• Archives of Plastic Surgery
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• 제37권3호
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• pp.227-232
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• 2010

Purpose: Continuous irrigation method is an important step in managing wound infection. V.A.C. devices have been used in intractable wounds for reducing discharge, improving local blood flow, and promoting healthy granulation tissue. We expect synergistic effects of reduced infection and more satisfactory, accelerated wound healing when using both methods simultaneously. This study evaluated continuous irrigation combined with V.A.C. appliance for treatment of infected chronic wounds. Methods: We reviewed data from 17 patients with infected intractable chronic wounds. V.A.C. device (Group A) was used in 9 patients, and V.A.C. with antibiotics irrigation (Group B) was used in 8 patients. We placed Mepitel$^{(R)}$ on the surface of wound and placed an irrigation and aspiration tube on each side. A sponge was placed on the Mepitel$^{(R)}$ and covered with film dressing. The wound was irrigated continuously with mixed antibiotics solution at the speed of 200 cc/hr and aspirated through the wall suction at the pressure of -125 mmHg. V.A.C. applied time, wound culture and wound size were compared between the two groups. Results: No complication were seen in two groups. Compared with Group A, in the Group B, V.A.C. applied time was shortened from 32.7 days to 25.6 days and showed efficacy in the reduction rate of wound size. No statistical differences were shown in bacterial reversion. Conclusion: V.A.C. appliance with continuous irrigation is an effective new method of managing infected chronic wounds and useful to reduce treatment duration and decrease wound size. Moreover it could be applied more widely to infected wound.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7121-7126
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• 2013

Aim: To examine lymph nodes obtained after lipolysis and liposuction of subcutaneous fat of the inguinal region of female vulvar cancer patients to explore the feasibility of clinical application. Methods: The field of operation was on the basis of the range of the conventional resection of inguinal lymph nodes. We injected lipolysis liquid fanwise, started liposuction after 15-20 minutes; then the subcutaneous fatty tissue was sucked out clearly by suction tube. We selected the first puncture holes located on 2-3 cm part below anterior superior spine, the others respectively being located 3cm and 6cm below the first for puncturing into the skin, imbedding a trocar to intorduce $CO_2$ gas and the specular body, and excise the lymph nodes by ultrasonic scalpel. The surgical field chamber was set with negative pressure drainage and was pressured with a soft saline bag after surgery. Results: A lacuna emerged from subcutaneous of the inguinal region after lipolysis and liposuction, with a wide fascia easily exposed at the bottom where lymph nodes could be readily excised. The number of lymph nodes of ten patients excised within the inguinal region on each side was 4-18. The excised average number of lymph nodes was 11 when we had mature technology. Conclusion: Most of adipose tissue was removed after lipolysis and liposuction of subcutaneous tissue of inguinal region, so that the included lymph nodes were exposed and easy to excise by endoscope. This surgery avoided the large incision of regular surgery of inguinal region, the results indicating that this approach is feasible and safe for used as an alternative technology.

• 대한기계학회논문집B
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• 제40권4호
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• pp.263-273
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• 2016

자연순환식 압입 송풍식 수관보일러에 FGR시스템을 설치하여 보일러 부하 및 공기량 댐퍼개도를 파라미터로 해서 FGR률에 따른 성능 및 배기 배출물에 미치는 재순환 배기의 영향을 조사하였다. 본 연구의 목적은 $NO_x$ 배출물을 저감시키기 위하여 동력플랜트 보일러에 FGR시스템을 적용하는 것이다. 연소를 활성화시키기 위해 0 ~ 20%의 연소용 공기를 화염 내에 공급한다. 공기상자 상부에 설치된 2단 연소시스템의 흡입댐퍼를 $0^{\circ}{\sim}90^{\circ}$ 사이에서 레버를 조작하여 열면, 버너로 공급되는 연소용 공기가 변화된다. 증발률당의 연료소비율은 FGR률의 증가에 따라 증가 혹은 감소의 명확한 경향을 나타내지 않았고, 동일 공기량 댐퍼개도에서는 FGR률이 증가할수록, 또한, 보일러 부하가 감소할수록 $NO_x$ 배출물이 감소되었다. 매연 배출물은 전기 집진기에서 86.7%의 포집효율로 매연이 제거되었기 때문에, 보일러 부하, 공기량 댐퍼 개도 및 FGR률의 운전조건에 관계없이 극소량의 매연이 배출되었다.

• The Korean Journal of Physiology
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• 제18권2호
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• pp.117-124
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• 1984

It has been recently reported that cingulate cortex mar facilitate gastric acid secretion, but its facilitatory mechanism on the gastric acid secretion is still unclear. This study was undertaken to investigate the facilitatory mechanism of the cingulate cortex upon gastric acid secretion in rats. Twenty·three male albino rats were divided into the cingulate(N= 13) and the operated control(N= 10) groups. The cingulate group in which cingulate cortex was removed by suction through a slit-shaped opening on each side of, and parallel to, the sagittal suture. In the operated control group, the surgical procedure was ended with the skull opening and the incision of dura mater. The gastric juice was collected via a chronic gastric cannula after 24 hours of fast, with water ad libitum. The juice was collected continuously for 6 hours, starting 3 hours prior to the injection of gastric secretagogue, pentagastrin$(12\;{\mu}g/kg)$ or histamine dihydrochloride $(320\;{\mu}g/kg)$. Three one·hour samples were obtained before ana after the administration of each secretagogue. The two agents were injected separately and subcutaneously at intervals of 1 week, the blood samples were drawn from the abdominal aorta for the radioimmunoassay of postprandial plasma gastrin concentration in response to the forced feeding of 10% cod liver oil. 1) After pentagastrin administration, the volume of gastric juice tended to decrease, but its acidity tended to increase in the cingulate group compared with those of the operated control group. However, there was no any difference in the acid output between the two groups. 2) Histamine-stimulated acid output and volume of the gastric juice of the cingulate group decreased significantly compared with those of the operated control group, while there was not significantly different in the acidity between the two groups. 3) Before pentagastrin or histamine administration, any change was not observed in the gastric acid secretion following the cingulate cortical ablation. 4) Postprandial plasma gastrin concentration in response to the forced feeding of 10% cod liver oil was insignificantly lower in the cingulate group than in the operated control group. It is inferred from the above results that the cingulate cortex exerts a facilitatory influence upon the histamine-stimulated gastric acid secretion in rats, and its influence may not be mediated by the stimulation of gastrin secretion.

• Journal of Chest Surgery
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• 제8권1호
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• pp.37-44
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• 1975

Authors have reviewed the records of seven patients of multiple rib fractures with severe flail chest who were admitted to Hanyang University Hospital during the 3 years period from 1972 through 1975. Of the seven patients studied, automobile accidents led to the injuries in 4 cases, two patients were injured in fall from a tree and on the ox-heading. All who had a blunt trauma without any open wound on the chest. The numbers of the fractured ribs accounted for 6 to 9 of the ribs including double fractures from 3 to 5 ribs. The left side fractures occurred in the 6 patients and in the right only one patient. Thus the flail segment was more often located in the left antero-lateral position than in the right lateral position [the ratio was 6:1].. All cases had associated injuries. The injuries and multiple fractures were the most common associated injuries occurring in four and five of the patients respectively. The patients were classified as having associated head injuries when they were admitted in comatose or semicomatose state. When a major degree of instability of the thoracic cage exists, adequate respiratory change is not possible. For this reason the tracheostomy was performed in five patients in an acutely injured patient with flail chest only after an endotracheal tube has been inserted or after an endotracheal suction. All patients had secondary complications in the pleural cavity, such as hemothorax or hemopneumothorax with or without intrapulmonary hemorrhage and subcutaneous emphysema. Therefore, closed thoracostomy was performed in five patients in the emergency room. The thoracotomy was required in four patients: immediate operation without closed thoracostomy was performed in two patients and the thoracotomy was indicated in two patients after closed thoracostomy, because of increasing intrathoracic hemorrhage. As to the fixation of the flail segments, authors employed two techniques; one was towel clip traction of the flail segments and the other was intramedullary insertion of Kirschner`s wire in to the double fractured rib fragments for the fixation of the flail segments [Kirschner`s wire fixation]. Because` of an different results in the course of treatment between two techniques, data from patients with towel clip traction was compared with those from patients with thoracotomy and Kirschner`s wire fixation of the flail segments. Of the three patients with towel clip traction, two patients required bronchoscopic toilet due to lung atelectasis which developed because of inadequate motion of thoracic cage and poor expectoration. This was in contrast to the four patients with thoracotomy and Kirschner`s wire fixation, who didn`t these complication because of adequate motion of the thoracic cage and subsequent good expectoration.

• 한국가스학회지
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• 제21권6호
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• pp.52-60
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• 2017

반도체 제조공정 중 확산공정 배기라인에 "반응 부산물인 $ZrO_2$와 TEMAZ, TMA, $O_3$ 등 미반응 물질"과 "퇴적되어 있는 분체"를 제거하여 배관 내 운송효율을 높이고자 히터 자켓을 사용하여 배관온도를 $80^{\circ}C$이상으로 올리던 중 진공펌프 후단의 신축배관이 파열되는 사고가 발생하여 사례연구를 진행하였고 사례연구를 통해 동일한 사고가 발생하는 것을 예방하고자 한다. 사고원인을 분석해보면 진공펌프 흡입 측의 틈새발생으로 외부 공기 배관유입과 히터 자켓으로 배관을 가열함으로서 미 반응된 TEMAZ가 분해되어 발생하는 가스의 부피팽창으로 배관 내 과압이 발생하였고 배관 중에서도 가장 취약한 벨로우즈에서 파열된 것으로 추정할 수 있다. 이와 같은 사고를 예방하기 위하여 배관파열사고의 원인물질로 추정되는 TEMAZ에 대한 물리적 위험성을 평가하여 배관파열사고의 원인을 규명하고 동종재해를 예방하기 위한 안전대책을 수립하고자 하는데 목적이 있다.

• 한국소음진동공학회논문집
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• 제16권8호
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• pp.864-871
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• 2006

In the development of electricity generating wind turbines for wind farm application, only two types have survived as the methods of power regulation; stall regulation and full span pitch control. The main purpose of this paper is to experimentally identify the characteristics of noise emission of wind turbines according to the power regulation types. The sound measurement procedures of IEC 61400-11 are applied to field test and evaluation of noise emission from each of 1.5 MW and 660 kW wind turbines (WT) utilizing the stall regulation and the pitch control for the power regulation, respectively. Apparent sound power level, wind speed dependence, third-octave band levels and tonality are evaluated for both of WTs. It is observed that equivalent continuous sound pressure levels (ECSPL) of the stall control type of WT continue to increase with increasing wind speed whereas those of the pitch control type of WT show less correlation with wind speed. These observed characteristics are believed to be due to the different airflow patterns around the blade between the stall regulation and the pitch control types of WT; the airflow on the suction side of blade in the stall types of WT are separated at the high wind speed. It is also found that the 1.5 MW WT using the stall control emits lower sound power than 660 kW one using the pitch control at wind speeds below 8m/s, whereas sound power of the former becomes higher than that of the latter in the wind speed over 8m/s. This wind-speed dependence of sound power leads to the very different noise omission characteristics of WTs depending on the seasons because the average wind speed in summer is lower than 8m/s whereas that in summer is higher. Based on these experimental observations, it is proposed that, in view of environmental noise regulation, the developer of wind farm should give enough considerations to the choice of power regulation of their WTG based on the weather conditions of potential wind farm locations.

• 한국토양비료학회지
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• 제12권4호
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• pp.169-178
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• 1980

가비중과 경도(硬度)가 높고 공극량(孔隙量)이 적으며 우수계수(透水係數)가 낮은 불량(不良)한 물리성(物理性)을 가진 산지토양(山地士壤)을 개량(改良)하여 과수재배(果樹栽培)에 적합(適合)한 토양환경(土壤環境)을 만들 수 있는 방법(方法)을 구명(究明)하고저 보곡식양토(甫谷埴壤土)(Fine Aquic Fragiudalfs:Planosols)에 인력(人力) 및 폭약(爆藥)(혈당(穴當) 초안폭약(硝安爆藥)3개(個))을 사용(使用)하여 심토파쇄처리(深土破碎處理)를 하고 7개월후(個月后)에 물리성(物理性) 및 생육조사(生育調査)를 한 결과(結果) 다음과 같은 개량효과(改良效果)를 얻었다. 1. 인력(人力) 및 폭파(爆破)에 의(依)한 심토파쇄처리(深土破碎處理)는 가비중 경도(硬度)를 크게 감소시키고 공극량(孔隙量), 투수계수(透水係數) 및 토양(土壤)의 유효수분범위(有效水分範圍)를 증가(增加)시켰다. 2. 물리성(物理性)을 적정수준(適正水準)으로 개량(改良)하는 효과범위(效果範圍)는 4m 간격으로 폭파처리(爆破處理)를 할 경우 토심(土深) 0~60cm에서 반경(半徑) 70cm 까지, 토심(土深) 60~100cm에서 반경(半經) 50cm 까지 였다. 3. 2m 간격으로 폭파처리(爆破處理)를 하는 경우 토심(土深) 0~60cm에서는 주간전역(株間全域), 토심(土深) 60~100cm에서는 반경(半經) 50cm까지 효과(效果)가 있었다. 4. 인력(人力)에 의(依)한 방법(方法)은 처리부분(處理部分)에만 개량효과(改良效果)가 나타나서 단독혈(單獨穴)의 경우 반경(半經) 50cm까지, 연적조구혈(連績條溝穴)의 경우 주간전역(株間全域)에서 효과(效果)가 인정(認定)되었다. 5. 충분(充分)한 강우(降雨)가 있은 72시간후(時間后)에 채취(採取)한 시료(試料)로써 측정(測定)한 포장용수량(圃場容水量)은 개량효과(改良效果)가 적거나 없는 가비중 1.4 이상인 부위(部位)의 토양시료(土壤試料)(Disturbed soils)를 사용(使用)하여 측정(測定)한 1/3 기압(氣壓)의 수분함량(水分含量)보다 낮은 값을 나타내었다. 6. 초년도(初年度) 과수(果樹)의 수고(樹高), 생체중(生體重), 신초장(新梢長)등(等)은 통계적(統計的)인 유의성(有意性)은 없으나 전반적(全般的)으로 볼때 폭파처리(爆破處理)가 인력(人力)에 의한 심토(深土) 파쇄처리(破碎處理)보다 양호(良好)한 편이였다.

• Applied Microscopy
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• 제35권3호
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• pp.135-152
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• 2005

중추신경계통에서도 최고중추인 이마앞겉질 (prefrontal cortex)은 거의 모든 대뇌겉질과 연결되어 있어서 대뇌겉질 각 부분에 저장된 감각, 운동, 언어... 등 모든 정보를 받을 뿐만 아니라, 앞뇌의 바닥핵들 (basal forebrain nuclei)을 비롯한 많은 신경핵들과도 연결되어 있어서 생체 내부환경과 본능에 관한 정보도 받아드린다. 이들 연결을 통해서 이마앞겉질은 변연계통의 본능, 감정, 기억, 학습기능과 줄무늬체계통의 적절한 표현, 대응, 절차기억, 운동조절기능들을 연계하고 조정한다. 앞뇌의 바닥핵들(꼬리핵 caudate nucleus, 줄무늬체바닥핵 fundus striati nucleus, 중격옆핵 accumbens septi nucleus, 중격핵 septal nucleus)도 역시 변연계통과 줄무늬체계통 사이에서 해부학적으로나 기능적으로도 교차기능이 있는 것으로 알려져 있다. 이 실험은 흰쥐의 이마앞겉질은 제거한 다음, 앞쪽 앞뇌의 바닥핵들에서 변성종말들이 있는지 여부와 그 미세구조를 관찰하려고 시행했다. $250{\sim}300g$된 흰쥐를 실험동물로 이용하였으며, 흰쥐들을 정상군, 대조군, 수술군으로 구분하였다. 수술군은 마취시킨 다음, 뇌수술장치에 고정시키고, 머리피부를 절개한 다음, 이마뼈에 구멍을 만들고, 이 구멍을 통해 이마앞겉질을 흡인하여 제거했다. 대조군은 이마뼈에 구멍을 만드는 과정까지만 실행하였고, 정상군은 아무조치도 취하지 않았다. 수술 후 2일 경과 후에 전자현미경 관찰을 위해 1% glutaraldehyde-1% paraldehyde 혼합액 (pH 7.4)에 1차 고정하였고, 뇌를 적출하여 고정액에 냉장시켰다가, 다음날 해당 신경핵을 적출하여 2차 고정액 (2% osmium tetroxide액)에 고정하였다. Araldite 혼합액에 포매하여 ultratome-V로 자른 절편은 4% uranyl acetate와 2.7% lead citrate로 염색하여 JEM 100CX-II 전자현미경으로 관찰하였다. 관찰결과 네 신경핵에서 모두 변성 축삭종말이 관찰되었는데, 출현비율은 상당한 차이를 보여서 가장 변성이 심한 신경핵은 꼬리핵 이었고, 다음은 줄무늬체바닥핵, 중격옆핵, 중격핵의 순서였다. 변성축삭종말이 각 부위에서 연접하는 모양을 비교한 결과 꼬리핵과 줄무늬체바닥핵에서는 모두 가지돌기가시(dendritic spine)에 연접하였으나, 중격옆핵과 중격핵에서는 가지돌기 (dendrite)에 연접하는 것과 가지돌기가시에 연접하는 것이 혼재하였다. 이들 두 신경핵 무리는 이마앞겉질에서 기원하는 축삭종말의 연접차이로 볼 때 서로 다른 회로계통에 속할 것으로 생각되며, 문헌고찰을 통해서 꼬리핵과 줄무늬체바닥핵은 줄무늬체회로 (striatal circuit)에 속하고 중격옆핵과 중격핵은 변연계통회로(limbic circuit)에 속할 것으로 판정했다. 이마앞겉질은 생리적, 약리적, 신경학적 및 형태학적 근거들로 보아 바닥핵들을 통해 변연계통과 대뇌겉질 전체에 영향을 미칠 것으로 여겨지는데, 본 실험에서는 네 종류의 바닥핵들, 즉 꼬리핵, 줄무늬체바닥핵, 중격옆핵 및 중격핵과 관련된 신경연접들을 관찰하였으며, 그 결과를 문헌 고찰한 결과 변연계통과 줄무늬체계통이 앞뇌의 바닥에 있는 신경핵들에서 형태학적 교차연결을 통해 정서와 마음의 상태를 행동과 대응으로 표현하는 중요한 신경회로가 존재함을 제안하였다.