• 한국작물학회지
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• 제33권3호
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• pp.222-228
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• 1988

질소시비량(0,10,20,30kg/10a)과 질소분시비율(기비＋분얼비 : 수비가 100 : 0, 80 : 20, 60 : 40)이 일본형 품종(섬진벼)과 통일형 품종(삼강벼)의 생육, 수량, 수량구성요소 및 질소이용효율에 미치는 영향을 요약하면 다음과 같다. 1. 두 품종 모두 분얼수 질소시비율이 증가할수록 많았고, 섬진벼는 정상적인 분얼구상을 보였으나 삼강벼는 최고분얼기후 8월중에 제2의 최고분얼기를 보였다. 또, 섬진벼는 질소분시비율간에 분얼수의 차이가 없었으나 삼강벼는 생육초기에는 기비와 분얼비의 비율이 높을수록, 8월에는 수비비율이 높을수록 분얼수가 많았다. 2. 두 품종 모두 무질소구보다는 질소시용구에서 등숙율을 제외한 수량구성요소 및 수량이 많았다. 질소시비량 간에는 섬진벼는 시비량이 많을수록 주당수수는 다소 증가하였으나 등숙율은 감소하였고, 수당영화수 및 주당영화수, 천립중, 그리고 수량은 차이가 없었다. 삼강벼는 주당수수, 등숙율, 천립중은 차이가 없었으나 수당영화수 및 주당영화수, 그리고 수량은 질소시비량이 많을수록 증가하였다. 3. 질소분시비율 간에 섬진벼는 전량을 기비와 분얼비로만 시용한 구보다 기비, 분얼비, 수비로 분시한 구에서 수당영화수와 천립중은 비슷하였으나 주당수수, 주당영화수, 등숙율, 수량이 높았다. 그러나, 삼강벼는 수비비율이 높을수록 주당수수는 증가하나 수당영화수는 급격히 감소하였고 주당영화수, 등숙율, 천립중, 수량은 큰 차이가 없었다. 4. 두 품종 모두 질소시비량이 많을수록 질소흡수량은 증가하였으나 질소비료의 흡수율은 감소하였다. 흡수된 단위질소당 현미생산량은 질소시비량이 증가할수록 감소하였으나 삼강벼는 차이가 없었다. 5. 질소분시비율 간에는 섬진벼는 수비비율이 높을수록 질소흡수량과 질소비료의 흡수율이 높았고 흡수된 단위질소당 현미생산량은 차이가 없었다. 그러나, 삼강벼는 질소흡수량은 차이가 없었으나 질소비료의 흡수율, 흡수된 단위질소당 현미생산량은 분시비율이 높을수록 감소하였다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제29권2호
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• pp.123-127
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• 2003

Chemical burns onto oral mucosa which are infrequent, may result from contact with a wide variety of chemical agents. The degree of injury depends on the chemical, its concentration, duration of contact, and the natural penetrability and resistance of the tissues involved. Chemicals do not usually "burn" in that they do not cause destruction by hyperthermic activity. Rather, they damage tissue by causing coagulation of protein by one of several processes, reduction, oxidation, desiccation, corrosion, or vesication. Paraquat(Gramoxon) is the most frequently agricultural chemicals that induce the severe toxic reactions onto the organs of human body in Korea. The toxic reaction are composed of pulmonary edema and fibrosis, formation of hyaline membrane, inflammatory reaction and bleeding tendency, owing to the cell damage by the production of superoxide radicals. The contents of essential treatment in paraquat intoxication are commonly airway and breathing maintenance, gastric lavage, much hydration and diuresis, hemoperfusion and medications for the removal of the chemicals and the prevention of various complications. The sedative oral dressings, such as, orabase ointment application, warm saline gargling, lidocaine viscous gargling and oral gargling by the mixed solutions(tetracycline, prednisolone and 10% dextrose water) are important for the improvement of chemical oral mucositis and the comfortable feeding of diet. The authors managed properly two cases of oral chemical mucositis that were occurred by the incorrect use of agricultural chemicals(paraquat) and report the cases with the review of literatures about care of the chemical intoxication and oral mucositis.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제34권1호
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• pp.58-64
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• 2012

Purpose: Dental emergencies vary from toothaches to oral and maxillofacial traumas. Because the number of dental emergency cases has increased recently, we analyzed characteristics of patients seen during the last 2 years, in an effort to find a trend. Methods: This study was carried out with emergency room patients visiting the Department of Oral and Maxillofacial Surgery from 2009 to 2010. Results: The total number of patients studied was 1,162; the ratio of males to females was 1.73:1. The most frequent age group was 0 to 9 years, followed by 20 to 29 years. Trauma (58.7%) was the most frequent cause followed by acute toothache, oral hemorrhage, infection, and temporomandibular (TMJ) disorder. In the trauma group, injuries of soft tissue and alveolus were prevalent. The most common causes of soft tissue injury were falls, safety violations and assault. The highest incidence of emergencies was seen in patients 0 to 9 years old (41.8%). The most common causes of jaw fracture were falls, assaults, and traffic accidents in that order. In the acute toothache group, most patients had pulpitis (41.2%). In the infection group, most had buccal space abscesses (40.0%). In the hemorrhage group, post-operative bleeding cases (80.5%) were the majority, and hemostasis was obtained mostly by pressure dressings. For the TMJ disorder group, masticatory muscle disorder (65.4%) was more common than TMJ dislocation. Conclusion: In this study, trauma was the most frequent reason for patients who visited the emergency room. However, acute toothache, hemorrhage, infection and TMJ disorders were also seen frequently. Dental emergency patients could be better treated by understanding patterns of dental emergencies and performing proper diagnoses.

• 대한족부족관절학회지
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• 제17권1호
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• pp.23-27
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• 2013

Purpose: The optimal management for ankle fracture in elderly patients remains controversial. This study was undertaken to review the results of surgical treatment of ankle fracture in the elderly and to compare with other studies. Materials and Methods: The participants in this study were 33 patients over the age of 65(average 71.5 years) who underwent surgical treatment of ankle fracture from January 2004 to December 2011. The study was a retrospective review of outcomes after open reduction and internal fixation (ORIF) of ankle fractures. To measure the clinical outcomes, we assessed postoperative complications, the pre- and post-operative mobility status, fracture union status, the time of fracture union and the AOFAS (American Orthopaedic Foot and Ankle Society) Ankle-Hindfoot scale. The level of patient satisfaction was also identified. Results: Delayed wound healing occurred in three patients(9.1%) but their wounds healed with repeated dressings without additional surgical treatment. Malunion occurred in one patient(3%). One patient(3%) had postoperative infection but healed with antibiotic treatment. 24 patients(96%) returned to preoperative mobility status. VAS score was lower than 2 in all patients. Bone union occurred with the 3.8 months (average months) after the surgery in all patients. Average AOFAS score was 87.4 and these were similar results as other studies of young patients. All patients were satisfied with surgical outcomes according to interviews. Conclusion: Surgical treatment of ankle fractures in the elderly can carry a significant risk of delayed wound healing and infection but incidence is relatively low. Internal fixation of ankle fractures in the elderly can be undertaken safely and the majority of patients can expect good outcome.

• Archives of Plastic Surgery
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• 제40권5호
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• pp.496-504
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• 2013

Background Amniotic-fluid-derived stem cells and amniocytes have recently been determined to have wound healing effects, but their mechanism is not yet clearly understood. In this study, the effects of amniotic fluid stem cells and amniocytes on wound healing were investigated through animal experiments. Methods On the back of Sprague-Dawley rats, four circular full-thickness skin wounds 2 cm in diameter were created. The wounds were classified into the following four types: a control group using Tegaderm disc wound dressings and experimental groups using collagen discs, amniotic fluid stem cell discs, and amniocyte discs. The wounds were assessed through macroscopic histological examination and immunohistochemistry over a period of time. Results The amniotic fluid stem cell and amniocyte groups showed higher wound healing rates compared with the control group; histologically, the inflammatory cell invasion disappeared more quickly in these groups, and there was more significant angiogenesis. In particular, these groups had significant promotion of epithelial cell reproduction, collagen fiber formation, and angiogenesis during the initial 10 days of the wound healing process. The potency of transforming growth factor-${\beta}$ and fibronectin in the experimental group was much greater than that in the control group in the early stage of the wound healing process. In later stages, however, no significant difference was observed. Conclusions The amniotic fluid stem cells and amniocytes were confirmed to have accelerated the inflammatory stage to contribute to an enhanced cure rate and shortened wound healing period. Therefore, they hold promise as wound treatment agents.

• 한국초지조사료학회지
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• 제21권4호
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• pp.191-202
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• 2001

Experiments were conducted on established grassland sward at Gongiam, Kwangju, and Kyung-gi in Korea from 1995 to 1997. The influence of mineral-N fertilizer or animal manure(AW) on herbage dry matter(DM) yield, N yield, the recovery of AM-N, and soil N and organic matter(0M) content in the mixed sward('potomac' orchardgrass, 'fawn' tall fescue, and 'kenblue' Kentuky bluegrass) was investigated. The treatments were replicated three times in a split plot block design. AM(the main plots) was applied at 200kg N ha ' year ' on each plot. The types of AM were cattle feedlot manure(CFM), pig manure fermented with sawdust(PMFS) and Korea native cattle slurry(KNCS). Three levels of mineral-N fertilizer, as urea, ranging from 0 to 200kg N $ha^{-1}\;year^{-1}$ in 100kg increments, were superimposed on each plot. The fertilizers and AM were applied in two equal dressings(the end of March and middle of November). AM and mineral fertilizer had significant effects(p<0.05) on herbage DM and N yields. Herbage yields in KNCS were higher than those in CFM and PMFS(p

• 폴리머
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• 제28권6호
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• pp.478-486
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• 2004

소장점막하조직은 콜라젠과 글리코스아미노글리칸 및 세포활성을 촉진하는 성장인자들로 구성되어 있다. 최근에는 이종이식의 면역 거부반응이 없는 생체물질로서 응용되고 있고 SIS에 함유되어 있는 성장인자는 전층 피부손상층을 치료하는데 중요한 역할을 한다고 알려져 있다. 우리는 본래의 SIS 쉬트와 아세트산으로 처리하여 팽윤시킨 SIS 쉬트를 제조하였고, 각각에 대해 1겹과 5겹의 SIS 쉬트를 제조하였다. 이를 SEM을 통해 표면 및 단면의 형태를 확인하였고, 증류수, 인산염 완충액, HBSS (Hank's balanced salt solution)완충액, 트리스 완충액, HEPES (N-[2-hydroxyethyl) piperazine-N'-(2-ethanesulfonic acid]) 완충액에서의 물 흡수성, pH에 따른 물 흡수성 그리고 시간에 따른 물 흡수성을 비교 실험하였다. 본래의 SIS 쉬트보다 산 처리된 SIS 쉬트가, 증류수보다는 완충액에서의 물 흡수성이 높음을 확인하였다. 중성 용액보다 산성과 염기성 용액에서 SIS 쉬트는 팽윤되어 더 많은 물을 흡수하였다. 또한, 증류수와 HEPES 완충액에서 시간에 따른 물 흡수성 실험을 한 결과 1일 이후부터 10일 동안 약 200%물을 지속적으로 흡수하였다. 이로써 SIS 쉬트와 산 처리된 SIS 쉬트가 창상 치료를 위한 드레싱제와 생분해성이식 재료로서 사용가능하리라 판단된다.

• Archives of Plastic Surgery
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• 제38권4호
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• pp.359-368
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• 2011

Purpose: Aquacel Ag$^{(R)}$ is a hydrofiber wound dressing integrated with ionic silver. Sorbact$^{(R)}$ is a hydrophobiccoated dressing that uses the hydrophobic interaction with microbes. In this study, we compared the wound healing effects and the antibacterial effects of Medifoam$^{(R)}$, Betadine soaked, Aquacel Ag$^{(R)}$ and Sorbact$^{(R)}$ dressings against MRSA-infected wounds. Methods: Eighty rats were divided into four groups: Medifoam$^{(R)}$; Betadine soaked; Aquacel Ag$^{(R)}$; and Sorbact$^{(R)}$. A $1.5{\times}1.5cm$ square full-thickness wound was made on the dorsum of each rat and infected with MRSA. Twenty-four hours thereafter, each dressing was applied to the wound and changed every other day. One, 3, 7, 11 and 15 days after the wound infection, swab culture grade, wound bed appearance score, and wound defect size change were evaluated, and 7 and 15 days after, histologic evaluation was compared between the groups. Results: The bacteria load of wounds in the Sorbact$^{(R)}$ group decreased earlier than in the other groups. The wound bed appearance score of the Sorbact$^{(R)}$ group also increased quicker, compared with the other groups. However, the size of wounds of the Aquacel Ag$^{(R)}$ group decreased more rapidly, compared with other groups. From the histologic point of view, there was no significant difference between Betadine soaked, Aquacel Ag$^{(R)}$ and Sorbact groups. Conclusion: The hydrophobic dressing using Sorbact$^{(R)}$ showed a more rapid reduction in the MRSA load and an elevation in the wound bed appearance score, but a slower decrease in wound size change due to detachment of wound bed tissue when the dressing was eliminated in the low exudate wound. The silver-containing hydrofiber dressing using Aquacel Ag$^{(R)}$ was more effective in ultimate wound size reduction, but some debris was trapped in the wound tissue and induced foreign body reaction in the high exudate wound. Thus, ongoing selection process of treatment based on the evaluation of the infectious wound state will be very important.

• Archives of Plastic Surgery
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• 제38권4호
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• pp.369-375
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• 2011

Purpose: Many hemostatic agents and dressings have been tested with variable degree of success. Chitosan has a positive charge, it attracts red blood cells, which have a negative charge. Our goal is to test the efficacy of new developed chitosan-based hemostatic materials in providing durable hemostasis in a high-flow arterial wound model. Methods: We compared each group with SD rats motality tests and in vitro blood compatibility test by blood clotting index (BCI). We devided the SD rats into 6 groups (N =15) by type of hemostatic agents. A: 100% nonwoven chitosan (degree of the deacetylation: 90%). B: 50% N-acetylation on nonwoven of chitosan gel (degree of the deacetylation: 50%). C: 60% N-acetylation on nonwoven of chitosan ge (degree of the deacetylation: 40%)l. D: Cutanplast$^{(R)}$. E: HemCon$^{(R)}$ F: Gauze. In vivo test, a proximal arterial injury was created in unilateral femoral arteries of 90 anesthetized SD rats. Each materials was made same size and thickness then applied to the injury site for 3 minutes. In vitro test, we compared each group with BCI in human blood. Results: In vivo test, group A showed lower motality rate of 46% than any other groups, Group B and C showed lower motality rate of 60% than group D and E's motality rate of 66%. In vitro test, BCI of group A ($30.6{\pm}1.2$) and B ($29.3{\pm}1.0$) were showed nearly about group D ($29.1{\pm}1.8$) and E ($27.4{\pm}1.6$). Group C ($37.1{\pm}2.0$) showed higher BCI than group A and B, it means group C decreased blood clotting. Conclusion: In conclusion, this study suggests a newly developed chitosan-based hemostatic materials induced durable hemostasis and increased blood clotting, and are considered as effective biologic hemostatic agents.

• Journal of Chest Surgery
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• 제18권4호
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• pp.753-758
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• 1985

Hemorrhage is an important complication after operation with cardiopulmonary bypass and sometimes necessitates a further emergency operation. Between July, 1962 and June, 1985, reoperation for hemorrhage was carried out on 81 patients [3.1%] out of a total 2634 patients who had previously undergone cardiopulmonary bypass surgery at the Department of Thoracic and Cardiovascular Surgery, Yonsei University Medical Center. There were 38 males and 43 females, with an average age of 25 years [ranging 6 months to 60 years] and an average body weight of 38 kg [ranging 5 to 77 kg].There were 43 patients of cyanotic heart disease, 32 patients of acquired valvular heart disease, 4 patients of coronary artery occlusive disease, 2 patients of ascending aorta aneurysm and annuloaortic ectasia. The average amount of blood loss in the case of cyanotic heart disease was 71.7140ml/kg, in acyanotic heart disease 45.16.3ml/kg, in acquired heart disease, 56.514.4ml/kg and in coronary artery occlusive disease, 50.618.7ml/kg during first post operative day. But there was no statistical difference [p>0.05]. The mean blood loss below 10 years old was 70.412.1 ml/kg. Those below 10 years old were believed to bleed more than any other group. But there was also no statistical difference [p>0.05]. Indications for reoperation were continued excessive blood loss [74%], cardiac tamponade or hypotension [23%] and radiological evidence of a large hematoma in the thorax and pericardium [2%]. Average bypass time was 2.10.1 hours [ranging 30 minutes to 5 hours]. The interval between operation and reoperation was as follows; less than 12 hours in 49 patients [60%], 12 to 24 hours in 20 patients [25%], 24 to 48 hours in 8 patients [10%], more than 48 hours in 4 patients [5%]. The commonest sites for bleeding were chest wall [36%], heart [34%], aorta [12%], pericardium [6%], thymus [5%] and others [6%]. But no definite source was found in ll patients [31%]. Twenty seven out of 81 patients [31%] had wound problems and 5 patients [6%] were expired. [Mean SEM]. In conclusion, in order to decrease the amount of blood loss after open heart surgery with cardiopulmonary bypass, shortening of bypass time and bleeding control at the wire suture site during chest wall closure were important. If the amount of blood loss was over 45 ml/kg or 8 m/kg/hour, reoperation should be considered as soon as possible. After operating, careful wound dressings were applied to prevent wound problems.