• Title/Summary/Keyword: 성형길이

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Use of the Stomach as an Esophageal Substitute after Total Pharyngolaryngoesophagectomy for Treating Cervical Esophageal Cancer or Hypopharyngeal Cancer (경부식도암 및 하부인두암에서 근치적 전후두인두식도절제술 후 위를 이용한 재건술의 의의)

  • Lee, Sang-Hyuk;Lee, Sang-Hoon;Yoon, Ho-Young;Kim, Choong-Bai
    • Journal of Gastric Cancer
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    • v.7 no.4
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    • pp.200-205
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    • 2007
  • Purpose: The aim of this study was to analyze the post operative outcome of reconstruction with using the stomach after performing total pharyngolaryngoesophagectomy in patients with hypopharyngeal cancer or cervical esophageal cancer. Materials and Methods: We conducted a retrospective chart review of 23 patients who underwent gastric pull up for esophageal substitution at the Department of Surgery, Yonsei University College of Medicine, between January 1991 and December 2006. All the patients had transhiatal esophagectomy performed without thoracotomy. Results: There were seventeen males and six females with a median age of 58.1 years (range: 40-70 years). 19 cases were hypopharyngeal cancer, 13 cases had cancer in the pyriform sinus, 15 cases had cancer in the postcricoid area and one case had cancer in the glottic area. The rest were cervical esophageal cancers. The pathologic result was squamous cell carcinoma in all cases. The median total follow-up period was 33 months (range: 1-62 months) and there were two (8.6%) postoperative deaths: one was due to carotid rupture and the other was due to hepatic failure with liver metastasis. The complications were leakage in 1 patient (4.4%), pneumothorax in 1 patient (4.4%) and pneumonia in 1 patient (4.4%). Conclusion: The use of stomach for esophageal reconstruction has many benefits for treating hypopharyngeal cancer or cervical esophageal cancer, So, we made sure there was a sufficient length for the anastomosis after pharyngolaryngoesophagectomy and a rich blood supply from the stomach. There was a low incidence of the leakage at the anastomotic site, along with a low incidence of stenosis and bleeding.

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A Study on the Structural Performance of Hybrid Studs Subjected to Compression and Torsion (압축과 비틂을 동시에 받는 복합스터드의 구조적 성능에 관한 연구)

  • Jung, Yun Jin;Kwon, Young Bong;Kwak, Myong Keun;Bae, Kyu Woong
    • Journal of Korean Society of Steel Construction
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    • v.18 no.5
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    • pp.543-551
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    • 2006
  • Cold-formed steel studs that are being used as load-bearing members of wall panels for steel houses have a problem with their insulation due to the heat bridging of their web. Some additional thermal insulating materials should be used. To solve this problem, the new-concept hybrid stud, which consists of a galvanized steel sheet (t = 1.0 m - 12.0 m) and a GFRP panel (t = 4.0-6.0 mm), has recently been developed. An investigation on the structural behavior and the strength capacity of this new hybrid stud has been conducted so that it can be used in load-bearing wall panels of residential buildings. This paper describes the axial compression-torsion test results of the hybrid studs under both axial compression and torsion using ATTM. The main factors of the test were the stud length, the magnitude of the initial compressive force, and the loading method of the monotonic or cyclic loading. The torsion was applied increasingly while the initial compression was kept constant to the failure of the hybrid section. The advanced analysis results obtained form the finite element procedure that considered the material properties of the high-strength galvanized steel and the GFRP were compared with the test results for verification.

Preparation of Fe2O3 Supported γ-alumina Catalyst by Hydrothermal Method (수열법에 의한 Fe2O3 담지 감마알루미나 촉매제조)

  • 박병기;이정민;서동수
    • Journal of the Korean Ceramic Society
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    • v.40 no.7
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    • pp.683-689
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    • 2003
  • The cylindrical ${\gamma}$-alumina pellets were prepared using amorphous alumina and pore generating agent. Its were immersed in aqueous solution of the mixture of Fe(NO$_3$)$_3$.9$H_2O$ and $CH_3$COOH, Fe(NO$_3$)$_3$.9$H_2O$ and $CH_3$COOH and HNO$_3$, and Fe(NO$_3$)$_3$.9$H_2O$ and HNO$_3$. The pellets thus were hydrothermally treated at 20$0^{\circ}C$ for 3 h in autoclave, and were investigated morphologies and changes of crystal pore characteristics, $N_2$ adsorption and desorption isotherms, active sites and mechanical strength etc. According to the preparation method, acicular platelet pseudo-boehmite crystals of 0.1~0.3 ${\mu}{\textrm}{m}$ size were transformed into acicular pseudo-boehmite cristals of 0.5~2 ${\mu}{\textrm}{m}$ size having the same crystal structure. When ${\gamma}$-alumina pellets were immersed in aqueous solution of the mixture of Fe(NO$_3$)$_3$.9$H_2O$ and $CH_3$COOH and then were hydrothermally treated, pore volume between 100 $\AA$ and 1000 $\AA$ was increased from 0.34 ㏄/g to 0.86 ㏄/g, and the gap of $N_2$ adsorption and desorption hysteresis loop was decreased due to increasement of pore size. New active site that could adsorb the C-H functional group was created on the catalist. Also, mechanical strength of catalyst was increased from 1.06 ㎫ to 1.36 ㎫.

Dosimetry and Medical Internal Radiation Dose of Re-188-DTPA for Endovascular Balloon Brachytherapy Against Restenosis after Coronary Angioplasty (혈관성형술 후 재협착 방지 치료에 사용하기 위한 원통형 풍선 Re-188-DTPA의 선량 분포와 내부피폭 선량)

  • Lee, Jin;Lee, Dong-Soo;Shin, Seung-Ae;Jeong, Jae-Min;Chung, June-Key;Lee, Myung-Chul
    • The Korean Journal of Nuclear Medicine
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    • v.33 no.2
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    • pp.163-171
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    • 1999
  • Purpose: Liquid beta emitter filled in angioplasty balloon could be used to perform endovascular balloon brachytherapy to prevent coronary artery restenosis. We investigated the dosimetry for Re-188-DTPA liquid-filled balloon and medical internal radiation dosimetry in case of balloon leakage. Materials and Methods: We estimated radiation dose from an angioplasty balloon (20 mm length, 3 mm diameter cylinder) to the adjacent vessel wall using Monte Carlo EGS4 code. We obtained time-activity curves of kidneys in normal dog and calculated $T_{max},\;T_{1/2}$. Using MIRDOSE3 program, we estimated absorbed doses to the major organs (kidneys, bladder) and the whole body when we assumed that balloon leaked all the isotope contained. Results: The radiation dose was 17.5 Gy at the balloon surface when we applied 3,700 MBq/ml of Re-188 for 100 seconds, Fifty percent of the energy deposited within 1 mm from the balloon surface. The estimated internal dose to the whole body was 0.005 mGy/MBq and 18.5 mGy for the spillage of 3,700 MBq of Re-188. Conclusion: We suggest that Re-188-DTPA can be used for endovascular balloon brachytherapy to inhibit coronary artery restenosis after angioplasty with tolerable whole body radiation dose in case of balloon rupture.

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Synthesis of nanosized WC powder by Chemical Vapor Condensation Process (화학기상응축법에 의한 WC 나노분말의 합성연구)

  • ;;;Oleg V. Tolochko
    • Proceedings of the Korean Powder Metallurgy Institute Conference
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    • 2002.04b
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    • pp.45-45
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    • 2002
  • 나노미터 크기의 결정립을 가지는 나노분말 및 나노복합분말의 제조와 특성에 관한 연구가 매우 활발하다. 나노복합분말의 제조방법에는 기상증발후 응축법, 화학응축법, 기계적합금법 등이 있으나, 고순도 및 균일한 크기분포의 분말과 응집되지 않은 분말의 제조 조건을 가장 잘 만족하는 방법은 화학기상응축법(Chemical Vapor Condensation; CVC)이다. 본 연구그룹 에서는 CVC밤법으로 이용하여 공구/금형재료에 가장 많이 사용되는 WC/Co 합금의 결정립을 n nm크기로 극미세화고자하는 연구을 진행하고 있다. 본 연구에서는 이들 WC/Co합금제조시 가장 중요한 출발분말인 나노크기 WC 분말의 제조와 그 특성에 관하여 연구하고자 하였다. 나노미터 WC분말을 제조하기 의한 전구체는 고상의 금속유기물인Tungstenhexacarbonyl$(W(CO)_6)$ 을 사용하였다. 수평관상로을 반응기로 사용하였으며, 노내의 온도을 500-110$0^{\circ}C$로 변화시 키면서 WC 분말을 합성하였다. 반응기 및 포집기 내부를 대기분위기, 상압의 Ar분위기, 진공 분위기로 변화시켜 압력 및 분위기의 영향을 조사하였다. 포집기는 상온 및 액체질소로 냉각 한 Chiller을 사용하였다. 형성분말의 상분석은 XRD로 조사하였으며, 형태 및 결정립크기는 TEM로 분석하였다. 반응온도 600 -1 OOO$^{\circ}C$의 온도범위에서 검은색의 WC 분말이 제조되었다. XRD 분석의 결과 로 제조된 분말은 상온에서 준안정상인 Hexagonal 구조의 $\gammar-WC_{1-x}$ 상이였으며, TEM 분석결 과 상압하에서는 약 30nm이하의 WC분말이 제조되었으며, 그 형태는 둥근 4각형의 모양을 지녔다. 감압하에서 진행한 경우 결정립의 크기는 8nm이하를 가졌다.곤가스로 산화를 방지하였고, 냉매로는 질소가스를 이용하였다. 제조된 분말을 기ㅖ적 분급법을 이용하여 분급하였고, 냉매로는 질소가스를 이용하였다. 제조된 분말을 기계적 분급ㅂ법을 이용하여 분급하였고, 압출에 이용된 분말은 250$\mu\textrm{m}$이하의 크기를 사용하였다. 또한 분말제조과정 중 형성되는 표면산화층을 제거하기 위하여 36$0^{\circ}C$에서 4시간동안 수소 환원처리를 행하였다. 제조된 분말은 열간 압출을 위하여 Aㅣcan에 넣고 냉간성형체를 만들고, 진공처리를 한 후 밀봉하여 탈가스처리를 하였다. 압출다이는 압출비가 각각 28:1과 16:1인 평다이(9$0^{\circ}C$)를 사용하여 각각 내경이 9, 12cm이고, 길이가 50, 30cm인 압출재를 제조하였다. 열간압출한 후의 미세조직을 광학현미경으로 압출방향에 평행한 방향과 수직방향으로 관찰하였고, 열간 압출재 이방성을 검토하기 위하여 X선 회절분석을 실실하여 결정방위를 확인하였다. 전기 비저항 및 Seebeck 계수 측정을 위하여 각각 2$\times$2$\times$10$mm^3$ 그리고 5$\times$5$\times$10TEX>$mm^3$ 크기의 시편을 준비하였다.준비하였다.전류를 구성하는 주요 입자의 에너지 영역(75~l13keV)에서 가장 높은(0.80) 상관계수를 기록했다. 넷째, 회복기 중에 일어나는 입자들의 유입은 자기폭풍의 지속시간을 연장시키는 경향을 보이며 큰 자기폭풍일수록 현저했다. 주상에서 관측된 이러한 특성은 서브스톰 확장기 활동이 자기폭풍의 발달과 밀접한 관계가 있음을 시사한다.se that were all low in two aspects, named "the Nonsign

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Comparative study on the apical sealing ability according to the obturation techniques (근관충전방법에 따른 치근단부 폐쇄능에 대한 비교연구)

  • Hwang, Ho-Keel;Park, Sun-Hee;Lee, Yeon-Jae
    • Restorative Dentistry and Endodontics
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    • v.27 no.3
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    • pp.290-298
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    • 2002
  • 3차원적으로 잘 충전된 근관은 치근단 누출과 재감염을 방지하며, 조직이 잘 치유될 수 있는 생물학적 환경을 제공해준다. 이 때문에 근관계의 완전한 충전은 근관치료의 중요한 목표 중의 하나이다. 본 연구의 목적은 4가지 방법으로 근관충전 후 디지털 방사선 사진을 촬영하여 근관충전의 질을 평가하고 투명표본을 제작하여 색소침투범위를 측정함으로써, 근관충전방법에 따른 치근단부 폐쇄능을 비교 평가하고자 하는 것이다. 직선형의 단근관을 갖는 80개의 전치를 선택하여 ProFile$^{\circledR}$ 니켈-티타늄 회전식 기구를 사용하여 근관을 성형한 후 무작위로 20개씩 4군으로 나누었다. 사용된 근관충전법은 다음과 같다:MicroSeal$^{\circledR}$(Group A), Thermafil$^{\circledR}$(Group B), Continuous wave 충전법(Group C), 측방가압충전법(Group D), 각 군에서 10개 치아는 Sealapex를, 나머지 10개 치아는 AH26$^{\circledR}$을 충전용 시멘트로 사용하였다. 근관충전이 끝난 치아는 충전의 질과 길이를 평가하기 위해, 근원심과 협설방향으로 디지털 방사선 사진을 이용하여 촬영하였다. 각 치아의 치근단부 2mm를 제외한 나머지 부위는 두겹의 nail varnish를 바르고, 2% methlylene blue용액에 48시간동안 침잠시켰다. 흐르는 물에 깨끗이 세척한 후, 투명치아를 만들었다. 선상의 색소침투를 관찰하고 치관측 최대깊이를 입체현미경하에서 40배율로 평가하여 다음과 같은 결과를 얻었다. 1. 충전방법에 따른 근단부 폐쇄효과를 비교시, 실험군 모두 비교적 양호한 근단부 폐쇄효과를 보였고 통계학적으로 유의성이 없었다. 2. 충전용 시멘트에 따른 근단부 폐쇄효과를 비교시, AH26$^{\circledR}$을 사용한 군에서 Sealapex를 사용한 군보다 더 적은 색소침 투를 나타냈다(p<0.05). MicroSeal$^{\circledR}$을 이용한 실험 1군내에서 AH26$^{\circledR}$을 사용하였을 때 미세누출이 더 적었고(p<0.05), 다른 군내에서는 통계학적으로 유의성이 없었다. 3. 근단부 충전상태에 따른 미세누출 비교시, 저충전, 과충전과 색소침투간에는 상관관계가 없었다. 4.충전방법에 따른 근단부 충전상태 평가시, Thermafil$^{\circledR}$을 이용한 실험 2군에서 과충전이 많이 나타났다(p<0.05). 이상의 결과로, 기존의 측방가압법 및 여러 열가소성 충전법이 유사한 근단부 폐쇄효과를 나타낸 바, 방법에 따른 술자의 숙련도, 충전시간, 재근관치료의 편이성 등을 고려하여 근관충전방법을 선택하는 것이 합리적일 것이라고 사료된다.

CORRECTION OF SECONDARY CLEFT-LIP NASAL DEFORMITY BY USING ABBE FLAP: REPORT OF 4 CASES (Abbe 피판을 이용한 이차성 구순열비변형의 교정 4예)

  • Ryu, Sun-Youl;Kim, Tae-Hee;Hwang, Ung;Koo, Hong;Kwon, Jun-Kyung;An, Jin-Suk;Park, Hong-Ju
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.1
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    • pp.55-62
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    • 2007
  • Radical paring of the cleft edge during primary cleft lip operation or repeated secondary surgeries can result in tightness of the upper lip. In case, the degree of the resulting side-to-side tension is very severe, the possibility of a lip switch flap must be considered. When the lip tightness accompanies a loss of more than two-thirds of the Cupid's bow, an Abbe flap is an alternative. The disadvantages of Abbe flap are scar formation on the lower lip, design of incision line on the upper lip, disharmony of colors, and the dysfunction of the orbicularis muscle. These problems have been recognized in the literature and extreme discretion has been advised in its application. We experienced four cases of Abbe flap operation which were designed differently to correct the secondary unilateral or bilateral cleft-lip nasal deformities. The Abbe flap operations resulted in removal of the scars and tightness of the upper lip, reconstruction of the Cupid's bow, lengthening of the columella, and therefore secondary cleft-lip nasal deformity could be corrected. It is thought that carefully applied Abbe flap is an appropriate method to relieve horizontal tightness or flattening of the upper lip which occured after primary operation of cleft lip.

RETROSPECTIVE STUDY OF SHORT ROUGH SURFACE IMPLANTS (짧은 길이의 거친 표면 임프란트에 대한 후향적 연구)

  • Kong, Jun-Ha;Lee, Baek-Soo;Kim, Yeo-Gab;Kwon, Yong-Dae;Yoon, Byung-Wook;Choi, Byung-Joon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.1
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    • pp.41-45
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    • 2009
  • Background: Reduced bone height is one of the major problems faced in restoring tooth loss with implants. By the use of short implants, it is possible to reduce complicated and invasive treatment such as bone graft, allowing more simple surgery. But short implants are generally considered to have lower success rates than that of standard implants. Purpose: To assess the results of short Straumann implants by a retrospective study of short Straumann implants with TPS(titanium plasma-sprayed) and SLA(sandblasted, large grit, acid etched) surfaces. Materials and methods: 173 implants in 106 patients who received short Straumann implant surgery(${\le}8\;mm$) in the department of oral and maxillofacial surgery, Kyunghee Dental Hospital, from February 1996 to October 2006 were selected and studied. All of the implants were followed up after prosthetic rehabilitation. The average follow-up period was 34 months with 119 months as the longest follow up period. The average follow-up period after prosthetic rehabilitation was 31 months. 64 females(60.4%) and 42 males(39.6%) participated in the research with the age range of 19 to 85(mean age 47). 20 patients(18.9%) were under 40, 85 patients(80.2%) were over 40 and under 70, and only one patient(0.9%) was over 70 years old. Results: 27 implants(15.6%) had TPS surface while 146 implants(84.4%) had SLA surface. 9 implants(5.2%) were 3.3, 108 implans(62.4%) were 4.1mm and 56 implants(32.4%) were 4.8mm in diameter. 167 implants(96.5%) were 8mm and 6 implants(3.5%) were 6mm in length. There were 24 implants(13.9%) on the maxillas and 149 implants(68.8%) on the mandibles. 119 implants(68.8%) were rehabilitated with FPD(fixed partial denture), 47 implants(27.2%) with single crowns and 4 implants(2.3%) with overdentures. Among the fixed partial dentures, 30 of them were splinted with short implants only. After over an year of follow-up period, 139 implants(96.5%) out of 144 implants showed marginal bone loss of less than 1mm. 3 out of 173 implants failed showing 98.27% survival rate. Conclusions: The use of short Straumann implants(${\le}8mm$) can be a simple and reliable treatment method in minimal residual bone height.

An Experimental Study on the Evaluation of Smear Effect Considering In-situ Conditions (현장여건을 고려한 스미어 영향 평가에 관한 실험적 연구)

  • Park, Yeong-Mog
    • Journal of the Korean GEO-environmental Society
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    • v.13 no.8
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    • pp.85-94
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    • 2012
  • Evaluation of the smear effect caused by mandrel penetration into soft ground for a vertical drain installation is very important to predict the consolidation time of soft ground improvement. 30 kinds of laboratory model tests considering in situ conditions were conducted to investigate the formation of a smear zone and the decrease of coefficient of permeability in the disturbed zone. Three types(C(clay):M(silt)=1:1, 0.5:0.5, and 0:1) of reconstituted samples were used for 3 dimensional smear zone test. An experimental study was performed focusing on length of mandrel penetration, mandrel shape and size, earth pressure, and ground condition(unit weight and grain size distributions). Laboratory test results show that the length of mandrel penetration is the most critical factor for the formation of smear zone. As a result, the ratio between diameter of the smear zone($d_s$) and that of mandrel($d_m$) at field using long mandrel becomes larger than conventional $d_s/d_m$. The ratio between $d_s$ and $d_m$ ranges from 1.89 and 2.48 with the sample at C:M=1:0. It was also found that the $d_s/d_m$ value with the round shape of the mandrel is smaller than that of diamond one. The value of $d_s/d_m$ decreased with larger mandrel size, lower unit weight, and higher earth pressure. However, higher silt content led to increase of $d_s/d_m$. The ratio between coefficient of horizontal permeability in the smear zone($k_{hs}$) and that of undisturbed zone($k_{ho}$) ranged from 0.70 to 0.85. The test results imply that factors and values affecting $k_{hs}/k_{ho}$ show similar tendency with $d_s/d_m$.