• 제목/요약/키워드: irradiation graft

검색결과 84건 처리시간 0.025초

국소적 방사선조사의 신장이식 후 거부반응에 대한 예방적 및 치료적 효과 (The Effect of Local Irradiation in Prevention and Reversal of Acute Rejection of Transplanted Kidney with High-dose Steroid Pulse)

  • 김일한;하성환;박찬일;김수태
    • Radiation Oncology Journal
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    • 제4권1호
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    • pp.15-20
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    • 1986
  • 1979년부터 1984년까지 이식신에 대하여 39회의 국소적 방사선조사가 서울대학교병원 치료방사선과에서 시행되었다. 10회는 예방적으로, 29회는 치료적으로 시행되었고 전체 환자 수는 29명이었다. 방사선조사는 1일 150cGy로 격일간 450cGy를 원칙으로 하였으며 methylprednisolone(Solumedrol)과 동시 병용되었다. 면역억제제로서 prednisone과 Imuran은 이식 후 계속 투여되었다. 방사선조사 시기는 예방목적일 경우에는 이식수술 후 1, 3, 5일에, 치료목적인 경우에는 거부반응의 진단 후 어느정도 시간간격을 두고 시행되었는데, 간격은 개인차이가 있었다. 10예의 예방적조사를 받은 이식신의 8예가 추후 거부반응이 출현하였으며, 이식 후 15개월 후에 기능적 생존을 보인 예는 없어서 예방적조사 효과는 회의적이었다. 치료목적으로 처음 조사받은 21예의 거부반응 회복율은 $71\%$였고, 방사선조사 전 혈청 크레아티닌이 $5.5mg\%$이하일 경우는 $93\%,\; 5.5mg\%$이상일 경우는 $17\%$였다(P<0.01). 극복이 안된 경우 재차 방사선조사에 대한 효과는 초회효과보다 열등하였다. 거부반응이 회복된 경우에 $47\%$가 재차 거부반응이 출현하였다. 거부반응에 대한 처음 방사선조사 후 이식신의 기능적 생존율은 방사선조사 후 6개월, 1년, 2년 및 3년에 각각 $70\%,\;65\%$$54\%$였고, 방사선조사 전 혈청 크레아티닌 수준, 거부반응 진단 후 방사선조사까지의 경과시간 및 방사선조사후의 반응 등이 이식신의 기능적 생존에 유의한 영향을 미침을 알 수 있었다(P<0.001). 따라서 방사선조사로 효과를 얻기 위하여는 거부반응으로 인한 이식신 파괴가 한계수준을 넘지 않는 범위 내에서 시행함이 필요함을 알 수 있었다. 이 효과는 Solumedrol과 병용된 결과이므로 방사선조사의 상대적 기여도를 밝히는 것은 어려웠다.

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반응성 염료의 광그라프트에 의한 양모직물의 염색 (Photo-grafting Dyeing of Wool Fabrics with Dimethacrylated Quinizarin Dye)

  • 동위엔위엔;장진호
    • 한국염색가공학회:학술대회논문집
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    • 한국염색가공학회 2012년도 제46차 학술발표회
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    • pp.26-26
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    • 2012
  • The hydrophobic nature of the wool surface give rise to difficult penetration of dye molecules. Among all the methods of modification, graft polymerization is an attractive method to impart a variety of functional groups to a polymer. Grafting has been made by irradiating the light on the polymer in the presence of a solvent containing monomer. The energy source commonly used are high-energy electrons, X-rays, UV and visible light. UV irradiation is a relatively low-energy radiation in comparison with others since it has the least possibility to change bulk properties. In the present paper, a photo-reactive dye was synthesized from quinizarin by the reaction with methacryloyl chloride. The synthesized dye was continuously grafted onto wool fabric at room temperature by UV irradiation. Several key parameters including UV energy, dye concentration and pH have been examined to understand their influence on the photoreactive coloration.

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전자선을 이용한 아크릴산 그라프트 케냐프 섬유의 제조 및 이를 이용한 케냐프 섬유보강 시멘트의 투수특성 평가 (Preparation of Acrylic Acid-grafted Kenaf Fibers Using E-beam Irradiation and Evaluation of Permeability of Kenaf Fiber-cement Composites)

  • 김두영;전준표;김현빈;오승환;강필현
    • 방사선산업학회지
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    • 제8권1호
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    • pp.53-57
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    • 2014
  • The kenaf is quickly developing as a renewable resource. Kenaf can be grown under a wide range of weather conditions. Modification of kenaf fiber by graft polymerization provides a significant route to alter the chemical properties, including surface hydrophilicity or hydrophobicity. In this study, kenaf fiber surfaces were grafted with acrylic acid as a hydrophilic group using electron beam irradiation. The grafting rate increased with an increase in grafting time. The FT-IR results confirmed that acrylic acid was successfully grafted onto the kenaf fibers. The wettability of the kenaf fiber was increased, accompanied by acylic acid grafting on the fiber surface. According to the permeability test result, it was found that acrylic acid grafted kenaf fiber reinforced cement composite was more reduced than non-grafted kenaf fiber reinforced cement composite.

개심술 후 발생한 수혈 관련 이식편대숙주병 -1례 보고- (Transfusion Associated Graft-Versus-Host Disease After Open Heart Surgery)

  • 전양빈;이창하;이재웅;박철현;박국양
    • Journal of Chest Surgery
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    • 제35권6호
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    • pp.471-474
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    • 2002
  • 수혈관련 이식편대숙주병은 동양인에서 개심술후에 주로 보고되는 드물지만 치명적인 병이다. 이는 신선 전혈의 수혈 전 감마선 조사로 예방할 수 있다. 61세 남자환자가 관상동맥수술을 시행받은 후 수혈 관련 이식편대숙주병이 발생하였다. 술후 환자는 두 아들에게서 2단위의 전혈을 수혈받았다. 술후 10일째 퇴원 당시 경미한 설사만 있었다. 퇴원 이틀째 지속적인 설사와 전신적 홍반 및 고열을 주소로 재입원하였다. 임상검사상 간, 신장, 소화기 및 골수의 기능 부전을 보였고, 혈역학적으로 급격히 악화되어 술후 17일에 다발성 장기 기능부전으로 사망하였다. 저자들은 본원에서 심장수술을 시행한 이래 이식편대숙주병을 처음으로 경험하였고, 이 후 전혈수혈에 대한 방침을 수정하였다.

Functionalization of polyethylene by graft copolymerization for separation processes

  • Kaur, Inderjeet;Gupta, Nitika;Kumari, Vandna
    • Advances in materials Research
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    • 제2권1호
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    • pp.15-36
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    • 2013
  • Incorporation of polar functional moieties into polyethylene (PE) film has been achieved by graft copolymerization of polar monomers such as methacrylic acid (MAAc) and acrylamide (AAm) on to PE film, preirradiated with ${\gamma}$-rays from $^{60}Co$ source, using benzoyl peroxide (BPO) as initiator in aqueous medium. Percentage of grafting of MAAc and AAm was determined as a function of irradiation dose, monomer and initiator concentration, temperature, reaction time and amount of water. Maximum percentage of grafting of MAAc (1453%) and AAm (21.28%) was obtained at [MAAc] = $235.3{\times}10^{-2}$ mol/L, [AAm] = $23.4{\times}10^{-2}$ mol/L, [BPO] = $5.5{\times}10^{-2}$ mol/L and $16.5{\times}10^{-2}$ mol/L at $80^{\circ}C$, $90^{\circ}C$ in 180 min and 90 min respectively. The grafted PE films were characterized by FTIR, Thermogravimetric analysis (TGA) Scanning Electron Micrography (SEM) and X-ray diffraction methods. Some selective properties of grafted films such as swelling behavior, ion and metal uptake have been carried out. The biodegradation studies of the grafted PE films have also been investigated. The grafted films developed superior swelling behavior with maximum swelling (480%) in water as compared to pristine PE (13.55%), better thermal stability and ion and metal uptake studies showed promising results that can be effectively used for desalination of brackish water and separation of metals from the industrial effluents.

반응성 염료를 이용한 양모직물의 광그라프트 염색 (Photo-grafting Dyeing of Wool Fabrics with ${\alpha}$-bromoacrylamide reactive dye)

  • 동위엔위엔;장진호
    • 한국염색가공학회:학술대회논문집
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    • 한국염색가공학회 2011년도 제44차 학술발표회
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    • pp.31-31
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    • 2011
  • Lanasol dyes containing ${\alpha}$-bromoacrylamide or ${\alpha},{\beta}$-dibromopropionylamide group are used for wool dyeing. They are normally applied to wool under pH 4.5 to 6.5 at $100^{\circ}C$. Although wool fabric can be dyed to obtain deep colour, high light and wet fastness, the dyeing processes need long dyeing time at high temperature, with salt addition, which inevitably causes environmental problems. Grafting is a modification method for textile where monomers are covalently bonded onto the polymer chain. It can be initiated by ozone, ${\gamma}$ rays, electron beams, plasma, corona discharge and UV irradiation. Coloration by UV-induced photografting exhibits several advantages such as fast reaction rate, energy saving, simple equipment, easy exploitation and environmentally friendliness. Also it requires much lower energy compared to the conventional dyeing and less damage to the substrate. In this study, a direct sequential UV-induced photografting onto wool fabrics was discussed. To understand the graft polymerization mechanism further, several characterization methods were used. Moreover, the effects of several principal factors on the graft photopolymerization were investigated. Furthermore, the colorfastness results were compared with conventional dyeing methods.

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Chitosan에 대한 아크릴로니트릴의 광개시 그라프트 공중합 (Photo-Induced Graft Copolymerization of Acrylonitrile onto Chitosan)

  • 김완영;김종배;육경창;박선이
    • 공업화학
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    • 제3권1호
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    • pp.172-178
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    • 1992
  • $F^{3+}(FeCl_3{\cdot}6H_2O)$을 광증감제로 하여 Chitosan 필름에 아크릴로니트릴 단량체를 수용액상에서 자외선 조사하여 그라프트 공중합시켰다. 그라프트 공중합체의 확인은 IR 스펙트럼과 전자 현미경으로 행하였다. 단량체의 농도, 광증감제의 농도, 중합반응시간, 중합반응온도 등 여러 중합반응의 파라미터를 조사하였다. 단량체의 농도와 광증감제의 농도가 증가할수록 퍼센트 그라프팅은 증가하였으며 중합반응시간과 중합반응온도가 증가하여도 퍼센트 그라프팅은 증가하였다.

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광그라프팅에 의한 폴리프로필렌 부직포의 복합기능화 가공(II) -스티렌의 그라프트 반응 및 암모니아 흡착거동 - (Multi-functional Finish of Polypropylene Nonwoven by Photo-induced Graft Polymerization (II) - Grafting of Styrene and Its Ammonia Adsorption Behavior -)

  • 김상률;최창남
    • 폴리머
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    • 제25권5호
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    • pp.642-648
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    • 2001
  • 암모니아 흡착제를 제조하기 위하여 먼저 광(자외선)조사법으로 스티렌을 폴리프로필렌 부직포에 그라프트 중합시키고, 이를 술폰화한 다음에 금속이온과 반응시켜 금속 착체를 제조하였다. 스티렌 농도가 증가할수록 그라프트율은 증가하였으며, 반응시간이 길어질수록 그라프크율은 증가하였다. 한편 제조된 각종 시료의 암모니아 흡착 능력은 치환된 술폰산기의 함량, 흡착시판 및 암모니아 기체 압력이 증가할수록 증가하였으며, 술폰산기의 함량이 4.25 mmol $H^+$/g인 시료의 경우에 6.51 mmol/g의 흡착량을 나타내었다. 금속이온을 착물로 한 시료는 착물화 전의 시료에 비해 흡착능이 우수하였으며, $cO^{+2}$를 착물로 한 경우에 9.90mmo1/g의 암모니아 흡착능을 나타내어, 기존의 활성탄이나 실리카겔보다 효과가 우수하였다.

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Upper eyelid reconstruction using a combination of a nasal septal chondromucosal graft and a Fricke flap: a case report

  • Lee, Ju Ho;Woo, Sang Seok;Shin, Se Ho;Kim, Hyeon Jo;Kim, Jae Hyun;Kim, Seong Hwan;Suh, In Suck
    • 대한두개안면성형외과학회지
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    • 제22권4호
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    • pp.204-208
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    • 2021
  • Sebaceous carcinoma is a malignant neoplasm that usually arises in the sebaceous glands of the eyelids. Its pathogenesis is unknown; however, irradiation history, immunosuppression, and use of diuretics are known risk factors. The mainstay of treatment for sebaceous carcinoma of the eyelid is wide surgical resection with a safety margin of 5 to 6 mm, which often results in full-thickness defects. The reconstruction of a full-thickness defect of the eyelid should be approached using a three-lamella method: a mucosal component replacing the conjunctiva, a cartilage component for the tarsal plate, and a flap or skin graft for the skin of the eyelid. In this case, a full-thickness defect of the upper eyelid was reconstructed after tumor removal using a combination of a nasal septum chondromucosal composite graft and a forehead transposition flap, also known as a "Fricke flap." The flap was designed to include a line of the eyebrow on the lower margin of the flap to replace the eyelash removed during tumor excision. The wound healed completely, without any early or late complications, and the outcome was satisfactory.

Improvement of Shoulder Motion in Two-Stage Dual-Plane Implant-Based Breast Reconstruction followed by Radiation Therapy through Delayed Prepectoral Conversion

  • Jin Sol Park;Ung Sik Jin
    • Archives of Plastic Surgery
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    • 제51권1호
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    • pp.52-61
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    • 2024
  • Background Although prepectoral implant-based breast reconstruction has recently gained popularity, dual-plane reconstruction is still a better option for patients with poor-quality mastectomy skin flaps. However, shoulder morbidity is aggravated by subpectoral reconstruction, especially in irradiated patients. This study aimed to demonstrate shoulder exercise improvement in subpectoral reconstruction by delayed prepectoral conversion with an acellular dermal matrix (ADM) inlay graft technique at the time of expander-to-implant exchange after irradiation. Methods Patients with breast cancer treated for expander-to-implant exchange after subpectoral expander insertion and subsequent radiotherapy between January 2021 and June 2022 were enrolled. An ADM inlay graft was inserted between the pectoralis major muscle and the previously inserted ADM. The ADM was sutured partially overlapping the pectoralis muscle from the medial side with the transition part, to the muscle border at the lateral side. Perioperative shoulder joint active range-of-motion (ROM) for forward flexion, abduction, and external rotation was also evaluated. Results A total of 35 patients were enrolled in the study. Active shoulder ROM significantly improved from 163 degrees preoperatively to 176 degrees postoperatively in forward flexion, 153 to 175 degrees in abduction, and 69 to 84 degrees in external rotation. There was no difference in patient satisfaction regarding the final outcome between the conventional prepectoral reconstruction group and the study group. Conclusion Shoulder exercises in irradiated patients who underwent subpectoral reconstruction were improved by delayed prepectoral conversion using an ADM inlay graft. It is recommended that subpectoral reconstruction not be ruled out due to concerns regarding muscle contracture and shoulder morbidity in radiation-planned patients with poor mastectomy skin flaps.