• Title/Summary/Keyword: Co-operative Society

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Videothoracoscopic Bullectomy in Patients with Primary Spontaneous Pneumothorax (Video 흉강경을 이용한 폐기포 절제술)

  • 김수현
    • Journal of Chest Surgery
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    • v.25 no.12
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    • pp.1502-1507
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    • 1992
  • Between February and July 1992, videothoracoscopic bullectomy was performed in nineteen patients with primary spontaneous pneumothorax. The indications of this surgery are recurrent in 12, persistent airleakage in 4 and previous contralateral pneumothorax in 3 patients. For the good operative field, we used double lumen endotracheal tube and put the CO2 gas into the thoracic cavity to make the lung collapse. We usually apply the endoGIA or electric cauterization for handling the bleb or bullae and there were 9 cases with of endoGIA only, 4 electric cauterization only and 6 both procedures. To evaluate the advantage of the Videothoracoscopic surgery, we compared surgical results with that of the tho-racotomy group[19 patients]. There were significant differences in operative time[93.8$\pm$41.9 min and 17.1$\pm$53.9 min, p< 0.01] and postoperative airleakage duration[35.6$\pm$113.3 hours and 117.9$\pm$214.4 hours, p<0.05] between the Videothoracoscopy and thoracotomy group. Tube indwelling time was shortened in Videothoracoscopy group[p<0.05]. The hospital stay was very short[p<0.01] and the patients needed analgesic injection less frequentley in videthoracoscopic group[p<0.05] In conclusion, we prefer the Videothoracoscopic procedure to the thoracotomy in uncomplicateed patients with pneumothorax because of simple procedure and good results.

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Confined Pt and CoFe2O4 Nanoparticles in a Mesoporous Core/Shell Silica Microsphere and Their Catalytic Activity

  • Kang, Dong-Hyeon;Eum, Min-Sik;Lee, Byeong-No;Bae, Tae-Sung;Lee, Kyu-Reon;Lim, Heung-Bin;Hur, Nam-Hwi
    • Bulletin of the Korean Chemical Society
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    • v.32 no.10
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    • pp.3712-3719
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    • 2011
  • Confined Pt and $CoFe_2O_4$ nanoparticles (NPs) in a mesoporous core/shell silica microsphere, Pt-$CoFe_2O_4$@meso-$SiO_2$, were prepared using a bi-functional linker molecule. A large number of Pt NPs in Pt-$CoFe_2O_4$@meso-$SiO_2$, ranging from 5 to 8 nm, are embedded into the shell and some of them are in close contact with $CoFe_2O_4$ NPs. The hydrogenation of cyclohexene over the Pt-$CoFe_2O_4$@meso-$SiO_2$ microsphere at $25^{\circ}C$ and 1 atm of $H_2$ yields cyclohexane as a major product. In addition, it gives oxygenated products. Control experiments with $^{18}O$-labelled water and acetone suggest that surface-bound oxygen atoms in $CoFe_2O_4$ are associated with the formation of the oxygenated products. This oxidation reaction is operative only if $CoFe_2O_4$ and Pt NPs are in close contact. The Pt-$CoFe_2O_4$@meso-$SiO_2$ catalyst is separated simply by a magnet, which can be re-used without affecting the catalytic efficiency.

The Effect of Intrapleural Injection of Bupivacaine for Pain Relief Following Thoracotomy (늑막강내 Bupivacaine의 투여가 개흉술후 동통 감소에 미치는 영향)

  • 고영호
    • Journal of Chest Surgery
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    • v.26 no.7
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    • pp.538-542
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    • 1993
  • An approach to the treatment of post-operative pain by the injection of bupivacaine into the pleural space through an intrapleural cathter has been studied. Among 24 thoracotomy patients, bupivacaine was injected only to experimental group[ 12 patients ] when the patient was able to head up for oneself during recovery from anesthesia. The pain and ROM[ range of motion ] scores, respiration rate, PaCO2 level of both experimental and control group were measured at the time of head-up and 30 and 120 minutes thereafter.The scores of pain and ROM of experimental group were significantly[ P value < 0.05 ] decreased in 30 minutes and 120 minutes after bupivacaine injection compared with those of control group but respiration rate and PaCO2 level were not changed significantly. With this result, we can suggest that intrapleural injection of bupivacaine is useful for pain relief following thoracotomy.

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Association of infant feeding practices in the general population with infant growth and stool characteristics

  • Han, Young-Shin;Chang, Eun-Young;Kim, Ji-Hyun;Ahn, Kang-Mo;Kim, Hye-Young;Hwang, Eun-Mi;Lowry, Dianne;Prosser, Colin;Lee, Sang-Il
    • Nutrition Research and Practice
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    • v.5 no.4
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    • pp.308-312
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    • 2011
  • This was a prospective cohort study of 976 infants from birth to 12 months of age. Infants were fed breast milk, goat infant formula, cow infant formula, or a combination of formula and breast milk during the first 4 months of age. Data on type of milk feeding and infant growth (weight and height) were collected at birth and at 4, 8, and 12 months during routine clinical assessment. The number and consistency of bowel motions per day were recorded based on observational data supplied by the mothers. Infants fed breast milk or goat or cow infant formula during the first 4 months displayed similar growth outcomes. More of the infants fed cow infant formula had fewer and more well-formed bowel motions compared with breast-fed infants. The stool characteristics of infants fed goat formula resembled those of infants fed breast milk.

Surgical Outcomes of Pneumatic Compression Using Carbon Dioxide Gas in Thoracoscopic Diaphragmatic Plication

  • Ahn, Hyo Yeong;Kim, Yeong Dae;I, Hoseok;Cho, Jeong Su;Lee, Jonggeun;Son, Joohyung
    • Journal of Chest Surgery
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    • v.49 no.6
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    • pp.456-460
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    • 2016
  • Background: Surgical correction needs to be considered when diaphragm eventration leads to impaired ventilation and respiratory muscle fatigue. Plication to sufficiently tense the diaphragm by VATS is not as easy to achieve as plication by open surgery. We used pneumatic compression with carbon dioxide ($CO_2$) gas in thoracoscopic diaphragmatic plication and evaluated feasibility and efficacy. Methods: Eleven patients underwent thoracoscopic diaphragmatic plication between January 2008 and December 2013 in Pusan National University Hospital. Medical records were retrospectively reviewed, and compared between the group using $CO_2$ gas and group without using $CO_2$ gas, for operative time, plication technique, duration of hospital stay, postoperative chest tube drainage, pulmonary spirometry, dyspnea score pre- and postoperation, and postoperative recurrence. Results: The improvement of forced expiratory volume at 1 second in the group using $CO_2$ gas and the group not using $CO_2$ gas was $22.46{\pm}11.27$ and $21.08{\pm}5.39$ (p=0.84). The improvement of forced vital capacity 3 months after surgery was $16.74{\pm}10.18$ (with $CO_2$) and $15.6{\pm}0.89$ (without $CO_2$) (p=0.03). During follow-up ($17{\pm}17$ months), there was no dehiscence in plication site and relapse. No complications or hospital mortalities occurred. Conclusion: Thoracoscopic plication under single lung ventilation using $CO_2$ insufflation could be an effective, safe option to flatten the diaphragm.

Calcium release and physical properties of modified carbonate apatite cement as pulp capping agent in dental application

  • Zakaria, Myrna Nurlatifah;Cahyanto, Arief;El-Ghannam, Ahmed
    • Biomaterials Research
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    • v.22 no.4
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    • pp.346-351
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    • 2018
  • Background: Carbonate apatite ($CO_3Ap$) and silica-calcium phosphate composite (SCPC) are bone substitutes with good prospect for dental application. SCPC creates a hydroxyapatite surface layer and stimulate bone cell function while, $CO_3Ap$ induce apatite crystal formation with good adaptation providing good seal between cement and the bone. Together, these materials will add favorable properties as a pulp capping material to stimulate mineral barrier and maintain pulp vitality. The aim of this study is to investigate modification of $CO_3Ap$ cement combined with SCPC, later term as $CO_3Ap-SCPC$ cement (CAS) in means of its chemical (Calcium release) and physical properties (setting time, DTS and pH value). Methods: The study consist of three groups; group 1 (100% calcium hydroxide, group 2 $CO_3Ap$ (60% DCPA: 40% vaterite, and group 3 CAS (60% DCPA: 20% vaterite: 20% SCPC. Distilled water was employed as a solution for group 1, and $0.2mol/L\;Na_3PO_4$ used for group 2 and group 3. Samples were evaluated with respect to important properties for pulp capping application such as pH, setting time, mechanical strength and calcium release evaluation. Results: The fastest setting time was in $CO_3Ap$ cement group without SCPC, while the addition of 20% SCPC slightly increase the pH value but did not improved the cement mechanical strength, however, the mechanical strength of both $CO_3Ap$ groups were significantly higher than calcium hydroxide. All three groups released calcium ions and had alkaline pH. Highest pH level, as well as calcium released level, was in the control group. Conclusion: The CAS cement had good mechanical and acceptable chemical properties for pulp capping application compared to calcium hydroxide as a gold standard. However, improvements and in vivo studies are to be carried out with the further development of this material.

The Relationship between Arterial and End-tidal Partial Pressures of CO$_{2}$ in Halothane-anesthetized Heavy Breed Horses with respect to Operative Positions and the Modes of Ventilation (Halothane으로 마취된 거대말에서 수술자세와 호흡방법에 따른)

  • 안경아;권오경;산권명부;권구청;산안칙부
    • Journal of Veterinary Clinics
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    • v.14 no.2
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    • pp.238-243
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    • 1997
  • 체중이 700-750kg 인 4마리의 중종마에 70분동안 마취를 실시하여 동맥혈의 이 산화탄소 분압과 호기말 가스내의 이산화탄소 분압 사이의 관계를 관찰하였다. 마취도중 자발 호흡, 인공호흡 1(흡기시간 2.0초), 인공호흡 2(흡기시간 2.5초)를 각각 30분,20분,20분씩 실시하였으며 매 10분마다 동맥혈가스분석과 호기말 가스내 이산화탄소분압 측정을 실시하 였다. 동시에 혈압, 심전도, 체온측정을 실시하여 마취된 환축의 상태를 관찰하였다. 2주후에 자세를 달리하여(앙와에서 측와로) 같은 방법으로 재 실험하였다. 호기말 이산화탄소분압은 동맥혈에서보다 평균 10 mmHg 정도 낮은 양상을 보였으나 높은 상관관계를 보였으며 자세에 따른 유의적 차이는 업었다(앙와자세; r=0.949, 측와자세; r=0.920, P<0.01). 이러한 결과를 토 대로 조직에 창상을 줄 수 있는 동맥혈 가스분석 대신 비침습적방법인 호기말 가스내 이산화 탄소 분압을 측정하는 것이 환축의 모니터링에 효과적으로 사용 가능하다는 것을 알 수 있었다.

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Effects of Fusion Level for Scioliotic Spine Correction Simulation with Pedicle Screw and Rod Derotation Method (척추경 나사못 고정과 강봉 감염술을 이용한 척추 측만증 교정 해석시 유합 범위에 따른 교정 효과 분석)

  • 김영은;손창규;최형연;하정현;이춘기
    • Journal of Biomedical Engineering Research
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    • v.25 no.1
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    • pp.71-76
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    • 2004
  • In order to investigate the Post-operative changes in scoliotic spine according to selection of fusion level a mathematical finite element model of King-Moe type II scoliotics spine system was developed. By utilizing this finite element scoliosis model surgical correction simulation procedures of pedicle fixation and derotation were simulated. In consequence of the calculation by changing the fusion Levels, postoperative changes like Cobb angle, apical vertebrae axial rotation (AVAR), thoracic kyphosis, and rib hump were Qualitatively analyzed. In the analysis of operative kinematics, the decrease or Cobb angle was most prominent in distraction than in deroation. Applying the rod derotation only was not effective in decrease of Cobb angle but just caused increase of At AR and rib hump. From the operative simulation, co-action or distraction and translation during rod insertion has major impact on Cobb angle decrease and maintenance of kyphosis. With rod rotation, Cobb angle decrease was obtained, but combined increase of AVAR and rib hump was simulation observed as well. The case of most extended instrumentation range with 60o rod rotation produced double decrease of Cobb angle, but the increase of rib hump and AYAR occurred corresponding1y. The optimum selection of fusion level was proved as one level less than inflection position of the thoracic spine curvature.

Effect of Ranging Methods on Sarcomere Length and Palatability Varies between and within Muscles

  • Hwang, In-Ho;Thompson, John
    • Proceedings of the Korean Society for Food Science of Animal Resources Conference
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    • 2006.05a
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    • pp.192-195
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    • 2006
  • Current study was conducted to investigate the effect of different hanging techniques (achilles tendon, aitch bone and pelvic ligament) on variations in sarcomere length and palatability within and between muscles using thirty-four Angus steer sides. Results showed that tenderstretch(by either suspension method) resulted in longer sarcomeres for most positions within the major leg muscle than did conventional hanging method, but in some minor muscles(eg., mm. gluteus profundus, gastronemius, and gracilis) tenderstetch allowed the muscles fibres to shorten. Some tenderstretched muscles(e.g., m. gluteus profundus, 1.5 ${\mu}m$) appeared not to toughen even at very low sarcomere lengths, while others toughened at higher sarcomere lengths. The current data demonstrated that the effect of tenderstretch on the length of sarcomeres and its influence on palatability varied between muscles, Overall the difference between the two tenderstretch methods was for the aitch method to produce meat that was 3.2 units more palatable than the ligament hanging method.

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Design and Implementation of Co-operative Integrated Development Environment for Android (협업 가능한 안드로이드 통합 개발 환경 설계 및 구현)

  • Kim, Gi-Ju;Byun, Jun-Seok;Lim, Seung-Ho
    • Proceedings of the Korea Information Processing Society Conference
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    • 2015.10a
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    • pp.496-497
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    • 2015
  • 모바일 응용 어플리케이션의 규모가 점점 늘어남에 따라서 하나의 모바일 어플리케이션을 개발할 때에도 큰 프로젝트 그룹이 형성되어 다수의 개발자가 동시에 개발을 진행하게 된다. 본 논문에서는 안드로이드 모바일 응용 어플리케이션 개발환경을 웹을 통해서 다자간 공유 형식으로 개발할 수 있는 통합 개발환경을 설계하고 구현하였다. 본 논문에서 개발한 통합 개발환경을 이용하면, 웹 브라우저를 통해서 프로젝트 개설, 버전 관리, 공유 및 동기화를 할 수 있어서 어느 환경에서든 웹을 통해서 그룹화하여 모바일 어플리케이션을 개발 할 수가 있다.