• 한국추진공학회지
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• 제26권2호
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• pp.12-19
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• 2022

금속선이 삽입된 추진제 그레인은 높은 충전율을 유지하면서 연소속도를 증가시키기 위해 사용되어왔다. 금속선이 삽입된 추진제 그레인을 사용하는 추진기관의 성능설계를 위해서는 금속선의 위치, 개수, 배치각도, 금속선에서의 추진제 연소속도 증가비에 따른 burn-back 해석이 요구된다. 본 연구에서는 금속선이 삽입된 추진제 그레인의 설계변경에 대응하여 신속하게 연소면적을 계산할 수 있는 수치적 방법이 개발되었다. 개발된 방법과 CAD 프로그램으로부터 도출된 연소면적 결과를 비교하였으며, 격자의 반경방향 크기가 줄어들수록 오차율이 줄어드는 것을 확인 했다. 금속선의 개수 및 위치변경에 따른 영향성 분석이 수행되었으며, 금속선의 개수가 증가하면 연소초기 및 말기 구간이 짧아지고 정상상태구간이 길어지는 것이 확인되었다. 금속선을 배치할 때, 서로 다른 반경에 금속선을 배치하는 경우에서 동일한 반경에 금속선을 배치하는 경우보다 연소초기 영역에서의 연소면적이 급증하고 연소말기에서 연소면적이 급감하는 것이 확인되었다.

• 한국융합학회논문지
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• 제7권6호
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• pp.275-285
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• 2016

본 연구의 목적은 화상환자 가족의 부담감에 영향을 미치는 요인들을 확인하기 위해 시도된 서술적 조사이다. 연구 대상자는 D시, S시, B시, P시에 소재한 4개 화상전문병원에 입원한 $2^{\circ}$ 이상의 화상환자를 돌보는 가족들 120명을 편의 표집하였고, 자료분석을 위해 t-test, ANOVA, Scheffe' test, Multiple linear regrassion을 시행하였다. 연구결과는 화상환자를 돌보는 가족의 부담감 중 돌봄의 의미와 평가, 환자의 미래에 대한 부담감이 가장 높았다. 화상환자를 돌보는 가족의 부담감 영향요인으로는 결혼상태, 간병시간, 피부이식수술, 체표면적(%)이었고, 설명력은 25.9%로 나타났다. 이상의 결과로 장시간 화상환자를 돌보는 가족들의 신체적, 정서적 부담감을 감소시키기 위한 간호중재 프로그램 개발과 간병 시간을 조절할 수 있는 간병서비스가 필요하다.

• Medical Lasers
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• 제10권1호
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• pp.22-30
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• 2021

Background and Objectives Ocular alkali burns cause severe damage to the ocular tissues and vision loss. Solcoseryl is a standardized calf blood extract that normalizes the metabolic disturbance and aids in maintaining the chemical and hormonal balance and has been used to treat burns in various tissues. This study examined the effects of Solcoseryl on a rat corneal alkali burn model. Materials and Methods Twenty rats were assigned randomly to four equal groups, including alkali burn, hyaluronic acid, Solcoseryl eyedrop, and Solcoseryl gel. A corneal alkali burn was induced by a NaOH-soaked paper disc. The treatments were given twice a day, every day. The wound area was measured after 24 and 48 hours, and the degree of neovascularization and corneal opacity were scored every week. The rats were sacrificed after three weeks for immunohistochemistry (IHC) to compare the level of inflammatory cytokines, IL-1β, IL-6, and TNF-α. The thickness of the retinal layers was compared to observe any changes in the retina. Results The use of Solcoseryl on corneal alkali burn accelerated wound healing with less neovascularization, greater opacity, and less cataract. IHC showed that the inflammation of the cornea was controlled by both the hyaluronic acid and Solcoseryl treatments. On the other hand, the inflammation had spread to the retina. When the dosage forms were compared, eyedrops were more effective on corneal inflammation, while the gel-type had a greater effect on retinal inflammation. Conclusion Solcoseryl was effective in accelerating the wound healing rate on a corneal alkali burn but could not prevent the spread of inflammation from the cornea to the retina. Eyedrops were more effective on inflammation in the cornea, and the gel was more effective in the retina.

• 대한화상학회지
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• 제23권2호
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• pp.31-36
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• 2020

Purpose: Scar contracture influence the outcome of burn patients significantly. This study aims to investigate the feasibility of robot-assisted training for the lower extremity rehabilitation of burn patients. Methods: This pilot study was conducted on 7 burn patients for 8 weeks between January 2019 and November 2019. Two of 7 patients withdrew from this study because one had skin abrasion on the legs which thigh fastening devices were applied on and the other was not participate in the assessment at 4 weeks after training. Final 5 patients received gait training with SUBAR^® and numeric rating scale (NRS), 6-minutes walking test, and range of motion in flexion and extension of knee and ankle joint were evaluated before training, 4 weeks and 12 weeks after training. Results: The subjects had a mean age of 51.8±98 years, mean total burn surface area of 30.8±13.7%, mean duration from injury to 1^st assessment of 102.8±39.3 days. Anyone of 5 patients did not have musculoskeletal or cardiovascular side effects such as increased or decreased blood pressure or dizziness. The significant improvement in NRS, gait speed, and range of motion in knee extension and ankle plantarflexion after robotic training (all P<0.05). Conclusion: Robot-assisted training could be feasible for the rehabilitation of burn patients and it could improve muscle strength and range of motion in lower extremities, and gait function.

• 대한화상학회지
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• 제23권1호
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• pp.20-24
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• 2020

Diabetic patients have an increased risk of burn injuries on foot. Because of their diabetic neuropathy, they could contact with hot water or warming device without being aware of it. Split-thickness skin graft (STSG) is successful in treatment of various wound types; however, donor site wounds are sometimes problematic, and complications such as pain and impaired healing often occur. Although, donor site wounds in healthy young individuals can rapidly heal without complications, the wound-healing capacity of elderly patients or those with a comorbidity has been reported to be low. The dermatome is the most commonly used tool because it can harvest a large skin graft in one attempt. However, it is difficult to harvest tissues if the area is not flat. Furthermore, because the harvested skin is usually rectangular, additional skin usually remains after skin grafting. Therefore, use of razor blade and fragmented STSG on a large defect area is advantageous for harvesting a graft with a desired size, shape, and thickness. From January 2018 to July 2018, fragmented STSG was used in 9 patients who suffered from burn induced open wound on foot with diabetic neuropathy. With this approach, healing process was relatively rapid. The mean age of patients was 70 (57~86 years) and all of 9 patients had diabetes mellitus type 2. In all patients, the skin graft on the defect site healed well and did not result in complications such as hematoma or seroma.

• Archives of Reconstructive Microsurgery
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• 제10권1호
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• pp.55-59
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• 2001

The hand is a frequently affected area in high voltage electrical burn injury as an input or output sites. Therefore, early debridement and synchronous flap coverage are generally accepted as a primary treatment of several electrical burns complicated by exposure of tendons, neurovascular structures, and bones. So, in order to establish convenient, promising methods for the reconstruction of hand defects in electrical burn patients, we performed various reverse forearm flaps. From March 1997 to February 2000, we reconstructed 12 cases of hand defects in high voltage electrical burn wounds with reverse forearm flaps. Reverse radial fasciocutaneous flap were 3 cases, reverse ulnar fasciocutaneous flap were 3 cases, reverse ulnar fasciocutaneous flap and STSG were 4 cases, reverse ulnar fascial flap and STSG were 2 cases. We successfully reconstructed hand defects in all 12 cases, and obtained following conclusions. 1 Various reverse forearm flaps provide well vascularized, profitable tissues and they require short operative time with relatively easy procedures. 2. Reverse fascial flap and STSG, reverse fasciocutaneous flap and STSG provide thin flaps with good aesthetics and minor donor site morbidity.

• 대한물리치료과학회지
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• 제8권1호
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• pp.923-934
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• 2001

In order to investigate a pathogenesis of liver damage induced by skin burn, thermal injury was induced by scald burn on entirely dorsal surface in rats (total body surface area 30%) except for inhalated injury. At 5 and 24 h after scald bum, biochemical assay and morphological changes in skin tissue, serum and liver tissue were examined. The effects of bum injury on the levels of glutathione, lipid peroxide and on the activities of oxygen free radical generating and scavenging enzymes have been determined in association with observing of histologic and ultrastructural changes, measuring the protein concentration in plasma, and counting the number of intravascular polymorphonuclear leukocytes. The activity of xanthine oxidase, an enzyme of oxygen free radical generating system. was elevated (p<0.01) in serum, but not in skin and in liver tissue. Futhermore, thermal injury decreased not only the protein concentration in plasma but also the number of leukocytes, that indicates induction of edema formation with protein exudation and inflammation by neutrophil infiltration into the internal organs. These data suggest that acute dermal scald burn injury leads to liver damage, that is related to elevation of xanthine oxidase activity in serum. Xanthine oxidase may be a key role in the pathogenesis of liver damage induced by skin burn.

• 대한원격탐사학회지
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• 제24권2호
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• pp.195-203
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• 2008

본 연구는 KOMFSAT-2호 및 3호의 화상활용의 일환으로 고해상도 위성화상을 이용한 산불피해비율(NBR) 기반의 산불피해등급도 작성 개발이다. 무엇보다 중적외선 밴드가 없는 IKONOS 화상에서 NBR 산법개발과 NBR 기초한 삼척과 청양 예산 산불피해지의 산불피해등급도를 기존의 다른 기법과 평가한 결과 우수성이 입증되었다. 향후 고해상도 KOMPSAT 화상을 이용한 NBR 기반의 산불피해등급도는 산불 후 피해복원에 중요한 정보를 제공할 것이다.

• 한국자원식물학회지
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• 제35권2호
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• pp.169-182
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• 2022

본 연구는 산불피해가 발생한 접경지역 산림 내 희귀특산식물(개느삼) 분포를 예측하고 피해를 정량화하고자 수행되었다. 이를 위해 산불피해강도에 따른 산림면적 피해(NBR), 임상도를 통한 수종별 피해(Vegetation map), MaxEnt 모델 분석을 수행, 보다 정밀한 결과를 도출하고자 하였다. 우선, 산불피해강도 분석은 위성영상(Landsat-8)을 활용하여, 산불피해강도(ΔNBR_2016-2015)를 분석하고 피해범위를 도출하였다. 임상도 작성은 환경부의 토지피복도, 산림청의 임상도, 자체적으로 식생조사를 진행하여, 산불 전·후의 임상도를 작성하고, 수종 피해 및 변화를 확인하였다. 마지막으로 MaxEnt 모델 분석은 관련문헌과 자체조사 자료를 기준으로 작성된 개느삼 실제서식지 좌표를 활용하여, AUC(Area Under Curve) 값을 도출하였다. 분석된 결과의 정밀도를 높이고자, 임상도와 결합하여, 개느삼이 주로 분포하는 소나무 군락 및 소나무-참나무림 군락을 대상으로 재분석한 결과, 대상지 내 개느삼 실제출현 좌표 325개소 중 299개 지점에서 개느삼 출현가능성이 92.0%로 예측되어 유의미한 결과를 얻을 수 있었다. 해당 자료를 산불피해강도(ΔNBR_2016-2015) 자료와 중첩한 결과, 산불피해지 내 개느삼 서식가능지(예측) 면적 44,760 m²의 45.9%인 20,552 m²가 훼손된 것을 확인할 수 있었다. 따라서 본 연구는 산불로 인해 훼손된 희귀식물 서식지 면적을 정량화하고 희귀식물 보전·관리를 위한 사례가 될 것으로 기대된다.

• Archives of Plastic Surgery
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• 제38권4호
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• pp.451-457
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• 2011

Purpose: As a central feature of the face, the nose has considerable significance in appearance and expression. Reconstruction of full thickness defects of the nasal ala has always been a challenge because of the 3-dimensional structure. For reconstruction of post burn defects of ala, skin graft, local or pedicled flap and composite graft are optionally available. We have reconstructed the ala defects using adiposocutaneous graft and observed the outcome. Methods: From March 2003 to December 2010, 19 cases in 11 patients with scar contracture and defect on ala portion were performed operation using adiposocutaneous graft. As a donor site, we used the inguinal crease and posterior auricular area and the donor site was primarily closed. We made incision through the superior rim of ala and released fully. A graft is applied to recipient site with larger size than recipient volume. Results: The mean age of the patient was 38.6 years (16~51), males are seven patients and females are four patients. The operation was performed bilaterally in 5 patients and unilaterally in 6 patients. Composite grafts were harvested from inguinal area in 13 cases and posterior auricular area in 6 cases. In one case, we did 4 times of operation to get enough volume. All the grafts were well taken. The mean size of the graft was 3.63 $cm^2$. Conclusion: For reconstruction of post burn defects of ala, it's not easy to use local flap or pedicled flap because of hardness and fibrosis of surrounding tissue. So, we choose adiposocutaneous graft for ala deformity reconstruction, got satisfactory outcome in color matching and texture.