• Title/Summary/Keyword: Service injection

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High-Fidelity Perforator Visualization for Cadaver Dissection in Surgical Training

  • AllenWei Jiat Wong;Yee Onn Kok;Khong Yik Chew;Bien Keem Tan
    • Archives of Plastic Surgery
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    • v.50 no.6
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    • pp.621-626
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    • 2023
  • In the first half of the third century B.C., Herophilus and Erasistratus performed the first systematic dissection of the human body. For subsequent centuries, these cadaveric dissections were key to the advancement of anatomical knowledge and surgical techniques. To this day, despite various instructional methods, cadaver dissection remained the best way for surgical training. To improve the quality of education and research through cadaveric dissection, our institution has developed a unique method of perforator-preserving cadaver injection, allowing us to achieve high-fidelity perforator visualization for dissection studies, at low cost and high efficacy. Ten full body cadavers were sectioned through the base of neck, bilateral shoulder, and hip joints. The key was to dissect multiple perfusing arteries and draining veins for each section, to increase "capture" of vascular territories. The vessels were carefully flushed, insufflated, and then filled with latex dye. Our injection dye comprised of liquid latex, formalin, and acrylic paint in the ratio of 1:2:1. Different endpoints were used to assess adequacy of injection, such as reconstitution of eyeball volume, skin turgor, visible dye in subcutaneous veins, and seepage of dye through stab incisions in digital pulps. Dissections demonstrated the effectiveness of the dye, outlining even the small osseous perforators of the medial femoral condyle flap and subconjunctival plexuses. Our technique emphasized atraumatic preparation, recreation of luminal space through insufflation, and finally careful injection of latex dye with adequate curing. This has allowed high-fidelity perforator visualization for dissection studies.

Development of Early Embryos inIn Vivo Superovulated Rabbits (과배란 처리된 체내 초기배 발생에 관한 연구)

  • 조현조;이홍준;심금섭
    • Journal of Embryo Transfer
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    • v.9 no.2
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    • pp.167-172
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    • 1994
  • This experiment was arried out to investigate the development of ea4y rabbit embryos in vivo. Twenty-six New Zealand White does were superovulated by treatment with PMSG(Intervet Co; I. M single injection, 150. U./rabbit) followed 3 day later by simultaneous I.V injection of 100 I.U HCG (Intervet Co, )and natural service with fertile male. All of does was killed at the specific times (24, 27, 30, 36, 42, 50 and 93 h post-hCG) to find out the early embryonic development in vivo respectively. Embryos at the specified stages of development were obtained at the following times after injection of hCG; one-ceH at 24 h, two-cell at 24~27h, four-cell at 27~36 h, morulae at 50 h and early blasto-cyst at 93 h and expanded or hatching blastocyst at 144 h. Number of embryos recovered per rabbit superovulated was 26.1 and average of recovery rate was 83.7%. The results suggest that superovulation was efficient for the increase of embryo number in rabbits, and as shown in results, asynchronous cleavage was prevalent among the recovered embryos.

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The Effects of Regular Injection of High Dose Vitamin C on Liver Damage in Paraquat Poisoned Rat Model - Prehospital Care Model - (백서의 paraquat 중독모델에서 고용량 Vitamin C의 주기적 투여가 간에 미치는 영향 병원전 처치 모델)

  • Cho, Keun-Ja
    • The Korean Journal of Emergency Medical Services
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    • v.10 no.1
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    • pp.51-60
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    • 2006
  • Background: The toxicity of paraquat has been known to be caused by oxygen free radicals which leads to the lipid peroxidation and multiple organ failure. High dose vitamin C has been known to be a effective antioxidant activities against the paraquat intoxication. This study was designed to evaluate the effect of regular injection of high dose vitamin C on liver damage in paraquat poisoned rat model. Method: Fifty five rats of Sprague-Dawley strain were divided into three groups: control group, only intraperitoneally injected saline; paraquat group, single dose intraperitoneally injected paraquat(24.5%, 40 mg/kg) and every 8 hours injected saline; paraquat and vitamin C group, single dose intraperitoneally injected paraquat(24.5%, 40 mg/kg) and every 8 hours injected vitamin C(72 mg/kg). Rats were sacrificed on the 12 hours, 1st day, 2nd day, 4th day, 7th day after injection and liver tissue was obtained. H&E(Hematoxylin & Eosin) stain and Masson's trichrome stain for collagen fiber detection were undertaken. The results were observed using the microscope. Results: 1. There were no differences between control and experimental group at the 12hours after regular injection of high dose vitamin C. 2. There were significantly decreased liver damage in experimental group in the 1st day after regular injection of high dose vitamin C. 3. There were significantly increased recovery of liver damage with time in experimental group after regular injection of high dose vitamin C. Conclusion: These results suggest that regular injection of high dose vitamin C is effective in decreasing liver damage in paraquat intoxication.

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An Study on Spray and Combustion Characteristics of Direct Injection LPG under Low Pressure Injection Condition (저압 분사조건에 따른 직접분사 LPG의 분무 및 연소특성 연구)

  • Hwang, Seong-Ill;Chung, Sung-Sik;Yeom, Jeong-Kuk;Lee, Jin-Hyun
    • Journal of the Korean Institute of Gas
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    • v.20 no.1
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    • pp.52-61
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    • 2016
  • Liquefied petroleum gas is regarded as a promising alternative fuel as it is eco-friendly, has good energy efficiency and output performance, practically and has high cost competitiveness over competing fuels. In spark-ignition engine, direct injection technology improves engine volumetric efficiency apparently and operates engine using the stratified charge that has relatively higher combustion efficiency. This study designed a combustion chamber equipped with visualization system by applying gasoline direct injection engine principle. In doing so, the study recorded and analyzed ignition probability and flame propagation process of spark-ignited direct injection LPG in a digital way. The result can contribute as a basic resource widespread for spark-ignited direct injection LPG engine design and optimization extensively.

Wavelength Division Multiplexing-Passive Optical Network Based FTTH Field Trial Test

  • Kim, Geun-Young;Kim, Jin-Hee
    • Journal of the Optical Society of Korea
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    • v.11 no.3
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    • pp.101-107
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    • 2007
  • In this paper, we have presented the results of Wavelength Division Multiplexing-Passive Optical Network (WDM-PON) based fiber-to-the-home (FTTH) field trial test which was held in the city of Gwangju. We have implemented an injection locked Fabry-Perot Laser Diode (FP-LD) based WDM-PON system and reliably delivered Internet Protocol TV (IP-TV), networked Personal Video Recorder (N-PVR), High-Definition Video on Demand (HD-VoD), Education on Demand (EoD) and Internet service as FTTH service through the system during the field trial test. We have also verified that the WDM-PON system worked well to provide quality of service (QoS) guaranteed 100Mbps bandwidth per subscriber. Furthermore, we have presented network designing issues in Outside Plant (OSP) and Customer Premises Network (CPN) that should be overcome to efficiently deploy FTTH service. Finally, based on the field trial test results, we proposed FTTH service deployment strategies.

Facial blanching after inferior alveolar nerve block anesthesia: an unusual complication

  • Kang, Sang-Hoon;Won, Yu-Jin
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.17 no.4
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    • pp.317-321
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    • 2017
  • The present case report describes a complication involving facial blanching symptoms occurring during inferior alveolar nerve block anesthesia (IANBA). Facial blanching after IANBA can be caused by the injection of an anesthetic into the maxillary artery area, affecting the infraorbital artery.

Prehospital care status and improvement plan of 119 emergency medical technician to anaphylaxis patients (119구급대원의 아나필락시스 환자에 대한 병원 전 응급처치 현황 및 개선 방안)

  • Choi, Jang-Hui;Jo, You-Hwan;Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.20 no.1
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    • pp.57-70
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    • 2016
  • Purpose: This study aims to analyze the current state of emergency care for patients with anaphylaxis and to identify problems and areas for improvement in prehospital care. Methods: This study was conducted using 119 emergency running sheets and medical records of 109 patients diagnosed with anaphylaxis. Questionnaires were also given to emergency medical technicians (EMTs) and emergency physicians. The data were analyzed using SPSS 21.0. Results: Prehospital emergency care included oxygen administration in 64.2%, an intravenous line in 15.6%, and medication injection in 11.0%. The most commonly administered medications were antihistamines in 66.7% and epinephrine in 8.3%. Of EMTs surveyed, 47.0% suggested an epinephrine injection and using direct medical control, while 53.8% of the emergency physicians suggested an epinephrine injection and using indirect medical control. Most emergency physicians 88.8% responded that epinephrine could be administered by EMTs. Conclusion: The data support epinephrine injection of patients with anaphylaxis by EMTs, but a larger sample size of EMTs is required. Education about the treatment of anaphylaxis should be improved for EMTs. The scope of paramedic responsibilities should also be redefined.

Usefulness of Ultrasonographic Examination in Diagnosis and Follow-up of the Frozen Shoulder (동결견의 진단과 치료 경과 판정에 대한 초음파 검사의 유용성)

  • Choi, Chang-Hyuk;Kim, Seok-Jun;Lee, Sang-Hwa;Kim, Hee-Soo;Shim, Jung-Hyun
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.7 no.1
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    • pp.1-6
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    • 2014
  • Purpose: In order to know the effectiveness of ultrasonographic examination in diagnosis and follow-up evaluation for the frozen shoulder, we compared those with contralateral side in initial and after steroid injection. Materials and Methods: For the 20 unilateral frozen shoulder from July 2012 to July 2013, ultrasonographic examination was tried using reference line 1 (CBT: distance from coracoid process to LHB tendon) and line 2 (CBG: distance from coracoid process to bicipital groove). We tried 1 time steroid injection and compared the improvement in gross motion and reference line with 2 month, 4 month, and 6 month's serial ultrasonographic examination. Results: The differences on CBT line between lesion side and normal side were -5.6 mm, -5.0 mm, and -4.3 mm in neutral (Neut), external rotation (ER) and internal rotation (IR), respectively. The differences on CBG line were -6.1 mm, -4.7 mm, and -5.0 mm respectively (p<0.05). The changes in the reference line after steroid injection were evaluated at 2 month (CBT: -4.8 mm, -3.5 mm, -2.6 mm / CBG: -4.7 mm, -4.0 mm, -3.6 mm), 4 month (CBT: -4.7 mm, -3.2 mm, -1.7 mm / CBG: -4.3 mm, -3.7 mm, -1.2 mm), and 6 month (CBT: -1.1 mm, -2.9 mm, -0.5 mm / CBG: -1.2 mm, -0.7 mm, -0.9 mm). The gross motion was improved at 4 month after injection, from elevation $108^{\circ}$, ER $32^{\circ}$, IR L5 in initial to $133^{\circ}$, $42^{\circ}$, L3 respectively (p<0.05). Pain improved from 7.5 in initial to 3.0 at 2 month on visual analog scale (VAS). Conclusion: The serial examination after steroid injection revealed that the delayed improvement on reference line (6 month) compared with pain (2 month) or gross motion (4 month). Dynamic ultrasonogram was useful in diagnosis and follow-up evaluation of frozen shoulder.

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Protective effects of dandelion extract against liver damage by repeated administration of thioacetamide in rats (랫드에서 thioacetamide의 반복 투여로 유도된 간 손상에 대한 민들레 추출물의 효과)

  • Moon, Sun-Jin;Shin, Sung-Shik;Son, Chang-Ho;Oh, Ki-Seok;Kim, Ha-Jung;Jung, Ji-Young;Suh, Guk-Hyun
    • Korean Journal of Veterinary Service
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    • v.40 no.2
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    • pp.107-117
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    • 2017
  • This study was conducted to investigate of hepatoprotective effect of dandelion water extract (DWE) according to repeated administration of thioacetamide (TAA) induced hepatotoxicity in Spraque-Dawley rats. Thirty rats were randomly assigned to 5 groups; normal control, DWE-control, TAA-control (TAA injection during the feeding of normal diet), TAA&DWE600 (TAA repeated injection during the feeding of DWE 600 mg/kg BW), TAA&DWE1200 (TAA repeated injection during the feeding of DWE 1,200 mg/kg BW). Rats in DWE-control and TAA&DWE groups were treated with DWE (600 or 1,200 mg/kg BW daily) by gavage for 20 days (twice a day). All the rats in the TAA-control and TAA&DWE groups were repeated injection of TAA (100 mg/kg BW) into the abdominal cavity 3 days interval and 12 hrs later, all rats were sacrificed. At the same time, normal control and DWE-control groups were injected normal saline. In TAA&DWE groups, serum alanine and aspartate aminotransferase (ALT, AST) were significantly decreased and triglyceride (TG) synthesis was significantly increased compared to TAA group. As well as total billilubin and GGT were slightly decreased by the treatment of DWE. Lipid peroxidation (MDA) concentration was significantly decreased and hepatic GSH content was slightly or significantly increased in the TAA&DWE groups compared to TAA group. Hepatic anti-oxidative enzyme activities, such as GSH, GST, SOD and catalase were slightly or significantly elevated by the treatment of DWE. According to these results, When dandelion extract was long term supplied, it could be used as a potential protective material for a longer time liver damage by repeated adminstration of the TAA.

Clinical Correlates of QTc Prolongation in Patients with Schizophrenia : A Retrospective Study (조현병 환자에서 QTc 간격연장에 관련되는 요인 : 후향적 연구)

  • Lee, Jung Suk;Park, Jaesub;Park, Sunyoung
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.1
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    • pp.11-16
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    • 2021
  • Objectives : QTc prolongation due to antipsychotics is of major concern because it may lead to fatal ventricular arrhythmia such as torsade de pointes. However, few studies have been conducted on QTc prolongation due to antipsychotics, especially in South Korea. This study aimed to investigate how demographic and clinical variables affect QTc interval in patients with schizophrenia. Methods : By retrospectively reviewing medical records, we assessed QTc interval, demographic data and clinical features of 441 (175 males) patients with schizophrenia who admitted to the psychiatric ward of a general hospital. To explore the predictive factors for QTc interval, hierarchical regression analysis was performed with QTc interval as the dependent variable. Results : The mean QTc interval was 417.2±28.4 ms. In the hierarchical regression analysis, the use of short-acting antipsychotic injection was the strongest predictor of the QTc prolongation. Conclusions : This study demonstrated that the use of short-acting antipsychotic injection may affect QTc prolongation in patients with schizophrenia. This result suggests that more attention should be paid to the use of short-acting antipsychotic injection in the treatment of schizophrenia.