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흉부둔상에 의한 무명동맥 파열 -치험 1례- (Innominate Artery Ruplure Caused by Blunt Chest Trauma -A Case Report)

  • 이건;김용인
    • Journal of Chest Surgery
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    • 제30권10호
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    • pp.1028-1031
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    • 1997
  • 무명동맥은 길이가 짧고 흉곽에 의해 잘 보호되기 때문에 흉부둔상에 의한 무명동맥의 손상은 매우 드물다. 본 증례는 흉부둔상을 수상한 37세의 남자에서 발생한 무명동맥 파열로 흉부W와 대동맥 조영술로 진단되었다. 정중흉골절개를 통한 응급 수술을 시행한 바 무명동맥의 근위부에 길이와 폭이 각각 3 cm의 가성동맥류를 형성하고 있었고 혈관 내피의 완전파열을 관찰할 수 있었다 무명동맥의 근위부를 대동맥궁 쪽에서 폐쇄시키고 손상된 부위를 절제한 후 10 m Gore-tex를 이용하여 대동맥-무명동맥 우회술을 실시하였다. 수술후 환자는 20일째에 신경학적 합병증없이 퇴원하였고 양측상지의 혈압도 동일하게 측정되었다.

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Major Aorto-pulmonary Collateral Artery 를 동반한 폐동맥 형성부전 및 심실중격결손의 외과적 수술요법 (Unifocalization and Complete Repair of Pulmonary Atresia and Ventricular Septal Defect with Major Aortopulmonary Collateral Arteries)

  • 이정상
    • Journal of Chest Surgery
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    • 제23권6호
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    • pp.1191-1203
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    • 1990
  • Pulmonary atresia and ventricular septal defect with major aortopulmonary collateral arteries [abbreviated as PA+VSD+MAPCA in the following] has limited the success of attempts at accurate diagnosis and complete surgical repair. From April 1986 to September 1990, 23 patients with PA+VSD+MAPCA among 96 patients of PA+VSD in Seoul National University Children’s Hospital were encountered. The group comprised 14 male and 9 female patients with ages ranging from 17 days to 177 months [mean 49.6 months]. We operated one stage total repair on good pulmonary artery sized two patients by R.E.V. [Reparation a l’etage ventriculaire] and Rastelli operation respectively. And the 11 patients who had independent MAPCAs and hypoplastic central pulmonary artery were dealt with unifocalization and modified Blalock-Taussig Shunt and followed by second stage repair in 3 patients later. We successfully had managed 7 patients whose MAPCAs could be ligated with modified Blalock-Taussig Shunt and followed by second stage repair in 3 patients with R.E.V or Rastelli operation. Recently, three obstruction after 11 unifocalization procedures made us to try palliative right ventricle-pulmonary artery conduit operation by Gore-Tex vascular graft interposition under cardiopulmonary bypass. And so we managed another 3 patients with these procedures for the purpose of pulmonary artery growth whose central pulmonary artery were severely hypoplastic. We experienced one death after second stage repair whose central pulmonary artery was created by 12mm Gore-Tex vascular graft and was unifocalized.

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R.F. 대기압 플라즈마를 이용한 소수성 표면처리 연구 (A research of hydrophobic surface treatment with RF atmospheric plasma)

  • 홍성민;김정훈;조중희;김경수;황학인
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2005년도 추계학술대회 논문집 전기물성,응용부문
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    • pp.103-105
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    • 2005
  • The importance of protecting people from harsh weather conditions cannot be over-emphasized and the way to. do so should be sought vigorously. The most well known and widely used weather protection fabric in the current industry is $Gor-Tex.^1$ However, the Gore-Tex membrane cannot be attached to cotton or other natural fibers so it's use is not suitable for clothing such as underwear. If the exterior of cotton fabric can be made to be hydrophobic without sacrificing the comfort and breathability, the result will be a cotton fabric with the weather protection capability equivalent to Gore-Tex as well as the ability to provide the best wear comfort. However, this should be done without using toxic and expensive gases to be environmentally friendly and cost effective. Therefore, our approach for hydrophobic treatments of fabric and metal surfaces is to utilize a plasma-based technique. In general, plasma processes do not produce chemical wastes or waste disposal problems and they are fully automated.

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문화사회와 에코시스템 (A Culture Society and the Ecosystem)

  • 김화임
    • 비교문화연구
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    • 제26권
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    • pp.73-94
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    • 2012
  • In the present context of systemic global crisis, this paper focuses on a sustainable society. Throughout the World there are vast members of the unemployes. A secure job lasting a lifetime has become more and more rare. Nowadays majority of jobs are part-time or temporary. $Andr{\acute{e}}$ Gorz found a solution in a policy of the progessive reduction in labor time. This is the potential which automated production opens up for a culture society. Nevertheless, Gorz's proposal is based on utopion ideals. This paper focuses on a dynamic force for a culture society, especially art, learning and the third sector. Adrienne Goehler underlines that a culture in the broad sense of the word produces economical and social productivity. In this connection Goehler give attention to 'Cultrual Creatives' and the Creative Class. Cultural creatives are comprised of people who have participated in the process of creating a new culture with enlightened creativity. The Creative Class is a class of workers whose job is to create economic growth through innovation. Creativity is important for a sustainable society. Gore and Rifkin both come close to the ecological thinking. Gore claims that ecosystem of nature have a self-organizing capacity. In this context tried to prove this article that ecosystem is closely connected with a creative environment.

Accessibility of Korean Cultural Values at Screens: Decoding Patterns of North American Audiences

  • Xiuli, Chen;Sirui, Yao;Jiyeon, Baek;Jiena, Sha;Kesu, Lin;Kyung-young, Chung
    • International Journal of Advanced Culture Technology
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    • 제10권4호
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    • pp.153-159
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    • 2022
  • This research investigates the accessibility of Korean modern values at screens from the perspectives of North American audiences while consuming Korean films and TV dramas. In order to decode Korean cultural values at screens, this study collects the data of 266 Korean films and TV dramas distributed in North America from IMDb platform, unlocking that the success of box office for Korean projects in North America is positively correlated with the characteristics of Violence & Gore and Profanity. Meanwhile, the audiences' positive responses to the violent project mainly depends on the degree of "Sex and Nudity", the plots of "social groups". The current success of Korean cultural and creative industry as well as the future global markets strengths are analyzed in this research. Stuart Hall's cultural studies approach and cultural psychological account theory are applied to discuss the success of Korean entertainment industry in the transnational cultural communication.

심하게 흡수된 치조제에 Titanium 강화 Gore-Tex (TRG) 및 Titanium Mesh로 수직적 골증대술을 실시한 증례보고 (Alveolar Ridge Augmentation Using Titanium Reinforced Goretex (TRG) and Titanium Mesh in Severe Alveolar Bone Loss Area: Case Report)

  • 김원직;윤경성;홍수련;최진경;이용욱;김동석;현종오;조효원;최지혜;정태웅;배윤기;권선규;최현준;이현수;양수남
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제33권1호
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    • pp.66-72
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    • 2011
  • A severely vertical resorbed ridge is a significant challenge in implant dentistry. To solve this problem, several augmentation techniques, such as guided bone regeneration (GBR), onlay bone grafts, distraction osteogenesis, and ridge splitting techniques, have been proposed and used for several years. Among these methods, vertical ridge augmentation using guided bone regeneration aims to build space and guide osteoblasts to this space to promote osteogenesis. The aim of guided bone regeneration is to maintain and stabilize the space and block the proliferation of adjacent soft tissue. In our hospital, we encountered a case of a woman in her forties with an atrophied mandible, who underwent implant surgery in the right mandible. Titanium reinforced Gore-Tex (TRG) was used to augment the mandible and titanium mesh was used in the left mandible. Favorable results were obtained. This report compares the two methods and reviews the relevant literature.

가토에서 심낭이완술에 관한 실험적 연구 (Experimental Studies of the Pericardial Releasing Technique in Rabbits)

  • 박만실
    • Journal of Chest Surgery
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    • 제20권3호
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    • pp.451-457
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    • 1987
  • Reoperations following cardiac surgery have an increased risk of the danger of damaging the heart, great vessels or extracardiac grafts because of adhesions to the sternum. We experimentally evaluated 3 different methods for pericardial closure. A standardized procedure for induction of pericardial adhesions was carried out in 30 rabbits. For closure of pericardium, animals were divided into 3 groups, 10 animals respectively: Croup 1 [simple pericardial closure]The pericardium was primarily resuture; Group 2 [Core-Tex surgical membrane as a pericardial substitute]- A Gore-Tex surgical membrane was interposed between the sternum and the heart; and Group 3 [pericardial tension releasing technique]-Three longitudinal overlapping incisions were made on the right side of the pericardium while the midline incison was sutured. Animals were put to death 4 weeks postoperatively and the pericardial space was examined for pericardial adhesions and epicardial reactions. The extent of adhesions and reactions were graded as: I-none; II-minimal; III-moderate; and IV-severe. Histologic studies of the pericardium, the pericardial substitute and the epicardium were also performed. The results were as follows: 1. In group 1 [simple pericardial closure], the degree of pericardial adhesions were grade I in 1 animal, grade II in 2, grade III in 4 and grade IV in 3. Epicardial reactions were grade I in 1 animal, grade II in 3, grade III in 5 and grade IV in 1. Histologic examination revealed thick fibrous tissue that obliterated the pericardial space in 7 animals. 2. In group 2 [Gore-Tex surgical membrane as a pericardial substitute], the degree of pericardial adhesions were grade I in 3 animals, grade II in 3, grade III in 2 and grade IV in 2. The degree of epicardial reactions were grade II in 1 animal, grade III in 5 and grade IV in 4. Histologic studies revealed a thin layer of dense fibrous tissue which covered the Gore-Tex surgical membrane and thick loose fibrous tissue on the epicardium just beneath the substitute. 3. In group 3 [pericardial tension releasing technique], the degree of pericardial adhesions were grade I in 3 animals, grade II in 4, grade III in 2 and grade IV in 1. The degree of epicardial reactions were grade 1 in 4 animals, grade II in 4 and grade III in 2. Severe epicardial reactions were not observed in this group. Histologic examination showed normal epicardium in 4 animals and the epicardium of the other 6 animals only revealed very thin fibrous layer compared to group I and group II. Pericardial adhesions more than grade III were 70% in group 1, 40% in group 2 and 30% in group 3. Pericardial adhesions were reduced in group 2 and group 3 compared to group 1, but statistically not significant. Epicardial reactions more than grade III were 60% in group 1, 90% in group 2 and 20% in group 3. Epicardial reactions were significantly reduced in group 3 compared to group 2. Author`s modified pericardial releasing technique provides marked augment of pericardial surface area and facilitates tension-free pericardial closure. Furthermore, pericardial adhesion and epicardial reaction will be reduced with the pericardial tension releasing technique.

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수종의 생분해성 차폐막의 생채분해도, 생채친화도 및 조직재생유도 능력에 관한 실험적 연구 (EVALUATION OF BIODEGRADABILITY, BIOCOMPATIBILITY AND TISSUE REGENERATIVE CAPACITY OF SYNTHETIC BIODEGRADABLE MEMBRANES IN BEAGLE DOGS)

  • 설양조;김태일;이재일;배철민;이승진;정종평
    • Journal of Periodontal and Implant Science
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    • 제25권3호
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    • pp.603-613
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    • 1995
  • The purpose of this investigation was to evaluate on the biodegradability, biocompatibility and tissue regenerative capacity of synthetic bioabsorbable membranes in beagle dogs. For animal study, 9 adult beagle dogs were used to examination, on the surgical implantation of membranes and histological analysis. In each animal, the 3rd and 4th premolars of the both sides of the mandible were selected as test teeth. Two types of bioresorbable membranes including "Guidor membrane", "S-membranes" were used to examining for biological activity, and also Gore-tex membranes was used for positive control. Surgically created defects were made in 2 premolars of both sides of the mandible at $3{\times}4mm^2$ in size and tested membranes were implanted in the defected area. A plaque control regimen was instituted with daily tooth brushing with a 0.1% chlorhexidine digluconate during experimental periods. All the experimental animals were sacrificed after 2, 4, and 8 weeks from surgery and undecalcified slides were prepared using the "sawing and grinding" technique described by Donath and Breuner". In biodegradability, all the membranes were started their biodegradation from two weeks after implantation and gradually demolished of their frame morphology from eight weeks. However, demolition of membranes in 8 weeks after implantation was highest in Guidor membranes and followed by S-membranes. Biocompatibilityof two kinds of biodegradable membranes including Guidor and S-mambrane were shown to be well tolerated to the surrounding tissue, and were minimal accumulation of inflammatory cell infiltration around the implanted membranes to compare with Gore-tex membrane. Regeneration of defected alveolar bone was initiated from two weeks of membrane implantation and new bone formation was gradually increased from that time. However, pattern of new bone formation on the defected areas of two kinds of biodegrable membranes was almost similar and quite competitive comparing with Gore-tex membrane. These results implicate that bioresorbable membranes should be highly useful tool for guided tissue regeneration of periodontal defects.

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투습발수직물과 보온단열소재의 열 및 수분전달 특성 (Thermal and Water Transmission Properties of Vapor Permeable Water Repellent Fabrics and Thermal Insulation Batting Materials)

  • 조길수;최종명;이정주;이선우
    • 한국의류학회지
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    • 제16권2호
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    • pp.237-244
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    • 1992
  • The purpose of this study was to comparatively evaluate thermal and water transmission properties of several vapor permeable water repellent (VPWR) fabrics and synthetic battings that became available in recent years. Five VPWR fabrics evaluated were Hipora in three coating variants, $Gore-Tex^{\circledR}$ and $Aitace^{\circledR}$. Battings evaluated were $Viwarma^{\circledR}$, $Uniwarmr^{\circledR}$, $Thinsulate^{\circledR}$, and $Airseal^{\circledR}$ Thermal resistance and water vapor transmission were measured for each fabric and batting and in all combinations. Thermal resistance at zero and 37 cm/sec air velocity was determined by the Thermo Labo II technique for simultaneously measuring conduction and radiation heat transfer. Water vapor transmission over 24 hours was measured by a modified weight-gain method in a compact humid chamber at conditions simulating the clothing climate under heavy exercise ($40{\pm}1^{\circ}C$, $90{\pm}2\%$ R.H., and 0.5 m/sec air velocity). Fabric porosity was calculated from fiber density and fabric weight, thickness, and area. Thermal resistance results for the fabrics showed the effectiveness of coatings in inhibiting heat transfer. Measurements taken in wind were: $31.1\~37.6\%$ for $Hipora^{\circledR}$ variants; $31.0\%$ for $Gore-Tex^{\circledR}$; and $18.4\%$ for $Aitaca^{\circledR}$ Measurements without wind were higher but in the same order. Water vapor transmission results were in reverse order: $Aitac^{\circledR}$, $8.8 kg/m^{2};\;Gore-Tex^{\circledR}$, 6.4 kg/$m^{2}$; and $Hipora^{\circledR},\;4.4\~6.0\;kg/m^{2}$. In general thermal resistance increased with porosity. For battings, the thermal resistance with wind results were: $Viwarmu^{\circledR}$, $65.0\%;\; Thinsulate^{\circledR}$, $62.0\%$; $Uniwarm^{\circledR}$, $61.0\%$; and $Airseala^{\circledR},\;53.1\%$. Thermal resistance was proportional to thickness. Thermal resistance of fabric-batting combinations were $20\%$ higher than those of the battings only. Water vapor transmission for combinations was mainly affected by that for the VPWR fabric used.

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키토산 나노 차폐막의 골조직 재생유도 능력에 관한 조직학적 연구 (A study on the biodegradable novel chitosan nanofiber membrane as a possible tool for guided bone regeneration)

  • 신승윤;박호남;김경화;이승진;박윤정;구영;류인철;한수부;정종평
    • Journal of Periodontal and Implant Science
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    • 제34권3호
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    • pp.543-549
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    • 2004
  • Chitosan has been widely researched as bone substitution materials and membranes in orthopedic/periodontal applications. Chitosan nanofiber membrane was fabricated by chitosan nanofiber using electrospinning technique. The structure of the membrane is nonwoven, three-dimensional, porous, and nanoscale fiber-based matrix. The aim of this study was to evaluate the biocompatibility of chitosan nanofiber membrane and to evaluate its capacity of bone regeneration in rabbit calvarial defect. Ten mm diameter round cranial defects were made and covered by 2 kinds of membranes (Gore-Tex membrane, chitosan nanofiber membrane) in rabbits. Animals were sacrificed at 4 weeks after surgery. Decalcified specimens were prepared and observed by microscope. Chitosan nanofiber membrane maintained its shape and space at 4 weeks. No inflammatory cells were seen on the surface of the membrane. In calvarial defects, new bone bridges were formed at all defect areas and fused to original old bone. No distortion and resorption was observed in the grafted chitosan nanofiber membrane. However bone bridge formation and new bone formation at the center of the defect could not be seen in Gore-Tex membranes. It is concluded that the novel membrane made of chitosan nanofiber by electrospinning technique may be used as a possible tool for guided bone regeneration.