• Journal of Chest Surgery
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• 제54권2호
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• pp.81-87
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• 2021

Background: Artificial grafts such as polyethylene terephthalate (Dacron) and expanded polytetrafluoroethylene (ePTFE) are used for various cardiovascular surgical procedures. The compliance properties of prosthetic grafts could affect hemodynamic energy, which can be measured using the energy-equivalent pressure (EEP) and surplus hemodynamic energy (SHE). We investigated changes in the hemodynamic energy of prosthetic grafts. Methods: In a simulation test, the changes in EEP for these grafts were estimated using COMSOL MULTIPHYSICS. The Young modulus, Poisson ratio, and density were used to analyze the grafts' material properties, and pre- and post-graft EEP values were obtained by computing the product of the pressure and velocity. In an in vivo study, Dacron and ePTFE grafts were anastomosed in an end-to-side fashion on the descending thoracic aorta of swine. The pulsatile pump flow was fixed at 2 L/min. Real-time flow and pressure were measured at the distal part of each graft, while clamping the other graft and the descending thoracic aorta. EEP and SHE were calculated and compared. Results: In the simulation test, the mean arterial pressure decreased by 39% for all simulations. EEP decreased by 42% for both grafts, and by around 55% for the native blood vessels after grafting. The in vivo test showed no significant difference between both grafts in terms of EEP and SHE. Conclusion: The post-graft hemodynamic energy was not different between the Dacron and ePTFE grafts. Artificial grafts are less compliant than native blood vessels; however, they can deliver pulsatile blood flow and hemodynamic energy without any significant energy loss.

• Journal of Korean Dental Science
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• 제17권2호
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• pp.53-63
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• 2024

Purpose: To investigate the effects of simultaneous soft and hard tissue augmentation and the addition of polydeoxyribonucleotide (PDRN) on regenerative outcomes. Materials and Methods: In five mongrel dogs, chronic ridge defects were established in both mandibles. Six implants were placed in the mandible, producing buccal dehiscence defects. The implants were randomly allocated to one of the following groups: 1) control: no treatment; 2) GBR: guided bone regeneration (GBR) only; 3) GBR/PDRN: GBR+PDRN application to bone substitute particles; 4) GBR/CTG: GBR+connective tissue grafting (CTG); 5) GBR/VCMX: GBR+soft tissue augmentation using volume stable collagen matrix (VCMX); and 6) group GBR/VCMX/PDRN: GBR+VCMX soaked with PDRN. The healing abutments were connected to the implants to provide additional room for tissue regeneration. Submerged healing was achieved. The animals were euthanized after four months. Histological and histomorphometric analyses were then performed. Results: Healing abutments were gradually exposed during the healing period. Histologically, minimal new bone formation was observed in the dehiscence defects. No specific differences were found between the groups regarding collagen fiber orientation and density in the augmented area. No traces of CTG or VCMX were detected. Histomorphometrically, the mean tissue thickness was greater in the control group than in the other groups above the implant shoulder (IS). Below the IS level, the CTG and PDRN groups exhibited more favorable tissue thickness than the other groups. Conclusion: Failure of submerged healing after tissue augmentation deteriorated the tissue contour. PDRN appears to have a positive effect on soft tissues.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제22권1호
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• pp.1-14
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• 2000

The purpose of this study was to evaluate the efficacy of adding autogenous bone to the toothash-plaster mixture in the healing process of bone. Full-thickness round osseous defects with the diameter of 20mm were made at the calvarial bone of adult dogs (n=19) bilaterally, which were thought to be critical size defect. The right defects were repaired with the toothash-plaster mixture plus autogenous bone (compressed volume 0.3cc) and the left defects with only toothash-plaster mixture. At 2-, 4-, 8-, 12- and 20- week after implantation, dogs were sacrificed and evaluated the osseous healing of bony defects clinically, radiographically, and microscopically. The results were as follows; 1. At the clinical observation, the wound healed very well without any problem except severe swelling in the early period after operation. Slight depression was recognized at the both sides when the portions of cranial defect were palpated. 2. There were statistically significant differences between toothash-plaster mixture groups and autogenous bone added groups at the same period, and among the groups in the bone density of the digital radiograms (P<0.001). There was a tendency that bone density was increasing with time. 3. In light microscopic examination, new bone formation was more active in the autogenous bone added groups than toothash-plaster mixture groups at the early period after implantation but there is little difference at 20-week after implantation. 4. In fluorescent microscopic examination, the fluorescent band could be observed at the area of active bone formation and the band was more distinct in the autogenous bone added groups then toothash-plaster mixture groups. 5. In transmitted electron microscopic examination, organelles such as rER, Golgi complex and secretory granule and osteoblast were observed. In summary higher volume ratio of autogenous bone is needed to improve the bone healing in that there is little difference between toothash-plaster mixture group and autogenous bone added group at the 20-week after implantation in spite of new bone formation was more active in the autogenous bone added groups than toothash-plaster mixture groups at the early period after operation.

• 한국화재소방학회논문지
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• 제26권4호
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• pp.31-41
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• 2012

본 연구에서는 1995년부터 2008년까지 14년간 국내에서 발생한 5.100건의 가스사고사례를 수집하여 Database를 구축하였으며, 이를 근거로 세부형태 및 원인별로 분석하였다. Poisson 분석법을 적용하여 전체 도시가스사고를 분석한 결과, 향후 5년 동안 "취급부주의-폭발-배관"의 항목의 사고발생확률이 가장 높았으며, "연결이완부식-누출-배관"의 경우는 가장 작은 발생 확률을 나타내었다. 또한 LPG 기화기 관련 사고만을 분석한 결과는 "LPG-기화기-화재"가 가장 높은 사고발생확률을 나타냈으며, "LPG-기화기-제품결함"이 가장 낮은 사고발생확률인 것으로 분석되었다. 아울러 Jet fire를 수반하는 외국의 LPG 사고를 비교 분석한 결과 국내의 경우와 마찬가지로 설비적 결함인 액유출장치 및 열교환기의 결함이 Jet fire를 일으키는 주요 원인으로 분석되었지만 향후 5년간 사고발생횟수는 "LPG-설비적결함-Jet fire" 항목이 가장 많았고, "LPG-설비적결함-Vapor Cloud" 항목은 가장 사고발생확률이 높은 것으로 분석되었다. 향후 가스 사고 발생 예측프로그램에 Poisson 분포 이론을 접목함으로서 일관성 있는 기준제시 및 현장에서 실제적으로 사용할 수 있는 도구로 사용되길 기대한다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제36권6호
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• pp.515-519
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• 2010

Introduction: Bone defects in the jaw are frequently observed after odontogenic cyst enucleation. The success of bone healing appears to be related to the size of the bone defect, the anatomical location, the patient's age and other parameters. The use of bone grafting material is dependent on the operator's preference. No evidence-based definite treatment protocol has been established. This study evaluated the effect of a bone graft into the defect after odontogenic cyst enucleation. Materials and Methods: A total of 55 patients, who had been treated for an odontogenic cyst with cyst enucleation from 2000 to 2009 at the department of Oral and Maxillofacial Surgery, Samsung Medical Center, were included in this study. Patients who were followed-up for more than 1 year were included. Two groups were defined according to the bone graft (with or without a bone graft) after cyst enucleation. The differences in the healing periods and patterns of bone healing were compared clinically and radiologically. The postoperative 1 year radiographs were analyzed for bone healing and density. Statistical analysis was performed using a Pearson chi square test and Wilcoxon rank-sum test. Results: More infection signs were observed in the bone graft group than in the other group, but there was no statistically significant difference. Radiographically, there was also no significant difference in the size of the radiolucent lesions between the two groups. Conclusion: There was no significant difference in healing between the groups with a bone graft and without bone graft after cyst enucleation.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제33권4호
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• pp.293-300
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• 2011

Purpose: Substance P is a well known neurotransmitter and has been known to mediate pain. Recently, it has been unveiled that substance P is involved in the recruitment of mesenchymal stem cells to wound sites. The purpose of this study was to exam bone formation when a combination of substance P and silk fibroin was used in a bone defect model. Methods: Twenty rabbits were used and 40 calvarial defects were formed. They were divided as 4 groups (unfilled control, silk only, silk+$10{\mu}g$/ml substance P; Sub10, and silk+$100{\mu}g$/ml substance P; Sub100). All animals were humanely sacrificed 4 or 8 weeks after grafting. The specimens were analyzed by micro-computerized tomography and histological analysis. Results: When compared to the unfilled control to silk only group, there was significant difference in bone mineral density (BMD) and the attenuation coefficient (AC) at 4 weeks ($p$=0.037 and 0.038, respectively). When compared Sub10 group to Sub100 group, there was significant difference in BMD and AC at 8 weeks ($p$=0.004 for all). Residual graft amounts were $52.1{\pm}15.8$%, $15.2{\pm}9.2$% and $9.0{\pm}3.3$% for silk only, Sub10, and Sub100 groups, respectively. When comparing the residual graft amount of silk only to sub10 or sub100, the differences were statistically significant ($p$ <0.001). Conclusion: The silk fibroin scaffold showed higher BMD and AC than the unfilled control. The combination graft with substance P and silk fibroin scaffold showed a faster graft degradation than with a silk fibroin scaffold only.

• 대한화학회지
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• 제32권6호
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• pp.593-602
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• 1988

크라운 에테르를 반복 사용 기능의 상이동 촉매(phase transfer catalyst ; PTC)로 유도하기 위해 고분자 물질로 지지된 크라운 에테르(polymer-supported crown ether ; Ps-CE)류를 합성하고, 이들 Ps-CE(solid phase)를 이용하여 액-고-액 3상 불균일계에서의 1-bromooctane(유기층)의 iodide(수용층) 친핵 치환 반응속도를 측정하고 그 상이동 촉매능을 연구검토하였다. Ps-CE류는 hydroxymethyl기를 지니는 크라운 에테르류를 합성한 후 이를 1∼2% cross-linked chloromethylated polystyrene 에그라프트시켜 제조하였다. 3상 불균일계치환반응은 반응기질의 농도에 의존하는 유사 일차반응이었고 반응속도상수$(k_{obsd})$는 사용한 촉매량에 비례하였으며, 가교밀도, 온도, 용매 등에 영향을 받음을 알 수 있었다. Ps-CE의 촉매능을 구조적으로 유사한 가용성 크라운 에테르의 촉매능과 비교하였으며, 반응 후 단순히 여과분리하고 이를 PTC로서 반복사용하였을때 촉매능의 감소없이 재사용이 가능함을 알 수 있었다. 반응의 활성화 엔탈피 및 엔트로피는 각각 10∼20kcal $mol^{-1}, 20~55eu.이었고 활성화 자유 에너지는 ∼30kcal mol^{-1}$,/TEX>이었다.

• 한국ITS학회 논문지
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• 제14권3호
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• pp.50-62
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• 2015

최근 지하철 9호선은 2단계 연장구간의 개통으로 최대 240% 혼잡도를 기록하는 등 지옥철로 불리우며 역사 내 상습혼잡에 대한 문제점이 지속적으로 야기되고 있는 실정이다. 역사 내 혼잡은 이용객의 불쾌감 유발과 철도 운영 효율성을 저하시키는 요인이 되고 있다. 본 연구는 이러한 철도역사 내 상습혼잡 해소를 위해 철도 이용객 정보제공의 효과평가 방법론을 정립하고자 하였으며, 효과평가 방법론 중 승강장의 혼잡상황을 고려한 Gate Metering 사례 연구를 진행하였다. Gate Metering을 접목시킨 Micro Simulation 및 Pedestrian Simulation Tool을 선정하여 열차의 혼잡도별 Metering 효과분석을 시행하였으며, 그 결과 Gate Metering 시행 시 혼잡도별 승강장의 서비스 수준 및 보행밀도가 개선되는 것을 확인하였다. 승강장에서 Metering을 실시 할 경우 플랫폼 대기 공간 내 혼잡도 조절 가능성이 있다고 판단한 것 이다. 따라서, 본 연구를 통하여 철도역사 내 이용객 혼잡도 관리를 위한 정보제공 효과평가 지표 수립 및 프로그램을 통한 이용객 정보제공 효과평가 방법론 정립이 가능하다는 것으로 판단되었다.