• Title/Summary/Keyword: artificial insertion

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Risk Factors for Nosocomial Pneumonia in Patients at NS ICU (신경외과 중환자실의 병원성 폐렴 발생 위험요인)

  • Kim Nam Cho;Kim So Yeon
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.239-248
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    • 2001
  • The purpose of this study was to analyze risk factors for nosocomial pneumonia in patients admitted to NS ICU, and to provide a basic data to decrease respiratory nosocomial infection rate engendered from medical environments in NS ICU. The study site was the NS ICU at a university hospital located in Seoul, Korea. The subjects were 31 patients diagnosed with nosocomial pneumonia, who were selected from the initial list of 300 potential subjects who had been a) admitted between September 1999 and January 2000, and September 2000 and January 2001, b) resided at the NS ICU over 72 hours. The diagnostic standard of nosocomial pneumonia was based on the nosocomial infection guides of C university hospital. The data were analyzed using frequencies and logistic regression analysis. The sputums obtained from the subjects were cultivated and causal viruses were separated. The results were as follows: 1. The nosocomial pneumonia rate was $10.3\%$. There were 7 types of causal viruses separated from the sputum. and the most prevalent type of virus was MRSA as $62.2\%$. 2. The factors significantly influencing the incidence of nosocomial pneumonia included age, the residential duration at the NS ICU, GCS scores, diabetes mellitus, insertion of tracheal tube and its duration, tracheostomy and its length of insertion, the use of artificial ventilator and the length of its use, and the insertion of naso-gastic tube. The most significant risk factor among these was the insertion of tracheal tube (odds ratio=18.684. $95\%$ CI=6.849-50.974), followed by the use of tracheostomy (odds ratio=15.419, $95\%$ CI=6.615-35.942), the insertion of naso-gastric tube (odds ratio=14.875, $95\%$ CI=6.396-34.595), and the use of artificial ventilator (odds ratio=13.000. $95\%$ CI=5.633­30.001). 3. Regarding the use of the mechanical aids, the insertion of tracheal tube resulted in 12.968 times increase of the nosocomial pneumonia rate, and the use of artificial ventilator lead 6.714 times increase of the nosocomial pneumonia rate. One point increase of the GCS score resulted in the 1.210 times increase of the nosocomial pneumonia rate. For patients who had tracheal tube, tracheostomy, and artificial ventilator, one day increase of their residential duration at NS ICU lead 1.073 times increase of the nosocomial pneumonia rate. 4. In terms of duration of the mechanical aid usage, one day increase in the use of artificial ventilator engendered 1.080 times increase in the nosocomial pneumonia rate. One day increase of the residential duration at the NS ICU lead 1.604 times increase in the nosocomial pneumonia rate. As one point of the GCS score increased, 0.876 times decrease of the nosocomial pneumonia rate was reported. These study findings show that the risk factors significantly influencing the incidence of nosocomial pneumonia include the use of tracheal tube, tracheostomy, naso-gastic tube, and artificial ventilator. It is recommended that nurses working at NS ICU should pay more attention to the patients with these factors as the risky group for the nosocomial pneumonia, and thus make more active efforts to provide nosocomial pneumonia prevention strategies for them. In further studies patients admitted to the different types of ICUs such as internal medicine or surgery unit ICU will be also included, and more wide investigation of nosocomial pneumonia risk factors will be conducted through one-year longitudinal follow up.

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The effects of different pilot-drilling methods on the mechanical stability of a mini-implant system at placement and removal: a preliminary study (인조골에서 식립 방법이 교정용 미니 임플란트의 기계적 안정성에 미치는 영향에 대한 예비연구)

  • Cho, Il-Sik;Choo, Hye-Ran;Kim, Seong-Kyun;Shin, Yun-Seob;Kim, Duck-Su;Kim, Seong-Hun;Chung, Kyu-Rhim;Huang, John C.
    • The korean journal of orthodontics
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    • v.41 no.5
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    • pp.354-360
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    • 2011
  • Objective: To investigate the effects of different pilot-drilling methods on the biomechanical stability of self-tapping mini-implant systems at the time of placement in and removal from artificial bone blocks. Methods: Two types of artificial bone blocks (2-mm and 4-mm, 102-pounds per cubic foot [102-PCF] polyurethane foam layered over 100-mm, 40-PCF polyurethane foam) were custom-fabricated. Eight mini-implants were placed using the conventional motor-driven pilot-drilling method and another 8 mini-implants were placed using a novel manual pilot-drilling method (using a manual drill) within each of the 2-mm and 4-mm layered blocks. The maximum torque values at insertion and removal of the mini-implants were measured, and the total energy was calculated. The data were statistically analyzed using linear regression analysis. Results: The maximum insertion torque was similar regardless of block thickness or pilot-drilling method. Regardless of the pilot-drilling method, the maximum removal torque for the 4-mm block was statistically higher than that for the 2-mm block. For a given block, the total energy at both insertion and removal of the mini-implant for the manual pilot-drilling method were statistically higher than those for the motor-driven pilot-drilling method. Further, the total energies at removal for the 2-mm block was higher than that for the 4-mm block, but the energies at insertion were not influenced by the type of bone blocks. Conclusions: During the insertion and removal of mini-implants in artificial bone blocks, the effect of the manual pilot-drilling method on energy usage was similar to that of the conventional, motor-driven pilot-drilling method.

Estrus Synchronization and Artificial Insemination in Dairy Goats (유산양에서 발정동기화 유도와 인공수정 효율)

  • Chang, Suk-Min;Kang, Jae-Goo;Choi, Ki-Myung;Kim, Hong-Rye;Jin, Dong-Il
    • Korean Journal of Agricultural Science
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    • v.34 no.1
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    • pp.61-65
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    • 2007
  • This study was conducted to evaluate the response of CIDR-S on estrus synchronization of dairy goats and the effect of artificial insemination on conception rate. Estrus synchronization of sexually matured Saanen goats was induced with insertion of CIDR-S into vagina for 15 days and injection of 500 IU PMSG before removal of CIDR-S. Artificial insemination was conducted using liquid or frozen semen by intra-cervical insemination with synchronized does. Estrus synchronization was 90% using CIDR-S insertion for 15 days. Conception rate of inseminated does was 20% - 25%, while that of natural mated does was 100%. These results suggested that synchronization of dairy goats can be successfully induced and artificial insemination method has to be improved for the practical use in dairy goats.

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Effects of Estrus Synchronization and Ovulation Induction Methods on Hormone Concentrations and Pregnancy Rate in Artificial Insemination of Riding Horses (말 인공수정에서 발정동기화와 배란유도 방법이 호르몬 농도와 임신율에 미치는 효과)

  • Su heon Gwon;Yong Soo Park
    • Journal of Practical Agriculture & Fisheries Research
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    • v.25 no.4
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    • pp.111-117
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    • 2024
  • Reproductive research such as artificial insemination and embryo transfer is necessary to produce high-quality riding horses. In this study, we investigated the effects of estrus synchronization and ovulation induction methods, which can be considered the basis of artificial insemination in horses, on the hormone concentration and artificial insemination pregnancy rate of mares. For the purpose of synchronization of estrus in horses, Cidr-plus insertion method, Regumate feeding method, and 150mg progesterone + 10mg estradiol mixed administration method were used. In the Cidr-plus insertion method and the Regumate feeding method, the progesterone concentration reached the appropriate level for ovulation induction on the 8th day of administration. The mixed administration method of 150mg progesterone + 10mg estradiol maintained the progesterone concentration at an appropriate level immediately after administration. With the administration of PGF2a and hCG, progesterone concentration decreased rapidly, making ovulation induction possible. As a result of comparing the pregnancy rate between natural estrus and estrus synchronization, the pregnancy rate was found to be higher in estrus synchronization and ovulation induction. From the results of this study, it is insufficient to judge the effect of the pregnancy rate due to the small number of tests, but in terms of usability, estrus synchronization and ovulation induction were useful. Therefore, it is expected to contribute to improving the efficiency of future roadster production.

AN EXPERIMENTAL STUDY ON THE FLOW OF CANAL SEALER BY MEANS OF LENTULO (근관내(根管內) 근관충전제(根管充塡劑)의 유입성(流入性)에 관(關)한 실험적(實驗的) 연구(硏究))

  • Lee, Myong-Chong
    • Restorative Dentistry and Endodontics
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    • v.1 no.1
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    • pp.34-38
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    • 1975
  • Artificial canals were prepared by means of engine reamer on the slab which was made of clear acrylic resin. The shape of this canal is similar to the natural canal, the size is almost same as Kerr File No. 70, and the length is about 20mm. Sealer, Zine oxide eugenol mixture was prepared as matched to spatula test. Lentulo filler was inserted as deep as middle portion and apical one-third portion of the canal and the dental engine was driven in the speed of 1,000 and 3,000 r.p.m. in 30 seconds and 60 seconds with feeding of the sealer. The author measured the excess flow of the canal sealer from Lentulo end. Following are the results obtained from this study. 1. Lentulo insertion at the middle portion 1,000 r.p.m. in 30 seconds case: 0.21mm Same as above in 60 seconds: 0.20mm 2. Lentulo insertion at apical-thirds. 1,000 r.p.m. in 30 seconds: 0.22mm. Same as above in 60 seconds: 0.20mm. 3. Lentulo insertion at middle portion. 3,000 r.p.m. in 30 seconds: 0.14mm Same as above in 60 seconds: 0.25mm. 4. Lentulo insertion at apical-thirds, 3,000 r.p.m. in 30 seconds: 0.11mm Same as above in 60 seconds: 0.27mm.

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Evaluation of Insertion of torque and Pull-out strength of mini-screws according to different thickness of artificial cortical bone (다양한 교정용 미니 스크류의 인공 피질골 두께에 따른 삽입 토오크와 Pull-out 강도 비교)

  • Song, Young-Youn;Cha, Jung-Yul;Hwang, Chung-Ju
    • The korean journal of orthodontics
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    • v.37 no.1 s.120
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    • pp.5-15
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    • 2007
  • Objective: The purpose of this study was to evaluate the mechanical performance of mini-screws during insertion into artificial bone with use of the driving torque tester (Biomaterials Korea, Seoul, Korea), as well as testing of Pull-out Strength (POS). Methods: Experimental bone blocks with different cortical bone thickness were used as specimens. Three modules of commercially available drill-free type mini-screws (Type A; pure cylindrical type, Biomaterials Korea, Seoul, Korea, Type B; partially cylindrical type, Jeil Medical, Seoul, Korea, Type C; combination type of cylindrical and tapered portions, Ortholution, Seoul, Korea), were used. Results: Difference in the cortical bone thickness had little effect on the maximum insertion torque (MIT) in Type A mini-screws. But in Type B and C, MIT increased as the cortical bone thickness Increased. MIT of Type C was highest in all situations, then Type B and Type A in order. Type C showed lower POS than Type A or B in all situations. There were statistically significant correlations between cortical bone thickness and MIT, and POS for each type of the mini-screws. Conclusion: Since different screw designs showed different insertion torques with increases in cortical bone thickness, the best suitable screw design should be selected according to the different cortical thicknesses at the implant sites.

Field Investigation on the Efficiency of the Artificial Steel Reefs (강제어초의 효율성에 관한 현장조사)

  • Seo, Seong-Ho;Lee, Young-Kweon;Lee, Ik-Hyo;Kim, Dae-Kwon
    • Journal of Ocean Engineering and Technology
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    • v.21 no.5
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    • pp.61-67
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    • 2007
  • As part of the government's fishery resource creation policy, fishing ground creation projects have been undertaken in Korea's major seashore fishing spots since the 1970s, where artificial reefs constructed using new materials that make up for the weakness of concrete reefs have been used. In this study, the stability of these artificial reefs when acted upon by external forces, their ability to attract and gather fish, and their economic feasibility were examined. For this purpose, an experimental artificial steel reef was constructed and was installed in an area of the sea. Then the corrosion of the experimental material attached to it was investigated. The efficiency of the artificial steel reef was then verified by examining its functionality, removal, and burying, as well as the speed of insertion of living things into its structure and its ability to attract and gather fish.

Salivary Secretion Volume Related Ruminal Distension and Suppression of Dry Forage Intake in Large-type Goats

  • Thang, Tran Van;Sunagawa, Katsunori;Nagamine, Itsuki;Ogura, Go
    • Asian-Australasian Journal of Animal Sciences
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    • v.24 no.8
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    • pp.1100-1111
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    • 2011
  • Two experiments under sham feeding conditions were conducted to determine whether or not ruminal distension brought about by feed boluses entering the rumen is a factor in the marked suppression of feed intake after 40 min of feeding. In experiment 1, a comparison was made between the intraruminal insertion of a water filled balloon (RIB) treatment and normal control (non-insertion of a balloon, NIB). In experiment 2, saliva lost due to sham feeding conditions was replenished via an intraruminal infusion of iso-osmotic artificial saliva. A comparison of dry forage intake was then conducted between the intraruminal replenishment of iso-osmotic artificial saliva and insertion of a balloon (RRIAS-RIB) treatment, and the intraruminal replenishment of iso-osmotic artificial saliva and non-insertion of a balloon (RRIAS-NIB) control. In experiment 1, eating rates in the RIB treatment 30 min after the commencement of feeding tended to be lower than those in the NIB control. In comparison with the NIB control, cumulative dry forage intake in the RIB treatment was 29.7% less (p<0.05) upon conclusion of the 2 h feeding period. The secreted saliva weight in the NIB control and the RIB treatment during the 2 h feeding period was 53.2% and 60.9% total weight of the boluses, respectively. In experiment 2, eating rates in the RRIAS-RIB treatment 30 min after the commencement of feeding was significantly lower (p<0.05) than those in the RRIAS-NIB control. Cumulative dry forage intake in the RRIAS-RIB treatment was a significant 45.5% less (p<0.05) compared with that in the RRIAS-NIB control upon conclusion of the 2 h feeding period. The secreted saliva weight in the RRIAS-NIB control and the RRIAS-RIB treatment during the 2 h feeding period was 54.1% and 64.2% total weight of the boluses, respectively. The level of decrease in dry forage intake in the RRIAS-RIB treatment of experiment 2 was larger than that in the RIB treatment of experiment 1. In the present experiments, due to the sham feeding conditions, the increases in osmolality of ruminal fluid and plasma, and a decrease in ruminal fluid pH which are normally associated with feeding were not observed. The results indicate that the marked decrease in feed intake observed in the second hour of the 2 h feeding period is related to ruminal distension caused by the feed consumed and the copious amount of saliva secreted during dry forage feeding.

Evaluation of the correlation between insertion torque and primary stability of dental implants using a block bone test

  • Bayarchimeg, Dorjpalam;Namgoong, Hee;Kim, Byung Kook;Kim, Myung Duk;Kim, Sungtae;Kim, Tae-Il;Seol, Yang Jo;Lee, Yong Moo;Ku, Young;Rhyu, In-Chul;Lee, Eun Hee;Koo, Ki-Tae
    • Journal of Periodontal and Implant Science
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    • v.43 no.1
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    • pp.30-36
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    • 2013
  • Purpose: Implant stability at the time of surgery is crucial for the long-term success of dental implants. Primary stability is considered of paramount importance to achieve osseointegration. The purpose of the present study was to investigate the correlation between the insertion torque and primary stability of dental implants using artificial bone blocks with different bone densities and compositions to mimic different circumstances that are encountered in routine daily clinical settings. Methods: In order to validate the objectives, various sized holes were made in bone blocks with different bone densities (#10, #20, #30, #40, and #50) using a surgical drill and insertion torque together with implant stability quotient (ISQ) values that were measured using the Osstell Mentor. The experimental groups under evaluation were subdivided into 5 subgroups according to the circumstances. Results: In group 1, the mean insertion torque and ISQ values increased as the density of the bone blocks increased. For group 2, the mean insertion torque values decreased as the final drill size expanded, but this was not the case for the ISQ values. The mean insertion torque values in group 3 increased with the thickness of the cortical bone, and the same was true for the ISQ values. For group 4, the mean insertion torque values increased as the cancellous bone density increased, but the correlation with the ISQ values was weak. Finally, in group 5, the mean insertion torque decreased as the final drill size increased, but the correlation with the ISQ value was weak. Conclusions: Within the limitations of the study, it was concluded that primary stability does not simply depend on the insertion torque, but also on the bone quality.

Inheritance Analysis of Giant Embryo Mutation Induced by T-DNA Insertion in Rice

  • Qin, Yang;Kim, Suk-Man;Park, Hee-Yeon;Sohn, Jae-Keun
    • Korean Journal of Breeding Science
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    • v.41 no.1
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    • pp.9-15
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    • 2009
  • Recently, giant embryonic rice and functional rice food are preferred by more consumers, which are attributed to the fact that the embryo has high concentrations of essential amino acids, fatty acids, and vitamins relative to other parts of rice grains. In this report, the heredity and stability of giant embryo mutations in successive generations were analyzed regarding a giant embryonic line, 'P47', induced by T-DNA insertion and a $F_2$ population from a cross between 'P47' and 'Junam'. The mutant lines with increases of 1.5, 1.7 and 1.8 times on embryo length, width and 100-embryo weight to those of the control showed stable inheritance across three generations. The continuous frequency distributions of embryo size in the $F_2$ population showed that the embryo size is a quantitative trait of polygene controlled. In addition, wide range of transgressive segregations of six traits affecting embryo size confirmed exchange of genetic materials and recombination between genes controlling embryo size. Five giant embryo mutant lines selected from the $F_2$ population will be used for artificial selection and improvement of giant embryonic varieties.