• Journal of Chest Surgery
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• 제27권12호
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• pp.1002-1007
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• 1994

The spontaneous pneumothorax occurs subsequent to a disruption in the continuity of the visceral pleura with escape of free air into the pleural space included primary & secondary pneumothorax that is unrelated to identifiable etiologies such as trauma. In. the 33 year period 1960 to 1993, the 230 cases of open thoracotomy were carried out for definitive treatment of spontaneous pneumothorax, at the Dept. of Thoracic & Cardiovascular Surgery, National Medical Center, Seoul, Korea. There were 193 men & 37 women. They ranged in age from 15 years old to 72 years old. The lesion site was on the right side in 117 and on the left in 97, the 16 cases were in bilateral lesions.Surgical indications included recurrence in 98 cases, persistent air leak in 68 cases, nonexpansion of the lung 37 cases, roentgenologically apparent bullae & blebs in 23 cases, bilateral lesions in 16 cases,combined hemothorax & prevent for recurrence in each 2 cases. The types of operation were bullectomy in 207 cases, wedge resection in 13 cases, decortication & B.P.F. closure in 6 cases,lobectomy in 2 cases, pneumonectomy, plication in each I case. The post operative complication developed in 18 cases[7.8 %], there was I case of death due to sepsis. We believed that open thoracotomy with resection or obliteration of blebs & pleurodes is provided the best protection against recurrence.

• Journal of Chest Surgery
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• 제25권1호
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• pp.32-41
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• 1992

From August 1982 to December 1991, 58 consecutive infants with tetralogy of Fallot underwent primary repair. Age ranged from 22 days to twelve months [n=58, 8.7$\pm$2.7 months] and body weight from 3.1 to 13 kilograms [n=58, 7.8$\pm$1.7 kilograms]. Qne infant had absence of the pulmonary valve; one had Ebstein`s anomaly and one had supramitral ring. Thirty-two patients [56%] experienced anoxic spell. Preoperative pulmonary artery indices were measured in 38 cases, ranging 126-552mm2/M2BSA[n=38, 251$\pm$79mm2/M2BSA]. All infants required a right ventricular outflow tract patch; in 41, the patch extended across the pulmonary valve annulus, in 13 of them, monocusps were constructed. All had patch closure of ventricular septal defect. Two infants had REV operation for avoiding injury to the canal branch of the right coronary artery which cross the right ventricular out flow tract. Post repair PRV/LV were measured at operating room in 40 cases, which revealed mean value of 0.49$\pm$0.12 [range: 0.25-0.74]. The hospital mortality was 10.3% [6 patients], and causes of deaths were right heart failure due to sustained right ventricular hypertension[4] and right ventricular outflow tract obstruction, intractablesuraventricular tachyarrhythmia[1], hypoxia[1] due to residual right to left shunt across the atrial septal defect in patient associated with Ebstein`s anomaly. All infants were doing well at follow-up from 1 to 101 months[20.6 months /patient, 1, 072 patient-month] Serial postoperative echocardiograms revealed no residual ventricular septal defects and estimated RVOT gradients between 0 and 40 mmHg except 3 cases [50, 50, 60 mmHg]. There were no late deaths and late ventricular arrhythmias or congestive heart failure. Redo operations were done in 2 cases because of residual right ventricular outflow tract obstruction. This experience with infants with tetralogy of Fallot suggests that, if mortality is tolerable, eletive repair of tetralogy of Fallot could be reasonably undertaken during the first year of life, and even better results could be anticipated along with improvement of methods of myocardial protection and postoperative care.

• 한국방사성폐기물학회:학술대회논문집
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• 한국방사성폐기물학회 2003년도 가을 학술논문집
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• pp.229-232
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• 2003

고준위 방사성폐기물 처분장에서 적용하고 있는 다중 방벽의 한 부분인 처분 용기는 벤토나이트 완충재의 팽윤과 지압으로부터 폐기물을 역학적으로 안전하게 보호함과 동시에 일정 기간 방사성폐기물의 유출을 억제하는 역할을 한다. 용기는 엄격한 재질 선정과 품질 보증을 거쳐 건전성을 확보하나 보수적인 관점에서 보면 용기 제작 과정이나 수송 중 예상치 못한 사건으로 인해 불량품이 발생할 개연성이 있다. 본 연구에서는 이와 같은 사고 시나리오를 가정할 경우 불량 용기를 포함한 전체 용기에 거치된 방사성폐기물의 시간에 따른 환경 위해도를 평가하였다. 본 연구결과 일부 처분 용기에 초기 파손이 발생하더라도 규제치를 잘 만족하는 것으로 판명되었다.

• 방사성폐기물학회지
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• 제2권4호
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• pp.253-262
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• 2004

Construction of tunnels in a deep crystalline host rock for a potential High-Level Radioactive Waste(HLW) repository inevitably generates an excavation disturbed zone (EDZ). There have been a series of debates on whether a permeability in an EDZ increases or not and what would be the maximum depth of an EDZ. Recent studies show mixed opinions on permeability. However, there has been an international consensus on the thickness of an EDZ; 30 cm for TBM and 1 meter for controlled blast. One of the impacts of an EDZ is on determining the distance between adjacent deposition holes. The void gap by the excavation hinders relaxation of temperature profiles so that the current Korean reference designing distance between holes should be stretched out more to keep the maximum temperature in a buffer region below 100 degrees Celsius. The other impact of an EDZ is on the long-term post closure radiological safety. To estimate the impact, the reference scenario, the well scenario, is chosen. Released nuclides diffuse through a bentonite buffer region experiencing strong sorption and reach a fracture surrounded by a porous medium. Inside a fractured porous region, radionuclides migrate by advection and dispersion with matrix diffusion into a porous medium. Finally, they reach a well assumed to be a source of potable water for local residents. The annual individual dose is assessed on this well scenario to find out the significance of an EDZ. A profound sensitivity study was performed, but all results show that the impact is negligible. Even though the role of an EDZ turns out to be limited on overall safety assessment, still it is worthwhile to study the chemical role of an EDZ, such as a potential source for natural colloids, potential sealing of an open fracture by fine clay particles generated by the process of an EDZ, and alteration of a sorption mechanism by an EDZ in the future.

• Archives of Pharmacal Research
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• 제28권11호
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• pp.1311-1316
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• 2005

To better define the relationship between dermal regeneration and wound contraction and scar formation, the effects of epidermal growth factor (EGF) loaded in collagen sponge matrix on the fibroblast cell proliferation rate and the dermal mechanical strength were investigated. Collagen sponges with acid-soluble fraction of pig skin were prepared and incorporated with EGF at 0, 4, and 8 $\mu$g/1.7 $cm^{2}$. Dermal fibroblasts were cultured to 80$\%$ confluence using DMEM, treated with the samples submerged, and the cell viability was estimated using MTT assay. A deep, $2^{nd}$ degree- burn of diameter 1 cm was prepared on the rabbit ear and the tested dressings were applied twice during the 15-day, post burn period. The processes of re-epithelialization and dermal regeneration were investigated until the complete wound closure day and histological analysis was performed with H-E staining. EGF increased the fibroblast cell proliferation rate. The histology showed well developed, weave-like collagen bundles and fibroblasts in EGF-treated wounds while open wounds showed irregular collagen bundles and impaired fibroblast growth. The breaking strength (944.1 $\pm$ 35.6 vs. 411.5 $\pm$ 57.0 Fmax, $gmm^{-2}$) and skin resilience (11.3 $\pm$ 1.4 vs. 6.5 $\pm$ 0.6 mJ/$mm^{2}$) were significantly increased with EGF­treated wounds as compared with open wounds, suggesting that EGF enhanced the dermal matrix formation and improved the wound mechanical strength. In conclusion, EGF-improved dermal matrix formation is related with a lower wound contraction rate. The impaired dermal regeneration observed in the open wounds could contribute to the formation of wound contraction and scar tissue development. An extraneous supply of EGF in the collagen dressing on deep, $2^{nd}$ degree-burns enhanced the dermal matrix formation.

• Composites Research
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• 제29권1호
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• pp.16-23
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• 2016

본 논문에서는 블레이드 해석 라이브러리를 통해 단면해석 및 응력복원 해석 결과를 VABS와 3차원 유한요소해석모델의 결과와 비교하였다. 그리고 유한요소모델과 차원축소 모델을 가상균열 닫힘법을 이용하여 에너지 해방률을 계산하였다. 블레이드 해석 라이브러리의 구성, 입력 및 출력 형태, 차원 축소와 복원 과정을 살펴보고 이를 이용한 활용 분야를 기술하였다. 블레이드 해석 라이브러리는 박 벽 단면의 강성 행렬 비교, 3차원 유한요소 모델과 차원 축소 모델의 응력비교 그리고 에너지 해방률 계산 수치 비교연구를 통하여 검증하였다. 차원 축소와 복원해석을 통하여 블레이드 해석 라이브러리는 복합재료 블레이드의 전후처리 프로그램와 연계되어 고고도 무인기, 로터 블레이드, 풍력 블레이드 및 틸트로터 블레이드의 모델링에 활용될 수 있을 것이다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제28권5호
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• pp.383-389
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• 2002

This is a retrospective study on emergency patients with active oral bleeding. The study was based on a series of 135 patients treated as emergency patients at Wonju Christian Hospital, from Jan. 1, 1997, to Dec. 31, 2001. The postoperative bleeding was the most frequent cause of active oral bleeding in emergency room and bleeding from trauma and medically compromised (bleeding disorders) patients were next in order of frequency. In the injury of maxillofacial vessels, peak incidence was occurred in the inferior alveolar vessel (42.9%), followed by the submucosal vessel of lip & cheek, the superior alveolar vessel, and sublingual vessels. The most common disease of bleeding disorders was vascular wall alteration (infection, etc), followed by liver disease, thrombocytopenic purpura, anti-coagulation drugs in order. In the characteristics of dental diseases on bleeding disorders, periodontal disease and alveolar osteitis (osteomyelitis) were more common. The hemostasis was most obtained by use of wound suture, simple pressure dressing, drainage for infection control and primary interdental wiring of fracture. In the complication group, the infrequent incidence was showed in vomiting, hypovolemic shock, syncope, recurred bleeding & aspiration pneumonia. In the uncontrolled oral bleeding, the injured vessels were suspected as skull base & ethmoidal vessels. In this study, authors found that the close cooperation between the dentistry (Oral and maxillofacial surgery) and the medicine (emergency & internal medicine) was the most important for early proper control of active oral bleeding. And then post-operative wound closure, drainage for infection control and previous systemic evaluation of bleeding disorders were critical for the prevention of postoperative bleeding in the local dental clinic.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제45권6호
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• pp.332-342
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• 2019

Objectives: Socket grafting is vital to prevent bone resorption after tooth extraction. Several techniques to prevent resorption have been described, and various bone graft substitutes have been developed and used with varying success. We conducted this pilot study to evaluate the performance of nanohydroxyapatite (nHA) derived from chicken eggshells in socket preservation. Materials and Methods: This was a prospective, single center, outcome assessor-blinded evaluation of 23 sockets (11 patients) grafted with nHA and covered with platelet-rich fibrin (PRF) membrane as a barrier. Bone width and radiographic bone density were measured using digital radiographs at 1, 12, and 24 weeks post-procedure. Postoperative histomorphometric and micro-computed tomography (CT) evaluation were performed. The study protocol was approved by the Institutional Ethics Committee. Results: All patients had uneventful wound healing without graft material displacement or leaching despite partial exposure of the grafted socket. Tissue re-epithelialized with thick gingival biotype (>3 mm). Width of the bone was maintained and radiographic density increased significantly with a trabecular pattern (73.91% of sockets) within 12 weeks. Histomorphometric analysis showed 56.52% Grade 3 bone formation and micro-CT analysis revealed newly formed bone with interconnecting trabeculae. Conclusion: Use of a PRF membrane with nHA resulted in good bone regeneration in sockets. Use of a PRF membrane prevents periosteal-releasing incisions for primary closure, thereby facilitating the preservation of keratinized mucosa and gingival architecture. This technique, which uses eggshell-derived nHA and PRF membrane from the patient's own blood, is innovative and is free of disease transfer risks. nHA is a promising economic bone graft substitute for bone regeneration and reconstruction because of the abundant availability of eggshell waste as a raw material.

• 방사성폐기물학회지
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• 제8권3호
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• pp.229-238
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• 2010

중 저준위 방사성폐기물의 처분/폐쇄 이후 기체 발생특성을 실질적으로 평가하고, 이를 이용하여 발생 기체의 종합관리방안을 수립하기 위해서는 실제 처분환경 및 특성을 고려한 장기간의 실증실험이 반드시 필요하다. 이와 관련하여, 국내에서는 월성원자력환경관리센터의 1단계 10만 드럼 처분에 대한 건설 및 운영허가 후속조치의 일환으로 현장부지에 기체발생 실증실험시설이 설치/운영될 예정이다. 이에 대한 기초자료를 확보하기 위해, 세계 각국에서 다양한 방법으로 수행된 기체 발생 관련실험에 대한 제반사항을 면밀히 검토하였다. 그 결과 우리나라와 처분방식이 동일하며, 실제 폐기물 포장드럼 및 기본 처분단위를 이용하여 대규모로 수행된 핀란드의 기체 발생 실험자료를 국내 실증실험에 대한 유용한 벤치마크로 사용할 수 있을 것으로 판단된다.

• 방사성폐기물학회지
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• 제16권2호
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• pp.137-164
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• 2018

심지층처분장 공학적방벽의 성능 보장은 장기처분안전성 측면에서 뿐만 아니라 심지층처분장의 효율적인 설계를 위해서도 매우 중요하다. 따라서 지하실험시설에서 수행되는 현장실험들을 통해 심지층처분장 조건 하에서의 공학적방벽 성능을 입증할 필요가 있다. 이 논문에서는 심지층처분장 공학적방벽의 성능을 실증하기 위해, 지난 수십 년 동안 전 세계에서 수행되어온 주요 현장실험의 현황과 그 결과에 대해 검토하였다. 먼저 심지층처분장의 폐쇄 후 성능을 모사하는 공학적방벽시스템의 열-수리-역학적 복합거동을 규명하기 위한 현장실험들이 분석되었다. 아울러 실제 심지층처분장의 환경에서 완충재의 성능을 조사하기 위한 현장실험들이 검토되었다. 완충재-콘크리트 상호반응, 완충재, 뒷채움재 및 플러그의 설치, 그리고 근계암반 특성과 처분용기 재질의 부식 현상을 규명하기 위한 현장실험들의 기술현황도 분석되었다.