• Archives of Reconstructive Microsurgery
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• 제6권1호
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• pp.87-95
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• 1997

Traumatic injury to the hand often leads to soft tissue defects with exposed tendons, bones, or joints. Though many new flap have been introduced, the choice of flap that would be best for the patient depends on such factors as the site, size, and degree of wounds. Additionally the selected surgical method should be yielded cosmetic and functional superiority by the one-staged reconstruction. In our experience, small to medium sized soft tissue defect with bone and tendon exposure of hand can be resurfaced with an arterialized venous free flap from the volar aspect of distal forearm. Wide and deep defects of the hand can be covered with a sensory cutaneous free flap such as the medial plantar free flap, dorsalis pedis free flap, and radial forearm free flap. Specialized flap such as wrap-around flap, toe-to-finger transfer, onychocutaneous free flap can be used for the recontruction of defect on the thumb and finger. Based on the above considerations and our clinical experience of 60 free flap cases of the hand, the various methods for the proper repair of soft tissue defects of the hand are described. And we obtained satisfactory functional and cosmetic results with 95% success rate of free flap.

• Archives of Reconstructive Microsurgery
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• 제7권1호
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• pp.20-27
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• 1998

Among many kinds of introduced free flaps, scapular freeflap is one of the most popularly using modalities in fasciocutaneous defect coverage with minimal donor defect and easier procedure and constant vascular patterns of the donor. Many surgeons who had experience of this flap pointed out deficit of the reliable sensation of the transplanted flap is the main shortcoming of the scapular free flap. If we can subjugate that point, scapular free flap is the most excellent procedure in such a cases as heel pad reconstruction and hand reconstruction which are relatively important to have skin with protective sensation. Author performed anatomical literature review, 10 cadaveric dissections and 12 clinical dissections. In surgical anatomical aspect, the upper six dorsal rami of the thoracic nerves have medial branches which pierce Longissimus thoracis and Multifidus muscle with small cutaneous twigs which pierce Latissimus dorsi and Trapezius muscle. Among that cutaneous twigs, several twigs distribute to the skin of the back from midline to lateral aspect which territory is identical to scapular free flap. We analysed clinical experiences of that sensory bearing scapular free flap surgical anatomy and one year follow-up studies with several results. 1) Two to three cutaneous twigs which pierced from the Trapezius muscle over the scapular free flap region. 2) Each twigs has two to four nerve fascicles with small artery. 3) The nerve distributed to the ordinary scapular free flap and large enough size and pedicle length to neurorrhapy with various recipient site nerves. 4) The inconvenience of this procedure is the vascular pedicle and nerve pedicle have opposite directions, vascular pedicle of that comes from lateral direction from subscapular vessels, but nerve pedicle comes from medial direction from trapezius muscle. Author can found constant cutaneous nerve branches which come from piercing the Trapezius. This nerves are helpful for protective sensation in transplanted scapular free flap. We can't had enough follow-up and evaluation of the nerve function of this procedure, we need continuous research works to application of this procedure. The in conveniences come from directional differences of pedicle can solve with longer harvest neural pedicle and change direction of the neural pedicle.

• 약학회지
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• 제42권3호
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• pp.265-274
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• 1998

In order to attain a sustained release at targeted organs in a prolonged time which can reduce the side effects and maximize the therapeutic effect, aclarubicin (ACL) was entrap ped into liposomes of different lipid compositions using Microfluidizer, and dry liposomes were prepared by lyophilization. The dry aclarubicin-entrapped liposomes were evaluated in terms of mean particle size and size distribution, entrapment efficiency and in vitro drug release profile. The Entrapment efficiency of liposome, when the concentration of aclarubicin and lipid were 0.5 to 1.0mg/ml and $200{\mu}mol$/ml, respectively, was over 80% using Microfluidizer, in contrast to 70% of entrapment efficiency using hand-shaking method. Mean particle size and size distribution of aclarubicin-entrapped liposomes of various lipid compositions did not change considerably by the freeze drying. The range of particle size was between 80 and 200nm. Among aclarubicin-entrapped liposomes, ACL-liposome of PC/DPPC/CH0L/TA displayed the most significant sustained release. The addition of DPPC appeared to be favorable for the control of release. In general, aclarubicin entrapped in liposomes was less stable than free aclarubicin either in pH 7.4 phosphate buffer or in human plasma. Formulation I($t_{1/2}$, 20.3 hr) devoid of lipid additive was the most unstable in the phosphate-buffer solution while formulation II($t_{1/2}$, 40.7 hr) with cardiolipin was the most stable. Half lives of aclarubicin-entrapped liposomes in human plasma were 43.2, 50.7, 35.9 and 35.3 hr for formulation I. II, III and IV, respectively, in contrast to 57.8 hr for free aclarubicin.

• Archives of Reconstructive Microsurgery
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• 제5권1호
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• pp.24-34
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• 1996

There are many kinds of free flaps for management of extensive soft tissue defect of extremities in orthopaedic field. Free vascularized scapular flap is one of the most useful and relatively easy to application. This flap has been utilize clinically from early eighties by many microsurgical pioneers. Authors performed 102 cases of this flap from 1984 to 1995. We have to consider about the surgical anatomy of the flap, technique of the donor harvesting procedures, vascular varieties and anatomical abnormalities and success rate and the weak points of the procedure. This flap nourished by cutaneous branches from circumflex scapular vessels emerges from the lateral aspect of the subscapular artery 2.5-5cm from its lateral origin passing through the triangular space(bounded by subscapularis, teres minor, teres major, long head of triceps). The terminal cutaneous branch runs posteriorly around the lateral border of the scapular and divided into two major branches, those transeverse horizontally and obliquely to the fascial plane of overlying skin of the scapular body. We can utilize these arteries for scapular and parascapular flap. The vascular pedicle ranged from 5 to 10 cm long depends on the dissection, usually two venae comitantes accompanied circumflex scapular artery and its major branches. The diameter of the circumflex scapular artery is more than 1mm in adult, rare vascular variation. Surgical techniques : The scapular flap can be dissected conveniently with prone or lateral decubitus position, prone position is more easier in my experience. There are two kinds of surgical approaches, most of the surgeon prefer elevation of the flap from its outer border towards its base which known easier and quicker, but I prefer elevation of the flap from its outer border because of the lowering the possibilities of damage to vasculature in the flap itself which runs just underneath the subcutaneous tissue of the flap and provide more quicker elevation of the flap with blunt finger dissection after secure pedicle dissection and confirmed the course from the base of the pedicle. There are minimal donor site morbidity with direct skin closure if the flap size is not so larger than 10cm width. This flap has versatility in the design of the flap shape and size, if we need more longer and larger one, we can use parascapular flap or both. Even more, the flap can be used with latissimus dorsi musculocutaneous flap and serratus anterior flap which have common vascular pedicle from subscapular artery, some instance can combined with osteocutaneous flap if we include the lateral border of the scapular bone or parts of the ribs with serratus anterior. The most important shortcoming of the scapular free flap is non sensating, there are no reasonable sensory nerves to the flap to anastomose with recipient site nerve. Results : Among our 102 cases, overall success rate was 89%, most of the causes of the failure was recipient site vascular problems such as damaged recipient arterial conditions, and there were two cases of vascular anomalies in our series. Patients ages from 3 years old to 62 years old. Six cases of combined flap with latissimus dorsi, 4 cases of osteocutaneous flap for bone reconstruction, 62 parascapular flap was performed - we prefer parascapular flap to scapular. Statistical analysis of the size of the flap has less meaningful because of the flap has great versatility in size. In the length of the pedicle depends on the recipient site condition, we can adjust the pedicle length. The longest vascular pedicle was 14 cm in length from the axillary artery to the enter point cutaneous tissue. In conclusion, scapular free flap is one of the most useful modalities to manage the large intractable soft tissue defect. It has almost constant vascular pedicle with rare anatomical variation, easy to dissect great versatility in size and shape, low donor morbidity, thin and hairless skin.

• 한국식품영양과학회지
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• 제38권11호
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• pp.1522-1527
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• 2009

우리는 고지방식이에 의해 유도된 비만 마우스의 몸무게, 부고환 지방조직 무게, 부고환 지방조직의 지방세포 크기 및 혈장 지질 농도에 약용식물 물 추출물들(MPWEs) 혼합식이가 어떤 영향들을 미치는지 연구하였다. MPWEs 혼합식이의 항비만 효과를 알아보기 위하여 C57BL/6J 마우스는 11주 동안 고지방식이를 섭취시켰다. 마지막 6주 동안, 계속해서 고지방식이(HFD)만 섭취시키거나 고지방식이에 MPWEs(5 g/kg, HFD＋MPWEs)이나 고지방식이에 orlistat[0.5 g/kg, HFD＋orlistat(항비만 약)]을 섞어 섭취시켰다. HF-free군은 11주 동안 일반 식이를 섭취시켰다. 11주간 고지방식이를 섭취한 군은 일반식이군과 비교하여 혈장 지질 수준, 몸무게, 간 무게 및 부고환 지방조직 무게가 현저하게 증가하였다. MPWEs를 함유하고 있는 식이는 몸무게, 간 무게 및 부고환 지방조직 무게와 마찬가지로 혈장 총콜레스테롤, LDL 콜레스테롤, 중성지방 그리고 혈당 농도를 현저하게 감소시켰다. 혈장 중성지방 수준은 6주 동안 orlistat를 함유한 고지방식이군(HFD＋orlistat)에서 현저히 낮았고 MPWEs를 함유한 고지방식이군(HFD＋MPWEs)의 그것과 유사하였다. 고지방식이군 마우스의 지방세포크기가 일반식이군의 그것에 비해 현저하게 증가하였고, MPWEs와 orlistat(positive control)는 부고환 지방세포 크기를 현저하게 감소시켰으나 orlistat가 MPWEs보다 약간 더 영향력이 있었다. 이들 결과들은 MPWEs 섭취는 몸무게 증가, 지방세포 형성 및 지방세포 크기 증가를 저해함으로써 항비만 효과가 있을 것이라는 것을 시사하고 있다.

• 한국응용과학기술학회지
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• 제36권2호
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• pp.434-447
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• 2019

폴리에틸렌글라이콜(PEG)은 계면활성제, 세정제, 유화제 등으로 화장품에 많이 사용된다. 이들은 제조 과정 중, ethylene oxide의 이량체화에 의해 인간에 몸에 유해한 1,4-dioxane이 부산물로 생성될 수 있다. 화장품 성분에 대한 소비자들의 관심이 증가함에 따라, 퍼스널케어 시장에서 PEG 성분이 없는 보다 안전한 에멀젼 연구의 필요성이 증대되고 있다. PEG-free 계면활성제로 사용되는 polyglycerol ester (PGE)는 비이온성 계면활성제로서 식품, 화장품 등의 분야에서 많이 사용되며 글리세롤과 지방산을 에스테르화 하여 생산된다. 본 연구에서는 PEG 성분을 함유하지 않은 나노에멀젼 제형의 개발 및 안정화를 목표로 하였다. 최적화된 나노에멀젼 제형 개발을 위해 RSM (Response Surface Methodology)를 사용하였다. 독립변수 및 변수의 범위 결정을 위한 예비 실험의 결과로 계면활성제 함량(2~4%), 오일 함량(4~8%), 폴리올 함량(12~24%)을 독립변수로 설정하였다. 반응변수로는 제형의 입자 크기(particle size), 제타 전위(zeta potential), 현탁도(turbidity), 다분산지수(polydispersity index)를 측정하였다. 제조한 나노에멀젼을 FIB (Focused ion beam)로 측정한 결과, 구형의 입자들이 100~200 nm의 크기를 가지고 분포되어 있는 것을 확인하였다. 제조된 제형에 대해 30일 간 각 온도별($4^{\circ}C$, $25^{\circ}C$, $45^{\circ}C$) 안정성 평가를 진행하였고, 최적의 입자 크기, 현탁도, 다분산지수, 제타 전위를 고려한 최적의 처방은 계면활성제(2%), 오일(8%), 폴리올(24%)로 확인되었다.

• Radiation Oncology Journal
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• 제13권2호
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• pp.129-142
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• 1995

Purpose: Traditionally the patients with early stage non-Hodgkin's lymphoma of the head and neck was treated with radiotherapy. But the results were not satisfactory due to distant relapse. Although combined treatment with radiotherapy and chemotherapy was tried with some improved results and chemotherapy alone was also tried in recent years, the choice of treatment for the patients with early stage non-Hodgkin's lymphoma of the head and neck has not been defined Therefore, in order to determine the optimum treatment method, we analysed retrospectively the outcomes of the patients with Ann Arbor stage I and II non-Hodgkin's lymphoma localized to the head and neck who were treated at Severance Hospital. Materials and Methods: 159 patients with stage I and II non-Hodgkin's lymphoma localized to the head and neck were treated at our hospital from January, 1979 to December, 1992. Of these patients, 114 patients whose primary sites were Waldeyer's ring or nodal region, and received prescribed radiation dose and/or more than 2 cycles of chemotherapy. were selected to analyze the outcomes according to the treatment methods ( radiotherapy alone, chemotherapy alone. and combined treatment with radiotherapy and chemotherapy ). Results: Five year overall actuarial survival of the patients whose Primary site was Waldeyer's ring was $62.5\%.$ and that of the Patients whose primary site was nodal region was $53.8\%$ There was no statistically significant difference between survivals of both groups. Initial response rate to radiotherapy. chemotherapy, and combined treatment was $92\%,\;83\%,\;94\%$ respectively, and 5 year relapse free survival was $49.9\%,\;52.4\%,\;58.5\%$ respectively ( statistically not significant ). In the patients with stage I. 3 year relapse free survival of chemotherapy alone group was $75\%$ and superior to other treatment groups. In the Patients with stage II, combined treatment group revealed the best result with $60.1\%$ of 3 year relapse free survival. The effect of sequential schedule of each treatment method in the Patients who were treated by combined modality was analyzed and the sequence of primary chemotherapy + radiotherapy + maintenance chemotherapy showed the best result ( 3 year relapse free survival was $79.1\%).$ There was no significant survival difference between BACOP regimen and CHOP regimen. Response to treatment was only one significant (p(0.005) prognostic factor on univariate analysis and age and mass size was marginally significant ( p(0.1). On multivariate analysis, age (p=0.026) and mass size (p=0.013) were significant prognostic factor for the relapse free survival. Conclusion: In summary, the patients who have non-Hodgkin's lymphoma of the head and neck with stage I and mass size smaller than 10 cm, can be treated by chemotherapy alone, but remainder should be treated by combined treatment method and the best combination schedule was the sequence of initial chemotherapy followed by radiotherapy and maintenance chemotherapy.

• 한국ITS학회 논문지
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• 제23권2호
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• pp.106-118
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• 2024

개인형 이동장치에 대한 관심은 스마트 모빌리티 서비스에서 first-mile 및 last-mile 중요성이 증가함에 따라 높아졌다. 본 연구는 first-mile 및 last-mile 문제를 해결하기 위해 자유 주차방식(free-floating) 개인형 이동장치 공유 서비스 권역 설정 방법론을 제시하고 선정된 공유 서비스 권역을 대상으로 최적의 개인형 이동장치 운영 대수 결정을 목표로 한다. 인구 데이터, 스마트 카드 데이터, 건물 데이터를 사용하였으며, 개인형 이동장치 데이터를 이용하여 연령별, 거리별 이용률을 반영하여 잠재수요를 추정하였다. 추정된 잠재수요와 함께 대중교통 정류장과 건물의 위치를 기반으로 개인형 이동장치 공유 서비스 권역을 설정하였다. 인천 영종도를 대상지로 제안된 방법론을 적용한 결과 거주지가 밀집된 지역과 여행객들이 많은 해변 근처가 개인형 이동장치 공유 서비스 권역으로 선정되었다. 거주지가 밀집된 서비스 권역의 개인형 이동장치 운영대수는 1,022대, 해변 근처 서비스 권역의 개인형 이동장치 운영대수는 269대로 결정되었다.

• 한국생산제조학회지
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• 제7권6호
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• pp.117-125
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• 1998

The paper attempts to estimate the incubation time of a cavity in the interface between a power law creep particle and an elastic matrix subjected to a uniaxial stress. Since the power law creep particle is time dependent, the stresses in the interface relax. The volume free energy associated with Helmholtz free energy includes strain energies caused by applied stress and dislocations piled up in interface(DPI). The energy due to DPI is found by modifying the result of Dundurs and Mura[4]. The volume free energies caused by both applied stress and DPI are a function of the cavity size(r) and elapsed time(t) and arise from stress relaxation in the interface. Critical radius $r^*$ and incubation time $t^*$ to maximise Helmholtz free energy is found in present analysis. Also, kinetics of cavity formation are investigated using the results obtained by Riede [7]. The incubation time is defined in the analysis as the time required to satisfy both the thermodynamic and kinetic conditions. Through the analysis it is found that 1) strain energy caused by the applied stress does not contribute significantly to the thermodynamic and kinetic conditions of a cavity formation, 2) in order to satisfy both thermodynamic and kinetic conditions, critical radius $r^*$ decreases or holds constant with increase of the time until the kinetic condition(eq. 2.3) is satisfied. there for the cavity may not grow right after it is formed, as postulated by Harris [15], and Ishida and Mclean [16], 3) the effects of strain rate exponent (m), material constant $\sigma$0, volume fraction of the particle to matrix(f)and particle size on the incubation time are estimated using material constants of the copper as matrix.

• 대한기계학회논문집B
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• 제40권2호
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• pp.111-117
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• 2016

본 연구의 목적은 실리콘 열전달 조절을 위한 포논의 평균자유행로(Mean free path, MFP) 스펙트럼 열전달 기여도 예측이다. 열전달의 크기 효과는 포논의 MFP 와 재료의 특성길이가 비슷할 때 나타나는데, 나노시스템 응용을 위한 재료의 열전달 증감을 위해 포논 MFP 스펙트럼에 대한 열전달 기여도 예측이 중요하다. 이를 위해 포논의 주파수 의존성이 고려된 볼츠만 수송방정식(Boltzmann transport equation) 근간의 full phonon dispersion 모델을 통해 실리콘 박막(Silicon-on-Insulator) 트랜지스터의 실리콘 박막 두께 변화(41-177 nm)에 따른 포논 MFP 스펙트럼 열전달 특성 및 비등방성을 해석함으로써, 본 연구 결과는 향후 박막 트랜지스터에 대한 고효율 열소산(heat dissipation) 설계전략에 활용될 수 있다.