• 제목/요약/키워드: Now Normal

검색결과 418건 처리시간 0.02초

대퇴과간절흔 성형술에서 유연성 연마기를 이용한 방법 (Notchyplasty with Flexible Reamer)

  • 채인정;이광석;백종륜
    • 대한관절경학회지
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    • 제1권1호
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    • pp.123-127
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    • 1997
  • Arthroscopic anterior cruciate ligament reconstructions using bone-patella tendon-bone have been considered the best method by which others are compared. The notchyplasty is one of the important steps of this procedure and it is emphasized recently to prevent retear of the reconstructed ACL caused by impingement. However, until now, there is controversy about adequate amount of notchyplasty. Also, it is hard to examine the adequacy of notchyplasty even in the arthroscopic field, The purpose of this paper is to describe the surgical technique of notchyplasty, using the flexible reamer and preliminary result of its operation. In this study the results of ACL reconstruction with notchyplasty which is made by us were analized from January. 1994 to December, 1995. The results were as follows: 1. The notchyplasty with flexible reamer is the method that can be obtained adequate amount of removal, perfectly smooth notchyplasty. 2. The range of motion of the affected knee joint was normal ROM after post operation 6 month. 3. In the last follow up, 2 cases were positive in anterior drawer test 4 cases were positive in Lachmann's test and 1 knee was positive in Pivot shift test 4. Average Lysholm knee scoring scale was 70 points at preoperative and 92 points at the last follow up.

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고분자 생체재료와 줄기세포를 이용한 조직공학과 재생의학의 최신 동향 (Recent Applications of Polymeric Biomaterials and Stem Cells in Tissue Engineering and Regenerative Medicine)

  • 이상진
    • 폴리머
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    • 제38권2호
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    • pp.113-128
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    • 2014
  • Tissue engineering and regenerative medicine strategies could offer new hope for patients with serious tissue injuries or end-stage organ failure. Scientists are now applying the principles of cell transplantation, material science, and engineering to create biological substitutes that can restore and maintain normal function in diseased or injured tissues/organs. Specifically, creation of engineered tissue construct requires a polymeric biomaterial scaffold that serves as a cell carrier, which would provide structural support until native tissue forms in vivo. Even though the requirements for scaffolds may be different depending on the target applications, a general function of scaffolds that need to be fulfilled is biodegradability, biological and mechanical properties, and temporal structural integrity. The scaffold's internal architecture should also enhance the permeability of nutrients and neovascularization. In addition, the stem cell field is advancing, and new discoveries in tissue engineering and regenerative medicine will lead to new therapeutic strategies. Although use of stem cells is still in the research phase, some therapies arising from tissue engineering endeavors that make use of autologous adult cells have already entered the clinic. This review discusses these tissue engineering and regenerative medicine strategies for various tissues and organs.

극저온에서 우레탄과 에폭시 접착제로 접착된 트리플엑스의 전단강도과 박리 강도 평가 (Evaluations of lap shear and peel strength for epoxy and polyurethane adhesive bonded Triplex sheets at cryogenic temperatures)

  • 손민영
    • Composites Research
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    • 제24권3호
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    • pp.39-45
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    • 2011
  • 접착제에 의한 접합은 일반적으로 구조물의 접합에 널리 사용되고 있다. 폴리우레탄 접착제와 에폭시 접착제는 현재 극저온에서 운항되고 있는 LNG 선박의 화물창에 적용되고 있다. 본 연구에서는 화물창용 소재인 트리플엑스와 폴리우레탄 및 에폭시 접착제와의 상온과 극저온에서의 접착강도를 평가하였다. 연구결과 모든 접착시스템에서 극저온에서 박리강도의 감소가 있었으며 그 원인은 접착제마다 다르게 검토되었다. 결과적으로는 폴리우레탄 접착제와 트리플엑스가 극저온에서의 강도 값이 에폭시에 비해 우수하였으며 LNG 선과 같은 극저온 환경에 접합한 것으로 평가되었다.

요크셔테리어종에서의 울혈성 심부전을 동반한 판막하형 폐동맥판 협착증 (Subvalvular Pulmonic Stenosis with Congestive Heart Failure in a Yorkshire terrier)

  • 박현정;채형규;이승진;이영원;오태호;장광호;박성준
    • 한국임상수의학회지
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    • 제18권4호
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    • pp.452-454
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    • 2001
  • A two-month-old female Yorkshire terrier was referred to the Veterinary Teaching Hospital, College of Veterinary Medicine, Kyungpook national University. The patient was presented with a history of dyspnea, cough, exercise intolerance and abdominal distension, but she was appetence. In physical examination the puppy was coughed on slight tracheal compression. Rectal temperature, pulse and respiratory rate were normal, and grade 3/6 systolic murmur heard at the left heart base. The murmur was crescendo-decrescendo. Electrocardiography showed sinus arrhythmia, right-ventricular hypertrophy pattern, and right axis deviation. Thoracic radiography revealed cardiomegaly, bulging of the main pulmonary artery, and enlarged left side heart. Abdominal radiography revealed abdkominal distention. Echocardiography showed hypertrophy of right ventricle and turbulence in the pulmonary artery in parasternal oblique view. Subvalvular pulmonic stenosis was diagnosis based upon the clinical signs, physical examination, electrocardiography, radiography and echocardiography. We treated the patient with furosemide, enalapril and $\beta$-blocker. After the clinical signs of cough, abdominal distension and dyspnea were disappeared, she was on just $\beta$-blocker for prevention of occurrence of congestive heart failure. Now she was recovered her health, and she is not on any medication.

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식도 자연파열[Boerhaave 증후군]의 외과적 치료;2례 보고 (Surgical Treatment of Spontaneous Rupture of the Esophagus [Boerhaave`s Syndrome])

  • 김근;장봉현;이종태;김규태
    • Journal of Chest Surgery
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    • 제25권8호
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    • pp.812-818
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    • 1992
  • The spontaneous rupture of the esophagus is an uncommon disease, but without early diagnosis and treatment, the mortality rate is high. This report is on the two cases treated at the Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kyu-ngpook National University. The first patient, after heavy drinking, had vomiting followed by chest pain, dyspnea and subcutaneous emphysema. After diagnosis using an esophagogram, an operation was perfomed. About a 4cm rupture was found at the lower left part of the esophagus and was primarily sutured with the intercostal muscle. The patient was weaned from the ventilator after 40 hours. The second patient had symptoms the same as the first case. Six days after the app-earence of the symptoms, the patient was treated by the Thais onlay gastric patch method. The leakage happened after the surgery and he received a conservative treatment. After discharge no abnormalities, such as leakage and stricture, were found on the eso-phagogram The two patients now live a normal life.

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부하추종형 고효율 지열히트펌프 시스템에 관한 연구 (1) (A Study on the High Efficiency Ground Source Heat Pump System (1))

  • 고득용;김욱중;최상규;장기창
    • 신재생에너지
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    • 제1권4호
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    • pp.30-37
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    • 2005
  • Cycle simulation of Ground Source Heat Pump[GSHP] system was carried out to determine the design specification of basic components such as turbo compressor and heat exchangers. Part load operation characteristics of the designed GSHP system was estimated using the compressor and heat exchanger performance data. A 50RT class turbo compressor for GSHP system is now under development, in which R134a refrigerant is adopted as working fluid. The compressor with variable cascade diffusers is designed to work both in cooling and heating modes so that it can actively keep up with the climate change with high efficiency. The normal running speeds of the compressor are 59000rpm for heating mode and 70000rpm for tooling mode respectively. It has two identical impellers at both ends of the rotor so as to minimize aero-induced thrust force effectively. GSHP system was coupled with a vortical type heat exchanger, and heat gain and heat loss from ground were evaluated per a bore hole. For the optimal integration of the heat pump system, its header for circulating fluid was combined with the ground heat exchangers in parallel and series configuration.

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편도적출술로 음성변화가 올 수 있는 편도 상태에 관한 연구 (The Study of Tonsil Affected Voice Quality after Tonsillectomy)

  • 안철민;정덕희
    • 대한후두음성언어의학회지
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    • 제9권1호
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    • pp.32-37
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    • 1998
  • Tonsillectomy is the one of operation that is performed the most commonly in otolaryngology field. Many changes that include range of voice, tone, voice quality and resonance were made by tonsillectomy. Sometimes, any patients taken tonsillectomy has suffer from these voice problem after tonsillectomy. However there are less study for these problems until now. Then, we studied to find the anatomical findings that affected the voice quality when tonsillectomy was performed. We evaluated the voice in 2 groups, one is the group showed the normal pharyngeal space by using the transnasal fiberscopy, the other is group showed medially bulging tonsil at pharyngeal cavity by using same method, with perceptual evaluation, nasalance score, nasality, oral formant and nasal formant. We used the computerized speech analysis system, the nasometer and the spectrogram in the CSL program. We could not find any differences in perceptual evaluation between two groups. But objective measures were provided. Nasalance score and nasality on the nasometric analysis were increased significantly and oral formant on the spectrogram was changed singnificantly after tonsillectomy in Group 2. Authors thought medially bulging tonsil in the pharynx is able to affect the voice quality after tonsillectomy when we evaluted through the nasal cavity by the using of fiberscopy and this evaluation would be important especially in singers.

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Development of Image Processing Software for Satellite Data

  • Chi, Kwang-Hoon;Suh, Jae-Young;Han, Jong-Kyu
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 1998년도 Proceedings of International Symposium on Remote Sensing
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    • pp.361-369
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    • 1998
  • Recently, the improvement of on-board satellite sensors covering hyperspectral image sensors, high spatial resolution sensors provide data on earth in diverse aspect. The application field relating remotely sensed data also varies depending on what type of job one wants. The various resolution of sensors from low to extremely high is also available on the market with a user defined specific location. The expense to purchase remote sensed data is going down compare to the cost it need past few years ago in terms of research or private use. Now, the satellite remote sensed data is used on the field of forecasting, forestry, agriculture, urban reconstruction, geology, or other research field in order to extract meaningful information by applying special techniques of image processing. There are many image processing packages available worldwide and one common aspect is that they are expensive. There need to be a advanced satellite data processing package for people who can not afford commercial packages to apply special remote sensing techniques on their data and produce valued-added product. The study was carried out with the purpose of developing a special satellite data processing package which covers almost every satellite produced data with normal image processing functions and also special functions needed on specific research field with friendly graphical user interface (GUI). And for the people with any background of remote sensing with windows platform.

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Ion Chromatography에 의한 음료수중 음이온 함량에 관한 연구 (Measurement of an Ion Concentration in Drinking Water by lon Chromatography)

  • 김형석
    • 환경위생공학
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    • 제4권1호
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    • pp.7-15
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    • 1989
  • According to the increase of population and development of industrialization air and water pollution problems are still keeping going to great nuisance to human activities. Specially man should drink 2l clean water to maintain our health every day, but we afraid of drink the city tap water because of the contaminants like heavy metals, bacteria trihalomethane, etc. In the analysis of the anions in potable water, we usually adapt the Standard methods for the Examination of Water and Wastewater. But this method is tedious and time consuming, so the Ion Chromatography method is now used in research of water quality. Author worked with Ion Chromatography in measuring the anions in drinking water by attaching conductivity dector to normal High Performance Liquid Chromatograph. Low-capacity ion-exchange coulmn and dilute eluents, 0.00M phthalic aic was used in this study. The concentration of chloride ion was 1.55 ppm$\~$3 8.81ppm, nitrate ion was 5.45 ppm$\~$18.27ppm, and sulfate ion was 19.64 ppm$\~$28.86 ppm. The phosphate ion was detected only in Apt. tap water as 167.99 ppm whose amount was supposed to be used as a water pipe cleaner.

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대동맥판 폐쇄부전이 동반된 심실중격 결손증 수술 치험 24례 보 (Ventricular septal defect associated with aortic regurgitation: a report of 24 cases)

  • 정경영
    • Journal of Chest Surgery
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    • 제16권4호
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    • pp.476-484
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    • 1983
  • Ventricular septal defect[VSD] associated with aortic regurgitation[AR] represents 2 to 7.5% of all VSD which is most common congenital heart disease. The aortic valve may by normal in infants with VSD, but the aortic regurgitation may be developed in these patients later. The aortic valve became fibrotic, thickened, deformed and prolapsed, so these late deformities require to be corrected with plication, valvuloplasty or aortic valve replacement [AVR]. There are some controversy between the early repair of VSD alone and the late repair of VSD and aortic valve till now. From December 1971 to August 1983, we had experienced 24 patients of VSD associated with AR which constitute 6.5% of our total patients with VSD. The VSD was subpulmoary [type I] in 14[58.3%], subcristal [type II] in 8[33.3%], atrioventricular canal type[type III] in 1, and combine of type I and II in 1. Patch repair of VSD was made in 15 patients and direct suture of small VSD in 9.14 patients had aortic plication of valvuloplasty and 9 had AVR accompanying VSD repair, and 1 patient had VSD closure alone. The postoperative courses of these patients were uneventful except in some cases. A patient who was undertaken AVR with Starr-Edwards ball valve and VSD closure, died due to left ventricular failure and low cardiac output syndrome. Follow up shows, in 14 patients with aortic plication or valvuloplasty, AR was developed in 9. In 9 AVR, there were two later complications which were paravalvular leakage in one and re-AVR due to subacute bacterial endocarditis in another.

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