• Archives of Reconstructive Microsurgery
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• 제19권1호
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• pp.12-20
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• 2010

Purpose: Industrial punch accidents involving fingers cause segmental injuries to tendons and neurovascular bundles. Although multiple-level segmental amputations are not replanted to regain function, most patients with an amputated finger want to undergo replantation for cosmetic as much as functional reason. The authors describe four cases of digital amputation by an industrial punch that involved the reinstatement of the amputated finger involving a joint and neurovascular bundle. Amputated segments were replanted to restore amputated surfaces and distal segments. Methods: A single institution retrospective review was performed. Inclusion criteria of punch injuries requiring replantation were applied to patients of all demographic background. Injury extent (size, tissue involvement), operative intervention, pre- and postoperative hand function were recorded. Result: Four cases of amputations were treated at our institute from 2004 to 2008 from industrial punch machine injury. Average patient age was 32.5 years (25~39 years) and there were three males and one female. Sizes of amputated segments ranged from $1.0{\times}1.0{\times}1.2\;cm^3$ to $3{\times}1.5{\times}1.6\;cm^3$. Tenorrhaphy was conducted after fixing fractured bone of the amputated segments with K-wire. Proximal and distal arteries and veins were repaired using the through & through method. The average follow-up period was thirteen months (2~26 months), and all replanted cases survived. Osteomyelitis occurred in one case, skin grafting after debridement was performed in two cases. Because joints were damaged in all four cases, active ranges of motion were much limited. However, a secondary tendon graft enhanced digit function in two cases. The two-point discrimination test showed normal values for both static and dynamic tests for three cases and 9 mm and 15 mm by dynamic and static testing, respectively, in one case. Conclusion: Though amputations from industrial punch machines are technically challenging to replant, our experience has shown it to be a valid therapy. In cases involving punch machine injury, if an amputated segment is available, the authors recommend that replantation be considered for preservation of finger length, joint mobility, and overall functional recovery of the hand.

• 생명과학회지
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• 제17권8호통권88호
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• pp.1147-1151
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• 2007

본 연구에서는 ７가지 한방원료(음양곽, 복분자, 오미자, 구기자 , 건지황 l 사상자 , 토사자)의 항산화 효과, collagen 합성 촉진 효과, collagenase 활성 저해 효과를 비교 평가함으로써 주름개선 기능성 화장품 원료로서의 사용 가능성을 검토하였다. 항산화 실험인 DPPH 소거 효과, 리놀산 자동산화 억제 효과, superoxide radical 소거 효과, hydroxyl radical 소거 효과에서는 음양곽, 복분자, 오미자, 구기자가 대체적으로 뛰어난 활성을 보여 항노화 화장품 소재로서의 가능성을 보여주었으며, 주름개선 실험인 collagen 합성 촉진 효과, collagenase 저해 효과에서는 건지황, 사상자, 토사자가 다른 네 가지 물질에 비해 뛰어난 효과를 나타내어 주름개선 화장품 소재로서의 가능성을 보여주었다. 이러한 결과는 7가지 한방원료가 항산화 및 주름개선 효능을 나타내므로 기능성 화장품 소재로 활용될 수 있음을 보여 주었다.

• 공업화학
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• 제29권2호
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• pp.162-167
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• 2018

투명전도성필름(transparent conductive film, TCF) 제조를 위해 사용되는 은 나노입자의 평균입자 크기 및 형태가 폴리에틸렌 테리프탈레이트(polyethylene terephthalate, PET) 필름 위에 코팅된 은 전도성 라인의 광학 및 전기특성에 미치는 영향을 연구하였다. Ag-CM, Ag-ME 및 Ag-EE 방식으로 제조한 은 나노입자가 Ag-EB, Ag-CR 및 Ag-PL 방식으로 제조한 은 나노입자보다 투명도는 차이가 없으나 전도도에서 우수한 특성을 보였다. 이는 입자의 크기가 앞에 언급한 세 가지 경우 평균 입도가 약 80 nm 이하이고 입도의 균일도가 양호한 반면, 뒤에 언급한 세 가지 경우 평균입도가 100 nm 이상이며 입자의 뭉침 현상이 심하게 나타난 결과와 관련이 있음을 확인하였다. 이 결과는 PET 필름 위에 코팅을 하고 건조시켜 제조한 패턴을 각각의 시료별로 SEM으로 정면과 측면에서 관찰하였을 때, 패턴의 형상 및 두께의 균일도 측면에서 나타난 결과와 동일하였다. 따라서 은 나노입자의 평균입자 크기가 작고 입자의 균일성이 유지될수록 보다 우수한 전기 특성을 나타냄을 확인하였다.

• 공업화학
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• 제31권4호
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• pp.398-403
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• 2020

본 연구에서는 청원지역에서 재배하고 있는 6품종의 쌀을 당 분해 효소 및 단백질 분해 효소를 이용하여 쌀단백질 추출물을 제조하고, 항산화 효과 및 수분보유력을 비교 분석하였다. 품종별 쌀단백질 추출물의 단백질 함량을 측정한 결과 흑미 추출물이 4900 ㎍/mL로 가장 높게 나타났고, 향찰현미 추출물이 3700 ㎍/mL로 가장 낮게 나타났다. 2,2-diphenyl-1-picryl-hydrazyl-hydrate 라디칼 소거 활성 결과 흑미 추출물과 홍현미 추출물이 2 mg/mL에서 80.0% 이상의 우수한 소거 활성을 확인하였다. 2,2'-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) 라디칼 소거 활성은 흑미 추출물과 홍현미 추출물이 2 mg/mL에서 70.0% 이상의 소거 활성을 나타내었다. 수분보유력 평가 결과는 홍현미, 홍찰현미, 흑미, 향찰현미를 이용한 추출물은 수분보유력이 110% 이상임을 확인하였다. 종합적으로 흑미를 이용한 쌀단백질 추출물이 항산화 및 수분보유력이 우수한 효과를 나타냄으로써 피부 보습 및 항산화 기능성 화장품 소재로 응용가능성이 있음을 시사한다.

• Archives of Plastic Surgery
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• 제35권6호
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• pp.663-668
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• 2008

Purpose: Pedicled transverse rectus abdominis myocutaneous(TRAM) flap has been a gold standard for breast reconstruction and one of surgical techniques preferred by many surgeons. The authors examined the course of deep epigastric artery focusing on distance from margins of rectus abdominis to pedicle and location of choke vessels to get minimal muscles during pedicled TRAM flap operation. Methods: Eleven rectus abdominis muscle from nine cadavers were used in this study. Rectus abdominis was separated from the cadavers, deep inferior and superior epigastric artery were isolated and then 8 anatomical landmarks in medial and lateral margins of rectus abdominis were designated. Distance to a pedicle meeting first horizontally was measured and vertical location from umbilicus to choke vessel was determined. In addition, 32 rectus abdominis images of 16 women(average age: 37.2 years old) from 64 channel abdomen dynamic computerized tomography were also examined with the same anatomical landmarks with those of cadavers. Results: Average distance from four landmarks on lateral margin of rectus abdominis to pedicle was 1.9 - 3.4cm and 1.8 - 3.8 cm on medial margin. Choke vessel was located between middle and inferior tendinous intersection in all cases and average distance between two tendinous intersection was 6.7 - 7.0 cm on medial margin and 6.2 cm on lateral margin. Location of inferior tendinous intersection was on umbilicus or superior of it in all cases and its average distance from umbilicus was 1.8 - 5.6 cm on medial margin and 2.7 - 6.2 cm on lateral margin. Conclusion: Distance from medial and lateral margins of rectus abdominis muscle to pedicle was the shortest in inferior tendinous intersection and that was averagely 1.8 cm on medial margin and 1.9 cm in average on lateral margin. All choke vessels were located between middle and inferior tendinous intersection.

• Archives of Plastic Surgery
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• 제38권3호
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• pp.228-234
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• 2011

Purpose: Reconstruction of chest wall has always been a challenging problem. Muscle flaps for chest wall reconstruction have been helpful in controling infection, filling dead space and covering the prosthetic material in this challenge. However, when we use muscle flaps, functional and cosmetic donor site morbidities could occur. The authors applied and revised various partial muscle flaps and combination use of them to cover the prosthetic material for the chest wall reconstruction and evaluated the usefulness of partial muscle flaps. Methods: This study included 7 patients who underwent chest wall reconstruction using partial muscle flap to cover prosthetic material from 2004 to 2008. The pectoralis major muscle was used in anterior 2/3 parts of it leaving lateral 1/3 parts of it. The anterior 2/3 parts of the pectoralis major muscle were used while lateral 1/3 parts were left. In case of the rectus abdominis muscle flap, we used upper half of it, or we dissected it around its origin and then advanced to cover the site. The latissimus dorsi muscle flap was elevated with lateral portion of it along the descending branch of the thoracodorsal artery. If single partial muscle flap could not cover whole prosthetic material, it would be covered with combination of various partial muscle flaps adjacent to the coverage site. Results: Flap coverage of the prosthetic material and chest wall reconstructions were successfully done. There occurred no immediate and delayed post operative complications such as surgical site infection, seroma, deformity of donor site and functional impairment. Conclusion: When we use the muscle flaps to cover prosthetic material for chest wall reconstruction, use of the partial muscle flaps could be a good way to reduce donor site morbidity. Combination of multiple partial flaps could be a valuable and good alternative way to overcome the disadvantages of partial muscle flaps such as limitation of volume and size as well as flap mobility.

• Journal of Chest Surgery
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• 제31권2호
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• pp.142-148
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• 1998

최근 내시경용 비디오 장비와 수술 기구 및 술기의 발전으로 비디오 흉강경 흉부외과(Video-Assisted Thoracic Surgery, VATS) 분야가 급속도로 발달하면서 흉강경을 이용한 수술이 흉부질환에 다양하게 적용되고 있다. 이에 저자는 비디오 흉강경 수술법이 자연기흉의 치료 과정에 미치는 영향을 알아보고자 보편적 수술 방법인 액와개흉술로 폐기포절제술을 시행 받은 환자들의 수술 성적과 비교하였다. 술후 생체 징후, 동맥혈 가스분석이나 수술 시간 등은 액와개흉술과 비교하여 큰 차이는 없었으나 술후 흉관 보유 기간, 재원 기간, 일회 호흡량및 노력성 폐활량의 회복율, 환자의 통증 호소 정도, 운동장애 정도와 합병증 등의 비교에서는 흉강경으로 수술 받은 환자들에게서 괄목할 만한 좋은 결과를 보여주었다. 결국, 자연기흉을 치료하는데 있어서 비디오 흉강경 수술은 개흉후의 통증과 이로 인한 호흡 기능의 저하 및 합병증 발생을 감소시킬 수 있으며, 술후 집중 관리의 필요성을 최소화하고 재원 기간의 단축과 빠른 회복 및 창상 감염과 수술 상흔의 최소화를 기대할 수 있어 향후 단순한 자연기흉의 치료로서는 보다 효과적인 방법으로 생각된다.

• Tuberculosis and Respiratory Diseases
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• 제40권5호
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• pp.610-615
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• 1993

저자들은 colporrhaphy를 목적으로 실리콘 피하주사 후 호흡곤란을 주소로 내원한 2명의 환자에서 기관지폐포세척액 검사, 경기관지 폐생검, 고해상 컴퓨터 단층촬영, 폐동맥조영술 등을 시행하여 폐색전증으로 인한 급성호흡부전으로 진단하고 지지요법만으로 치료한 1예와 사망한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• 미생물학회지
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• 제50권3호
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• pp.223-226
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• 2014

청국장은 대두발효식품으로 대두 단백질이 발효 중 분해되면서 다양한 생리활성물질이 만들어진다. 혈관내피세포는 혈관의 기능은 물론 신생혈관 생성을 주도하는 세포이다. 뇌졸중이나 심근경색, 뇌경색 등의 혈관관련 질병들은 신생혈관 생성을 촉진하는 치료법이 필요하다. Vascular Endothelial Growth Factor (VEGF)는 새로운 혈관 형성을 촉진하는 역할을 한다. 본 연구에서는 청국장 에탄올추출물(CEE)이 HUVEC (혈관 내피세포) 증식에 미치는 영향을 조사하여 보았다. 청국장 추출물(100, $1000{\mu}g/ml$)을 HUVEC에 처리했을 때, VEGF (10 ng/ml)를 처리한 대조군과 같은 정도로 세포를 증식시켰다. 열처리한 청국장추출물을 혈관 내피세포에 처리해도 세포 증식효과는 마찬가지였다. 청국장이 세포 증식뿐 아니라 HUVEC이동에도 영향을 주는지 sprout 분석법으로 확인하였다. 청국장 추출물($100{\mu}g/ml$)을 처리했을 때, VEGF (10 ng/ml)와 비슷할 정도로 HUVEC 이동이 일어났다. 청국장 추출물에서 HUVEC 증식과 이동에 영향을 미치는 특정 peptide의 분리가 필요할 것이다.

• Archives of Plastic Surgery
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• 제36권4호
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• pp.512-515
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• 2009

Purpose: Neurofibromatosis(NF) is an autosomal - dominant systemic disease. Up to fifty percent of patients with NF are reported to have concomitant vascular abnormalities. In the resection of a larger NF, the risk of uncontrolled hemorrhage is much higher due to the difficulty of hemostasis of large vessels within the tumor. We ligated the base of the giant NF with a simple loop - shaped ligation before removal of the giant NF in both buttocks. And then we could successfully reduce the amount of hemorrhage during the operation. Methods: A 46 - year - old female patient presented for giant masses of both gluteal area, which has been growing slowly for the last ten years. Each mass was about $30{\times}20cm$ in size. After designing the elliptical resection margin, we tightened the tumor base by using continuous loop - shaped suture ligation(weaving the thread up and down in a loop - shaped pattern, leaving a space of 2 cm between each loop) with a straight needle and prolene 2 - 0. After skin incision, we proceeded the dissection toward the central and inferior side of the mass obliquely while we avoided breaking large vascular sinuses. We resected the tumor in a wedged - shape. Subcutaneous tissue was sutured layer by layer and skin was closed by vertical mattress and interrupted suture. The loop - shaped ligation of the base was removed and compressive dressing was done with gauzes and elastic bandages. Results: Postoperative complications such as infection, hemorrhage, hematoma, and dehiscense did not occur. Perioperatively the patient was sufficiently transfused with five units of blood and two units of fresh frozen plasma. During the subsequent 1 year follow - up, the functional and cosmetic result was excellent. Conclusion: A continuous loop - shaped suture ligation procedure along the base of the giant NF effectively reduced the amount of hemorrhage during the operation, made dissection and ligation of vessels easily and quickly, and shorten the operating time and postoperative recovery time.