• 제목/요약/키워드: Open wound

검색결과 257건 처리시간 0.032초

개루프 철심을 이용한 자속구속형 초전도한류기의 퀜치특성 (Quench Characteristics of Flux-lock type Superconducting Fault Current Limiter using Open-loop Iron Core)

  • 남긍현;최효상;박형민;조용선;이나영;임성훈;박충렬
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2005년도 추계학술대회 논문집 Vol.18
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    • pp.159-160
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    • 2005
  • The superconducting fault current limiter(SFCLs) provides the effect such as enhancement in the power system reliability due to limiting fault current in a few miliseconds. The Flux-lock type SFCL using the YBCO film among various type SFCLs consists of the primary and the secondary copper coils that are wound in parallel each other through the iron core. The operation can be controlled by adjusting the inductances and the winging directions of each the coil. We compared the current limiting performance on the additive and the subtractive polarity winding directions in case of an open-loop iron core. To analyze quench characteristics, we experimented various phase angle.

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개심술 치험 보고: 12예 (Clinical experience of open heart surgery: 12 cases)

  • 최영호
    • Journal of Chest Surgery
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    • 제16권3호
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    • pp.289-294
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    • 1983
  • The report is concerned to our experience of 12 cases of open heart surgery under the extracorporeal circulation at the Department of Thoracic and Cardiovascular Surgery, Chosun University Hospital during the period between Nov, 1979 and April, 1983. 1. There were 4 cases of congenital anomaly and 8 cases of acquired heart disease. 2. There were 6 male and 6 female patients with a mean age of 20 years. [range 9 to 33 years]. 3. The cases induced 2 ventricular septal defect, 2 atrial septal defects and 8 acquired valvular heart diseases. 4. The surgical managements were 2 primary repair for atrial septal defect and 2 patch closure for ventricular septal defect, 1 triple valve replacement [AVR MVR TVR], 1 aortic valve replacement, 4 double valve replacement [AVR MVR] and 2 open mitral commissurotomy for pure mitral stenosis. 5. The average cardiopulmonary bypass time was 61.5 minutes for congenital heart disease and 201.4 minutes for acquired valvular heart disease and the average aortic cross clamping time was 36.75 minutes for the former and 165.6 minutes for the latter. 6. Postoperatively, there were 1 Alopecia, 1 Electric burn and 1 wound infection as complication. 7. Overall operative mortality was 8.3%. 7. All patients received valve replacement were recommended anticoagulation with persantin.

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급성 아킬레스건 파열의 수술적 치료: 경피적 봉합술과 관혈적 봉합술의 비교 (Surgical Treatment of the Ruptured Achilles Tendon: A Comparative Study between Percutaneous and Open Repair)

  • 김도연;김상범;허윤무;이정범;임재우;오형탁
    • 대한족부족관절학회지
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    • 제15권2호
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    • pp.79-85
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    • 2011
  • Purpose: The purpose of the present study was to compare and analyze the clinical outcomes of the percutaneous and open repair of acute Achilles tendon ruptures. Materials and Methods: We performed a retrospective study on 24 patients (group 1) managed with percutaneous repair, and 21 patients (group 2) managed with open repair for acute Achilles tendon rupture. The postoperative evaluations were done by an Arner-Lindholm scale and AOFAS score. Postoperative overall satisfaction and cosmetic satisfaction were also evaluated. Results: By Arner-Lindholm scale and AOFAS score, there was no difference between two groups (p<0.05). As for postoperative overall satisfaction, 5 cases were very satisfied, 16 cases were satisfied and 3 cases were fair in group 1. In group 2, 12 cases were very satisfied, 9 cases were satisfied. For postoperative cosmetic satisfaction, 13 cases were satisfied, 11 cases were fair in group 1. In group 2, 9 cases were very satisfied, 12 cases satisfied. In open repair group, a case of deep wound infection and three cases of skin necrosis were reported as complication. 2 cases of sural nerve injury were seen in percutaneous repair group and were recovered within 3 months. Conclusion: Percutaneous repair of acute Achilles tendon ruptures have high level of cosmetic satisfaction compared with open repair without any significant difference in clinical outcomes.

재배조건 및 관수방법에 따른 병풀 (Centella asiatica) 계통의 생육, Asiaticoside 함량과 항산화활성 (Growth Characteristics and Asiaticoside Content, and Antioxidant Activities in Centella asiatica by Cultivation and Irrigation Methods)

  • 최장남;이희정;이윤지;정진태;이정훈;장재기;박춘근
    • 한국약용작물학회지
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    • 제28권4호
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    • pp.254-259
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    • 2020
  • Background: Centella asiatica is a well-known medicinal plant having a wound healing effect. In this study, the growth, asiaticoside content, and antioxidant components and activity were investigated in C. asiatica resources under different cultivation and irrigation conditions. Methods and Results: The cultivation and irrigation methods were divided as greenhouse and open field, and sprinkler and sub irrigation. respectively. Growth characteristics were measured in aerial parts of C. asiatica. Asiaticoside content was analyzed using high performance liquid chromatography. Total polyphenol, total flavonoid and 2,2-diphenyl-1picryl hydrazyl (DPPH) radical scavenging activity were analyzed for antioxidant activities. Growth was higher under greenhouse and sub irrigation than open field and sprinkler conditions. In the leaves, asiaticoside content was 53.45 mg/g (open field) and 34.38 mg/g (sub irrigation), total polyphenol was 41.14 mg/g (open field) and 25.73 mg/g (sub-irrigation), and total flavonoid was 27.26 mg/g (open field) and 23.72 mg/g (sub-irrigation). DPPH radical scavenging activity in the leaves was 85.97 mg·ascorbic acid equivalent (AAE)/g (open field) and 54.83 mg·AAE/g (sub irrigation). Conclusions: Asiaticoside and antioxidant components and activity were not accompanied with high yield, although high growth was observed under greenhouse conditions. Therefore, cultural requirements of C. asiatica should be sufficiently considered to suit each purpose.

감자의 단백질 분해효소 억제제 II 유전자의 특별한 염기서열의 자연적 제거로 인한 상처 유발성 발현의 소실 (Loss of Specific Sequences in a Natural Variant of Potato Proteinase Inhibitor II Gene Results in a Loss of Wound-Inducible Gene Expression)

  • ;박상규
    • Applied Biological Chemistry
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    • 제39권2호
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    • pp.104-111
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    • 1996
  • 감자의 genomic DNA library로 부터 분리한 proteinase inhibitor II (pin2) 유전자들의 제한효소 지도를 작성 하였던바 이미 분리된 상처 유발 (wound-inducible)pin2K 유전자의 것과 상이성이 있는 pin2T를 분리하여 염기서열을 결정하였다. 두 유전자의 염기서열은 전체적으로 약 86%의 동일성을 보였으며 특히 promoter 부위의 염기서열은 pin2K 유전자의 전사개시 부위의 상대적인 위치인 -714까지 네부분의 결손(20 내지 60bp)을 제외하던 약 91%수준의동일성을 보였다. 분리한 유전자들의 promoter 부위를 표지 유전자인 CAT와 GUS 유전자에 연결 시킨후 담배에서의 발현을 추적하였던바, pin2K 유전자의 promoter에 의한 표지유전자의 발현은 상처에 의해 발현 되었으나 pin2T 유전자의 promoter에 의한 표지유전자의 발현은 상처 유무와 관계없이 낮은 수준으로 나타났다. 또한 pin2T 유전자의 Promoter 내의 결손은 핵 단백질의 promoter에의 결합에 영향을 주지 않았으며 상처 유발pin2K 유전자의 promoter 염기서열과 비교하였을때 pin2T 유전자의 promoter 부위내에 5'-AGTAAA-3'라는 특별한 염기부위가 자연적으로 제거된것을 알수 있었다. 또한 5'-AGTAAh-3'의 염기부위가 다른 상처 유발 유전자들에서는 흔히 발견되고, 다른 식물 유전자들의 Promoter에서는 쉽게 발견이 되지 않았다. 따라서 상처 유발 pin2K 유전자의 Promoter내에 상처 유발과 관련있는 특별한 염기부위가 자연적으로 결실되어 pin2T 유전자의 발현이 상처 유발성을 잃은것으로 짐작된다.

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거머리 사용후 발생할수 있는 Aeromonas hydrophila 감염을 줄이기 위한 대책 (Measures to Reduce Aeromonas Hydrophila Infection that May Occur after Leech Apllication)

  • 윤효헌;정두성;최준
    • Archives of Reconstructive Microsurgery
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    • 제11권1호
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    • pp.73-77
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    • 2002
  • Medical application of leeches, by means of leech's blood suction, has advantages in not only directly removing blood congestion, but also preventing hindrance to venous drainage by inhibiting local thrombus formation and inducing continuous bleeding. Nevertheless, Aeromonas hydrophila infection secondary to such suction is most common and may develop into serious conditions from local inflammatory reaction to total necrosis of replanted parts and enterocolitis as well as sepsis. Once infected, it requires infection treatment, removal of necrotic tissues and reconstruction. Hence, duration and cost of treatment increase while functional recovery falls markedly. Accordingly, we present measures to reduce Aeromonas infections as follows: First, do not manipulate as much as possible while the leeches are sucking or moving. Second, the site which suction plates of the leeches are attached, should be selected away from the surgical wound site or open wound as much as possible. Third, contaminated or blood-wet gauze should be replaced often so that the skin of surgical areas would not swell. Furthermore, bleeding or oozing should be well-drained. Fourth, the areas other than the sites of leech attachment should be covered with sterilized gauzes in order to limit leech movement.

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인후두의 개방적 외상에 대한 수술적 고찰 (A Surgical Idea for Wide Communicated Wound on Laryngopharynx)

  • 이종원;국태진;이정헌;염시경
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1982년도 제16차 학술대회연제순서 및 초록
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    • pp.7.4-8
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    • 1982
  • 오늘 날, 물질 문명이 고도로 발달함에 따라 인두 및 인두 손상이 날로 증가하는 경향을 보이고 있다. 교통 사고나 운동 경기는 폐쇄적 외상을 일으키기 쉽고 빈도는 적지만 심각한 증상을 초래하는 개방적 외상의 원인으로는 총상이나 자상 등을 들 수 있다. 인후두의 개방적 외상에서 가장 문제가 되는 것은 적절한 치료에 있다. 이 부위의 외상은 손상의 정도나 범위에 따라 차이는 있지만 신속한 처치가 요구되고 협착이나 누출 등과 같은 심각한 후유증을 남기기 때문에 적절한 치료 방법이 요구되는 것이다. 일반적으로 이에 대한 치료는 적절한 기도 유지를 위한 기관절개술과 단순 봉합등을 일차적으로 시행하고 차후에 후유증에 대한 이차 수술을 시행하는 것이 보통이다. 최근, 저자들은 자상으로 인해 인두 뿐만 아니라 인두까지 광범위한 개방적 외상을 입고 이차 감염까지 일으켜 인후두 조직 및 전경부 피부의 심한 결손을 보인 환자에게 잔여 후두 적출술을 시행한 후 피부봉이나 육경피부변을 사용하지 않고 전경부 피부변을 이용해서 피부 결손부를 얻었기에 문헌적 고찰과 함께 보고하는 바이다.

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흉부손상에 대한 임상적 고찰 (clinical evaluation of chest trauma)

  • 문경훈
    • Journal of Chest Surgery
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    • 제22권1호
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    • pp.123-133
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    • 1989
  • A clinical evaluation was done on 182 cases of chest trauma which experienced at the Department of Thoracic and Cardiovascular Surgery, National Medical Center, from Sep. 1980 to Dec. 1987. 1] Of 182 cases, 125 cases resulted from non-penetrating chest trauma and 57 cases from penetrating wound. 2] The ratio of male to female was 4.87:1, and age groups between 3rd and 6th decade were 71.9%. 3] The most common causes of chest trauma were traffic accident in non-penetrating and stab wound by knife in penetrating cases. 4] Left thorax was the preferred site of chest injury. 5] The incidences of hemothorax, pneumothorax, and hemopneumothorax were 69.6% in non-penetrating and 91% in penetrating. 6] Rib fractures between 4th rib and 8th rib were 68.8% of total rib fracture cases and left side was preferred site. 7] Methods of treatment were conservative management in 24.7%, closed thoracostomy in 54.9%, open thoracotomy in 14.3%, and etc. 8] The incidence of complications, were 11.5% of total cases, and they were atelectasis [8 cases], empyema [3 cases], pneumonia [3 cases], acute renal failure [2 cases], lung abscess [1 case], and etc. 9] The overall mortality was 6%, and causes of death were hypovolemic shock, renal failure, hepatic failure, respiratory failure, septic shock, and etc.

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월남전에서 치험한 흉부손상 120례에 대한 임상적 고찰 (Clinical Observation of 127 Cases of Wounds of Chest in Viet-Nam War)

  • 변해공
    • Journal of Chest Surgery
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    • 제7권1호
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    • pp.23-30
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    • 1974
  • During the 35 month period from November 1966 to November 1967 and from June 1971 to March 1973 I had experienced 127 cases of non fatal wounds of chest in Viet-Nam. .Among these 127 cases, 62[45.4%] were gun shot wounds, 49[35.8%] were shrapnel wounds and the other were traffic accident. stab wounds and miscellanous. Approximately 21% of gun shot wound were perforating and 79% were penetrating but all cases of shrapnel wounds were penetrating. Of these 127 cases. 90% evacuated to hospital within 6 hours and average time 2.5 hours. The tranfusion requirement of these cases ranged from zero to 36 pints of whole blood with an average of 2.600cc. Initial intrathoracic findings were hemopneumothorax and hemothorax mostly. and the incidence of open thoracotomy was 9.5%[12cases] and closed thoracotomy was 82.8%[104cases], which were contrast to the reports from Korean conflict. I had experienced 24 cases with complication, such as large hematoma in lung parenchyme[8 cases], atelectasis[4 cases], pyothorax [3 cases], pneumonia [3 cases], fibrothorax [3 cases], pleural effusion [2 cases] and wound infection [2 cases]. Mortality rate for entire group was 4.7% but the cases associated with brain injury was 100%, with spinal cord injury was 50%, with large vessel 50%, and abdominal injury was 33.3%, and nobody died solely of thoracic injury.

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산탄총에 의한 좌측 안면부 손상 환자의 치험례 (증례보고) (REPORT OF THE MANAGEMENT OF GUNSHOT WOUNDS TO THE LEFT FACE)

  • 김일규;이상선;오성섭;최진호;김형돈;오남식
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제26권2호
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    • pp.224-227
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    • 2000
  • Gunshot wounds to the face are often dramatic at the time of presentation. Although care must be individualized, protocol approach helps the clinician rapidly evaluate patient and plan treatment. Early X-ray films help to determine the precise trajectory. Rapid neurologic assessment and early CT scanning based on physical examination ot trajectory will allow for identification of even occult injuries early. Lead poisoning arising from bullet lead in the synovial cavity of the hip, synovial cavity of the chest and pleural space have been reported. A combination of surgical debridement and chelation therapy with oral succimer produce a satisfactory outcome. We have managed a patient with Lt facial gunshot wound and Lt mandible angle fracture by open reduction of angle fracture and surgical removal of remnant bullet and medially advanced cheek skin flap. We have obtained good result and report this case with review of literatures.

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