• 제목/요약/키워드: tissue retention

검색결과 161건 처리시간 0.038초

임플랜트 Overdenture의 Bar설계에 따른 하악지지조직의 광탄성학적 응력분석 (PHOTOELASTIC STRESS ANALYSIS ON THE MANDIBLE CAUSED BY IMPLANT OVERDENTURE)

  • 강정민;방몽숙
    • 대한치과보철학회지
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    • 제32권2호
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    • pp.327-353
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    • 1994
  • This study was performed to evaluate the effects of number and alignment of implant fixture and various bar designs on the retention of denture and the stress distribution. Six kinds of photoelastic mandibular models and nine kinds of overdenture specimens were designed. A unilateral vertical load was gradually applied on the right first molar to calculate the maximal dislodgement load of each specimen. A unilateral vertical load of 17 Kgf was applied on the right first molar and a vertical load of 10 Kgf was applied on the interincisal edge region. The stress pattern which developed in each photoelastic model was analyzed by the reflection polariscope. The results obtained were as follows: 1. The maximal dislodgement load reversely increased with the distance from the loading point to the implant fixture, while it linearly increased with that from the most posterior implant fixture to the mesial clip. The maximal dislodgement load also increased with the use of a cantilever bar. 2. Under the posterior vertical load, the stress to the supporting tissue of the denture base increased with the distance from the loading point to the implant future. The stress concentration on the apical area of the implant future reversely increased with the distance from the loading point to the implant future. 3. In the overdentures supported by two implant fixtures under the posterior vertical load. the specimen implanted on lateral incisor areas with a cantilever bar exhibited more favorable stress distribution than that without a cantilever bar. The specimen implanted on the canine areas without a cantilever bar, however, exhibited more favorable stress distribution. 4. In the overdentures supported by three implant fixtures. the specimen implanted ell the midline and canine areas exhibited more favorable stress distribution than that implanted oil the midline and the first premolar areas. 5. In the overdentures supported by four implant fixtures. the specimen implanted with two adjacent implant fixtures exhibited more favorable stress distribution than that implanted at equal distance under the posterior vertical load. 6. Under the anterior vertical load, the overdentures supported by three implant fixtures exhibited stress concentration on the supporting structure of the middle implant future. In overdentures supported by two or four implant futures, no significant difference was noted in stress distribution between the types of bars. These results indicate that the greater the number of implant fixtures, the better the stress distribution is. A favorable stress distribution may be obtained in the overdentures supported by two or three implant fixtures, if the location and the design of the bar are appropriate.

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성인 심폐소생술 술기 점수 비교: 레어달 애니 스킬리포터 대 액타 911 마네킹 (Comparison of adult CPR skill scores: Real-time visual feedback manikin(Resusci Anne SkillReporterTM) vs. Non-feedback manikin(Actar 911 SquadronTM))

  • 김지희;문태영;엄태환
    • 한국응급구조학회지
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    • 제15권2호
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    • pp.101-108
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    • 2011
  • Purpose: Cardiopulmonary resuscitation (CPR) prevents tissue necrosis of the brain and cardiac muscle in the cardiac arrest patient and requires exact skills in order to increase survival rate. Through comparison of the training effects of feedback manikin and non-feedback manikin, this study present the effective CPR device to CPR instructors. Method: This CPR course for 80 students by using Resusci Anne $SkillReporter^{TM}$ (RASR; Laerdal Medical, Stavanger, Norway) and Actar 911 $Squadron^{TM}$ (A911; Vital Signs, New Jersey, USA) held on December 22, 2009. Thirty seven students and two assistants were placed in one laboratory, there were five RASR manikins which provide the LED performance indicator, not the metronome. Forty two students and two assistants were placed in the other laboratory, there were 20 A911 manikins which don't provide any feedback indicator. Chest compression scores and ventilation compression scores obtaining from two groups were analysed statistically by using independent t-test. Results: Chest compression scores, average depth (mm) was 37.5 in RASR and 41.80 A911 (p=.004), too depth (#) was 2.8 in RASR and 19.4 A911 (p=.005), average number per min (#/min) was 64.4 in RASR and 68.2 A911 (p=.038), wrong hand position (#/min) was 10.9 in RASR and 30.8 A911 (p=.040). Four items that showed better scores in group RASR had statistically significant difference. Ventilation compression scores, percent correct (%) was 40.6 in RASR and 20.6 A911 (p<.001), number correct (#) was 4.7 in RASR and 2.1 A911 (p=.002), too fast (#) was 0.9 in RASR and 2.9 A911 (p=.003), average volume (ml) was 536.5 in RASR and 707.1 A911 (p=.011). Also, three items that showed better scores in group RASR had statistically significant difference. Conclusions: Regarding the positive effect of CPR training feedback, comparison between the real-time visual feedback manikin (RASR) and the non-feedback manikin (A911) showed that RASR had better results than A911 in chest compression except average number per min (it means that we need harder chest manikin) and ventilation. Verification of the training effect in the real world such as CPR outcomes is also necessary. A proper application of manikin in training circumstances and research on retention of CPR skills will be needed.

율무쌀이 쥐의 혈장콜레스테롤 및 지질대사에 미치는 영향 (Effect of Coix on Plasma Cholesterol and Lipid Metabolism in Rats)

  • 박양자
    • Journal of Nutrition and Health
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    • 제21권2호
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    • pp.89-98
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    • 1988
  • 율무쌀이 흰쥐의 혈장과 조직의 콜레스테롤, 중성지방, 이지질 및 총담즙산 수준에 미치는 영향을 알아보자 흰쥐에 1%의 콜레스테롤을 첨가시킨 실험식이를 자유급식하여 사양한 결과를 요약하면 다음과 같다. 1) 식이섭취량, 식이효율, 증체량은 각 군간에 유의한 차이가 없었다. 2)형장콜레스테롤 함량은 라이드 급여시 현저히 높았으며 라이드-ㅠ율무쌀을 급여시에는 가장 낮았다. 혈장의 중성지방 역시 라이드 급여시 높았다. 혈장의 인지질 역시 라아드 급여서 현저히 높았고 대두유군이 가장 낮았다. 혈장의 총담즙산 함량은 각군간에 차이가 없었으며 혈장 담즙산은 glycoursodeoxy cholicacid, tauroursodeoxy choilic acid와 cholic acid이었다. 3) 간의 단위무게당 총지질, 콜레스테롤, 중성지방역시 라이드- 율무쌀 급여시 현저히 낮았다. 4) 소장의 단위무게당 총지질, 콜레스테롤, 중성지방 함량도 역시 라이드-율무쌀을 급여시 낮았다. 5)실험식의 소화율을 모든식이 처리간에 차이가 없었으나 콜레스테롤 보유율은 라이드-전분군이 가장 높았고 대두유-율무쌀군이 가장 낮았다.

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Self-Assembled Nanoparticles of Bile Acid-Modified Glycol Chitosans and Their Applications for Cancer Therapy

  • Kim Kwangmeyung;Kim Jong-Ho;Kim Sungwon;Chung Hesson;Choi Kuiwon;Kwon Ick Chan;Park Jae Hyung;Kim Yoo-Shin;Park Rang-Won;Kim In-San;Jeong Seo Young
    • Macromolecular Research
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    • 제13권3호
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    • pp.167-175
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    • 2005
  • This review explores recent works involving the use of the self-assembled nanoparticles of bile acid-modified glycol chitosans (BGCs) as a new drug carrier for cancer therapy. BGC nanoparticles were produced by chemically grafting different bile acids through the use of l-ethyl-3-(3-dimethylaminopropyl)-carbodiimide (EDC). The precise control of the size, structure, and hydrophobicity of the various BGC nanoparticles could be achieved by grafting different amounts of bile acids. The BGC nanoparticles so produced formed nanoparticles ranging in size from 210 to 850 nm in phosphate-buffered saline (PBS, pH=7.4), which exhibited substantially lower critical aggregation concentrations (0.038-0.260 mg/mL) than those of other low-molecular-weight surfactants, indicating that they possess high thermodynamic stability. The SOC nanoparticles could encapsulate small molecular peptides and hydrophobic anticancer drugs with a high loading efficiency and release them in a sustained manner. This review also highlights the biodistribution of the BGC nanoparticles, in order to demonstrate their accumulation in the tumor tissue, by utilizing the enhanced permeability and retention (EPR) effect. The different approaches used to optimize the delivery of drugs to treat cancer are also described in the last section.

늑간 신경 냉동요법에 의한 개흉술후 흉부 동통 관리 (Cryoanalgesia for the Post-thoracotomy Pain)

  • 김욱진;최영호;김형묵
    • Journal of Chest Surgery
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    • 제24권1호
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    • pp.54-63
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    • 1991
  • Post-thoracotomy pain is so severe that lead to postoperative complications, such as sputum retention, segmental or lobar atelectasis, pneumonia, hypoxia, respiratory failure due to the patient`s inability to cough, deep breathing and movement. Many authors have been trying to reduce the post-thoracotomy pain, but there is no method of complete satisfaction. In 1974, Nelson and associates introduced the intercostal nerve block using the cryoprobe. The application of cold directly to the nerves causes localized destruction of the axons while preserving the endoneurium and connective tissue, thereby introducing a temporary pain block and able to complete regeneration of intercostal nerves. One hundred and two patients, who undergoing axillary or posterolateral thoracotomy at the Department of Thoracic and Cardiovascular Surgery in Korea University Medical Center between April 1990 and August 1990, were evaluated the effects of cryoanalgesia for the post-thoracotomy pain reduction. The patients were divided into two groups: Group A, control, the patients without the cryoanalgesia[No.=50], Group B, trial, the patients with cryoanalgesia[No.=52]. Before the thorax closed, in the group A, local anesthetics, 2% lidocaine 3cc, were injected to the intercostal nerves[one level with the thoracotomy, one cranial and caudal intercostal level and level of drainage tube insertion]. In the group B, cryoprobe was directly applied for 1 minute at the same level. Postoperative analgesic effects were evaluated by the scoring system which made arbitrary by author: The pain score 0 to 4, The limitation of motion score 0 to 3, The analgesics consumption score 0 to 3, The total score, the sum of above score, 0 to 10. For the evaluation of immediate analgesic effects, the score were evaluated at the operative day, the first postoperative day, the second postoperative day, and the seventh postoperative day. The effects of incision type, and rib cut to the post-thoracotomy pain were also evaluated. The results were as follows; 1. The intercostal block with cryoanalgesia reduced the immediate postoperative pain significantly compare with control group. 2. The intercostal block with cryoanalgesia improved the motion of the operation side significantly compare with control group. 3. The intercostal block with cryoanalgesia reduced the analgesics requirements at the immediate postoperative periods significantly. 4. The intercostal block with cryoanalgesia lowered the total score significantly compare with control group. 5. The intercostal block with cryoanalgesia were more effective to the mid-axillary incision than to the posterolateral incision 6. The intercostal block with cryoanalgesia were more effective to the patients without rib cut than to the patients with rib cut. 7. No specific complication need to be treated were not occurred during follow-up.

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다공성 폴리우레탄을 이용한 동정맥 누관의 개발 (Development of U-shaped Arterialvenous Shunt Using Porous Polyurethane)

  • 정재승;김희찬;박광석;최진욱;민병구
    • 대한의용생체공학회:의공학회지
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    • 제20권2호
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    • pp.221-230
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    • 1999
  • 다공성 인공 혈관을 제조하기 위한 새로운 기술에 대하여 연구하였다. 제조방법을 달리하여 만든 다공성의 시편을 준비하여 여러 가지 물성을 비교하였다. 용매/비용매 교환법에 의한 다공성 부여 방법과 고분자 용액의 냉각에 따른 상전이 현상을 이용하여 고분자 용액의 농도와 냉각속도를 달리하여 인공 혈관 시편을 제작하였다. 고분자 용액의 농도가 감소할수록 그리고 냉각속도가 작을수록 인공 혈관 재료로서 유리한 물성을 지닐 수 있음을 알 수 있었다. 위의 방법으로 다공성을 조절함으로써 재료의 기계적 물겅 또한 조절할 수 있음을 알 수 있었다. 냉각 속도를 조절하여 다공성을 부여하는 방법을 이용하여, 고안된 몰드를 사용하여 기존에는 만들기 어려웠던 균일한 두게의 U자형 소구경 인공 혈관을 만들 수 있었다. 비교적 간단한 도구로 균일한 물성을 지니며 원하는 물성의 인공 혈관을 제조할 수 있었다. 온도를 조절하여 고분자 박막에 다공성을 부여하는 기술은 다양한 기능의 의료용 고분자에 접목하여 필요로 하는 기능성을 부여할 수 있는 중요한 기술로 이용할 수 있을 것이다.

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펙틴 분해효소를 이용한 김치 조직의 연화 방지 (Prevention of Pectinolytic Softening of Kimchi Tissue)

  • 백형희;이창희;우덕현;박관화;백운화;이규순;남상봉
    • 한국식품과학회지
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    • 제21권1호
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    • pp.149-153
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    • 1989
  • 김치의 연화현상을 방지하기 위해 배추에 존재하는 펙틴에스테라제(PE)와 폴리갈락투로나제(PG)의 특성을 이용하여 예비 열처리 조건을 구하고 예비 열처리한 배추로 김치통조림을 제조하여 6개월 간 저장한 후 경도를 살펴보았다. 최적 pH는 PE가 8.0, PG가 5.2이었으며 최적 NaCl농도는 PE가 0.25M, PG가 0.3M이었다. PE의 최적 $CaCl_2$농도는 0.02M이었으며 이 농도에서 PG는 저해되었다. 최적 온도는 PE가 $50^{\circ}C$, PG가 $65^{\circ}C$이었다. 예비 열처리는 $50^{\circ}C$의 0.05M $CaCl_2$ 용액에서 1시간 30분 동안 열처리하는 것이 최적으로 나타났다. 예비 열처리법에 의해 제조한 김치통조림을 6개월간 저장했을 때 대조구에 비해 줄기와 잎사귀는 경도가 더 높았으며 연화가 현저히 방지됨을 알 수 있었다.

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녹용(鹿茸) 및 녹용약침(鹿茸藥鍼)이 동물(動物)의 성장(成長)과 지능발달(知能發達)에 미치는 영향(影響) (The Effects of Cervus elaphus on the Growth and the Intellectual Development of Animals)

  • 김영태;손양선;진수희;한상원;심인섭;임사비나;이학인
    • Journal of Acupuncture Research
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    • 제18권5호
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    • pp.122-134
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    • 2001
  • The effects of Cervus elaphus and Cervus elaphus aquapuncuture on body weight, protein efficiency ratio, body length, serum growth hormone and intellectual development were studied for thirty-four days. The results were summarized as follows. 1. Body weight significantly increased in Cervus elaphus aquapuncture oral administration group compared to GH groups. 2. Protein efficiency ratio had no significant difference within all groups. 3. Body length significantly increased in Cervus elaphus aquapuncture group compared to GH injection group on 3rd day, tail length significantly increased in Cervus elaphus aquapuncture group and Cervus elaphus aquapuncture oral administration group compared to GH injection group but, body length has no significant difference within all groups. 4. Serum GH significantly increased in Cervus elaphus aquapuncture oral administration group compared to that of GH injection group. 5. As results of observing memory acquisition using Morris water maze system, there was no significant difference within all groups. 6. As results of observing retention using Morris water maze system, staying times significantly increased in Cervus elaphus aquapuncture oral administration group compared to that of GH injection group at Ist trial and 3rd trial. 7. As results of observing staining intensity of NADPH-d-positive neurons in tissue of hippocampal part, significant increasing of staining intensity were observed in septum and VDB of hippocampus in Cervus elaphus aquapuncture oral administration group compared to that of GH injection group. According to the above results, it is concluded that Cervus elaphus oral administration and Cervus elaphus aquapuncture on acupoint G39 showed effects on growth and intellectual development of animals.

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Rabbit maxillary sinus augmentation model with simultaneous implant placement: differential responses to the graft materials

  • Kim, Young-Sung;Kim, Su-Hwan;Kim, Kyoung-Hwa;Jhin, Min-Ju;Kim, Won-Kyung;Lee, Young-Kyoo;Seol, Yang-Jo;Lee, Yong-Moo
    • Journal of Periodontal and Implant Science
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    • 제42권6호
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    • pp.204-211
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    • 2012
  • Purpose: This study was performed to establish an experimental rabbit model for single-stage maxillary sinus augmentation with simultaneous implant placement. Methods: Twelve mature New Zealand white rabbits were used for the experiments. The rabbit maxillary sinuses were divided into 3 groups according to sinus augmentation materials: blood clot (BC), autogenous bone (AB), and bovine-derived hydroxyapatite (BHA). Small titanium implants were simultaneously placed in the animals during the sinus augmentation procedure. The rabbits were sacrificed 4 and 8 weeks after surgery and were observed histologically. Histomorphometric analyses using image analysis software were also performed to evaluate the parameters related to bone regeneration and implant-bone integration. Results: The BC group showed an evident collapse of the sinus membrane and limited new bone formation around the original sinus floor at 4 and 8 weeks. In the AB group, the sinus membrane was well retained above the implant apex, and new bone formation was significant at both examination periods. The BHA group also showed retention of the elevated sinus membrane above the screw apex and evident new bone formation at both points in time. The total area of the mineral component (TMA) in the area of interest and the bone-to-implant contact did not show any significant differences among all the groups. In the AB group, the TMA had significantly decreased from 4 to 8 weeks. Conclusions: Within the limits of this study, the rabbit sinus model showed satisfactory results in the comparison of different grafting conditions in single-stage sinus floor elevation with simultaneous implant placement. We found that the rabbit model was useful for maxillary sinus augmentation with simultaneous implant placement.

봉합사를 이용한 점액종의 비외과적 처치 (NON-SURGICAL TREATMENT WITH TYING OF MUCOCELE)

  • 이용석;최병재;최형준;손흥규
    • 대한소아치과학회지
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    • 제29권3호
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    • pp.413-417
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    • 2002
  • 점액종은 외상으로 인해 구강에서 발생하는 흔한 낭성 병변이다. 하순에 흔히 발생하며 구강저와 순측 점막에도 자주 형성된다. 상순이나 경구개, 후구치대에는 거의 발생하지 않으며 발생빈도에 있어 성차는 없다. 점액종의 일반적인 치료는 낭종을 외과적으로 제거하고 이와 관련된 소타액선을 제거하거나 개창술을 시행하지만 재발할 수 있다. 본 증례는 하순의 물집을 주소로 본 치과 병원에 내원한 환아를 봉합사를 이용한 비외과적 술식으로 치료 후 6개월 동안 재발하지 않은 경우로 환아의 나이가 어리고 행동조절에 문제가 있는 경우 점액종을 비외과적인 방법으로 제거하여 양호한 결과를 얻었기에 보고하는 바이다.

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