• Title/Summary/Keyword: Lew

Search Result 371, Processing Time 0.02 seconds

Autologous Fat Graft in the Reconstructed Breast: Fat Absorption Rate and Safety based on Sonographic Identification

  • Kim, Hong Youl;Jung, Bok Ki;Lew, Dae Hyun;Lee, Dong Won
    • Archives of Plastic Surgery
    • /
    • v.41 no.6
    • /
    • pp.740-747
    • /
    • 2014
  • Background Autologous fat graft has become a useful technique for correction of acquired contour deformity in reconstructed breasts. However, there remains controversial regarding the efficacy and safety of the practice for reconstructive breast surgery. Methods A retrospective review was performed on 102 patients who had secondary fat grafting after breast reconstruction. Fat harvest, refinement and injection were done by Coleman's technique. All patients were followed up postoperatively within 1 month and after 6 months including physical examination and ultrasonography. In 38 patients, the reabsorption rate was calculated by serial changes of thickness between skin and pectoral fascia in the ultrasonic finding. Locoregional recurrence rate was compared with control group of 449 patients who had breast reconstruction without fat graft in the same time period. Results Average 49.3 mL fat was injected into each breast. The most common location of fat graft was upper pole, followed by axilla, lower and medial breasts. During 28.7 months of average follow-up period, 2.9% of total patients had symptoms of palpable mass on fat graft side and ultrasonography identified fat necrosis and cyst formation in 17.6% of the patients. Calculated fat reabsorption rate was 32.9%. Locoregional recurrence was occurred in 1 patient (0.9%) and the rate was not different significantly with control group (2%). Conclusions Although further studies are required to provide surgeons with definitive guidelines for the implementation of fat grafting, we propose autologous fat graft is an efficient and safe technique for secondary breast reconstruction.

Microbilolgical Studies on the Takju (Makguly) Brewing : The Korean Local Wine (한국 고유주의 일종인 막걸리에 대한 미생물학적 연구)

  • Koh, Choon-Myung;Choi, Tae-Joo;Lew, Joon
    • Korean Journal of Microbiology
    • /
    • v.11 no.4
    • /
    • pp.167-174
    • /
    • 1973
  • This study included two parts of investigation, the microfloral changes during the brewing process with the changes of pH, total acidity, temperature and alcoholic contents, as well as determination of survival times of major enteric pathogens in Takju. 1. Maximum number of Saccharomyces cerevisiae was $4.3{\times}10^7$ per milliliter on the 5th day of fermentation and gradually decreased. Saccharomyces cerevisiae was one of the predominant strains of the fermentation process. The number of Saccharomyces cerevisiae was $4.3{\times}10^6$ per milliliter at the completion of the brewing and human consumption. In a few days after the completion of the brewing. Bacillus subtilis and some species of Staphylococcus spp. began to grow and those organisms were responsible for the spoilage. 2. Maximum pH, during the brewing, was 5.8 on the first day of fermentation and rapidly decreased until 6th day of fermentation at pH 4.3. 3. Maximum alcholic content was 14.5 degree on the 4th day of fermentation, 10.3 degree on the 5th day and this degree was continued during the experimentation. 4. Maximum temperature, during Takju brewing was 34.deg.C on the 3rd day of fermentation and rapidly decreased up to 23.deg.C on the 6th day and this temperature was continued until the brewing process was finished. 5. Maximum total acidity was 0.57 percent on the 4th day of fermentation and gradually decreased by brewing process was completed. 6. Survival time of major enteric pathogenic bacteria in Takju was as follows : Shigella dysenteriae and Escherichia coli were isolated in two hours and 14 hours respectively, but Salmonella typhi, Vibrio parahemolyticus were not isolated even in an hour after the inoculation of those organisms in undiluted Takju. In diluted Takju, Salmonella typhi, Vibrio parahemolyticus were not isolated even in an hour after the inoculation of those organisms in undiluted Takju. In diluted Takju, Salmonella typhi, Shigella dysenteriae, and Escherichia coli were survived for 50-60 hours, but Vibrio cholerae and Vibrio parahemolyticus were not isolated even if treated within one hour.

  • PDF

Development of Vehicle Classification Algorithm using Non-Contact Treadle Sensor for Toll Collect System (통행료징수시스템을 위한 무접점 답판 방식의 차종분류 알고리즘 개발)

  • Seo, Yeon-Gon;Lew, Chang-Guk;Lee, Bae-Ho
    • The Journal of the Korea institute of electronic communication sciences
    • /
    • v.11 no.12
    • /
    • pp.1237-1244
    • /
    • 2016
  • Vehicle classification system in domestic tollgates is usually to use treadle sensor for calculating wheel width and tread of the vehicle. Due to the impact that occurs when the wheels of the vehicle contact, treadle sensor requires high durability. Recently, KHC(Korea Highway Corporation) began operating high-speed lane for cargo truck. High-speed cargo truck generate more impact the design criteria of previous treadle. Therefore, an increase in the maintenance and management costs of the treadle damage is concerned. In this paper, we propose an algorithm to classify vehicles using non-contact treadle sensors for improving durability from physical impacts. This was based on the KHC's classification criteria and showed a classification accuracy of 99.5 % in one experiment with 1892 vehicles through Changwon tollgate in 1020 local road. Therefore, it shows that vehicle classification system using non-contact treadle sensor could be applied to domestic toll tollgates, effectively.

Pathologic Fracture of Calcaneus in a Child -A Case Report- (소아 종골에 발생한 병적 골절을 동반한 단순 골낭종 - 1 예 보고 -)

  • Park, Tae-Woo;Cho, Sung-Do;Cho, Young-Sun;Kim, Bum-Soo;Suh, Jae-Hee;Lew, Sog-U;Hwang, Su-Yeon
    • Journal of Korean Foot and Ankle Society
    • /
    • v.5 no.2
    • /
    • pp.156-159
    • /
    • 2001
  • Unicameral bone cysts are benign solitary lesions that occur in the first two decades of life and with a greater frequency in the humerus and femur. The cyst is usually asymptomatic unless a fracture or impending fracture is present. The traditional method of treating unicameral cysts has been curettage with bone graft or steroid injection. Also, pathologic fractures in the calcaneus, unlike in other bones, are reported especially in the children to be nonexistent. In general, closed treatment was recommended for most of the calcaneal fractures in children, but suggested open reduction when joint displacement was severe. We report a case of displaced intraarticular fracture of the calcaneus with unicameral bone cyst in a child treated by classic curettage, allograft and open reduction with screw fixation.

  • PDF

A Study on an Image Stabilization for Car Vision System (차량용 비전 시스템을 위한 영상 안정화에 관한 연구)

  • Lew, Sheen;Lee, Wan-Joo;Kang, Hyun-Chul
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.15 no.4
    • /
    • pp.957-964
    • /
    • 2011
  • The image stabilization is the procedure of stabilizing the blurred image with image processing method. Due to easy detection of global motion, PA(Projection algorithm) based on digital image stabilization has been studied by many researchers. PA has the advantage of easy implementation and low complexity, but in the case of serious rotational motion the accuracy of the algorithm will be cut down because of its fixed exploring range, and, on the other hand, if extending the exploring range, the block for detecting motion will become small, then we cannot detect correct global motion. In this paper, to overcome the drawback of conventional PA, an Iterative Projection Algorithm (IPA) is proposed, which improved the correctness of global motion by detecting global motion with detecting block which is appropriate to different extent of motion. With IPA, in the case of processing 1000 continual frames shot in automobile, compared with conventional algorithm and other detecting range, the results of PSNR is improved 6.8% at least, and 28.9% at the most.

Safety and Effect of Oriental Medicine and Continuous Intravenous Urokinase combined Therapy in Acute Ischemic Stroke(open clinical trial) (급성 허혈성 뇌졸중에 있어 한방치료와 지속적 유로키나제 정주요법과의 병행요법의 효과와 안전성)

  • Kim, Tae-Youn;Jo, Young;Lee, Jun-Hee;Lew, Jae-Hwan;Lee, Beom-Jun
    • The Journal of Internal Korean Medicine
    • /
    • v.22 no.4
    • /
    • pp.633-638
    • /
    • 2001
  • Objective : Stroke is the most frequent cause of death in Korea. Because it remains severe disablities disturbing normal life, it is important to carry out intervention preventing from progression of condition in patients with acute ischemic stroke within therapeutic time window. Thus early thrombolysis is beneficial for patients with acute ischemic stroke. However its therapeutic efficacy is not known in combination with oriental medical therapy. In this study, we investigated the safety and the clinical effect of continous intravenous urokinase therapy and oriental medical therapy. Methods : Twenty eight patients with acute onset of ischemic stroke no later than three days received continous infusion of urokinase and oriental medical therapy. We estimated the subjects's neurological deficit and functional status with National institute of Neurologic Disorders and Stroke Scale(NIHSS) and Europian Stroke Scale (ESS) prior to therapy, on day 3, 7, 14 after the starting urokinase therapy and on day at discharge. Results: After day 7, the scores of NIHSS and ESS were improved significantly. There are no differences in therapeutic effects of the interval between onset of stroke and initiation of therapy. Complication were noted in four(14%) patients, but these are not fatal complication and make no neurological deficiency. Conclusion : The results of these investment suggest that continuous intravenous urokinase with oriental medical therapy could be a safe and effective intervention to prevent from progression in acute ischemic stroke. But this findings should be confirmed in multicenter double blind controlled trial.

  • PDF

The Comparative Study of IgG, IgM, and IgA in Laboratory Animal Administrated Red-ginseng, Using Immunoglobulin Productivity Assay (Immunoglobulin productivity assay를 이용(利用)한 홍삼투여(紅蔘投與) 실험동물(實驗動物)의 IgG, IgM, IgA 비교(比較) 연구(硏究))

  • Lee, Beom-Jun;So, Hyung-Jin;Kim, Jae-Wan;Lew, Jae-Hwan
    • The Journal of Internal Korean Medicine
    • /
    • v.28 no.4
    • /
    • pp.886-895
    • /
    • 2007
  • Objective : The immune system is a complex of systems, all of which work together to clear infection from the body. In Korea, red ginsenghas been one of the herbs most widely used to enhance the immune system for thousand of years. More recently, red ginseng has been reported to have many positive effects on the immune system. The purpose of this study was evaluate the effects of Korean red ginseng and Chinese red ginseng on IgG, IgM, and IgA, using immunoglobulin productivity assay. Methods : Male SD rats were separated into 3 groups. We administered Korean red ginseng (KRG) to one group and Chinese red ginseng (CRG) to another, with normal saline for the Control group consecutively and orally for 3 months. The dose of red ginseng was 500mg per day, as a powder with soluble water. Immunoglobulin levels from spleen cell were estimated by ELISA kit. Results : In immunoglobulin productivity assay (cell), the IgG level of the KRG group significantly increased but there was no significant difference in the IgG of the CRG group. The IgM level of the KRG group significantly increased stimulated with PWM. When it was unstimulated, the level of IgM in KRG and CRG increased together. The IgA level of the KRG group significantly increased when it was stimulated with PWM and unstimulated. Conclusion : According to the above results, oral administration of red ginseng for 3 months is considered useful for immunomodulatory effect, and Korean red ginseng may be superior to Chinese red ginseng in that effect.

  • PDF

Effect of Heating Condition and Panax Ginseng on Body Temperature, Hematological Changes, and Immune Response in Rat (온열환경과 인삼(Panax Ginseng)이 Rat의 체온, 혈액학적 변화, 면역반응에 미치는 영향)

  • Yi, Seo-Ra;Lee, In-Hee;Kim, Min-Ji;Lew, Jae-Hwan
    • The Journal of Internal Korean Medicine
    • /
    • v.35 no.1
    • /
    • pp.59-69
    • /
    • 2014
  • Objectives : This study was designed to test the effect of heating condition and Panax ginseng on body temperature, hematologicala changes, and immune response. Methods : The extract from Panax ginseng was made by the pharmacy department of Kyung Hee Oriental Medical Hospital. The animals were divided into four groups; control, room temperature Panax ginseng (G), $28^{\circ}C$ heating, and $28^{\circ}C$ heating Panax ginseng (heating G). Each group has 8 Sprague-Dawley rats. We measured body weight & temperature twice a week. After 2 weeks of experiment, serum lipid level, WBC, differential count, lymphocyte proliferation and immune cytokine concentration were measured. Results : 1. Simultaneous application of heating condition and Panax ginseng induced decreased body weight and increased body temperature. 2. Simultaneous application of heating condition and Panax ginseng induced decreased AST, ALT and BUN. 3. Simultaneous application of heating condition and Panax ginseng tended to decrease TNF-${\alpha}$ concentration, while application of room temperature and Panax ginseng tended to increase TNF-${\alpha}$ concentration. Conclusions : Simultaneous application of heating condition and Panax ginseng decreseas body weight, increases, body temperature and has a tendency to decrease TNF-${\alpha}$ concentration.

Retrospective Study of Postoperative Radiation Therapy in Keloids Treatment (켈로이드 절제술 후 방사선치료 효과에 대한 후향적 연구)

  • Yoo, Won Min;Song, Seung Yong;Lew, Dae Hyun;Tark, Kwan Chul;Park, Beyoung Yoon;Keum, Ki Chang
    • Archives of Plastic Surgery
    • /
    • v.33 no.6
    • /
    • pp.706-710
    • /
    • 2006
  • Purpose: Keloid is a clinical term characterized by elevation and extension of scar tissue beyond wound margin. Currently, there is no known treatment that shows consistent effect in all patients. Postoperative radiation therapy is known to prevent recurrence of keloid. Methods: We reviewed data of patients who had undergone operation or operation followed by radiation therapy at our institute for the last 12 years. Follow up was possible in 39 patients(21 patients treated only by operation and 18 treated by operation and radiation therapy) We then investigated recurrence in both groups by VAS score. By mail, patients were asked to score their current condition on the bar in 4 aspects(itching, pain, mass lesion(by patients and other persons)). Two criteria were used for defining successful treatment. One is the case which total VAS score was 0, and the other is sum of VAS score of mass lesion was 0 to 5. Results: In the former, recurrence rate is 90.5% in operations-only group but 66.7% in operations plus radiation therapy group(p < 0.05). In the latter, recurrence rate is 66.7% in operation-only group but 22.2% in operations plus radiation therapy group(p < 0.05). Conclusion: These results shows postoperative radiation therapy is effective method in keloid treatment.

Electron Microscopic Studies of Human Keloid and Hypertrophic Scars (Keloid와 Hypertrophic Scar ( 비후성반흔 )의 형태학적 관찰)

  • Kim, Chung-Soak;Lew, Jae-Duk
    • Applied Microscopy
    • /
    • v.3 no.1
    • /
    • pp.29-38
    • /
    • 1973
  • Introduction. The human cutaneous scars manifest themselves many ways in different types according to the factors such as the age, sex, race of the patient as well as the location,. kind and heal ing process of the wound. Among the scars it is quiet difficult to verify the clinical course of the hypertrophic or keloidal scars from the true keloids. However, clinical observations indicate that stress, either mechanical or in the forms of chronic infections, can induce a functional change in the fibroblasts causing an excessive production of collagenous matrix. In this study, we preliminary attempt to justify any difference of the cellular structure between keloids and hypertrophic scars by using electron microscope. Material and Methods. A total of 23 cases: 2 scars, 2 hypertrophic scars and 19 keloids are examined. Immediately, the biopsy tissue was fixed in 10% neutral formalin and 4% glutaraldehyde solution in phosphate buffer for 4 hours, post fixed in 1 % osmium tetraoxide for two hours, dehydrated with graded alcohol, and embedded in Epon 812. Thick sections were stained with hematoxylin eosin, periodic acid-Schiff(PAS) and Van Gieson stain. Thin sections were cut and uranyle acetate, lead citratestain and examined with the electron microscope. Result. The morphologic features of keloid showed thick, homogenously eosinophilic bands of collagen and numberous large active fibroblasts. The hypertrophic scar and soft scar are more cellular than keloid and composed thinner collagenous fiber. For this paper in the etiology of keloids can not as be defined, but and interesting keloidal tissue fibroblast showed irregular nucleus with irregular shape dense bodies and fibril materials contained in to the cytoplasm.

  • PDF