• Title/Summary/Keyword: Re-closure

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Experience of ReCell in Skin Cancer Reconstruction

  • Gilleard, Onur;Segaren, Nicholas;Healy, Ciaran
    • Archives of Plastic Surgery
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    • v.40 no.5
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    • pp.627-629
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    • 2013
  • The ReCell system (Avita Medical) is a cell culture product that allows the immediate processing of a small split-thickness skin biopsy to produce a complete population of cells including keratinocytes, melanocytes, Langerhans cells and fibroblasts. This series is the first to highlight the reconstructive applications of ReCell following ablative skin cancer surgery. The ReCell system was utilized for three patients following skin cancer excision. In two cases, the cells were applied to forehead flap donor sites following nasal reconstruction. In one case, the cells were applied to the calvarial periosteum following wide local excision of a melanoma scar. Assessment of the treated area was performed using the patient and observer scar assessment scale after 1 year. The Patient and Observer Scar Assessment Scale (POSAS) scores for the 2 patients treated with ReCell following forehead flap surgery were 22 and 32. The score for the patient that underwent wide local excision of a melanoma scar was 45. The absence of a donor site, accelerated healing and the satisfactory aesthetic appearance of the mature scars in this series suggest that ReCell may play a useful role in reconstruction following skin cancer excision.

Bilateral Delayed Nonarteritic Anterior Ischemic Neuropathy Following Acute Primary Angle-closure Crisis (양안 급성 폐쇄각녹내장 환자에서 발생한 양안 지연 비동맥염 앞허혈시신경병증 1예)

  • Park, Eun Jung;Chun, Yeoun Sook;Moon, Nam Ju
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.11
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    • pp.1091-1096
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    • 2018
  • Purpose: We report a case of bilateral nonarteritic anterior ischemic optic neuropathy (NAION) following acute angle-closure crisis (AACC). Case summary: A 76-year-old female visited our clinic because of a 1-day history of ocular pain and vision loss in both eyes. The visual acuity was 0.02 in both eyes and her intraocular pressure (IOP) was 52 mmHg in the right eye (RE) and 50 mmHg in the left eye (LE). She had corneal edema and a shallow anterior chamber in both eyes, with 4 mm fixed dilated pupils. After decreasing the IOP with intravenous mannitol, laser iridotomy was performed. However, 2 days later, visual acuity was further reduced to finger counting at 10 cm RE and at 50 cm LE, and her optic disc was swollen. Bilateral NAION following AACC was diagnosed. One month later, visual acuity slightly improved to 0.02 RE and 0.04 LE, and the optic disc edema resolved. A small cup-disc ratio, optic disc pallor, and atrophy were observed. Humphrey visual fields demonstrated superior and inferior altitudial visual field defects in the LE, and almost total scotoma in the RE. Conclusions: AACC can be a predisposing factor for NAION, so the relative afferent pupillary defect, papilledema, and presentation of other risk factors are important clues to a diagnosis of NAION.

Mean pressure prediction for the case of 3D unsteady turbulent flow past isolated prismatic cylinder

  • Ramesh, V.;Vengadesan, S.;Narasimhan, J.L.
    • Wind and Structures
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    • v.9 no.5
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    • pp.357-367
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    • 2006
  • Unsteady 3D Reynolds Averaged Navier-Stokes (URANS) solver is used to simulate the turbulent flow past an isolated prismatic cylinder at Re=37,400. The aspect ratio of height to base width of the body is 5. The turbulence closure is achieved through a non-linear $k-{\varepsilon}$ model. The applicability of this model to predict unsteady forces associated with this flow is examined. The study shows that the present URANS solver with standard wall functions predicts all the major unsteady phenomena showing closer agreement with experiment. This investigation concludes that URANS simulations with the non-linear $k-{\varepsilon}$ model as a turbulence closure provides a promising alternative to LES with view to study flows having complex features.

Surgical Treatment of Postoperative Leakage with Pedicled Omental Flap (유경성 대망이식편을 이용한 술후 식도천공 치험1례)

  • Im, Chang-Yeong;Kim, Yo-Han;Yu, Hoe-Seong
    • Journal of Chest Surgery
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    • v.26 no.4
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    • pp.325-328
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    • 1993
  • The pedicled omental flap has been used for treatment of various kind of complications in thoraxcic surgery. Its property of promoting neovascularization , immunilogic properties that limiting the spread of infection, providing soft tissue coverage are very effective in treatment esophageal fistulas. Also, congenital broncho-esophageal fistula [ BEF ] is a rare disease entity which was reported about 100 cases around the world. We experienced 27 years old female patient with Braimbridge type I congenital BEF. We performed division of BEF using stapler and pericardial patch coverage of esophageal side with concomittent left lower lobectomy. This patient was complicated with postoperative esophageal leakage with empyema thoracis. We have successfully managed these problems with re-thoracotomy and re-closure of esophageal fistula using Right Gastroepiploic Artery based pedicled omental flap wrapping around the esophageal anastomosis site. It is felt that pedicled omental flap is a very effective method to manage esophageal complication such as postoperative esophageal leakage.

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The Seal-up of Pleuropulmonary Fistula after Pulmonary Resection c Tisseel (폐 구역절제 혹은 기포절제 수술후 발생한 페늑막루 폐쇄 -조직접합제 사용 4예-)

  • Lee, Du-Yeon;Kim, Hae-Gyun;Mun, Dong-Seok
    • Journal of Chest Surgery
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    • v.24 no.10
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    • pp.1039-1043
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    • 1991
  • The bullectomy, or sedge resection of the lung including bullae is the treatment of choice for the recurrent spontaneous pneumothorax, and but results in pleuropulmonary fistulae in postoperative periods in some emphysematous lungs. There are many methods to close the air leakages with T-M, Talc powders. Or the closure of air leakage sites can be closed c resuture, wedge resection or lobectomy through re-explothoracotomy. Tisseel, a in thoracic surgical areas in recents. We have sealed the post-operative air leakage sites after bullectomy or segmental resection for 4 recurrent spontaneous pneumothorax with the spray of Tisseel & throbin through thoracoscope without re-explothoracotomy. The post-operative courses are uneventful to now.

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VILODE : A Real-Time Visual Loop Closure Detector Using Key Frames and Bag of Words (VILODE : 키 프레임 영상과 시각 단어들을 이용한 실시간 시각 루프 결합 탐지기)

  • Kim, Hyesuk;Kim, Incheol
    • KIPS Transactions on Software and Data Engineering
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    • v.4 no.5
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    • pp.225-230
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    • 2015
  • In this paper, we propose an effective real-time visual loop closure detector, VILODE, which makes use of key frames and bag of visual words (BoW) based on SURF feature points. In order to determine whether the camera has re-visited one of the previously visited places, a loop closure detector has to compare an incoming new image with all previous images collected at every visited place. As the camera passes through new places or locations, the amount of images to be compared continues growing. For this reason, it is difficult for a visual loop closure detector to meet both real-time constraint and high detection accuracy. To address the problem, the proposed system adopts an effective key frame selection strategy which selects and compares only distinct meaningful ones from continuously incoming images during navigation, and so it can reduce greatly image comparisons for loop detection. Moreover, in order to improve detection accuracy and efficiency, the system represents each key frame image as a bag of visual words, and maintains indexes for them using DBoW database system. The experiments with TUM benchmark datasets demonstrates high performance of the proposed visual loop closure detector.

The Effect of the Butanol Fraction from Hydnocarpi Semen Extract on Activation of Keratinocyte and Fibroblast (각질형성세포와 섬유모세포 활성화에 미치는 대풍자 부탄올 분획의 효능)

  • Lee, Geum Seon;Lee, Ki Man;Yim, Dongsool;Cheong, Jae Hoon;Kang, Tae Jin
    • Korean Journal of Pharmacognosy
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    • v.46 no.1
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    • pp.59-64
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    • 2015
  • Wound healing is a complex process that includes inflammation, granulation tissue formation, re-epithelialization, and remodeling. We reported previously that BuOH fraction from Hydnocarpi Semen (HS) crude extract exhibited wound healing activity in animal ulcer models. In this study, we investigated whether BuOH fraction activates keratinocyte and fibroblast via wound closure test and migration assay. In the scratch test, BuOH fraction accelerated the closure of a monolayer wound scratch at $100{\mu}g/mL$. After treatment with BuOH fraction for 18 h, keratinocytes showed a increase in migration at $25{\mu}g/mL$, whereas the migration of fibroblast increased significantly at $100{\mu}g/mL$ of BuOH fraction compared to control. The mechanism that the BuOH fraction of HS helps to promote healing by inflammation is possibly associated with the migration of keratinocyte and fibroblast.

Ventricular septal defect associated with aortic regurgitation: a report of 24 cases (대동맥판 폐쇄부전이 동반된 심실중격 결손증 수술 치험 24례 보)

  • 정경영
    • Journal of Chest Surgery
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    • v.16 no.4
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    • pp.476-484
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    • 1983
  • Ventricular septal defect[VSD] associated with aortic regurgitation[AR] represents 2 to 7.5% of all VSD which is most common congenital heart disease. The aortic valve may by normal in infants with VSD, but the aortic regurgitation may be developed in these patients later. The aortic valve became fibrotic, thickened, deformed and prolapsed, so these late deformities require to be corrected with plication, valvuloplasty or aortic valve replacement [AVR]. There are some controversy between the early repair of VSD alone and the late repair of VSD and aortic valve till now. From December 1971 to August 1983, we had experienced 24 patients of VSD associated with AR which constitute 6.5% of our total patients with VSD. The VSD was subpulmoary [type I] in 14[58.3%], subcristal [type II] in 8[33.3%], atrioventricular canal type[type III] in 1, and combine of type I and II in 1. Patch repair of VSD was made in 15 patients and direct suture of small VSD in 9.14 patients had aortic plication of valvuloplasty and 9 had AVR accompanying VSD repair, and 1 patient had VSD closure alone. The postoperative courses of these patients were uneventful except in some cases. A patient who was undertaken AVR with Starr-Edwards ball valve and VSD closure, died due to left ventricular failure and low cardiac output syndrome. Follow up shows, in 14 patients with aortic plication or valvuloplasty, AR was developed in 9. In 9 AVR, there were two later complications which were paravalvular leakage in one and re-AVR due to subacute bacterial endocarditis in another.

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Nanosphere Form of Curcumin Stimulates the Migration of Human Umbilical Cord Blood Derived Mesenchymal Stem Cells

  • Kim, Do-Wan;Kim, Ju Ha;Lee, Sei-Jung
    • Proceedings of the Korean Environmental Sciences Society Conference
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    • 2020.10a
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    • pp.221-221
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    • 2020
  • Curcumin, a hydrophobic polyphenol derived from turmeric, has been used a food additive and as a herbal medicine for the treatment of various diseases. In the present study, we found the functional role of a nanosphere loaded with curcumin (CN) in the promotion of the motility of human umbilical cord blood derived mesenchymal stem cells (hUCB-MSCs) during the wound closure. We found that the efficacy of hUCB-MSCs migration induced by CN was 1000-fold higher than that of curcumin powder. CN significantly increased the motility of hUCB-MSCs by activating c-Src, which is responsible for the phosphorylation of protein kinase C (PKC) and extracellular signal-regulated kinase (ERK). CN induced the expression levels of α-actinin-1, profilin-1 and filamentous-actin, as regulated by the phosphorylation of nuclear factor-kappa B during its promotion of cell migration. In a mouse skin excisional wound model, we found that transplantation of UCB-MSCs pre-treated with CN enhances wound closure, granulation, and re-epithelialization at mouse skin wound sites. These results indicate that CN is a functional agent that promotes the mobilization of UCB-MSCs for cutaneous wound repair.

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