Objectives: With the recent advances and increasing use of imaging techniques in examination of the neck, the incidence of incidentally discovered thyroid carcinoma has been increasing. This study was carried out to evaluate the clinicopathologic characteristics of incidental thyroid carcinomas and to find optimal therapeutic strategies for these lesions. Materials & Methods: From Jan. 1988 to Aug. 1998, 1,053 patients were operated on for thyroid cancer, of whom 127(12.1%) had incidentally discovered thyroid cancers which were identified during routine health checkups(n=40), diagnostic procedures for unrelated medical conditions(n=39) and mass screening for thyroid cancer(n=48). The preoperative diagnosis was obtained by ultrasound-guided FNAB and the extent of surgery was determined based on frozen section examinations, as well as prognostic factors and gross findings at the time of surgery. Results: There were 6 men and 121 women with a mean age of 45.9 years. Histopathological diagnosis included papillary carcinomas(n=1l9), follicular carcinomas(n=6), poorly differentiated carcinoma(n=l) and medullary carcinoma(n=1). Thirty patients(23.6%) had multifocallesions. The mean diameter of the tumors was 1.1 cm(0.2-3.4 cm). Capsular invasions were found in 53 patients(41.7%) and nodal metastases in 41(32.3%). The surgical procedures used were: 90 less-than total thyroidectomies and 37 total thyroidectomies with central neck node dissection. Lateral neck dissection was added in 5 patients. According to TNM staging, 79 patients(63.2%) were at stage I, 15(12.0%) at stage II, 31(24.8%) at stage III and 0(0.0%) at stage IV. By AMES scoring system, 102 patients(81.6%) were in the low-risk group and 23(18.4%) in the high-risk group. And by MACIS scoring system, 103(86.6%) of 119 papillary thyroid cancer patients were less than 6. Conclusions: The clinicopathological characteristics of incidentally discovered thyroid carcinomas are similar to ordinary thyroid carcinomas. The treatment of choice should be individualized based on the particular clinical situation encountered, as in ordinary thyroid carcinomas.
We could say that the concrete filled steel tube structure is superior in the vlew of various
structure properties as to promote improvement of structural capacity to dtmonstrate heterogeneous material properties interdependently.
The compressive strength is increased by putting to tri axial stress because lateral expansion
of concrete 1s confined by the steel tube, when concrete conflned by steel tube fall under centric
axial load. Also, it have an advantage that decreasr of load carrying capacity 1s small, not
occuring section deficiency due to protect falling piienornonon by co~nprrssion fallurc of concrete.
So this study investigated for structural behaviors yroprrtiex of concwir. confined by steel
tube throughout a series of experlmerit with kcy parxncter, such as diameter-to-thickness(D / t)
ratio, strength of concrete as a study on properties of structural behaviors of confined concrete
confined by circular steel tube( tri axial stress). Frorn the expcrment results, the obtained
results, are surnrnarised as foliow.
(1) The restraint effect of concrete by steel tube was presented significantly as the D /t ratio
of steel tube and the strength of filled concrete decrease, and the confined concrete by circular
steel tube was increased respectively twice as much as 4-7 in deformation capacity at the ultimate
strength ,compared with those of non-confined concrete, so expected to increase flexible
effect of concrete.
(2) The emprical formula to predict the ultimate capacity of confined concrete by steel tube
and concrete filled steel tube column using restraint coefficient of concrete were proposed.
Histology and ultrastructure of the gill in the granular ark, Tegillarca granosa are described using light and transmission electron microscopy. The gill of the clam have typical structure of the filibranch type. The gill filament have several band of lateral and apical cilia. The epithelial layer surrounding the hemolymph sinus is simple and consists of epithelial cells, ciliated cells and secretory cells. The epithelial cells are usually squamous and covered with microvilli. The ciliated cells are usually columnar and can be divided into two types (A and B). Type A cells are more abundance and have lower electron density than B cells. Ultrastructure of the cilia showed that '9+2' microtubular structure of the axial filament and '$2{\times}9$' proximal centriole structure in the cross section. Secretory cells are mainly observed in the apical region of the filament and can be divided into three types of A, B and C with morphological features of the secretory granules. Type A cells of oval shaped are more abundance than other secretory cells and contains numerous secretory granules of low electron dense. Type B cells contains secretory granules of membrane-bounded and high electron dense. Secretory granules of type C cells are elliptical and fine granules surrounding the homogeneous core materials.
A stone cultural heritage often lacks design drawing and detailed geometric informations, thus it becomes more difficult to conservation and restoration. Even though there is active database of detail shape information and numerical measurement for stone monuments, most of the data is in hard-to-utilize two-dimensional images. The new technology developed to overcome this problem is three-dimensional image scanning system. The multi-storied stone pagoda of the Daewonsa temple was analysed with 3D scanning image data then survey map with orientation displacement was evaluated. The difference of each side became apparent with the members of the stone properties was measured, also horizontal and vertical displacement occurred. Horizontal displacement occurred in increasing severity from left to right and from body section to upper part. The 8th roof stones are leaning toward northwest direction due to lateral displacement. The evaluation and measurement of displacement could cause a little errors due to the characteristics uneven surface of stone monuments, computer program and mistakes from the researcher. In future, more precise measurement and stability studies should be done to suggest that accurate data for conservation and understanding of damage condition can be provided.
The objective of this study is to determine the range of confinement (or the transverse reinforcement of the reinforced concrete structural walls with the T-shaped cross section subjected to cyclic lateral loads. The range of confinement for transverse reinforcement is related to the location of neutral axis and determined by the magnitude and distribution of compressive strain. The compressive strain depends on the ratio of wall cross sectional area to the floor-plan area, the aspect ratio, configuration, the axial load, and the reinforcement ratios. By affection of flange, the neutral axis appears different depending on positive and negative forces and because of this reason, when web and flange are subjected to compressive stress, the range of confinement for the transverse reinforcement of T-shaped walls would shows different result. Therefore this experimental research focused on the structural characteristics of T-shaped walls and suggested the neutral axis depth through comparing the results of this study with sectional analysis.
While periodontal disease results in the extrusion of upper incisors with interdental spacing in adult patient, the intrusive movement should be executed for the rehabilitation in terms of esthetics and function. The present study was peformed to investigate the periodontal response following orthodontic intrusion of teeth with infrabony pocket. Bone defect and periodontal disease were produced adjacent to the both maxillary second lateral incisors in four adult dogs. Four weeks later, a flap operation was performed to eliminate inflammation and a reference notch was made on the root surface at the level of bottom of each defect. Two weeks after periodontal surgery, 4 weeks of intrusion and subsequent another 4 weeks of retention was executed on the right side of incisors while left incisors served as the control. Through the histologic analysis, following results were obtained. 1. Histologic section of control side showed the reduction of pocket depth after flap operation. However, the status of long junctional epithelium was observed while new connective tissue attachment occurred in a small area adjacent newly formed cementum 2. Epithelial attachment was less around the intruded incisor while new connective tissue attachment was much more compared to the control side. 3. Plenty of cells were observed in the connective tissue around the reference notch of the intruded incisor and the degree of the new cementum formation was higher in the intruded incisor than the control. The results of the present study suggested that an orthodontic intrusion of periodontally involved and extruded incisors could be carried out with a desirable periodontal response, provided that inflammation is under control.
Kang Ji-houn;Kim Min-jun;Cho Min-haeng;Chang Dong-woo;Kang Hyun-gu;Kim Ill-hwa;Na Ki-jeong;Yang Mhan-pyo
Journal of Veterinary Clinics
/
v.22
no.4
/
pp.450-452
/
2005
A 3-year-old, 43kg, pregnant Great Pyrenese was examined for clinical signs of acute weakness and anorexia for 4 days. The dog was in lateral recumbency at referral. The rectal temperature was within reference range, and the respiratory and heart rates were 36 breaths/min and 58 beats/min, respectively. The abdomen was distended, and several puppies were palpated. The mean fetal head diameter was 2.8cm in the ultrasonographic examination. The initial complete blood count and serum biochemical examinations revealed mild dehydration, mud hyperglycemia, hypochloremia, hyperkalemia, hyponatremia, and low sodium-potassium ratio. Serum BUN and total cholesterol values were slightly high. Hypoadrenocortical crisis was suspected on the basis of signs of acute collapse, hyponatremia and hyperkalemia. Adrenal gland function was evaluated by an ACTH stimulation test. The baseline cortisol concentration was $18.6{\mu}g/dl$ and the concentration at 1 hour after administration of tetracosactrin (ACTH, Synacthen) was $8{\mu}g/dl$. The dog was treated for the correction of assumed hypoadrenocortical crisis and substantial hyperkalemia. In addition to rapid infusion with saline solution, other medications administered intravenously included sodium bicarbonate and cimetidine hydrochloride. The dog was monitored with repeated serum electrolyte examination. After clinical stabilization, cesarean section was performed. All of 13 puppies were delivered, and the dog recovered from anesthesia without complications. The values of postpartum blood tests returned to normal or within reference range. The dog remained healthily.
Park, Hong-Gun;Lee, Jae-Hoon;Shin, Hyun-Mock;Baek, Jang-Woon
Journal of the Korea Concrete Institute
/
v.25
no.6
/
pp.601-612
/
2013
In the construction of nuclear power plants using massive walls, the use of high-strength re-bars for shear design is necessary to enhance the constructability and economy. In this study, low-rise walls (aspect ratio of 1.0) with grade 550 MPa bars were tested under cyclic loading to investigate the shear capacity and deformation capacity. The test parameters were the grade of horizontal re-bars (550 MPa, 420 MPa), strength of concrete compressive strength (46 MPa, 70 MPa), horizontal/vertical reinforcement ratio, use of lateral confinement hoops, shape of cross section, and failure modes (shear failure before or after flexural yielding). The test results were compared with those of walls with grade 420 MPa bars and predicted strength by current design codes. The results showed that the shear strength of the walls with 550 MPa bars was comparable to that of the walls with 420 MPa bars though the safe margin slightly decreased. ACI 349 provides underestimated shear strength for the walls with 550 MPa bars. In case of the wall with flexural yielding, a large deformation capacity was achieved. This result indicates that the ACI 349 provisions can be safely applied to seismic design of the low-rise walls (aspect ratio of 1.0) with grade 550 MPa bars.
Kim, Ki-Hyun;Kim, Yeon-Deok;Hwang, Beoung-Hyeon;Choi, Yong-Kyu;Kim, Sang-Hwan
Journal of Korean Tunnelling and Underground Space Association
/
v.22
no.5
/
pp.543-561
/
2020
This paper is the result of the study on the effect of the support structure of the tunnel steel rib. In tunnel excavation, the top and bottom half excavation methods result in subsidence of steel rib reinforcement due to insufficient support of steel rib reinforcement when the ground is poor after excavation. The foundation of the steel rib installed in the upper half excavates the bottom part of the base, causing the subsidence to occur due to various effects such as internal load and lateral pressure. As a result, the tunnel is difficult to maintain and its safety is problematic. To solve these problems, steel rib support structures have been developed. For the purpose of verification, the behavior of the supporting structure is verified by model experiments reduced to shotcrete and steel rib material similarity, the numerical analysis of ΔP and ΔP generated by bottom excavation by Terzaghi theoretical equation. As a result, it was found that the support structure of 20.100~198.423 kN is required for the 10~40 m section of the depth for each soil of weathered soil~soft rock. In addition, as a result of the reduced model experiment, a fixed level of 50% steel rib deposit of steel rib support structure was installed. The study shows that the installation of steel rib support structures will compensate for uncertainties and various problems during construction. It is also thought that the installation of steel rib support structure will have many effects such as stability, economy, and air reduction.
The purpose of this study was to evaluate the ability of several intracoronal base materials to prevent cervical leakage of a bleaching agent into the dentinal tubules and along the root canal. In this study, thirty-two anterior teeth were used. After lingual access was prepared in each tooth, tooth was instrumented with a step-back technique to a Nos. 40-50 using K-type files. All teeth were obturated with a lateral condensation technique. Excess gutta percha was removed with a warm instrument to the facial level of the CEJ. Teeth were divided into four groups : Teeth in control group were not filled with base material. Teeth in groups 1, 2, and 3 had 2mm of gutta percha removed with a warm instrument, then Dycal, Fuki II LC and Z-100 were filled with palstic instruments on the top of the gutta percha respectively. All teeth were bleached for 7 days, fresh bleach was added for another 7 days, then a 10 % methylene blue dye was placed inside the access preparation. They were stored at $37^{\circ}C$ and $100^{\circ}C$ humidity for 5 days. Each tooth was sectioned perpendicular to the long axis using a diamond disk. Initial cuts were made at the most coronal level of facial and lingual CEJ's, then another cuts continued appically in the levels of 0.5mm, 1.5mm, and 2.0mm respectively. The amount of dye leakage through the dentinal tubules was determined at each cut section. In addition, when the cut specimen was determined to be last penetration of any dye, this level was recorded as depth of apical leakage from the coronal terminus of the gutta percha, Dycal, Fuji II LC and Z-100. The acquired data were analyzed by Tukey's Multiple Range Test adn Cochran-Mantel-Haenszel Test to see if there was any statistically significant difference in dye penetration and linear apical leakage among the groups. The results were as follows : 1. Control group at levels of CEJ and 0.5mm, group 3 at level of 1.5mm, and group 2 AND 3 at level of 2.0mm showed the least dye penetration through the facial or lingual dentinal tubules, but there were no significant difference among three groups. 2. Group 2 at levels of CEJ and 0.5mm, group 3 at level of 1.5mm, and group 2 and 3 at level of 2.0mm showed the least dye penetration through the proximal dentinal tubules, but there were no significant difference among control group, group 2, and group 3. 3. Group 1 showed the greatest dye penetration through the facial or lingual and proximal dentinal tubules at all levels, and there were significant difference with other three groups. 4. Control group and group 1 showed 2mm apical dye leakage at facial or lingual and proximal aspects, group 2 showed 1.5mm, and group 3 showed 0.5mm.
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