• Maxillofacial Plastic and Reconstructive Surgery
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• 제38권
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• pp.45.1-45.7
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• 2016

Background: We evaluated and compared the outcomes of different ossification processes in patients with alveolar cleft in whom correction was performed using endochondral bone graft or intramembranous bone graft. Methods: The patients were divided into two groups: the endochondral bone (iliac bone or rib bone) graft group and the intramembranous bone (mandibular bone) graft group. Medical records and radiologic images of patients who underwent alveolar bone grafting due to alveolar cleft were analyzed retrospectively. Through postoperative and follow-up radiologic images, the height of the interdental bone septum was classified into four types based on the highest point of alveolar ridge. Then, the height of the interdental bone septum and the area of the bone graft were evaluated according to the type of bone graft. In addition, the occurrence of complications and the need for an additional bone graft, the result of postoperative orthodontic treatment, and the eruption of impacted teeth were investigated. Results: Thirty patients were included in this study. There was no significant difference in the change of the interdental bone height and the area of the bone graft according to the type of bone. There was no significant difference in the success rate of the surgery according to the type of bone. One patient underwent an additional bone graft surgery during the follow-up period. Conclusions: The outcomes of alveolar bone grafting were not significantly different according to the type of bone graft. If appropriate to the size of the recipient site, the chin bone is a useful graft material in alveolar cleft, as is the iliac bone.

• Archives of Plastic Surgery
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• 제35권3호
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• pp.273-278
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• 2008

Purpose: The most widely accepted protocol for alveolar cleft reconstruction is to repair it during the mixed dentition stage. There were lower resorption rate (about 88%) at this stage. However we found some cases that need repeated bone grafting. Therefore we sought to analyze the cause of repeated alveolar bone grafting in connection with other factors. Methods: From January 2000 to January 2006, thirty-nine secondary alveolar bone grafts with iliac crest spongiosa were carried out. In 39 patients, 5 patients who had significant bone graft resorption received repeated alveolar bone graft. In all the cases, the causes of repeated bone grafts were dental root exposure(angulation), and the deficiency of the bony support for lateral incisor or canine eruption. In 3 cases, there was deficiency of the alveolar bone at the cleft side. There was the need of repeated bone grafts for orthodontic treatment in 2 cases and for application of dental implants in 1 case. Results: During the follow-up period, the clinical and radiologic examinations showed that repeated alveolar bone grafts were maintained successfully without any complications. The volume of the repeated bone graft was sufficient for orthodontic treatment and implantation. Conclusion: The essential conditions for successful alveolar bone grafting includes the status of cleft sided teeth, further treatment and planed schedule, as well as canine eruption. Alveolar bone grafting has to be performed with difference of each case in mind.

• 폴리머
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• 제27권3호
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• pp.242-248
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• 2003

전자선 전조사법을 이용하여 아크릴로니트릴 (AN)과 스티렌 (Sty)을 PP섬유에 그라프트반응시컨 PP-g-(AN/Sty) 공중합체를 합성하고, 이어서 아미드옥심화 및 인산화 반응을 수행하였다. 공단량체 중 AN의 양이 증가할수록 공중합체 내의 AN의 몰분율은 선형적으로 증가하였으며 공중합체 내에 그라프트 되어진 AN의 양은 공단량체 중 AN의 조성이 40 vol%에서 최대 45%를 나타내었다. 용매인 메탄올의 양이 증가함에 따라 공중합체 내에 도입되어진 AN의 몰분율은 감소하였다 반응온도에 따른 공중합체의 그라프트율은 반응온도 5$0^{\circ}C$까지 선형적으로 증가하였으며 이후 평형에 도달하였다. 이온 교환 섬유에 도입되어진 아미드옥심기는 하이드록실아민의 양이 증가함에 따라 증가하였으며 하이드록실아민 농도 9 wt%에서 최대 5.8 mmol/g을 나타내었다. 공중합체에 도입되어진 인산기는 인산의 농도가 0.5 N까지 증가하는 경향을 나타내었으며 이후 감소하였다. 우라늄 흡착 실험 결과, 우라늄 흡착량은 이관능성 이온 교환 섬유가 아미드옥심화 이온 교환체 및 인산화 이온 교환체보다 우수한 흡착량을 나타내었다.

• Journal of Chest Surgery
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• 제49권6호
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• pp.427-434
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• 2016

Background: Recent studies have demonstrated the benefits of off-pump coronary bypass grafting over the on-pump technique in patients with chronic kidney disease (CKD). To further reduce the risk of acute kidney injury and the need for renal replacement therapy, even in patients undergoing off-pump coronary artery bypass grafting, we adopted protocol-based perioperative management for patients with CKD. Methods: From December 2012 to March 2015, 265 patients underwent isolated off-pump coronary artery bypass grafting. To analyze renal function in a stable condition, we excluded 12 dialysis-dependent end stage renal failure and 10 emergency or urgent cases. Among the remaining 243 patients, 208 patients had normal kidney function (normal group), and 35 patients had CKD (CKD group). Minimizing contrast exposure, ensuring adequate hydration, using strict drug dosage adjustment, and optimizing hemodynamic status were key elements of the protocol for the CKD group. Results: The risk of acute kidney injury was about ${\times}3$ higher in the CKD group than in the normal group (p=0.01). Estimated glomerular filtration rates and serum creatinine levels deteriorated until the third postoperative day in the CKD group. However, by adopting protocol-based perioperative management, this transient renal dysfunction recovered to preoperative levels by the fifth postoperative day without requiring renal replacement therapy in all cases. Conclusion: Off-pump coronary bypass surgery combined with this protocol-based perioperative management strategy in patients with non-dialysis-dependent CKD could mostly be performed without renal replacement therapy.

• 폴리머
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• 제36권3호
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• pp.302-308
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• 2012

본 연구의 목적은 대기압 플라즈마 처리된 평판형 폴리프로필렌(polypropylene, PP) 필름 표면 위에 폴리비닐피롤리돈(poly($N$-vinyl-2-pyrrolidone), PVP)을 그래프트 공중합시키기 위한 최적 조건을 찾는데 있다. 대기압 플라즈마 처리 조건은 RF power 200W, Ar 유속 6 LPM, 처리시간 30초, 처리 후 노출시간은 5분으로 고정하였다. 그래프트 공중합에서는 중합 시간, 중합 온도, 비닐피롤리돈($N$-vinyl-2-pyrrolidone, NVP) 농도의 조건을 각각 달리하여 표면 그래프트도의 변화를 조사하였다. 그 결과, 중합 시간 6시간, 중합 온도 $90^{\circ}C$, NVP 농도 40%에서 가장 높은 그래프트도를 나타내었다. ATR-FTIR, X-ray photoelectron spectroscopy(XPS), SEM 분석을 통해서도 PVP의 도입을 확인할 수 있었다.

• Nuclear Engineering and Technology
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• 제5권2호
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• pp.103-114
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• 1973

본 실험은 방사선을 이용하여 Polyester 직포의 흡수성과 염색성 그리고 대전성을 증진시키기 위한 연구로서 실온하에서 함침법으로 Acrylic acid또는 4-vinylpyridine을 Polyester 직포에 접목시켰다. Polyester 직포를 25$^{\circ}$또는 7$0^{\circ}C$에서 Acrylic acid나 Acrylic acid와 4-vinylpyridine의 emulsion 용액에 함침시켰으며 함침된 Polyester 직포를 질소깨스 존재 하에서 Co-60의 l-rays로 조사시켰다. Acrylic acid가 접목된 Polyester 직포를 Sodium carbonate, Calcium acetate 또는 Potassium persulfate로 처리하였을 때 흡수율은 더욱 증가하였으며 직포 표면에 형성된 polyacrylic acid 는 0.1% NaoH 용액으로 대부분 추출되었다. 4-vinylpyridine과 Acrylic acid의 혼합용액을 함침용액으로 사용하였을 경우 4-VP/AA의 비율과 방사선 선량이 커짐에 따라 접목율은 점점 증가함을 보여주었다. 여러가지로 처리된 Polyester 직포 표면에 물방울을 떨어 뜨렸을 때의 Contact angle을 측정하여 보니 접목율이 증가함에 따라 대전성은 감소하였다. Acryli acid가 접목된 Polyester 섬유를 Salt로 처리하여 전자 현미경으로 관찰하여 본 결과 일련의 무정형 형태로 결합되어 있었다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제17권4호
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• pp.365-378
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• 1995

Allogeneic bone grafting has recently been used in oral and maxillofacial regions to restore the cosmetic and functional problem. There are several types of allogeneic bone grafts ; bone powder, bone chips, bone blocks. Empirically, it is thought to be better to combine the allogeneic bone chips to any type of tissue adhesive not to displace during packing and condensing. But, there are no reports about using tissue adhesive in allogeneic bone grafting. This experimental study is designed to investigate the effect of the fibrin adhesive on bone healing process after demineralized allogeneic bone grafting in 60 rats. In control groups (30 rats), routine demineralized allogeneic bone grafting were done in 7 ${\times}$ 7mm calvarial bone defects which were drilled intentioally. And we used the fibrin adhesive for holding the bone particle in experimental groups (30 rats). Each experimental specimen was sacrified at 1, 2, 4, 6, 8 weeks postoperatively The results were as follows : 1. The degree of inflammatory cell infiltrations were more prominent in experimental than in control groups till 2 weeks. 2. Early fibroblast proliferation and new capillary proliferation were uncorporated around graft sites in the experimental groups later than in control groups at early stages. 3. Osteoblastic activity in control group was more prominent at 2 weeks. 4. Osteoblastic activity in experimental groups was more prominent than in control group till 4 weeks. 5. New bone formation was more in control group than experimental group till 3 weeks, but similar appearance after that time. As above results, initial bone healing within 2 weeks were more processed in without adhesive group than with adhesive group. But above 4 weeks; similar bone healing were observed.

• Archives of Plastic Surgery
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• 제44권5호
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• pp.361-369
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• 2017

As the popularity of fat grafting research increases, animal models are being used as the source of pre-clinical experimental information for discovery and to enhance techniques. To date, animal models used in this research have not been compared to provide a standardized model. We analyzed publications from 1968-2015 to compare published accounts of animal models in fat grafting research. Data collected included: species used, graft characteristics (donor tissue, recipient area, amount injected, injection technique), time of sacrifice and quantification methods. Mice were most commonly used (56% of studies), with the "athymic nude" strain utilized most frequently (44%). Autologous fat was the most common source of grafted tissue (52%). Subcutaneous dorsum was the most common recipient site (51%). On average, $0.80{\pm}0.60mL$ of fat was grafted. A single bolus technique was used in 57% of studies. Fat volume assessment was typically completed at the end of the study, occurring at less than 1 week to one year. Graft volume was quantified by weight (63%), usually in conjunction with another analysis. The results demonstrate the current heterogeneity of animal models in this research. We propose that the research community reach a consensus to allow better comparison of techniques and results. One example is the model used in our laboratory and others; this model is described in detail. Eventually, larger animal models may better translate to the human condition but, given increased financial costs and animal facility capability, should be explored when data obtained from small animal studies is exhausted or inconclusive.

• 멤브레인
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• 제29권6호
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• pp.323-328
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• 2019

인류의 에너지 수급은 항상 인간의 삶에 중요한 문제이며, 최근에는 전기 생산 및 공급 문제로 이어지고 있다. 이에 관련하여 본 연구에서는 에너지 저장장치의 일환으로 슈퍼커패시터 용도의 고체 전해질막을 제조하였다. 제조한 전해질막은 poly(vinyl alcohol) (PVA) 주사슬에 poly(oxyethylene methacrylate) (POEM) 곁사슬을 그래프팅하여 사용하였으며, 그래프팅은 자유 라디칼 중합법을 통해 합성하였다. 본 연구에서 사용한 PVA-g-POEM 가지형 공중합체를 슈퍼커패시터 전해질에 적용한 사례는 처음이다. POEM 그래프팅을 통해 PVA가 고유하게 가지고 있던 구조가 변화하였으며, 이를 FT-IR을 통해 분석하였다. 또한, 합성한 공중합체를 이용한 슈퍼커패시터 성능은 cyclic voltammetry (CV), galvanostatic charge/discharge(GCD), ragone plot 등을 통해 분석하였다. 이를 통해 기존에 수계 전해질로 PVA 단일 고분자만 사용하던 분야에 그래프팅 방법이라는 새로운 접근법을 제시하였다.

• Archives of Plastic Surgery
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• 제40권5호
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• pp.542-545
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• 2013

Background The aims of alveolar bone grafting are closure of the fistula, stabilization of the maxillary arch, support for the roots of the teeth adjacent to the cleft on each side. We observed nostril base augmentation in patients with alveolar clefts after alveolar bone grafting. The purpose of this study was to evaluate the nostril base augmentation effect of secondary alveolar bone grafting in patients with unilateral alveolar cleft. Methods Records of 15 children with alveolar clefts who underwent secondary alveolar bone grafting with autogenous iliac cancellous bone between March of 2011 and May of 2012 were reviewed. Preoperative and postoperative worm's-eye view photographs and reconstructed three-dimensional computed tomography (CT) scans were used for photogrammetry. The depression of the nostril base and thickness of the philtrum on the cleft side were measured in comparison to the normal side. The depression of the cleft side pyriform aperture was measured in comparison to the normal side on reconstructed three-dimensional CT. Results Significant changes were seen in the nostril base (P=0.005), the philtrum length (P=0.013), and the angle (P=0.006). The CT measurements showed significant changes in the pyriform aperture (P<0.001) and the angle (P<0.001). Conclusions An alveolar bone graft not only fills the gap in the alveolar process but also augments the nostril base after surgery. In this study, only an alveolar bone graft was performed to prevent bias from other procedures. Nostril base augmentation can be achieved by performing alveolar bone grafts in children, in whom invasive methods are not advised.