• 제목/요약/키워드: Open tubular

검색결과 48건 처리시간 0.025초

Minimally Invasive Removal of an Intradural Cervical Tumor : Assessment of a Combined Split-Spinous Laminectomy and Quadrant Tube Retractor System Technique

  • Kwak, Young-Seok;Kim, Kyoung-Tae;Cho, Dae-Chul;Kim, Young-Baeg
    • Journal of Korean Neurosurgical Society
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    • 제52권4호
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    • pp.427-431
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    • 2012
  • Conventional laminectomy is the most popular technique for the complete removal of intradural spinal tumors. In particular, the central portion intramedullary tumor and large intradural extramedullary tumor often require a total laminectomy for the midline myelotomy, sufficient decompression, and adequate visualization. However, this technique has the disadvantages of a wide incision, extensive periosteal muscle dissection, and bony structural injury. Recently, split-spinous laminectomy and tubular retractor systems were found to decrease postoperative muscle injuries, skin incision size and discomfort. The combined technique of split-spinous laminectomy, using a quadrant tube retractor system allows for an excellent exposure of the tumor with minimal trauma of the surrounding tissue. We propose that this technique offers possible advantages over the traditional open tumor removal of the intradural spinal cord tumors, which covers one or two cervical levels and requires a total laminectomy.

A primo vessel-like structure in a dog with inflammatory pseudotumor

  • Cho, Sung-Jin;Hong, Sun-Hwa;Han, Sang-Jun;Kim, Ok-Jin
    • 한국동물위생학회지
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    • 제35권1호
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    • pp.77-82
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    • 2012
  • Inflammatory pseudotumor (IPT) is a term defining a mass characterized microscopically by a proliferation of bland mesenchymal spindle cells infiltrated by diffuse mixed inflammatory cells with a predominance of plasma cells and lymphocytes. Here, we show the primo vessel-like structure of the primo-vascular system (PVS) in a dog with IPT. A 6-years old male Mongrel dog was diagnosed with an abnormal mass (diameter 5.5 cm, weight 22 g) near left preputial area. The dog was submitted to the surgical detectomy of the mass. During the surgical operation, we observed primo vessel-like material. After fixations, the masses appeared macroscopically as lipoid-like, firm, white to grey masses, measuring $5{\times}8cm$. Histologically, cellular infiltration into the muscular layers was frequently seen. The mesenchymal proliferation remained the main component of the mass and was composed of myofibroblastic-like spindle cells characterized by globular, irregular nuclei containing open chromatin and a prominent nucleolus. On the basis of the histopathologic lesions, the subcutaneous mass was diagnosed as IPT. Also, we detected a primo vessel-like structures in some areas of the IPT tissues. These were observed as novel thread-like structures and bundle of tubular structures. To our knowledge, this report is the first case of primo vessel-like structure in a dog with IPT.

Ni-Fe/YSZ 코어-쉘 구조 연료극을 사용한 다전지식 고체산화물 연료전지의 전기화학적 특성 (Electrochemical Properties of Segmented-in-series SOFC Using Ni-Fe/YSZ Core-shell Anode)

  • 안용태;지미정;황해진;이민진;홍선기;강영진;최병현
    • 한국세라믹학회지
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    • 제51권4호
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    • pp.357-361
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    • 2014
  • An Ni-Fe/YSZ core-shell structured anode for uniform microstructure and catalytic activity was synthesized. Flat tubular segmented-in-series solid oxide fuel cell-stacks were prepared by decalcomania method using synthesized anode powder. The Ni-Fe/YSZ core-shell anode exhibited better electrical conductivity than a commercially available Ni-YSZ cermet anode. Also power output increased by 1.3 times with a higher open circuit voltage. These results can be attributed to the uniformly distributed Ni particles in the YSZ framework. The impedance spectra of a Ni-Fe/YSZ core-shell anode showed comparable reduced ohmic resistance similar to those of the commercially available Ni-YSZ cermet anodes.

보조동력장치 연료 공급용 서보밸브 토크모터의 기초 수치모사 연구 (Priliminary Numerical Simulation of the Torque Motor for a Servo Valve in the Fuel Supply System of APU)

  • 장세명;정헌술;장강원;양인영;이원중
    • 유공압시스템학회논문집
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    • 제6권2호
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    • pp.1-6
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    • 2009
  • The APU(Auxiliary Power Unit) needs a set of complex pipeline for the fuel supply system where some of the main valves controlling the flow rate consist of the servo valve worked with a torque motor. The input electric current produces an induced magnetic field almost perpendicular to the background magnetic filed generated by fixed permanent magnets. The induced torque deforms the tubular bushing, and directly rotates an armature, which can open and close the valve. In this study, we start from a basic analytic model using a simple electro-magneto-statics, and expand our model to the three-dimensional one computationally applying a commercial code named COMSOL. The result is compared with each other, and reasonable numerical data are obtained for the dynamic behavior and multi-physics system.

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Fine structure of the intercalated disc and cardiac junctions in the black widow spider Latrodectus mactans

  • Yan Sun;Seung-Min Lee;Bon-Jin Ku;Myung-Jin Moon
    • Applied Microscopy
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    • 제50권
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    • pp.20.1-20.9
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    • 2020
  • Arthropods have an open circulatory system with a simple tubular heart, so it has been estimated that the contractile pumping structure of the cardiac muscle will be less efficient than that of vertebrates. Nevertheless, certain arthropods are known to have far superior properties and characteristics than vertebrates, so we investigated the fine structural features of intercalated discs and cardiac junctions of cardiac muscle cells in the black widow spider Latrodectus mactans. Characteristically, the spider cardiac muscle has typical striated features and represents a functional syncytium that supports multiple connections to adjacent cells by intercalated discs. Histologically, the boundary lamina of each sarcolemma connects to the basement membrane to form an elastic sheath, and the extracellular matrix allows the cells to be anchored to other tissues. Since the intercalated disc is also part of sarcolemma, it contains gap junctions for depolarization and desmosomes that keep the fibers together during cardiac muscle contraction. Furthermore, fascia adherens and macula adherens (desmosomes) were also identified as cell junctions in both sarcolemma and intercalated discs. To enable the coordinated heartbeat of the cardiac muscle, the muscle fibers have neuronal innervations by multiple axons from the motor ganglion.

견갑골 관절와 골절의 수술적 치료 (The Operative Treatment of Scapular Glenoid Fracture)

  • 강호정;정성훈;정민;한수봉;김성재;김종민
    • Clinics in Shoulder and Elbow
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    • 제10권2호
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    • pp.212-219
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    • 2007
  • 목적: 견갑골 관절와 골절의 치료로 관혈적 수술을 시행했던 예들을 후향적으로 분석하여 치료 결과에 미치는 요인을 알아보고자 하였다. 대상 및 방법: 1999년 3월부터 2004년 2월까지 관혈적 정복술을 시행한 관절와 골절 9예를 대상으로 하였다. 골절의 분류는 변형 Ideberg씨 분류를 이용하였으며 제 1형이 1예, 2형 3예, 3형 2예, 5형 1예, 6형 2예였다. 정복에 사용된 내고정물은 재건 금속판 6예, 소형 금속판 1예, 1/3 원통형 금속판 3예, 소형 나사 3예, 유관 나사 1예였다. 수술 후 견관절의 기능 평가는 Constant score 및 Adam의 기능 평가 방법을 이용하였다. 결과: 수술 후 평균 7주에 골유합 소견을 보였다. 임상적 평가에서 우수가 4예, 양호가 3예, 보통이 2예 였다. 수술 후 합병증으로 나사의 관절와 침범, 관절와 하방에 안정성에 지장이 없는 골소실이 각각 1예가 있었다. 결론: 관절의 불안정성이 있거나 골편의 전위가 큰 관절와 골절의 경우에 수술적인 치료로 양호한 결과를 얻을 수 있었고 골절 양상이 분쇄가 심할수록 나쁜 결과를 보였다.

두 개의 입구를 통한 내시경 척추 수술: 요추부 추간판 탈출증에의 적용 (Biportal Endoscopic Spinal Surgery for Lumbar Intervertebral Disc Herniation)

  • 이호진;최대정;박유진재진
    • 대한정형외과학회지
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    • 제54권3호
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    • pp.211-218
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    • 2019
  • 추간판 탈출증이란 추간판이 정상적으로 위치해야 할 자리에서부터 추간판 내부의 수핵이나 섬유륜이 탈출하는 질환을 지칭하며, 대부분 양호한 자연 경과를 거친다. 하지만 심각한 신경학적 증상이 있거나, 악화되는 신경 증상, 마미 증후군이 동반된 경우, 보존적 치료에 반응하지 않는 경우 등에 대해서는 수술적 치료가 권고된다. 수술 방법에는 고식적인 관혈적 방법, 현미경을 이용한 방법, 통형 견인기(tubular retractor)를 이용한 방법, 그리고 내시경을 이용한 방법에 이르기까지 다양한 방법들이 소개되었는데, 그 중 현미경적 추간판 제거술이 현재 표준 치료로 간주되고 있다. 내시경을 이용한 방법 중에서 두 개의 입구를 통한 내시경 척추 수술(biportal endoscopic spinal surgery, BESS)의 경우, 다른 방법에 비해 수술 기구들의 독자적인 움직임이 가능하여 자유로운 조작이 가능하며, 재발된 추간판 탈출증에 대해서도 추간판 제거가 비교적 수월하게 시행되고, 작은 피부 절개로 넓은 시야 확보가 가능하며, 지속적인 생리식염수의 세척으로써 습기나 안개를 지속적으로 제거해야 되는 번거로움을 덜 수 있고 술 후 감염률을 낮추는 효과도 있다. 기존의 관절경 및 척추 수술 기구들을 그대로 쓸 수 있다는 장점도 있으며, 약 2,700-6,700 lux의 밝은 조도 하에 최대 28-35배로 확대된 영상으로 수술하기 때문에 섬세한 조작이 가능하다. 따라서 이러한 장점을 지닌 두 개의 입구를 통한 BESS는 요추부 추간판 탈출증에 대한 이상적인 수술 방법으로 생각된다.

유리 생비골 및 생비골 피부편 이식 후 공여부의 평가 (The Evaluation of Donor Site after Transfer of Free Osseous and Osteocutaneous Flap of Fibula)

  • 이광석;한승범;황인철;송형석
    • Archives of Reconstructive Microsurgery
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    • 제10권2호
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    • pp.75-80
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    • 2001
  • Purpose : We have evaluated the morbidity of donor site after transfer of free fibular osseous and osteocutaneous flap to defect site of bone and soft tissue due to chronic osteomyelitis of long tubular bone, open fracture with bony defect, bone or soft tissue tumor and congenital anomaly. Materials and methods : The 54 cases of 79 cases to be carried out from May, 1982 to May, 2001 which could be followed up were reviewed. There were forty nine in male and five in female. The mean age was 35(4 to 66)years old and mean follow up period is 21.3 month(12 to 72). We have retrospectively analyzed the various postoperative complications such as compartment syndrome, donor site infection, skin defect, hypesthesia, hammer toes, ankle instability and activity of daily living by help of questionnaire, telephone, physical examination, follow up x-ray study and chart. Results : In the total 54 cases the medication period for pain control after operation were classified into three groups under 2 weeks(49 cases), from 2 weeks to 6 weeks(3 cases) and over 6 weeks(2 cases). The postoperative morbidity were occurred in total 12 cases(compartment syndrome: 0, infection : 2, skin defect: 1, hypesthesia: 5, hammer toe: 2 ankle pain: 2 discomfort in activity of daily living: 0), and also the morbidity rates of donor site were 23.5% in osseous flap and 21.6% in osteocutaneous flap were occurred. There was no statistical significonce in morbidity between osseous and osteocutaneous free fibular flap transfer(P>0.05). Discussion : In general the morbidity of free fibular flap transfer was relatively high but it did not have any effect on daily activity of living. We think that the meticulous operation technique, detailed wound care and early range of motion exercise will reduce the morbidity of donor site of flap.

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링해석법에 의한 X형 강관 격점부의 항복하중 예측에 관한 실험적 연구 (An Experimental Study on the Prediction of Yield Load Using Ring Analysis Method in Circular Tubular X-Type Cross Sections)

  • 박일민;나선홍
    • 한국강구조학회 논문집
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    • 제11권1호통권38호
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    • pp.43-54
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    • 1999
  • 공장설비구조물, 트러스, 해양구조물 등에 사용되는 원형강관 분기이음이 많이 사용되고 있다. 강관구조물은 폐단면으로 되어 있기 때문에 개단면인 H, L-형강에 비하여 역학적으로 유리하다. 격점부에서 주요한 문제는 압축을 받는 지관이 압축력에 의하여 부재가 좌굴하기 이전에 강관 분기이음부에서 국부좌굴에 의한 구조체 전체가 불안정하게 된다. 일반적으로 상기와 같은 격점부의 응력분포 및 변형성상이 복잡하여 해석적으로 정밀 해를 구하기가 어렵기 때문에 실험에 기초한 단순한 해석법을 통하여 접합부의 항복내력에 관한 실용식을 제안할 필요가 있다. 본 연구에서는 X형 강관 격점부에 관하여 주관의 직경비(d/D) 및 주관경과 두께비(D/T)을 주 변수로 하여 내력 및 변형성상에 관하여 실험을 진행하고 단순한 해석법인 링해석법을 통하여 항복하중에 관한 예측식을 제안하였다.

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GCOTC에 의한 알코올류 분리를 위한 시스템 적합성에 관한 연구 (Study on The System Suitability Test for Alcohols Separation by GCOTC)

  • 오도석;김성화;이슬;최재구
    • 한국산업보건학회지
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    • 제27권2호
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    • pp.123-129
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    • 2017
  • Objectives: The purpose of this study is to enhance the application of analytical method of polar solvents(alcohols) by GCOTC (gas chromatography open tubular column) through the system suitability test(SST) to estimate the whole chromatographic system performance(integral part). Methods: To perform the SST, carried out repeatability(n=6) as analytical method of polar solvents by GCOTC, got the retention time($t_R$), standard deviation(${\sigma}_{n-1}$) of $t_R$, baseline width($w_b=4{\sigma}_{n-1}$) and calculated dead time($t_m$) by $v_m=d^2{\pi}L(f/4)$ and $v_m=t_m$ x flow rate. Results: In this experiment, obtained the basic data, there were $t_m=2$ min, methanol($t_R=3.569$, ${\sigma}_{n-1}=0.01$, $w_b=0.04$), ethanol ($t_R=3.892$, ${\sigma}_{n-1}=0.004$, $w_b=0.016$), isopropanol($t_R=4.209$, ${\sigma}_{n-1}=0.004$, $w_b=0.016$). By using these data, calculated the corrected retention time($t_R{^{\prime}}$), capacity factor(k), separation factor(${\alpha}$), number of theoretical plate(n) and resolution($R_s$) for SST and got the good results. Conclusions: Through the SST, could reconfirm the whole chromatographic performance system(integral part) for analytical method of polar solvents by GCOTC. Therefore, this analytical method expect to be widely applied at the related areas.