• Title/Summary/Keyword: 파열력

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Maternal and Neonatal Outcome of Twin Pregnancies after in vitro Fertilization and Embryo Transfer (체외수정시술로 출생한 쌍생아의 임상적 경과에 대한 비교 분석)

  • Kim, Kyung-Ah;Min, Uoo-Gyung;Lim, Jae-Woo;Jun, Nu-Lee;Won, Hye-Sung;Kim, Chung-Hoon;Kim, Ellen Ai-Rhan;Lee, Pil-Ryang;Lee, In-Sik;Kim, Ki-Soo;Kim, Ahm;Pi, Soo-Young
    • Clinical and Experimental Pediatrics
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    • v.46 no.3
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    • pp.224-229
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    • 2003
  • Purpose : To examine various neonatal outcomes and perinatal factors resulting from assisted reproduction compared to that of spontaneous conception. Methods : This is a retrospective study. The control cases were all twins of spontaneous conception born between periods from January 1995 to June 2000. The study cases were identified from twins conceived by assisted reproduction in the same time peried. A total of 460 sets of twins consisted of 250 twins of spontaneous conception and 156 twins of assisted reproduction were studied. The primary outcomes were neonatal morbidity and mortality and the secondary outcomes were perinatal factors including number, length and cost of hospitalization for the delivery. Results : No differences were seen in various neonatal factors including gestational age, birth weight and incidences of respiratory distress syndrome, patent ductus arteriosus, necrotizing enterocolitis, hyperbilirubinemia, sepsis, intraventricular hemorrhage and the length of hospitalizations. Lower one minute and five minute Apgar scores and frequently encountered electrolyte abnormalities were observed in neonates of assisted reproduction. In general, the second twin of assisted reproduction had increased incidences of respiratory distress syndrome, sepsis and necrotizing enterocolitis than the first twin. Increased frequencies of preterm labor, hospitalization and elective cesarean section were seen among mothers who underwent artifical conception. However, overall hospital costs in terms of mothers hospitalization for the delivery and neonates hospitalization did not show differences. Conclusion : Assisted reproduction twins had similar neonatal morbidities, mortalities and perinatal morbidities compared to those born by spontaneous conception.

Physical and Chemical Properties of Charcoal Added Paper for Cigarette Filter (활성탄 첨가에 따른 담배용 필터지의 이화학적 특성)

  • Lee, Mun-Yong;Jeon, Yang;Kim, Yeong-Ho;Lee, Jong-Il
    • Proceedings of the Korea Technical Association of the Pulp and Paper Industry Conference
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    • 1999.04a
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    • pp.77-77
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    • 1999
  • 담배용 필터에 사용되고 있는 재료는 아세테이트, 종이, 폴리프로펼렌, 부직포등이 주로 이용되고 있으 며 담배연기의 흡착능을 향상시키기 위한 방법으로 활성탄 제오라이트와 같은 흡착제를 담배필터에 첨가하여 사용하고 있다. 본 실험에서는 펼터에 가장 보편적으로 많이 사용하고 있는 활성탄을 종이 제조과정에 첨가하여 나타나는 물리적 특성을 관찰하였고 제조된 종이를 담배필터에 적용하기 위하여 현행 습식 크림핑(crimping)방법과는 달리 건식 크림핑(crimping)방법을 이용한 적합한 조건을 검토하 였으며 이에 따른 담배필터에서의 연기흡착능을 분석한 결과는 다음과 같다. 1. 시트의 물리적 특성과 담배 연기성분 홉착능을 예측하기 위하여 펄프의 불성과 uv 홉착능을 분 석한 결과 Sw-BKP가 Hw-BKP에 비하여 강도적 성질이 우수하였고 또한 메틸렌불루(methylene b blue) 흡착능도 높은 경 향을 나타내 었다. 2. 활성탄 함량의 증가에 따라 섬유간의 결합력이 약화됨에 따라서 시트의 인장강도 및 파열강도가 감 소하는 경향이 가장 크게 나타났으며 평량이 펼프 배합비보다 높은 인자로 작용하였다. 또한 인자 간의 교호작용에서는 평량과 활성탄 함량에 따라서 크게 나타났으며 평량, Sw-BKP의 함량이 증가할 수록 인장강도는 증가하였다. 3. Stiffness는 활성탄 함량 펄프 배합비 평량의 순에따라 중요한 인자로 작용하였고 활성탄 함량 이 많을수록 stiffness는 감소하였으며 평 량 Sw-BKP의 함량이 높을수록 증가하였다 인자간의 교 호작용은 평량과 활성탄 함량이 다른 요인에 비하여 높은 경향을 보였다. 4. 인열강도는 활성탄 함량이 증가함에 따라 가장 크게 감소하였고 시트의 평량이 펄프 배합비보다 높은 인자로 작용하였으며 평 량 Sw-BKP의 함량이 높을수록 증가하였다 인자간의 교호작용에서는 펄프 배합비와 활성탄 함량에 따라 크게 나타났다. 5. 종이 필터지에서 시트의 평량이 bulk에 가장 큰 인자로 작용하였는데 이는 같은 두께에서 평량올 변화시킨 요인으로 판단되며 시트의 평량이 높을수록 감소하였고 활성탄 함량, Sw-BKP의 배합비 가 높을수록 증가하였다. 또한, 인자간의 교호작용은 평 량과 활성 탄 함량에 따라 크게 작용하였다. 6 6. Crimp index는 관능검사 결과로서 활성탄 함량이 증가함에 따라 현저하게 저하되었으며 평량 및 S Sw-BKP의 배합비가 높을수록 양호한 결과를 나타내었다. 인자간의 교호작용에서는 평량과 펄프 배합비에 따라 가장 높은 경향을 나타내었다. 7 활성탄을 첨가하여 제조한 종이필터의 담배 연기성분 흡착능은 acetate tow에 charcoal을 첨가한 필터에 비하여 tar흡착능이 6% 이상 향상되었고, 특히 증기상 물질(vapour phase)중 aldehyde류에 대한 제거율(removal efficiency)이 높게 나타났다. 8. 건식 크림핑 방법에 의한 담배필터 제조시 펼프의 홉착능, 시트의 강도적 특성, 크림핑 조건 및 담 배 연기성분 흡착능 등을 고려하여 적정조건을 선정하였으며, 펄프 배합비(Sw-BKP따w-BKP)는 6 65/35, 시트의 평량은 40g/$m^2$ 활성탄 함량은 10% 이었다.

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Physicochemical Characteristic of Korean Wheat Semolina (우리밀 Semolina의 이화학적 특성)

  • Kim, Yeon-Ju;Kim, Rae-Young;Park, Jae-Hee;Ju, Jong-Chan;Kim, Won-Tae;Chun, Soon-Sil
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.6
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    • pp.837-842
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    • 2010
  • The physicochemical properties of coarse semolina (CS), medium semolina (MS) and fine semolina (FS) were investigated to research method applied in noodles processing of Korean wheat semolina. Large particle (>250 ${\mu}m$) was over 75% in all semolinas, except for FS, and the particle distribution of MS and durum semolina (DS) was similar. Crude protein and crude ash were the highest in DS followed by CS>MS>FS. Crude lipid of DS was the lowest among samples and CS, MS and FS were not significantly different. L value was high in semolina with small particle distribution and starch damage was the lowest in DS followed by FS>MS. Amylose content was high in DS (29.80%) and FS (29.08%) with small particle distribution. Water binding capacity was the highest in DS, and FS showed the highest water binding capacity among Korean wheat samples. Solubility and swelling power were noticeably high in FS with low starch damage and small particle distribution. In scanning electron microscope (SEM), FS and MS showed distribution of separated fine particles of flours. From these results, the physicochemical properties of semolina showed many differences by grinding methods. FS should be applied in noodles processing through additional examination about characteristic of noodle making.

Lung Cancer Incidentally Found on Surgery of Spontaneous Pneumothorax -A case report- (자연기흉 수술 중 발견된 폐암의 수술치험 1예 -1예 보고-)

  • Kim, Mi-Jung;Song, Chang-Min;Jung, Sung-Chol;Kim, Woo-Shik;Shin, Yong-Chul;Kim, Byung-Yul
    • Journal of Chest Surgery
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    • v.39 no.12 s.269
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    • pp.949-952
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    • 2006
  • Spontaneous pneumothorax is rarely occurred as an initial sign of primary lung cancer. As a lot of these cases have already advanced, even then surgical resection is performed, the prognosis is often undesirable, We happened to find a ruptured cavity on a 65-year-old male patient who had suffered from pulmonary tuberculosis in the past, while performing VATS bullectomy for simple spontaneous pneumothorax, Then, as a result of frozen biopsy, it was diagnosed as squamous cell cancer Because the tumor was infiltrated from the upper lobe into the lower lobe passing by fissure, we should remove by pneumonectomy and the pathologic stage was found stage I(T2N0M0). When we made an follow-up observation for one year and a half, there was neither relapse nor complication. When there appears spontaneous pneumothorax to the high risk group for lung cancer who were smokers over forty-year old, with chronic bronchitis or pulmonary emphysema, it needs to have a closer observation on a base lung disease such as lung cancer through chest CT, and it is also necessary to make more active approach by performing the surgical operation through a thoracoscopy when there is a continued air release.

Clinical Experiences of Trabeculectomy with Mitomycin C (Mitomycin C를 사용한 섬유주절제술의 임상경험)

  • Cha, Soon-Cheol
    • Journal of Yeungnam Medical Science
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    • v.11 no.1
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    • pp.55-62
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    • 1994
  • The use of intraoperative application of Mitomycin C at the filtration site has been known to improve the surgical outcome in glaucomatous eyes with high risk for failure of trabeculectomy. The author performed trabeculectomies with intraoperative Mitomycin C on 25 eyes of 20 patients with poor surgical prognosis to study the efficacy and safety of this technique in glaucomatous patients with high risk for failure of trabeculectomy. After the preparation of a scleral flap, 0.2mg/ml solution of Mitomycin C was applied between Tenon's capsule and the sclera for 2 minutes. The exposed area was then irrigated with 200 ml of balanced salt solution. The follow-up period was from 1 to 7 months (mean 3.8 months). The mean preoperative intraocular pressure (IOP) was $38.6{\pm}6.6mmHg$. The mean final postoperative IOP was $11.7{\pm}3.8mmHg$. Twenty three (88%) of the 25 eyes were successfully controlled with the IOP of less than or equal to 20 mmHg without glaucoma medication. There were early postoperative complications of hyphema in 5 eyes (20%), shallow anterior chamber in 4 eyes(16%), punctate keratopathy in 3 eyes (12%), aqueous leaking from conjunctival wound in 2 eyes (8%), encapsulated bleb in 1 eye (4%) and choroidal detachment in 1 eye (4%), and 4 eyes had long term hypotony lasting more than 2 months. Although Mitomycin C is simple to use and effective adjunct to trabeculectomy, further study will be needed to determine the mechanism of action, indication, dosage and optimal exposure time of Mitomycin C.

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Selection of Cultivars and Organic Solvents to Improve Fruit Set of Greenhouse Watermelon during Cold Period (저온기 시설수박 착과율 증진을 위한 품종 및 화분분리 유기용매 선발)

  • Lim, Chae-Shin
    • Journal of Bio-Environment Control
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    • v.19 no.3
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    • pp.147-152
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    • 2010
  • Poor fruit set during winter period is one of the biggest problem in plastic tunnel watermelon cultivation. Hand pollination is inevitable to maximize fruit set of the winter watermelon. Productivity and viability of pollen grain and organic solvents for pollen storage were investigated. All cultivars produced more than 10 mg/flower except for 'Kumchun' cultivar. Pollen amount per flower were 13.8 mg in 'Bok' and 12.1 mg in 'Speedkul'. Germination rate of pollen grains incubated at $30^{\circ}C$ right after soaking in pentane solvent were 76% in 'Kumchun' as the lowest and 92% in 'Apollokul' as the highest. The pollen of 'Bok' showed the highest germination rate by 75% after a 15-day storage in pentane. All cultivars showed their pollen germination rate below 25% after a 24-day storage. Among the cuitivars, speed of pollen tube growth in vitro were relatively lower in 'Kumchun' and 'Sambokkul' by below $50\;{\mu}m/hr$. Pollen tube of these cultivars tended to burst during its elongation on the medium. Pollen stored 24 hrs in organic solvents showed 45, 39, 34, 23, and 19% of germination in pentane, ethyl ether, n-hexane, ethyl acetate, and acetone, respectively. Compared with light condition, pollen viability was higher in darkness during pollen storage in organic solvents. Pollen grain was susceptible to the organic solvent. The viability of pollen grains seems to be influenced greatly by duration of soaking pollen in organic solvent and the polarity of solvents. Organic solvent damages surface of pollen grain and extent of damage was varied by the solvents.

Reverse Total Shoulder Arthroplasty: Where we are? "Principles" (견관절 역행성 인공관절 치환술의 원칙)

  • Noh, Kyu-Cheol;Suh, Il-Woo
    • Clinics in Shoulder and Elbow
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    • v.14 no.1
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    • pp.105-110
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    • 2011
  • Purpose: The purpose of this article is to identify and understand the complications of RTSA and to review the current methods of preventing and treating this malady. Materials and Methods: Previous constrained prostheses (ball-and-socket or reverse ball-and-socket designs) have failed because their center of rotation remained lateral to the scapula, which has limited of the motion of the prostheses and produced excessive torque on the glenoid component, and this leads to early loosening. The Grammont reverse prosthesis imposes a new biomechanical environment for the deltoid muscle to act, thus allowing it to compensate for the deficient rotator cuff muscles. Results: The clinical experience does live up to the lofty biomechanical concept and expectations: the reverse prosthesis restores active elevation above $90^{\circ}$ in patients with a cuff-deficient shoulder. However, external rotation often remains limited and particularly in patients with an absent or fat-infiltrated teres minor. Internal rotation is also rarely restored after a reverse prosthesis. Failure to restore sufficient tension in the deltoid may result in prosthetic instability. Conclusion: Finally, surgeons must be aware that the results are less predictable and the complication/revision rates are higher in revision surgery than that in the first surgery. A standardized monitoring tool that has clear definitions and assessment instructions is surely needed to document and then prevent complications after revision surgery.

Pneumothorax as the First Clinical Manifestation of Systemic Sclerosis : A Case Report of Multiple Cystic Lung Lesions in Systemic Sclerosis (기흉으로 발현한 전신성 경화증의 첫 증례)

  • Lee, Chang Hoon;Lee, Seung Pyo;Lee, Hee Suk;Oh, Jin Young;Kim, Woo Jin;Yim, Jae Joon;Yoo, Chul Gyu;Han, Sung Koo;Shim, Young Soo;Kim, Young Whan
    • Tuberculosis and Respiratory Diseases
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    • v.55 no.5
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    • pp.522-525
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    • 2003
  • 26세 여자환자가 우측 흉통을 주소로 응급실을 방문하였다. 흉부방사선검사에서 우측 기흉을 진단받고 흉관삽입술을 시행하였다. 환자는 6년전부터 레이노드 현상이 있었고 양손에 피부경화증이 있었으며 항 DNA 국소이성화효소 I 항체가 양성으로서 전신성 경화증을 진단받았다. 고해상력 컴퓨터단층촬영에서 양쪽 폐야에 낭종성 병변이 관찰되었고 기흉은 낭종의 파열에 의한 것으로 판단되었다. 전신성 경화증은 폐를 포함한 여러 장기를 침범하는 질환이다. 이 질환에서 기흉과 낭종성 폐병변이 발생하였던 증례들은 1954년 이래로 보고되어 왔는데 모든 증례에서 기흉은 전신성 경화증을 진단받은 뒤에야 발견된 것이었다. 본 증례는 기흉으로 발현한 전신성 경화증의 첫 증례라는 점에서 임상적 의의가 있다고 여겨진다.

Analysis and the Assessment of Exterior Design of Functional Sandals for Stature of Achilles Tendons (아킬레스건 신장용 기능성 샌들의 외형 디자인 평가 분석)

  • Yang, Keun-Young
    • The Journal of the Korea Contents Association
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    • v.12 no.6
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    • pp.182-190
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    • 2012
  • Based on the study, the issues and trends in the current functional sandal designs on the same product line will be examined for the future developments for the functional sandals and the results were obtained as follows. First, the sandals must have a high front heel with wide floors that meet the ground. Second, the preference for the chromatic colour is stronger than the achromatic colors. Third, the sandals must be designed in curves in terms of the height and shape of the heels and design must consider the shoe's balance. Fourth, the product must appear big to provide a sense of stability. However, the sandals must not be designed too big to make them look crude or cause inconvenience while exercising. Fifth, the sandals must not be designed in too complex ways. This study has investigated and analyzed the external design of functional sandals and the user reviews on the actual sandals were not done. Through more detailed studies, the diversity in the design of functional sandals must be south and Korea's competitive edge in the industry and design must be secured for the future.

Shake Table Response and Analysis of RC Bridge Piers with Lap-Spliced Steel under NFGM (주철근 겹침이음된 RC교각의 근단층지반운동에 대한 진동대 응답과 분석)

  • Chung, Young-Soo;Park, Chang-Young;Hong, Hyun-Ki;Park, Ji-Ho;Shim, Chang-Su
    • Journal of the Korea Concrete Institute
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    • v.20 no.4
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    • pp.451-458
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    • 2008
  • The near-fault ground motion (NFGM) is characterized by a single long period velocity pulse of large magnitude. NFGM's have been observed in recent strong earthquakes, Izmit Turkey (1999), Kobe Japan (1995), Northridge USA (1994), etc. These strong earthquakes have caused considerable damage to infrastructures because the epicenter was close to the urban area, called as NFGM. Extensive research for the near-fault ground motion (NFGM) have been carried out in strong seismic region, but limited research have been done for NFGM in low or moderate seismic regions because of very few records. The purpose of this study is to investigate and analyze the effect of near-fault ground motions on reinforced concrete (RC) bridge piers with lap-spliced longitudinal reinforcing steels. The seismic performance of four RC bridge piers under near-fault ground motions was investigated on the shake table. In addition, a RC bridge pier is subjected to pseudo-dynamic loadings. Test results showed that large residual displacements were observed in RC bridge piers under NFGM. RC specimens on the shake table failed at relatively low displacement ductility, compared with the displacement ductility of RC bridge pier subjected to pseudo-dynamic loadings.