• Applied Microscopy
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• 제24권2호
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• pp.48-62
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• 1994

The acute irradiation effect on rat Purkinje cell was carried out. Anesthetized rats, weighing 200-250g each, were exposed their heads to the linear accelerator (ML-4MV) with the doses of 3,000 rads or 6,000 rads respectively. Irradiated rats were sacrificed by perfusion fixation under anesthesia, six hours, two days and six days following the irradiations. Rats were perfused with the fixative of 1% glutaraldehyde-1% paraformaldehyde solution (pH 7.4). Small pieces of cerebellar cortices were taken out. Tissue blocks were washed out, and were refixed in the 2% osmium tetroxide solution. After dehydration, tissues were embedded in the araldite mixture. Ultrathin sections stained with uranyl acetate-lead citrate solution, were examined with an electron microscope. The results observed were as follow; 1. Many dark Purkinje cells exhibited most severe cellular alterations on 6 hours. But after the 2 or 6 days, the cells exhibited only some alterations of cytoplasmic organelles. 2. Many granular and agranular endoplasmic reticula exhibited the fusion of cisterns. These reticular alterations were most severe on 6 hours following irradiation. But the alterations were hardly found on 6 days. 3. In the Golgi region, alterations including the adhesion of lamelliform cisterns, enlarged saccules, and increased number of vesicles, etc, were seen on 6 hours. But the Golgi complexes were almost recovered on 6 days. 4. Lysosomes were abundant on 6 hours or 2 days, but some residual bodies were found on 6 days. 5. Mitochondrial changes were also most severe at on hours, and they were recovered thereafter. From the results, it was concluded that the cerebellar Purkinje cells reacted to the high doses of irradiation by hyperactive protein synthesis, autolytic activities and energy metabolism. The reaction was most active in the early stage. It implies that motor-control function of Purkinje cells are severely disturbed in the early stage of irradiation.

• Journal of Trauma and Injury
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• 제26권3호
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• pp.163-169
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• 2013

Purpose: This study was conducted to confirm the anatomic conformity of the new periarticular locking plates designed by Zimmer on Korean adult bones and to identify the structures at risk during the application of these implants. Methods: The study was performed on the humerus, radius, and tibia of 10 adult cadavers(6 males and 4 females) procured from the cadaveric lab of our hospital. Anteroposterior (AP) and lateral X-rays were taken to confirm that the cadavers were free of any unusual lesions or anatomic variations. We used the 3.5-mm proximal humerus plate, 2.7-mm distal radius plate, 3.5- and 5.0-mm proximal tibia plates, and 3.5-mm distal tibia plate developed by Zimmer, Inc. (Zimmer periarticular locking plate). The longest plate from each group was used to confirm anatomical conformity. Standard approaches were used for each area, and soft tissue was retracted in order to pass the plate beneath the muscle. The position of the plate was confirmed using standard AP and lateral view X-rays. After this procedure had been completed, the region was dissected along the length of the implant to determine the conformity of the implant to bone and the penetrations of screws into the articular surface or violations of any vital structures, such as nerves, blood vessels, or tendons. Results: Excellent anatomical conformity was observed with Zimmer periarticular locking plates for Korean adults. The tibial nerve and the posterior tibial artery were found to be structures at risk when applying a distal tibial plate. Conclusion: Additional posterolateral fixation is recommended when dealing with cases of tibial plateau fracture when the fracture line extends to the posterolateral cortex. We recommend taking proper views using 10~15 degrees of internal rotation to ensure correct screw length and, thus, avoid penetration of vital structures and tendons.

• Journal of Trauma and Injury
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• 제26권3호
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• pp.111-124
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• 2013

Purpose: We should prepare proper medical service for disaster control as South Korea is not free from terrorism and war, as we experienced through the two naval battles of the Yeonpyeong, one in 1999 and the other in 2002, the sinking of Cheonan in 2010, and the attack against the border island of Yeonpyeong in 2010. Moreover, North Korea's increasingly bellicose rhetoric and mounting military threats against the world demand instant action to address the issue. The aim of this article is to describe our experience with three patients with combat-related gunshot and explosive injuries to their extremities and to establish useful methods for the management of patients with combat-related injuries. Methods: Three personnel who had been injured by gunshot or explosion during either the second naval battle of the Yeonpyeong in 2002 or the attack against the border island of Yeonpyeong in 2010 were included in our retrospective analysis. There were one case of gunshot injury and two cases of explosive injuries to the extremities, and the injured regions were the left hand, the right foot, and the right humerus. In one case, the patient had accompanying abdominal injuries, and his vital signs were unstable. He recovered after early initial management and appropriate emergency surgery. Results: All patients underwent emergent surgical debridement and temporary fixation surgery in the same military hospital immediately after their evacuations from the combat area. After that, continuous administration of antibiotics and wound care were performed, and definite reconstructions were carried out in a delayed manner. In the two cases in which flap operations for soft tissue coverage were required, one operation was performed 5 weeks after the injury, and the other operation was performed 7 weeks after the injury. Definite procedures for osteosynthesis were performed at 3 months in all cases. Complete union and adequate functional recovery were achieved in all cases. Conclusion: The patient should be stabilized and any life-threatening injuries must first be evaluated and treated with damage control surgery. Staged treatment and strict adherence to traditional principles for open fractures are recommended for combat-related gunshot and explosive injuries to the extremities.

• Archives of Plastic Surgery
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• 제38권2호
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• pp.155-160
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• 2011

Purpose: Fibrillar collagens like type I collagen, are the major constituent of the extracellular matrix and structural protein of bone. Also, it can be a scaffold for osteoblast migration. The purpose of this study is to estimate the effects of absorbable atelo-collagen sponge (Teruplug$^{(R)}$, Terumo biomaterials Co., Tokyo, Japan) insertion in tooth extraction sites on periodontal healing of the second molar, healing of the fractured mandibular bone and new bone formation of third molar socket after the extraction of the impacted third molar with mandibular angle fracture. Methods: In our study of six cases of mandibular angle fractures, all of them underwent the extraction of the third molar tooth & absorbable atelo-collagen sponge insertion in tooth extraction site. Three of them had a intraoral infection & oral opening to fracture site, two of the six had dental caries, and only one had reduction problem due to third molar position. Six consecutive patients with noncomminuted fractures of the mandibular angle were treated by open reduction and internal fixation using one noncompression miniplates and screws placed through a transoral incision. Results: All of the patients have showed good postoperative functions and have not experienced complications requiring second surgical intervention. There was well healing of the mandibular bone and the most new bone formation of third molar socket after the extraction of the impacted third molar with mandibular angle fracture. Conclusion: The results of this study suggest that absorbable atelo-collagen sponge is relatively favorable bone void filler with prevention of tissue collapse, food packing, and enhance periodontal healing. Thus, the use of atelo-collagen sponge and one noncompression miniplate seems to be relatively easy, safe, and effective for the treatment of fractures of the mandibular angle and third molar extraction.

• Applied Microscopy
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• 제27권1호
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• pp.13-30
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• 1997

The experiment was performed to study the morphological responses of the thymus of the mice, to antitumour agents (5-Fluorouracil or mitomycin C). Healthy adult mice weighing 25 gm each were divided into normal and experimental groups. 5-Fluorouracil (60 mg/kg) or Mitomycin-C $(400{\mu}g/kg)$ were injected subcutaneously to the animals every other day. Animals were sacrificed at 4 days and 7 days following the first injection. Pieces of the tissue taken from the thymus were prefixed with 2.5% paraformaldehyde-l.5% glutaraldehyde, followed by post-fixation with 1% osmium tetroxide. Ultrathin sections stained with uranyl acetate and lead citrate were observed with a JEM 100 CX-II electron microscope. The observed results were as follow: 1. Apoptoses of T-lymphocytes were observed more frequently in the thymus of the experimental groups than in those of a normal group. 2. In the experimental group, the plasma cells with distended cisternae of the granular endoplasmic reticulum and the eosinophile leukocytes were observed frequently. 3. In the experimental group, newly forming Hassall's corpurscles were observed frequently. 4. In the mitomycin-treated group, the epithelial reticular cells containing distended perinuclear cisternae, distended the granular endoplasmic reticula and pyknotic nuclei were observed in the cortico-medullary junctional area. 5. In the mitomycin-treated group, nuclear bodies with medium electron dense materials were often observed in the T lymphocyte. 6. In the 5-fluorouracil-treated groups, fused and dissolved tonofilament bundles and apoptotic bodies were observed in the some epithelial reticular cells in the medullary area. 7. In the 5-fluorouracil-treated groups, some elongated and bar-shaped lysosomes with electron lucent gap were often observed in the macrophages. 8. In the 5-fluorouracil-treated group, membrane complex of the smooth endoplasmic reticulum were ofen observed in the macrophage. From the above results, it was suggested that 5-fluorouracil or mitomycin could induce rapid involution of the thymus, and disturb maturation and differentiation of T lymphocytes, and, in turn, supress immunity.

• Applied Microscopy
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• 제22권2호
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• pp.15-29
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• 1992

The gallbladder is known to have the function of the storage and the concentration of the bile produced by the liver. This function is carried out by the removal of water and inorganic electrolytes. Extrahepatic cholestasis or the impairment of excretion of the bile leads to the distension and loss of the function of the gallbladder. The purpose of this study was to examine the ultrastructural characteristics of the normal gallbladder epithelial cells, and their structural changes induced by the ligation of common bile duct of the rabbit. Common bile duct ligation was performed under ether anesthesia. The rabbits were sacrificed on the 1st, 3rd, 5th, 7th and 14th day, respectively after operations. The tissue blocks of the gallbladder were fixed in 2.5% glutaraldehyde-1.5% paraformaldehyde prior to fixation in 1% osmium tetroxide, and embedded in the araldite mixture, and observed with JEM 100 CX-II electron microscope. The results were as follows: 1. The normal gallbladder epithelium of adult rabbit demonstrated two cell types, the ordinary epthelial cell and the dark cell. The dark cells have electron dense cytoplasm, and were found much infrequently, whereas ordinary epthelial cells were found quite numerous. 2. The ordinary epthelial cells of normal gallbladder were provided with the regular microvilli at the free surface and the images of pinocytotic activities in the apical cytoplasm, and exhibit highly convoluted lateral surfaces with elaborated microfolds. These figures of the cells suggest that they are resorptive in functional activity. 3. In the early stages (1st, 3rd, 5th day groups) following the ligation, the apical cytoplasm of some cells is protruding from the free surface and lost their microvilli. Numerous mucous granules filled in the apical and supranuclear cytoplasm compactly. 4. In the late stages (7th, 14th day groups) following the ligation, many light cells containing mumerous mucous granules are seen, between the ordinary epthelial cells. Mucous granules are fused each other, and are discharged into the lumen from the apical cytoplasm. The lateral membranes are straight or undulating without any interdigitations. From the above results, it was concluded that in the cholestasis induced by the common bile duct ligation, there is a tendency for the mucosal epithelium of the rabbit gallbladder to have secretory rather than an absorptive function.

• 대한소아치과학회지
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• 제32권4호
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• pp.657-661
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• 2005

유치의 치수절단술에 사용되는 약제로는 formocresol, ferric sulfate, 수산화칼슘 등이 있다. 그 중에서 formocresol은 치수조직의 고정능력과 높은 임상적 성공을 보임으로써 아직까지 널리 사용되고 있으나 자체독성이 매우 강하여 영구 계승치 치배의 변위나 결손, 법랑질 형성부전, 전신 흡수로 인한 돌연변이 가능성과 암유발 가능성 역시 보고되고 있다. 최근에는 formocresol의 근관내 적용시 불완전한 임시충전에 의한 미세누출로 주위 치은과 치조골의 괴사를 야기한 보고가 있으며 과잉의 formocresol을 적용하였을 경우에도 치조골의 괴사의 원인이 될 수 있다고 하였다. 본 증례는 개인치과에서 formocresol을 이용한 치수치료를 받은 후 지속되는 동통으로 인해 상악 좌측 제 2유구치를 발거하였으나, 증상이 개선되지 않아 본원에 의뢰되었다. 환아는 8세 남아로 심한 구취 및 계승 영구치 치관 주위로 환형의 치조골 괴사를 보여 부골절제술을 시행하고 1년 7개월간 관찰을 하였을 때 정상적인 치근 성장은 이루어졌으나 결손된 치조골 및 부착치은의 완전한 조직재생 소견은 관찰되지 않았다. Formocresol에 의한 치주조직에 대한 부작용은 비가역적이므로 formocresol의 사용에 있어 적응증 여부를 잘 판단해야 하며, 철저한 임시 가봉에 주의를 기울여야 할 것이다.

• Journal of Yeungnam Medical Science
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• 제18권2호
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• pp.187-198
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• 2001

저자들은 1991년 1월부터 1997년 12월까지 7년간, 수술적으로 치료한 경골과 골절 환자 중 최단 1년에서 최장 8년까지 장시 추시 관찰이 가능했던 29예를 대상으로 치료 예후에 관여하는 인자를 조사하여 다음과 같은 결과를 얻었다. 1. 20대부터 40대까지가 15명(51.7%)을 차지해 활동기 연령층에서 발생 빈도가 높았고, Schatzker의 분류에 의해 2형 골절이 11예(37.9%)로 가장 많았다. 동반 연부 조직 손상은 18예(62.1%)에서 발생되었으며, 외측 반월상 연골 손상이 6예(33.3%), 내측 측부 인대손상이 4예(22.2%)로 많았다. Blokker 평가 기준에 의해 29예 중 23예(79.3%)가 양호하였다. 2. 불량한 결과와 관련 있는 요인으로는 30대 이전의 연령층, 고 에너지 손상의 Schatzker 분류 IV형 이상의 골절, 전방 십자 인대 손상과 반월상 연골 손상 등의 동반 손상이었다. 또한 각 골절의 양상과 손상의 정도에 따라 골절면의 정확한 해부학적 정복과 견고한 내고정을 시행하여, 조기에 슬관절 운동을 시행하여야 슬관절의 기능을 향상시킬 수 있을 것으로 사료되었다.

• 한국산학기술학회논문지
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• 제22권4호
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• pp.513-519
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• 2021

봉합 나사못을 이용한 견관절 수술 환자들의 예후를 확인하기 위하여 MRI(Magnetic Resonance Imaging)를 이용하여 추적검사를 시행한다. 봉합나사못을 삽입한 경우에는 임상적 관찰을 용이하게 하기 위하여 지방소거법을 이용한 영상촬영 기법이 이용되는데, 이때 이용되는 지방 신호 억제 기법으로 CHESS(Chemical Shift Selective), STIR(Short Tau Inversion Recovery), Dixon 기법 등이 주로 이용되고 있다. 봉합나사못은 비자성 재료를 이용해서 제작되지만, 환부에 삽입되는 티타늄 재질의 금속물질은 비자성체임에도 불구하고 국소자장을 왜곡시켜 결과 영상의 기하학적인 왜곡은 물론 심각한 영상신호의 감소 현상을 발생시킨다. 봉합나사못을 삽입하여 환부를 관찰하는 경우에는 뼈 혹은 뼈 인접 부위의 영상을 획득하여야 하는데 뼈와 주변 조직의 임상적 관찰을 위해서는 뼈의 지방 신호를 억제할 필요가 있다. 이때 이용되는 지방 신호 억제 기법은 금속 삽입물로 인한 자기장 불균일의 영향을 받는다. 본 연구에서는 3가지 지방억제 영상기법(CHESS, STIR, Dixon)을 이용하여 금속물질을 삽입한 환자로부터 영상을 획득하여 비교, 분석하였으며, 그 결과로 봉합나사못을 삽입한 환자의 병변 관찰 및 수술 후 예후를 관찰하기 위한 영상기법으로 STIR 영상기법이 가장 적합함을 알 수 있었다. 연구 결과에 따르면 금속 물질을 인체에 삽입한 환자의 경우, 지방 신호 억제가 필요한 MRI 검사에서는 STIR 기법을 이용하는 것이 임상적 가치가 높은 영상을 얻을 수 있을 것이다.

• 원예과학기술지
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• 제34권5호
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• pp.736-745
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• 2016

상토에 기비로 혼합된 질소의 $NH_4{^+}:NO_3{^-}$ 비율이 '불암 3호' 배추의 플러그묘 생장에 미치는 영향을 구명하기 위하여 본 연구를 수행하였다. 코이어 더스트:피트모스:펄라이트가 3.5:3.5:3(v/v/v)으로 혼합된 상토를 조제하는 과정에서 기비로 혼합된 질소 수준을 $300mg{\cdot}kg^{-1}$으로 고정하고, $NH_4{^+}:NO_3{^-}$ 비율을 0:100, 27:73, 50:50, 73:27, 100:0으로 조절하였다. 각각의 $NH_4{^+}:NO_3{^-}$ 처리구에 다른 필수적인 비료는 동일하게 배합하여 72구 플러그트레이에 충전하였다. 배추 종자를 파종한 후, 2주와 4주 뒤에 지상부 생육을 조사하였다. 식물체내 무기원소 함량은 파종 4주 후 묘를 분석하였고, 매주 채취한 상토를 이용하여 무기원소 농도를 분석하였다. 파종 후 묘의 생장이 진행됨에 따라 상토의 pH가 점차 상승하고 EC가 낮아지는 경향을 보였다. 파종 2주 후 $NH_4{^+}$ 비율이 높았던 처리에서 $NO_3{^-}$ 비율이 높았던 처리들 보다 상토의 K, Ca, 및 Mg 농도가 높았지만 파종 4주 후 모든 처리에서 매우 낮은 농도로 분석되었고 처리간 차이도 뚜렷하지 않았다. 상토의 $NO_3{^-}$ 농도는 $NH_4{^+}:NO_3{^-}$(100:0) 처리에서 가장 낮았고, $NH_4{^+}:NO_3{^-}$(0:100) 처리에서 가장 높았으며, $NH_4{^+}$ 농도는 반대의 경향을 보였다. 파종 2주 후의 배추 유묘는 $NH_4{^+}:NO_3{^-}$ 비율을 27:73으로 조절한 처리에서 지상부 생체중 및 건물중이 가장 무거웠으며, 파종 4주 후에는 50:50으로 조절한 처리에서 가장 무거웠다. 100:0($NH_4{^+}:NO_3{^-}$)처리의 경우 발아 후 생존율이 약 19%였고, 생존한 식물체의 4주 후 지상부 생장도 가장 저조하였다. 이상의 결과는 배추 플러그 육묘시 식물이 어린 상태에서는 $NH_4{^+}$ 비율을 기비로 혼합된 총 질소의 25% 이하로, 식물이 어느 정도 생장한 상태이더라도 50% 이하로 조절하여야 $NH_4{^+}$ 독성을 방지할 수 있음을 의미한다.