• Title/Summary/Keyword: Primary closure

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Determination of Reactivities by Molecular Orbital Theory (VII). SCF-IMO Studies on the Diels-Alder Reactions between Cyclopentadiene and 2-Substituted Acrylonitriles (화학반응성의 분자궤도론적 연구 (제7보). 시클로펜타디엔과 아크릴로니트릴 치환체간의 Diels-Alder 반응에 대한 SCF-IMO 연구)

  • Lee Ikchoon;Choi Eun Wha
    • Journal of the Korean Chemical Society
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    • v.19 no.4
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    • pp.218-224
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    • 1975
  • The ground state SCF IMO theory was applied to the Diels-Alder reactions of cyclopentadiene with 2-substituted acrylonitriles. The CNDO/2 MO of the separate systems, including both $\sigma$ and $\pi$ electrons, was used as starting point. The qualitative prediction of the relative reactivity was made with the calculated primary interaction energies. Here the calculated activation energies appeared to be realistic. The stereoselectivity determined by the calculated secondary interaction energies represented the endo-selectivity for all the substituents. The reason for the slightly unsymmetrical ring closure at the transition state was discussed in terms of valence inactive electron densities of the reacting atoms.

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Analysis of trends in diving suits for development of technical diving suits - with focus on wet and semi-dry types - (테크니컬 다이빙 슈트 개발을 위한 잠수복 동향 분석 - 습식 잠수복과 반건식 잠수복을 중심으로 -)

  • Kim, Hyo Sook;Choi, In Young;Shin, Hyun-Suk
    • Journal of the Korea Fashion and Costume Design Association
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    • v.22 no.3
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    • pp.33-47
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    • 2020
  • As people have gained leisure time and become more interested in sports, various industries catering to these sports, including aquatic and underwater activities are growing. Many people are getting into scuba diving, where people can explore the sea at depths of more than 40-meters. Despite the increasing demand, there are limited studies on the sport. This study aims to provide basic research on materials suitable for developing technical scuba diving suits by analyzing several areas, such as design, material, sewing patterns, etc. The following trends were observed in all wetsuits: closure designs, ergonomic patterns, practical and functional details. Neoprene was the primary material of diving suits, and various functional materials were attached to the outer fabric or lining. The seam technique which minimized water contact and improved durability was sewing. Various techniques were also applied, such as flatlock stitching, GBS, LFS, etc. Subsequent studies shall investigate consumer preference etc. and other aspects, and continue to allow for the research and development of technical diving suits.

Orthodontic and surgical management of cleidocranial dysplasia

  • Park, Tina Keun Nan;Vargervik, Karin;Oberoi, Snehlata
    • The korean journal of orthodontics
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    • v.43 no.5
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    • pp.248-260
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    • 2013
  • Cleidocranial dysplasia (CCD), an autosomal dominant disorder with a prevalence of 1 in 1,000,000 individuals, is mainly caused by mutations in Runx2, a gene required for osteoblastic differentiation. It is generally characterized by hypoplastic clavicles, narrow thorax, and delayed or absent fontanel closure. Importantly, its orofacial manifestations, including midfacial hypoplasia, retained primary teeth, and impacted permanent and supernumerary teeth, severely impede the well-being of affected individuals. Successful treatment of the orofacial problems requires the combined efforts of dental specialists. However, only a few successfully treated cases have been reported because of the rarity of CCD and complexity of the treatment. This article presents the University of California, San Francisco (UCSF) treatment protocol for the dentofacial manifestations of CCD based on two treated and 17 diagnosed cases. The records of two patients with CCD who had been treated at the UCSF School of Dentistry and the treatment options reported in the literature were reviewed. The UCSF treatment protocol produced a successful case and a partially successful one (inadequate oral hygiene in the retention stage resulted in decay and loss of teeth). It provides general guidelines for successfully treating the orofacial manifestations of CCD.

Two Cases of Reconstruction of Oral Cavity Defect with Temporoparietal Flap (측두근막피판을 이용한 구강내 결손부 재건에 관한 증례 2례)

  • Kim Min-Sik;Park Kyung-Ho;Park Dong-Sun;Cho Seung-Ho
    • Korean Journal of Head & Neck Oncology
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    • v.18 no.1
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    • pp.76-79
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    • 2002
  • Temporoparietal fascial flap (TPFF) has been used in the reconstruction of a broad spectrum of complex defect of head & neck it can be used as pedicled flap or free flap. TPFF is extensively is good for reconstruction of auricular defects because it is fascial flap with ease of covering irregular surface. TPFF is supplied by the superficial temporal artery & vein and innervated by zygomatico-temporal branch of facial nerve and auriculotemporal nerve. The flap ranges from 2-4mm in thickness and can be harvested up to 17x14cm wide, it can include calvarian bone and enables primary closure of donor site. We carried out reconstruction of oral cavity defects by means of TPFF with a satisfactory result in two cases of oral cavity cancer.

Reconstruction of Distal Phalangeal Soft Tissue Defects with Reverse Homodigital Artery Island Flap

  • Kim, Byung-Gook;Han, Soo-Hong;Lee, Ho-Jae;Lee, Soo-Hyun
    • Archives of Reconstructive Microsurgery
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    • v.23 no.2
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    • pp.65-69
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    • 2014
  • Purpose: Soft tissue reconstruction is essential for recovery of finger function and aesthetics in any traumatic defect. The authors applied a reverse homodigital artery island flap for soft tissue defect on distal part of digits. The aim of this study is to evaluate the efficacy of the procedure. Materials and Methods: Seven cases of soft tissue defects of finger tip were included in this study. There were six male and one female, mean age was 43 years and mean follow-up period was 38 months. The length of flaps ranged from 2.0 to 2.5 cm and width ranged from 1.0 to 2.0 cm. Flap survival, postoperative complications were evaluated. Results: All flaps survived without loss. Donor sites were repaired with primary closure in five cases and skin graft in two cases. None of the patients showed significant complications and their average finger motion was $255^{\circ}$ in total active motion at the last follow-up. Conclusion: The authors suggest that the reverse homodigital artery island flap could be a versatile treatment option for the soft tissue defect on distal part of digits.

Clinical Applications of Peroneal Perforator Flap (비골동맥 천공지 피판의 임상적 적용)

  • Oh, Sang Ha;Oh, Hyun Bae;Lee, Seung Ryul;Kang, Nak Heon
    • Archives of Plastic Surgery
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    • v.33 no.2
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    • pp.187-192
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    • 2006
  • The perforator flaps are based on cutaneous vessels which are originated from a main pedicle and penetrate fascia or muscle to reach the skin. The lateral lower leg is one of the most suitable areas for harvesting perforator flaps because a number of perforator vessels exist. The authors applied peroneal perforator flaps in nine patients. Five flaps were reverse island flaps based on peroneal artery and septocutaneous perforator, and four flaps were free flap based on musculocutaneous perforator only. The recipient site was the posterior ankle in three patients, posterior heel in three patients, lateral malleolus, anterolateral ankle, and foot dorsum in one patient each. The flap size ranged from 5 to 12cm long, from 3 to 5cm wide, and the primary closure of the donor site was possible in most cases. All flaps, except for the flap in two patients in the reverse island flap series, survived completely. The peroneal perforator flap is a very thin, pliable flap with minimal donor site morbidity and is suitable for the reconstruction of small and medium sized superficial skin defects. Also, this flap may be considered as an alternative to radial forearm flap or other perforator flaps.

Surgical Treatment of a Tuberculous Abscess of the Chest Wall

  • Keum, Dong-Yoon;Kim, Jae-Bum;Park, Chang-Kwon
    • Journal of Chest Surgery
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    • v.45 no.3
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    • pp.177-182
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    • 2012
  • Background: Tuberculous abscess of the chest wall is a very rare disease. Few articles have reported on it and those that have enrolled few patients. To determine the characteristics of this disease and to suggest an optimal treatment strategy, we reviewed patients treated by surgical management. Materials and Methods: Between October 1981 and December 2009, 68 patients treated by surgical management for a tuberculous abscess of the chest wall were reviewed retrospectively. Results: Of 33 men and 35 women, 31 patients had a current or previous history of tuberculosis. The main complaints were chest pain, a palpable mass, pus discharge, and coughing. A preoperative bacteriologic diagnosis was performed in 12 patients. Abscess excision was performed in 54 cases, abscess cavity excision and partial rib resection in 13, and abscess excision and partial sternum and clavicle excision in 1 case. Postoperative wound infection was noted in 16 patients and a secondary operation was performed in 1 patient. Recurrence occurred in 5 patients (7.35%). Reoperation with abscess excision and partial rib resection was performed in all of the 5 cases. Conclusion: Complete excision of the abscess and primary closure of the wound with obliteration of space would decrease postoperative complications. Anti-tuberculosis medication may reduce the chance of recurrence.

Staged excision of basal cell carcinoma arising from a tattooed eyebrow

  • Han, Song Hyun;Jo, Dong In;Kim, Soon Heum
    • Archives of Craniofacial Surgery
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    • v.21 no.5
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    • pp.315-318
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    • 2020
  • Side effects of tattoos can occur due to unexpected body responses. Concerns about the side effects of tattoos are growing concomitantly with the increasing number of tattooed individuals. We report a rare case of basal cell carcinoma (BCC) on a tattooed eyebrow. A 48-year-old woman with no family history or occupational risk of skin cancer had her eyebrows tattooed 6 years prior, and she noticed a black mass on her right eyebrow 1 year before presentation. Staged excision was planned due to the patient's reluctance regarding the possibility of a wide scar. After the first surgical procedure, a histopathological examination confirmed BCC. Wide excision and primary closure were performed for remnant BCC, and no recurrence was observed. The mechanism of skin neoplasms involving tattoos has not been clearly identified. Unapproved tattoo inks contain carcinogenic substances, and previous case reports indicate that skin neoplasms may differ depending on the tattoo color. Therefore, the carcinogenic effects of these unknown components of tattoo ink might cause skin neoplasms. Accurate component analysis and systematic management of tattoo ink is necessary, and medical practitioners must also pay attention to this possibility because it is easy to overlook tattoos as a causal factor contributing to cancer.

Tunnelized-facial Artery Myomucosal Island Flap (t-FAMMIF) for Palatomaxillary Reconstruction: A Report of Two Cases (터널화 안면동맥 협부 근점막 도피판을 이용한 구개상악 결손의 재건: 증례보고)

  • Ryu, Da Jung;Jang, Hyo Won;Park, Hye Jeong;Kim, Hyung Jun;Cha, In-Ho;Nam, Woong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.2
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    • pp.100-106
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    • 2013
  • There are many challenges for reconstruction after intraoral tumor resection. Especially, palatomaxillary reconstruction has two primary goals: closure of the oronasal communication and re-creation of proper myomucosal function. Prosthodontic treatment using obturator and several surgical procedures are selected depending on the size and site of the defect, the difficulty of operative procedure, operation time and donor site problem. Above all, it is considered that radial forearm free flap is the first choice for palatal reconstruction. Our department introduces a novel method using tunnelized-facial artery myomucosal island flap for palatomaxillary defect reconstruction, which can successfully reduce donor-site morbidity, and duration of surgery and hospitalization.

REMOVAL OF A PIERCING BAR IN THE MOUTH FLOOR BY FLUOROSCOPY: REPORT OF A CASE (형광 투시법을 이용한 구강저에서의 피어싱 바의 제거: 증례보고)

  • Kim, Jae-Won;Jang, Ji-Young;Jang, Heon-Soo;Cha, Du-Won;Baek, Sang-Heum
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.34 no.2
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    • pp.196-199
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    • 2008
  • The piercing is increasing in western culture, and has also become gradually popular among Korean teenagers recently However, the accident hap-pens sometimes such as loss of a bar into the tongue or mouth floor during the procedure. Because of the rare cases, few treatment of choices can be made when a bar is lost inside the mouth floor. In this case, the bar was removed under fluoroscope, without giving significant damage to the adjacent structure. 18 years old female patient visited the emergency room in our hospital. She attempted to pierce her tongue herself and could not find the bar which was lost in the mouth floor. The radiographs revealed that the needle was somewhere inside the mouth floor, but if incision were to be made it would be too deep to find the bar. The bar was removed through fluoroscope easily. Primary closure was done by 5-0 Vicryl and stitch-off was done 1 week later. The patient didn't have any speech problems and complications.