• Title/Summary/Keyword: Incomplete removal

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Surgical Results of Intramedullary Spinal Cord Ependymomas in Adults : Retrospective Analysis of 51 Cases

  • Son, Young-Je;Chung, Chun-Kee;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • v.40 no.3
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    • pp.164-168
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    • 2006
  • Objective : The goal of treatment for spinal cord ependymoma is complete removal without postoperative neurological deficit. The authors analyzed the surgical results and factors influencing the postoperative prognosis. Methods : Fifty-one cases of primary spinal cord ependymoma, surgically treated between 1979 and 2003, were retrospectively analyzed. The mean follow-up period was 44 months. Results : Gross total removal was achieved in 42 patients and incomplete removal in nine. The proportion of complete surgical removals was influenced by tumor location and histology. Disease progression was observed in five cases [9.8%], the mean progression free interval after surgical removal was 48 months and the 5-year progression free rate was 68%. Disease progression was found in none of the 42 cases who underwent complete removal, and in 5 of 9 cases who hadincomplete removal group [P<0.001]. Statistically significant disease-progression factors by multivariate analysis were the surgical extent of removal [P=0.012]. preoperative functional status [P=0.032] the presence of intratumoral cysts [P=0.007] and postoperative radiation therapy [P=0042]. Of those patients who underwent incomplete removal, radiation therapy was found to significantly improve the clinical result [P=0042]. Conclusion : In the surgical treatment of spinal cord ependymoma, preoperative functional status, the presence of intratumoral cysts, the extent of removal, and postoperative radiation therapy were found to be significant prognostic factors of postoperative outcome.

Recognition towards oral health care and plaque removal in the elderly people (노인인구의 구강건강 및 치석제거 인식도 조사)

  • Kwak, Jung-Suk;Woo, Seung-Hee;Lee, Jae-Ra
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.4
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    • pp.727-733
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    • 2015
  • Objectives: The purpose of the study is to investigate the awareness toward oral health and plaque removal in the elderly people in Korea. Methods: An interview method was carried out to 308 elderly people from a senior welfare facility in Mokpo, Jeonnam from May 1 to December 30, 2011 after receiving informed consents. Except 4 incomplete answers, data were analyzed using SPSS 18.0 program. The questionnaire consisted of demographical characteristics of the subjects, experience of plaque removal, recognition towards plaque removal, and correlation to systemic diseases. Results: Most of the elderly people experiences plaque removal(63.4%) and 55.9% had revisit intention. Those having plaque removal accounted for 47.8% and they had good subjective oral health recognition. Those not having plaque removal accounted for 61.8% and 61.8% having average systemic health condition and 53.3% having poor oral health recognition. The plaque removal was closely related to subjective oral health recognition. Conclusions: It is necessary to develop the preventive oral health program for the elderly people. The plaque removal in the elderly people is the most important services to prevent the systemic diseases including hypertension, arthritis, diabetes, nervous disease, and gastrointestinal diseases.

Incomplete Removal of Totally Implantable Venous Devices : Report of 2 Cases (Totally Implantable Venous Devices (TIVD)의 불완전 제거 2예)

  • Son, Sang-Yong;Lee, Han-Byoel;Kim, Soo-Hong;Park, Taejin;Jung, Kyuhwan;Kim, Hyun-Young;Kim, Woong-Han;Jung, Sung-Eun
    • Advances in pediatric surgery
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    • v.18 no.1
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    • pp.18-23
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    • 2012
  • Totally implantable venous devices (TIVD)는 장기간 항암 화학 요법이나 총 정맥 영양, 수액치료가 필요한 환자에서 많이 사용된다. TIVD는 매우 유용하고 안전한 장치이지만, 이와 관련된 다양한 합병증이 보고 되어 왔다. 저자들은 카테터의 혈관 내 유착에 의해 TIVD의 제거가 불완전하게 된 2예를 경험하였기에 보고하는 바이다.

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Progression of periapical cystic lesion after incomplete endodontic treatment

  • Huh, Jong-Ki;Yang, Dong-Kyu;Jeon, Kug-Jin;Shin, Su-Jung
    • Restorative Dentistry and Endodontics
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    • v.41 no.2
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    • pp.137-142
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    • 2016
  • We report a case of large radicular cyst progression related to endodontic origin to emphasize proper intervention and follow-up for endodontic pathosis. A 25 yr old man presented with an endodontically treated molar with radiolucency. He denied any intervention because of a lack of discomfort. Five years later, the patient returned. The previous periapical lesion had drastically enlarged and involved two adjacent teeth. Cystic lesion removal and apicoectomy were performed on the tooth. Histopathological analysis revealed that the lesion was an inflammatory radicular cyst. The patient did not report any discomfort except for moderate swelling 3 days after the surgical procedure. Although the patient had been asymptomatic, close follow-ups are critical to determine if any periapical lesions persist after root canal treatment.

Continuous removal of heavy metals by coupling a microbial fuel cell and a microbial electrolytic cell

  • Xie, Guo R.;Choi, Chan S.;Lim, Bong S.;Chu, Shao X.
    • Membrane and Water Treatment
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    • v.11 no.4
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    • pp.283-294
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    • 2020
  • This work aims at studying the feasibility of continuous removal of mixed heavy metal ions from simulated zinc plating wastewaters by coupling a microbial fuel cell and a microbial electrolysis cell in batch and continuous modes. The discharging voltage of MFC increased initially from 0.4621 ± 0.0005 V to 0.4864 ± 0.0006 V as the initial concentration of Cr6+ increased from 10 ppm to 60 ppm. Almost complete removal of Cr6+ and low removal of Cu2+ occurred in MFC of the MFC-MEC-coupled system after 8 hours under the batch mode; removal efficiencies (REs) of Cr6+ and Cu2+ were 99.76% and 30.49%. After the same reaction time, REs of nickel and zinc ions were 55.15% and 76.21% in its MEC. Cu2+, Ni2+, and Zn2+ removal efficiencies of 54.98%, 30.63%, 55.04%, and 75.35% were achieved in the effluent within optimum HRT of 2 hours under the continuous mode. The incomplete removal of Cu2+, Ni2+ and Zn2+ ions in the effluent was due to the fact that the Cr6+ was almost completely consumed at the end of MFC reaction. After HRT of 12 hours, at the different sampling locations, Cr6+ and Cu2+ removal efficiencies in the cathodic chamber of MFC were 89.95% and 34.69%, respectively. 94.58%, 33.95%, 56.57%, and 75.76% were achieved for Cr6+, Cu2+, Ni2+ and Zn2+ in the cathodic chamber of MEC. It can be concluded that those metal ions can be removed completely by repeatedly passing high concentration of Cr6+ through the cathode chamber of MFC of the MFC-MEC-coupled system.

Effect of Sulfide Removal on Sulfate Reduction at pH 5 in a Hydrogen Fed Gas-Lift Bioreactor

  • Bijmans, Martijn F.M.;Dopson, Mark;Ennin, Frederick;Lens, Piet N.L.;Buisman, Cees J.N.
    • Journal of Microbiology and Biotechnology
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    • v.18 no.11
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    • pp.1809-1818
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    • 2008
  • Biotechnological treatment of sulfate- and metal-ions-containing acidic wastewaters from mining and metallurgical activities utilizes sulfate-reducing bacteria to produce sulfide that can subsequently precipitate metal ions. Reducing sulfate at a low pH has several advantages above neutrophilic sulfate reduction. This study describes the effect of sulfide removal on the reactor performance and microbial community in a high-rate sulfidogenic gas-lift bioreactor fed with hydrogen at a controlled internal pH of 5. Under sulfide removal conditions, 99% of the sulfate was converted at a hydraulic retention time of 24 h, reaching a volumetric activity as high as 51 mmol sulfate/l/d. Under nonsulfide removal conditions, <25% of the sulfate was converted at a hydraulic retention time of 24 h reaching volumetric activities of <13 mmol sulfate/l/d. The absence of sulfide removal at a hydraulic retention time of 24 h resulted in an average $H_2S$ concentration of 18.2 mM (584 mg S/I). The incomplete sulfate removal was probably due to sulfide inhibition. Molecular phylogenetic analysis identified 11 separate 16S rRNA bands under sulfide stripping conditions, whereas under nonsulfide removal conditions only 4 separate 16S rRNA bands were found. This shows that a less diverse population was found in the presence of a high sulfide concentration.

Removal of carbon monoxide using a solid electrolyte cell reactor (고체전해질 전지 반응기를 이용한 일산화탄소의 제거)

  • 신석재;오인환
    • Journal of the Korean Society of Safety
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    • v.11 no.3
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    • pp.112-118
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    • 1996
  • When fossil fuels are burned they produce CO gas because of incomplete combustion. If the CO gas reacts with the hemoglobin in the red blood cells, it may result in death or sequelae. Generally, the CO gas is eliminated in the form of the $$$CO_2$ gas by the oxidation reaction over the platinum catalyst. In this study, the electrochemical CO removal was investgated by using the solid electrolyte cell reactor, the type of which was represented as reactants$/Pt/Y_2O_3-ZrO_2/Pt/Air$. If the overpotential was applied to the platinum working electrode, the conversion could be changed with the overpotential applied. It was found that the oxidation rate could be increased 2.8 times higher than that of the normal condition, i. e. under open circuit conditions when $P_{co}/P_{O_2}$ was 0.5 and overpotential was 0.9V. From these results, it is concluded that the reactor used in this study is more efficient than conventional catalytic reactors.

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Effect of Radical Removal of Primary and Metastatic Lesions in Gastric Cancer with Peritoneal Seeding (복막전이를 동반한 위암에서 광범위절제의 효과)

  • Kim, Young-Sik;Lee, Sang-Ho;Choi, Kyung-Hyun
    • Journal of Gastric Cancer
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    • v.1 no.3
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    • pp.136-143
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    • 2001
  • Purpose: The prognosis for gastric cancer with peritoneal seeding is very poor, and the role of surgical intervention is limited. We evaluated the effect of radical removal of primary and metastatic lesions on survival in gastric cancer with peritoneal seeding. Materials and Methods: From May 1989 to March 1999 at Kosin University Gospel Hospital, 115 patients revealed gastric cancer with peritoneal seeding but without liver or lung metastasis and without follow-up loss. The study group included 86 patients who underwent surgery for radical removal of primary gastric and metastatic peritoneal lesions. The control group included 29 patients who experienced incomplete removal of primary or metastatic lesions. Both groups received intraoperative intraperitoneal chemotherapy using mytomycin or cisplatin, and 25 patients underwent postoperative intravenous chemotherapy. Results: The median survival times in the study and the control groups were 13 months and 4 months, respectively (p<0.0001). The 1-year, 2-year, and 5-year survival rates were, respectively, $50.6\%,\;18.1\%$, and $11.3\%$ in the study group and $14.8\%,\;3.7\%$ and $0\%$ in the control group (p<0.0001). In the study group, neither postoperative intravenous chemotherapy nor microscopic invasion of the resection margin had any effect on survival, but intraoperative intraperitoneal chemotherapy and degree of peri-toneal seeding, especially the amount of peritoneal seeding, had an effect on survival. In the control group, neither intraperitoneal nor intravenous chemotherapy had any effect on survival, but resection of the primary gastric lesion improved survival. Conclusion: Radical removal of primary gastric and metastatic peritoneal lesions improved the survival rate for gastric cancer with peritoneal seeding. However, a randomized prospective study is needed to correctly evaluate the effect of intraperitoneal or intravenous chemotherapy.

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Removal of Microfat Graft in Lower Eyelid with Transconjunctival Approach (결막절개를 제거통한 아래 눈꺼풀 부위의 미세자가지방이식편의)

  • Shin, Jong-In;Chang, Jung-Woo;Kim, Chang-Yeon;Kim, Youn-Hwan
    • Archives of Plastic Surgery
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    • v.38 no.1
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    • pp.48-52
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    • 2011
  • Purpose: Microfat graft is a common procedure for correcting tear trough deformity and dark circle. Because the tissue in this area is very thin, the grafted fat, sometimes, induces palpable lumps and uneven skin contour. When it happens, the surgical removal of the grafted fat is often needed. The authors made attempt of transconjunctival approach for removal, and this made infraorbital fat repositioning possible at the same time. Methods: 15 female patients with history of microfat graft on lower eyelid, got operation for the grafted fat removal with transconjunctival approach from April of 2009 to July of 2010. The dissection was performed in accordance with infraorbital fat repositioning surgery. Through the transconjunctival incision, knotted fat on orbital septum and orbicularis oculi muscle was removed without damage on skin. After grafted fat removal, subperiosteal space was made 1~2 mm below the inferior orbital rim by elevating periosteum. With preserving orbital septum, infraorbital fat was repositioned and anchored to subperiosteal space. Finally, transconjunctival incision was closed with absorbable suture material. Results: 14 patients in the study showed satisfactory results. The problems like uneven skin contour and knotted fat mass, were all solved. In only one patient, incomplete correction was observed, as bulging on her right lower eyelid still remained. One patient complained of transient numbness on lower eyelid, but there was no specific complication other than this. Conclusion: The authors attempted the method of transconjunctival approach to remove former grafted fat in lower eyelid and reposition infraorbital fat simultaneously. Since the study brought great results, the method would be helpful to patients and surgeons.

Pretreatment Condition of Cu by Ammonium-Based Mixed Solvent and Its Effects on the Fabrication of Ag-Coated Cu Particles (Ag 도금 Cu 입자의 제조에서 암모늄 기반 혼합 용매를 사용한 Cu 입자의 전처리 조건과 이의 영향)

  • Lee, Hee Bum;Lee, Jong-Hyun
    • Korean Journal of Materials Research
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    • v.26 no.3
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    • pp.109-116
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    • 2016
  • To achieve the fabrication of high-quality Ag-coated Cu particles through a wet chemical process, we reported herein pretreatment conditions using an ammonium-based mixed solvent for the removal of a $Cu_2O$ layer on Cu particles that were oxidized in air for 1 hr at $200^{\circ}C$ or for 3 days at room temperature. Furthermore, we discussed the results of post-Ag plating with respect to removal level of the oxide layer. X-ray diffraction results revealed that the removal rate of the oxide layer is directly proportional to the concentration of the pretreatment solvent. With the results of Auger electron spectroscopy using oxidized Cu plates, the concentrations required to completely remove 50-nm-thick and 2-nm-thick oxides within 5 min were determined to be X2.5 and X0.13. However, the optimal concentrations in an actual Ag plating process using Cu powder increased to X0.4 and X0.5, respectively, because the oxidation in powder may be accelerated and the complete removal of oxide should be tuned to the thickest oxide layer among all the particles. Back-scattered electron images showed the formation of pure fine Ag particles instead of a uniform and smooth Ag coating in the Ag plating performed after incomplete removal of the oxide layer, indicating that the remaining oxide layer obstructs heterogeneous nucleation and plating by reduced Ag atoms.