• 제목/요약/키워드: cutting methods

검색결과 889건 처리시간 0.023초

소아 안면열상 환자의 치료에 있어서 유용한 봉합술 (Convenient Suture Technique for Pediatric Facial Lacerations)

  • 김준형;권순범;어수락;조상헌
    • Archives of Plastic Surgery
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    • 제37권4호
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    • pp.496-498
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    • 2010
  • Purpose: Lacerations requiring formal wound closure compose a significant number of all childhood injuries presenting to the emergency department. The problem with conventional suture technique are that suture removal is quite cumbersome, especially in children. Unwanted soft tissue damage can result in the process of suture removal, which calls for sedation, stressful for both medical personnel and child. The purpose of this study is to introduce the convenient suture technique for pediatric facial lacerations. Methods: Children under the age of four, presenting to the emergency department with facial lacerations were enrolled in the study. From March 2008 to June 2009, 63 patients (41 males and 22 females) with an average age of 1.4 years were treated with our convenient suture technique using utilized a loop suspended above a double, flat tie. Clean, tension free wounds were treated with our technique, wounds with significant skin defect and concomitant fractures were excluded. Results: The Patients were followed-up in 1, 3 and 5 days postoperatively. On the third hospital visit, suture removal was done by simply cutting the loop suspended above the wound margin and gently pulling the thread with forceps. There were no significant differences in the rates of infection and dehiscence compared with conventional suture technique. Conclusion: The use of our technique was to be simple with similar operative time compared with conventional suture technique. Removal of suture materials were easy without unwanted injuries to the surrounding tissue which resulted in less discomfort for the patient and greater parental satisfaction, minimized the complications. It can be considered as a viable alternative in the repair of pediatric facial lacerations.

교차 하지 유리 피판술을 이용한 하지 연부 조직 결손의 재건 (Reconstruction of Lower Extremity Soft Tissue Defect Using Cross-leg Free Flap)

  • 이정훈;양정덕;이상윤;정호윤;조병채
    • Archives of Plastic Surgery
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    • 제36권5호
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    • pp.591-596
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    • 2009
  • Purpose: To reconstruct soft tissue defect on lower extremity especially combined with osteomyelitis, free flap with enough blood supplies is required. There are some instance when patients have inadequate recipient vessels for microanastomosis. Anastomosis with harvested vein graft can solve the problem. It may be more problematic or even increase recipient site complication. Cross leg free flaps using contra - lateral vessel can be a solution. Methods: From 2005 to 2008, 12 cases of cross leg free flap were done for 12 patients(male = 9, female = 3). External fixators used in all cases. Free flaps used were laissmus dorsi muscle flap(n=5), anterolateral thigh flap(n=4), gracilis muscle flap(n=2) and medial plantar artery fasciotaneous flap(n=1). In all cases, contralateral posterior tibial artery and vein were used as recipient pedicle. Results: All flaps survived without additional operative procedures. There were no complications such as hematoma or Infection. Sometimes patients needs further therapeutic exercise for fast movement recovery. Conclusion: Although cross leg free flaps require long period of bed resting and rehabilitation after pedicle cutting, It can be practical alternative for soft tissue defect on lower distal extremity with inadequate recipient vessels for free flap on affected leg.

고추의 동시탈종(同時脫種) 건조방법(乾燥方法)의 개발(開發)에 관한 연구 -제2보 열풍건조(熱風乾燥)가 고추씨의 충격분리(衝擊分離)에 미치는 영향- (Development of a Simultaneous Seed Separation and Drying Method of Red Pepper -Part II. Dehydration Effect on the Impact Seed Separation of Red Pepper-)

  • 전재근;박상기
    • 한국식품과학회지
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    • 제9권1호
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    • pp.68-72
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    • 1977
  • 충격방법(衝擊方法)에 의(依)하여 고추씨를 분리(分離)할 수 있으나 그 수율(收率)을 45%이상(以上) 올릴 수는 없었다. 따라서 보다 높은 씨분리수율(分離收率)을 이룩하기 위하여 고추 조직(組織)에 대(對)한 가열효과(加熱效果)를 시도(試圖)한 결과(結果) 씨의 분리(分離)가 용이(容易)하게 이룩될 수 있는 고추 내(內)의 공격(空隔)이 증가(增加)되었다. 이와같은 가열효과(加熱效果)를 씨의 분리(分離)에 이용(利用)키 위하여 회전사식원통형(回轉篩式圓筒型) 씨분리기(機)에 $65^{\circ}C$, 0.61m/sec의 열풍(熱風)을 송입(送入)하면서 씨를 분리(分離)할 경우 93%까지 분리수율(分離收率)을 높일수 있었다. 열풍하(熱風下)에서의 씨의 분리(分離)는 고추의 절단부위(切斷部位)에 따라 차이(差異)는 있었으나 고추 건조(乾燥)가 완료(完了)되기 이전(以前)에 씨의 분리(分離)를 완료(完了)할 수 있었으므로, 동시탈종(同時脫種) 건조방법(乾燥方法)이라는 새로운 고추의 가공방법(加功方法)을 개발(開發)하게 되었다.

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근채류(감자, 고구마, 당근)의 탈피조작 (Peeling Operations of Root Vegetables: Potato, Sweet Potato and Carrot)

  • 이철호;이순우
    • 한국식품과학회지
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    • 제16권3호
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    • pp.329-335
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    • 1984
  • 탈피 방법에 따른 감자류와 당근의 탈피효율과 제품의 품질을 연구하였다. 재료의 구형도와 중량이 탈피효율에 미치는 영향을 조사하였으며, 탈피 후에 표피 조직감의 변화를 Rheometer로 측정하고 세포조직의 변화를 비교하였다. 연마형 회전식 기계적 탈피의 조건은 감자는 300rpm에서 90초, 고구마는 300rpm에서 70초, 당근은 300rpm에서 60초 이었다. 탈피 손실율은 재료의 구형도와 중량에 의해 영향을 받았다. 알카리 탈피의 최적조건은 10% NaOH 끓는 용액에서 감자는 90초, 고구마는 300초 이였으며 당근은 6% NaOH 끓는 용액에서 60초 이었다. 탈피에 의한 표피 조직감의 변화는 Rheometer의 절단력 실험에 의해 명확히 나타났고. 이것은 광학현미경을 이용하여 관찰된 표피 조직 변화현상으로 설명될 수 있었다. 알카리 탈피에서 일어나는 표피 조직의 변화현상은 표면 세포내의 전분입자의 호화와 밀접한 관계가 있음을 알 수 있었다.

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지역 특징 히스토그램 기반 영상식별자와 GPU 가속화 (Image Identifier based on Local Feature's Histogram and Acceleration Technique using GPU)

  • 전혁준;서용석;황치정
    • 한국정보과학회논문지:컴퓨팅의 실제 및 레터
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    • 제16권9호
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    • pp.889-897
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    • 2010
  • 현대의 대량화된 영상 관리 시스템은 영상의 특징을 표현하는 영상식별자에 대해 왜곡에 강인하며 빠른 검색 속도, 정확성 및 효율적인 저장 등의 기본 성능을 요구한다. 영상식별자 설계 방법은 기하학적 왜곡에 강인한 지역 방식과 빠른 검색 및 적은 저장 용량의 속성을 지닌 전역방식으로 구분 할 수 있다. 본 논문에서는 왜곡에 강하고 지역적 공간적 제약으로 인한 서로간의 차별성이 강화된 지역 기술자들로부터 각각 개개 차원의 특징 분포도를 분석하여, 두 영상간의 유사도를 빠르고 정확하게 측정할 수 있는 지역 기술자 및 전역 기술자의 속성을 가지고 있는 LFH(Local Feature's Histogram)기반 영상식별자를 제안한다. 또한 GPU를 사용하여 LFH를 구현하는 방법을 제시하며, 제안한 LFH와 대표적인 지역, 전역 방식인 SIFT 및 EHD 방식과 저장용량, 추출 시간, 검색 속도 및 정확률에 대한 성능을 비교하였다.

신장조직 영상에서 사구체 영역의 추출법 (An Extraction Method of Glomerulus Region from Renal Tissue Image)

  • 김응규
    • 융합신호처리학회논문지
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    • 제13권2호
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    • pp.70-76
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    • 2012
  • 본 연구에서는 신장 조직 영상으로부터 자동적으로 사구체 영역을 추출하는 방법을 제안한다. 사구체 조직은 신장의 상태를 나타내는 많은 정보를 포함하고 있기 때문에 사구체 영역의 추출은 신장검사를 자동화하기위한 첫 번째 단계이다. 신장 조직 영상은 신장조직조각을 현미경을 통해서 CCD 카메라로 촬영함으로써 얻어진다. 특히, 사구체 영역과 타 영역과의 차이는 명확치 않아 기존 분할방법에 의해 그 배경으로부터 사구체 영역을 추출하는 일은 쉽지않다. 이에 여러 가지 모양을 갖는 사구체 영역의 경계 에지를 공통의 특징으로서 주목하였다. 우선 가우스 함수에 의한 원영상의 몽롱화 영상을 동적인 임계값으로서 사용하여 이 임계값에 의해 원영상을 2치화 한다. 다음으로 획득한 영상으로부터 일반적인 패턴처리 기법으로 사구체 영역의 경계 에지를 포함하는 모든 에지를 추출한다. 그 다음으로 사구체 영역은 폐곡선에 의해 둘러쌓인 원영상내의 영역을 추출함으로써 얻어진다. 그 결과 사구체 영역이 85%정도 정확하게 추출되어 제안 방법의 유효성을 확인하였다.

Push-out bond strength of a self-adhesive resin cement used as endodontic sealer

  • Gurgel-Filho, Eduardo Diogo;Lima, Felipe Coelho;Saboia, Vicente De Paula Aragao;Coutinho-Filho, Tauby De Souza;Neves, Aline De Almeida;da Silva, Emmanuel Joao Nogueira Leal
    • Restorative Dentistry and Endodontics
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    • 제39권4호
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    • pp.282-287
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    • 2014
  • Objectives: The aim of the present study was to investigate the bond strength of RelyX Unicem (3M) to root canal dentin when used as an endodontic sealer. Materials and Methods: Samples of 24 single-rooted teeth were prepared with Gates Glidden drills and K3 files. After that, the roots were randomly assigned to three experimental groups (n = 8) according to the filling material, (1) AH Plus (Dentsply De Trey GmbH)/Gutta-Percha cone; (2) Epiphany SE (Pentron)/Resilon cone; (3) RelyX Unicem/Gutta-Percha cone. All roots were filled using a single cone technique associated to vertical condensation. After the filling procedures, each tooth was prepared for a push-out bond strenght test by cutting 1 mm-thick root slices. Loading was performed on a universal testing machine at a speed of 0.5 mm/min. One-way analysis of variance and Tukey test for multiple comparisons were used to compare the results among the experimental groups. Results: Epiphany SE/Resilon showed significantly lower push-out bond strength than both AH Plus/Gutta-Percha and RelyX Unicem/Gutta-Percha (p < 0.05). There was no significant difference in bond strength between AH Plus/Gutta-Percha and RelyX Unicem/Gutta-Percha (p > 0.05). Conclusions: Under the present in vitro conditions, bond strength to root dentin promoted by RelyX Unicem was similar to AH Plus. Epiphany SE/Resilon resulted in lower bond strength values when compared to both materials.

Effects of HA and TiN Coating on the Electrochemical Characteristics of Ti-6Al-4 V Alloys for Bone Plates

  • Oh, Jae-Wook;Choe, Han-Cheol;Ko, Yeong-Mu
    • 한국표면공학회지
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    • 제37권5호
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    • pp.249-252
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    • 2004
  • Effects of HA and TiN coating on the electrochemical characteristics of Ti-6AI-4V alloys for bone plates were investigated using various test methods. Ti-6AI-4V alloys were fabricated by using a vacuum induction furnace and bone plates were made by laser cutting and polishing. HA was made of extracted tooth sintered and then tooth ash was used as HA coating target. The TiN and HA film coating on the surface were carried on using electron-beam physical vapor deposition (EB-PVD) method. The corrosion behaviors of the samples were examined through potentiodynamic method in 0.9% NaCI solutions at $36.5\pm$$1^{\circ}C$ and corrosion surface was observed using SEM and XPS. The surface roughness of TiN coated bone plates was lower than that of tooth ash coated plates. The structure of TiN coated layer showed the columnar structure and tooth ash coated layer showed equiaxed and anisotrophic structure. The corrosion potential of the TiN coated specimen is comparatively high. The active current density of TiN and tooth ash coated alloy showed the range of about $1.0xl0^{-5}$ $A\textrm{cm}^2$, whereas that of the non-coated alloy was$ 1.0xl0^{-4}$ $A\textrm{cm}^2$. The active current densities of HA and TiN coated bone plates were smaller than that of non-coated bone plates in 0.9% NaCl solution. The pitting potential of TiN and HA coated alloy is more drastically increased than that of the non-coated alloy. The pit number and pit size of TiN and HA coated alloy decreased in compared with those of non-coated alloy. For the coated samples, corrosion resistance increased in the order of TiN coated, tooth ash coated, and non-coated alloy.

EPB tunneling in cohesionless soils: A study on Tabriz Metro settlements

  • Rezaei, Amir H.;Shirzehhagh, Mojtaba;Golpasand, Mohammad R. Baghban
    • Geomechanics and Engineering
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    • 제19권2호
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    • pp.153-165
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    • 2019
  • A case study of monitoring and analysis of surface settlement induced by tunneling of Tabriz metro line 2 (TML2) is presented in this paper. The TML2 single tunnel has been excavated using earth pressure balanced TBM with a cutting-wheel diameter of 9.49 m since 2015. Presented measurements of surface settlements, were collected during the construction of western part of the project (between west depot and S02 station) where the tunnel was being excavated in sand and silt, below the water table and at an average axis depth of about 16 m. Settlement readings were back-analyzed using Gaussian formula, both in longitudinal and transversal directions, in order to estimate volume loss and settlement trough width factor. In addition to settlements, face support and tail grouting pressures were monitored, providing a comprehensive description of the EPB performance. Using the gap model, volume loss prediction was carried out. Also, COB empirical method for determination of the face pressure was employed in order to compare with field monitored data. Likewise, FE simulation was used in various sections employing the code Simulia ABAQUS, to investigate the efficiency of numerical modelling for the estimating of the tunneling induced-surface settlements under such a geotechnical condition. In this regard, the main aspects of a mechanized excavation were simulated. For the studied sections, numerical simulation is not capable of reproducing the high values of in-situ-measured surface settlements, applying Mohr-Coulomb constitutive law for soil. Based on results, for the mentioned case study, the range of estimated volume loss mostly varies from 0.2% to 0.7%, having an average value of 0.45%.

2018년 소방공무원 응급구조사 총조사 (The 2018 Fire department emergency medical technician survey)

  • 윤형완;박주호;이현경;한승태;이재민
    • 한국응급구조학회지
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    • 제25권3호
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    • pp.145-162
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    • 2021
  • Purpose: The 2018 General survey of emergency assistance was conducted to examine the working conditions and welfare, including educational direction, interests, and awareness of work, of the fire department emergency medical technicians (EMT). This would be used as basic data for future policy directions. Methods: Among the fire-fighting officers in 16 cities nationwide, emergency rescue workers engaged in first-aid activities were targeted. With prior consent, a survey was conducted through electronic documents. Of the total 1,227 people, responses from 1,151 were finally analyzed, excluding 76 who did not respond appropriately. Results: The working conditions and welfare of 119 firefighters were moderate, but in the fields of education and interest, the learning according to the regulations was high. In particular, satisfaction with the scope of work was found to be below average. However, it was positive that it will play a role as a social safety net in the future and will converge with cutting-edge science. Conclusion: Although this study was a total investigation of the EMT survey, conducting an EMT survey on all fire fighters in Korea is difficult. Further research is needed, particularly on first-class emergency medical personnel who play a major role in 119 paramedics.