• 제목/요약/키워드: delayed swelling

검색결과 93건 처리시간 0.029초

치근이개부 II급 병변에서 조직유도재생술의 임상적 치유양상의 비교 (A Comparative Study of Clinical Healing Aspects in GTR Treatment on Class II Furcation Defects)

  • 문선영;이재목;서조영
    • Journal of Periodontal and Implant Science
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    • 제29권3호
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    • pp.519-540
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    • 1999
  • The purpose of this study is to compare the healing aspects of the use of ePTFE membrane alone versus combination treatment of ePTFE membrane and bone grafts on class II furcation defects. Seventeen defects were applied ePTFE membrane alone on mxillary molar buccal class II furcation defects as Group I, seventeen defects were applied ePTFE membrane and bone grafts on maxillary molar buccal class II furcation defects as Group II, twenty-three defects were applied ePTFE membrane alone on mandibular molar buccal class II furcation defects as Group III, twenty defects were applied ePTFE membrane and bone grafts on mandibular molar buccal class II furcation defects as Group IV . Measurements were made to determine clinical attachment level, probing depth, gingival depth, SBI, mobility at baseline, 3, 6, 12 months postoperatively. Additional measurements were made to determine membrane exposure level at surgery, 1, 2, 6 weeks postoperatively. And then healing patterns and postoperative complications were evaluated. The result as follows : There were statistically significant differences in probing depth reduction, clinical attachment gain, mobility reduction at values of 3, 6, 12 months postoperatively compared to values of baseline(p<0.05), whereas no significant differences in SBI and gingival recession. In group II, membrane exposure level was increased at 1, 2, 6 weeks postoperatively compared to value of baseline(p<0.05). There were statistically significant differences in changes of probing depth at 3, 6, 12 months postoperatively in combination groups of ePTFE membrane and bone graft compared to groups of ePTFE membrane alone(p<0.05). The vast majority of cases fall into typical healing and delayed healing response when membranes were removed in all groups. Pain and swelling were common postoperative complications. In conclusion, this study was showed more effective healing aspects in combination treatment of ePTFE membrane and bone graft than ePTFE membrane alone and on mandibular molar class II furcation defects than maxillary molar.

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알도즈 환원효소 활성억제와 소비톨 축적 억제로 인한 벌개미취 추출물의 당뇨병성 백내장 발병 지연 효능 (Slow Development of Diabetic Cataract in Streptozotocin-induced Diabetic Rats via Inhibition of Aldose Reductase Activity and Sorbitol Accumulation by Use of Aster koraiensis Extract)

  • 김찬식;김정현;정일하;김영숙;이준;장대식;김진숙
    • 생약학회지
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    • 제40권4호
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    • pp.339-344
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    • 2009
  • Diabetic cataract is a major complication of diabetes mellitus. Excess accumulation of sorbitol plays an important role in the pathogenesis of diabetic complications such as cataract formation. In this study, we investigated the inhibitory effect of the extract of the aerial parts of Aster koraiensis (AK) on diabetic cataractogenesis. To examine this further, we evaluated sorbitol accumulation during cataract development using streptozotocin-induced diabetic rat, an animal model of type 1 diabetes. Diabetic rats were treated orally with AK (100 mg/kg and 200 mg/kg body weight) once a day orally for 9 weeks. In vehicle-treated diabetic rats, lens opacity was increased, and lens fiber swelling and membrane rupture were observed. In addition, sorbitol accumulation in diabetic lens was markedly enhanced. However, AK treatment delayed the progression of diabetic cataract through the inhibition of sorbitol accumulation, and prevented lens fiber degeneration in a dose-dependent manner. These observations suggest that AK treatment can delay the progression of lens opacification in the diabetic rats during the early diabetic cataractogenesis.

초음파로 조기 진단한 비전위 견봉 골절 (Non-displaced Acromial Fracture diagnosed early by the Ultrasonography)

  • 송현석;김도훈;김률;최남용
    • 대한정형외과 초음파학회지
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    • 제5권1호
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    • pp.46-49
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    • 2012
  • 대부분의 견봉 골절은 비전위 혹은 최소 전위된 형태이며, 그 빈도가 낮아서 진단이 늦어지는 경우가 많다. 떨어진 파이프에 맞은 뒤, 74세 남자에게 발생한 견봉 골절을 초음파로 조기 진단할 수 있었던 증례를 보고한다. 본 증례의 경우 좌견관절의 직접 손상 후 내원 시 좌측 견관절의 동통 및 부종, 능동 거상의 제한으로 회전근 개 및 이두건 장두의 손상에 대한 감별진단이 필요한 상태였으나 추가적인 검사 이전에 간편한 초음파 검사로 비전위 견봉 골절을 조기에 진단할 수 있었다. 초음파 검사는 견관절부의 건 손상을 동시에 확인할 수 있다는 면에서 컴퓨터 단층촬영보다 장점이 있다고 생각된다.

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구치부에 발치 후 지연 식립된 표준 직경의 임플란트에 대한 임상적, 방사선학적 평가 (CLINICAL & RADIOGRAPHIC EVALUATION FOLLOWING DELAYED IMPLANTATION USING REGULAR DIAMETER IMPLANTS IN THE POSTERIOR REGION)

  • 최정용;이상화;윤현중
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제35권5호
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    • pp.335-339
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    • 2009
  • The purpose of this study was to evaluate clinical and radiographic changes of regular diameter implants placed in the posterior region. A total of 47 standard diameter implants were consecutively placed in the posterior region of 20 partially edentulous patients. The diameters of the implants were 4.1mm (N=35, 74%) and 4.3mm (N=12, 26%), respectively. Peri-implant bone loss and clinical parameters such as mobility, suppuration, swelling, bleeding on probing (BOP) were evaluated at the baseline and?the final follow-up visit. The age of the patients ranged between 24~82 years (mean age: 54.7 years). The cumulative survival rate of the regular diameter implants loaded for a period of 3-24 months (Mean: $11.7{\pm}7.9$ month) was 100%. The average bone loss over the follow-up was $0.36{\pm}0.67\;mm$. Success rate was 95.7%. Only two implants failed (bone loss exceeding 1mm after 1 year of placement). Some prosthetic complications occurred, such as screw loosening (N=1) and dissolution of cementation material (N=2). The present study describes successful outcome following the use of standard-diameter-implants placed in the posterior region, and further comprehensive maintenance practices and follow-up schedules are required.

악골에 발생한 양성 치성종양의 임상 및 방사선학적 연구 (CLINICAL AND RADIOGRAPHIC STUDY OF BENIGN ODONTOGENIC TUMORS IN THE JAWS)

  • 김경예;박창서
    • 치과방사선
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    • 제19권1호
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    • pp.89-101
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    • 1989
  • The author observed and analyzed the age, sex, chief complaint and radiographic finding of sixty-one cases of benign odontogenic tumors seen in Yonsei Medical Center, for the period of Jan. 1979 to Aug. 1989. The results were as follows: 1. Benign odontogenic tumors of 61 cases included 52 cases (85.3%) of ameloblastoma and odontoma, and 9 cases of other lesions. Radiographically, the border of the lesions were well-defined. 2. Ameloblastoma constituting twenty-seven cases (44.3%) occurred the average age of 31.1 years and had a 3:1 male predominance. The most common complaint was swelling (20 cases, 74.0%) and followed by pain (13 cases, 48.2%). Radiographically, the most common site was mandibular body area (74.0%) and the lesions were mainly multiocular radiolucency; in 17 cases (63.0%) and unilocular radiolucent lesion were seen in 10 cases (37.0%). 16 cases (59.3%) showed the resorption of roots of adjacent teeth. 3. Odontoma constituting twenty-five cases (41.0%) discovered at the average age of 16.9 years and had a 3:2 male predominance. The most common complaint was delayed eruption of tooth (8 cases, 31.0%) and 7 cases (27.0%) detected on a routine radiograph of the area. Radiographically, 17 cases (68.0%) were of compound type and 8 were of complex variety and compound odontomas were common in the anterior maxilla, whereas complex odontomas occurred more frequently in the posterior mandible. 19 cases (76.0%) showed the impaction of adjacent teeth.

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하악 유구치부에서 발생한 선양 치성 종양의 증례 보고 (Adenomatoid Odontogenic Tumor in the Posterior Mandible of a Young Child : A Case Report)

  • 심도희;마연주
    • 대한소아치과학회지
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    • 제47권1호
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    • pp.87-92
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    • 2020
  • 선양 치성 종양(adenomatoid odontogenic tumor)은 소아에서 드물게 발생하는 악골의 치성 기원의 종양이다. 보통 10대에서 상악 견치부분에 발생한다. 이 증례는 3세 여환으로 하악 제2유구치의 미맹출을 주소로 개인병원에서 의뢰되었다. 부종과 통증의 병력은 없었다. 파노라마 사진에서 매복된 하악 제2유구치의 주변으로 방사선투과상 병소가 관찰되었고, Cone Beam Computed Tomography (CBCT) 에서는 골팽창과 함께 방사선 불투과상 병소들이 관찰되었다. 하악 제2유구치의 발치와 함께 병소의 적출과 조직 생검이 시행되었다. 술 후 1년 검사에서 재발을 보이지 않았다. 임상적, 방사선학적 검사를 통해 이 병소는 소아 청소년의 하악 구치부에서 호발하는 법랑모세포 섬유치아종(Ameloblastic fibroodontoma)로 진단되었다. 하지만 생검의 결과를 통해 이 병소는 선양 치성 종양으로 확진 되었다. 이 증례 보고는 매우 어린 나이에 하악 유구치에 발생한 흔하지 않은 선양 치성 종양 증례를 기술하고 있다.

17β-estradiol에 노출된 저서성 요각류 Tigriopus japonicus s.l.의 세대간 생활사 및 형태학적 변이 연구 (Effect of 17β-estradiol on Life History Parameters and Morphological Deformities in Tigriopus japonicus sensu lato: A Two-generation Studies)

  • 방현우;임동현;이원철
    • Ocean and Polar Research
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    • 제32권4호
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    • pp.369-377
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    • 2010
  • To characterize ecotoxicological responses to a natural estrogen, $17{\beta}$-estradiol, we evaluated the life-history of the parental ($F_0$) and first generation ($F_1$) of the harpacticoid copepod, Tigriopus japonicus sensu lato. We evaluated the survival of nauplii and copepodites, the number of days until the emergence of copepodites and adult males, the sex ratio, brooding success, and the first brooding day of adult females. No significant differences in the survival rate were noted in response to treatments with different concentrations of $17{\beta}$-estradiol. However, $17{\beta}$-estradiol induced developmental delay and skewed the sex ratio toward males. Copepod development was delayed significantly in the 0.1 and $1\;{\mu}g\;l^{-1}$ $17{\beta}$-estradiol treatment groups relative to the control group, with a more pronounced delay in the $F_1$ group. Body length and biomass were significantly smaller in the $17{\beta}$-estradiol treated groups than in the controls. The male emergence of T. japonicus s.l. was very high in the 10 and $30\;{\mu}g\;l^{-1}$ $17{\beta}$-estradiol treatment group. Furthermore, exposure to $17{\beta}$-estradiol resulted in morphological deformities such as shrinking and swelling of the urosome, twisted setae of the caudal rami, setal loss of swimming legs, abnormal segmentation of antennules, and dwarfism.

반사성 교감신경계 기능장애 증후군(RSDS)의 손 3상 골스캔 소견 (Three-Phase Bone Scintigraphy in Reflex Sympathetic Dystrophy Syndrome of the Hand)

  • 안명임;박정미;박영하;김성훈;정수교;신경섭;박용휘
    • 대한핵의학회지
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    • 제25권1호
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    • pp.81-86
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    • 1991
  • Reflex sympathetic dystrophy syndrome (RSDS), known also as Sudeck's atrophy, is an uncommon disorder recognized by its distinctive symptom complex consisting of pain and tenderness, vasomotor instability, swelling, and dystrophic skin changes and radiologic changes. The present study has been carried out to prospectively establish scintigraphic diagnostic criteria for RSDS using three-phase radionuclide bone scintigraphy (TPBS). In addition, the usefulness in the evaluation of treatment of RSDS was assessed. Patients included were 6 men and 7 women with the age ranging from 25 to 63 years (average 47 years). Diagnosis was based on typical clinical symptoms and signs as described above. Associated clinical conditions in these patients were cerebral infarction (4 patients), lung cancer (2 patients), trauma (1 patient), lymphoma (1 patient), and unknown cause (5 patients). All patients showed diffuse radionuclide accumulation in juxtaarticular region on the delayed static image and 11 patients showed diffusely increased activities also on scintiangiogram and blood-pool image. Fillow-up TPBS after corticosteroid therapy in 4 patients revealed near normal return of abnormal radionuclide accumulations in the affected hand. TPBS is an useful test for the diagnosis of as well as the evaluation of the therapeutic effects of RSDS.

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가교키토산 매트릭스를 통한 Silver Sulfadiazine의 투과 (Permeability of Silver Sulfadiazine through Crosslinked Chitosan Matrices)

  • 나재운
    • 대한화학회지
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    • 제40권9호
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    • pp.640-648
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    • 1996
  • Chitin을 epichlorohydrin과 반응시켜 가교 chitin을 합성하고, $C_2$ 위치의 아세트아미드기를 탈아세틸화하여 가교 chitosan을 얻었다. 가교 chitosan을 증류수에 팽윤시킨 다음 글리세린과 silver sulfadiazine을 가하여 고분자 matrix를 제조하였다. 이렇게 제조된 matrix로부터 in vitro에서의 약물 방출 pattern을 고찰하기 위해 pH7.4 인산염 완충용액 중에서 약물의 함유량, 글리세린의 농도 변화 및 matrix 두께변화에 미치는 인자들에 관하여 연구 검토 하였다. 고분자 matrix내의 약물의 함유량과 matrix의 두께가 증가할수록 약물 방출 지속 시간은 지연되었다. 그러나 글리세린의 함유량이 증가함에 따라 약물 방출 지속 시간은 오히려 감소 하였다. 또한 약물의 함유량과 글리세린의 함유량이 증가할수록 겉보기 방출속도상수 (K)값도 증가하였으나, matrix 두께가 증가함에 따라서는 겉보기 방출속도상수(K)값이 일정하였다. 이상과 같이 가교 chitosan은 약품의 방출 조절형 제제로서 사용 가능성을 나타냈으며, 약물로 사용된 silver sulfadiazine의 방출거동은 Higuchi model에 따른 확산으로 생각되었다.

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관절경적 족관절 유합술 후 조기 체중부하 보행 (Early Weight Bearing Ambulation after Arthroscopic Ankle Arthrodesis)

  • 김윤정;조성욱;정진화
    • 대한족부족관절학회지
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    • 제18권4호
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    • pp.183-188
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    • 2014
  • Purpose: The accepted general management principle after ankle arthrodesis is to maintain non-weight bearing for 6 to 8 weeks. The aim of this study was to report clinical outcome of patients allowed early weight bearing after arthroscopic arthrodesis. Materials and Methods: We analyzed medical records and radiographs to determine fusion rate and complication risk of 22 sequential patients allowed to walk under short leg cast within 3 days after arthroscopic ankle arthrodesis using 2 screws from January 2008 to June 2012. The minimum follow-up period was 18 months, and the mean age of the patients was 67 years. Results: The mean visual analog scale was decreased from 8.9 points preoperatively to 2.3 points after 12 months. Complete ankle fusion was achieved in 19 patients (86.4%) at 3-month follow-up. There were 2 cases of delayed union and one case of nonunion at 12-month follow-up. There was no other complication such as wound problem, persistent swelling of the ankle. Conclusion: Bony union may not be interfered even though patients were allowed to walk under cast within a few days after arthroscopic ankle arthrodesis.