• 제목/요약/키워드: interrupted

검색결과 705건 처리시간 0.032초

Two-Blade Guillotine Technique for Nipple Graft Harvest

  • Wong, Allen Wei-Jiat;Chew, Khong-Yik;Tan, Bien-Keem
    • Archives of Plastic Surgery
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    • 제44권5호
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    • pp.449-452
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    • 2017
  • The nipple-sharing technique for nipple reconstruction offers excellent tissue matching. The method used for nipple graft harvesting determines the quality of the graft and hence, the success of nipple sharing. Here, we described a guillotine technique wherein the nipple is first transfixed with 2 straight needles to stabilise it. Two No. 11 blades are then inserted in the center and simultaneously swept outwards to amputate the distal portion of the nipple. This technique provides good control, resulting in a very evenly cut base. The recipient bed is deepithelialized thinly, and the nipple graft is inset with interrupted 8-0 nylon sutures under magnification. Being a composite graft, it is protected with splint dressings for 6 weeks, and the dressing is regularly changed by the surgeon. The height of the nipple grafts ranges from 4 to 8 mm. This technique was performed in 9 patients with an average follow-up of 2.9 years (range, 1-4.5 years). Apposition between the nipple graft and its bed is crucial for the success of this technique. When correctly applied, we observed rapid revascularization of the graft.

판막주위 누출에 대한 다크론 확장 인공판막을 이용한 판막치환술 치험 (Trido Mitral Valve Replacement with Dacron Collar Prosthetic Valve due to Paravalvular Leak)

  • 배윤숙;정성철;김우식;정승혁;이정호;김병열
    • Journal of Chest Surgery
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    • 제35권11호
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    • pp.822-825
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    • 2002
  • 승모판막의 인공판막 재치환술 후 발생하는 판막주위 누출은 드물지만 심각한 합병증이다. 판막주위 누출은 생존률의 증가나 증상호전을 위하여 적극적인 수술적 치료가 필요하다. 그러나 누출부의 단순한 봉합이나 첨포를 이용한 폐쇄는 판륜의 주위조직이 약화된 경우나 결손이 광범위한 경우에는 효과적이지 않다. 이에 저자들은 다크론 판 (Dacron sheet)으로 봉합륜(sewing ring)을 확장한 인공 기계 판막을 이용하여 판륜에 판막을 고정함과 동시에 다크론 판을 좌심방벽에 봉합하여 판막의 고정과 더불어 혈액의 누출을 방지하는 삼차 승모판막 재치환술을 시행하였다. 3례 모두 수술 후 특별한 문제없이 추적 관찰 중이다.

한국 제주도에서 채집된 갈치꼬치과(Gempylidae) 어류 1 미기록종, Gempylus serpens (New Record of the Snake Mackerel, Gempylus serpens (Perciformes: Gempylidae) from Jeju Island, Korea)

  • 명세훈;유정화;김진구
    • 한국어류학회지
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    • 제25권3호
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    • pp.178-181
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    • 2013
  • 농어목 갈치꼬치과에 속하는 Gempylus serpens 1개체가 2013년 4월 18일 제주도 동부지역에서 채집되었다. 본종은 아래턱이 위턱보다 돌출되어 있고 위턱에는 3개의 송곳니가 있으며, 등지느러미와 뒷지느러미 뒤에는 각각 5개 및 7개의 토막지느러미를 가지며, 측선은 첫번째 등지느러미 제1극조에서 2갈래로 갈라지는 특징을 가진다. 본 연구에서 본종의 새로운 속명 및 종명으로 "세장갈치꼬치속" 및 "세장갈치꼬치"를 제안한다.

가족면회가 심장 중환자실 환자와 가족의 스트레스 반응에 미치는 효과 (The Effect of Family Visits on Stress Responses of Patients and Their Families in the Cardiac Intensive Care Unit)

  • 박찬금;김혜순;이명희
    • 중환자간호학회지
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    • 제3권1호
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    • pp.41-51
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    • 2010
  • Purpose: The purpose of this study was to identify the effects of family visits upon the stress response of patients and their families, Methods: This study was the interrupted time series design, The subjects consisted of 197 patients and 197 family members in the cardiac intensive care unit of S Hospital in Bucheon. Physiological stress responses such as blood pressure, heart rates, respiration rates, and oxygen saturation were measured using HP monitors. VAS was used to measure the emotional stress. Collected data was analyzed using repeated measure ANOVA, t-test by SPSS 17.0 statistical program. Results: The family visits did not change patients' blood pressure, pulse rate, respiration rate and oxygen saturation, However the anxiety level of patients and their family members were decreased significantly during family visits. Furthermore, 30-minute family visit reduced more effectively patient's anxiety than 15-minute family visit. Conclusion: Family visits need to be used as a means of nursing intervention to ease the emotional stress of patients and their families. In addition, increasing of visiting time should be considered.

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Ceramium riosmenae sp. nov. (Ceramiaceae, Rhodophyta): a new complete corticated species on Gracilaria from Baja California Sur, Mexico

  • Won, Boo-Yeon;Cho, Tae-Oh
    • ALGAE
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    • 제26권4호
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    • pp.289-297
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    • 2011
  • Ceramium riosmenae sp. nov. is described from Baja California Sur, Mexico based on morphological and molecular data. The new species is characterized by erect thalli only, penetrating rhizoids on Gracilaria, 7-8 periaxial cells, five cortical initials per periaxial cell, complete cortication throughout, an average of 11-12 segments between branching points, rare adventitious branchlets, and cruciate tetrasporangia. Although C. riosmenae sp. nov. is similar to C. interruptum, C. sinicola, and C. codicola reported from Baja California Sur, Mexico in size and habit, it differs from these species in the number of cortical initials, habit, degree of cortication, host, and the shape of rhizoidal tips. C. riosmenae is separated from C. interruptum with interrupted cortication and four cortical initials from C. sinicola with spins near the apex and incomplete cortication near the base and from C. codicola with bulbous rhizoids on Codium. Our rbcL sequences reveal sufficient sequence divergence (2.4-3.9%) between C. riosmenae and C. interruptum, C. sinicola, and C. codicola to warrant species recognition and to separate C. riosmenae from these species on a phylogenetic tree.

잔향 시간 분석의 정확도 (The accuracy of analyzing reverberation time)

  • 강성훈;정한교
    • 한국음향학회지
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    • 제37권5호
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    • pp.349-355
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    • 2018
  • 실내의 음향 특성을 기술하고 평가하기 위한 많은 파라미터들이 있다. 잔향 시간은 콘서트 홀, 극장, 스튜디오 등에서 중요한 특성이다. 오랫동안 잔향 시간을 계측하는 많은 방법들이 개발되어 왔고, 가장 일반적인 것은 단속적인 잡음 방법, 임펄스 응답 적분 방식, 임펄스성 음원에 대한 실내 응답 녹음 방법들이 있다. 그러나 잔향 시간은 측정 방법과 사용하는 음원과 마이크로폰에 따라서 달라지므로 정확한 잔향 시간을 구하기 어렵다. 본 논문에서는 잔향 시간의 해석 방법을 분석하고, 한계점에 대해서 검토한다.

일정하중 및 일정$C_t$에서 로터강의 크리프 균열전파특성 (Creep Crack Growth Properties of Rotor Steel under Constant Load and $C_t$ Condition)

  • 정순억;이헌식;김영대
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2001년도 춘계학술대회논문집A
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    • pp.501-506
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    • 2001
  • The creep crack growth properties in 3.5NiCrMoV steel were investigated at $550^{\circ}C$ by using CT specimen under constant $C_t$ condition that was held during crack growth of 1mm distance. $C_t$ lely on load line displacement rate and $C^*$ usually increase with crack length though load is reduced in order to maintain constant $C_t$ value as crack growth. Fully coalesced area(FCA) ahead of crack tip tend to increase as $C_t$ increase to the critical value, and after that value FCA decrease. For the tertiary creep stage of crack growth test, the most of displacement is due to the steady state creep, except only small part due to the primary creep and other effects. Therefore, tests were mainly interrupted in the tertiary stage to obtain high value of $C_t$. At constant load and $C_t$ region, crack growth slope was 0.900 and 0.844 each, on the other hand $C^*$ slope was 0.480.

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삿갓조개류의 식품 영양성분 특성 (Characteristics of Food Nutrition Component of Limpets Cellana spp.)

  • 문수경;김인수;정보영
    • 한국수산과학회지
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    • 제50권4호
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    • pp.453-457
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    • 2017
  • The proximate, fatty acid and dimethyl acetal (DMA) composition, and mineral and total amino acid content of limpets Cellana spp. were studied. Limpets contained 17.6% protein, 1.82% lipids, and 1.28% ash. The most prominent fatty acids in limpets were 20:4n-6, 20:5n-3, 18:1n-9, 16:0, 18:0, and 22:2 nonmethylene-interrupted diene (7,13). Limpets contained significant amounts of 18:0DMA (7.79%) and 20:0DMA (2.45%) derived from plasmalogen. They also contained large amounts of calcium (192.4 mg/100 g) and iron (9.4 mg/100 g), which are components of limpet teeth. The most prominent total amino acids were glutamic acid, arginine, aspartic acid, leucine, lysine, and glycine. These results suggest that limpets are a good source of n-3 and n-6 fatty acids, plasmalogen, calcium iron, and arginine.

볼엔드밀 가공에서 런아웃 측정을 통한 가공성 평가에 관한 연구 (A Study on Evaluation of Machinability using cuter Runout in Ball-end Milling)

  • 김병국;박희범;이득우;김정석;정융호
    • 한국정밀공학회지
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    • 제16권10호
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    • pp.35-44
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    • 1999
  • The performance of interrupted cutting operations like milling is consideraly affected by cuter runout. In this study, cutter runout is selected as an important machining parameter for evaluation of machinability in ball-end milling and caused from misalignments of tool and holder, unbalanced mass of parts and tool deflection under machining. To evaluate the machinability due to cutter runout, the rotating accuracy of spindle, cutting force and surface roughness are measured. The rotating characteristics of spindle in each revolution speed were investigated by cutter runout in freeload. The predicted surface form of workpiece by measuring cutter runout data was compared with real surfaces. The results show that measuring runout with high response gap sensor is useful for studying the phenomenon of high-speed machining and the monitor surface form using in-process runout measurements in ball-end milling is possible.

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K-R 손상이론에 의한 316LN 스테인리스강의 크리프 설계 (Creep Design of Type 316LN Stainless Steel by K-R Damage Theory)

  • 김우곤;김대환;류우석
    • 대한기계학회논문집A
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    • 제25권2호
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    • pp.296-303
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    • 2001
  • Kachanov-Rabotnov(K-R) creep damage theory was reviewed, and applied to design a creep curve for type 316LN stainless steel. Seven coefficients used in the theory, i.e., A, B, k, m, λ, r, and q were determined, and their physical meanings were analyzed clearly. In order to quantify a damage parameter ($\omega$), cavity amount was measured in the crept specimen taken from interrupted creep test with time variation, and then the amount was reflected into K-R damage equations. Coefficient λ, which is regarded as a creep tolerance feature of a material, increased with creep strain. Mater curve with λ=2.8 was well coincided with an experimental one to the full lifetime. The relationship between damage parameter and life fraction was matched with the theory at exponent ${\gamma}$=24 value. It is concluded that K-R damage equation was reliable as the modelling equation for type 316LN stainless steel. Coefficient data obtained from type 316LN stainless steel can be utilized for life prediction of operating material.