• Journal of Korean Neurosurgical Society
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• 제63권5호
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• pp.649-656
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• 2020

Objective : Unclear mental state is one of the major factors contributing to diagnostic failure of occult skeletal trauma in patients with traumatic brain injury (TBI). The aim of this study was to evaluate the overlooked co-occurring skeletal trauma through whole body bone scan (WBBS) in TBI. Methods : A retrospective study of 547 TBI patients admitted between 2015 and 2017 was performed to investigate their cooccurring skeletal injuries detected by WBBS. The patients were divided into three groups based on the timing of suspecting skeletal trauma confirmed : 1) before WBBS (pre-WBBS); 2) after the routine WBBS (post-WBBS) with good mental state and no initial musculoskeletal complaints; and 3) after the routine WBBS with poor mental state (poor MS). The skeletal trauma detected by WBBS was classified into six skeletal categories : spine, upper and lower extremities, pelvis, chest wall, and clavicles. The skeletal injuries identified by WBBS were confirmed to be simple contusion or fractures by other imaging modalities such as X-ray or computed tomography (CT) scans. Of the six categorizations of skeletal trauma detected as hot uptake lesions in WBBS, the lesions of spine, upper and lower extremities were further statistically analyzed to calculate the incidence rates of actual fractures (AF) and actual surgery (AS) cases over the total number of hot uptake lesions in WBBS. Results : Of 547 patients with TBI, 112 patients (20.4 %) were presented with TBI alone. Four hundred and thirty-five patients with TBI had co-occurring skeletal injuries confirmed by WBBS. The incidences were as follows : chest wall (27.4%), spine (22.9%), lower extremities (20.2%), upper extremities (13.5%), pelvis (9.4%), and clavicles (6.3%). It is notable that relatively larger number of positive hot uptakes were observed in the groups of post-WBBS and poor MS. The percentage of post-WBBS group over the total hot uptake lesions in upper and lower extremities, and spines were 51.0%, 43.8%, and 41.7%, respectively, while their percentages of AS were 2.73%, 1.1%, and 0%, respectively. The percentages of poor MS group in the upper and lower extremities, and spines were 10.4%, 17.4%, and 7.8%, respectively, while their percentages of AS were 26.7%, 14.2%, and 11.1%, respectively. There was a statistical difference in the percentage of AS between the groups of post-WBBS and poor MS (p=0.000). Conclusion : WBBS is a potential diagnostic tool in understanding the skeletal conditions of patients with head injuries which may be undetected during the initial assessment.

• Restorative Dentistry and Endodontics
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• 제26권4호
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• pp.332-340
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• 2001

Flowable composite resin has lower filler content, increased flow, and lower modules of elasticity. It is suggested that flowable composite resin can be bonded to the tooth structure intimately and absorb or dissipate the stress. Therefore, it may be advantageous to use flowable composite resin for the base material of class II restoration and for the class V restoraton. The purpose of this study was to evaluate the microleakage and shear bond strength of four flowable composite resins (Aeliteflo, Flow-It, Revolution, Ultraseal XT Plus) compared to Z100 using Scotchbond Multi Purpose dentin bonding system. To evaluate the microleakage, notch-shaped class V cavities were prepared on buccal and lingual surfaces of 80 extracted human premolars and molars on cementum margin. The teeth were randomly divided into non-thermocycling group (group 1) and thermocycling group (group 2) of 40 teeth each. The experimental teeth of each group were randomly divided onto five subgroups of eight samples (sixteen surfaces). The Scotchbond Multi-Purpose and composite resin were applied for each group following the manufacturer's instructions. the teeth of group 2 were thermocycled five hundred times between 5$^{\circ}C$ and 55$^{\circ}C$. The teeth of group 2 were placed in 2% methylene blue dye for 24 hours, then rinsed with tab water. The specimens were embedded in clear resin, and sectioned longitudinally with a diamond saw. The dye penetration on each of the specimen were observed with a stereomicioscope at $\times$20 magnification. To evaluate the shear bond strength, 60 teeth were divided into five groups of twelve teeth each. The experimental teeth were ground horizontally below the dentinoenamel junction, so that no enamel remained. After applying Scotchbond Multi-Purpose on the dentin surface, composite resin was applied in the shape of cylinder. The cylinder was 4mm in diameter and 2mm in thickness. Shear bond strength was measured using Instron with a cross-head speed of 0.5mm/min. After shear bond strength measurement, mode of failure was evaluated with a stereomicroscope at $\times$30 magnification. All data were statistically analyzed by One Way ANOVA and Student-Newman-Keuls method. The correlation between microleakage and shear bond strength was analyzed by linear regression. The results of this study were as follows ; 1. In non-thermocycling group, the leakage value of Z100 was significantly lower than those of flowable composite resins at the enamel and dentin margin, margin, except that Revolution showed the lower leakage value than that of Z100 at the dentin margin (p<0.05). 2. In thermocycling group, the leakage values of Z100 and Ultraseal XT Plus were lower than those of other subgroup at the enamel and dentin margin, except that Flow-It showed the lower leakage value than that of Ultraseal XT Plus at the dentin margin (p<0.05). 3. The leakage value of Z100 and Ultraseal XT Plus in thermocycling group were not higher than that in non-thermocycling group at the enamel margin. The leakage value of Z100 in thermocycling group was not higher than that in non-thermocycling group at the dentin margin (p<0.05). 4. As for the shear bond strength measurement, there were no statistically significant differences among groups (p<0.05). The shear bond strengths given in descending order were as follows: Z100(16.81$\pm$2.98 MPa), Flow-It(14.8$\pm$4.43 MPa), Aeliteflo(14.34$\pm$3.69 MPa), Revolution(13.46$\pm$4.23 MPa), Ultraseal XT Plus(12.83$\pm$3.16 MPa). 5. Failure modes of all specimens were adhesive failures. 6. There was no correlation between microleakage and shear bond strength.

• Archives of Reconstructive Microsurgery
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• 제9권1호
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• pp.15-22
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• 2000

One hundred & seventy four consecutive free-flap transfers were reviewed to analyze distribution of the type of reconstructions, kinds of donor flaps as well incidence of complications. The role of emergent exploration and the effect of preoperative wound conditions in flap survival were evaluated. Free flap transfer for head and neck reconstruction was most common as 93 cases, followed by for upper extremity of 30 cases, for lower extremity 30 cases, 18 penile reconstructions and for trunk & breast 3 cases. Nine flaps exhibited signs of ciruclatory insufficiency between 5 hours and 7 days. Three were managed conservatively with ultimate partial necrosis of the flaps. Eight flaps required return to the operating room. On exploration, early arterial occlusion was revealed in 1 flap, late arterial occlusion in 2 flaps, early venous occlusion in 1 flap, late venous thrombosis in 2 flaps, prolonged venous spasm in 1 and hematoma in 1 flap. The average time from the first abnormal examination to exploration was 2.6 hours. There were no false-positive explorations. Four free flaps failed in spite of the correction of the cause of circulatory compromise. The remaining 4 flaps were salvaged following the correction the casuse. Recipient vessel problems such as irradiation and infection were the most common cause of circulatory crisis. Among the eight flaps requiring return to the operating room, single vein was anastomosed in three flaps and two veins in the remaining five. In the totally failed four flaps only single vein was anastomosed in three cases. The results of this study demonstrate the efficacy of clinical monitoring and the role of early exploration. Precautious selection of recipient vessels and two vein anastomosis are recommended for safe and better prognosis.

• Clinical and Experimental Reproductive Medicine
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• 제24권3호
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• pp.369-375
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• 1997

Studies were conducted to determine the efficiency of decondensation protocols. Sperm obtained from seven normal donors was immediately washed after liquefaction and then decondensed using the method of West et al. (1989) and my original protocol. My optimized protocol entailed mixing 1 ml aliquots of semen with 4 ml phosphate buffered saline (PBS). Following centrifugation, pellets were resuspended in 1 ml PBS containing 6 mM EDTA. After centrifugation, pellets were resuspended in 1 ml PBS containing 2 mM dithiothreitol at $37^{\circ}C$ for 45 min. Following mixing with 2 ml PBS and centrifugation, pellets were resuspended by vortexing. While vortexing, 5 ml of fixative were gently added. Slide preparation was accomplished using the smear method and it was stored at $4^{\circ}C$. When comparing these protocols, the degree of sperm decondensation and head swelling was monitored by measuring nuclear length, area, perimeter, and degree of roundness using FISH analysis software. Apparent copy number for chromosome 1 and, separately, for the sex chromosomes was determined by FISH using satellite DNA probes for loci DIZ1, DXZ1 and DYZ3. Sperm treated by my decondensation protocol showed significant increases (p<0.05) in length, area, perimeter, and degree of roundness. There was a significant decrease (p<0.05) in the frequency of nuclei displaying no signal but no change in the frequency of nuclei with two signals in samples decondensed by my protocol. My data suggested that decondensation using my original protocol may lower the frequency of cells with spurious "nullisomy" due to hybridization failure without inducing spurious "disomy" resulting from increased distances between split signals.

• Geomechanics and Engineering
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• 제17권6호
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• pp.507-513
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• 2019

Reinforced soil and Expanded Polystyrenes (EPS) mixture (RSEM) is a geomaterial which has many merits, such as light weight, wide strength range, easy for construction, and economic feasibility. It has been widely applied to improve soft ground, solve bridge head jump, fill cavity in pipeline and widen highway. Reutilizing dredged sediment to produce RSEM as earthfill can not only consume a large amount of waste sediment but also significantly reduce the construction cost. Therefore, there is an urgent need understand the basic stress-strain characteristics of reinforced dredged sediment-EPS mixture (RDSEM). A series of cyclic triaxial tests were then carried out on the RDSEM and control clay. The effects of cement content, EPS beads content and confining pressure on the cyclic stress-strain behaviour of RDSEM were analyzed. It is found that the three stages of dynamic stress-strain relationship of ordinary soil, vibration compaction stage, vibration shear stage and vibration failure stage are also applicative for RDSEM. The cyclic stress-strain curves of RDSEM are lower than that of control clay in the vibration compaction stage because of its high moisture content. The slopes of backbone curves of RDSEMs in the vibration shear stage are larger than that of control clay, indicating that the existence of EPS beads provides plastic resistance. With the increase of cement content, the cyclic stress-strain relationship tends to be steeper. Increasing cement content and confining pressure could improve the cyclic strength and cyclic stiffness of RDSEM.

• The Journal of Advanced Prosthodontics
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• 제8권5호
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• pp.363-371
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• 2016

PURPOSE. On maxillofacial tumor patients, oral implant placement prior to postoperative radiotherapy can shorten the period of prosthetic reconstruction. There is still lack of research on effects of post-implant radiotherapy such as healing process or loading time, which is important for prosthodontic treatment planning. Therefore, this study evaluated the effects of post-implant local irradiation on the osseointegration of implants during different healing stages. MATERIALS AND METHODS. Custom-made implants were placed bilaterally on maxillary posterior edentulous area 4 weeks after extraction of the maxillary first molars in Forty-eight Sprague-Dawley rats. Experimental group (exp.) received radiation after implant surgery and the other group (control) didn't. Each group was divided into three sub-groups according to the healing time (2, 4, and 8 week) from implant placement. The exp. group 1, 2 received 15-Gy radiation 1 day after implant placement (immediate irradiation). The exp. group 3 received 15-Gy radiation 4 weeks after implant placement (delayed irradiation). RESULTS. The bone mineral density (BMD) was significantly lower in the immediate irradiation groups. BMD was similar in the delayed irradiation group and the control group. The irradiated groups exhibited a lower bone-to-implant contact ratio, although the difference was not statistically significant. The irradiated groups also exhibited a significantly lower bone volume and higher empty lacuna count than the control groups. No implant failure due to local irradiation was found in this study. CONCLUSION. Within the limits of this study, the timing of local irradiation critically influences the bone healing mechanism, which is related to loading time of prostheses.

• Weed & Turfgrass Science
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• 제7권3호
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• pp.275-282
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• 2018

억새(Miscanthus spp.)는 경관성이 우수하고 환경친화적이며 저관리가 가능한 종 들로 알려져 있다. 플러그묘를 통한 대량번식을 위해 4가지 품종의 억새(M. sinensis 'Andersson', 'Strictus', 'Gracillimus', 'Variegatus')와 삽목번식을 위한 3가지 품종의 억새(M. sinensis 'Gracillimus', M. xgiganteus, M. sacchariflorus)를 예비실험을 통해 선발하여 플러그 형성, 정식 후의 생육, 그리고 삽목 활착률 실험을 2015-2016년에 온실과 실험포장에서 실시하였다. 2가지 관수방법과 3가지 플러그 셀 크기로 종자로부터 플러그묘 형성과정 실험에서는 매트를 이용한 저면관수와 작은 크기의 플러그 셀이 양호한 결과를 보였다. 삽목실험에서 삽수채취 시기, 마디 부위, 삽수의 직경이 활착율에 미치는 영향을 분석한 결과 억새 공시 3종 모두 하부 마디에서 채취한 삽수가 높은 활착율을 보였으며 삽수 채취 시기는 화서가 발생 하기 전 그리고 목질화가 진행되어 삽수의 직경이 작은 하부마디가 높은 활착율을 보였다. 생존율의 차이가 뚜렷한 M. xgiganteus는 삽수채취 시기와 삽수 부위 및 삽수 직경에 따른 삽목의 성공여부(생존 혹은 고사)는 이분형 로지스틱 회귀모델(dichotomous logistic regression model)을 이용하여 분석 판정하였다. 그 결과 삽목 시기는 7월이 6월에 비하여 1.64배 정도 활착 성공률이 높았으며, 삽수 채취 마디부위는 1번째 마디를 기준으로 승산비(성공율/실패율)는 3번째 마디와 5번째 마디는 0.12와 0.02로, 각각 8배와 50배의 활착 실패율을 보였다. 즉 늦게 발달한 상대적으로 굵은 신생 줄기 마디는 목질화가 진행된 묵은 마디에 비해 직경은 크지만 생존율은 낮아졌다. 따라서 억새속 삽목번식은 화서가 분화되기 시작하는 9월 이전에 아래쪽 묵은 마디로 삽수로 사용하여 대량 번식을 하는 것이 바람직하다고 판단된다.

• 한국지반공학회논문집
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• 제34권2호
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• pp.19-32
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• 2018

심해저 지반에서 가스하이드레이트를 추출하는 경우 diatom과 같은 미세 입자 이동으로 인하여 해저 사면파괴 및 생산성 저하가 발생할 수 있으므로, 미세 입자 이동과 동반한 해저 지반특성 변화에 대한 연구가 요구된다. 본 연구에서는, 모래 지반에 대하여 투수가 발생할 시 미세 diatom 입자 이동으로 인한 지반의 수리 특성 변화를 평가하고자 하였다. 우선 동해 울릉분지 가스하이드레이트 퇴적층을 모사하기 위하여 주문진 표준사와 diatom 혼합 시료를 부피비에 따라 15개의 시료로 조성 및 변수위 투수실험을 수행하였다. 또한 diatom 부피비 50% 및 0%인 교호층 시료의 상 하부 수압차를 3kPa, 6kPa, 9kPa로 조정하여 정수위 투수실험을 수행함으로써 미세 diatom 입자 이동을 모사하고 입자이동 구간에서의 투수계수 및 전기비저항을 측정하였다. 변수위 투수 실험 결과, diatom의 부피비가 증가할수록 시료의 투수계수가 감소하였고, 투수계수 감소 곡선은 diatom 부피비가 10% 이하일 때보다 10%~50% 구간에서 기울기가 완만해 졌으며, diatom 부피비가 50%이상일 때 다시 기울기가 증가하였다. 정수위 투수 실험 결과, diatom이 이동하여 diatom 입자 이동 구간의 투수계수는 감소하고 전기비저항은 증가하였다. 본 연구는 미세 입자 이동이 교호층 지반의 투수계수를 감소시키며, 투수계수와 전기비저항의 반비례관계를 바탕으로 미세 입자 이동으로 인한 혼합시료의 거동을 예측할 수 있음을 보여준다.

• Asian-Australasian Journal of Animal Sciences
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• 제18권10호
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• pp.1403-1406
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• 2005

The present study was undertaken to study the effect of thermal stress on sexual behaviour of superovulated ewes. Fourteen adult Bharat Merino ewes with an average body weight of 29.4${\pm}$2.34 kg were randomly allocated into two groups of 7 each. All the animals were grazed on natural pasture in the morning and evening hours and housed in shed during night. Animals of Group-1 were housed in shed from 10:00 to 16:00 h while the animals of Group-2 were exposed to thermal stress in a hot chamber ($40^{\circ}C$ /6 h/day). All the animals were offered drinking water once a day at 16:30 h. Meteorological observations i.e. dry bulb, wet bulb, minimum and maximum temperature were recorded daily inside the shed as well as in hot chamber throughout the experimental period. For superovulation of animals, standard protocol developed at the Institute, using FSH (Ovagen 5.4 mg in eight injections) and PMSG (200 IU) was followed. Various sexual behaviour parameters (circling, tail fanning, head turning, standing and approaching to ram) and estrus incidence (onset of estrus and estrus duration) were observed in both the groups. The different estrus symptoms were graded subjectively on arbitrary scale of 0-5 where 0 representing no sexual behaviour (0%) and 5 representing maximum intensity in sexual behaviour (100%). Estrus was detected with the help of a marked aproned ram of proven vigor at six hourly intervals. The average percent values for sexual behaviour parameters recorded in Group-1 and Group-2 animals were 53.7${\pm}$3.76 vs. 41.1${\pm}$2.18 for circling, 71.8${\pm}$5.42 vs. 49.0${\pm}$4.41 for tail fanning, 64.7${\pm}$3.30 vs. 44.5${\pm}$4.34 for head turning, 90.1${\pm}$3.16 vs. 75.8${\pm}$4.02 for standing and 63.8${\pm}$4.8 vs. 41.9${\pm}$4.58 for approaching to ram. Animals exposed to thermal stress had significantly lower values of these sexual behaviour parameters. The animals kept in shed exhibited estrus earlier (25.4${\pm}$1.12 h) and duration was higher (37.7${\pm}$1.59 h) as compared to animals exposed to thermal stress i.e. 30.6${\pm}$1.16 h and 31.7${\pm}$3.57 h, respectively. The findings of the study indicate that thermal stress reduces the intensity of sexual behaviour in ewes and may result in failure of the animal to mate and conceive.

• 대한치과교정학회지
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• 제41권1호
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• pp.6-15
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• 2011

마이크로 임플란트 시술의 중요한 위험요인 중 하나로 치근접촉 문제가 있으나, 관련 연구는 결과 분석에 치중되어 있고, 치근접촉이 마이크로 임플란트 안정성 상실로 이어지는 기전에 대한 연구는 아직 미흡한 것으로 보인다. 이에, 본 연구에서는 생역학적 측면에서 그 영향을 분석하였다. Absoanchor 마이크로 임플란트(SH1312-7, Dentos Inc., Daegu, Korea) 첨부가 치근에 접촉되어 있을 때, 저작압 전달에 의한 마이크로 임플란트 변위가 인접골에 가하는 압축응력을 축대칭 유한요소모델을 사용하여 계산하였다. 요소별 응력이 해면골의 최대압축강도나, 치밀골의 비정상 골개조 임계능력을 넘을 경우 해당 요소를 순차적으로 해석모델에서 제거하며 실행한 6단계해석의 결과, 마이크로 임플란트에 인접한 해면골의 전체적인 파절과 과부하에 따른 치밀골의 비정상 골개조가 임플란트 지지력 상실에 주 요인이 될 것으로 평가되었다. 치밀골의 과부하 영역은 초기에는 치밀골판의 하부에 존재하였으나 상부로 확장되었고, 응력 재분포로 인한 감소효과 없이 양성 되먹임(positive feedback)으로 결국 치밀골 전 두께로 확대됨을 관찰하였다. 본 연구를 통해 치근접촉된 마이크로 임플란트가 인접골을 훼손시켜 안정성 상실로 이어지는 과정을 모사할 수 있었으며, 이로부터 치근접촉에 따른 마이크로 임플란트의 불량한 예후에 대한 생역학적 측면의 원인을 파악할 수 있었다.