• Title/Summary/Keyword: 절단파열

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Changes in the force-distance curve of Chinese cabbage leaf-stalk by the type of puncture and cutting probes and their relations to the textural parameters. (탐침의 형태에 따른 배추잎의 힘-거리 곡선의 변화와 조직감과의 상관관계)

  • 윤의정;이철호
    • The Korean Journal of Rheology
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    • v.2 no.1
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    • pp.46-52
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    • 1990
  • 배추의 조직감 특성을 기계적으로 측정하는 방법을 수립하기 위하여 여러 가지 형 태의 탐침에 의한 침투 및 절단시험에서 나타난는 힘-거리 곡선을 비교분석하였으며 그 결 과를 배추잎의 미세구조와 관능적특성과 연관하여 해석하였다. 배추잎의 침투심험에서 탐침 의 선단각, 선단면적 및 둘레에 따라 힘-거리 곡선의 형태는 크게 달라지며 선단면적과 둘 레가 커질수록 파열력이 크게 증대되었다. 절단시험에서는 표피와 내부유관속 조직을 절단 하는 세 개의 특징적인 피크를-나타내었다. 배추잎의 염장에 의하여 침투시험의 최대 변형 력은 크게 감소된 반면 파열력은 크게 증대되어 최대 변형력에 대한 파열력의 비(a/c) 는 증가되었으며 이것은 탐침의 선단면적과 둘레가 큰경우에 더욱 두드러지게 나타났다. 염장 에 의하여 탄성한계까지의 변형거리가 커졌으며 최초 변형에서의 탄성치(a/l)는 감소하는 경 향을 나타내었다. 절단시험에서는 염장에의하여 외피의 절단력이 상대적으로 증가하였다. 배 추 및 절인배추의 아삭아삭한 정도는 침투시험의 최대변형력과 a/l의 변화와 밀접한 관계가 있으며 질긴 정도는 침투시험의 파열력과 a/c 절단시험의 절단력과 관계가 있으며 아작아작 한 정도는 침투시험의 a/c와 관계가 있는 것으로 판단되었다.

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Long Head of the Biceps Tendon Lesion Associated with Rotator Cuff Tear (회전근 개 파열과 동반된 상완 이두 건 장두의 병변)

  • Kim, Young-Kyu;Kim, Dong-Wook;Lee, Jong-Hun
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.64-71
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    • 2010
  • Purpose: To evaluate pathologic patterns and outcomes of treatment of a biceps tendon lesion associated with a rotator cuff tear. Materials and Methods: We reviewed 92 patients (i) who underwent surgery for a cuff tear, (ii) for whom the biceps lesion could be observed retrospectively, and (iii) had a minimum follow-up of 2 years. The pathology of biceps tendon was classified into 4 types: tenosynovitis, fraying or hypertrophy, tear, and instability. All but the 4 with massive cuff tears were repaired. The biceps lesions were treated with debridement in 30, tenotomy in 10, tenodesis in 8, and recentering in 4. UCLA scoring was used for clinical results. Results: Seventy patients had a biceps lesion, 19 tenosynovitis, 22 fraying or hypertrophy, 21 a tear, and 8 instability. A biceps lesion was observed in 63% of cases of cuff tears below the medium size, and in 88% of cases with cuff tears above the large size. UCLA scores according to the pathology of the biceps lesion were 29.6 in the absence of a biceps lesion, and 28.3 in its presence. UCLA scores in patients with tenotomy or tenodesis for associated biceps tendon lesions were 28.2. Conclusion: There is a greater incidence and severity of a biceps lesion with a larger cuff tear. Therefore, the cause of a biceps lesion might be related to the cause of the cuff tear. Among the several options of treatment for biceps lesion, tenotomy or tenodesis may be particularly effective in providing pain relief.

Transection of the posterior horn of the medial meniscus at the posterior tibial attachment - Clinical features and A new repair technique (Pullout suture) - (내측 반월상 연골 후각의 후방 경골 부착부위의 절단 파열 - 임상 양상 및 새로운 봉합 수기(pullout suture) -)

  • Ahn, Jin-Hwan;Ha, Chul-Won;Kim, Ho;Kim, Sung-Min
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.2
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    • pp.109-114
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    • 1999
  • Purpose : The importance of meniscal repair is well recognized. But transeciton of the posterior horn of the medial meniscus at the posterior tibial attachment is rarely documented and known irreparable. We experienced 9 cases of transection, and present clinical features and pull out suture technique. Methods and Materials : There were 9cases of transection of the posterior horn of medial meniscus from September 1998 to July 1999 in our hospital. Age was 59.3 years in average and ranged from 38 to 70years. Clinical features and MRI made diagnosis in all cases. We confirmed the diagnosis with arthroscopy and repaired the transection with pullout suture technique. Clinical features : Transection of the posterior horn of the medial meniscus at the posterior tibia attachment occurred frequently in middle aged people. They complained posterior knee pain, but they have no history of definitive trauma. Characteristically they had difficulty in full flexion of the knee and in having a squatting position. MRI is very important in diagnosis of transection, especially in coronal view, there is separation of the posterior horn of the meniscus from the posterior tibial attachment. Surgical technique : Pullout suture technique includes debridement of fibrous or scar tissue, exposure of the subchondral bone of the posterior tibial attachment site, suture the transected end of the meniscus with PDS suture, bone tunnel formation from the anteromedial aspect of the proximal tibia, insertion of wire loop through the tibia tunnel, pull the PDS suture through the tibia tunnel out of the joint and stabilize the PDS with post-tie technique to the proximal tibia. Conclusion : Transection of the posterior horn of the medial meniscus at the posterior tibial attachment is not common clinically and rarely documented. Clinical features and MRI are very important in diagnosis of this type tear. Arthroscopic pullout sutures is useful for treatment of this type tear of the meniscus.

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Comparison of Cutting and Compression Tests for the Texture Measurement of Chinese Cabbage Leaves (절단시험과 압착시험에 의한 배추잎의 조직감 측정 비교)

  • Lee, Cherl-Ho;Hwang, In-Ju
    • Korean Journal of Food Science and Technology
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    • v.20 no.6
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    • pp.749-754
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    • 1988
  • The texture measurement of Chinese cabbage leaves used for Kimchi preparation were con ducted by cutting and compression test and the results were compared to the sensory evaluation. The cutting force of cabbage leaf stalk increased by blanching or salting, and a maximum cutting force was attained by salting in 15% salt solution for 5 hours. The compression force and recovered height measured by compression test of Chinese cabbage leaf stalk decreased by blanching or salting, and the breaking point disappeared. Treatment with $CaCl_2$ solution increased the cutting force compression force and breaking strength of fresh leaves, but the effect disappeared by salting or blanching. Cutting strength could be used as a parameter indicating the hardness and chewiness of salted cabbage. Compression force and breaking strength could indicate the textural changes of blanched leaves, but were not useful for the measurement of hardness and chewiness of salted leave.

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Delayed Bronchoplasty in Complete Transection of Left Main Bronchus after Blunt Trauma (외상성 좌측주기관지 절단환자의 지연수술 치험)

  • 김명천;이재영;조규식;박주철;유세영
    • Journal of Chest Surgery
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    • v.31 no.2
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    • pp.182-185
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    • 1998
  • Recently, The non-penetrating injury of bronchus has been increased, especially by traffic accident. Early diagnosis and primary repair of bronchial injury not only restore normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair. This report describes about a case of total collapse and consolidation of left lung with the complete transection of nearly bifurcated portion of left main bronchus , lasted for 2weeks after traffic accident. This was diagnosed by fiberbronchoscopy and 3-D chest computed tomography(CT). She underwent the sleeve resection and end to end anastomosis, and postoperative PEEP for 2 days, suctioning twice by fiberbronchoscopy, continue postural drainge and physiotherapy were applied. She had almost full expansion of the left lung at discharge.

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Complete Transsection of the Trachea by Blunt Trauma (둔상에 의한 기관 완전 절단 - 1예 보고 -)

  • Kim, Dae-Hwan;Yoo, Byung-Ha;Kim, Han-Yong;Hwang, Sang-Won
    • Journal of Chest Surgery
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    • v.40 no.1 s.270
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    • pp.79-82
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    • 2007
  • Tracheobronchial rupture due to blunt chest trauma is an uncommon injury although the incidence is increasing. Early diagnosis and primary repair of tracheobronchial rupture not only restore a normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair We present one case of the tracheal transsection caused by traffic accident. Patient suffered from progressive dyspnea, subcutaneous emphysema on the neck and anterior chest wall and tension pneumothorax at both sides were noted. Although both closed thoracostomy were done, massive air leakage through the chest tube continued and subcutaneous emphysema spread to the anterior abdominal wall and scrotum and the degree of dyspnea aggravated. With the impression of tracheobronchial injury, we performed the emergency operation. Preoperative bronchoscopy at the operation room was proceeded, which revealed the trachea was near totally transsected in transverse direction. Operation was performed through collar incisiion on the anterior neck, and the trachea was anastomosed with 4-0 $Vicryl^{(R)}$ interruptedly. Postoperative course were uneventful and patient discharged without any complications.

Manufacturing Process of Self-Luminous Glass Tube (SLGT) Utilizing Tritium Gas (I) (삼중수소 활용을 위한 자발광유리관 (SLGT) 제조기술)

  • Kim Kwangsin;Kim Kyeongsook;Chung Eun-Su;Son Soon Hwan;Nam Gi-Jung
    • Proceedings of the Korean Radioactive Waste Society Conference
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    • 2005.11a
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    • pp.87-95
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    • 2005
  • Laser sealing/cutting technique, one of the 4 core technologies to manufacture self-luminous glass tubes (SLGTs) has been developed. Through the analysis of commercial products it is found that Pyrex Is used for SLGTs. A CO2 laser, which is commonly used for glass work was used for the study The factors affecting the sealing/cutting were laser intensity, duration. Irradiation method, and pressure inside the tube. The whole Process is composed of 2 stages. In the first stage. both ends of the tubes are sealed while tritium is insected in the tubes. And the tritium sealed tubes are cut in the desired size in the second stage. Defocused beam was used for seal ing and focused beam was used for cutting. After the sealing/cutting, the tubes were heat treated to prevent fracture due to the residual heat stress.

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Posterior cruciate ligament reconstruction using fresh-frozen Achilles tendon allograft with preservation of ligament remnant (남아 있는 인대를 보존하고 신선 동결 동종 아킬레스건을 이용한 후방십자인대 재건술)

  • Kim, Yeung Jin;Chae, Soo Uk;Kim, Jong Yun;Kim, Byung Soo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.10 no.2
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    • pp.54-60
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    • 2011
  • Puropse: To evaluate the outcome of arthroscopic posterior cruciate ligament (PCL) reconstruction using fresh-frozen achilles allograft tendon with preservation of ligament remnant or elongated ligament. Materials and Methods: From October 2004 to March 2010, we performed PCL reconstruction with Achilles tendon allografts in 22 complete rupture patients. Mean age was 31.5 years. 14 cases were male and 8 cases were female. Average follow-up period was 3 years and 7 months, range from 1 year to 6 years and 4 months. Subjective and objective parameters were utilized in analyses, such as the mean range of motion, post. drawer test, Lysholm knee score, Tegner activity score, IKDC score, and second look arthroscopic examination. Results: Postoperative Lysholm knee score, IKDC scores, Tegner activity scale, and posterior displacement by the Telos stress test demonstrated statistically significant improvement compared to the preoperative state. Conclusion: Arthroscopic PCL reconstruction using fresh-frozen achilles allograft tendon with preservation of ligament remnant showed good clinical results and posterior stability.

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The Efficacy of Conjugated Linoleic Acid and Carprofen in Progression of Early Stage of Experimentally Induced Osteoarthritis in Dogs (개에서 Conjugated Linoleic Acid와 Carprofen이 실험적 골관절염 초기 진행에 미치는 효능)

  • Park, Se-il;Bae, Jae-sung;Kwon, Young-sam;Jang, Hwan-soo;Li, Wen-xue;Lim, Jae-hyun;Eom, Ki-dong;Kim, Jung-eun;Jang, Kwang-ho
    • Journal of Veterinary Clinics
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    • v.20 no.3
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    • pp.278-285
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    • 2003
  • This study was performed to compare early stage changes following the administrations of Conjugated Linoleic Acid (CLA), Carprofen and their combinations in the experimental canine cranial cruciate ligament rupture. Twenty five mongrel dogs were divided into five groups; Groups 1, 2, and 3 received a sectioning the cranial cruciate ligament (CCL) of the right stifle joint, and were administered CLA (250 mg/kg/day/orally), carprofen (4.4 mg/kg/day/orally), and their combinations for 4 weeks beginning 4 weeks postsurgery, respectively. Group 4 received sectioning CCL and no treatment. Group 5 was composed of unoperated normal dogs. The macroscopic observation of cartilage erosions on both the condyles and plateaus were evaluated, and the severity of the cartilage lesions and synovial inflammation was examined histologically at eight weeks after surgery. Histological examinations including hematoxylin and eosin stain, standard toluidine blue method, PAS technique and Masson trichrome technique, hematologic and radiographic evaluation were perfonned after experimental surgery. Slight yellowish discoloration of the surface was found in some of the experimental dogs. However macroscopic findings showed no significant differences among the groups. In radiographic findings, cranial displacement of the proximal tibia relative to the femoral condyles in all groups was observed but no significant differences among the groups was seen. This study showed that oral administration of CLA, carprofen and their combinations revealed no early stage change in the canine stifle joint following experimental rupture of the cranial cruciate ligament.

Slide Tracheoptoasty for Congenital Tracheal Stenosis Case Report (선천성 기관 협착환자의 슬라이드 기법을 이용한 기관성형술 2 례)

  • 성숙환;정도현
    • Journal of Chest Surgery
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    • v.30 no.8
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    • pp.833-837
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    • 1997
  • Congenital tracheal stenosis is very rare, but it leads to life threatening obstruction in infancy and childhood. Recently, we experienced two cases of congenital tracheal stenosis, involving half of the distal trachea. We adopted slide tracheoplasty procedure Proposed by Peter Goldstraw Tracheoplasty was performed by dividing the stenosis at midpoint, incising the proximal and distal narrow segments vertically on opposite anterior and posterior surfaces, and sliding these together. On case 1, the patient':s now doing well. On case 2, the patient succumbed due to anastomotic disruption at postoperative ay 4.

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