• Title/Summary/Keyword: fissure

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Analysis of Treatment Result of Arachnoid Cyst (뇌지주막 낭종의 치료결과 분석)

  • Lee, Jeong-Hwan;Kim, Oh-Lyong;Kim, Seong-Ho;Bae, Jang-Ho;Choi, Byung-Yon;Cho, Soo-Ho
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup2
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    • pp.211-215
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    • 2001
  • Objective : The present study was performed to analyze treatment results for 22 cases of arachnoid cyst and to have appropriate surgical method in our department. Material and Methods : We performed a retrospective study in 22 cases in 11 years between 1989 to 2000 that could be followed up. The analysis was based on the results of patients age, sex distribution, developed area, clinical symptom, treatment method, and complication. Results : The age range of cyst development was between 7 months to 60 years with the average age of 21 years. As for sex distribution, 20 were male and 2 were female, with significantly more cyst development in males than females. Thirteen cases were developed in the sylvian fissure, 3 cases in the posterior fossa, 4 cases in the cerebral convexity of the supratentorial area, 1 case in the suprasella and 1 case in interhemiphere. Those cases with the sylvian fissure involvement included 6 cases of Type I, 4 cases of Type II, and 3 cases of Type III. As for the distribution according to hemisphere, more arachnoidal cysts were seen in the right hemisphere. The most common clinical symptom was headache, followed by seizure and speech disturbance. As for the treatment method in 22 cases, surgery was performed in 17 cases and conservative treatment in 5 cases. Fenestration was performed in 14 cases. 13 cases of them showed good outcome, and 1 case with delayed development showed no improvement. Cyst-peritoneal shunt was done in 2 cases. Both fenestration and cyst-peritoneal shunt were done in 1 case. Conclusion : Patients who perforemed fenestration were showed good outcome with few complication. We concluded that fenestration is the most appropriate surgical method for arachnoid cyst.

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Evaluation of sealant microleakage using Swept-Source Optical Coherence Tomography (치면열구전색치아의 미세누출 평가를 위한 Swept-Source Optical Coherence Tomography의 타당도 평가)

  • Nam, Sang-Mi;Ku, Hye-Min;Lee, Eun-Song;Kim, Baek-Il
    • The Journal of the Korean dental association
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    • v.56 no.12
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    • pp.686-694
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    • 2018
  • Purpose: The aim of this study was to evaluate the validity of swept-source optical coherence tomography (SS-OCT) for detecting sealant microleakage. Materials and Methods: A total of 31 extracted sound human molar, assigned as suitable for sealant application, were chosen and divided into two groups: (1) no microleakage group and (2) microleakage group by applying sealant using the different methods. All specimens were immersed in 1% methylene blue for 24 h and sectioned to confirm the absence or presence of sealant microleakage as a gold standard method. Subsequently, all the sectioned specimens were digitally photographed using a microscope with a magnification of ${\times}50$. Presence of microleakage was evaluated on a 2-point rating scale. The association of histological method with conventional methods (visual and tactile assessment) and SS-OCT was assessed using a chi-squared test. The intra- and inter-examiner reliability was calculated using Cohen's Kappa. Results: The SS-OCT showed a sensitivity of 0.73 and a specificity of 1.00, while visual and tactile assessment showed a sensitivity of 0.67 and a specificity of 0.86. The inter-examiner reliability of SS-OCT was 0.79, whereas that of the visual and tactile assessment was 0.53. Conclusions: SS-OCT can be used to non-invasively detect sealant microleakage and to monitor pit and fissure sealant in the clinics.

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Application of Topical Rocuronium Bromide Dosing by Ocular Size in Four Species of Wild Birds

  • Haerin Rhim;Sunjun Jung;Namsoo Kim;Jae-Ik Han
    • Journal of Veterinary Science
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    • v.24 no.4
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    • pp.59.1-59.13
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    • 2023
  • Background: Rocuronium bromide has been evaluated as a mydriatic agent in birds, but the species applied were limited and the dose and effect were variable. Objective: This study aims to evaluate the efficacy of topical rocuronium bromide as mydriatics in 4 species according to horizontal palpebral fissure length: Feral pigeon (Columba livia), Common kestrel (Falco tinnunculus), Northern boobook (Ninox japonica), and Eurasian eagle owl (Bubo bubo). Methods: A total of 32 birds (8 for each species) were included as pre-releasing examination. Rocuronium bromide was instilled in one randomly selected eye of each bird based on palpebral fissure length criteria (0.5 mg/50 µL for pigeons, 1 mg/100 µL for kestrels and boobook owls, and 2 mg/200 µL for eagle owls). The contralateral eye was used as control and treated with normal saline. After instillation of the drug, pupil diameter, pupillary light reflex, intraocular pressure, heart rate, and respiratory rate were evaluated at 10 min intervals up to 180 min and at 30 min intervals up to 360 min. Results: Statistically significant mydriasis was obtained in all birds (p < 0.001). However, in boobook and eagle owls, marked mydriasis persisted until 360 min. Side effects including corneal erosion and lower eyelid paralysis were common, which was observed in 26/32 birds. Blepharospasm was also noted during this study. No systemic adverse signs were observed. Conclusions: Rocuronium bromide could be a good mydriatics option for 4 species of birds, however, further studies are needed to find lowest effective dose to reduce drug-related side effects.

CLINICAL USE OF CORTICOTOMIES IN ADULT ORTHODONTICS (성인 교정치료를 위한 피질골절단술(Corticotomy)의 임상 적용)

  • Lee, Baek-Soo;Hwang, Hye-Wook;Chung, Kyu-Rhim
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.3
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    • pp.303-311
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    • 1999
  • In adult patients, the corrections of their malocclusion may be more difficult and require longer treatment time due to thicker layer of cortical bone and reduced blood supply. Recently, various methods such as surgery, implant for anchorage and corticotomy have been tried to overcome these problems. Corticotomy is a surgical technique in which a fissure is made through the cortical bone that surrounds a tooth so that the tooth is embedded within a block of bone that is connected to adjacent blocks through only the medullary bone. Technique of corticotomy has been widely used for correction of maxillary transverse deficiency, but hasn't actively in other fields of orthodontics. We applied corticotomies in many types of orthodontic treatment and had satisfactory results. We suggested clinical application of corticotomy in adult orthodontics to reduce treatment period and to achieve better stability after orthodontic treatment.

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Fracture Criterion and Fatigue Crack Growth Behavior of Rail Steel Under Mode I & Mixed Mode Loading (단일 및 혼합모드 하중하에서의 레일강의 파괴조건 및 피로균열진전거동)

  • Kim, Jung-Kyu;Lee, Jong-Sun;Kim, Chul-Soo
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.23 no.6 s.165
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    • pp.1039-1047
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    • 1999
  • It is necessary to evaluate the fatigue behavior of rail steel under the multi-axial stress state to assure the railway vehicle's safety. For this purpose, the stress analysis to investigate the crack initiation criteria, static failure and fatigue behavior under mixed-mode are performed. The stress analysis results show that the initiation of the transverse fissure depends on the maximum shear stress below the surface. For the mixed mode, the fatigue crack growth behavior which is represented by the projection crack length and comparative S.I.F, ${\Delta}K_v$, shows the more conservative results. Also, its rate is lower than that of the case of the mode I, and this difference decreases with increasing the stress ratio, R.

Localized Pleural Fibrous Mesothelioma - Report of 3 Cases - (국소형 흉막 중피세포종: 3례 보고)

  • 이석열
    • Journal of Chest Surgery
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    • v.24 no.6
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    • pp.595-604
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    • 1991
  • Pleural mesothelioma is usually divided into two forms of localized and diffuse type. Localized pleural fibrous mesothelioma is uncommon mesodermal neoplasm, which may occurs in both sexes and at the age of 50 years. This type of mesothelioma is usually asymptomatic and detected on routine chest X-ray and made fibrous tissue and shows of collagen fibers microscopically. Most localized fibrous mesothelioma arises from the visceral pleura and is well encapsulated and pedunculated mass. CT findings included well delineated, often lobulated, non-calcified soft tissue masses in close relation to a pleural space, associated pleural thickening, and absence of chest wall invasion and a peripheral or fissure location. Three cases of localized pleural fibrous mesothelioma diagnosed by resectional surgery were reported with the review of literature.

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AN AUTORADIOGRAPHIC STUDY OF THE MICROLEAKAGE AROUND A PIT AND FIGURE SEALANT (치면열구 전쇄재의 미세누출에 관한 자가방사법적 연구)

  • Sohn, Jang-Sook;Lee, Jong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.10 no.1
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    • pp.77-83
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    • 1983
  • The purpose of this study was to observe the microleakage of a pit and fissure sealant at the tooth-restoration interface. One hundred and sixty-seven extracted permanent and deciduous teeth were used and some simple mechanical pretreatment were done before etching. The degree of microleakage was assessed by $Ca^{45}$ after 24 hours, and 2 months. The results were as follows: 1. Among total 167 teeth, 53 teeth (32%) were demonstrated the microleakage. 2. After 2 months the leakage was increased from 22 percent to 35 percent in permanent teeth, and from 32 percent to 43 percent in primary teeth. 3. The group treated by fluoride paste was demonstrated the largest leakage, 50 percent in primary teeth and 33 percent in permanent teeth. There are more leakage in primary teeth (38%) than permanent teeth (28%).

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Intracerebral Hematoma Caused by Ruptured Traumatic Pseudoaneurysm of the Middle Meningeal Artery : A Case Report

  • Lim, Dong-Ho;Kim, Tae-Sun;Joo, Sung-Pil;Kim, Soo-Han
    • Journal of Korean Neurosurgical Society
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    • v.42 no.5
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    • pp.416-418
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    • 2007
  • Hematomas caused by ruptured traumatic pseudoaneurysms of the middle meningeal artery (MMA) usually present with extradural hematomas, whereas intradural intraparenchymal hematomas are extremely rare. We report a case of traumatic pseudoaneurysm of the MMA giving rise to an intracerebral hematoma after head trauma. A 70-year-old man suffered a massive intracerebral temporoparietal hemorrhage after a head injury. CT angiogram of the brain revealed a large hematoma in the right middle cranial fossa extending to the right sylvian fissure. Cerebral angiogram also revealed a pseudoaneurysm of the MMA, which was successfully treated surgically. Although traumatic MMA pseudoaneurysm producing intracerebral hematoma (ICH) is rare, it should be considered as a possible cause of intracerebral hematoma.

The Practical Use of the Productive Aquifer Systems as a Source of a Renewable Thermal Energy and Local Water Works (지방상수도의 신규 수원과 재생에너지원으로서 고산출성 대수층의 활용)

  • Hahn, Jeongsang
    • Journal of Soil and Groundwater Environment
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    • v.23 no.4
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    • pp.16-25
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    • 2018
  • The Quaternary volcanic rocks, clastic sedimentary rocks of Kyongsang System, and carbonate rocks of Joseon and Pyongan System are known as good productive and potential aquifer systems in South Korea. National Groundwater Informaton Mangement and Service System (GIMS) indicates that the exploitable, sustainable, and current use of groundwater are about 18.8, 12.9, and $3.73billion\;m^3/a$, respectively. The rest amount ($9.1billion\;m^3/a$) can still be used for an additional water supply source. Therefore. comprehensive groundwater survey work comprising hydrogeological mapping, subsurface investigation and quantitative aquifer test etc. are highly required to establish rational groundwater management strategy.

The Change of the Digital Skin Temperature in Dental Outpatients by Biotrainer (Biotrainer를 이용한 치과외래환자의 수지피부온도변화에 관한 연구)

  • Gi-Hong Kwon;Myung-Yun Ko
    • Journal of Oral Medicine and Pain
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    • v.19 no.2
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    • pp.137-151
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    • 1994
  • In order to evaluate objectively the anxiety level in dental treatment, the author used Biotrainer(BF-120R), one of the skin temperature biofeedback apparatus, to examine 68 dental outpatients on their digital skin temperature change due to routine consecutive dental procedures(oral examination, anesthetic injection, cavity preparation, fissure sealing, polishing). The subjective anxiety level change was also evaluated by visual analog scale. The obtained results were as follows : 1. The skin temperature decreased through consecutive procedures and the temperature in each procedure decreased until 60sec, and then increased on 120sec. 2. The temperature changes in Preparation and Injection were greater than those in other procedures. 3. Generally, male exhibited more change of skin temperature in all procedures than female. 4. Type II, continuously decreasing after procedure, occupied the most in all patients and yhad the lowest beseline temperature. 5. The anxiety level of before-procedure was higher than that of after-procedure and the levels in Injection and Preparation were higher than in other procedures.

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