• 한국환경보건학회지
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• 제25권3호
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• pp.58-63
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• 1999

Biodegradable films were prepared by solution blend method in the weight ratio of chitosan for the purpose of useful biomaterials. The possibility of biomaterials prepared from natural polymer as a skin substitute was evaluated by measuring biocompatibility. These films were inserts in the back of rat and their biodegradability was investigated by the film weight and hematology as a function of time for the biotransformation. The result of rat test showed that medium, high viscosity chitosan induced some suspects of inbiocompatibility in the tissue by goreign body reaction 48 and 72 hours after implantation. Also, we prepared the official burn ointment which is made by low viscosity chitosan. This burn ointment was covered on the skin wound of artificial burn and their effect of healing was investigated by the evaluation of the naked eye and hematological change as a function of time. The result of rats test showed that burn ointments made from chitosan was effective reductio of inflammation than negative group.

• 한국레이저가공학회지
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• 제12권3호
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• pp.14-17
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• 2009

The laser welding was performed for the flange joint of two overlapped coaxial circular pipes which serve as the inlet and connector pipes of STS 316L. The laser welding test finally resulted in a good penetration depth of 1.8 to 2.0 mm. On the way to get the good welding quality, two important parameters were found to be optimized. One is the focal positioning which is the offset of the laser beam focus to the exact welding seam line, which is more critical in the inner flange laser welding. When the beam spot size was deviated more than $200\;{\mu}m$ from the seam line, welding of two pipes is failed. The other is a gap size since a certain amount of gap is inevitable due to fabrication tolerance, or artificial allowances for smooth insertion of a pipe. However, it is required to restrict the gap allowance within 0.2mm to avoid undesirable undercut on a welding bead.

• Journal of Korean Neurosurgical Society
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• 제61권4호
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• pp.530-536
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• 2018

We present two cases of unexpected postoperative intractable cervicalgia due to over-sized implant insertion during simple anterior cervical decompression and fusion (ACDF) or artificial disc replacement (ADR). These patients experienced severe cervicalgia mostly related to their neck motion even after standard cervical operations. In both cases, the restored disc heights after the operations were prominently greater than the preoperative disc heights. The patients had not responded to any of the conservative treatments, and unloading of these excessively distracted segments through ultimate revision surgery led to dramatic pain relief. This report emphasizes the increase in distractional forces that takes place after a standard ACDF or ADR, as well as the importance of a proper sized implant. It also includes the reviews of other biomechanical or clinical reports dealing with this issue, thereby cautioning the surgeons not to disregard these factors, which might have an adverse effect in patients with cervicalgia even after radiographically successful cervical procedures.

• 대한치과교정학회지
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• 제46권6호
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• pp.386-394
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• 2016

Objective: The objective of the study was to evaluate the practicality and the validity of different surface treatments of self-drilling orthodontic mini-implants (OMIs) by comparing bone cutting capacity and osseointegration. Methods: Self-drilling OMIs were surface-treated in three ways: Acid etched (Etched), resorbable blasting media (RBM), partially resorbabla balsting media (Hybrid). We compared the bone cutting capacity by measuring insertion depths into artificial bone (polyurethane foam). To compare osseointegration, OMIs were placed in the tibia of 25 rabbits and the removal torque value was measured at 1, 2, 4, and 8 weeks after placement. The specimens were analyzed by optical microscopy, scanning electron microscopy (SEM), and energy dispersive X-ray spectroscopy (EDS). Results: The bone cutting capacity of the etched and hybrid group was lower than the machined (control) group, and was most inhibited in the RBM group (p < 0.05). At 4 weeks, the removal torque in the machined group was significantly decreased (p < 0.05), but was increased in the etched group (p < 0.05). In the hybrid group, the removal torque significantly increased at 2 weeks, and was the highest among all measured values at 8 weeks (p < 0.05). The infiltration of bone-like tissue surface was evaluated by SEM, and calcium and phosphorus were detected via EDS only in the hybrid group. Conclusions: Partial RBM surface treatment (hybrid type in this study) produced the most stable self-drilling OMIs, without a corresponding reduction in bone cutting capacity.

• 한국응급구조학회지
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• 제10권2호
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• pp.35-42
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• 2006

Purpose: We studied that EMT took care in prehospital care of cardiac arrest patients by "the chain of survial", we need the data about treatment of EMT in prehospital care of cardiac arrest patients. and then we want to educate EMT for their emergency skill and knowledge of prehospital care of cardiac arrest patients. Method: We studied 162 cardiac arrest patients were transported by EMT in Jecheon province, Chingbuk. Results: 1. Stage of Early Access 96.9% of people who related the cardiac arrest patients used the Jecheon 119 Rescue at their emergency situation. 2 Stage of Early CPR The EMT supported keeping of airway to 148 of 162 cardiac arrest patients. Artificial respiration was 120 of 162 cardiac arrest patients and chest compression was 119 of 162 cardiac arrest patients. 3. Stage of Early AED There were shocked 6 cardiac arrest patients but weren't shocked 156 victims of 162 cardiac arrest patients by AED. 4. Stage of Early ACLS There were reported 3 of 162 cardiac arrest patients. to Doctor or Hospital Emergency Center for medical direction to EMT in prehospital area. There is no advanced airway, IV insertion and medication to the prehospital cardiac arrest patients.

• Tuberculosis and Respiratory Diseases
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• 제40권4호
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• pp.449-453
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• 1993

A 64-year-old male was admitted due to abruptly developed, severe dyspnea via local clinic. He had been a heavy smoker and alcoholic for a long time. Chest PA showed huge haziness in right upper lung field. Sputum culture for bacteriology was positive for Klebsiella pneumoniae. Immediately, appropriate antibiotics were administered and artificial ventilation was started. On 40th hospital day, simple chest roentgenogram taken due to sudden aggravated dyspnea showed marked hyperlucency in right upper lung field, suggestive of rupture of abscess cavity and resultant pneumothorax. At that time, chest tube was inserted but air leakage from the chest tube persisted. Chest CT scan taken after chest tube insertion showed the tube inserted into a thin-walled cavity in the above lesion. on 84th hospital day, right upper lobectomy with decortication was performed. Pathologically, cavittary lung abscess was diagnosed on the findings of partial re-epithelialization of ciliated columnar epithelium with severe pulmonary vascular occlusion and extensive fibrous pleural adhesions.

• 한국자기학회지
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• 제5권6호
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• pp.963-967
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• 1995

Ni/Cu 인공초격자의 계면에 얇은 NiFeCo와 NiFe층을 삽입시 Ni/Cu 인공초격자의 자기 저항 거동에 미치는 영향에 관해 연구하였다. NiFe층이 Ni/Cu 인공초격자의 계면에 삽입된 경우 6%의 자기저항과 50 Oe의 포화자장을 보였으며 이때의 자기저항곡선은 hysteresis를 거의 보이지 않았다. NiFeCo층이 삽입된 경우는 자기저항값은 7%를 보였으나 포화자장과 hysteresis가 많이 증가하였다. 교류자장원을 이용한 동적자기저항을 측정한 결과 bias 자장하에서 자기저항의 증가폭이 NiFe층을 삽입한 경우가 NiFeCo를 삽입한 경우보다 컸으며 이는 hysteresis가 작았기 때문으로 해석된다.

• Journal of Korean Biological Nursing Science
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• 제23권4호
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• pp.298-307
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• 2021

Purpose: This study aimed to investigate the risk factors for cardiac implantable electronic device (CIED)-related infections within the first post-procedural year after CIED insertion. Methods: This study included 509 adult patients undergoing CIED implantation procedures between January 1, 2011 and December 31, 2015. The data were analyzed by t-test, chi-square test, Fisher's exact test, and logistic regression analysis using SPSS/WIN 23.0. Results: Fifteen infections and 494 non-infections were examined. The CIED-related infection rate was 2.9%; patients with 14 pocket infections and one bacteremia were included in the CIED-related infection. The risk factors of CIED-related infections were the estimated glomerular filtration rate (eGFR) of ≤ 45 mL/min/1.73 m² (Odds ratio [OR]= 4.03, 95% confidence interval [CI],1.15-14.10) and taking a new oral anticoagulant (NOAC) (OR = 4.50, 95% CI 1.09-18.55). Conclusion: These results identified the CIED infection rate and risk factors of CIED-related infection. It is necessary to consider these risk factors before the CIED implantation procedure and to establish the relevant nursing interventions.

• Archives of Plastic Surgery
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• 제50권5호
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• pp.488-491
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• 2023

Silicone breast implant insertion is a commonly performed surgical procedure for breast augmentation or reconstruction. Among various postoperative complications, infection is one of the main causes of patient readmission and may ultimately require explantation. We report a case of infective costochondritis after augmentation mammoplasty, which has rarely been reported and is therefore difficult to diagnose. A 36-year-old female visited the clinic for persistent redness, pain, and purulent discharge around the left anteromedial chest, even after breast implant explantation. Magnetic resonance imaging showed abscess formation encircling the left fourth rib and intracartilaginous and bone marrow signal alteration at the left body of the sternum and left fourth rib. En bloc resection of partial rib and adjacent sternum were done and biopsy results confirmed infective costochondritis. Ten months postoperatively, the patient underwent chest wall reconstruction with an artificial bone graft and acellular dermal matrix. As shown in this case, early and aggressive surgical debridement of the infected costal cartilage and sternum should be performed for infective costochondritis. Furthermore, delayed chest wall reconstruction could significantly contribute to the quality of life.

• 대한소아치과학회지
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• 제36권1호
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• pp.62-70
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• 2009

본 연구는 최근 시판되고 있는 4종의 복합레진 Palfique Estelite $sigma^{{R}}$ (Tokuyama Dental Corp., Tokyo, Japan), $Z-350^{{R}}$ (3M ESPE, USA), Ceram X duo $E3^{{R}}$, Ceram X duo $D3^{{R}}$ (Dentsply, Konstanz, Germany)이 3가지 액체 환경에 노출될 때 시간에 따라 필러의 용출 양상이 변하는지 알아보고 이를 비교 분석하였다. 필러의 용출량을 평가하기 위해 내경 10mm, 두께 3mm인 테프론 몰드를 이용하여 시편을 제작하였다. 각각의 시편을 5ml의 0.1N NaOH 용액, 증류수, 인공타액이 담긴 폴리에틸렌 용기에 담구고 $37{\circ}C$ 오븐에서 보관하였다. Si, Ba의 용출량을 알아보기 위해 ICP-AE 기기를 이용하여 0.1N NaOH 용액에 담군 시편은 2주 후에, 증류수와 인공타액에 담군 시편은 1개월 간격으로 5회에 걸쳐 정량 분석하여 다음과 같은 결과를 얻었다. 1. 0.1N NaOH에서 필러의 용출량은 모든 시편에 대해서 유의하게 높았다 (p<.0.001). 2. 증류수에 저장하였을 때, Si 용출량은 Z-350가 가장 적고, 인공 타액에 저장하였을 때, Si 용출량은 Estelite에서 가장적었다. 3. 저장용액에 따른 원소의 용출량에서 모두 유의한 평균차이를 보였다(p<.0.001) 4. 인공타액에 저장된 시편이 증류수에 저장된 시편보다 시간이 증가할수록 Ba와 Si의 용출량이 더 많았다. 5. 저장기간에 따른 필러의 용출량은 저장 용액 간, 재료 간에 유의한 상관관계를 보였다(p<.0001). 이상을 통해 나노필러를 함유한 복합레진이 수분환경에 노출되었을 때 필러 입자들의 지속적인 용출이 일어남을 확인할 수 있었다.