• Title/Summary/Keyword: Later pressure

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The Usefulness of Transcutaneous Tissue Oxygen Pressure ($TcpO_2$) for Determination of the Point of Time at Venous Revascularization (적절한 정맥 재혈류 시점의 판단을 위한 조직산소분압의 유효성)

  • Lee, Eun-Sang;Choung, Jong-Pil;Park, Seung-Ha;Lee, Byung-Il
    • Archives of Plastic Surgery
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    • v.37 no.5
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    • pp.547-554
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    • 2010
  • Purpose: The purpose of this study is to delineate the optimal time of venous revascularization for preventing the flap necrosis due to venous occlusion, and to clarify the usefulness of tissue oxygen pressure ($TcpO_2$) in the determination of the point of time for venous revascularization. Methods: Thirty-six, $3{\times}3\;cm$ sized epigastric island flap was elevated in left abdomen of male Sprague-Dawley rat weighing 250 gram. Flaps were randomly assigned to six groups of six flaps according to the duration of venous occlusion with microvascular clamp; 10 minutes in the group I as the control, 60 minutes in the group II, 2 hours in the group III, 3 hours in the group IV, 4 hours in the group V, and 6 hours in the group VI, respectively. Just before removal of clamp after flap was reposed in situ, the ratio of $TcpO_2$ (tissue oxygen pressure) of the island flap to that of right abdomen was calculated in each group, and tissue specimen was harvested from the distal area of the flap for histological evaluation of vascular change. Five days later, survival area of the flap was estimated, and evaluated the correlation between the tissue oxygen pressure and the rate of flap survival. Results: The $TcpO_2$ and the survival rate of flap were decreased proportionally with the duration of venous occlusion. The ratio of the $TcpO_2$ of the flap is decreased abruptly to below sixty percentile compared to the $TcpO_2$ of normal tissue, and the survived area of the flap is decreased to nine-tenth of the designed size after three hours of total venous occlusion. Histologically, the number of congested vessels was increased according to venous occluded time, and proportionally increased after 3-hours of occlusion significantly. Conclusion: There is a close correlation between the $TcpO_2$ and the survival rate of flaps according to the duration of venous occlusion. Therefore, the $TcpO_2$ represents the hemodynamic changes within the flap, and thought to be an alternative effective tool in the flap monitoring for venous revascularization.

Effect of Enhancement on Functionality of Germinated Adzuki Bean (Angularis angularis var. nipponensis) with High Hydrostatic Pressure (HHP) Treatment (고압처리에 의한 발아팥의 기능성 향상 효과)

  • Kim, Min Young;Jang, Gwi Yeong;Lee, Yoonjeong;Kim, Kyung Mi;Kang, Tae Su;Lee, Junsoo;Jeong, Heon Sang
    • The Korean Journal of Food And Nutrition
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    • v.31 no.1
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    • pp.135-142
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    • 2018
  • We investigated the influence of germination and high hydrostatic pressure (HHP) treatment conditions on the conversion of functional compounds and antioxidant activity in adzuki bean. The adzuki bean germinated at $25^{\circ}C$ for three- or six-days, and was later subjected to HHP at 0.1, 50, 100, or 150 MPa for 24 h. The highest polyphenol content (5.36 mg gallic acid equivalents (GAE)/g) and flavonoid content (0.91 mg catechin equivalents (CE)/g) were observed after germination for six days and HHP treatment at 100 MPa for 24 h, respectively. The total phenolic acid contents increased with increasing applied pressure from 88.86 to $208.26{\mu}g/g$ (100MPa, 24h). Phenolic acids are divided into two categories; those that exhibit increased content upon HHP treatment, and those that exhibit decreased content. The increasing phenolic acids were gallic acid, chlorogenic acid, (+)-catechin, ${\rho}-coumaric$ acid, ferulic acid, heperidin, salicylic acid, protocatechuic acid, cinnamic acid, naringenin. The total anthocyanin content decreased with increasing applied pressure from 22.42 mg/100 g to 6.28 mg/100 g (150 MPa, 24 h). The highest ABTS radical scavenging activity (8.02 mg eq AA/g) and DPPH radical scavenging activity (1.22 eq Trolox/g) were observed after germination for six days and HHP treatment at 100MPa for 24h, respectively. These results suggested that the combination of HHP and germination can lead to improved functionality in adzuki bean.

Study on Carbon Dioxide Control by Using Dry Sorbent in Fludized Bed (유동층에서 dry sorbent를 이용한 CO2 제어에 관한 연구)

  • Lee, Sang-Sup;Kim, Min-Choul;Yoo, Jeong-Seok;Moon, Gil-Ho;Oh, Kwang-Joong
    • Clean Technology
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    • v.9 no.4
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    • pp.179-187
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    • 2003
  • The technology of fluidized bed to use dry sorbent can be new technology that reduce the operating cost and make efficient operation. Therefore, this study investigated $CO_2$ control by dry sorbents with operating variables in a fluidized bed, compared with fixed bed for $CO_2$ adsorption capacity and pressure drop, and presented the $CO_2$ adsorption capacity of activated carbon, molecular sieve 5A, molecular sieve 13X, and activated alumina. As the results of this study, the basic data could be achieved for operation of fluidized bed process, and fluidized bed process presented relatively high $CO_2$ adsorption capacity and low pressure drop with the increase of gas velocity. In addition, molecular sieve 5A showed 1.1~3.0-fold later breakthrough point and 1.1~2.7-fold higher adsorption capacity than the other dry sorbents.

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A Case of Posterior Reversible Encephalopathy Syndrome during Cyclosporine Therapy in a Child with Steroid Resistant Nephrotic Syndrome (스테로이드 저항성 신증후군 환아에서 사이클로스포린 투여 중 발생한 후두엽 가역성 뇌병증 증후군 1례)

  • Jeong, Min-Hee;Lee, Joo-Hoon;Yum, Mi-Sun;Ko, Tae-Sung;Park, Young-Seo
    • Childhood Kidney Diseases
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    • v.11 no.1
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    • pp.92-99
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    • 2007
  • The posterior reversible encephalopathy syndrome(PRES) is characterized clinically by a combination of acute or subacute confusion, lethargy, visual disturbance, and seizures. PRES has been described in various clinical settings, including severe hypertension, chemotherapy, eclampsia, and seizure. We report a case of a 7-year-old girl who had taken cyclosporine for steroid resistant nephrotic syndrome. Twenty one days after the cyclosporine therapy, she was admitted due to generalized tonic clonic seizure and headache. Her blood pressure was 170/90 mmHg. Magnetic resonance(MR) imaging showed necrotic/cystic lesions involving the bilateral parieto-occipital region. After discontinuation of cyclosporine, and control of blood pressure, she had no more seizure and headache. The follow-up MR examination which was performed 6 months later showed the decreased extent of the lesion.

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Numerical Simulation of Dynamic Soil-pile-structure Interaction in Liquefiable Sand (액상화 가능한 지반에 근입된 지반-말뚝-구조물 동적 상호작용의 수치 모델링)

  • Kwon, Sun-Yong;Yoo, Min-Taek;Kim, Seok-Jung
    • Journal of the Korean Geotechnical Society
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    • v.34 no.7
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    • pp.29-38
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    • 2018
  • Three-dimensional continuum modeling of dynamic soil-pile-structure interaction embedded in a liquefiable sand was carried out. Finn model which can model liquefaction behavior using effective stress method was adopted to simulate development of pore water pressure according to shear deformation of soil directly in real time. Finn model was incorporated into Non-linear elastic, Mohr-Coulomb plastic model. Calibration of proposed modeling method was performed by comparing the results with those of the centrifuge tests performed by Wilson (1998). Excess pore pressure ratio, pile bending moment, pile head displacement-time history according to depth calculated by numerical analysis agreed reasonably well with the test results. Validation of the proposed modeling method was later performed using another test case, and good agreement between the computed and measured values was observed.

Multicenter clinical study on the hydrodynamic piezoelectric internal sinus elevation (HPISE) technique

  • Lee, Hyung-Ju;Moon, Jee-Won;Lee, Ju-Hyoung;Park, In-Sook;Kim, Nam-Ho;Sohn, Dong-Seok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.38 no.2
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    • pp.85-89
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    • 2012
  • Objectives: This study was to evaluate the effect of vertical bone gain and success rate and analyze the failure cases using the hydrodynamic piezoelectric internal sinus elevation (HPISE) technique. Materials and Methods: Patients who had been operated in the three centers including Daegu Catholic University Medical Center were selected for this study. The mucoperiosteal flap was elevated, and the sinus floor was then broken by specially designed piezoelectric insert, with hydraulic pressure applied to the sinus membrane for even elevation. Afterward, implants were placed. Panoramic radiogram or computed tomogram was taken before and after surgery and at the second operation and prosthesis placement. Later, changes in vertical height were measured and compared. The survival rate was based on the criteria of Buser et al. and Cochran et al. Results: In this study, 8 implants failed out of a total of 169 implants, resulting a success rate of 95.3%. These failure cases were due to insufficient initial stability or sinus membrane perforation. The mean of radiographic vertical height change at prosthesis placement was 5.7 mm (0.5-10.5 mm). Conclusion: In this study, HPISE technique was found to be a predictable treatment for atrophic maxilla and an alternative technique to the lateral approach.

Acupuncture Treatment about Medial Meniscus Posterior Horn Rupture : A Case Report

  • Lee, Hey-Jin;Lee, Nam-Heon;Son, Chang-Gue;Cho, Jung-Hyo
    • Journal of Haehwa Medicine
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    • v.29 no.2
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    • pp.30-37
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    • 2020
  • Objectives : In this case, the knee joint inconvenience with deteriorating pain has been relieved by acupuncture treatment for a patient was 51-year-old male with a left medial meniscal posterior horn rupture in 2012. Methods : Twenty-four times of acupuncture treatments were performed for Twelve weeks from July 2016 to improve the disease. SP8(Jigi; 地機), BL63(Geummun; 金門), KI3(Taegye; 太谿), LI4(Hapgok; 合谷) were chosen for treatment by principles of Traditional Korean Medicine. Results : Numeric Rating Scales, which means subjective pain, decreased from 6 points to 3 points out of 10 points in total. Pressure Pain Threshold, which means sensitivity to pressure applied to the affected area, increased from 21N to 47N on the lateral-inferior side and from 19N to 50N on the lateral side. K-WOMAC, which indicates discomfort of knee-related activity, was 56 points out of 96 points in total before treatment and 4 points after treatment, 13 points after two years, and 15 points after four years. However, MRI tests conducted before and after treatment did not identify any significant changes. As a result, we confirmed that a total of 24 acupuncture treatments had resulted in the relief objective and subjective pain and functional recovery, especially in the case of the knee function, maintained until after four years later. There was no significant substrate recovery in meniscal rupture.

Effects of Hand Massage with Nail Art on Depression, Self-esteem, and Vital signs of Elderly Women living in a Nursing Home (손마사지를 병행한 네일아트가 시설 여성 노인의 우울, 자존감 및 활력증상에 미치는 효과)

  • Kim, Joo Hyun;Hyun, Hye Jin;Kang, So Yean;Nam, Hye Ri;Shin, Mi Jin;Lee, Hyun Jung;Chae, Young Ran
    • Journal of Korean Biological Nursing Science
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    • v.18 no.3
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    • pp.169-175
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    • 2016
  • Purpose: The aim of this study was to examine the effects of hand massage with nail art on depression, self-esteem and vital signs of elderly women. Methods: The research design was one group pre and post test experimental design. Data were collected from December 7 to December 14, 2015. All participants had hand massage with nail art for 10 minutes. Depression, self-esteem and vital signs were measured before, immediately after the hand massage with nail art and one week later. Data were analyzed using descriptive statistics and repeated measures ANOVA with SPSS/Win 12.0 Program. Results: Depression (F=30.80, p<.001), self-esteem (F=60.02, p<.000), diastolic pressure (F=29.56, p<.001) and body temperature (F=13.87, p<.001) were significantly different compared to pre-study values. Systolic pressure (F=3.85, p=.059) and pulse rate (F=0.32, p=.576) had no significant difference compared to pre-study values. Conclusion: The findings of this research show that hand massage with nail art has positive effects on decreasing depression and improving self-esteem for senior women who chose nail polish colour by themselves.

The Clinical Study of the ShinBaro Pharmacopuncture and acupuncture treatment on Plantar Fasciitis (신바로약침과 침치료를 이용한 족저근막염 환자 4례에 대한 임상증례보고)

  • Choi, Chul-Woo;Huh, Suk-Won;Yun, Yong-Il;Min, Boo-Ki;Kim, Min-Kyun;Yoon, Je-Pil;Choi, Jin-Ryung;Oh, Min-Seok
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.8 no.2
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    • pp.151-157
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    • 2013
  • Objects : This study is a report on treatment effect of the case that treated by using of Shinbaro pharmacopunture and acupuncture to plantar fasciitis patients. Methods : The four patients diagnosed with Plantar fasciitis were treated by using of Shinbaro pharmacopunture and acupuncture, Algometer Pressure and Numeric rating scale(NRS) were used as the evaluation tool of treatment effect. Results : Shinbaro pharmacopunture and acupuncture showed improvement of symptoms for all patient groups and brought about significant change on numerical value of Algometer Pressure and Numeric rating scale(NRS). Conclusions : The result shows that Shinbaro pharmacopunture and acupuncture can be effective treatment to Plantar fasciitis. Merely later, further study is needed.

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Effects of Intermittent Hydrostatic Pressure on the Cell Adhesive force on the substrate (간헐적 정수압이 세포의 부착에 미치는 영향성 평가)

  • Kim Young-Jick;Lee Myung-Kon;Park Su-A;Shin Ho-Joon;Kim In-Ae;Lee Yong-Jae;Shin Ji-Won;Shin Jung-Woog
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.10a
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    • pp.69-72
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    • 2005
  • In this study, effects of IHPs with various resting times to cell adhesion were investigated through the measurements of cell adhesive force, number and area of focal contacts (stained vinculin spots), and projected cell area, perimeter and circularity. In addition correlation tests and curve estimations using the experimental results were performed fur the finding an essential factor for increment of cell adhesive force. Tn the results, immediately after mechanical stimuli (150 minutes after seeding) and one hour later (210 minutes after seeding), the average adhesive force of experimental group 5 (resting time: 15min) compared with that of control group at same culture time was increased significantly (p<0.05). Average projected area and perimeter of cells at Group 5 were increased significantly (p<0.05), while average circularity of cells at Group 5 incubated fur 210 minutes was decreased significantly (p<0.05). In the digital image analysis of focal contacts containing vinculins, area and numbers of focal contacts per cell at Group 5 were higher than those of the other groups. This study indicated that IHP with appropriate resting time could contribute in improving cell adhesive force, cell spreading, development of cytoskeleton and formation of focal contacts. And cell adhesive force was correlated to the morphological aspects of cell and development of focal contacts. Particularly, area of focal contacts was closely related to cell adhesive force.

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