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Patch Graft of the Canine Esophagus (식도이식에 관한 실험적 연구)

  • Ha, Gye-Sik
    • Journal of Chest Surgery
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    • v.2 no.2
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    • pp.167-167
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    • 1969
  • Two groups of esophagus graft were done in canine esophagus in 34 adult mongrel dogs. For the first group segmental replacement graft was done with fresh autologous pericardium tube, and for the second, patch graft was done utilizing fresh autologous pericardium, fresh homologous pericardium,and dacron piece. All eight dogs in the first segmental replacement graft group died 2 to 5 days after operation with severe empyema caused by anastomosis disruption. Among 26 patch graft dogs 2 died during operation and 7 died 13 to 18 days after operation. For the 17 long-term patch grafted survivors esophagography and postoperative weight check were done. Postoperative stool was collected and examined for dacron patch excretion. One, two, three, and four months postoperative long-term survivors were sacrificed to obtain specimens in each group respectively and the following observations were made.I. Survival; Autologous pericardium patch group showed no mortality but in homologous pericardium and dacron patch group only two thirds were long-term survivors. II. Postoperative swallowing; There was no case which demonstrated postoperative dysphagia. About half of the cases showed postoperative weight increase and in only 3 cases weight decrease followed operation. III. Dacron patch was excreted in the stool 8 to 23 days after operation. Animals which excreted dacron patch up to 9 days after operation all died of empyema due to anastomosis disruption.IV. Postoperative esophagogram; All esophagograms in each group showed no leakage of barium, no passage disturbances and no remarkable stenotic signs.V. Morphological findings; [A] Macroscopical findings; In one month group specimens of each group dense adhesion with surrounding structures was noted and luminal surface was smooth with contraction of the patched area. In two month groups anastomosis sutures were still exposed but patched area showed lesser abnormality. In three to four months groups sutures were covered completely and patched area showed only very slight signs of contraction. [B] Microscopic findings; In one month group luminal surface of the replaced tissue [transplanted tissue] showed almost complete epithelial covering that is composed of several layers of squamous cells with no evidence of keratinization. Basement membrane was also well distinct throughout. Slight to minimal inflammatory cells comprising of large mononuclears, lymphocytes and plasma cells were observed in the subepithelial fibrous stroma consisted entirely of loose fibrous tissue containing many newly formed capillaries and fibroblastic proliferation. Scattered suture granulomas were found, few of which became acutely inflamed. In two months group repairing process progressed with lesser degree of inflammatory cell infiltration and young capillary proliferation. Fibrous tissue was more matured showing even focal collagenization.Suture granuloma persisted but with lesser reactive changes. Epithelial covering was that of a mature non-keratinizing stratified squamous epithelium. In three and four months groups the replaced area showed essentially similar histological findings. However, subepithelial stroma still consisted entirely of connective tissue without evidence of smooth muscle regeneration. In this group, inflammatory cell infiltration was minimal or negligible. Among these patch materials autologous pericardium group showed the most satisfactory repairing process.The above mentioned results may signify the feasibility of autogenous pericardium patch graft in clinical esophageal surgery.

Patch Graft of the Canine Esophagus (식도이식에 관한 실험적 연구)

  • 하계식
    • Journal of Chest Surgery
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    • v.2 no.2
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    • pp.168-186
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    • 1969
  • Two groups of esophagus graft were done in canine esophagus in 34 adult mongrel dogs. For the first group segmental replacement graft was done with fresh autologous pericardium tube, and for the second, patch graft was done utilizing fresh autologous pericardium, fresh homologous pericardium,and dacron piece. All eight dogs in the first segmental replacement graft group died 2 to 5 days after operation with severe empyema caused by anastomosis disruption. Among 26 patch graft dogs 2 died during operation and 7 died 13 to 18 days after operation. For the 17 long-term patch grafted survivors esophagography and postoperative weight check were done. Postoperative stool was collected and examined for dacron patch excretion. One, two, three, and four months postoperative long-term survivors were sacrificed to obtain specimens in each group respectively and the following observations were made. I. Survival; Autologous pericardium patch group showed no mortality but in homologous pericardium and dacron patch group only two thirds were long-term survivors. II. Postoperative swallowing; There was no case which demonstrated postoperative dysphagia. About half of the cases showed postoperative weight increase and in only 3 cases weight decrease followed operation. III. Dacron patch was excreted in the stool 8 to 23 days after operation. Animals which excreted dacron patch up to 9 days after operation all died of empyema due to anastomosis disruption. IV. Postoperative esophagogram; All esophagograms in each group showed no leakage of barium, no passage disturbances and no remarkable stenotic signs. V. Morphological findings; [A] Macroscopical findings; In one month group specimens of each group dense adhesion with surrounding structures was noted and luminal surface was smooth with contraction of the patched area. In two month groups anastomosis sutures were still exposed but patched area showed lesser abnormality. In three to four months groups sutures were covered completely and patched area showed only very slight signs of contraction. [B] Microscopic findings; In one month group luminal surface of the replaced tissue [transplanted tissue] showed almost complete epithelial covering that is composed of several layers of squamous cells with no evidence of keratinization. Basement membrane was also well distinct throughout. Slight to minimal inflammatory cells comprising of large mononuclears, lymphocytes and plasma cells were observed in the subepithelial fibrous stroma consisted entirely of loose fibrous tissue containing many newly formed capillaries and fibroblastic proliferation. Scattered suture granulomas were found, few of which became acutely inflamed. In two months group repairing process progressed with lesser degree of inflammatory cell infiltration and young capillary proliferation. Fibrous tissue was more matured showing even focal collagenization. Suture granuloma persisted but with lesser reactive changes. Epithelial covering was that of a mature non-keratinizing stratified squamous epithelium. In three and four months groups the replaced area showed essentially similar histological findings. However, subepithelial stroma still consisted entirely of connective tissue without evidence of smooth muscle regeneration. In this group, inflammatory cell infiltration was minimal or negligible. Among these patch materials autologous pericardium group showed the most satisfactory repairing process. The above mentioned results may signify the feasibility of autogenous pericardium patch graft in clinical esophageal surgery.

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The effects of early surfactant treatment and minimal ventilation on prevention of bronchopulmonary dysplasia in respiratory distress syndrome (미숙아 호흡곤란증후군에서 폐표면활성제의 조기 투여와 연성 환기요법이 만성폐질환의 예방에 미치는 영향에 관하여)

  • Park, Jong Jin;Lee, Pil Sang;Lee, Sang Geel
    • Clinical and Experimental Pediatrics
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    • v.52 no.1
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    • pp.44-49
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    • 2009
  • Purpose : Early surfactant treatment and minimal ventilation, bronchopulmonary dysplasia needed prolonged oxygen supplement is a problem. This study aimed to report the effects of early surfactant treatment and minimal ventilation on the prevention of bronchopulmonary dysplasia in respiratory distress syndrome. Methods : We retrospectively studied 139 premature newborn infants (gestational age, 36 weeks; birth weight, 1,500 gm) admitted to the neonatal intensive care unit of Daegu Fatima Hospital between January 2001 and December 2006. We analyzed the occurrence of bronchopulmonary dysplasia with respect to ventilator care and surfactant treatment. Results : The incidence of bronchopulmonary dysplasia was significantly higher with prolonged ventilator care, moderate to severe respiratory distress syndrome, and low Apgar score (P<0.001). Despite early surfactant treatment and minimal ventilation, mild bronchopulmonary dysplasia occurs in a considerable number of patients with mild respiratory distress syndrome. The patient group with low Apgar scores required ventilator care for a prolonged period (P=0.020). Conclusion : Early surfactant treatment and minimal ventilation shortens the duration of ventilator care; however, the preventive effects on bronchopulmonary dysplasia are limited. Therefore, not only early surfactant treatment and minimal ventilation but also appropriate management in the delivery room is essential.

Single Oral Dose Toxicity Study of the Methylcyclohexane in Female Rats (암컷 랫드에서 Methylcyclohexane의 단회 경구투여 독성시험)

  • Kim, Sung-Hwan;Lim, Jeong-Hyeon;Shin, In-Sik;Moon, Changjong;Kim, Sung-Ho;Shin, Dong-Ho;Kim, Jong-Choon
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.21 no.1
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    • pp.33-39
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    • 2011
  • The present study was carried out to investigate the potential acute toxicity of methylcyclohexane (MCH) by a single oral dose in female rats. The test chemical was administered once by gavage to female rats at dose levels 0, 1,250, 2,500, and 5,000 mg/kg. Mortalities, clinical findings, and body weight changes were monitored for the 14-day period following the administration. At the end of 14-day observation period, all animals were sacrificed and complete gross postmortem and histopathological examinations were performed. Treatment-related clinical signs, as evidenced by depression, soft feces, decreased locomotion activity, solid perineal region, crouching position, and anorexia were observed in all treatment groups in a dose-dependent manner. At the dose level of 5,000 mg/kg, decreased or suppressed body weight gain was found during the study period. At the scheduled necropsy, one case of congestion of the intestine and an increase in the weights of liver and kidney were observed in the 5,000 mg/kg group. Histopathological examinations exhibited an increased incidence of glomerular atrophy, congestion/hemorrhage, and focal degeneration/necrosis in the liver and an increased incidence of congestion, and inflammatory cell infiltration in the kidney. On the basis of the results, it was concluded that a single oral administration of MCH resulted in some adverse effects on clinical sign, body weight gain, and organ weight and histopathology in the liver and kidney in female rats. In the experimental conditions, the minimal lethal dose ($LD_{10}$) of MCH was greater than 5,000 mg/kg.

The Effect of Oral High Protein Liquid on Nutritional Support in Patients Undergoing Radiotherapy for Head and Neck Cancer (두경부암 환자에서 방사선치료 중 고농축 고단백 균형 영양식의 영양보충효과)

  • Oh, Young-Taek;Kim, Soo-Hee;Kim, Chul-Ho;Lee, Sun-Young;Jang, Hyun-Soo;Cho, Sun-Mi;Choi, You-Young;Choi, Won-Sun;Yun, Sung-Seob
    • Korean Journal of Head & Neck Oncology
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    • v.24 no.2
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    • pp.184-188
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    • 2008
  • Objectives:Weight loss and malnutrition in patients undergoing radiotherapy for head and neck cancer are usual and preventable. The effect of nutritional support with oral high protein liquid was evaluated. Material and Methods:From Feb. to Dec. 2007, twenty patients received nutritional supplement with oral high protein liquid during radiotherapy for head and neck cancer and the nutritional status was evaluated. Weight loss was compared with control group of similar clinical characteristics. Results:Nutritional parameters such as weight, arm circumference, hemoglobin, hematocrit, total protein, albumin, transferring and the number of lymphocyte were relatively well maintained in patients with nutritional support with oral high protein liquid. In addition weight loss was minimal and significantly lower compared with control group. Conclusion:Nutritional support with oral high protein liquid was effective on maintaining nutritional status for the patients with head and neck cancer during radiotherapy.

Study on the Optimization Design and Impact Experiment of Side Door for Impact Beam in the Vehicle Side Door (차량 측면도어 임팩트 빔의 최적설계 및 측면도어 충돌실험에 관한 연구)

  • Kim, Jae Yeol;Choi, Soon Ho
    • Tribology and Lubricants
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    • v.31 no.1
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    • pp.13-20
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    • 2015
  • The impact beam, a beam-shaped reinforcement installed horizontally between the inside and outside panels of car doors, is gaining importance as a solution to meet the regulations on side collision of vehicles. In order to minimize pelvis injury which is the biggest injury happening to the driver and passengers when a vehicle is subject to side collision, energy absorption at the door impact beam should be maximized. For the inner panel, the thrust into the inside of the vehicle must be minimized. The impact beam should be as light as possible so that the extent of pelvis injury to the driver and passenger during side collision of the vehicle is minimal. To achieve this, the weight of the impact beam, has to be optimized. In this study, we perform a design analysis with a goal to reduce the weight of the current impact design by 30% while ensuring stability, reliability, and comparison data of the impact beam for mass production. We conduct three-point bending stress experiments on conventional impact beams and analyze the results. In addition, we use a side-door collision test apparatus to test the performance of beams made of three (different materials: steel, aluminum, and composite beams).

Dynamic Location Area Management Scheme Using the Historical Data of a Mobile User (이동통신 사용자의 이력 자료를 고려한 동적 위치영역 관리 기법)

  • Lee, J.S.;Chang, I.K.;Hong, J.W.;Lie, C.H.
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2004.05a
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    • pp.119-126
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    • 2004
  • Location management is very important issue in wireless communication system to trace mobile users' exact location. In this study, we propose a dynamic location area management scheme which determines the size of dynamic location area considering each user's characteristic. In determining the optimal location area size, we consider the measurement data as well as the historical data, which contains call arrival rate and average speed of each mobile user. In this mixture of data, the weight of historical data is derived by linear searching method which guarantees the minimal cost of location management. We also introduce the regularity index which can be calculated by using the autocorrelation of historical data itself. Statistical validation shows that the regularity index is the same as the weight of measurement data. As a result, the regularity index is utilized to incorporate the historical data into the measurement data. By applying the proposed scheme, the location management cost is shown to decrease. Numerical examples illustrate such an aspect of the proposed scheme.

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Development of In situ PCR Method Using Primer Polymers (프라이머 중합체를 이용한 원위치 중합효소 연쇄반응 In situ PCR 방법의 개발)

  • 장진수;이재영
    • Korean Journal of Microbiology
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    • v.40 no.2
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    • pp.167-171
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    • 2004
  • Reduction in the leakage of the amplified PCR product out of cell is required for effective in situ PCR. For this purpose, primers with complementary tail sequences at their 5' sides were utilized to synthesize high molecular weight PCR products, but it is time-consuming and causes deterioration of cellular appearance with many PCR cycles. Therefore, it is required to optimize the PCR condition with minimal PCR cycles. To achieve the pur-pose, primer polymers were made without the target DNA in tube from nonspecific amplification with tailed primers and treated onto the fixed Molt/LAV cells on the glass slide for the 20 cycle-in situ PCR, in which the appropriate target signals were observed for the possible use of primer polymers in in situ PCR.

Dynamic Location Area Management Scheme Using the Historical Data of a Mobile User (이동통신 사용자의 이력자료를 고려한 동적 위치영역 관리기법)

  • Lee, J.S.;Chang, I.K.;Hong, J.W.;Lie, C.H.
    • IE interfaces
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    • v.18 no.4
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    • pp.382-389
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    • 2005
  • Location management is very important issue in wireless communication system to trace mobile users' exact location. In this study, we propose a dynamic location area management scheme which determines the size of dynamic location area considering each user's characteristics. In determining the optimal location area size, we consider the measurement data as well as the historical data, which contains call arrival rate and average speed of each mobile user. In this mixture of data, the weight of historical data is derived by linear searching method which guarantees the minimal cost of location management. We also introduce the regularity index which can be calculated by using the autocorrelation of historical data itself. Statistical validation shows that the regularity index is the same as the weight of measurement data. As a result, the regularity index is utilized to incorporate the historical data into the measurement data. By applying the proposed scheme, the location management cost is shown to decrease. Numerical examples illustrate such an aspect of the proposed scheme.

Effects of Packaging Materials Processed with Oak Charcoal on the Quality of Oriental Pears during Storage and Distribution (숯 가공 포장재가 배의 품질변화에 미치는 영향)

  • Jung, Hyun-Mo;Kim, Man-Soo;Auras, Rafael
    • Journal of Biosystems Engineering
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    • v.35 no.5
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    • pp.316-322
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    • 2010
  • The packaging of fruits is very important because appropriate packaging can optimize the maintenance of freshness of fruits during their distribution in low or normal temperatures until the products reach consumers. The focus of this study was on the use of functional packaging materials for the post-harvest maintenance of the freshness of fruits. Oak charcoal has excellent far infrared emission and ethylene absorption qualities, and we developed a charcoal-processing packaging linerboard to evaluate the possibility for the use of charcoal as a functional packaging material for pears. Oriental pears of the Niitaka cultivar used in this study account for about 70% of pears harvested every year, and are a very popular domestic fruit in Korea. Pears packaged in packaging materials processed with charcoal were of significantly higher quality (p<0.05) than those packaged with conventional packaging materials, suggesting that charcoal-processed packaging materials can be used as functional packaging material for extending the storability and distribution time of fruits. Charcoal-coated linerboard was shown to be the most appropriate packaging material based on its compression strength, ethylene absorption performance, and the firmness and minimal weight loss of pears.