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Current Concepts in the Mandibular Condyle Fracture Management Part II: Open Reduction Versus Closed Reduction

  • Choi, Kang-Young;Yang, Jung-Dug;Chung, Ho-Yun;Cho, Byung-Chae
    • Archives of Plastic Surgery
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    • v.39 no.4
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    • pp.301-308
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    • 2012
  • In the treatment of mandibular condyle fracture, conservative treatment using closed reduction or surgical treatment using open reduction can be used. Management of mandibular condylar fractures remains a source of ongoing controversy in oral and maxillofacial trauma. For each type of condylar fracture,the treatment method must be chosen taking into consideration the presence of teeth, fracture height, patient'sadaptation, patient's masticatory system, disturbance of occlusal function, and deviation of the mandible. In the past, closed reduction with concomitant active physical therapy conducted after intermaxillary fixation during the recovery period had been mainly used, but in recent years, open treatment of condylar fractures with rigid internal fixation has become more common. The objective of this review was to evaluate the main variables that determine the choice of an open or closed method for treatment of condylar fractures, identifying their indications, advantages, and disadvantages, and to appraise the current evidence regarding the effectiveness of interventions that are used in the management of fractures of the mandibular condyle.

SELECTIVE TOXICITY OF CHRONIC LEAD INGESTION TO CENTRAL CATECHOLAMINERGIC NERVOUS SYSTEM IN RATS

  • Ryu, Jong-Hoon;Cheong, Jae-Hoon;Chin, Kang;Ko, Kwang-Ho
    • Toxicological Research
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    • v.6 no.2
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    • pp.131-142
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    • 1990
  • The selective toxicity of lead was tested in central catecholaminergic nervous system of postnatally lead exposed rats. Three groups of animals were prepared; 1) rats exposed to low dose of lead (0.05%PbAc); 2) rats exposed to high dose of lead(0.2%PbAc); 3) age-matched normal control rats. At2, 4, 6 and 8 weeks of age brain and body weight gain, and lead concentrations in brain tissues were measured. At the same ages tyrosine hydroxylase and Na-K ATPase activities were measured in the 4 brain areas of each animal. Body weight gain was decreased after 6 weeks of age in rats exposed to high dose of lead. Concentrations of lead in whole brain tissues were increased from 0.37 to 0.83 (ng/mg wet tissue) in these animals. in lead exposed rats, tyrosine hydroxylase activities were higher but Na-K ATPase activities were lower than those of age-matched control animals. Brain areas where tyrosine hydroxylase activities were detected without concomitant changes of Na-K ATPase activities were pons-medulla (2 weeks of age) and telencephalon (6 weeks of age) in rats exposed to low dose of lead, and those in rats exposed to high dose of lead were midbrain (4 and 6 weeks of age). These data indicate that catecholaminergic nervous system in the brain areas described above could selectively be affected by lead.

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Flow Cytometric Analysis of Bovine Granulosa Cells : Changes of Cell Cycle During Follicular Maturation (Flow Cytometer를 이용한 소 과립막세포의 분석 : 난포성숙에 따른 세포주기의 변화)

  • 김해정;김동훈;이훈택;정길생
    • Korean Journal of Animal Reproduction
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    • v.17 no.4
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    • pp.279-285
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    • 1994
  • The objective of the present study was to characterize the cell cycles of granulosa cell populations during follicular maturation in cattle by using flow cytometer. Granulosa cells were isolated from bovine preovulatory antral follicles of F1(>10mm), F2(5~20mm), F3(3~4mm) and F4(1~2mm) diameter and fixed and stained with fluorochromes that selectively bine to DNA. Flow cytometer equipped with a laser excitation system was used to analyze the intensity of fluorescence from stained cells. Forward angle light-scatter(FSC) and 90$^{\circ}$light-scatter(SSC) signals were adopted to measure the size and the granularity of granulosa cells. As a results of FSC/SSC analysis, granulosa cell populations(G1 phase of cell cycle) from each follicle were relatively regular in size and granularity, regardless of follicular size. However, their distribution in granularity was greater than that in size. Most of granulosa cell populations collected from each follicle were distributed in G0/G1, S and G2/M phases. As the follicles approached to ovulation the percentage of cells in the proliferative phases of cell cycle (S and G2/M) decreased significantly, but there was a concomitant increase in the percentage of granulosa cells in G1 phase. Therefore, these data indicate the proportion of main populations to cell cycle of granulosa cells may be changed from proliferative phase to G1 phase during follicular maturation in cattle.

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The Effect of IV Infusion of Phenytoin for Glossopharyngeal Neuralgia -A case report- (설인신경통 환자에서 Phenytoin 정주의 효과 -증례 보고-)

  • Lee, Young-Bok;Yoon, Kyung-Bong;Lee, Kwang-Ho;Han, Yi-Keong
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.119-122
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    • 1999
  • Glossopharyngeal neuralgia is a rare syndrome that involves episodic bursts of pain in the sensory distributuion of the ninth cranial nerve. The nature of the pain is characterized by excruciating shock-like pain in the region of the tonsillar fossa or pharynx and can radiate to the ear or the angle of the jaw. Like trigeminal neuralgia, glossopharyngeal neuralgia typically responds to anticonvulsant agents such as carbamazepine. However, dose of carbamazepine needs to be increased gradually to avoid side effects. If the patient can not tolerate until effective carbamazepine level is reached, phenytoin can be administered intravenously at the same time that oral carbamazepine therapy is begun. We present fifty-three year old female patient suffering from glossopharyngeal neuralgia who did not respond to initial carbamazepine therapy, but responded to concomitant intravenous infusion of phenytoin.

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Effects of Morin on the Bioavailability of Doxorubicin for Oral Delivery in Rats

  • Son, Hong-Mook;Choi, Jun-Shik
    • Journal of Pharmaceutical Investigation
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    • v.39 no.4
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    • pp.243-248
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    • 2009
  • The purpose of this study was to investigate the effects of morin, an antioxidant, on the bioavailability of doxorubicin (DOX) in rats. Thus, DOX was administered intravenously (10 mg/kg) or orally (50 mg/kg) with or without oral morin (0.5, 3 and 10 mg/kg). In the presence of morin, the total area under the plasma concentration-time curve (AUC) of DOX was significantly greater than that of the control. In the presence of 3 and 10 mg/kg of morin, the peak concentration $C_{MAX}$) was significantly higher than that of the control. Consequently, the absolute bioavailability (AB) of DOX in the presence of morin was 3.7-8.3%, which was significantly enhanced compared with those of the control group (2.7%). The relative bioavailability (RB) of DOX was 1.36 to 3.02 times higher than those of the control group. Compared to the intravenous control, the presence of morin increased the AUC of DOX, but was not significantly affected. The enhanced bioavailability of oral DOX by oral morin may be due to the inhibition of both P-glycoprotein (P-gp) and cytochrome P450 (CYP) 3A in the intestine and/or liver by morin. This result may suggest that the development of oral DOX combination with morin is feasible, which is more convenient than the i.v. dosage forms. The present study raised the awareness about the potential drug interactions by concomitant use of DOX with morin.

Surgical Treatment of Olecranon Fractures

  • Koh, Kyoung-Hwan;Oh, Hyoung-Keun
    • Clinics in Shoulder and Elbow
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    • v.20 no.1
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    • pp.49-56
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    • 2017
  • Since the olecranon fractures are caused by relatively low-energy injuries, such as a fall from standing height, they are usually found without comminution. Less commonly they can be developed by high-energy injuries and have severe concomitant comminution or injuries to surrounding structures of the elbow. Because the fracture by nature is intra-articular with the exception of some avulsion-type fracture, a majority of olecranon fractures are usually indicated for surgical treatment. Even if there is minimal displacement, surgical treatment is recommended because there is a possibility of further displacement by the traction force of triceps tendon. The most common type of olecranon fracture is displaced, simple non-comminuted fracture (that is, Mayo type IIA fractures). Although tension band wiring was the most widespread treatment method for these fractures previously, there is some trends toward fixation using locking plates. Primary goal of the surgery is to restore a congruent joint and extensor mechanisms by accurate reduction and stable fixation so that range of motion exercises can be performed. The literature has shown that good clinical outcomes are achieved irrespective of surgical fixation technique. However, since the soft tissue envelope around the elbow is poor and the implants are located at the subcutaneous layer, implant irritation is still the most common complication associated with surgical treatment.

A Study on a Visual Image of Products-IIConcentrated on a type in purchasing behavior of consumer (제품의 시각이미지에 관한 고찰-II-생활자의 구매행동의 유형을 중심으로-)

  • 지해천
    • Archives of design research
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    • v.2 no.1
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    • pp.107-115
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    • 1989
  • In my previous research (1986), I considered a general characteristics of a visual image of products. There were really many difficulties in designing all kinds of needs in compliance with the all of their requests in order to satisfy consumers. In addition, under the characteristics of goods, the consumers seem to choose an opti$$\mu$ com\ulcornerbinations after considering the combinations of trade-off. Therefore, this study that selected a watch as an object on this study was analyzed a Design Assessment Structure under the trade-off. As a result of this research: First, an effect of a negative superiority appeared under the trade-off condition among ifems when consumers purchased products. Second, these four items were extracted from the eight items which were suggested in this study through an analysis of factors. Third, the three courses were conformed when a consumer purchased a watch. Fourth, in the all kinds of goods, the price which was considered as an important point was not important item ina relation to a purchasing behavior. According to the concomitant effects, we figured out these four items, that is, form, thickness, readability and wearing and its have to be considered a lot when designing a watch.

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The Effect of an Oxidation Precatalyst on the $NO_x$ Reduction by $NH_3$-SCR Process in Diesel Exhaust ($NH_3$-SCR 방법에 의한 디젤 배기 내 De-$NO_x$ 과정에서의 DOC에 의한 영향과 저감 성능 변화)

  • Jung, Seung-Chai;Yoon, Woong-Sup
    • Transactions of the Korean Society of Automotive Engineers
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    • v.16 no.5
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    • pp.68-76
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    • 2008
  • Diesel $NO_x$ reduction by $NH_3$-SCR in conjunction with the effective oxidation precatalyst was analytically investigated. Physicochemical processes in regard to $NH_3$-SCR $NO_x$ reduction and catalytic NO-$NO_2$ conversion are formulated with detailed descriptions on the commanding reactions. A unified model is correctly validated with experimental data in terms of extents of $NO_x$ reduction by SCR and NO-$NO_2$ conversion by DOC. The present deterministic model based on the rate expressions of Langmuir-Hinshelwood reaction scheme finds a conversion extent directly. A series of numerical experiments concomitant with parametric analysis of the $NO_x$ reduction was conducted. $NO_x$ reduction is promoted in proportion to DOC volume ar lower temperatures and an opposite holds at lower space velocity and intermediate temperatures. $NO_x$ conversion is weakly correlated to the space velocity and the DOC volume at higher exhaust temperature. In DOC-SCR system, the $NO_x$ reduction efficiency depends on the $NH_3/NO_x$ ratio.

Pediococcus spp.-fermented chicken meat for dogs

  • Lee, Eunchae;Nam, Ki-Taek;Lee, Kyung-Woo;Lee, Sang-Rak
    • Journal of Animal Science and Technology
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    • v.62 no.1
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    • pp.84-93
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    • 2020
  • An experiment was conducted to evaluate Pediococcus spp.-fermented chicken meat as a snack for dogs. The fermented or non-fermented snacks used in this study were prepared through the following process; meat mixtures containing 52.8% MDCM, 35.2% chicken breast meat (CBM) and 9.7% corn starch were inoculated with or without Pediococcus spp., incubated at 37℃ for 24 h and then sterilized at 121℃ for 20 min. During the 24-h fermentation, the pH of fermented chicken snack dropped rapidly with concomitant increase in number of lactic acid bacteria. The nutritional composition was not altered by fermentation. In vitro pepsin nitrogen digestibility was higher (p < 0.05) in the fermented snack compared with the non-fermented snack. Upon storage at room temperature for 14 days, bacteria grew slowly in fermented vs. non-fermented snack samples. In a palatability trial, dogs preferred non-fermented over fermented snack food. In 12-d-long feeding trial, fecal ammonia content was lowered, but fecal lactic acid content was increased in dogs fed the fermented vs. non-fermented snack food. Our study shows that the fermented MDCM-based snack exhibited good preservability upon storage, and improved in vitro nitrogen digestibility and fecal characteristics in dogs.

Ultrastructural Changes of Entamoeba histolytica in the Immune Serum (이질(痢疾)아메바(Entamoeba histolytica)의 면역혈청(免疫血淸) 내(內)에서의 미세구조(微細構造) 변화(變化))

  • Deung, Young-Kun;Chung, Pyung-Rim;Chang, Jae-Kyung;Soh, Chin-Thack
    • Applied Microscopy
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    • v.7 no.1
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    • pp.1-12
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    • 1977
  • Ultrastructural changes of Entamoeba histolytica, a concomitant strain YS-9, which was treated in the immune serum was examined. The amoebae in the serum became immobilized state from about 30 minutes of the treatment and recovered at about 60-90 minutes. In the cells of control group, helix structures were scattered throughout the cytoplasm. The particles comprising the helix structure averaged 20 nm in diameter. At the beginning stage of the immobilization, helical aggregates(chromatoid body) which associated with vacuoles appeared abundantly in the cytoplasm, but gradually tended to aggregate along peripheral region of the cell, specially in intactly immobilized state. Each parallel array of aggregates measured about 45 nm in width. When the cells became remobilize, pseudopodia appeared again, but helical aggregates disappeared and numerous helix structures were observed in the cell periphery. Distribution of glycogen particles showed no change, and acid phosphatase activities were seen in both the immobilized and the control group. The reaction was markedly noticed in the vacuoles.

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