• Archives of Plastic Surgery
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• 제45권2호
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• pp.180-184
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• 2018

Breast deformity, in post-burn patients, is a common problem leading to lower self-esteem and reclusive behavior that impairs quality of life. The authors present the course of treatment of an 18-year-old immigrant girl who suffered second- to third-degree burns over approximately 20% of her total body surface area in her early childhood. The second- to third-degree burns were located on her right trunk and abdomen, as well as her right shoulder, neck, and right groin area. Since it was not offered in her home country, reconstructive surgery, including microsurgical breast reconstruction, was sought abroad. Due to the lack of available skin and soft tissue, a bilateral breast reconstruction with free transverse myocutaneous gracilis flaps was offered. This case illustrates one method of using microsurgery to address post-burn breast deformities in order to alleviate psychological suffering and improve quality of life.

• Carbon letters
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• 제5권2호
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• pp.51-54
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• 2004

Isotropic pitch-based carbon fiber was isothermally activated in $CO_2$ atmosphere. Structural parameters of the isotropic carbon fibers and activated carbon fibers (ACFs) were evaluated by X-ray diffraction (XRD). The $d_{002}$ and La of the carbon fibers were measured to be 4.04 ${\AA}$ and 23.6 ${\AA}$ and those of ACFs were 4.29 ${\AA}$ and 22.7 ${\AA}$, respectively, representing less ordered through activation process. The pores in the ACFs were characterized by BET, and they showed super-high specific surface area of maximum value 3,495 $m^2/g$ from average pore size of 8.3 ${\AA}$ at 59% burn-off. It was recognized that 8-9 ${\AA}$ was optimum range of pore size for efficient creation of high specific surface area. The average size of the pores formed at higher temperature ($1100^{\circ}C$) was larger than that of the pores formed at lower temperature ($900^{\circ}C$).

• Applied Microscopy
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• 제33권4호
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• pp.299-313
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• 2003

본 연구는 피부화상으로 유도된 심근손상에서 protein kinase C (PKC)의 역할을 알아보고자 하였다. 수컷 흰 쥐(SD계)에 15%의 피부전층화상을 유도한 뒤, PKC activator인 phorbol 12-myristate 13-acetate (PMA)와 PKC inhibitor인 bisindolylmaleimide (BIS)를 투여하여 5시간, 24시간 후에 심장을 적출하여 생화학적 미세구조적 입체해석학적 방법을 실시하였다. 혈청 AST와 creatinine 은 화상 후 5시간군과 화상 후 5시간+BIS 투여군에서 높게 나타났고, KC와 MPO 활성은 PMA 투여군이 BIS 투여군보다 낮게 나타났다. 미세구조적 관찰 결과 PMA 투여군에서는, 화상으로 인한 핵의 분열, 과수축대 형성, 사이원반의 분리 현상이 다소 완화된 형태로 관찰되었고, BIS 투여군에서는 화상 단독군에서 나타나는 형태적 변화 뿐만 아니라 비정상적인 형태의 사립체도 일부 관찰되었다. 전체적으로 5시간에서 24시간군으로 가면서 손상이 완화된 양상을 나타내었다. 입체해석학적 결과에서는 화상으로 인한 근원섬유의 체적밀도 감소가 PMA와 BIS 투여로 인해 증가되었고, 사립체의 체적밀도와 수밀도의 증가는 BIS군에서 가장 높게 나타났다. 결론적으로 PKC의 활성화는 화상으로 인해 손상된 심근에서 염증반응을 감소시켜 심근 손상을 보호한다고 사료된다.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2001년도 춘계학술대회 논문집
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• pp.918-921
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• 2001

In grinding process, the heat of $1200^{\circ}$~$1500^{\circ}$ on the grinding area between grinding wheel and workpiece is generated. It decreases the surface integrity of workpiece and causes the thermal damages such as the deformed layer, residual stress and grinding burn. Generally coolant is widely used for preventing the heat generation on the grinding area, but it deteriorates the working condition by polluting the atmosphere of workplace and in the end pollutes the environment. The grinding methods using the compressed cold air and mist are the cooling methods to substitute conventional coolant. They can decrease the environmental pollution through not using coolant any more or minimizing it. In this study, the cooling effects of grinding methods using the compressed cold air and mist have been investigated. The grinding system equipped with the water bathe and mist spray nozzle was developed. The energy partition to workpiece through measuring the temperature on the workpiece surface was calculated. The surface integrity of workpiece and thermal damage like the deformed layer were analyzed.

• 지질공학
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• 제28권3호
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• pp.455-463
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• 2018

본 연구에서는 치핑작업중에 콘크리트에 발생할 수 있는 손상균열을 정량분석하기 위해 X-ray CT 이미지를 이용하는 방법을 제안하고자 한다. 이를 위해 치핑작업을 수행한 후, 균열이 발생한 콘크리트 블록을 코어링하여 직경 50 mm, 길이 100 mm의 시편을 준비하였다. 그 후 마이크로 포커스 X-ray CT 촬영을 하여 얻은 이미지를 3D 이미지로 재구성(reconstruction)하였다. 이렇게 얻어진 3D CT 이미지에 3DMA (3 Dimensional Medial axis Analysis)법을 적용하여, 손상 평가 파라메타로 시편의 위치에 따라 균열의 성질을 평가하여 손상을 분석하였다. 분석결과 치핑에 의한 손상은 치핑 표면으로부터 3 cm 깊이까지 발생한 것으로 나타났다. 또한 CT이미지 공간분석법에서 사용되는 여러 파라메타 중 공극률 지표(Porosity index), Burn number 그리고 Medial axis 의 파라메타를 이용해 치핑표면 근처의 손상 분석이 가능하다는 것이 확인되었다. 이 방법은 내부구조에 변화가 발생한 암석을 대상으로 한 연구에서도 비파괴 상태로 내부의 균열 평가, 가시화에 적용가능하다.

• Tuberculosis and Respiratory Diseases
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• 제55권2호
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• pp.188-197
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• 2003

연구배경 : 고열과 유독가스에 의한 흡입 폐 손상은 화상 환자에서 화재와 관련한 주된 사망원인이다. 따라서 조기진단과 적절한 치료가 중요한데, 본 연구는 초기 COHb 농도가 증가한 화상 환자의 임상 특성 및 경과를 관찰하고 흡입 폐 손상에 대한 예후인자를 알아보고자 하였다. 방 법 : 2001년 8월부터 2002년 7월까지 응급실 통해 내원한 1,416명 환자 중 동맥혈 가스검사에서 COHb 농도가 5% 이상인 39명을 사망군(12명)과 생존군(27명)으로 나누어, 임상특성, 임상적 흡입 손상 정도, 흉부 X-선 소견, 화상 체표 면적, APACHE II 점수, SAPS II 점수 등을 후향적으로 비교하였다. 결 과 : 생존군과 사망군 사이에 COHb 농도는 각각 $10.3{\pm}8.8%$, $9.7{\pm}5.7%$, 화상 체표면적은 $16.6{\pm}17.8%$, $60.7{\pm}28.8%$였다. 임상적 흡입 폐 손상 정도 및 초기 흉부 X-선 소견은 생존군과 사망군 사이에 유의한 차이점을 관찰할 수 없었다. 두 군사이의 사망관련 인자로는 화상 체표면적, APACHE II 점수, SAPS II 점수, 기계 호흡 및 총 입원기간이 관여하고 있었으나 다변량 분석에서 화상 체표 면적이 가장 중요한 사망관련 인자였다. 결 론 : 초기 동맥혈 COHb 농도가 증가되어 있는 화상환자의 예후는 불량할 것으로 기대되기 때문에 치료에 많은 관심을 기울여야 할 것으로 사료된다. 하지만, COHb이 흡입 폐 손상을 동반한 화상 환자의 예후에 미치는 효과에 대해서는 향후 전향적 연구를 통해서 검토되어져야 할 것으로 생각된다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제36권3호
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• pp.111-115
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• 2014

Purpose: This study evaluated powdered burn wound dressing materials from wild silkworm fibroin in an animal model. Methods: Fifteen rats were used in this experiment. Full-thickness $2{\times}2cm$ burn wounds were created on the back of rats under anesthesia. In the two experimental groups, the wounds were treated with two different dressing materials made from silkworm fibroin. In the Control Group, natural healing without any dressing material was set as control. The wound surface area was measured at five days, seven days and 14 days. Wound healing was evaluated by histologic analysis. Results: By gross observation, there were no infections or severe inflammations through 14 days post-injury. The differences among groups were statistically significant at seven days and 14 days, postoperatively (P<0.037 and 0.001, respectively). By post hoc test, the defect size was significantly smaller in experimental Group 1 compared with the Control Group and experimental Group 2 at seven days postoperatively (P=0.022 and 0.029, respectively). The difference between Group 1 and Group 2 was statistically significant at 14 days postoperatively (P<0.001). Group 1 and control also differed significantly (P=0.002). Group 1 showed a smaller residual scar than the Control Group and Group 2 at 14 days post-injury. Histologic analysis showed more re-epithelization in Groups 1 and 2 than in the Control Groups. Conclusion: Burn wound healing was accelerated with silk fibroin spun by wild silkworm Antheraea pernyi. There was no atypical inflammation with silk dressing materials. In conclusion, silk dressing materials can be used for treatment of burn wound.

• Archives of Plastic Surgery
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• 제47권6호
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• pp.528-534
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• 2020

Split-thickness skin grafting (STSG) is the gold standard for coverage of acute burns and reconstructive wounds. However, the choice of the donor site for STSG varies among surgeons, and the scalp represents a relatively under-utilized donor site. Understanding the validity of potential risks will assist in optimizing wound management. A comprehensive literature search was conducted of the PubMed database to identify studies evaluating scalp skin grafting in human subjects published between January 1, 1964 and December 31, 2019. Data were collected on early and late complications at the scalp donor site. In total, 27 articles comparing scalp donor site complications were included. The selected studies included analyses of acute burn patients only (21 of 27 articles), mean total body surface area (20 of 27), age distribution (22 of 27), sex (12 of 27), ethnicity (5 of 27), tumescent technique (21 of 27), depth setting of the dermatome (24 of 27), number of harvests (20 of 27), mean days of epithelization (18 of 27), and early and late complications (27 of 27). The total rate of early complications was 3.82% (117 of 3,062 patients). The total rate of late complications was 5.19% (159 of 3,062 patients). The literature on scalp skin grafting has not yet identified an ideal surgical technique for preventing donor site complications. Although scalp skin grafting provided superior outcomes with fewer donor site complications, there continues to be a lack of standardization. The use of scalp donor sites for STSG can prevent early and late complications if proper surgical planning, procedures, and postoperative care are performed.

• Carbon letters
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• 제8권2호
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• pp.101-107
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• 2007

Activated carbons were prepared by impregnation of crushed clean date pits in concentrated solutions of phosphoric acid or zinc chloride followed by carbonization in absence of air at $600^{\circ}C$. Steam-activated carbon was prepared by gasifying $600^{\circ}C$-carbonization product at $950^{\circ}C$ to a burn-off = 50%. KOH- activated carbon was prepared by impregnating date pitscarbonization product obtained at $450^{\circ}C$ in concentrated KOH solution followed by carbonization at $840^{\circ}C$. Textural properties of these carbons were determined from nitrogen adsorption at $-196^{\circ}C$ and the chemistry of the carbon surface was investigated by determination and of the surface carbon-oxygen (C-O) groups using bases of variable strength and dilute HCl. The adsorption of endosulphan at $27^{\circ}C$ on all the carbons prepared was undertaken. Adsorption of this pesticide at 32 and $37^{\circ}C$ was also undertaken for steam-activated and KOH-activated carbons. Phosphoric acid-activated carbons and steamactivated carbons are mainly microporous and have high surface concentration of C-O groups of acidic nature. Steamactivated and KOH-activated carbons exhibited surface areas > 1000 $m^2/g$ and contain micro and non-micrpores. The adsorption of endosulphan was related to the surface area of non-micropores and was retarded by the high concentration of surface C-O groups. The thermodynamic properties indicated the feasibility of the adsorption process and the possible regeneration of the carbon for further use.

• 한국세라믹학회지
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• 제34권1호
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• pp.56-62
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• 1997

탄화된 PAN 섬유, 페놀수지, 세라믹 결합체를 혼합하여 탄소섬유-세라믹복합체를 제조한 후 활성화시켜 PAN 섬유의 탄화온도에 따른 활성탄소섬유-세라믹복합체의 비표명적과 굽힘 강도변화를 연구하였다. 안정화 PAN 섬유를 80$0^{\circ}C$와 100$0^{\circ}C$에서 각각 탄화시켜 얻은 두 종류의 탄소섬유를 복합체 제작시편의 원료로 사용하였다. 탄소섬유-세라믹복합체를 10~90분간 CO2로 85$0^{\circ}C$에서 활성화시켜 얻은 두 종류의 활성복합체에 대한 물성 측정결과, 80$0^{\circ}C$로 PAN 섬유를 탄화시켜 만든 활성복합체의 burn-off이 37%에서 76%로 증가될 때 비표면적은 493m2/g에서 1090m2/g으로 증가하였으며, 굽힘강도는 4.5 MPa에서 1.4MPa로 감소하였다. 이 값들은 안정화 PAN 섬유의 탄화온도를 100$0^{\circ}C$로하여 활성복합체 시편이 나타내는 값보다 약 2배 정도 큰 값이었다. 비표면적, 굽힘강도 측정결과와 미세조직 관찰결과, PAN 섬유의 탄화온도가 활성복합체의 비표면적과 굽힘강도에 미치는 영향은 활성화시 탄소섬유와 페놀수지탄화체 또는 세라믹 필름간에 발생되는 결합력과 상대적인 수축율에 의해 결정되는 활성복합체의 구조특성에 기인된 것으로 해석하였다.