• Title/Summary/Keyword: implantation rate

Search Result 388, Processing Time 0.03 seconds

Safety of a Totally Implantable Central Venous Port System with Percutaneous Subclavian Vein Access

  • Keum, Dong-Yoon;Kim, Jae-Bum;Chae, Min-Cheol
    • Journal of Chest Surgery
    • /
    • v.46 no.3
    • /
    • pp.202-207
    • /
    • 2013
  • Background: The role of totally implantable central venous port (TICVP) system is increasing. Implantation performed by radiologist with ultrasound-guided access of vein and fluoroscope-guided positioning of catheter is widely accepted nowadays. In this article, we summarized our experience of TICVP system by surgeon and present the success and complication rate of this surgical method. Materials and Methods: Between March 2009 and December 2010, 245 ports were implanted in 242 patients by surgeon. These procedures were performed with one small skin incision and subcutaneous puncture of subclavian vein. Patient's profiles, indications of port system, early and delayed complications, and implanted period were evaluated. Results: There were 82 men and 160 women with mean age of 55.74. Port system was implanted on right chest in 203, and left chest in 42 patients. There was no intraoperative complication. Early complications occurred in 11 patients (4.49%) including malposition of catheter tip in 6, malfunction of catheter in 3, and port site infection in 2. Late complication occurred in 12 patients (4.90%). Conclusion: Surgical insertion of TICVP system with percutaneous subclavian venous access is safe procedures with lower complications. Careful insertion of system and skilled management would decrease complication incidence.

Variables for Predicting Speech Acceptability of Children with Cochlear Implants (인공와우이식 아동 말용인도의 예측 변인)

  • Yoon, Mi Sun
    • Phonetics and Speech Sciences
    • /
    • v.6 no.4
    • /
    • pp.171-179
    • /
    • 2014
  • Purposes: Speech acceptability means the subjective judgement of listeners regarding the naturalness and normality of the speech. The purpose of this study was to determine the predicting variables for speech acceptabilities of children with cochlear implants. Methods: Twenty seven children with CI participated. They had profound pre-lingual hearing loss without any additional disabilities. The mean of chronological ages was 8;9, and mean of age of implantation was 2;11. Speech samples of reading and spontaneous speech were recorded separately. Twenty college students who were not familiar to the speech of deaf children evaluated the speech acceptabilities using visual analog scale. 1 segmental (articulation) and 6 suprasegmental features (pitch, loudness, quality, resonance, intonation, and speaking rate) of speech were perceptually evaluated by 3 SLPs. Correlation and multiple regression analysis were performed to evaluate the predicting variables. Results: The means of speech acceptability for reading and spontaneous speech were 73.47 and 71.96, respectively. Speech acceptability of reading was predicated by the severity of intonation and articulation. Speech acceptability of spontaneous speech was predicated by the severity of intonation and loudness. Discussion and conclusion: Severity of intonation was the most effective variable to predict the speech acceptabilities of both reading and spontaneous speech. A further study would be necessary to generalize the result and to apply this result to intervention in clinical settings.

Recurrent odontogenic keratocyst within the masticatory space (저작근 공간에서 재발된 치성각화낭)

  • Lim, Su-Yeon;Huh, Kyung-Hoe;Yi, Won-Jin;Choi, Hyun-Bae;Choi, Soon-Chul
    • Imaging Science in Dentistry
    • /
    • v.38 no.2
    • /
    • pp.117-120
    • /
    • 2008
  • The odontogenic keratocyst (OKC) is a developmental odontogenic cyst typically occurring in the jaws. Since the first description of OKC was published in 1956, the lesion has been of particular interest because of its specific histopathologic features, high recurrence rate, and aggressive behavior. Recurrences most commonly arise within bone at the site of the original cyst. However, as lining cells may find their way into surrounding tissues either from implantation during surgery or from cortical perforation recurrences may arise at a distance from the original cyst. Here, we report a rare case of recurrent OKC which was first developed in mandible and recurred within the masticatory space.

  • PDF

An Developmental Study of Artificial Skin Using the Alginate Dermal Substrate: Preliminary Report (알지네이트 진피지지체 인공피부 개발: 예비보고)

  • Park, Dae Hwan;Shin, Jeong Im
    • Archives of Plastic Surgery
    • /
    • v.33 no.1
    • /
    • pp.21-30
    • /
    • 2006
  • Alginate, a polymer of guluronic and mannuronic acid, is used as a scaffolding material in biomedical applications. The research was to produce highly-purified alginate from seaweeds and to evaluate the efficacy of alginate as dermal substrate. Our alginate purification method showed a production rate as high as 25%. The purified alginate contained little polyphenol contents and endotoxin, proteins. For study of wound healing, full thickness skin defects were made on the dorsal area of the animal models. And then alginate, fibroblast-growth-factor mixed alginate, alginate-collagen complex, vaseline gauze as control were applied on the wound, respectively, and were evaluated grossly and histopathologically. For biocompatibility test, alginate and alginate-collagen complex discs were implanted on the back of Sprague-Dawly rats. Four weeks after implantation, the animals were examined immunologically against alginate and collagen. Alginate and FGF-mixed alginate, alginate-collagen complex group showed statistically higher percentage of wound contraction and wound healing than control group(p<0.05). Alginate-collagen complex group and FGF-mixed alginate group showed statistically higher percentage of wound healing than alginate group. The experiment of biocompatibility and immunologic reaction against impanted alginate or collagen needs more investigation. Highly-purified alginate from seaweeds by our purification method, showed the effect of wound healing, and addition of FGF or collagen increases the alginate's wound healing effect. It shows the possibility of alginate as a dermal substrate.

The Clinical Implications of Poly Implant Proth$\grave{e}$se Breast Implants: An Overview

  • Wazir, Umar;Kasem, Abdul;Mokbel, Kefah
    • Archives of Plastic Surgery
    • /
    • v.42 no.1
    • /
    • pp.4-10
    • /
    • 2015
  • Mammary implants marketed by Poly Implant Proth$\grave{e}$se (PIP) were found to contain industrial grade silicone and this caused heightened anxiety and extensive publicity regarding their safety in humans. These implants were used in a large number of patients worldwide for augmentation or breast reconstruction. We reviewed articles identified by searches of Medline, PubMed, Embase, and Google Scholar databases up to May 2014 using the terms: "PIP", "Poly Implant Proth$\grave{e}$se", "breast implants" and "augmentation mammoplasty" "siloxanes" or "silicone". In addition the websites of regulating bodies in Europe, USA, and Australia were searched for reports related to PIP mammary implants. PIP mammary implants are more likely to rupture than other implants and can cause adverse effects in the short to the medium term related to the symptoms of rupture such as pain, lumps in the breast and axilla and anxiety. Based on peer-reviewed published studies we have calculated an overall rupture rate of 14.5% (383/2,635) for PIP implants. However, there is no evidence that PIP implant rupture causes long-term adverse health effects in humans so far. Silicone lymphadenopathy represents a foreign body reaction and should be treated conservatively. The long-term adverse effects usually arise from inappropriate extensive surgery, such as axillary lymph node dissection or extensive resection of breast tissue due to silicone leakage.

Design and Fabrication of a Micro PZT Cantilever Array Actuator for Applications in Fluidic Systems

  • Kim Hyonse;In Chihyun;Yoon Gilho;Kim Jongwon
    • Journal of Mechanical Science and Technology
    • /
    • v.19 no.8
    • /
    • pp.1544-1553
    • /
    • 2005
  • In this article, a micro cantilever array actuated by PZT films is designed and fabricated for micro fluidic systems. The design features for maximizing tip deflections and minimizing fluid leakage are described. The governing equation of the composite PZT cantilever is derived and the actuating behavior predicted. The calculated value of the tip deflection was 15 ${\mu}m$ at 5 V. The fabrication process from SIMOX (Separation by oxygen ion implantation) wafer is presented in detail with the PZT film deposition process. The PZT films are characterized by investigating the ferroelectric properties, dielectric constant, and dielectric loss. Tip deflections of 12 ${\mu}m$ at 5 V are measured, which agreed well with the predicted value. The 18 ${\mu}l/s$ leakage rate of air was observed at a pressure difference of 1000 Pa. Micro cooler is introduced, and its possible application to micro compressor is discussed.

Studies on Selection of Less Toxic Insecticides for the Aerial Control of Pine Needle Gall Midge (Thecodiplosis) japonensis Uchida et Inouye) (솔잎혹파리 항공방제용 저독성 농약선발연구)

  • 이형래;변병호
    • Korean journal of applied entomology
    • /
    • v.33 no.3
    • /
    • pp.201-206
    • /
    • 1994
  • Trunk implantation method of phosphamidon 50% Lq.is commonly applied to control the pine needle gall midge (Thecodiplosis laponensts Uchida et Inouye) Since trunk implantaion is normally practiced during the late Spring, it is often difficult to accommodate necessay labor in mral area. As an alternative, aerial spraylng of less toxic ~nsecticide was designed. Usage of less toxic insecticide in the aenal control of pine needle gall midge can reduce the damage to forest ecosystem. The buproferin, one of the insect growth regulator, was selected at d~fferent rate of dilutions and the treatments effects ruere evaluated at different date and time When 50 t~mes diluted solution of buprofezin 40% SC was treated on different period, there was no significant difference in dficacies. the control efficacies of buproferin 40% SC was measured by occurrences (%) of gall formation of the pine needle gall midge using a ultra low volume (ULV) sprayer and the dilutions of 10X 30X and 50X of buprofez~n 40% SC gave efficacies. 72.4. 57.6 and 8.4, respectively.

  • PDF

Comparison of Developmental Efficiency of Murine Somatic Cell Nuclear Transfer Protocol

  • Moon, Jeonghyeon;Jung, Miran;Roh, Sangho
    • Journal of Embryo Transfer
    • /
    • v.32 no.3
    • /
    • pp.81-86
    • /
    • 2017
  • The Somatic cell nuclear transfer (SCNT) method can be applied to various fields such as species conservation, regenerative medicine, farming industries and drug production. However, the efficiency using SCNT is very low for many reasons. One of the troubles of SCNT is that it is highly dependent on the researcher's competence. For that reason, four somatic cell nuclear injection methods were compared to evaluate the effect of hole-sealing process and existence of cytochalasin B (CB) on efficiency of murine SCNT protocol. As a results, the microinjection with the hole-sealing process, the oocyte plasma membrane is inhaled with injection pipette, in HCZB with CB was presented to be the most efficient for the reconstructed in SCNT process. In addition, we demonstrated that the oocytes manipulated in Hepes-CZB medium (HCZB) with CB does not affect the developmental rate and the morphology of the blastocyst during the pre-implantation stage. For this reason, we suggest the microinjection involving hole-sealing in HCZB with CB could improve SCNT process efficiency.

The Present and Future of Vagus Nerve Stimulation

  • Yang, Jeyul;Phi, Ji Hoon
    • Journal of Korean Neurosurgical Society
    • /
    • v.62 no.3
    • /
    • pp.344-352
    • /
    • 2019
  • Epilepsy is one of the major chronic neurological diseases affecting many patients. Resection surgery is the most effective therapy for medically intractable epilepsy, but it is not feasible in all patients. Vagus nerve stimulation (VNS) is an adjunctive neuromodulation therapy that was approved in 1997 for the alleviation of seizures; however, efforts to control epilepsy by stimulating the vagus nerve have been studied for over 100 years. Although its exact mechanism is still under investigation, VNS is thought to affect various brain areas. Hence, VNS has a wide indication for various intractable epileptic syndromes and epilepsy-related comorbidities. Moreover, recent studies have shown anti-inflammatory effects of VNS, and the indication is expanding beyond epilepsy to rheumatoid arthritis, chronic headaches, and depression. VNS yields a more than 50% reduction in seizures in approximately 60% of recipients, with an increase in reduction rates as the follow-up duration increases. The complication rate of VNS is 3-6%, and infection is the most important complication to consider. However, revision surgery was reported to be feasible and safe with appropriate measures. Recently, noninvasive VNS (nVNS) has been introduced, which can be performed transcutaneously without implantation surgery. Although more clinical trials are being conducted, nVNS can reduce the risk of infection and subsequent device failure. In conclusion, VNS has been demonstrated to be beneficial and effective in the treatment of epilepsy and various diseases, and more development is expected in the future.

Open rhinoplasty in secondary cleft nose deformity with suture techniques

  • Lee, Chong Kun;Min, Byung Duk
    • Archives of Craniofacial Surgery
    • /
    • v.23 no.5
    • /
    • pp.211-219
    • /
    • 2022
  • Background: Correction of secondary cleft nose deformity is one of the most important portions in the management of cleft lip patients. Various techniques have been introduced to achieve adequate shape, balance, and symmetry of anatomical landmarks. None of these methods can claim to universally solve all aspects of the problems encountered in secondary cleft deformity surgery. Some authors overlook the aspect of functional rehabilitation with regard to nasal respiratory pathway problems, which is present in over 90% of the patients. This study aimed to evaluate the aesthetic and functional improvements of the authors' non-destructive technique. Methods: With over 15 years of experience, open rhinoplasty was performed, which included total remodeling of the deformed lower lateral cartilage using several suture fixation techniques without any graft or implantation with septo-turbinoplasty. A total of 150 questionnaires were sent by e-mail, but 55 completed questionnaires were returned. Surgical outcomes were evaluated using questionnaire responses, and outcomes were divided into five categories each for esthetic and functional analyses. Results: The satisfaction rate ranged from 75 % to 98%, which means "more or less," "very much," and "absolutely yes" in the esthetic and functional viewpoints. Conclusion: The results of this study strongly recommend performing the suture fixation technique and functional rehabilitation simultaneously for cleft lip/nose correction.