• 대한수의학회지
• /
• 제44권3호
• /
• pp.475-482
• /
• 2004

For the induction of arthropathy, 4% hydrogen peroxide ($H_2O_2$) was injected for 4 weeks into the intra-articular space of the 25 New Zealand white rabbits to damage articular cartilage. The verification of arthropathy induction and the effect of scan-bio laser treatment were determined by measuring superoxide dismutase (SOD) activity, by observing gross and histopathologic findings. The SOD activity increased by about 40% in arthropathy group, as compared to controls. Although SOD activity in arthropathy group was not significantly different from the 2-week group, it was significantly different from the 4-week control and treatment groups. There was also a significant difference between the 4-week control and treatment groups. Grossly, erosions formed on the articular cartilage surface, and the lateral femoral condyle was damaged in arthropathy group. In comparison, there was slight, but not significant, progression of the lesion in the 2-week control group, and no difference between the 2-week treatment and control groups. Conversely, severe erosions damaged the articular cartilage in the 4-week control group. Cartilage proliferation was seen in gross observations in the 4-week treatment group, suggesting a treatment effect. Histopathologically, there was slight articular surface damage and apoptosis in arthropathy group, and serious cartilage damage, despite slight chondrocyte proliferation, in the 4-week control group. By contrast, the 4-week treatment group showed chondrocyte replacement, with close to normal articular cartilage on the articular surface. There was significant cartilage proliferation with regeneration of the articular cartilage on the articular surface in the group treated with low-level laser, as compared to control group, when arthropathy was induced by $H_2O_2$ injections. Therefore, low-level laser was effective in the treatment of chemically induced arthropathy.

• 대한관절경학회지
• /
• 제8권2호
• /
• pp.94-97
• /
• 2004

목적: 관절경하 후방 십자 인대 재건술시 지혈대의 필요성에 대한 언급된 문헌이 없어 지혈 대 없이 시행하는 본원의 관절경하 후방십자인대 재건술 결과 및 술기에 대해 보고하고자 한다. 대상 및 방법: 1998년 1월부터 2003년 5월까지 본원에서 후방십자인대 손상으로 관절경을 시행한 75례중 외측 측부인대 및 후외측 측부인대와 같은 동반손상으로 인해 관절외적 시술로 지혈대를 시행한 환자 16례와 술후 추시관찰이 12개월 이하인 10례를 제외한 49례의 단독 후방 십자 인대 손상 환자를 대상으로 하였고 자가 골-슬개건-골을 이용하여 재건한 경우 13례, 동종 골-슬개건-골을 이용하여 재건한 경우 19례, 동종 아킬레스 건을 이용하여 재건한 경우 17례였다 평가방법은 49례를 Lysholm knee scoring scale을 이용하여 비교하였다. 결과: 지혈대 없이 관절경하 후방 십자 인대 재건술을 한 경우 수술시간은 평균 105분 소요되었으며, 출혈로 인해 시야가 혼탁하여 지혈대를 사용한 경우는 없었다. 모든 환자에서 수술 부위의 부종, 국소 종창, 울혈, 환부 감염등은 관찰되지 않았다. Lysholm knee scoring scale을 이용한 평가 결과는 자가 골-슬개건-골을 이용한 경우는 평균 74점(fair) , 동종 아킬레스 건을 이용한 경우 75점(fair) , 동종 슬개건-골을 이용한 경우는 76점(fair)였다 결론: 관절경하 후방십자인대 재건술시 지혈대를 사용하지 않아도 수술에 어려움은 없으므로 지혈대 없이 재건술을 시행함으로써 지혈대로 인해 야기되는 합병증을 방지할 수 있을 것으로 생각된다.

• Journal of Chest Surgery
• /
• 제31권5호
• /
• pp.472-480
• /
• 1998

서울대학교 어린이병원 흉부외과에서는 1990년부터 1996년까지 104례의 기능적 단심실을 가진 선천성심기형 환아에 대하여 심장내 외측통로술을 이용한 완전폰탄술을 시행하였다. 환아의 연령 및 체중분포는 각각 평균 35.9(범위 10-72) 개월, 12.8 (범위 6.5-37.8) kg이었다. 술전진단은 삼첨판폐쇄증(18), 단심실연결을보이는 중복개구심실(53) 및 기타 기능적 단심실을 동반한 복잡심기형(33)이었다, 50례의 환아에 대하여 체폐동맥 단락술 (37), 폐동맥밴딩(13), 외과적 심방중격절제술(15), 동맥전환술(2), 대동맥하 누두부제거술(2), 총폐정맥이상연결증(2), 폐동맥-대동맥봉합술(Damus-Stansel-Kaye, 1) 등의 고식술이 시행되었다. 완전폰탄술식전 19례의 양방향성 체정맥-폐동맥단락술과 1례의 전(全)체정맥-폐동맥단락술(Kawashima procedure)이 진행되었다. 술전 혈역학소견상, 평균 폐동맥압/폐혈관저항은 14.6 (범위 5-28mmHg) / 2.2 (범위0.4-6.9)wood.unit였으며, 폐혈류/체혈류비가 평균 0.9 (범위0.3-3.0)였다. 이완기말심실압은 평균 9.0 (범위 3.0-21.0) mmHg였고 동맥혈의 산소포화도는 평균 76.0 (범위 45.6-88.0) %였다. 수술은 분계능(terminal crest) 2cm 외측으로 우심이부터 우심방-하공정맥경계부에 종절개를 가하고 하공정맥개구부부터 상공정맥개구부 또는 우심이까지 Gore-Tex 인조도관을 이용하여 외측통동을 형성시키는 방법으로 시행하였으며 필요한 경우 통로상에 4-5.5 mm 직경의 구멍을 만들어 주었다. 동시에 시행한 술식은, 폐동맥성형술(22), 심방중격절제술(21), 폐정맥이상연결증 교정(4), 영구적인 인공심박동기거치(3) 등이었고, 32례에 대하여 통로내 구멍을 만들어 주었으며 그중 1례는 조절형(adjustable)으로 시행하였다. 심방-폐동맥 연결 방법으로 시행한 폰탄술 후 4년후에 발생한 재발성 난치성 상심실형 부정맥환아 1례에 대하여 외측통로형의 변환 폰탄술식이 시행되었다. 수술 직후 혈역학 소견상 평균 폐동맥압, 이완기말심실압, 실온에서 동맥혈의 산소포화도가 각각 12.7 (8-21)mmHg, 7.6 (범위4-12)mmHg, 89.9 (범위68-100) %였다. 병원사망율은 6.7 (7/104) %였고 술후 합병증으로 지속적인 늑막삼출(11), 부정맥(8), 유미흉(9), 중추신경계손상(5), 감염 및 염증(5), 급성신부전(4)이 발생하였다. 평균 27.2 (범위1-85) 개월동안의 외래 추적결과 5명의 만기 사망이 있었다. 저자등은 본연구결과를 토대로 심장내 외측통동폰탄술식이 기능적 단심실 환자에 대하여 비교적 낮은 사망율 및 합병증과 우수한 혈역학으로 시행될수 있는 수술방법이란 사실을 입증하였다.

• 한국지반신소재학회논문집
• /
• 제13권1호
• /
• pp.71-83
• /
• 2014

부산지역은 낙동강 하구에 위치하여 퇴적층, 매립층 등이 매우 잘 발달되어 있어 지진이 발생한다면 이러한 지층 등에서 증폭현상이 나타나 모래층과 성토층 및 매립지반에 액상화 발생 가능성이 매우 커진다. 만약 액상화가 발생한다면 지진에 의한 피해는 크게 가중되어 막대한 피해를 야기 시키게 된다. 그러므로 본 연구는 지진 발생 시 항만시설의 1차 보호구조물인 부산항 신항 방파제의 안정성을 검토하기 위하여, 국내 내진설계기준과 항만 및 어항 설계기준을 바탕으로 인공지진과 국내에 널리 사용되는 장주기 지진파와 단주기 지진파인 포함하여 지진규모 5.6~7.9 수준의 지진 13개 등을 사용하여 첫 번째로 여러 제시된 액상화 평가방법을 이용하여 방파제 하부 치환모래층의 액상화 발생 가능성을 검토하여 안정성을 평가하고, 두 번째 지진규모에 따른 지진에너지와 가속도 응답스펙트럼에 대한 특성분석을 수행하여 설계기준에 근접하는 지진파 제시하며, 세 번째 제시된 지진파를 이용하여 방파제의 동적 안정성을 검토하기 위해 유한요소해석을 실시하여 구조물의 안정성을 확인하고, Geotextile에 발생하는 변위 및 인장력의 변화에 대하여 확인하였다. 따라서 본 연구결과 방파제 하부 치환모래층에 대한 액상화 발생가능성과 방파제의 동적수평변위 및 Geotextile의 변화는 하부지반(치환모래층)에 의해 매우 큰 영향을 받는 것으로 나타났다.

• Archives of Plastic Surgery
• /
• 제33권3호
• /
• pp.347-352
• /
• 2006

Ingrowing toenail has been treated conventionally by various surgical treatment modlities. However, none of these procedures are perfect to achieve esthetic results with low cost, recurrence, and complication rates. Although mild cases can be treated conservatively, in severe recurrent cases, surgical treatment is preferred. The purpose of this study is to evaluate the effectiveness and safety of using partial matricectomy and paronychial advancement flap for correction of recurrent ingrowing toenail. Eight patients suffering from recurrent ingrowing toenail were operated using partial matricectomy and paronychial advancement flap in our department from August 2004 to August 2005. The number of recurrent episodes ranged from 2 to 5. With digital nerve block, the excision area was marked on nailplate and inflammed lateral nail fold. The horizontally designed paronychial flap considering defect size was effective for wide exposure of the neighboring germinal matrix, which is later to be completely excised or cauterized because remnant germinal matrix made postoperative spicule formation. The nailplate on the affected side was removed about 3-5 mm width longitudinally, being cautious not to damage the proximal dorsal nail fold. The same width of the sterile matrix including germinal matrix was excised longitudinally with inflammed granulation tissue and partial lateral nail fold on the affected side. The subcutaneously elevated paronychial flap was advanced to cover the defect and was anatomically sutured with 5-0 nylon sutures. We evaluated our procedure's effectiveness by examining some factors such as cosmetic results, recurrence, spicule formation, postoperative pain and duration of return to normal activities. In eight patients, no complication was observed such as recurrence, severe pain and spicule formation except for 1 case of infection. Postoperative discomfort was minimal. Average duration of return to normal activities was 12 days. Cosmetically the results were acceptable in all patients. The partial matricectomy and paronychial advancement flap for correction of recurrent ingrowing toenail were found to be technically simple, efficient procedure with a relative low recurrence rate and better cosmetic results.

• 지질공학
• /
• 제17권3호
• /
• pp.455-469
• /
• 2007

연구지역인 경상북도 경주시 봉길리 지역은 백악기 퇴적암을 기반암으로 제3기의 화성암과 암맥들이 관입하여 분포한다. 이 지역에 대한 단열의 발달 특성을 이해하기 위하여 비교적 균질하고 신선한 제3기 화강암에 대한 격자분석을 통하여 단열발달사와 단열밀도 분포에 대한 연구를 실시하였다. 단열군들은 북서-남동방향의 연성 전단띠 (set a) ${\to}$ 북북서-남남동 방향의 인장단열 (set d) ${\to}$ 서북서-동남동 방향의 인장 또는 정단층성 단열 (set b) ${\to}$ 북동-남서 방향의 우수향 주향이동성 단열 (set c) ${\to}$ 서북서-동남동 방향의 정단층이 재활성된 역단층성 단열 (set e)의 순서로 발달되었음이 인지되었으며, 북서-남동방향의 연성 전단띠 (set a)는 이후에 좌수향으로 취성의 재활성 운동을 겪었음을 보여 준다. 서로 다른 암상에 대한 단열 밀도분석 결과는 단열의 밀도가 암석의 생성시기보다는 암석의 물성에 더 강하게 영향을 받는 것으로 나타났으며, 같은 암상에서의 단열밀도는 단층손상대에서 급격하게 증가함을 보여주었다. 또한 이러한 단열밀도의 변화는 암상의 차이와 관입접촉부를 따른 단층운동뿐만 아니라 암맥의 관입시의 냉각에 의한 절리의 형성에도 일부 원인이 있을 것으로 해석된다. 그러나 그 원인에 상관없이 이러한 단열의 증가는 유체의 유동에 좋은 통로의 역할을 하게 되어 이를 따른 유체의 유동뿐만 아니라 이에 포함된 원소의 이동에도 매우 중요한 기여를 할 것으로 생각된다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제34권1호
• /
• pp.99-107
• /
• 2008

Objective : The objective of this review was to provide reliable comparative results regarding the effectiveness of any interventions either open or closed that can be used in the management of fractured mandibular condyle Patients and Methods : Research of studies from MEDLINE and Cochrane since 1990 was done. Controlled vocabulary terms were used. MeSH Terms were "Mandibular condyle" AND "Fractures, bone". Only comparative study were considered in this review using the "limit" function. According to the criteria, two review authors independently assessed the abstracts of studies resulting from the searches. The studies were divided according to some criteria, and following were measured: Ramus height, condyle sagittal displacement, condyle Towns's image displacement, Maximum open length, Protrusion & Lateral excursion, TMJ pain, Malocclusion, and TMJ disorder. Results : Many studies were analyzed to review the post-operative result of the two methods of treatment. Ramus height decreased more in when treated by closed reduction as opposed to open reduction. Sagittal condyle displacement was shown to be greater in closed reduction. Condyle Town's image condyle displacement had greater values in closed reduction. Maximum open length showed lower values in closed reduction. In protrusive and lateral movement, closed reduction was less than ORIF. Closed reduction showed greater occurrence of malocclusion than ORIF. However, post-operative pain and discomfort was greater in ORIF. Conclusion : In almost all categories, ORIF showed better results than CRIF. However, the use of the open reduction method should be considered due to the potential surgical morbidity and increased hospitalization time and cost. To these days, Endoscopic surgical techniques for ORIF (EORIF) are now in their infancy with the specific aims of eliminating concern for damage to the facial nerve and of reducing or eliminating facial scars. Before performing any types of treatment, patients must be understood of both of the treatment methods, and the best treatment method should be taken on permission.

• Restorative Dentistry and Endodontics
• /
• 제23권1호
• /
• pp.366-378
• /
• 1998

Thermocondensation root canal filling technique have been used to fill accessary canals or to obtain homogeneous root caral fillings. But these thermocondensation technique inevitably produce heat in the canal which can be transmitted through the dentin and cementum and consequently damage periodontal ligamental cells and osteoblasts. In this study, System $B^{TM}$(Analytic technology, WA.D.S.A.) was used to evaluate the reaction of periodontal ligament tissue to "Continous Wave condensation technique" introduced by Buchanan, and the transmitted root surface temperature was measured according to measured root thicknesses. 12 Mandibular incisors of two adult dogs were used for the experiment. 6 controls were filled by lateral condensation technique with sealer.3 specimens were apically filled by Continuous Wave technique at $200^{\circ}C$ for 5 seconds and remaining 3 specimens were additionally backfilled using System $B^{TM}$(Analytic technology, WA.D.S.A.) was used to evaluate the reaction of periodontal ligament tissue to "Continous Wave condensation technique" introduced by Buchanan, and the transmitted root surface temperature was measured according to measured root thicknesses. 12 Mandibular incisors of two adult dogs were used for the experiment. 6 controls were filled by lateral condensation technique with sealer.3 specimens were apically filled by Continuous Wave technique at $200^{\circ}C$ for 5 seconds and remaining 3 specimens were additionally backfilled using System $B^{TM}$ at $100^{\circ}C$ for 20 seconds. Six weeks later, the dogs were sacrificed and the teeth stained with Hematoxylin and Eosin for histologic examination. 6 extracted human teeth were used to measure the transmitted temperature. After cutting off the crown, the canals were prepared and divided into 3 groups with root thickness of 1.5mm, 1.0mm, 0.5mm, 2 teeth in each group. Inside each root canal, System $B^{TM}$ was heated as with the temperature for the apically condensed and the back filled group, and the transmitted heat was measured on the external surface of the root. The temperature of System $B^{TM}$ heat spreader at $200^{\circ}C$ and $100^{\circ}C$ was also measured at root temperature. It can be concluded as follows: 1. In the thin area (200-$250{\mu}m$) of the root, root resorption could be seen even with heating at $200^{\circ}C$ for 5 seconds. 2. When the spreader was heated at $200^{\circ}C$ for 5 seconds and additionally at $100^{\circ}C$ for 20 seconds for backfill, all teeth showed root resorption regardless of their root thickness. 3. The transmitted external root surface temperature was higher as the root thickness decreased and as the heating time increased. In the thermocompaction technique using System $B^{TM}$, the spreader should be heated for the minimal time and used only in the apical area. The heated spreader shouldn't inserted to the binding point of the canal and backfilling should be done with other means of minimally heated gutta percha technique.

• 한국구조물진단유지관리공학회 논문집
• /
• 제25권4호
• /
• pp.83-91
• /
• 2021

본 연구에서는 기존 철근콘크리트 (R/C) 구조체와 내진보강 부재의 접합부의 성능을 향상시키기 위해서 접합부에 탄성패드를 가지는 새로운 H형강 철골프레임 내부접합형 내진보강공법 (H-section Steel Frame with Elastic Pad, HSFEP)을 제안하였다. HSFEP 시스템은 필요 내진보강량 산정이 간편한 내력향상형 보강공법으로서, 전단파괴가 발생할 가능성이 매우 높은 비내진상세를 가지는 중·저층 R/C 건축물에 적합한 공법이다. 본 연구에서 제안한 HSFEP 내진보강공법의 유용성을 검증하기 위하여 비내진상세를 가지는 국내 R/C 건축물을 바탕으로 실물 2층 골조 실험체를 제작하여 유사동적실험을 수행하여 최대지진응답 하중 및 변위, 지진피해정도를 중심으로 내진보강효과를 검토하였다. 실험결과 본 연구에서 개발한 HSFEP 내부접합형 내진보강법은 접합부성능이 개선되었으며, 효과적으로 수평극한내력을 증진시킴과 동시에 대지진 입력 시에도 지진응답변위를 매우 효과적으로 억제시켰다.

• Earthquakes and Structures
• /
• 제15권6호
• /
• pp.667-685
• /
• 2018

In eccentrically braced steel frames (EBFs), the links are fuse members which enter inelastic phase before other structure members and dissipate the seismic energy. Based on the force-based seismic design method, damages and plastic deformations are limited to the links, and the main structure members are required tremendous sizes to ensure elastic with limited or no damage. Force-based seismic design method is very common and is found in most design codes, it is unable to determine the inelastic response of the structure and the damages of the members. Nowadays, methods of seismic design are emphasizing more on performance-based seismic design concept to have a more realistic assessment of the inelastic response of the structure. Links use ordinary steel Q345 (the nominal yielding strength $f_y{\geq}345MPa$) while other members use high strength steel (Q460 $f_y{\geq}460MPa$ or Q690 $f_y{\geq}690MPa$) in eccentrically braced frames with high strength steel combination (HSS-EBFs). The application of high strength steels brings out many advantages, including higher safety ensured by higher strength in elastic state, better economy which results from the smaller member size and structural weight as well as the corresponding welding work, and most importantly, the application of high strength steel in seismic fortification zone, which is helpful to popularize the extensive use of high strength steel. In order to comparison seismic behavior between HSS-EBFs and ordinary EBFs, on the basis of experimental study, four structures with 5, 10, 15 and 20 stories were designed by PBSD method for HSS-EBFs and ordinary EBFs. Nonlinear static and dynamic analysis is applied to all designs. The loading capacity, lateral stiffness, ductility and story drifts and failure mode under rare earthquake of the designs are compared. Analyses results indicated that HSS-EBFs have similar loading capacity with ordinary EBFs while the lateral stiffness and ductility of HSS-EBFs is lower than that of EBFs. HSS-EBFs and ordinary EBFs designed by PBSD method have the similar failure mode and story drift distribution under rare earthquake, the steel weight of HSS-EBFs is 10%-15% lower than ordinary EBFs resulting in good economic efficiency.