• Title/Summary/Keyword: Penetrating

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Emergency Repair Using Cervico-median Sternotomy for Cervicothoracic Penetrating Injury (경흉부 관통상에 대한 경부와 정중흉골절개술을 이용한 치험 1례)

  • Lee, Hyun Joo;Kim, Hyun Koo;Choi, Young Ho
    • Journal of Trauma and Injury
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    • v.21 no.2
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    • pp.136-139
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    • 2008
  • A great variety of penetrating injuries is happening due to the increasing population and violence today. An optimal surgical approach is the key factor for successful repair of a complicated penetrating injury. A 23-year-old woman fell down the stairs from the second floor and received cervico-thoracic penetration injury due to a metalic bar. The metalic bar ruptured the right jugular vein and penetrated the left upper and lower lung. Under cervico-median sternotomy, neck vessels were repaired and the left thorax was successfully entered to repair the damaged lung through the mediastinal pleura. With this approach, the patient's position did not need to be changed during operation, while reduced the operation time compared to the conventional approach (cervical incision and standard thoracotomy).

Combination of a Rapidly Penetrating Agonist and a Slowly Penetrating Antagonist Affords Agonist Action of Limited Duration at the Cellular Level

  • Pearce, Larry V.;Ann, Jihyae;Blumberg, Peter M.;Lee, Jeewoo
    • Biomolecules & Therapeutics
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    • v.27 no.5
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    • pp.435-441
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    • 2019
  • The capsaicin receptor TRPV1 (transient receptor potential vanilloid 1) has been an object of intense interest for pharmacological development on account of its critical role in nociception. In the course of structure activity analysis, it has become apparent that TRPV1 ligands may vary dramatically in the rates at which they interact with TRPV1, presumably reflecting differences in their abilities to penetrate into the cell. Using a fast penetrating agonist together with an excess of a slower penetrating antagonist, we find that we can induce an agonist response of limited duration and, moreover, the duration of the agonist response remains largely independent of the absolute dose of agonist, as long as the ratio of antagonist to agonist is held constant. This general approach for limiting agonist duration under conditions in which absolute agonist dose is variable should have more general applicability.

An Experimental Study on Water Resistance of Penetrating Water Repellency of Emulsified Silicon Type Exposed In The Outdoor Environment (옥외폭로에 따른 실리콘계 유화형 흡수방지재의 내수성에 관한 실험적 연구)

  • Shim Hyun-Bo;Lee Min-Seok
    • Journal of the Korea Concrete Institute
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    • v.16 no.4 s.82
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    • pp.477-484
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    • 2004
  • As a part of durability improvement of concrete-structure, penetrating water repellency of liquid type is applied to concrete surface. Besides, a related standard is made recently, but the standard has been prescribe for initial settlement state of penetrating water repellency of liquid type, to the exclusion of performance variation depending time and outdoor environment factor. For measurement of performance variation, we measured the weight of outdoor exposure specimen every regular intervals and check a measured value against a measured value of different condition specimen. Moreover, after the application of penetrating water repellent, measured a adhesive strength in tension between cement-polymer modified waterproof coatings and surface of specimen. The applied penetrating water repellent is a emulsified silicon type with a deep penetration depth. In view of the results so far achieved, the more a Quantity of application and active solid content does get, the deeper penetrating water repellency of emulsion type Penetrate get longer and supplied moisture increase in quantity, a penetrating water repellency of liquid type penetrates more deep, but a quantity of water absorption increase gradually. Perhaps this result is caused by a reduction of active solid content on concrete surface, because active ingredient is moved into the concrete by dissolution.

The Surgical Outcome for Patients with Tracheobronchial Injury in Blunt Group and Penetrating Group

  • Kim, Chang Wan;Hwang, Jung Joo;Cho, Hyun Min;Cho, Jeong Su;I, Ho Seok;Kim, Yeong Dae;Kim, Do Hyung
    • Journal of Trauma and Injury
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    • v.29 no.1
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    • pp.1-7
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    • 2016
  • Purpose: Tracheobronchial injuries caused by trauma are rare, but can be life threatening. The objective of this study was to evaluate the surgical outcome for patients with tracheobronchial injuries and to determine the difference, if any, between the outcomes for patients with penetrating trauma and those for patients with blunt trauma. Methods: From January 2010 to June 2015, 40 patients underwent tracheobronchial repair surgery due to trauma. We excluded 14 patients with iatrogenic injuries, and divided the remaining 26 into two groups. Results: In the blunt trauma group, injury mechanisms were motor vehicle accident (9 cases), free falls (3 cases), flat falls (1 case) and mechanical injury (1 case). In the penetrating trauma group, injury mechanisms were stab wounds (10 cases), a gunshot wound (1 case) and a stab wound caused by metal pieces (1 case). The mean RTS (Revised Trauma Score) was $6.89{\pm}1.59$ (range: 2.40-7.84) and the mean ISS (Injury Severity Score) was $24.36{\pm}7.16$ (range: 11-34) in the blunt group; the mean RTS was $7.56{\pm}0.41$ (range: 7.11-7.84), and the mean ISS was $13{\pm}5.26$ (range: 9-25) in the penetrating trauma group. In the blunt trauma group, 9 primary repairs, 1 resection with end-end anastomosis, 2 lobectomies, 1 sleeve bronchial resection and 1 pneumonectomy were performed. In the penetrating trauma group, 10 primary repairs and 2 resections with end-end anastomosis were performed. Complications associated with surgery were found in one patient in the blunt trauma group, and one patient in the penetrating trauma group. No mortalities occurred in either groups. Conclusion: Surgical management of a traumatic tracheobronchial injury is a safe procedure for both patients with a penetrating trauma and those with a blunt trauma.

Clinical Analysis of Penetrating Neck Injury: Review of 42 Operated Cases (관통성 경부 손상에 관한 임상적 고찰)

  • Choe, Hwan;Hong, Seok-Jin;Kim, Yeon-Soo;Cho, Jae-Gu;Baek, Seung-Kuk;Woo, Jeong-Soo;Jung, Kwang-Yoon;Kwon, Soon-Young
    • Korean Journal of Bronchoesophagology
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    • v.16 no.2
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    • pp.121-125
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    • 2010
  • Background: Penetrating neck injuries are potentially dangerous and require emergency management because of the presence of vital structures in the neck. The risk of airway, vascular, neurological, and pharyngoesophageal injuries leads to many difficult diagnostic decisions. The purpose of this retrospective study is to evaluate our experience with management of penetrating neck injuries, and to assess treatment outcome. Material and Method: Forty-two consecutive patients were identified (26 patients from Korea university Ansan hospital, 16 patients from Guro hospital) as having penetrating neck injuries from 2003 to 2009. With review of medical records, variables were collected and evaluated including the location of injury, mechanism of injury, number of significant injuries, diagnostic modalities, duration of hospital stay and outcome. Results: The location of injury was zone I (lower neck) in 13 cases (31%), zone II (midportion of the neck) in 22 (52%), and zone III (upper neck) in 7 (17%). Injuries were caused by stab wounds in 23 patients, penetrating foreign bodies in 12. Among 35 patients who had deep injuries that violated the platysma, significant injuries, including major vascular (20), trachea (5) Pharyngoesophageal injuries (5) were identified in 24 patients. The mean hospital stay was 9.5 days. Conclusion: The penetrating trauma in the neck may show various degrees of severity. However, Cervical penetrating injury should not be underestimated in spite of the minimal width of the lesion.

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Bearing Behavior Characteristics of Pressure Penetrating Steel Pipe Pile Under Compression Load (압축하중을 받는 압입강관말뚝의 지지거동 특성)

  • Kwon, Ohkyun
    • Journal of the Korean GEO-environmental Society
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    • v.16 no.7
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    • pp.5-13
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    • 2015
  • The pressure penetrating steel pipe pile method which can be constructed in a narrow space using the hydraulic jack is used on the foundation reinforcement, extension of the structure and basement, restoration of the differential settlement etc.. This method is possible to construct in narrow areas and low story height, the non-noise and non-vibration works, and it is possible for the construction site to be clean without slime. And it is possible to confirm the bearing capacity of pile due to penetrating the pile with the compression load of hydraulic jack. In this study, the static load test with the load-transfer test was carried out to investigate the bearing behavior characteristics of the pressure penetrating steel pipe pile. Four series of static load test were executed to investigate the variation of bearing behavior of the pressure penetrating steel pipe pile. As a result of these tests, the allowable load of the pressure penetrating steel pipe was evaluated more than 637 kN, and the shaft resistance corresponding to 81~86% of each applied load was mobilized with only a small portion of the base resistance acting. And it was also evaluated that the unit skin friction was mobilized to maximum value after two months.

Complications of Chest Trauma (Analysis of 373 cases) (흉부손상 373 에에 대한 임상적 관찰)

  • Choi, Yeong-Ho;Cho, Bum-Koo
    • Journal of Chest Surgery
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    • v.13 no.3
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    • pp.198-205
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    • 1980
  • Clinical observations were performed on 373 cases of chest trauma, those were admitted and treated at the Department of surrgery, Korea University Hospital, during the past 15 years period from August 1965 to June 1980. 1. The ratio of male to female patient of chest trauma was 4:1 in male predominence and age from 10 to 50 occupied 87.4 % of the total cases. 2. The most common cause of chest trauma was traffic accident in this series. One hundred and eight one cases (48.5%) were injuried by traffic accident and total cases due to blunt trauma (non-penetrating injury) were 282 cases (75.6%) including the cases with traffic accident, and remaining 91 cases (24.4%) were due to penetrating injury including 73 cases (19.6%) of stab wounds. 3. hemopneumothorax were observed in 49% (182 cases) of the total cases, and etiologic distribution revealed 72% due to non-penetrating trauma and 28% due to penetrating injury. 4. Rib fracture was found in 44.8% of cases. common injuries associated with rib fracture were lung, brain and liver. 5. Most common symptom was chest pain and respiratory difficulty, and common sign associated with chest injury was decreased respiratory sound and subcutaneous sound. 6. conservative non-operative treatment was performed in 281 cases (75.4%) and 92 cases (24.6%) were treated with operative treatment including 33 cases (8.9%) with open thoracotomy. 7. Overall mortality was 5.6% (21 cases) and most common cause of death were due to brain edema, cardiogenic shock, asphyxia.

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Successful Tractotomy Technique for a Penetrating Lung Injury in a Patient with One Lung

  • Kang, Dong Hoon;Park, Hyun Oh;Moon, Sung Ho;Jang, In Seok;Byun, Jung Hoon;Kim, Sung Hwan
    • Journal of Chest Surgery
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    • v.50 no.5
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    • pp.399-402
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    • 2017
  • We report the case of a patient with penetrating chest trauma (right chest) who had undergone a left pneumonectomy due to pulmonary tuberculosis 24 years ago. We performed an emergent thoracotomy, finding an opening of the penetrating wound in a lower-lobe basal segment of the right lung. A stapled tractotomy was performed along the tract. Bleeding control and air-leakage control was done easily and rapidly. The patient was discharged without any complications on the seventh day of admission. Tractotomy can be a good option for treating penetrating lung injuries in patients with limited lung function who need emergent surgery.

Antimicrobial Effect of Supercritical Robinia pseudo-acacia Leaf Extracts and Its Transdermal Delivery System with Cell Penetrating Peptide

  • Heo, Soo Hyeon;Park, Su In;Lee, Jinseo;Kim, Miok;Shin, Moon Sam
    • International Journal of Advanced Culture Technology
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    • v.8 no.1
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    • pp.226-235
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    • 2020
  • In this paper, we present to evaluate physiological activity of Robinia pseudo-acacia leaf and its skin penetration using liposome and cell penetrating peptide. After extraction with Robinia pseudo-acacia leaf using the distilled water and supercritical, various physiological activities were examined. In antioxidants experiments, the total concentration of polyphenol compounds was determined to be 56.88 mg/g in hydrothermal extract, 45.07 mg/g in supercritical extract. The DPPH radical scavenging ability at 1,000 ㎍/mL was 33.97% in supercritical extract. The scavenging effect on SOD experiment at 500 ㎍/mL was 76.41% in supercritical extract. In the antimicrobial experiments, the hydrothermal extract had no effect, but supercritical extract represented maximum clear zone of 14.00 mm in Staphylococcus aureus strain. Liposome containing the RSE (Robinia pseudo-acacia leaf supercritical extract) reduced particle size and stabilized zeta potential. In the epidermal permeability experiment, it was confirmed that the permeation of liposome containing the RSE and cell penetrating peptides was remarkable.

The Clinical Analysis of Traumatic Diaphragmatic Iinjuries (외상성 횡경막 손상의 임상적 분석)

  • 안성국
    • Journal of Chest Surgery
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    • v.28 no.12
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    • pp.1167-1173
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    • 1995
  • We evaluated fifty three cases of traumatic diaphragmatic injuries that we have experienced from Jan.1973 to Oct.1994. The age distribution of the pateint was ranged from 1 to 74 years. Sex ratio is 39:14 with male dominence. The traumatic diaphragmatic injuries were due to blunt trauma in 37[Left 22, Right 15 cases and penetrating trauma in 16[Left 9, Right 7 cases. In blunt trauma, Preoperative diagnosis of the diaphragmatic injuries was possible in 27 patients[72% , and in penetrating trauma, 14 patients[88% . Among 37 in blunt traumas, 22[58% cases, and among 16 in penetrating traumas, 13[88% cases were operated within 24 hours. The most common herniated abdominal organ in the thorax was stomach[14/53 . The traumatic diaphragmatic repair of 50 cases were performed by thoracic approach in 23 cases, thoracoabdominal approach in 8 cases and abdominal approach in 19 cases, and in 3 cases, not operated. Hospital mortality [including not operated patients[3 was 17%[9/53 and the causes of death were intracranial hematoma[1 , hypertensive encephalopathy[1 and asphyxia[1 , and among operated patients[6 , combined head injury[2 , multiorgan failure[2 , hypovolemic shock[1 , and pulmonary edema & renal failure[1 . All deaths had related to the severity of associated injuries.

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