• Title/Summary/Keyword: Vascular Condition

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Study on the Agreement Values of Pulmonary Arterial Hypertension Measured by Cardiac Sonographers (심장초음파 검사자 간의 폐동맥고혈압 진단 측정값 일치도 분석 연구)

  • Seol Hwa KIM;Sundo JUNG
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.4
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    • pp.269-275
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    • 2023
  • Echocardiography is a non-invasive method that is useful for diagnosing pulmonary arterial hypertension. It is known that echocardiography depends on the experience, education, and knowledge level of the cardiac sonographer. This study aimed to compare the agreement values between cardiac sonographer with different practical experiences in the diagnosis of pulmonary arterial hypertension using echocardiography. Three readers re-evaluated the echocardiography images of 148 patients who were diagnosed with pulmonary arterial hypertension at the S Medical Center from January 1, 2020, to December 31, 2020. The echocardiography values measured by each reader were compared and analyzed. The results of the analysis of discrete variables revealed that the agreement values of the cardiac sonographers showed excellent consistency for both reader 3 and the cardiologist group, indicating that more experience leads to better predictive accuracy for diagnosis of the condition. Furthermore, in terms of continuous variables, all the cardiac sonographer demonstrated good agreement in the measured values of the right atrium, which was easier to assess and clearer than the structurally complex measurements of the right ventricle. This study represents the first analysis in Korea of the agreement values measured by medical technologists who are cardiac sonographers.

Occurrence and Distribution of C4 Plants under Diverse Agricultural Field Types in Korea (농업생태계에서 농경지유형에 따른 C4식물의 출현과 분포)

  • Cho, Kwang-Jin;Oh, Young-Ju;Kang, Kee-Kyung;Han, Min-Su;Na, Young-Eun;Kim, Miran;Choe, Lak-Jung;Kim, Myung-Hyun
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.15 no.2
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    • pp.85-101
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    • 2013
  • In order to search for distribution characteristics on C4 plants at the paddy fields, uplands, orchard and roadside in South Korea, vascular plants were investigated. Flora investigation had been carried out from May 2002 to October 2006 at 241 plots. In the results of survey, the flora of these areas consist of 74 families, 231 genera and 352 species totally. The class frequencies were arranged by the order of Magnoliopsidae (255 species), Monocotyledoneae (89 species), Pteropsida (7 species) and Sphenopsida (1 species). The number of species in each investigated agricultural field types was 55 families with 203 species in paddy field, 49 families with 218 species in uplands, 44 families with 115 species in orchard and 48 families with 202 species in roadside respectiviely. Representative species compositions of these four agricultural field types were characterized by Artemisia princeps, Persicaria thunbergii in paddy field, Artemisia princeps, Erigeron annuus in upland and roadside, Commelina communis, Digitaria ciliaris in orchard, respectively. Therefore, indicative species in agricultural ecosystem was Artemisia princeps. Among the investigated 352 species, $C_4$ plants identified were 38 species, and the occurrence ratio of $C_4$ monocotyledonous plants were higher in paddy field, orchard and roadside than upland. Such differences in the occurrence ratio of $C_4$ plants under diverse agricultural field types reflect differences in environmental condition such as micro-climate, soil moisture under various agricultural fields. Dominant $C_4$ monocotyledonous plants were Digitaria ciliaris and Commelina communis, while $C_4$ dicotyledonous plants were Amaranthus mangostanus and Chenopodium album var. centrorubrum in agricultural fields. Naturalized plants were identified as 47 species and occurrence ratio were higher in upland and roadside than other agricultural field types. Among the investigated naturalized plants, $C_4$ plants were Amaranthus mangostanus and Amaranthus retroflexus. Distribution characteristics of representative $C_4$ plants in agricultural field types, revealed that the projected increase in temperature due to climate change may provide better conditions for the growth of $C_4$ plants. Thus, the necessity of long-term monitoring should be conducted on the diffusion of $C_4$ plants that may threaten influence agroecosystem in Korea.

Analysis of Stromal Cells Developed from Cord Blood CD34+ Cells (제대혈 CD34+ 세포에서 유래된 지지세포의 분석)

  • Ryu, Kyung-Ha;Park, Se-Jin;Kim, Kyung Hyo;Seoh, Ju-Young;Khan, Mohammad;Shin, Hee-Young;Ahn, Hyo-Seop
    • IMMUNE NETWORK
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    • v.1 no.1
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    • pp.87-94
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    • 2001
  • Background: Cytokine-mediated ex vivo expansion has been proposed as a means of increasing the number of cord blood (CB) hematopoietic stem cells for transplantation. As well as stem cell number, stromal cells are necessary for functional maturation of hematopoiesis. The purpose of this study was to analyze the development of stromal cells during ex vivo expansion of CB $CD34^+$ cells. Methods : $CD34^+$ cells were purified from CB by magnetic bead selection. The levels of of interleukin-3, interleukin-$1{\beta}$, interleukin-6, granulocyte macrophagecolony stimulating factor and tumor necrosis factor-${\alpha}$ were measured in culture supernatants on 0, 1, 2, and 3 weeks, using ELISA techniques. CB $CD34^+$ cells were expanded in Iscoves modified Dulbeccos medium in the presence of several cytokines. The expression of E-selectin, vascular cell adhesion molecule-1, intercellular adhesion molecule-1, platelet/endothelial cell adhesion molecule-1, von Willebrand factor, vimentin, and CD14 in newly developed stromal cells was examined by immunocytochemical method. Relevant extracellular matrix (ECM) proteins and proper cytokines were also assayed for the most suitable condition for expansion of stromal cells. Results: Several cytokines were found to have been produced by CB $CD34^+$ cells as well as bone marrow-derived $CD34^+$ cells. During ex vivo expansion of CB $CD34^+$ cells, stromal cells appeared in the culture by day 4 and expanded over the following 7-10 days before being confluent by day 2 1. These cells expressed surface markers characteristic of cells of endothelial lineage. Furthermore, these stroaml cells also expanded effectively when treated with thrombopoietin+flt-3 ligand+stem cell factor+leukemia inhibitory factor or 0.1% poly-L-lysine-coated wells. Conclusion: Stromal cells were developed during ex vivo expansion of CB $CD34^+$ cells and that this development could be enhanced further by treating the stromal cells with cytokines or ECM.

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Flora and Life Form of Habitats for Nannophya pygmaea Rambur (꼬마잠자리 서식지의 식물상과 생활형)

  • Kim, Myung-Hyun;Han, Min-Su;Choi, Chul-Mann;Pang, Hye-Sun;Jung, Myung-Pyo;Na, Young-Eun;Kang, Kee-Kyung
    • Korean Journal of Environmental Agriculture
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    • v.29 no.2
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    • pp.206-213
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    • 2010
  • The aim of this study was to provide basic informations for restoring a habitat of Nannophy pygmaea Rambur. Environments and flora of the habitats were investigated in Youngdong, Sanbuk, and Nongam South Korea. The habitats were abandoned paddy fields with tree-unshaded space and with the water depths of about 2 - 10 cm all the year round. The water quality was recorded 5.44 - 7.33 in pH, 0.017 - 0.480 dS/m in EC, 1.34 - 4.94 mg/L in T-N and 0.06 - 0.46 mg/L in T-P. The pH and EC showed a wide range values, and T-N and T-P showed a high values comparatively. This result implies that a water quality does not important as the condition for a habitat of the species. A total of 86 vascular plant taxa belonging to 35 families, 60 genera, 67 species, 2 subspecies, 14 varieties and 3 forma were recognized in the habitats. Twenty two species (25.6%) overlapped among the habitats; Equisetum arvense, Salix koreensis, Persicaria thunbergii, Stellaria alsine var. undulata, Hypericum laxum, Kummerowia striata, Epilobium pyrricholophum, Oenanthe javanica, Mosla dianthera, Utricularia vulgaris var. japonica, Plantago asiatica, Eupatorium lindleyanum, Juncus diastrophanthus, J. effusus var. decipiens, J. papillosus, Aneilema keisak, Alopecurus aequalis, Arthraxon hispidus, Carex dickinsii, Cyperus sanguinolentus, Eleocharis acicularis for. longiseta and E. congesta. Biological type was determined to be HH-R5-D4-e(t) type; HH 39 taxa (45.3%), R5 42 taxa (48.8%), D4 59 taxa (68.6%) and e (or t) 23 taxa (26.7%).

Study on the Patterns of Helicopter Emergency Medical Services in Ullung Island (울릉도 지역의 헬리콥터를 이용한 응급환자 후송 실태)

  • Kim, Tae-Hun;Lim, Hyun-Sul;Lee, Kwan
    • Journal of agricultural medicine and community health
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    • v.27 no.1
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    • pp.115-123
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    • 2002
  • Objective: The aim of this study was to evaluate the patterns of helicopter emergency medical services (HEMS) in Ullung Island. Methods : The authors reviewed the records from emergency room diaries and the lists of helicopter transfers in the Ullung Public Health Medical Center over the 5-year period from Jan 1, 1997 to Dec 31, 2001. Results : One hundred thirteen cases were transferred by helicopters in 88 flights. According to year, the number of flights was 13(14.8%) and the number of cases was 15(13.3%) in 1997; 17(19.3%) and 21(18.6%) in 1998; 18(20.5%) and 20(17.7%) in 1999; 17(19.3%) and 20(17.7%) in 2000; and 23(26.1%) and 37(32.7%) in 2001. According to the kind of helicopter, the number of flights was 46(52.3%) and the number of cases was 60(53.1%) by Maritime police; and 19(21.6%) and 28(25.1%) by 119 rescue. According to time zone, there were no night flights. According to sex and age, there were 75 male cases(66.4%) and 28 cases(28.3%) of patients aged sixty years and over. The number of flights was 11(12.5%) and the number of cases was 15(13.3%) in November; 10 flights(11.4%) and 14 cases(12.4%) in March; and 7 cases(8.0%) in each of September, October and April. The most common season of helicopter transfer cases was autumn. According to transfer area, there were 48 cases (42.5%) in Pohang city, Gyeonsangbukdo; 35(31.0%) in Gangnung city, Gangwondo; and 17(15.0%) in Daegu metropolitan city. According to condition, there were 27 cases(23.9%) of cerebro-vascular accident, 13(11.5%) of fracture and 11(9.7%) of head injury. According to admission department, there were 42 cases(37.2%) in Neurosurgery, 21(18.6%) in Internal Medicine and 13(11.5%) in Orthopedic Surgery. According tothe Korea Standard Classification of Disease(3-KSCD), circulatory systemic disease(IX) and injury, intoxication and others (XIX) were the two most frequent categories with 34 cases(30.1%) each, followed by digestive system disease (XI) with 23 cases(20.4%). Conclusions : HEMS in Ullung Island leave much to be desired. Helicopters cannot make a night flight and are not equipped with medical facilities. HEMS in islands such as Ullung Island are essential. We hope that night flights, equipment-monitoring systems for emergency patients in the helicopters, and a law related to HEMS in the island will all be established.

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Life Form and Naturalization Characteristics of Naturalized Plants in Upland Fields of South Korea (우리나라 밭경작지 귀화식물의 생활형과 정착 특성)

  • Kim, Myung-Hyun;Cho, Kwang-Jin;Oh, Young-Ju;Yang, Dongwoo;Lee, Wook-Jae;Park, Sangkyu;Choi, Soon-Kun;Eo, Jinu;Kim, Min-Kyeong;Na, Young-Eun
    • Korean Journal of Environmental Biology
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    • v.34 no.2
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    • pp.63-72
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    • 2016
  • The objective of this study was to identify the life form characteristics, naturalized degree and introduction period of naturalized plants on upland fields in South Korea. The survey sites were selected in 222 upland fields over 9 provinces where are relatively dry soil conditions and are disturbed continuously by farming practices. It seemed that these uplands maintain good condition for the invasion and settlement of alien plants. Field surveys were carried out twice from May to June and from August to September in 2013. The vascular plants of the upland fields were listed into 539 taxa which contain 103 families, 320 genera, 448 species, 2 subspecies, 74 varieties and 15 forms. Ninety nine taxa were naturalized plants composed of 23 families, 64 genera, 91 species and 8 varieties. The urbanization index and naturalized index is 30.65% and 18.37%, respectively. Among total 99 naturalized plants, Compositae (30 taxa) was the most dominant family, and followed by Gramineae (14 taxa). On the basis of dormancy form, 78 taxa were belong to Th (Therophyte). In radicoid form, $R_5$ plants (86 taxa) and $R_3$ plants (14 taxa) were dominantly distributed. In disseminule form, $D_4$ including 63 taxa and $D_2$ containing 26 taxa were dominant. On the basis of growth form, erect form (e) containing 26 taxa was dominant. In conclusion, life form spectrum was $Th-R_5-D_4-e$ type. According to life form analysis, naturalized degree and introduction period, alien plants with unique characteristics may have high ability to settle and spread nationwide after inflow into South Korea. It needs further to observe some plant species with or without ecological features such as widely disseminated seeds by wind or water, high seed productivity, long life-span seeds, high germination rate of seeds, or non-dormant germinable seed.

A Study on the Care Needs of Family-Caregivers and the Level of Self Care for Patients of Cerebral Vascular Accident(CVA) (뇌졸중환자의 자가간호 수준과 가족구성원의 간호요구)

  • Cho Young-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.2
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    • pp.239-255
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    • 2000
  • The purpose of this study was to explore the care needs of family-caregivers caring for patients with a CVA and the level of self care of the patients. The subjects for the study were 112 patients with a CVA and their caregivers. These patients were seen in a hospital or out-patient-department(OPD) at two oriental medical hospital in Jeonbuk province. The survey instruments used in this study were Kang's ADL checklist for self care of patients and Kim's Likert-style checklist for care needs of family-caregivers to patient with CVA. The survey was conducted from July 4 to August 30, 1999. Internal validity by calculation of Cronbach's alpha was 0.95, which was regarded as high. The survey results were analyzed using the SPSS program, with percentages, means, t-test, ANOVA and Pearson's correlation coefficients. The results of this study are as follows : 1. The level of self care for patients with a CVA was : 1) complete dependence(M=14.9, 13.1%), 2) complete independence(M=23.6, 20.9%), 3) incomplete independence(M=23.9, 21.0%), 4) incomplete dependence(M=26.6, 25.0%), 5) dependence and independence(M=23.0, 20.0%). The items for which there was a high level of self care were : 1) drinking(M=3.62), 2) eating (M=3.25), 3) position returning(M=3.18) : and the items for which there was a low level of self care were : 1) ascending and descending stairs(M=2.08), 2) walking(M=2.47). 3) putting on and taking off trousers(M=2.55). 2. The mean score of the sum of the care needs of the family-caregivers was : 1) need for immediate care and help: 2) need of the way to communicate with patient: 3) need for education and assistance related to physical functional level: 4) need to be informed about the disease, treatment and care: 5) need for social support and consultation: 6) need for appreciation: 7) need for management of nursing problems related to immobility. The highest meed factor was the need for immediate care and help(M=3.47): and lowest need factor was the need for management of nursing problems related to immobility(M=2.80). 3. There were significant differences between the level of care need and general characteristic of the caregivers, there were family-caregivers age(P=0.001), marital status (P=0.276), occupation (P=0.006), monthly income(P=0.000), Patient's relationship to caregivers(P=0.004) and health(P=0.000). 4. There were significant differences between the level of self care and general characteristic of the patients, there were patient paralytic condition(P=0.01), blood pressure(P=0.01), and length of suffering(P=0.03). 5 There were significant differences between the level of care need and the general characteristic factors, which were CVA patient's blood pressure (P=0.05), problem of medical fee (P=0.05). 6. There was significantly correlation with the family-caregivers care need and the level of self care in the CVA patient(r=0.300, P=0.000). As a result, need to promote the level of self care in patients and to meet the care need of family-caregivers for more efficient nursing of CVA patients, is emphasized. Therefore more study is needed on an efficient way to provide rehabilitation and quality nursing interventions for family-caregivers and patients with CVA.

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한국농촌의 식품금기에 관한 연구

  • 모수미
    • Journal of the Korean Home Economics Association
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    • v.5 no.1
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    • pp.733-739
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    • 1966
  • A 371 agricultural households from 26 different communities in South Korea was subjected on a study of food taboos in January of 1966. To the pregnant women, those to whom a high protein diet is particurally important, as many as 14 different kinds of foods, mostly portein rich foods, were avoided to eat. It is believed that if duck is eaten while pregnant her baby may walk like a duck in later life. Some mother have a strong aversion to the rabbit meat that her unborn baby must be a harelip. It is feared to eat chicken, shark or carp by the pregnant mother for her baby may get a gooseflesh appearance, or fish scale-like skin in later life. It is thought that if mother eats soup made of meat borns, especially chicken bones, a disfigured baby may be born. Some area informed that if mother eats crab meat her future baby will always bubble. To the child-bearing mothers 13 different kinds of foods were avoided to eat. Some believe that if raddish kimchi, soybean curd, squash are eaten while dilivery that mother may get dental decay or to lose all her teeth. Other think that highly spiced raddish kimchi cause delivery difficult. To the lactating mothers 7 different items of foods were not recommended to eat. It is a common belief that eating green vegetables, especially fresh lettuce, are restricted that her baby may stool greenish. It is said that eating ginsen-chicken soup, or ginsen tea during lactating reduces breast milk secretion. To the weaning babies 7 different kinds of foods were prohibited to fee. Eggs are not eaten because mothers think her babies will start to talk very late. Eight different items of foods in cases of gastro-intestinal diseases, 5 items for liver disease, 7 items for high blood pressure as well as for paralysis were respectively restricted. It is said that meats including pork, beef, and chicken are neither desirable for the patients of high blood pressure nor those of paralysis. To the measles children 10 varieties of foods were restricted. Especially soybean products and meats were not encouraged to use for avoiding asecond attack of measles. For the common cold 8 different kinds of foods were aversed and men think that eating of soup of undria delays a recovery. For the tuberculosis 4 kinds of foods were prohibited to eat. It is said that wine, red pepper and ginsen will stimulate lung bleeding. Many mothers had a strong aversion to fermented shrimp and fish in case of style. and 5 different items of foods were restricted. In case of menstration not so many foods were restricted as other cases, but meat soup is not eaten in this condition in some areas. Majority of food taboos in Korean villages are neither based on tribal nor religious factors. But no one knows how, since what ages, from where, these food taboos have been transmitted and spread over the country. This survey found a great variety of food taboos, aversions, traditional beliefs and prohibitions latent unknown reseasons, or non-scientific conceptions, or completely different ideas from the modern medical aspect, or somewhat fallacious and superstitious beliefs. For the vascular disease contrasting approach were found between modern the oritical therapy and popular remedy among the rural populations who largely depend on the eastern medication. Further scientific study on either side should be done to lead the patient proper way. Many restricted foods such as rabbit, duck, chicken and fish are best resources of protein rich foods which are available in the village. Emphasis should be laid upon breaking down fallacious and supersititious food taboos through the extended nutrition education activities in order to improve food habit and good eating pattern for healthier and stronger generations of Korea.

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Forest Vegetation of Mt. Baek-Hwa -A Phytosociological Study- (백화산(白華山) 삼림식생(森林植生) -식물사회학적(植物社會學的) 연구(硏究)-)

  • Cho, Hyun Je;Lee, Youn Won;Lee, Dong Sub;Hong, Sung Cheon
    • Journal of Korean Society of Forest Science
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    • v.80 no.1
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    • pp.42-53
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    • 1991
  • 1. The forest vegetation of the Mt. Baek-Hwa situated in the northwestern Kyungsangpookdo of Korea, on $36^{\circ}16^{\prime}00^{{\prime}{\prime}}{\sim}36^{\circ}19^{\prime}20^{{\prime}{\prime}}N$ and 127 53'20"~127 56'30"E was studied by the method of Zurich-Montpellier School. In the present time, the original vegetation have almost been dominated by substitutional communities such as secondary forests of Pinus, Quercus, Zelkova, Acer or Fraxinus and Pinus rzgida plantations. Some secondary forests developing along the ravine and in northwestern part of slope are, however, maintained in natural condition, and contain some species of the original climax vegetation. They are classified as follows : I. Quercus mongolica-Fraxinus siebol diana community(Mountain forests), I-A. Acer pseudo-sieboldianum -Carex okamotoi group, I-B. Pinus densiflora group, I-B-a. Typical subgroup, I-B-b. Rhododendron schlippenbachii subgroup, II. Fraxinus rhynclzophylla-Acer mono community(Valley Forests), II-A. Acer pseudo-sieboldianum group, II-B. Zelkova serrata group, II-B-a. Typical subgroup, II-B-b. Lindera erythrocarpa subgroup, II-C. Querczrs serrata-Platycarya strobilacea group, II-C-a. Typical subgroup, II-C-b. Lindera erythrocarpa subgroup. 2. Judging from the coincidence method, the structure and distribution of the forest communities was more related to topography than altitude. 3. Considering the actual vegetation, relict species, occurrence of natural seedlings and saplings, climate, successional trends of trees and topographic or edaphic climax conditions, it seems that potential natural vegetation of the area mainly composed of Quercus mongolica, Carpinus laxiflora, Zelkova serrata, Fraxinus rhynchophylla. 4. The flora of the vascular plants collected from this area consists of 108 families, 371 genera, 613 species, 2 subspecies, 88 varieties, 6 forms and 709 taxa in total.

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Biological stability of Zirconia/Alumina composite ceramic Implant abutment (지르코니아/알루미나 복합 지대주의 생물학적 안정성에 관한 연구)

  • Bae, Kyu-Hyun;Han, Jung-Suk.;Kim, Tae-Il;Seol, Yang-Jo;Lee, Yong-Moo;Ku, Young;Cho, Ki-Young;Chung, Chong-Pyoung;Han, Soo-Boo;Rhyu, In-Chul
    • Journal of Periodontal and Implant Science
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    • v.36 no.2
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    • pp.555-565
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    • 2006
  • The purpose of the present study is to evaluate the biological stability of the zirconia/alumina composite abutment by histologic and radiographic examination in clinical cases. 17 partially edentulous patients (5 men and 12 women, mean age 47) were treated with 37 implants. The implants were placed following the standard two-stage protocol. After a healing period of 3 to 6 months, zirconia/alumina composite abutments were connected. All radiographs were taken using paralleling technique with individually fabricated impression bite block, following insertion of the prosthesis and at the 3-, 6-, 12 month re-examinations. After processing the obtained images, the osseous level was calculated using the digital image in the mesial and distal aspect in each implant. An ANOVA and t-test were used to test for difference between the baseline and 3-, 6-, 12 months re-examinations, and for difference between maxilla and mandible. Differences at P <0.05 were considered statistically significant. For histologic examination, sample was obtained from the palatal gingiva which implant functioned for 12 months. Sections were examined under a light microscope under various magnifications. Clinically, no abutment fracture or crack as well as periimplantitis was observed during the period of study. The mean bone level reduction(${\pm}standard$ deviation) was 0.34 rom(${\pm}\;0.26$) at 3-months, 0.4 2mm(${\pm}\;0.30$) at 6-months, 0.62 mm(${\pm}\;0.28$) at 12-months respectively. No statistically significant difference was found between baseline and 3-, 6-, 12-months re-examinations (p > 0.05). The mean bone level reduction in maxilla was 0.33(${\pm}0.25$) at 3-months, 0.36(${\pm}0.33$) at 6-months, 0.56(${\pm}0.26$) at 12-months. And the mean bone level reduction in mandible was 0.35(${\pm}0.27$) at 3-months, 0,49(${\pm}0.27$) at 6-months, 0.68(${\pm}0.30$) at 12-months. No statistical difference in bone level reduction between implants placed in the maxilla and mandible. Histologically, the height of the junctional epithelium was about 2.09 mm. And the width was about 0.51 mm. Scattered fibroblasts and inflammatory cells, and dense collagen network with few vascular structures characterized the portion of connective tissue. The inflammatory cell infiltration was observed just beneath the apical end of junctional epithelium and the area of direct in contact with zirconia/alumina abutment. These results suggest the zirconia/alumina composite abutment can be used in variable intraoral condition, in posterior segment as well as anterior segment without adverse effects.