• Title/Summary/Keyword: 2차성형

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Midterm Results of Mitral Valve Repair by the New Chordae Formation Technique (승모판막 폐쇄부전증에서 신건삭 형성술을 이용한 판막 성형술의 임상분석)

  • Lee, Jae-Won;Lim, Han-Jung;Jung, Sung-Ho;Kim, Kun-Il;Choo, Suk-Jung;Song, Hyun;Song, Meung-Gun
    • Journal of Chest Surgery
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    • v.34 no.4
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    • pp.329-337
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    • 2001
  • 배경: 승포판 전엽이나 교련 또는 여러 판엽에 걸쳐 광범위한 병변으로 인한 승모판 역류의 경우 수술수기에 대한 뚜렷한 정립이 되어 있지 않은 실정이다. 최근 이러한 병변의 승모판 역류의 경우 PTEE(Polytetrafluro-ethylene)을 이용한 신건삭 형성술의 시행이 점차 늘고 있다. 이에 저자들은 PTEE를 이용한 신건삭 형성술이 승모판 성형술에 어떠한 영향을 미치는지 알아보고자 하였다. 대상 및 방법: 1994년 1월부터 1999년 12월까지 승모판막 성형술을 시행 받은 322명의 환자 중에서 신건삭 형성술을 이용하여 승모판 성형술을 시행한 144례(I군)과 신건삭 형성술 이외의 방법으로 승모판 성형술을 시행한 178례(II군)를 대상으로 하였다. 두 군에서 수술 직후ㅘ 수술 후 6개월, 1년 및 1년 단위로 주기적인 심초음파를 시행하였고 이를 통계적 검정하였다. 결과: 같은 기간 승모판 성형술은 승모판막 폐쇄 부전증으로 내원한 환자의 95%(306)에서 추적 관찰이 가능하였다. 두 구난에 수술 전 혈류 역학적인 차이를 보이지 않았고, 수술 전 평균 승모판막 폐쇄 부전의 정도는 I군이 3.8$\pm$0.4, II군이 3.6$\pm$0.3였으나 수술 후 추적 관찰에서 각각 1.3$\pm$0.9와 1.1$\pm$0.7 정도의 양호한 판막 성형술의 결과를 보였고 승모판막 면적의변화나 승모판막에서의 평균 압력차이 등 혈류 역학적인 결과에도 차이를 보이고 있지 않았다. 술 후 3명(0.9%)의 조기 사망과 4명 (1.2%)의 후기 사망이 있었으나 두 군간의 차이는 보이지 않았다. 만기 생존율( 93.7$\pm$3.3 vs 88.0$\pm$1.95) 및 판막살패가 발생하기 않을 확률( 93.7$\pm$3.6 vs 93.3$\pm$3.4%) 과 재수술이 필요치 않을 활률(99.3$\pm$0.7 vs 96.0$\pm$1.9%), 색전증, 감염성 심내막염, 판막과 관련된 합병증 발생률 등에서 두 군간에 의미 있는 차이는 없었다. 전엽과 후엽에서 신건삭 형성술을 시행한 환자에서는 통계학적인 차이가 없었다(p=0.29) 결론: 신건삭 형성술을 이용한 승모판 성형술은 승모판 성형술의 증가(r=0.98, p<0.01)를 가져 왔을 뿐만 아니라 내구성과 안정성에 있어 기존의 안전화된 수술 수기와 견줄만하다. 특히 이러한 신건삭 형성술은 승모판 전엽에 병변이 있는 경우와 교련부 및 여러 엽에 광범위한 병변으로 인하여 재건술이 어려운 경우에도 승모판 재건을 가능하게 하는 우수한 수술 수리가 사료된다.

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The Relationship between Self Esteem and Appearance Management Behavior in North Korean Immigrant Women (북한이탈여성의 자아존중감과 외모관리행동과의 관련성)

  • Lee, Insook;Yang, Yun-mi
    • The Journal of the Korea Contents Association
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    • v.15 no.12
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    • pp.273-284
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    • 2015
  • The purpose of the study is to investigate baseline data by exploring the self-esteem and general appearance management behavior in North Korean immigrant women. The data were collected from December 2014 to February 2015 from 201 participants. The data were analyzed using SPSS 21.0 program. The followings are the results of the present study. 1) The mean score of self-esteem was 2.40 in 4 points, and the mean of the appearance concern was 3.20 in 5 points. And the mean of general appearance management behavior was 2.67 in 5 points. Subjects had a lot of make-up and clothes behaviors. However exercise, food intake behaviors of subjects were lowerer than average. 2) There were significant differences between self-esteem, the appearance concern and general charateristeics(e.g age, intent weight loss, interest in cosmetic surgery). In general appearance management behavior, there was a significant difference among age, interest in cosmetic surgery and job in North Korea. 3) There was a significant correlation among self-esteem and the appearance concern, general appearance management behavior, age, intent weight control as well as interest in cosmetic surgery. In the appearance concern, it showed a correlation with general appearance management behavior, age, intent weight control as well as interest in cosmetic surgery. In general appearance management behavior, there was a significant correlation among the age, intent weight control and interest in cosmetic surgery. 4) 44.7% of general appearance management behavior was explained: self-esteem, the appearance concern. Therefore, it can be suggested that utilization of developing programs for improving self-esteem and appearance management behavior.

Effect of Die Temperature and Dimension on Extract Characteristics of Extruded White Ginseng (사출구 온도와 구조에 따른 압출성형 백삼의 추출 특성)

  • Kim, Bong-Su;Ryu, Gi-Hyung
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.34 no.4
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    • pp.544-548
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    • 2005
  • The objective of this study was to determine the effect of die temperature and dimension on extraction pattern, extract yield, and crude saponin content of extruded white ginseng. The extrusion variables were die temperature $(110\;and\;120^{\circ}C)$ and die dimension (3 holes with 1.0 mm, 2 holes with 2.0 mm, and 1 hole with 3.0 mm diameter). The browness and redness were indicator of active components in ginseng extract. Both were used to evaluate the effect of die temperature and die dimension on release pattern and release rate constant. Browness and redness of extract achieved its lowest value at die temperature $110^{\circ}C$ and 2 holes with 2.0 mm diameter, indicating the lowest extraction rate constant. Extract yield highly increased by extrusion treatment. Extract yield and crude saponin content were the highest at die temperature $120^{\circ}C$ and 1 hole with 3.0 mm diameter. In conclusion, extrusion process has contributed significantly in improvement of release rate of its active components.

Sex Morph, Fruiting Characteristics, and Seed Viability of Acer palmatum var. matsumurae (Koidz.) Makino (뜰단풍의 성 형태, 결실특성 및 종자활력)

  • Kim, Gab Tae
    • Journal of Korean Society of Forest Science
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    • v.100 no.2
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    • pp.131-135
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    • 2011
  • To examine the sex morph, fruiting characteristics and seed viabilities of Acer palmatum var. matsumurae (Koidz.) Makino, the flowers and seed-sets of 101 trees were collected from early April to late October 2010, and floral structure and seed viability were studied. Among investigated 101 trees, 73.3% of trees were protandrous (PA: pollen is shed before stigmas are receptive) and 26.7% were protogynous (PG: stigmas are receptive before pollen is shed). Acer palmatum var. matsumurae has heterodichogamous sexual system. Number of flowers and seed-sets per inflorescence are significantly different between sex morphs, and PA has more flowers and seed-sets per inflorescence than PG. Rates of sound seeds and decayed seeds are significantly different between sex morphs. Rates of sound seeds were 46.4% in PA, but 65.6% in PG. and rates of decayed seeds were 49.6% in PA, but 23.6% in PG. The differences of decayed seeds' rates between sex morphs might be related with the timing of pistil flower blooming and insect pests' outbreak.

Anatomic Study on the Lacrimal Duct using Computerized Tomograph

  • Choung Pill-Hoon;Lee Ui-Lyong;Hong Jong-Rak
    • Korean Journal of Cleft Lip And Palate
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    • v.5 no.2
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    • pp.109-112
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    • 2002
  • 구순 구개열 환자의 악교정 성형수술로 구강내 Le Fort II 골절단술이나 비중격 성형술이 많이 이용되는데, 이때 비골의 외측골절단술을 요하며, 이에 대한 술 후 합병증으로 비루관의 폐쇄나 비골의 분쇄골절 등이 발생할 수 있어, 악안면기형 환자를 다루는 구강악안면외과의사에게 비루관의 웅용해부학적 연구는 중요하다. 본 연구의 목적은 교합면을 기준으로 촬영된 컴퓨터 단충 촬영에서 비루관의 위치와 크기를 조사하는데 있다. 2000년 7월부터 2003년 2월까지 서울대학교병원 구강악안면방사선과에서 컴퓨터 단층촬영을 시행한 환자 62명을 대상으로 비상악봉합선에서 비루관까지의 최단거리와 비루관의 최대반경과 최소반경을 측정하였다. 우측비상악 봉합선에서 비루관까지의 거리는 5.68mm이고, 좌측은 5.67mm였다. 좌우 및 성별간의 차이는 없었다. 이의 해부학적 지견은 악기형 수술시의 비루관 폐쇄라는 합병증의 예방책으로 기여하리라 생각된다.

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A Study on Pulse Shaping of Linear Phase filter block with Variable Cutoff Frequency in PCM/FM transmission (PCM/FM 전송에서 가변 컷오프 특성을 갖는 선형위상 필터 블록의 펄스 성형에 관한 연구)

  • Lee Sang-Rae;Ra Sung-Woong
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.31 no.1C
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    • pp.65-73
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    • 2006
  • The purpose of this study is to design and analyze the pre-modulation filter with the variable -3dB cutoff frequency and linear phase response for bandlimiting the allocation of radio frequency bandwidth in PCM/FM transmission system. For the implementation of this required filter, the digital FIR filter, DAC and variable 2nd order LPF have been constructed with the filter block which designed and analyzed by each stage in order to satisfy the attenuation characteristic requirement of the analog 7th order bessel filter. The paper also concerned the linear phase properties for the filter block. Especially we have carried out the linear phase simulation with real parts for variable 2nd order LPF and compared this simulation results with the one of the fixed bandwidth 2nd order bessel filter for validating the linear phase requirement.

Comparison of Thermal Properties and Surface Structures of Unmodified, Spray-Dried, and Extrusion-Dried Agar (일반한천, 분무건조한천, 압출성형한천의 열 특성 및 표면구조의 비교)

  • 김희구;손홍주
    • The Korean Journal of Food And Nutrition
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    • v.10 no.2
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    • pp.234-240
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    • 1997
  • Agar has widely been used as medical aids and food ingredients due to its pecular physicochemical and rheological properties. In this paper, the effects of spray drying and extrusion drying on functional properties of agar were investigated to clarify the sol-gel transition mechanism at low temperature and microstructure of agar gel by measuring phase transition by differential scanning calorimetery, structural differences by light microscope and scanning electron microscope observation. The lowest endothermic onset(To), peak(Tp), conclusion(Tc) temperature and enthalpy($\Delta$H) using differential scanning calorimetery were showed in extrusion-dried agar wic were checked in 41.30, 61.72, 80.50 and 0.73cal/g. In cases of unmodified and spray-dried, the values were 81.20, 95.51, 112.14 and 3.22cal/g, and 60.11, 76.45, 89.54 and 1.53cal/g, respectively. When all samples were reheated using differential scanning calorimetery after gelling fully, no significant differences of endothermic To, Tp, Tc and $\Delta$H appeared. The surface structure of unmodified agar powder observed by light microscope and scanning electron microscope appeared a continuous surface without any indication of small pores, gaps or point of discontinuity. In cases of spray-dried agar, the unstable structures with pores was resulted. The microstructures of extrusion-dried agar, however, was solid with large gaps and areas of discontinuity in the surface. From the results above, it was suggested that significant differences in phase transition and surface microstructures were clearly related to the physicochemical changes and rheological properties, solubility and gelling ability of the types of agar gel.

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Analysis on Usefulness of Various Free Flaps for Primary Reconstruction on Fourth Degree Burn (4도 화상에서 다양한 유리피판술을 이용한 1차 재건 방법의 유용성 고찰)

  • Lee, Ju Ho;Shin, Se Ho;Kim, Hyeon Jo;Lee, Seong Joo;Kim, Seong Hwan;Suh, In Suck;Kim, Jae Hyun
    • Journal of the Korean Burn Society
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    • v.23 no.2
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    • pp.54-59
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    • 2020
  • Purpose: A fourth degree burn is a full-thickness burn of the skin usually accompanied by damage to deep structures and commonly results in extensive damage to surrounding tissues which makes the treatment of the wound difficult. Coverage of these wound using free flap is known to effective but not commonly used. The purpose of our study is to review our experience and suggest early application of free flap surgery. Methods: A retrospective review was performed from 2010 to 2019, on a total of 34 fourth degree burn patients undergone free flap surgery as primary treatment in our hospital. We reviewed the location of the injury, etiology, TBSA (%), Presence of osteomyelitis, flap choice, complications, period of injury to surgery and healing. Results: Using free flap as a primary reconstrcuction, the outcome is satisfactory. The treatment period was shortened, and there was less loss of function due to complications. Also the incidence of osteomyelitis and amputation was significantly low. Conclusion: Applying free flap surgery as soon as possible in fourth degree burns is effective, such as reducing complications such as infection, reducing amputation, shortening treatment period, and preventing severe sequelae.

The Effect of Glide Path on Canal Centering Ability in Reciprocating File System (Reciprocating 파일 시스템에서 Glide Path가 근관만곡도 유지에 미치는 영향)

  • Zang, Ki-Choul;Kim, Jin-Woo;Cho, Kyung-Mo;Park, Se-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.3
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    • pp.245-252
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    • 2012
  • The purpose of this study was to evaluate the influence of glide path on canal centering ratio after instrumentation with different single file systems; WaveOne and Reciproc. Reciproc R25 (VDW), WaveOne Primary (Dentsply Maillefer) and PathFile #13, 16, 19 (Dentsply Maillefer) were used in this study. In no glide path groups, Reciproc files and WaveOne files used for canal preparation without glide path. In glide path groups, the PathFile were used before canal preparation. Methylene blue dye was introduced into the canal to obtain a clear pre-instrumentation image. Pre-instrumentation images and post-instrumentation images were scanned using Epson Perfection V700 Photo scanner (Epson, Nagano, Japan). Transparencies of post-instrumentation images were changed and superimposed on pre-instrumentation images using Adobe Photoshop CS 3 (Adobe Systems Incorporated, San Jose, CA, USA). The centering ratio was calculated for each instrumented canal using the following formula: CR=|X1-X2|/Y. It was statistically analyzed using two-way ANOVA at 95% confidential level. The centering ratio in glide path groups were significant less than it in no glide path groups at 3, 4, 5 and 6 mm level. Except 1 and 6 mm level, WaveOne groups had significant less centering ration than Reciproc groups. At 6 mm level, there was no significant difference between WaveOne and Reciproc. In the limitation of this study, creation of a previous glide path before reciprocating motion instrumentation in curved canal appears to be appropriate and WaveOne system can be used for preparation of curved canal without severe aberrations.

Development of Cam Die for Processing Four Lateral Switch Box (스위치 박스 4측면 가공용 캠금형 개발)

  • 김세환
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.4 no.3
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    • pp.121-125
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    • 2003
  • A switch box is metal box for electric wire pipes in building. In manufacturing this box, the first press is used to mold and the second to fifth presses are used to process four-sides of a box. So four presses, four molds and four workers are needed. This leads to raise the manufacturing cost including machine lease rent, molding fee, and wages. To make matters worse, the roaring sound, vibration, and dangers of safety accidents make employees avoid from working that job. To solve this problem, a new Handling Mechanism and a cam die which combined four-die-involving processes into one die process were developed. That results job automation of the Job with one press and one die. The job avoidance problem is solved and manufacturing cost is reduced as well.

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