1.Radiographic evaluation of computer aided design/computer aided manufacturing (CAD/CAM) customized abutment of implant.
Tae Gyeong YUN ; Gyeong Je LEE ; Chae Heon CHUNG ; Hee Jung KIM
The Journal of Korean Academy of Prosthodontics 2017;55(3):258-263
PURPOSE: In this study, the retrospective radiographic study is executed to evaluate amount of bone loss of various conditions in patients using customized abutment for 4 years of follow-up. MATERIALS AND METHODS: The subjects of this study were implant fixed dental prosthesis using CAD/CAM customized abutments. CAD/CAM customized abutment and fixed dental prosthesis were manufactured by the Prosthodontics Department of Chosun University Dental Hospital from August 1, 2011 to July 31, 2012. Radiological assessments were performed on the patients who were treated by the fixed prosthodontics. After each treatment, a retrospective study was performed for a total of 4 years at 3 months, 6 months, 1 year, 2 years, 3 years, and 4 years. RESULTS: As a result of the study, the customized abutment using CAD/CAM showed less bone loss than the results of existing research. There was no statistically significant differences at alveolar bone loss between splinting group and non-splinting group (respectively 0.27 mm, 0.5 mm). Also, there were statistically significant differences at alveolar bone loss in mx. anterior, mx. posterior, mn. anterior and mn. posterior part (respectively 1.37 mm, 0.39 mm, 0.00 mm, 0.30 mm). CONCLUSION: The customized abutment using CAD/CAM showed less bone loss than the results of existing research, there were statistically significant differences at alveolar bone loss in implant positions.
Alveolar Bone Loss
;
Dental Prosthesis
;
Follow-Up Studies
;
Humans
;
Prosthodontics
;
Retrospective Studies
;
Splints
2.ERRATUM: Acknowledgments Correction. Bioinformatics Interpretation of Exome Sequencing: Blood Cancer.
Jiwoong KIM ; Yun Gyeong LEE ; Namshin KIM
Genomics & Informatics 2013;11(2):98-98
The funding acknowledgment in this article was partially omitted as published.
3.Reappraisal of the predictive factors for postoperative pulmonary complications after general anesthesia.
Yun Joung DOH ; In Kyong HUR ; Jun Yub LEE ; Jung Bae PARK ; Nak Il SUNG ; Yong Guk LEE ; Joong Hyun LEE ; Young Hyun LEE
Korean Journal of Medicine 2007;72(5):501-510
BACKGROUND: As our population in Korea ages, more postoperative pulmonary complications (PPCs) have recently developed. There have been several studies about the predictive factors for PPC, but any consensus has not been established. In this study, we reappraised the predictive factors for PPC after general anesthesia in a population from Gyeong-ju, which was composed of elderly people. METHODS: We retrospectively investigated the incidence and predictive factors for PPC in 84 patients who underwent general anesthesia. We investigated gender, age, height, weight, BMI, smoking, underlying disease, underlying respiratory disease, malignancy, the laboratory findings (hemoglobin, albumin, arterial O2 saturation) and the pulmonary function tests of the patients. RESULTS: 84 patients were initially enrolled into the study, and PPC developed in 31 (36%) patients. The mean age of the enrolled patients was 66.515.1 years-old, so it shows the trend of an aging society. Three predictive factors were revealed that are independently associated with the PPC: site of operation (OR, 8.3), underlying disease (OR, 9.9) and serum albumin (OR, 4.0). CONCLUSIONS: Among the statistically meaningful predictive factors, underlying disease and operation site are well known from previous studies, but the albumin level<3.5 g/dL is also meaningful, which is higher than the previous reference level. It implies that the patient with a albumin level 3.0~3.5 g/dL can be classified into the high risk group. Therefore, we should recognize that it is necessary to apply more strict reference levels in an aging population to reduce the incidence of PPC.
Aged
;
Aging
;
Albumins
;
Anesthesia, General*
;
Consensus
;
Gyeongsangbuk-do
;
Humans
;
Incidence
;
Korea
;
Postoperative Complications
;
Respiratory Function Tests
;
Retrospective Studies
;
Serum Albumin
;
Smoke
;
Smoking
4.Recurrent Impetigo Herpetiformis of Pregnancy Successfully Treated with Acitretin.
Hyun Hye LIM ; Seon Gyeong KIM ; Hui Gyeong SEO ; Yun Sook KIM ; Hyun Ju LEE
Soonchunhyang Medical Science 2016;22(1):27-30
Impetigo herpetiformis (IH) is an extremely rare pustular dermatosis of pregnancy with typical onset during the second or third trimester of pregnancy and generally rapid resolution after delivery. Recurrent case of IH in subsequent pregnancy tend to earlier onset and greater severity. We report a 33-year-old pregnant woman, with a history of mild IH in the first pregnancy, who presented with generalized lesions at nearly 29 weeks' gestation. Her condition had become worse suddenly at 34 weeks' gestation. She developed fever, small for gestational age, and gait disturbance due to ache in both thighs. So we decided to terminate the pregnancy by repeat cesarean section. After delivery, her skin lesions had worsen rapidly in spite of treatment with corticosteroids. So she was treated with a large dose of acitretin. Three months after her delivery, her skin was returned to original state, except for residual pigmentation. In conclusion, our case indicates that clinicians should be aware of the possibility of sudden deterioration of the maternal lesions and fetal condition associated with IH.
Acitretin*
;
Adrenal Cortex Hormones
;
Adult
;
Cesarean Section, Repeat
;
Female
;
Fever
;
Gait
;
Gestational Age
;
Humans
;
Impetigo*
;
Pigmentation
;
Pregnancy Trimester, Third
;
Pregnancy*
;
Pregnant Women
;
Skin
;
Skin Diseases
;
Thigh
5.Uncleaved Dystrophin Induce Cardiac Myocyte Apoptosis in Coxsackievirus Infected Balb/C Background Mice Heart.
Jin Ho PARK ; Hye Sun LEE ; Yun Gyeong LEE ; Byung Kwan LIM
Journal of Bacteriology and Virology 2014;44(3):261-268
It has been previously demonstrated that dystrophin is cleaved in the cardiac myocyte by the viral protease 2A following infection with Coxsackievirus B3 (CVB3). The viral protease 2A mediated cardiomyopathy can be prevented by inhibiting cleavage of dystrophin. However, it is less clear whether uncleaved dysdrophin have other heart protective effect in coxsackievirus infection. To address this, we generated a Balb/C background mouse that had a point mutation in dystrophin that prevents cleavage by protease 2A (KI). We show here that when mice expressing cleavage-resistant dystrophin were infected with CVB3, there was increased cardiac myocyte apoptosis. Bax and Bcl-X(L) mRNA ratio was significantly increased in KI mice heart compare to wild type mice heart. We found cleavage-resistant dystrophin induced the apoptosis related enzyme capspase-3 and caspase-8 activity. In addition, TUNEL stain was observed many TUNEL positive cardiac myocyte in KI mice heart compare to wild type mice heart (3.7% vs 0.3%). However, zVAD treatment for apoptosis blocking was significantly decreased myocardium damage and fibrosis in KI mice heart. These findings indicated that uncleaved dystrophin may have a critical role in cardiac myocyte viral propagation. Uncleaved dystrophin mutant induced cardiac myocyte apoptosis. It delayed coxsackievirus propagation in cardiac myocyte and could prevent cardiac myocyte death.
Animals
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Apoptosis*
;
Cardiomyopathies
;
Caspase 8
;
Coxsackievirus Infections
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Dystrophin*
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Fibrosis
;
Heart*
;
In Situ Nick-End Labeling
;
Mice*
;
Myocardium
;
Myocytes, Cardiac*
;
Point Mutation
;
RNA, Messenger
6.Ethyl Acetate Fraction from Cudrania Tricuspidata Inhibits IL-1beta-Stimulated Osteoclast Differentiation through Downregulation of MAPKs, c-Fos and NFATc1.
Eun Gyeong LEE ; Hee Jin YUN ; Sang Il LEE ; Wan Hee YOO
The Korean Journal of Internal Medicine 2010;25(1):93-100
BACKGROUND/AIMS: The present study was performed to determine the effects of the ethyl acetate extract of Cudrania tricuspidata (EACT) on interleukin (IL)-1beta-stimulated receptor activator of NF-kappaB ligand (RANKL)-mediated osteoclast differentiation. METHODS: Bone marrow cells were harvested from 6-week-old male imprinting control region mice, and the differentiation of osteoclasts from these cells was evaluated by tartrate-resistant acid phosphatase and resorption pit formation assay. Phosphorylated extracellular signal regulated kinase (p-ERK), phosphorylated p38, phosphorylated c-Jun amino-terminal kinase, NF-kappaB (p65), IkappaBalpha, c-Fos, and nuclear factor of activated T-cells c1 (NFATc1) expression was examined by immunoblotting and quantitative reverse transcription-polymerase chain reaction. RESULTS: EACT inhibits IL-1beta-stimulated RANKL-mediated osteoclast differentiation. EACT also inhibits IL-1beta-stimulated RANKL-mediated phosphorylation of ERK 1/2, p38 mitogen activated protein kinase, and expression of c-Fos and NFATc1. CONCLUSIONS: These results suggest that EACT may be involved in the inhibition of bone loss by preventing osteoclast formation and may be used to manage bone destruction in inflammatory diseases, such as rheumatoid arthritis.
*Acetates
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Animals
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Bone Marrow Cells/cytology/drug effects/metabolism
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Cell Differentiation/drug effects/physiology
;
Cell Survival/drug effects/physiology
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Cells, Cultured
;
Down-Regulation/drug effects
;
Extracellular Signal-Regulated MAP Kinases/metabolism
;
Interleukin-1beta/*pharmacology
;
MAP Kinase Signaling System/*drug effects/physiology
;
Male
;
Mice
;
Mice, Inbred ICR
;
*Moraceae
;
NFATC Transcription Factors/metabolism
;
*Osteoclasts/cytology/drug effects/metabolism
;
Plant Extracts/*pharmacology
;
Proto-Oncogene Proteins c-fos/metabolism
;
RANK Ligand/metabolism
;
Stem Cells/cytology/drug effects/metabolism
;
p38 Mitogen-Activated Protein Kinases/metabolism
7.Predictors of a Favorable Outcome after Emergent Carotid Artery Stenting in Acute Anterior Circulation Stroke Patients
Gyeong Il MOON ; Byung Hyun BAEK ; Seul Kee KIM ; Yun Young LEE ; Hyo-Jae LEE ; Woong YOON
Journal of the Korean Radiological Society 2020;81(3):665-675
Purpose:
This study aimed to identify independent predictors of favorable outcomes associated with emergent carotid artery stenting (CAS) in patients with acute anterior circulation stroke.
Materials and Methods:
This study included 93 patients with acute stroke who underwent emergent CAS to treat stenoocclusive lesions in the cervical internal carotid artery (ICA) within 6 hours of the onset of the associated symptoms. Data were compared between patients with and without favorable outcomes. The independent predictors of a favorable outcome were determined via logistic regression analysis (modified Rankin Scale 0–2 at 90 days).
Results:
Intracranial tandem occlusion was noted in 81.7% of patients (76/93) among which (76/93), 55 of whom underwent intracranial recanalization therapy. Intracranial reperfusion was successful in 74.2% (69/93) and favorable outcomes were noted in 51.6% of patients (48/93). The mortality rate was 6.5% (6/93). In logistic regression analysis, diffusion-weighted imaging-Alberta Stroke Program Early CT Score [odds ratio (OR), 1.487; 95% confidence interval (CI), 1.018–2.173, p = 0.04], successful reperfusion (OR, 5.199; 95% CI, 1.566–17.265, p = 0.007), and parenchymal hemorrhage (OR, 0.042; 95% CI, 0.003–0.522, p = 0.014) were independently associated with a favorable outcome.
Conclusion
Baseline infarct size, reperfusion status, and parenchymal hemorrhage were independent predictors of favorable outcomes after emergent CAS to treat stenoocclusive lesions in the cervical ICA in patients with acute anterior circulation stroke.
8.Clinical Analysis of Thyrotoxic Periodic Paralysis.
Gyeong Won KIM ; In Hwan BYEN ; Hae Jung YUN ; Tae Gyu LEE ; Jang Rak KIM ; Choong Kun HA ; Byeong Hoon LIM
Journal of the Korean Neurological Association 1995;13(2):284-290
Thyrotoxic periodic paralysis (TPP) is associated with hypokalemia and occurs sporadically and usually in young adult males. We report ten cases with TPP ; all were males, mean onset age was 32.4 years old. The duration of attack. Varied from 10 to 18 hours. The distribution of paralysis was confined to limb muscles; more severe in proximal limbs and lower extremities. Potassium levels during acute attack correlated with the severity of paralysis and ECG changes, but not with the severity of decrease in TSH level. In all cases, administration of potassium salts was successful in treatment of acute attack. A patient had further attack in spite of euthyroid state under the treatment of thyrotoxicosis for one year. Another patient was free from paralytic attacks by chronic administration of the potassium salt and acetazolamide without treatment of thyrotoxicosis.
Acetazolamide
;
Age of Onset
;
Electrocardiography
;
Extremities
;
Humans
;
Hypokalemia
;
Lower Extremity
;
Male
;
Muscles
;
Paralysis*
;
Potassium
;
Salts
;
Thyrotoxicosis
;
Young Adult
9.Bioinformatics Interpretation of Exome Sequencing: Blood Cancer.
Jiwoong KIM ; Yun Gyeong LEE ; Namshin KIM
Genomics & Informatics 2013;11(1):24-33
We had analyzed 10 exome sequencing data and single nucleotide polymorphism chips for blood cancer provided by the PGM21 (The National Project for Personalized Genomic Medicine) Award program. We had removed sample G06 because the pair is not correct and G10 because of possible contamination. In-house software somatic copy-number and heterozygosity alteration estimation (SCHALE) was used to detect one loss of heterozygosity region in G05. We had discovered 27 functionally important mutations. Network and pathway analyses gave us clues that NPM1, GATA2, and CEBPA were major driver genes. By comparing with previous somatic mutation profiles, we had concluded that the provided data originated from acute myeloid leukemia. Protein structure modeling showed that somatic mutations in IDH2, RASGEF1B, and MSH4 can affect protein structures.
Awards and Prizes
;
Computational Biology
;
Exome
;
Humans
;
Leukemia, Myeloid, Acute
;
Loss of Heterozygosity
;
Polymorphism, Single Nucleotide
10.Correlation of Radiographic and Patient Assessment of Spine Following Correction of Nonstructural Component in Juvenile Idiopathic Scoliosis.
Jin Gyeong LEE ; Young Cheol YUN ; Won Jae JO ; Tae Yong SEOG ; Yong Soon YOON
Annals of Rehabilitation Medicine 2018;42(6):863-871
OBJECTIVE: To evaluate the association between progression of curvature of scoliosis, and correction for functional component in patients with juvenile idiopathic scoliosis (JIS). METHODS: We retrospectively reviewed medical data of patients prescribed custom molded foot orthosis (FO) to correct inequality of RCSPA (resting calcaneal stance position angle), and chose 52 patients (26 females, 26 males) with Cobb angle ≥10° in radiology and uneven pelvic level at iliac crest by different RCSPA (≥3°) as a factor of functional scoliosis. They had different hump angle ≥5° in forward bending test, for idiopathic scoliosis component. Their mean age and mean period of wearing FO were 79.5±10.6 months and 18.6±0.70 months. RESULTS: Cobb angle was reduced from 22.03°±4.39° initially to 18.86°±7.53° after wearing FO. Pelvis height difference and RCSPA difference, were reduced from 1.07±0.25 cm initially to 0.60±0.36, and from 4.25°±0.71° initially to 1.71°±0.75° (p < 0.01). Cobb angle improved most in 9 months. However, there was no significant improvement for those with more than 25° of Cobb angle initially. Mean Cobb angle improved in all age groups, but patients less than 6 years had clinically significant improvement of more than 5°. CONCLUSION: JIS can have functional components, which should be identified and managed. Foot orthosis is useful in correcting functional factors, in the case of pelvic inequality caused by different RCSPA, for patients with juvenile idiopathic scoliosis.
Female
;
Foot Orthoses
;
Fungi
;
Humans
;
Leg Length Inequality
;
Pelvis
;
Retrospective Studies
;
Scoliosis*
;
Socioeconomic Factors
;
Spine*