• 융합정보논문지
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• 제10권12호
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• pp.208-215
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• 2020

본 연구는 SUKI를 활용하여 두피의 중금속 감소에 대해 미치는 영향에 대해 알아보았다. 연구대상자는 총 26명이었으며 실험군과 대조군 각각 13명이었다. SUKI 도구를 활용한 두피 중금속 배출에 대한 중재를 8주간 주 2회씩 실시하였고, 결과는 다음과 같다. 총 각각 8 종목의 실험군과 대조군의 비교에서 실험군에서 유의한 차이가 있었다. 실험군의 중금속인 Hg, Pb, Al, Cd, As, Ba, Ur, Cs 중에서 6가지 항목의 Hg, Al, Cd, As, Ba, Ur과 같은 중금속들에서 통계적으로 유의한 감소(p<.05)를 보여주었으며, Pb, Cs 는 유의하지 않았다. 그리고 해당 유해중금속 중에서 Al, Ba, Hg가 가장 큰 차이의 감소율을 나타냈다. 따라서 SUKI 도구의 중재가 일부 중금속 배출에 영향을 줄 수 있다는 것을 시사한다(p<.05). 결론적으로 향후 지속적인 연구를 통해 두피의 중금속 배출을 위한 기초자료로 활용될 수 있을 것으로 사료된다.

• 대한응급의학회지
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• 제29권6호
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• pp.649-655
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• 2018

Objective: This paper reports the possibility of using of a locking horizontal mattress suture technique in repairing lacerations that are difficult to suture with staples. Methods: Data were collected retrospectively over a 6-month period regarding the routine repair of scalp lacerations: those in areas injured by a high energy blunt mechanism, continued to bleed after pressure, nonlinear or damaged skin repaired with a locking horizontal mattress technique, and simple interrupted technique. The effects of the two techniques used to repair scalp lacerations on wound healing, complication rate, and patient satisfaction were examined. The categorical variables are expressed as the number and percent. A Mann-Whitney-Wilcoxon test was used for statistical analysis. A P-value less than 0.05 was considered significant. Results: Thirty-seven consecutive patients with scalp lacerations presented for care. Wound closure was accomplished with the locking horizontal mattress sutures in 40.5% (n=15) (median length, 5.0 cm; interquartile range [IQR], 4.0-7.0 cm). Simple interrupted sutures (median length, 4 cm; IQR, 3.0-5.0 cm) were used in 59.5% (n=22) (P=0.015). The frequency of additional bandage compression (P=0.008), frequency of exudative hemorrhage (P=0.018), and suture mark frequency at suture removal (P=0.047) were significantly lower in the locking horizontal mattress group. Conclusion: The locking horizontal mattress suture, which has the advantage of a horizontal mattress suture, may be one of the ways that can be used alternatively to treat scalp lacerations that difficult to suture with staples.

• 대한두개안면성형외과학회지
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• 제12권1호
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• pp.53-57
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• 2011

Purpose: Pyoderma gangrenosum is a rare inflammatory, reactive dermatosis marked by painful cutaneous ulcer. The causes of pyoderma gangrenosum remain unclear. Gastrointestinal, hematological, rheumatological, and immmune disorders may be associated with pyoderma gangrenosum. The appearance of this disease may range from mild skin ulcers to life-threatening conditions. Generalized multiple ulcerative pyoderma gangrenosum is very rare. Here we report our experience with a case of multiple ulcerative pyoderma gangrenosum accompanied by ulcerative colitis. Methods: A 67-year-old man had cutaneous ulcers at multiple sites including the scalp, face, chest, abdomen, hands, and buttocks. He also developed gastrointestinal symptoms such as intermittent dyspepsia and bloody excrement. Debridement and irritation aggravated the disease progress. We gave a diagnosis of pyoderma gangrenosum with ulcerative colitis based on the clinical appearance and biopsy. The patient was treated with systemic intravenous steroid therapies and careful wound cares. Ulcers of the scalp and buttocks were treated with split thickness skin grafts. Results: Most of the multiple cutaneous ulcers were treated by systemic intravenous steroid therapies and wound cares. The rest of the ulcers were treated with skin grafts. Systemic intravenous steroid therapy was used to treat the ulcerative colitis. Conclusion: Generalized multiple ulcerative pyoderma gangrenosum is very rare. Without making an accurate diagnosis, hasty surgical treatments could aggravate the progression of the disease. Additionally, care should be taken to systemically treat underlying disease as well as administrating local treatments for the skin lesions. Intravenous systemic steroid therapy and skin grafts are useful treatments for generalized pyoderma gangrenosum.

• Applied Microscopy
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• 제44권2호
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• pp.47-52
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• 2014

Fine structural characteristics of eggs (nits) found on the scalp hairs of Korean children were observed with scanning electron microscopy. An egg is structurally composed of four parts: the cementum, nit body, operculum, and aerophyle. The total length of an egg is about 1.5 mm. The glue secreted from the female louse completely surrounds the 1 mm hair shaft and forms the cementum. The thickness of the cementum at the end of the nit body was found to be more than 5 times the thickness at the end toward the scalp. The nit body is shaped like a goblet with a very smooth surface. The operculum and aerophyles are located at the apiculus area. In the circular operculum, there are 10 aerophyles concentrated on the side of the hair shaft surface that are shaped like a dome. Three aerophyles in the center are surrounded by 7 aerophyles. Each aerophyle is dome shaped with a diameter of $65{\mu}m$ and a respiratory pathway with a $15{\sim}25{\mu}m$ opening at the center. On the cut surface where the operculum is separated as the egg hatches, long grooves about $1{\mu}m$ thick are uniformly formed transversely. These long grooves facilitate the separation of the operculum through body expansion at the time of hatching.

• 한국생활과학회지
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• 제17권1호
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• pp.105-114
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• 2008

This study aims on observing the social recognition and its aspects for men taking care of their outer appearances at current point where men are rapidly rising as the main consumer in the beauty industry while their interest for outer appearances are increasing. Therefore, we observed the overall trend and changes in social recognition for male looks by analyzing the contents of articles in fashion magazines that play the critical role of spreading the trend while suggesting and delivering the diverse trend changes to the public to correspond to the individual and concrete demands of certain class segmented into gender, age, hobby, and more. As a result, articles related to outer appearances were divided into fashion, cosmetic and skin, hair and scalp, body figure care, cosmetic surgery, and others, and among them, fashion category took up the highest ratio. Also, articles related to outer appearances increased even more according to the change in time, where articles related to fashion and hair increased while articles of other categories decreased.

• Archives of Plastic Surgery
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• 제37권4호
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• pp.469-472
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• 2010

Purpose: Aplasia Cutis Congenita (ACC) is a rare disease characterized by the focal defect of the skin at birth, frequently involving scalp, but it may affect any region of the body. There are no etiology known but some conditions such as intrauterine vascular ischemia, amniotic adherences and viral infections are associated. The ideal treatment for the ACC is not known. Superficial and relatively small sized defects (< $3{\times}5\;cm$) may heal spontaneously and large defects related with risks of infection and bleeding may require aggressive surgical treatment. Hyalomatrix$^{(R)}$ is a bilayer of an esterified hyaluronan scaffold beneath a silicone membrane. It has been used as a temporary dermal substitute to cover deep thickness skin defect and has physiological functions derive from the structural role in extracellular matrix and interaction with cell surface receptor. This material has been used for the wound bed pre-treatment for skin graft to follow and especially in uncooperative patient, like a newborn, this could be a efficient and aseptic way of promoting granulation without daily irritative wound care. For this reason, using Hyalomatrix$^{(R)}$ for the treatment of ACC was preferred in this paper. Methods: We report a case of a newborn with ACC of the vertex scalp and non-ossified partial skull defect. The large sized skin and skull defect ($6{\times}6\;cm$) was found with intact dura mater. No other complications such as bleeding or abnormal neurologic sign were accompanied. Escharectomy was performed and Hyalomatrix$^{(R)}$ was applied for the protection and the induction of acute wound healing for 3 months before the split-thickness skin graft. During the 3 months period, the dressing was renewed in aseptic technique for every 3 weeks. The skin graft was achieved on the healthy granulation bed. Results: The operative procedure was uneventful without necessity of blood transfusion. Postoperative physical examination revealed no additional abnormalities. Regular wound management was performed in out-patient clinic and the grafted skin was taken completely. No other problems developed during follow-up. Conclusion: Hyalomatrix$^{(R)}$ provides protective and favorable environment for wound healing. The combination of the use of Hyalomatrix$^{(R)}$ and the skin graft will be a good alternative for the ACC patients with relatively large defect on vertex.

• 한국염색가공학회지
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• 제26권4호
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• pp.353-362
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• 2014

This study attempted to determine the effects of fermented green tea extracts on hair by using them in a perm. For this, hair is bleached, and then the fermented green tea extracts and water were supplied to the hair using a mist sprayer. Then the hair was permed, and hair damage was tested. Regarding hair moisture levels and wave formation, specifically, the morphological changes of hair were investigated with the Scanning Electron Microscope(SEM). The study results found the following. In terms of wave formation, the fermented green tea extract-based perm was much better than the general perm. In addition, hair bleaching was more serious in the latter. According to analysis on hair moisture using SEM, hair damage was more prevalent in the general perm as well. Therefore, it was confirmed that green tea extract-based perms cause less damage to the cuticle. In other words, the potential of fermented green tea extracts as a hair cosmetics material was discovered. Furthermore, it appears that the study results contribute to the development of low-irritating scalp and hair care products using the anti-inflammatory and antimicrobial properties of the fermented green tea extracts.

• Journal of Trauma and Injury
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• 제26권3호
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• pp.226-228
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• 2013

Elderly patients with acute subdural hematomas have higher mortality and lower functional recovery rates compared with those of other head-injured patients. Early and widely surgical decompression and active intensive care represent the best way to assist these patients. However, abrupt decompression of the hematoma can lead to brain disruption and secondary ischemia in the brain surrounding the craniectomy site. Acute brain swelling and brain extrusion, which take place shortly after decompression, can lead to a catastrophic situation during the operation due to the impossibility of appropriate closure of the dura and scalp. To avoid the deleterious consequences of disruption of brain tissue, we have adopted multiple fenestrations of the dura in a mesh-like fashion and gradual release of subdural clots through the small dural openings that are left open. This is especially important in cases in which there are massive amount of subdural hematomas with small parenchymal lesion and severe midline shifts in elderly patients. Further clinical experiences should be conducted in a more selected series patients to estimate the impact of this technique on morbidity and mortality rates.

• 대한의사협회지
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• 제61권12호
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• pp.715-723
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• 2018

Facial soft tissue injury due to trauma is common. Severe damage of soft tissue causes functional and cosmetic problems. In the initial evaluation of patients with facial trauma, airway maintenance and respiratory maintenance are the most important. The principles of treatment include adequate irrigation and debridement, primary closure, or secondary wound healing. Postoperative care such as taping, silicone gel sheeting, and sun screening is important to prevent scarring. The scalp and forehead are abundant in blood and can cause severe bleeding. The eyelid is very thin and has a multi-layered structure, requiring accurate suturing and reconstruction of the layers. It is advisable to determine the presence of hematoma in the ear and treat it. When the cheek area is damaged, it is necessary to identify and treat the damage of the parotid gland and the facial nerve branch. The lips should be sewn with the white roll of lip and vermillion.

• 한국산학기술학회논문지
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• 제11권3호
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• pp.1139-1145
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• 2010

본 연구는 아유르베다의 모발과 두피 프로그램을 적용하고 그 효과를 분석하고자 한다. 아유르베딕(Ayurvedic) 처치는 자연치유력에 의해 면역력을 강화시킨다. 아유르베딕 베이스 오일과 에센셜 오일을 모발과 두피에 사용했을 때, 두피에 상주하는 균에 대한 항균효과를 알아보기 위해 MIC test 와 Halo test를 통해 측정하였다. 그 결과는 다음과 같다. 9종류의 베이스 오일과 18종류의 에센셜 오일을 이용하여 Bacillus subtilis, Propionibacterium acnes균에 대한 베이스 오일과 에센셜 오일의 항균효과를 MIC test를 통해 조사하였다. 실험 결과, 베이스 오일에서는 모두 균에 대한 항균효과가 없는 것으로 나타났으며, 에센셜 오일은 Chamomile, Clary sage, Jasmine, Neroli, Rose오일에서 두 균에 대해 모두 5% 이하에서 항균효과가 없는 것으로 나타났다. 두 균주에 대해 Thyme, Geranium, Lavender, Tea tree가 모두 효과가 높은 것으로 조사되었다. Geranium, Lavender, Thyme 에센셜 오일과 Sesame and Coconut 베이스 오일을 이용하여 7가지 공시균주에 대한 Halo test결과 베이스 오일에서는 항균효과가 없는 것으로 나타났다. 에센셜 오일은 7가지 공시균주에 대해 모두 항균성이 있는 것으로 조사되었다. Thyme은 MIC test 와 Halo test 결과 항균력이 가장 높은 것으로 나타났다.