• The Journal of Korean Academy of Prosthodontics
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• v.44 no.4
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• pp.394-404
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• 2006

Statement of problem: A conventional 3-unit fixed partial denture design with a pontic between two retainers is the most commonly used. However in cases where the mental nerve is in close proximity to the second premolar, a cantilever design can be considered. As such, logical and scientific evidence is lacking for the number and position of implants to be placed for partially edentulous patients, and no clear-cut set of treatment principles currently exist. Purpose : The purpose of this study was to evaluate prognosis of implant-supported fixed partial dentures and to compare changes in bone level which may rise due to the different factors. Material and method : The present study examined radiographical marginal bone loss in patients treated with implant-supported fixed partial dentures (87 prostheses supported by 227 implants) and evaluated the influence of the span of the pontic, type of the opposing dentition. Clinical complications were studied using a retrospective method. Within the limitation of this study. the following result were drawn Result, 1. Seven of a total of 227 implants restored with fixed prostheses failed, resulting in a 96.9% success rate. 2. Complications encountered during recall appointments included dissolution of temporary luting agent (17 cases), porcelain fracture (8 cases), loosened screws (5 cases), gingival recession (4 cases), and gingival enlargement (1 case). 3. Marginal bone loss, 1 year after prosthesis placement, was significant(P<0.05) in the group that underwent bone grafting, however no difference in annual resorption rate was observed afterwards. 4. Marginal bono loss, 1 year post-placement, was greater in cantilever-type prostheses than in centric pontic protheses (P<0.05). 5. Marginal bone loss was more pronounced in posterior regions compared to anterior regions (P<0.05). 6. The degree of marginal bone loss was proportional to the length of the pontic (P<0.05). Conclusion: The success rate of implant-supported fixed partial dentures, including marginal bone loss, was satisfactory in the present study. Factors influencing marginal bone loss included whether bone graft was performed, location of the pontic (s), location of the surgical area in the arch pontic span. Long-term evaluation is necessary for implant-supported fixed partial dentures, as are further studies on the relationship between functional load and the number of implants to be placed.

• Polymer(Korea)
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• v.32 no.1
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• pp.70-76
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• 2008

The PES-g-BTCA membrane was synthesized by UV irradiation method and then used to be modified into the PES anion exchange membrane by the amination reaction. Their chemical structures and adsorption properties were investigated. The degree of grafting and amination were increased with increasing the reaction time and had the maximum values of 138% and 1.20 mmol/g at 80 min, respectively. The initial thermal degradation temperature of PES membrane was $400^{\circ}C$. Which was reduced as the surface modification reaction had proceeded. The values of contact angle for PES membrane were decreased from 68.1 to $40.2^{\circ}$ with increasing the extent of amination, the water up-take and ion exchange capacity were also increased with increasing UV irradiation time until 80 min. The average pore size and BET surface area were decreased in order of PES, PES-g-BTCA, and aminated PES ion exchange membrane. Their average pore sizes were 624.8, 359.7, and 138.5 ${\AA}$, and their surface areas were 10.1,9.7 and 1.7 $m^2/g$, respectively.

• Journal of Periodontal and Implant Science
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• v.26 no.2
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• pp.334-349
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• 1996

Regeneration of the periodontal tissue destroyed by periodontal disease is one of the final goals of periodontal therapy. In the past few years, periodontists have used various alloplastic grafting materials in an attempt to regenerate bone lost from periodontal disease. These materials have used widely because they have shown to be nontoxic, biologically compatible with surrounding host tissue and chemically similar to bone. The purpose of this study was to investigate the effect of Porous Resorbable Calcium Carbonate and Porous Replamineform Hydroxyapatite on the regeneration of the alveolar bone and the healing of roots transplanted into the periodontally diseased extraction sockets of dogs. The experimental chronic periodontitis was induced by elastic ligatures on the 2nd and 3rd mandibular premolars of 2 adult dogs for 8weeks after surgically creating periodontal defect. The extracted root were split in half along the long-axis, and the extend of plaque exposure was marked on the root surfaces with burs. The roots were inserted in extraction sockets with Porous Resorbable Calcium Carbonate(PRCC) in left side and with Porous Replaminefrom Hydroxyapatite(PRH) in right side. The flaps were sutured to cover the sockets completely. The animals were sacrificed after 12 weeks of healing, and the specimens were examined histologically. The results were as follows: 1. No inflammatory reactions were observed in either groups. 2. Hoot resorption was observed in both groups while the general outline of the roots were maintained. 3. PRCC was almost completely resorbed and replaced with new bone, while R.H.A. was not resorbed & remained encased in newly-formed C-T and alveolar bone. 4. PRH was encapsulated with alveolar bone which has been deposited from apical & lateral area of the sockets, while the coronal portion of the sockets were filled with C-T. 5. In both groups, the resorbed portions of the roots were replaced with new bone. These results suggest that either PRCC or PRH may not interfere with bone formation or healing in extraction sockets, and in some degree, retard the root resorption. Because the roots maintained in anatomy, we think that graft materials prevent the root resorption.

• Journal of the Ergonomics Society of Korea
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• v.27 no.4
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• pp.27-35
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• 2008

Recently, many studies have reported the fact that an excessively accumulated psychological and physical burden induced from physical labor conducted routinely in home and industry can be one of main reasons of musculoskeletal disorders in the working population. This fact makes increase interests in studies to reduce a risk of musculoskeletal disorders through grafting ergonomic considerations on working environment. However, there are currently limited methodologies in quantitative evaluations of new ergonomic suggestions to reduce a risk of musculoskeletal disorders. The current study is therefore performed to evaluate quantitatively effects of a design of washing machine as a new ergonomic suggestion onto prevention of musculoskeletal disorders, through application of a biomechanical evaluation methodology. For this, three-dimensional motion analysis by using musculoskeletal models with Rapid Entire Body Assessment (REBA), which has been generally used for a simple evaluation of a degree of harmfulness of the human body at specific working postures to be considered, was performed. The results of REBA did not give us enough information and their results were somewhat simple and inaccurate, but the results of the three-dimensional motion analysis give us enough information such as alteration of main muscle forces and joint moments required during washing work. All results showed that the main muscle strengths and joint moments were decreased effectively for reduction of a risk of musculoskeletal disorders during the washing work with newly designed washing machine evaluated in the current study, compared with those generated during the washing work with general washing machine. From these results, it can be concluded that a risk of the musculoskeletal disorders, which may be induced by a repetitive washing work, may be reduced through using the washing machine designed ergonomically and newly. Also, it is thought that if our ergonomic design can be applied for improvement of working environment in lifting and laying works conducted repeatedly for a treatment work of goods, which have a strong resemblance to the behaviors generated frequently during the washing work, a possibility of occurrence of the musculoskeletal disorders by the lifting and laying works may be reduced highly.

• Polymer(Korea)
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• v.28 no.5
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• pp.397-403
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• 2004

The sulfonated PET-g-GMA ion-exchange fine fibers were synthesized by UV radiation-induced graft copolymerization using a photoinitiator, and their chemical structure and adsorption properties were investigated. The optimum values for synthetic conditions - UV intensity, reaction time, and reaction temperature were 450 W, 60 min, and $40^{\circ}C$, respectively. Maximum values of the degree of sulfonation and ion exchange capacity were 8.12 mmol/g and 3.25 meq/g, respectively. Tensile strength of sulfonated PET-g-GMA fine ion exchange fibers was lower than that of PET trunk polymer as the grafting reaction rates increased. It was shown that as for the adsorption rate of $Ca^{2+}$ and $Mg^{2+}$ by the sulfonated PET-g-GMA fine ion exchange fibers, magnesium ion is slower than calcium ion in the solution. However, in the mixture of the calcium and magnesium ions, the adsorption rate of calcium ion was much slower than that of magnesium ion.

• The Korean Journal of Nuclear Medicine
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• v.38 no.3
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• pp.253-258
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• 2004

Purpose: Chitosan has been studied as a non-viral gene delivery vector, drug delivery carrier, metal chelator, food additive, and radiopharmaceutical, among other things. Recently, galactose-graft chitosan was studied as a non-viral gene and drug delivery vector to target hepatocytes. The aim of this study was to investigate the usefulness of nuclear imaging for in vivo evaluation of targeting the hepatocyte by galactose grafting. Methods and Materials: Galactosyl methylated chitosan (GMC) was produced by methylation to lactobionic acid coupled chitosan. Cytotoxicity of $^{99m}Tc$-GMC was determined by MTT assay. Rabbits were injected via their auricular vein with $^{99m}Tc$-GMC and $^{99m}Tc$-methylated chitosan (MC), the latter of which does not contain a galactose group, and images were acquired with a gamma camera equipped with a parallel hole collimator. The composition of the galactose group in galactosylated chitosan (GC), as well as the tri-, di-, or mono-methylation of GMC, was confirmed by NMR spectroscopy. Results: The results of MTT assay indicated that $^{99m}Tc$-GMC was non-toxic. $^{99m}Tc$-GMC specifically accumulated in the liver within 10 minutes of injection and maintained high hepatic uptake. In contrast, $^{99m}Tc$-MC showed faint liver uptake. $^{99m}Tc$-GMC scintigraphy of rabbits showed that the galactose ligand principally targeted the liver while the chitosan functionalities led to excretion through the urinary system. Conclusion: Bioconjugation with a specific ligand endows some degree of targetability to an administered molecule or drug, as in the case of galactose for hepatocyte in vivo, and evaluating said targetabililty is a clear example of the great benefit proffered by nuclear imaging.

• Journal of Chest Surgery
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• v.34 no.12
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• pp.901-908
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• 2001

Background : Coronary artery bypass graft(CABG) in patients with advanced left ventricular dysfunction has often been regarded as having high mortality rate, despite the great improvement in operative result of CABG. With recent advances in surgical technique and myocardial protection, surgical revascularization improved the symptom and long-term survival of these high risk patients more than the medical conservative treatment. Material and Methold : Clinical data of 31(4.1％) patients with preoperative ejection fraction less than 30% among 864 CABGs performed between January 1995 and March 1999 were retrospectively analyzed and pre- and postoperative changes of the ejection fraction on echocardiography were analyzed. There were 26 men and 5 women. The mean age was 60.7 years(range 41 to 72 years). History of myocardial infarction(30 cases, 98％) was the most common preoperative risk factor. There were seven irreversible myocardial infarction on thallium scan. Most patients had triple vessel diseases(26 cases, 84％) and first degree of Rentrop classification(16 cases, 52％) on coronary angiography. The mean number of distal anastomosis during CABG was per patient was 4.9${\pm}$0.8 sites in each patient. In addition to long saphenous veins, the internal mammary artery was used in 20 patients. Total bypass time was 244.7${\pm}$3.7 minutes(range, 117 to 567 minutes), and mean aortic cross-clamp time was 77.9 ${\pm}$ 1.6 minutes(range, 30 to 178 minutes). There were five other reparative procedures such as two left ventricular aneurysrmectomy, two mitral repair, and one aortic valve replacement. There were twelve postoperative complications such as three cardiac arrhythmia, two bleeding(re-operation), one delayed sternal closure, eleven usage of intra-aortic balloon counterpulsation for low cardiac output. Two patients died, postoperative mortality was 6.5% . Twenty-nine patients were relieved of chest pain and left ventricular ejection fraction after operation was significantly higher(38.5${\pm}$11.6%, p 0.001) as compared with preoperative left ventricular ejection fraction(25.3${\pm}$2.3%). The follow up period of out patient was 25. 3 months. Conclusion: In patients with coronary artery disease and advanced left ventricular dysfunction, coronary artery bypass grafting can be performed relatively safely with improvement in left ventricular function, but it will be necessary to study long term results.