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Safety and efficacy of transcutaneous bone conduction implant surgery for hearing improvement in microtia patients with bilateral hearing impairment

  • Cheon, Jeong Hyun;Lee, Hyung Chul;Im, Gi Jung;Park, Jung Youl;Park, Chul
    • Archives of Plastic Surgery
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    • v.46 no.6
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    • pp.525-534
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    • 2019
  • Background In microtia patients with bilateral hearing impairment, hearing improvement is crucial for language development and performance. External auditory canal reconstruction (EACR) has been performed to improve hearing, but often results in complications. We performed transcutaneous bone conduction implant (TBCI) surgery in these patients. This study aimed to evaluate the safety and efficacy of TBCI surgery. Methods A retrospective review was performed of five patients who underwent auricular reconstruction and TBCI surgery and 12 patients who underwent EACR between March 2007 and August 2018. Hearing improvement was measured based on the air-bone gap values using pure-tone audiometry over a 6-week postoperative period. We reviewed other studies on hearing improvement using EACR and compared the findings with our results. The surgical techniques for TBCI were reviewed through case analyses. Results Postoperative hearing outcomes showed a significant improvement, with a mean gain of 34.1 dB in the TBCI cohort and 14.1 dB in the EACR cohort. Both gains were statistically significant; however, the TBCI cohort showed much larger gains. Only three of the 12 patients who underwent EACR achieved hearing gains of more than 20 dB, which is consistent with previous studies. All patients who underwent TBCI surgery demonstrated hearing gains of more than 20 dB and experienced no device-related complications. Conclusions TBCI is a safe and effective method of promoting hearing gains in microtia patients with bilateral hearing impairment. TBCI surgery provided better hearing outcomes than EACR and could be performed along with various auricular reconstruction techniques using virgin mastoid skin.

Development of Programmable and Rechargeable Moxibustion Device (전자식 구치료 시스템 개발 연구)

  • Kim, Tae-Jun;Lee, Yong-Jae;Kim, Young-In;Eom, Il-Kyu;Chae, Han;HwangBo, Min;Yang, Gi-Young;Lee, Byung-Ryul;Kim, Byoung-Chul
    • Journal of Acupuncture Research
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    • v.28 no.2
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    • pp.49-55
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    • 2011
  • Objectives : This study was to develop programmable and rechargeable electronic moxibustion device as an interdisciplinary research focusing on traditional Korean medicine. Methods : This device deployed several advances on safety and conveniences with the advantage of programmable heat stimulation, heating material and recharging method. The gradient of heat stimulation was programmed with the reference of previous studies and own measurements. The heat curve reached its efficacious stimulus temperature after three minutes, and maintained until 13 minutes with $42^{\circ}C$. We also incorporated feedback from field hospital experiences with the help of hospital staffs. Results : This device can prevent damages from skin burn and fire accidents, and control the smoke, smell and residue of moxa itself. Conclusions : This study will contribute for the development and improvement of efficacious and safe treatment methods for the traditional Korean medicine.

Analysis of Internal Flow and Control Speed for NH3 (Ammonia) Leakage Scenario of ALD Facility (ALD 설비의 NH3(Ammonia)누출 시나리오에 대한 내부유동 및 제어 속도 해석)

  • Lee, Seoung-Sam;An, Hyeong-hwan
    • Journal of the Korean Institute of Gas
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    • v.26 no.5
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    • pp.22-27
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    • 2022
  • Atomic Layer Deposition (ALD) is a facility that deposits an atomic layer on a wafer by causing a chemical reaction after decomposition using heat or plasma by inputting two or more gases during the semiconductor process. The main gas used at this time is NH3 (Ammonia). NH3 has a relatively narrow explosive range with an upper limit (UFL) of 33.6% and a lower limit (LEL) of 15%, but it can explode if a large amount suddenly gathers in one place. It is Velocity and fatal if inhaled or in contact with the skin. NH3 (Ammonia) of ALD (Atomic Layer Deposition) facility is supplied to the chamber through the gas inlet and discharged after the reaction.

Survey on Current Mask Use and Satisfaction Among Domestic Consumers During COVID-19 (COVID-19의 확산으로 인한 국내 소비자의 마스크 사용현황과 만족도 조사)

  • Hwang, Nawon;Lee, Kwang-Woo
    • Fashion & Textile Research Journal
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    • v.24 no.4
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    • pp.399-407
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    • 2022
  • Wearing a mask is essential during the ongoing COVID-19 pandemic. For this study, an online survey was conducted on the actual use of masks among adults in their twenties and older. We used 389 questionnaires for the final analysis, excluding insincere or incomplete questionnaires. We then analyzed the responses using descriptive statistical analysis, frequency analysis, t-test, and ANOVA. More than half of the respondents indicated that they wore a mask for five to ten hours a day, with KF masks being the most frequently used. Participants who most frequently used cloth masks were more likely to consider color, design, and eco-friendliness, while those who used KF masks were more concerned with price and safety. There was no significant difference in purchase satisfaction between mask types, but the purchase intention was higher for KF masks. When purchasing a KF mask, there were significant differences across genders in terms of price and eco-friendliness preferences. There were also significant differences across age groups in price, eco-friendliness, skin irritation, and comfort preferences. Previous studies have shown a significant difference in gender and age in terms of preferred mask colors and designs. However, this survey found no significant difference across these categories. These findings indicate those mask manufacturers should consider safety and eco-friendliness over mask color and design.

Safety and Pitfalls of Blepharoptosis Surgery in Elderly People

  • Yuji Shirakawa;Kazuhisa Uemura;Shinji Kumegawa;Kazuki Ueno;Hiroki Iwanishi;Shizuya Saika;Shinichi Asamura
    • Archives of Plastic Surgery
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    • v.50 no.5
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    • pp.446-451
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    • 2023
  • Background Elderly patients often have complications of blepharoptosis surgery that can result in the appearance or exacerbation of superficial punctate keratopathy (SPK). However, postoperative changes to SPK status have not been previously reported. We used subjective assessment of symptoms and measurement of SPK scale classification to investigate the safety and efficacy of blepharoptosis surgery in elderly patients. Methods Included in this prospective study were 22 patients (44 eyes) with bilateral blepharoptosis that underwent surgery. Patients comprised 8 males and 14 females with a mean (±standard deviation) age of 75.7 ± 8.2 years (range: 61-89). Blepharoptosis surgery consisted of transcutaneous levator advancement and blepharoplasty including resection of soft tissue (skin, subcutaneous tissue, and the orbicularis oculi muscle). Margin reflex distance-1 (MRD-1) measurement, a questionnaire survey of symptoms and SPK scale classification, was administered preoperatively and 3 months postoperatively for evaluation. Results The median MRD-1 was 1 mm preoperatively and 2.5 mm postoperatively, representing a significant postoperative improvement. SPK area and density scores were found to increase when the MRD-1 increase was more than 2.5 mm with surgery. All 10 items on the questionnaire tended have increased scores after surgery, and significant differences were observed in 7 items (poor visibility, ocular fatigue, heavy eyelid, foreign body sensation, difficulty in focusing, headaches, and stiff shoulders). Conclusion Blepharoptosis surgery was found to be a safe and effective way to maintain the increase in MRD-1 within 2.0 mm. Despite the benefits, surgeons must nonetheless be aware that blepharoptosis surgery is a delicate procedure in elderly people.

The Antioxidant and Skin Whitening Effect of Withania somnifera (Winter Cherry) (윈터체리 추출물의 항산화 및 미백 개선 효과)

  • Kim, Dae Yong;Kim, Mee Kyung;Kim, Bong-Woo
    • Journal of Food Hygiene and Safety
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    • v.30 no.3
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    • pp.258-264
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    • 2015
  • Withania somnifera has been used in folk medicine to treat various ailments for centuries. In this studies to investigate the whitening effect of Withania somnifera extracts as an active ingredient for whitening cosmetics, the antioxidant capacity and the effects of Withania somnifera extracts on melanogenesis in B16-F10 melanoma cells were identified. Withania somnifera extracts significantly reduced both tyrosinase activity and melanin content in a concentration-dependent manner. Furthermore, it was found that Withania somnifera extracts decreased ${\alpha}-MSH$ (melanocyte-stimulating hormone)-induced tyrosinase activity and MITF(microphthalmia associated transcription factor) protein expression. These data indicate that Withania somnifera extracts attenuate ${\alpha}$-MSH-stimulated melanin synthesis by modulating MITF expression and that they may be a useful therapeutic agent for treating hyperpigmentation and an ingredient of whitening cosmetics.

Usability test of pulling cable exercise machine in the spinal cord injury disabled: Focusing on deriving improvement (척수 손상 장애인 대상 장애인용 풀링 케이블 운동기구의 사용성 평가: 개선점 도출을 중심으로)

  • Sung Shin Kim;Myo Jung Choi;Hyosun Kweon;Kwang Ok An;Young-Hyeon Bae
    • Journal of Korean Physical Therapy Science
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    • v.31 no.1
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    • pp.16-32
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    • 2024
  • Background: Exercise equipments and assistive devices for the disabled are being developed, but improvements for usability are still needed. The purpose of this study was to improve and utilize the developed exercise equipment and assistance devices by conducting usability test for people with spinal cord injury. Design: Cross-sectional Study. Methods: Scenarios and usability indicators were derived by conducting a preliminary usability test, 5 non-disabled men and women aged 19 or older. In the scenario, a total of 9 tasks were sequentially performed, including 2 tasks of entry and exit, 5 tasks of assistance devices and weight stack adjustment, and 2 tasks of pre exercise and exercise. The usability indicators were task success (success or fail), execution time (sec), safety, and convenience. For safety, 7 questions (Likert scale, 1~5 point) related to safety, stability and hazard were derived, and for convenience, the system usability scale (SUS score) was used (range: 0~100, 50 percentile rank is 68 point). Results: As a result of the usability test of people with spinal cord injury, there was a large variation among subjects in the task of adjusting the position of the pulley and support in the execution time (11.64~25.44 seconds), and one person failed to adjust the pulley. The safety level showed a lower score (score = 3 points) than other items in the item of entrapment or skin pressure, and in the case of SUS, the average score was 64.5 points, which was close to the acceptable level. Conclusion: Through the usability test, it was confirmed that exercise equipment for the disabled needs improvement in operability, pinching, and pressure, and that it is necessary to develop an assistive device that provides unrestrained posture information (biofeedback) to maintain correct posture during exercise.

3-Dimensional Coating Polymer Microneedles for Economical and Efficient Transdermal Drug Delivery (경제적이고 효과적인 경피 약물전달을 위한 3차원 구조의 코팅 고분자 마이크로니들)

  • Lee, Han-Sol;Park, Jung-Hwan
    • Polymer(Korea)
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    • v.38 no.3
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    • pp.391-396
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    • 2014
  • Polymer microneedles can be fabricated by a micromolding method, an easy and cost-effective method. However, it is not easy to achieve uniform coating with an aqueous coating solution due to hydrophobic surface of polymer microneedles. 3-Dimensional coating polymer microneedles could deliver more than twice as much dose as in-plane metal microneedles by increasing coating area and the number of microneedles per unit area. A uniform coating was not obtained by addition of coating additives in the coating solution. The satisfied coating was achieved by treatment of surface of polymer microneedle with metal deposition and UV/ozone, and UV/ozone treatment was an ultimate surface treatment method based on biological safety. Calcein coating polymer microneedles were prepared by using UV/ozone treatment and followed dip-coating, and they delivered calcein in porcine skin successfully after 15 min of insertion.

Determination of 4 Parabens in Human Urine by Online SPE and LC-MS/MS Techniques (온라인 고체상추출과 LC-MS/MS 기술을 이용한 소변 중 파라벤류 분석)

  • Kim, Jung Hoan;Kho, Young Lim;Kim, Pan Gyi;Jeong, Jee Yeon;Lee, Eun Hee;Lee, Seung-Youl;Nam, Hye-Seon;Rhee, Gyu-Seek
    • Journal of Environmental Health Sciences
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    • v.38 no.6
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    • pp.561-567
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    • 2012
  • Objectives: Parabens are widely used as antimicrobial agents in pharmaceuticals and cosmetics as well as by the food industry. Parabens have been reported to show weak estrogenic activity and be related to health effects such as allergic reactions and skin and breast cancer. We evaluated an online solid phase extraction (SPE) method coupled with LC-MS/MS technique using free and conjugated parent parabens in human urine for assessing human exposure to parabens. Methods: We employed LC/MS/MS through online solid phase extraction and column-switching techniques and analyzed free and conjugated parabens as biomarkers of human exposure. Four major parabens, methyl-paraben (MP), ethyl-paraben (EP), propyl-paraben (PP) and butyl-paraben (BP), were analyzed. Method validation was performed by sensitivity, accuracy, precision and comparison of the results of online SPE with offline SPE. Results: The limits of detection (LOD) were in the range of 0.2-2 ng/mL, and actual limits of quantification (LOQ) were in the range of 0.7-6 ng/mL urine, depending upon the compound. Accuracy was in the range of 98.3-106.4%, and precision was in the range of 1.3-8.7% (CV) depending upon the compound. We found a good correlation between the results of analysis by online SPE method and that by off-line SPE method. Conclusions: The online SPE method showed proper LOD and validated accuracy, precision and good correlation with the offline method for analyzing parabens in urine.

Analysis of Nitrosamines Concentration in Condom by using LC-MS/MS (LC-MS/MS를 이용한 콘돔에 함유된 니트로사민류 농도 분석)

  • Park, Na-Youn;Kim, Sungmin;Jung, Woong;Kho, Younglim
    • Journal of the Korean Chemical Society
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    • v.62 no.3
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    • pp.181-186
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    • 2018
  • Nitrosamines are the nitrosocompounds which are produced by nitrosation reactions of the secondary amine and nitrite, and has been found to be produced through the vulcanization process during the production of rubber products Recently, nitrosamines have been detected in rubber products and become a major topic. Condoms are disposable medical devices, so safety is important because they come into direct contact with the skin and mucous membranes. In this study, we developed an analytical method for nitrosamines in condoms by applying ISO 29941 method. The samples were eluted by distilled water, and target compounds were extracted by liquid-liquid extraction with dichloromethane. And then after concentrated, and quantitatively analyzed by LC-MS/MS. The accuracies of the analytical method were ranged from 85.8 to 108.7%, precisions were lower than 11.5%, and the detection limits were from 0.11 (NDPA and NDBA) to 0.48 (NPYR) ng/mL. Among the 31 condom samples, NDBA was detected from 2 cases by extraction of distilled water, and NDMA were detected from 1 case, NDEA from 4 cases and NDBA from 26 cases by extraction of artificial saliva (pH 4.5). The total amount of nitrosamines in all samples were less than $500{\mu}g/kg$.