-255
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    • 2004
  • 이전의 연구에서 레진 재료를 포함한 여러 수복재료에서의 유출물이 우식 유발 세균의 성장에 영향을 줄 수 있다는 보고가 있었다. 이번 연구의 목적은 대표적인 우식 유발 세균인 Streptococcus mutans와 Streptococcus sobrinus의 성장에 대하여 레진을 구성하는 모노머들(Bis-GMA, TEGDMA, EGDMA, UDMA, HEMA, Camphoroquinone)이 어떠한 영향을 줄 수 있는지에 대하여 알아보고자 하는 것이다. 결과는 다음과 같다. 1. S. mutans와 S. sobrinus의 성장률은 6가지 레진 모노머 모두에서 0.03 mmol/L의 농도에 서 유의할만하게 감소되었다. 2. S. mutars의 성장률은 0.01 mmol/L 농도의 UDMA와 0.005mmol/L, 0.01 mmol/L 농도의 Camphoroquinone에서 대조군에 비하여 유의 할만하게 감소되었다. 3. S. sobrinus의 성장률은 0.01 mmol/L 농도의 HEMA, UDMA와 0.005 mnol/L, 0.01 mmol/L 농도의 Camphoroquinone에서 대조군에 비하여 유의할만하게 감소되었다. 4. S. sobrinus의 성장률은 0.001, 0.01, 0.03 mmol/L농도에서 대조군에 비하여 유의할만한 감소를 보였으며 각 실험군들 간에도 통계학적으로 유의 할만한 차이를 보였다. 이상의 결과를 종합하면 레진 모노머를 적용한 모든 군에서 적용하지 않은 양성 대조군에 비해 두세균의 증식률이 감소되었으며, 세균의 성장을 촉진하지 않는 것으로 사료된다.

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자궁적출술 환자의 진통제 투여시작 시기에 따른 수술 후 통증호소 비교(IV-Patient Controlled Analgesia를 이용하여) (Comparative Study of Postoperative Analgesic Effect of IV-PCA According to Timing of Infusion in Patients with Total Abdominal Hysterectomy)

  • 박정옥;이평애;조유숙;박미미;김혜숙;박지원;민상기
    • 기본간호학회지
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    • 제9권2호
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    • pp.323-334
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    • 2002
  • Purpose: This study was designed to verify preemptive effects of intravenous patient-controlled analgesia (IV-PCA) infusion on postoperative pain in women having a total abdominal hysterectomy. Method: The research design was a nonequivalent control group post test only design. The participants in this study were 50 women who were scheduled for a total abdominal hysterectomy at a University affiliated Hospital in Suwon, Korea. The subjects were divided into two groups. For the experimental group, IV-PCA infusion was started before the skin incision and for the control group. IV-PCA infusion was started after the skin was closed. Each group was evaluated in terms of pain score by the visual analogue scale (VAS) and the number of times they pushed the button for IV-PCA at postoperative hours 1, 2, 3, 6, 12, and 24. The data were collected from July 1 to December 10, 2001. Collected data was analyzed by SPSS/PC + program. Result: 1. There was no difference between the two groups, over six points for the number of times the control button for IV-PCA was used. Group differences and interaction effect were not significant. 2. There was no significant difference in pain scores between the two groups, over seven time points. A significant interaction effect was observed between groups and measurement Points in time. 3. There was a significant difference in the requirements for additional analgesia between the two groups, 32% of the control group received additional analgesia. Conclusion: Preemptive analgesics administration may have a better effect in relieving postoperative pain than the usual analgesic treatment which is started after surgery.

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실시간 초음파를 이용한 횡격막 호흡 훈련이 흉곽 가동성 제한이 있는 젊은 여성들의 폐 기능에 미치는 영향 (Effects of Diaphragmatic Breathing Training Using Real-time Ultrasonography on Chest Function in Young Females With Limited Chest Mobility)

  • 남수진;심재훈;오덕원
    • 한국전문물리치료학회지
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    • 제24권2호
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    • pp.27-36
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    • 2017
  • Background: Research efforts to improve the pulmonary function of people with limited chest function have focused on the diaphragmatic ability to control breathing pattern. Real-time ultrasonography is appropriate to demonstrate diaphragmatic mechanism during breathing. Objective: The purpose of this study was to investigate the effects of diaphragmatic breathing training using real-time ultrasonographic imaging (RUSI) on the chest function of young females with limited chest mobility. Methods: Twenty-six subjects with limited chest mobility were randomly allocated to the experimental group (EG) and control group (CG) depending on the use of RUSI during diaphragmatic breathing training, with 13 subjects in each group. For both groups, diaphragmatic breathing training was performed for 30-min, including three 10-min sets with a 1-min rest interval. An extra option for the EG was the use of the RUSI during the training. Outcome measures comprised the diaphragmatic excursion range during quiet and deep breathing, pulmonary function (forced vital capacity; FVC, forced expiratory volume in 1-sec; FEV1, tidal volume; TV, and maximal voluntary ventilation; MVV), and chest circumferences at upper, middle, and lower levels. Results: The between-group comparison revealed that the diaphragmatic excursion range during deep breathing, FVC, and middle and lower chest circumferences were greater at post-test and that the changes between the pretest and post-test values were greater in the EG than in the CG (p<.05). In addition, the subjects in the EG showed increased post-test values for all the variables compared with the pretest values, except for TV and MVV (p<.05). In contrast, the subjects in the CG showed significant improvements for the diaphragmatic excursion range during quiet and deep breathings, FVC, FEV1, and middle and lower chest circumferences after the intervention (p<.05). Conclusion: These results indicate that using RUSI during diaphragmatic breathing training might be more beneficial for people with limited chest mobility than when diaphragmatic breathing training is used alone.

뒤통수밑근 이완기법과 병행된 고주파 심부투열이 만성 긴장성 두통 환자들의 압통과 목 가동성 및 기능장애에 미치는 영향 (Effects of High-frequency Diathermy Integrated into Suboccipital Release on Tenderness and Neck Mobility and Disability in People with Chronic Tension-type Headache)

  • 이형렬;심재훈;오덕원
    • 한국전문물리치료학회지
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    • 제24권2호
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    • pp.37-47
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    • 2017
  • Background: Active trigger points (TrPs) of the suboccipital muscles greatly contribute to the occurrence of chronic tension-type headache, with increased sensitivity of TrPs and facilitated referred pain. Objects: This study aimed to investigate whether the integration of high-frequency diathermy into suboccipital release is more beneficial than the use of suboccipital release alone. Methods: Thirty subjects were assigned to either experimental group-1 (EG-1) to undergo suboccipital release combined with high-frequency diathermy (frequency: 0.3 MHz, and electrode type: resistive electronic transfer), or EG-2 to undergo suboccipital release alone, or the control group (CG) with no intervention, with 10 subjects in each group. The assessment tools included the headache impact test 6 (HIT-6), perceived level of tenderness, neck disability index, and neck mobility. Intervention was performed for 10 minutes, twice per week, for 4 weeks, and measurements were performed before and after the interventions. Results: The between-group comparison of the post-test values and changes between pretest and post-test showed significant differences for all parameters at p<.05, except for the left-to-right lateral bending range. In the post hoc test, EG-1 showed significant differences for the parameters in comparison with the CG, while no significant differences in the perceived tenderness level, on both temporal regions, were found between EG-2 and CG. Furthermore, the HIT-6 score and perceived tenderness level, in the right temporal region, showed significant differences between EG-1 and EG-2. In the within-group comparison, EG-1 and EG-2 appeared to be significantly different between pretest and post-test (p<.05), except for the perceived tenderness level in the right temporal region, with significance for the EG-1 group only (p<.05). Conclusion: These findings suggest that the suboccipital release technique may be advantageous to improve headache, tenderness, and neck function and mobility, with more favorable effects with the incorporation of high-frequency diathermy.

Rabbit maxillary sinus augmentation model with simultaneous implant placement: differential responses to the graft materials

  • Kim, Young-Sung;Kim, Su-Hwan;Kim, Kyoung-Hwa;Jhin, Min-Ju;Kim, Won-Kyung;Lee, Young-Kyoo;Seol, Yang-Jo;Lee, Yong-Moo
    • Journal of Periodontal and Implant Science
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    • 제42권6호
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    • pp.204-211
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    • 2012
  • Purpose: This study was performed to establish an experimental rabbit model for single-stage maxillary sinus augmentation with simultaneous implant placement. Methods: Twelve mature New Zealand white rabbits were used for the experiments. The rabbit maxillary sinuses were divided into 3 groups according to sinus augmentation materials: blood clot (BC), autogenous bone (AB), and bovine-derived hydroxyapatite (BHA). Small titanium implants were simultaneously placed in the animals during the sinus augmentation procedure. The rabbits were sacrificed 4 and 8 weeks after surgery and were observed histologically. Histomorphometric analyses using image analysis software were also performed to evaluate the parameters related to bone regeneration and implant-bone integration. Results: The BC group showed an evident collapse of the sinus membrane and limited new bone formation around the original sinus floor at 4 and 8 weeks. In the AB group, the sinus membrane was well retained above the implant apex, and new bone formation was significant at both examination periods. The BHA group also showed retention of the elevated sinus membrane above the screw apex and evident new bone formation at both points in time. The total area of the mineral component (TMA) in the area of interest and the bone-to-implant contact did not show any significant differences among all the groups. In the AB group, the TMA had significantly decreased from 4 to 8 weeks. Conclusions: Within the limits of this study, the rabbit sinus model showed satisfactory results in the comparison of different grafting conditions in single-stage sinus floor elevation with simultaneous implant placement. We found that the rabbit model was useful for maxillary sinus augmentation with simultaneous implant placement.

성견의 열개형 골결손 부위에 골형성 유도술식을 동반한 임플란트 식립 후의 골형성 : pilot study (Bone formation following dental implant placement with augmentation materials at dehiscence defects in dogs : pilot study)

  • 정지윤;손주연;채경준;김성태;정성민;이인섭;조규성;김종관;최성호
    • Journal of Periodontal and Implant Science
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    • 제38권2호
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    • pp.191-198
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    • 2008
  • Purpose: Guided bone regeneration(GBR) has emerged as a treatment in the management of osseous defects associated with dental implants. But several studies have reported different degrees of success of guided bone regeneration, depending upon the type of barrier selected, presence or absence of an underlying graft material, types of graft material, feasibility of technique, and clinician's preference. The aim of the present study was to evaluate bone formation following dental implant placement with augmentation materials at dehiscence defects in dogs. Material and Methods: Standardized buccal dehiscence defects($3{\times}5\;mm$) were surgically 2 Mongrel dog's mandibles, each 8 SLA surface, 8 anodizing surface implants. Each buccal dehiscence defect received flap surgery only(no treatment, control), $Cytoflex^{(R)}$ membrane only, Resolut $XT^{(R)}$ membrane only, Resolut $XT^{(R)}+Osteon^{TM}$. Animals were sacrificed at 8 weeks postsurgery and block sections were harvested for histologic analysis. Resuts: All experimental group resulted in higher bone formation than control. Resolut $XT^{(R)}+Osteon^{TM}$ group resulted appeared highest defect resolution. There was no difference between SLA and anodizing surface, nonresorbable and resorbable membrane. Conclusion: GBR results in rapid and clinically relevant bone closure on dehiscence defects of the dental implants.

광두근(廣豆根)의 Gerbil 전뇌(全腦)허혈에 대한 신경손상방어효능 연구 (Neuroprotecticve Effect of Sophora Subprostrata on Transient Global Ischemia in Gerbil)

  • 민홍규;강호창;이현삼;김선여;손영주;정혁상;손낙원;김윤범
    • 대한본초학회지
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    • 제23권3호
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    • pp.1-9
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    • 2008
  • Objectives : This research was performed to investigate protective effect of Sophora Subprostrata against transient global ischemic damage after 5-min two vessel occlusion. Methods : Gerbils were divided into three groups: Normal group, 5-min two vessel occlusion (2VO) group, Sophora Subprostrata administrated group after 2VO. The CCAs were occluded by microclip for 5min. Sophora Subprostrata was administrated orally(12mg/ml) for 7 days after 2VO. The histological and immunohistochemistrical analysis was performed at 72 hours and 7 days after the surgery each. For histological analysis, the brain tissue was stained with 1% cresyl violet solution and Immunohistochemistry for BAX and Bcl-2 was carried out to examine effect of Sophora Subprostrata on ischemic brain tissue. Results : The results showed that (1) Sophora Subprostrata has the protective effect against ischemia in CA1 area of the gerbil hippocampus 7 days after 5-minute occlusion, (2) the treatment of Sophora Subprostrata inhibits the expression of Bax relatively after 2VO-induced ischemia. That protective effect of the Sophora Subprostrata seems to be performed by regulating the proportion of Bax and Bcl-2 protein, (3) in hypoxia/reperfusion model using PC12 cell, the Sophora Subprostrata extract has the protective effect against ischemia in the dose of $2{\mu}/m{\ell}$ and $20{\mu}/m{\ell}$.This study suggests that Sophora Subprostrata has neuroprotective effect against neuronal damage following cerebral ischemia in vivo with a widely used experimental model of cerebral ischemia in Mongolian gerbils and that Sophora Subprostrata regulates the proportion of Bax and Bcl-2 protein following ischemia. And, Sophora Subprostrata extract has protective effects also on a hypoxia/reperfusion cell culture model using PC12 cell. Conclusions : Sophora Subprostrata has protective effects against ischemic brain damage at the early stage of ischemia.

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In vitro Antibacterial Effect of Orthodontic Adhesives Mixed with Silver Nanoparticles

  • Choi, Kwon-Yong;Lee, Jong-Chan;Hwang, Yun-Chan;Chang, Seok-Woo;Kum, Kee-Yeon;Bae, Kwang-Shik;Lim, Bum-Soon;Paeng, Jun-Young;Kim, Eun-Cheol;Kwon, Ho-Beom;Kim, Young-Ho
    • Journal of Korean Dental Science
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    • 제5권1호
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    • pp.7-12
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    • 2012
  • Purpose: To examine the antibacterial effectiveness of silver nanoparticles (SNP) mixed with commercial orthodontic adhesives. Materials and Methods: SNP was prepared by dissolving silver perchlorate in an organic solvent and reducing it with ultraviolet radiation. SNP was then mixed with four commercial orthodontic adhesives (Light Bond, Blugloo, Transbond XT, and Fuji Ortho LC) (0.05 wt %), which were then formed into disc-shape specimens ($8.0mm{\times}3.0mm$). Commercial orthodontic adhesives containing no SNP were used as the control groups. Specimens of the four experimental and four control groups were incubated with streptococcus mutans and the medium turbidity was assessed at 3, 6, 9, 12, and 24 hours after incubation. The agar diffusion test was also performed to examine the growth inhibition zone of these groups. The data were statistically analyzed using a Wilcoxon rank sum test and t-test with a Bonferroni's correction (P<0.05). Result: The SNP containing groups had a superior antibacterial effect compared to the control groups. In the agar diffusion test, the control groups without SNP did not produce an inhibition zone, whereas the SNP containing groups showed inhibition zone of 10~13 mm. Conclusion: The incorporation of SNP into orthodontic adhesives can inhibit cariogenic bacterial growth.

Quantification of Serum Free RNA as a Predictive Biomarker for the Response to Chemotherapy in Patients with Lung Cancer: A Pilot Study

  • Um, Soo-Jung;Lee, Su-Mi;Lee, Soo-Keol;Son, Choon-Hee;Ko, Mee-Kyung;Roh, Mee-Sook;Lee, Ki-Nam;Choi, Pil-Jo
    • Tuberculosis and Respiratory Diseases
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    • 제70권4호
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    • pp.301-306
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    • 2011
  • Background: It is well-known that cell-free nucleic acids rise in patients with many types of malignancies. Several recent experimental studies using cancer cell lines have shown that changes in cell-free RNA are predictive of the response to chemotherapy. The objective of this study was to determine whether quantification of free RNA can be used as a biomarker for clinical responses to chemotherapy in patients with lung cancer. Methods: Thirty-two patients with lung cancer (non-small cell lung cancer, n=24; small cell lung cancer, n=8) were divided into 2 groups according to their responses to chemotherapy (response group, n=19; non-response group, n=13). Blood samples were collected before and after two cycles of chemotherapy. Real-time quantitative RT-PCR was used for transcript quantification of the glyceraldehyde-3-phosphate dehydrogenase gene. Results: The pre chemotherapy values (Response group $41.36{\pm}1.72$ vs. Non-response group $41.33{\pm}1.54$, p=0.78) and post chemotherapy values (Response group $39.92{\pm}1.81$ vs. Non-response group $40.41{\pm}1.47$, p=0.40) for cell free RNA concentrations, expressed as Ct GAPDH (threshold cycle glyceraldehyde-3-phosphate dehydrogenase gene) levels, was not different between the two groups. There was no significant relationship between changes in the cell free RNA level clinical responses after chemotherapy (p=0.43). Conclusion: We did not find a correlation between quantification of serum cell free RNA levels and clinical responses to chemotherapy in patients with lung cancer. Further investigations are needed to determine whether the cell free RNA level is a useful predictor of responses to chemotherapy in patients with lung cancer.

대체혈액을 이용한 인공폐의 평가에 관한 연구 (The Evaluation of Artificial Lung Using Blood Substitutes)

  • 김기범;홍성출;김민호;정경락;이삼철
    • 대한의용생체공학회:의공학회지
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    • 제21권3호
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    • pp.311-320
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    • 2000
  • 본 연구에서는 새롭게 설계한 인공폐 모듈을 사용하여 인공폐의 효율을 평가하기 위한 압력손실과 산소전달에 대한 실험을 수행하였다. 또한 증류수, 아황산나트륨용액을 혈액대용물질로 사용하여 다른 인공폐의 성능을 평가하였다. 혈액대용물질은 압력손실과 산소운반력을 연구하는데 전혈(whole blood)에 비해 장점이 많다 즉. 이들은 상대적으로 값이 저렴하고 조절하여야 할 변수가 적다. 또한 이 용액을 사용하게 되면 탈산화장치가 필요 없으며 실험결과의 분석이 상대적으로 쉽다. 전혈과 같은 산소분압을 갖는 아황산나트륨용액을 사용하는 경우 아황산나트륨 용액의 산소전달속도는 전혈을 사용하는 경우의 산소전달속도와 거의 일치하였다. 이 실험에서 중공사모듈의 산소전달속도를 측정하는데 아황산나트륨용액이 혈액대용물질로 이용될 수 있음을 보였다. 이 인공폐 모듈에서는 용액이 중공사의 바깥쪽으로 흐르도록 설계하였는데 이 실험용 인공폐는 압력손실이 안쪽으로 흐르도록 하는 흐름에 비해 $1/3\~1/6$였다.

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