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Clinical Results of Arthroscopic Biceps Long Head Tenodesis Above the Pectoralis Major Using an Interference Screw (간섭나사를 이용한 관절경적 상완 이두건 대흉근 상부 건 고정술의 임상적 결과)

  • Choi, Sang Su;Kang, Hong Je;Kim, Jeong Woo;Kim, Jong Yun;Kim, Dong Moon;Kim, Kwang Mee
    • Clinics in Shoulder and Elbow
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    • v.16 no.2
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    • pp.94-99
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    • 2013
  • Purpose: The purpose of this study is to evaluate the clinical results of arthroscopic biceps long head suprapectoral tenodesis using an interference screw. Materials and Methods: We reviewed the cases of 30 patients who underwent arthroscopic biceps long head suprapectoral tenodesis using an interference screw between January 2008 and January 2010. The minimum follow up period was one year. Twenty patients had rotator cuff tears. The results were analyzed by VAS, ASES, tenderness in the bicipital groove, fixation failure, and the degree of deformity. Results: VAS, ASES scores showed a statistically significant increase during the final observation in all patients, compared with those before surgery. However, five patients (17%) had anterior shoulder pain and tenderness in the biceps groove, and three patients (10%) had Popeye deformity. Better results were achieved in patients without rotator cuff tear than in patients with rotator cuff tear (p<0.05). Conclusion: Arthroscopic biceps long head tenodesis above the pectoralis major using an interference screw in patients with a pathologic lesion of the proximal biceps tendon showed good results at the last follow up. However, further study for tenderness in the biceps groove in 17% of patients is needed.

Effects of Dietary Isoflavone and Casein Phosphopeptide on Hatching Egg Production and Eggshell Quality in Aged Egg-Type Breeder Hens (산란종계 사료 내 이소플라본 및 Casein Phosphopeptide의 첨가가 종란 생산성 및 후기 난각질에 미치는 영향)

  • 김은집;유선종;김용란;안병기;강창원
    • Journal of Animal Science and Technology
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    • v.48 no.5
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    • pp.671-682
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    • 2006
  • This experiment was conducted to investigate the effects of dietary Ca levels and some feed additives such as isoflavone and casein phosphopeptide (CPP) on eggshell quality and hatching egg production in aged egg-type breeder hens. A total of three hundred and sixty, 56-week-old Hy-Line Brown breeder hens were divided into six groups and fed experimental diets of two levels of Ca (3.3% or 3.6%) either with addition of 0.2% isoflavone, 0.5% CPP or devoid of all for 5 weeks. There were no significant differences in laying performances and settable egg production among the groups. Significant increases (P<0.05) in eggshell strength were observed with increasing dietary Ca and addition of isoflavone, but not with addition of CPP. Fertility and hatchability were not influenced by dietary Ca and addition of isoflavone or CPP. The treatment had few significant effects on tibial proximal compositions and breaking strength. The concentrations of Ca, P, estrogen and calcitonin in serum were not affected by the dietary treatments. These results indicated that relatively high level of dietary Ca in combination with isoflavone had a beneficial effect on improving eggshell quality in aged egg-type breeder hens. But hatching egg production was not affected by dietary isoflavone or CPP.

Ultrastructure of Spermatozoa in the Bagrid Catfish, Pseudobagrus fulvidraco (Teleostei, Siluriformes, Bagridae) (동자개 Pseudobagrus fulvidraco (경골어강, 메기목, 동자개과)의 정자의 미세구조)

  • Lee, Young-Hwan
    • Applied Microscopy
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    • v.28 no.1
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    • pp.39-48
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    • 1998
  • The spermatozoa of bagrid catfish, Pseudobagrus fulvidraco are approximately $76{\mu}m$ in length, and a relatively simple and elongated cell composed of a spherical head, a short middle piece and a tail. The ultrastructure of spermatozoa of P. fulvidraco is characterized by the following features. The acrosome is absent as in most teleost. The round nucleus measuring about $1.67{\mu}m$ in length and diameter is depressed with a deep nuclear fossa. The nuclear fossa, the length of which is about three-fifths of the nuclear diameter, contains the proximal and distal contrioles. The two centrioles are oriented approximately $160^{\circ}$ to each other. The filamentous materials give rise to satellite appendages arranged tangentially from the triplets of the distal centriole and the doublets of the anterior end of the axoneme toward the nuclear envelope. The mitochondria are not fused and their number is 20 or more. They are arranged in two or three layers and two rings within the cytoplasmic collar and surround the axoneme. They are separated from the axoneme by the cytoplasmic canal. The axoneme is of the 9+2 microtubular pattern and has inner but no outer dynein arms. The two lateral fins are in the same plane with the two central microtubules, the doublets 3 and 8, which are ultrastructural characteristics of the sperm tail unlike other siluroids lacking the lateral fins.

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Ultrastructure of Blacktip Grouper, Epinephelus fasciatus Spermatozoa (홍바리, Epinephelus fasciatus 정자의 미세구조)

  • Kim, Seong-Hoon;Lee, Chi-Hoon;Song, Young-Bo;Ju, Hea-Sung;Kim, Hyung-Bae;Lee, Young-Don
    • Applied Microscopy
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    • v.42 no.2
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    • pp.61-66
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    • 2012
  • Ultrastructural characteristics of blacktip grouper, Epinephelus fasciatus spermatozoa were investigated using transmission and scanning electron microscopy. The spermatozoa of E. fasciatus consisted of a spherical head part, a midpiece with cytoplasmic canal entrance and a flagellum with lateral fins. Internal ultrastructurally, the nucleus contains high electron dense chromatin having granular particles and has no acrosome. The centriolar complex lies outside of the nuclear fossa and it is connected by the osmophilic filaments. Also the osmophilic filaments connect between the centriolar complex and the nuclear membrane. The midpiece contains eight to nine spherical mitochondria, cytoplasmic canal and necklaces. The flagellum has a typical 9+2 axonemal structure. The lateral fins contain vesicles and a typical 9+2 axonemal structure. Consequently this study contributes to comparative grouper spermatology and provide useful systematic taxonomic characters.

Suture Anchor Capsulorraphy in the Traumatic Anterior Shoulder Instability: Open Versus Arthroscopic Technique (봉합나사를 이용한 Bankart 봉합술의 관절경적 및 개방적 수술의 비교)

  • Kim Seung-Ho;Ha Kwon-Ick;Kim Sang-Hyun
    • Clinics in Shoulder and Elbow
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    • v.2 no.2
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    • pp.157-169
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    • 1999
  • Eighty-nine shoulders in eighty-eight patients with traumatic unilateral anterior shoulder instability were evaluated for Rowe and UCLA scores, recurrence, return to activity, and range of motion by an independent examiner at an average of 39 months after either arthroscopic or open Bankart repair using suture anchors. The arthroscopic technique included a minimum of 3 anchors, and a routine incorporation of capsular plication and proximal shift. Twenty­six shoulders(86.6%) out of thirty in the open Bankart repair group had excellent or good results while fifty­four(91.5%) of the fifty-nine shoulders with arthroscopic Bankart repair had excellent or good results. The arthroscopic group revealed significantly better results in the Rowe(p=.041) and UCLA scores(p=.026). Two shoulders in each group developed redislocation. There were no significant differences in the loss of external rotation and return to prior activity between the two groups(p>.05). The residual instability occurred more frequently in the group of patients with lesser anchors. Arthroscopic suture anchor capsulorraphy has results equal to or better than the open Bankart procedure.

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A Novel Method to Measure Superior Migration of the Humeral Head: Step-off of the C-line

  • Park, Kyoung Jin;Eun, Hyeon Jun;Kim, Yong Min;Yoo, Jun Il;Lim, Chae Ouk
    • Clinics in Shoulder and Elbow
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    • v.19 no.3
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    • pp.125-129
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    • 2016
  • Background: Superior migration of humeral head has been conventionally determined by measuring the acromiohumeral distance (AHD), We sought to devise a novel measurement system more reliably and accurately than AHD. We described a structural landmark called 'C-line'. In this study, we investigated the clinical usefulness of 'step-off of the C-line (SOC)' compared to that of AHD. Methods: The C-line formed from the medial margin of the proximal humeral head continuing up to the inferior margin of the articular glenoid and then to the lateral border of the scapula. The superior migration of the humeral head triggered by a rotator cuff tear introduces a discontinuity in this C-line. We measured the distance of this discontinuity. We enrolled 144 patients who underwent a rotator cuff repair. We selected 58 controls who didn't have any cuff lesions apparent on magnetic resonance imaging. Using radiographs derived from standardized true anteroposterior views of the shoulder, we measured the SOC and the AHD. We used t-tests for statistical analyses. Results: A rotator cuff tear was associated with an increase in SOC and a decrease in AHD. In control group, the mean SOC was $1.29{\pm}1.71mm$ and AHD was $9.71{\pm}2.65mm$. In cuff tear group, the mean SOC was $3.15{\pm}3.41mm$ and AHD was $8.28{\pm}1.76mm$. The mean SOCs of the patient group in relation to the mean SOC of the control group according to tear size, the SOCs of medium tear and lager groups showed statistically significant increase (p<0.05). Conclusions: The SOC may be a similarly effective to diagnose cuff tears of medium size and larger compared with AHD.

Renal Failure in a Female Muskrat (암컷 사향쥐(Ondatra zibethicus)의 신부전)

  • Ullah, HM Arif;Elfadl, A.K.;Park, SunYoung;Chung, Myung-Jin;Son, Ji-Yoon;Yun, Hyun-Ho;Park, Jae-Min;Yim, Jae-Hyuk;Jung, Seung-Jun;Park, Jin-Kyu;Jeong, Kyu-Shik
    • Journal of Life Science
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    • v.30 no.7
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    • pp.630-633
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    • 2020
  • Renal failure syndrome in wild mammals is infrequently reported. Muskrat (Ondatra zibethicus) is a medium-sized rodent known to carry many diseases but rarely exhibiting renal failure. A six-month old female muskrat was submitted to our laboratory for pathological diagnosis, and necropsy revealed severe renal damage with sand-like lithiasis in the ureter, renal calculi, and hydronephrosis. All major organs, including the cerebrum, also showed systemic hemorrhage and calcification which may have been due to uremia induced by renal failure. Histopathologically, necrosis and microcalcification were detected in the renal cortex and the medulla, especially in the proximal convoluted tubules and collecting ducts of the kidney. Significant hyalinization of the glomeruli was also observed, and this suggested chronic nephritis. These findings would support mycotoxic effects, particularly on the kidney. Moreover, infiltration of neutrophils and mononuclear cells was observed in the lung and of plasma cells in the spleen. The definitive cause of the toxic effects in this case of muskrat renal failure could be attributed to contaminated food.

THE CHANGE OF VITAL SIGNS IN STEPS WHEN IT IS EXTRACTED A THIRD MOLOR OF MANDIBLE (제3대구치 발치시 단계별 생체징후(vital sign)의 변화에 대한 연구)

  • Oh, Hae-Soo;Kang, Hee-In;Choi, Bin;Park, Jun-Woo;Sin, Sung-Soo;Choi, Je-Won;Lee, Sun-Keun;Kim, Mi-Ja
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.2
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    • pp.142-150
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    • 2006
  • PURPOSE : The 3rd molar extraction of mandible is common in out-patient office of oral and maxillofacial surgery. And it is dynamic minor operation with changes of vital signs. most of patients are already sensitive about their dental treatment. The changes of emotion are reached to the highest level when patients is laid down to be treated on unit chair. It can be induced to undesirable accidents as to this fear. The undesirable complications are nausea, vomiting, hyperventilation, dyspnea, syncope, shock and so on. The severe changes of vital signs may influence their behavior and make serious medical malpractice or suit such as fracture of dental instruments and injury of proximal area. METHOD AND PATIENTS : A total of 99 selected normal patients were reviewed. Among this, 70 patients(43 men, 27 women with statistical significance) were included in this study. Each steps(pre-anesthesis, 5 minutes after anesthesis, just after mucogingival incision, just after tooth section, just after suture and gauze biting) were investigated for a change of a vital signs. It is analyzed to 2 categories,"Means" and "Tendency". The "Means" is the amount of vital signs changed in comparison with pre-step during operation. That means is the amount of vital changes by each step operation. Next, " Tendency" is changes of vital signs in comparison with step1 during operation. RESULT : This is the changing tendency of vital signs with time. That is active effect of fear and pain. Thus this "Means" and "Tendency" will present a sudden changes of vital signs and it can lead to more safe treatment. CONCLUSION : Thus, the purpose of this study is, through careful operation in each step, to less on patients' complication and increase trust between patient and OMFS. This study is a first article shown with the amount of "Means" and "Tendency" in vital signs, when a third molar of mandible is extracted. This study will be base study of patients with general diseases, because it selected only patients without general diseases.

A STUDY ON MICROLEAKAGE ACCORDING TO RESTORATION METHOD OF COMPOMER UNDER SALIVA CONTAMINATION (타액 오염하에서 수복방법에 따른 컴포머의 미세누출에 관한 연구)

  • Kong, Seok-Bae;You, Seung-Hoon;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.1
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    • pp.73-80
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    • 2007
  • Compomer that release fluoride could be used on proximal caries of child effectively. But oral cavity is always wet, so saliva inhibits bonding of tooth and compomer. When the saliva exist on bonding, it can be occured microleakages. The purpose of this study was to evaluate the influence of salivary contamination on compomer restoration and degree of microleakage according to restoration methods. Dyract $AP^{(R)}$ and prime and $bond^{(R)}$ NT was applied by the manufacture s instructions. Elipar Trilight was applied for light curing. Saliva pool was made for reconstruction of oral cavity. Two premolar was embedded in acrylic resin. After class II cavity preperation, Dyract $AP^{(R)}$ was restored under several condition, the specimen was thermocycled 500 times with 30 second dwell time. 0.5% methylene blue was used for microleakage test. Micoleakage was measured by the ratio of the infiltration length to occlusal and gingival side interface. Data were analyzed statistically using Kruskal Wallis Test, Mann-Whitney Test. The Result were as follows ; 1. In occlusal side, there were no statistical differences. 2. In gingival side, there were no statistical differences in Group III ($ContactMatrix^{TM}$, Rubber dam, $Oraseal^{(R)}$), Group IV (No saliva contamination). 3. In gingival side, there were no statistical differences in Group I$(ContactMatrix^{TM})$, II($ContactMatrix^{TM}$, Rubber dam). 4. In gingival side, there were statistical differences in Group I$(ContactMatrix^{TM})$, II($ContactMatrix^{TM}$, Rubber dam).

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Marginal Fidelity and Fracture Strength of OPTIMAL PRESSABLE CERAMIC Crown according to Margin Types (OPTIMAL PRESSABLE CERAMIC 금관의 변연형태에 따른 변연적합도와 파절강도에 관한 연구)

  • Lee, Ju-Seog;Kim, Ki-Suk
    • Journal of Dental Rehabilitation and Applied Science
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    • v.16 no.1
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    • pp.13-25
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    • 2000
  • Optimal Pressable Ceramic is one of the all-ceramic restorations with a shaded translucent pressed core and layering porcelains. The purpose of this study was to evaluate the marginal fidelity according to margin types and measurement sites, and to evaluate fracture strength according to margin types. Twenty seven OPC crowns made according to 3 types of cervical finishing lines were used in this study. Marginal gaps were measured before and after cementation. A Steromicroscope(SZ-ST(R), Olympus, Japan) was used to measure the space between the margin of OPC crown and the finishing line of metal model. Marginal gaps were measured at the labial, mesial, lingual and distal site, which were demonstrated in advance. Fracture strength testing was carried out using an Instron(Model M100EC, Mecmesin, England) at a cross head speed of 5 mm/min. All crowns were loaded until catastrophic failures occurred. The result were as follow: 1. In comparison according to variable margin before cementation, the marginal gap were increased in chamfer margin($47.50{\pm}18.39{\mu}m$), $120^{\circ}$shoulder margin ($55.21{\pm}14.4{\mu}m$) and $90^{\circ}$shoulder margin($71.18{\pm}13.30{\mu}m$) in ascending order, and there were significant differences between chamfer margin and $90^{\circ}$shoulder margin, $120^{\circ}$shoulder margin and between $120^{\circ}$shoulder margin and $90^{\circ}$shoulder margin respectively(p<0.05). 2. In comparison according to variable margin after cementation, the gap discrepancies were increased in chamfer margin($60.78{\pm}30.37{\mu}m$), $120^{\circ}$shoulder margin($66.67{\pm}11.18{\mu}m$) and $90^{\circ}$shoulder margin($85.78{\pm}17.23{\mu}m$) in ascending order, but there was significant difference only between chamfer margin and $90^{\circ}$shoulder margin(p<0.05). 3. Labio-lingual points showed a better marginal fidelity than that of proximal point(p<0.05). 4. Chamfer margin($48.76{\pm}8.45kgf$) showed higher fracture strength than $120^{\circ}$ shoulder margin($40.57{\pm}7.90kgf$) and $90^{\circ}$ shoulder margin(32.7.90kgf) (p<0.05), but there was significant difference only between chamfer margin and $90^{\circ}$ shoulder margin(p<0.05).

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