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A Case of Congenital Lacrimal Ductule Fistula on Lateral Skin to the Right Upper Eyelid (우측 윗눈꺼풀 외측 피부에서 발견된 선천 눈물샘소관 샛길 1예)

  • Han, Ga Hee;Chung, In Kwon;Lee, Do Hyung;Kim, Jin Hyoung;Seo, Ji Won
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.12
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    • pp.1181-1184
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    • 2018
  • Purpose: To present a rare case of tear drainage since birth from a lacrimal ductule fistula, which is the first report in the Republic of Korea. Case summary: A 3-month-old female who presented with discharge of clear fluid from a small skin opening lateral to the right upper eyelid since birth visited the outpatient clinic. The patient was healthy and was receiving no medication. She was born on gestation age 35 weeks and 3 days. No other specific history or other ophthalmic abnormality was found. On examination, a small skin orifice approximately 2 mm diameter and no sign of infection or discoloration was observed. To relieve this symptom, the patient underwent a fistulectomy under general anesthesia. Histopathological examination of the surgical specimen was performed. The patient's symptom subsided postoperatively without recurrence. Conclusions: This is the first report in the Republic of Korea of tears draining from a lacrimal ductule fistula since birth and the subsequent clinical treatment procedures.

How to Avoid Graft-Tunnel Length Mismatch in Modified Transtibial Technique for Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Graft

  • Ko, Dukhwan;Kim, Hyeung-June;Oh, Seong-Hak;Kim, Byung-June;Kim, Sung-Jae
    • Clinics in Orthopedic Surgery
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    • v.10 no.4
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    • pp.407-412
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    • 2018
  • Background: We conducted this study to determine the optimal length of patellar and tibial bone blocks for the modified transtibial (TT) technique in anterior cruciate ligament (ACL) reconstruction using the bone-patellar tendon-bone (BPTB) graft. Methods: The current single-center, retrospective study was conducted in a total of 64 patients with an ACL tear who underwent surgery at our medical institution between March 2015 and February 2016. After harvesting the BPTB graft, we measured its length and that of the patellar tendon, patellar bone block, and tibial bone block using the arthroscopic ruler and double-checked measurements using a length gauge. Outcome measures included the length of tibial and femoral tunnels, inter-tunnel distance, length of the BPTB graft, patellar tendon, patellar bone block, and tibial bone block and graft-tunnel length mismatch. The total length of tunnels was defined as the sum of the length of the tibial tunnel, inter-tunnel distance and length of the femoral tunnel. Furthermore, the optimal length of the bone block was calculated as (the total length of tunnels - the length of the patellar tendon) / 2. We analyzed correlations of outcome measures with the height and body mass index of the patients. Results: There were 44 males (68.7%) and 20 females (31.3%) with a mean age of 31.8 years (range, 17 to 65 years). ACL reconstruction was performed on the left knee in 34 patients (53%) and on the right knee in 30 patients (47%). The optimal length of bone block was 21.7 mm (range, 19.5 to 23.5 mm). When the length of femoral tunnel was assumed as 25 mm and 30 mm, the optimal length of bone block was calculated as 19.6 mm (range, 17 to 21.5 mm) and 22.1 mm (range, 19.5 to 24 mm), respectively. On linear regression analysis, patients' height had a significant correlation with the length of tibial tunnel (p = 0.003), inter-tunnel distance (p = 0.014), and length of patellar tendon (p < 0.001). Conclusions: Our results indicate that it would be mandatory to determine the optimal length of tibial tunnel in the modified TT technique for ACL reconstruction using the BPTB graft. Further large-scale, multi-center studies are warranted to establish our results.

Natural Rubber-Clay Nanocomposites by Latex Method : Morphology and Mechanical Properties (라텍스법에 의한 천연고무-클레이 나노 복합재료: 모폴로지와 기계적 물성)

  • Kim, W.H.;Kang, J.H.;Kang, B.S.;Cho, U.R.
    • Elastomers and Composites
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    • v.41 no.1
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    • pp.27-39
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    • 2006
  • In this study, modified DA-MMT filled NR/DA-MMT nanocomposites were manufactured by a latex method and a compounding method. Cure characteristics and mechanical properties of the Cloisite 15A, carbon black, Na-MMT filled NR compounds and the DA-MMT filled NR compound by a latex method were also evaluated. The filler content of all compounds was 10phr except the carbon black filled compound. Degree of intercalation and dispersion was characterized by X-ray diffraction (XRD) and transmission electron microscope (TEM). According to the XRD diffraction pattern and TEM analysis, extensive intercalation and homogeneous dispersion of the clay were obtained after the two-roll milling. Although the layer distance was increased, some parts of DA-MMT showed the layer distance of Na-MMT after vulcanization. DA-MMT filled NR compounds showed the highest ODR torques, tensile strength, modulus, and tear energy. The NR/DA-MMT nanocomposite (by a latex method) compared with a NR/DA-MMT nanocomposite (by a compounding method) was found that the improvement of the mechanical properties was mainly due to the degree of dispersion of the clay.

A Study on the Flame Retardance and Electrical Properties of Silicone Composites (실리콘 복합체의 내화 및 전기 특성에 관한 연구)

  • Lee, Sung-Ill;Lee, Hae-Joon
    • Elastomers and Composites
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    • v.38 no.3
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    • pp.227-234
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    • 2003
  • Silicone composites for high voltage insulator (HVI SC) were prepared by adding aluminum trihydrate(ATH) treated by surface treatment agent to base silicone compound at the ratio oi 100:20, 100:40, 100:60, 100:80, and 100:100, respectively And also, ATH was treated by various surface treatment agents, such as stearic arid, acryl silane, and vinyl silane under compounding process. Mechanical properties and electrical properties were investigated for the various contents of ATH and surface-treatment agents. Mechanical properties such as tensile strength, elongation, and tear strength decreased as the load of ATH increased. Volume resistivity, AC break down strength, and tracking resistance for HVI SC containing ATH treated by vinyl silane were better than those for HVI SC containing ATH treated by other surface treatment agents, such as stearic acid and acryl silane. Polymer-filler interaction of silicone composites according to surface treatment agents was studied by measuring bound rubber contend(BR). From the experimental results, BR of silicone composite containing ATH treated with vinyl silane was higher than that of the others. The degree of rule for silicone composite was investigated using Rheometer. Maximum torque of silicone composites contaning ATH treated with vinyl silane was higher than that of silicone composite contaning ATH treated with other surface agents.

Preparation and Characterization of Polyurethane Waterproof Coatings Containing Fly Ash

  • Lee, Sung-Il;Kim, Duk-Bae;Yang, Go-Su;Kim, Wan-Young;Byoun, Youn-Seop;Lee, Youn-Sik
    • Elastomers and Composites
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    • v.38 no.3
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    • pp.243-250
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    • 2003
  • Polyurethane waterproof (PW) coatings are increasingly demanded in Korea for repairing cracks on old building roofs and construction of many sporting facilities. Calcium carbonate, a common filler, is incorporated in PW compositions. In this study, PW coatings were prepared by substituting a part of calcium carbonate with fly ash. The maximum amounts of calcium carbonate which can be substituted by fly ash obtained in the cyclone and bag filter dust collectors were 20 and 10%, respectively. It was found that the curing rate of PWs ran be controlled by varying the amount of Pb-octoate catalyst. The elongations at break as well as tensile strength and tear strength of PW coatings containing fly ash could also be adjusted such that their values were comparable to those of a standard PW coating by varying relative amounts of some components. However, the amount of cadmium, mercury, and lead leached from PW coatings containing fly ash obtained from the bag filter collector exceeded the respective allowed upper limits, mainly due to the initial high contents of them in the fly ash. On the other hand, PW coatings containing fly ash obtained from the cyclone collector exhibited better mechanical properties and did not release any significant amounts of the heavy metals. Thus, it was concluded that PW coatings containing fly ash can be utilized for practical applications as long as an appropriate fly ash is used.

Eastern and Western Combined Medical Treatments on 11 Patients with Dry Eye Syndrome (안구건조증환자 11례의 한·양방 병용치료에 대한 임상보고)

  • Lee, Dong-Jin;HwangBo, Min;Seo, Hyung-Sik;Kim, Soo-Jin;Lee, Jong-Soo
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.25 no.2
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    • pp.61-67
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    • 2012
  • Objective : The endpoint of this trial is to verify therapeutical availability of conventional western eyedrops combined with acupuncture treatment by means of BUT(tear film break-up time), Schirmer's test, which have been considered to be typical methods for diagnosing dry eye syndrome. Methods : The subjects of this trial included the outpatients who had been diagnosed with dry eye syndrome in Pusan national university hospital and underwent acupuncture treatment from March 2011 to April 2011. They received acupuncture treatment once a week, three times while constantly using Restasis or artificial tears. We collated and analyzed the outcome data of Schirmer's test and BUT conducted at the beginning of this trial and three times more after each acupuncture treatments. Acupoints, such as, Chanjuk(BL2), Eoryo, Sajukgong(TE23), Taeyang, Sabaek(ST2), limited around both eyes were selected based on their clinical effects referring to medical books. Results : 1. From BUT test results, Restasis and acupuncture combined group showed statistically significant difference, however, artificial tears and acupuncture combined group showed difference only between before and after the treatment, which is not statistically significant. 2. From Schirmer's test results, Restasis and acupuncture combined group showed statistically significant difference, however, artificial tears and acupuncture combined group showed difference only between before and after the treatment, which is not statistically significant. 3. The average duration of treatment was statistically 16.3 days for Restasis and acupuncture combined group. Conclusions : Combination of acupuncture and Restasis for dry eye syndrome can shorten the duration of treatment. Therefore, clinical benefit is expected to be worth.

A Study on MR Imaging Method for The Patient with Inserting Shoulder Joint Suture Anchor (견관절 삽입술을 시행한 환자의 자기 공명 영상법에 관한 연구)

  • Park, Eui-Cheol;Bae, Seok-Hwan;Ryu, Yeun-Chul;Park, Young-Joon;Kim, Yong-Gwon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.4
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    • pp.513-519
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    • 2021
  • Metallic suture anchors are very useful and common fixation devices that are inserted into the target bone to sustain the tendon of a patient with musculus supraspinatus tendon ruptures. On the other hand, the presence of a metallic material prosthesis, such as a metal suture anchor, causes severe MR imaging artifacts, including field distortion, signal loss, and failure of fat suppression. The difference in magnetic susceptibility between metal and other organic materials causes magnetic field distortion surrounding the prosthesis. The resulting magnetic field inhomogeneity makes the images with a lower signal-to-noise ratio and distortion. For a patient with a suture anchor implanted, MR imaging is the golden standard for determining the postoperative prognosis, and a fat-saturation sequence is one of the imaging methods most affected by metal-induced artifacts. In this study, three fat-saturation sequences were compared. Artifact quantification and contrast comparison between the supraspinatus tendon and the surrounding muscle were presented. The images obtained using the STIR pulse sequence showed fewer susceptibility artifacts and better visibility in the supraspinatus tendon and the tissue area. Therefore, the STIR sequence is the most appropriate fat-saturation imaging method for patients with a metallic prosthesis.

Evaluation on In-plane Shear Strength of Lightweight Composite Panels (경량 복합패널의 면내 전단 성능 평가)

  • Hwang, Moon-Young;Kang, Su-Min;Lee, Byung-yun;Kim, Sung-Tae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.1
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    • pp.9-20
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    • 2019
  • The number of natural disasters in Korea, such as earthquakes, is increasing. As a result, there is growing need for temporary residences or shelters for disaster conditions. The aim of this study was to produce post-disaster refugees housing differentiated from existing shelters using lightweight composite panels. To accomplish this, the structural performance of lightweight composite panels was validated, and an in-plane shear strength test was conducted according to the ASTM E72 criteria among the performance test methods for panels. As a result of the experiment, the maximum load for each specimen under an in-plane shear load was determined. All the experiments ended with the tear of the panel's skin section. The initial stiffness of the specimens was consistent with that predicted by the calculations. On the other hand, local crushing and tearing, as well as the characteristics of the panel, resulted in a decrease in stiffness and final failure. Specimens with an opening showed a difference in stiffness and strength from the basic experiment. The maximum load and the effective area were found to be proportional. Through this process, the allowable shear stress of the specimens was calculated and the average allowable shear stress was determined. The average ultimate shear stress of the lightweight composite panels was found to be $0.047N/mm^2$, which provides a criterion of judgement that could be used to expect the allowable load of lightweight composite panels.

Preparation and Properties of DMF-Based Polyurethanes Containing Bio-Polyol/Ester-Polyol for Wet-Type Polyurethane Artificial Leather (습식 인조피혁용 바이오 폴리올/폴리에스터 폴리올을 함유한 DMF 기반 폴리우레탄의 제조 및 물성)

  • Sur, Suk-Hun;Choi, Pil-Jun;Ko, Jae-Wang;Park, Ji-Hyeon;Lee, Jae-Yeon;Lee, Young-Hee;Kim, Han-Do
    • Clean Technology
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    • v.25 no.1
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    • pp.7-13
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    • 2019
  • Recently, attention has been paid to obtaining bio-polyols from renewable resources. Successful use of these natural ingredients successfully produced in the industry for the synthesis of various polyurethanes is a very important task. In this study, a series of dimethylformamide (DMF) based polyurethanes were synthesized from methylene diphenyl diisocyanate (MDI)/1, 4-butanediol and bio-polyol (polytrimethylene ether glycol based on 1, 3-propanediol : B-POL)/polyester polyol (polyadipate diol based on 1,4-butandiol : H-PET). The effect of different ratio of bio-polyol (B-POL)/polyester polyol (H-PET) on the physical properties of polyurethane was investigated. As the B-POL content in B-POL/H-PET mixture increased, the glass transition of soft segment (Tgs) and tensile strength of polyurethane decreased, however, the elongation at break and tear strength increased. On the other hand, artificial leather was produced by wet process using synthesized DMF-based polyurethanes. It was found that there was almost no difference in the effect of the B-POL/H-PET composition on the average size and density (the number of cells per unit volume) of the porous cells formed in artificial leather. These results show that there is no problem in using bio-polyol (B-POL) based polyurethane for artificial leather produced by wet process.

Effects of Korean Medical Combination Treatment for Lumbar Spinal Herniated Intervertebral Disc : accompanying or not High-intensive zone(HIZ) (요추 추간판 탈출증에 대한 한방 치료의 효과 연구 : High-intensive zone(HIZ) 유무에 따라)

  • Jang, Jae Won;Lee, Ji Won;Roh, Ji Ae;Lee, Gi Eon;Kim, Hyun Joong;Hong, Jung Soo;Kim, Dong Jin
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.13 no.2
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    • pp.47-63
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    • 2018
  • Objectives : The purpose of this study was to analyze the effects of lumbar spinal herniated intervertebral Disc on MRI accompanying or not High-intensive zone(HIZ) by Korean Medical Combination Treatment Methods : 324 patients who received inpatient treatment from January 2017 to September 2017 in the Daejeon-Jaseng of Korean Medicine Hospital were divided into 2 groups by High-intensive zone(HIZ) confirmed with a Lumbar spine magnetic resonance imaging. All patients received a combination of treatment including acupunture, chuna manual therapy, pharmacopunture, herbal medication. They were compared and analyzed on the basis of improvement between measuring Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5 Dimension Index (EQ5D Index), physical examination as they were hospitalized and as they were discharged. The statistically significance was evaluated by SPSS 18.0 for windows. Results : After treatment, Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5 Dimension Index (EQ5D Index), physical examination was improved respectively. But there was no statistically significance between 2 group's improvement after treatment. Conclusions : After inpatient treatment by Korean Medical Combination Treatment, Most patient's pain, disability and Health Related Quality of Life was improved significantly. But there was no statistically difference between accompanying or not High-intensive zone(HIZ). So We think that future research of higher quality and correct statistics shall be necessary.