• Clinics in Shoulder and Elbow
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• v.11 no.2
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• pp.185-188
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• 2008

Acromioclavicular joint injuries usually occur as a result of direct trauma to the superolateral aspect of the shoulder. Roockwood Type IV injuries are relatively uncommon, and they are easily misdiagnosed or neglected in patients who have suffered multiple traumas. Therefore, to correctly treat a patient with type IV injury, we need to take a careful physical examination and conduct proper radiologic evaluation for the acromioclavicular joint. We report here on two cases of modified Weaver-Dunn reconstruction for neglected type IV acromioclavicular joint injuries that were associated with multiple rib fractures.

• Tuberculosis and Respiratory Diseases
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• v.42 no.2
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• pp.184-205
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• 1995

Background: Pulmonary toxicity by bleomycin has multiple mechanisms including direct tissue toxicity due to oxygen-derived free radicals and indirect toxicity through amplification of pulmonary inflammation. To evaluate the effect of chelators or free radical scavenger to lung damage induced by bleomycin, penicillamine as a copper chelator, deferoxamine as an iron chelator and vitamin E as a free radical scavenger were administered. Methods: Two hundred Wistar rats were divided into five groups: Control, bleomycin treated, bleomycin-penicillamine treated, bleomycin-deferoxamine treated, and bleomycin-vitamin E treated groups. Rats sacrificed on day 1, day 3, day 4, day 7, day 14, and day 28 after treatment. Bronchoalveolar lavage, light microscopic and immunohistologic studies for type I, III, IV collagens, fibronectin, laminin and NBD phallicidin were evaluated. Results: There was a significant increase in the total cell counts of bronchoalveolar lavage on day 1 from all treated animals and vitamin treated group showed an abrupt decrease in total cell counts with decrease of neutrophils on day 3. Bleomycin-vitamin E treated group had the least histologic changes such as pulmonary fibrosis. The alveolar basement membranes were positive for type IV collegen and laminin. Basement membranes of bleomycin, bleomycin-penicillamine, or bleomycin-deferoxamine treated groups were disrupted and fragmented on day 4 or 7. The bleomycin-vitamin E treated group had intact basement membranes until day 28. Conclusion: Bleomycin-induced pulmonary fibrosis was related to the severity of acute injury to oxygen radicals or activation of neutrophils and disruption of basement membrane. Vitamin E seemed to be the most effective antioxidant in the inhibition of bleomycin-induced pulmonary injury and fibrosis.

• Journal of Korean Foot and Ankle Society
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• v.1 no.2
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• pp.102-111
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• 1997

The tibial Pilon fracture, which is defined as a comminuted intraarticular fracture of the distal tibia, is difficult to manage because high axial compression and rotational forces to the ankle joint result in impaction, severe comminution, metaphyseal disruption and soft tissue damage. There are variable methods of treatment such as manipulation and cast, calcaneal traction and cast, external fixation, pin and plaster, limited open reduction and external fixation, and open reduction and rigid internal fixation. Though most of authors reported better result after a surgical treatment. than that of conservative treatment, many complications such as posttraumatic arthritis and soft tissue problem still remain troublesome. We have reviewed 19 cases of the tibial Pilon fractures in 18 patients which were treated with limited open reduction and internal fixation from September 1993 to May 1996. The results were as follows: 1. The fractures were classified into five types according to the system of Ovadia and Beals, and the most frequent type was type 3 (53%). The most common cause of injury was traffic accident (47%). 2. All of the cases of type 1 and 2, in which the injury of the ankle joint was less severe, revealed good or excellent clinical results. But in type 4 and 5, because the injury is much severe and accurate reduction is difficult, the clinical results were unsatisfaetory. 3. The most frequent complication was posttraumatic osteoarthritis, and which developed in second frequent complication, was developed m the three cases of type 3 in which the radiographic results were less than fair, but there were no correlation with the clinical results. 4. We could markedly reduce the complications related to the soft tissue problem of Pilon fracture by treatment with limited open reduction and internal fixation, and consider that this is a good method of treatment of Pilon fracture when the injury is less severe and accurate reduction is possible.

• Proceedings of the Korean Society of Propulsion Engineers Conference
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• 1999.04a
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• pp.4-4
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• 1999

최근 충남대에서는 다양한 추진제와 연소 조건으로 액체로켓 연소 실험이 진행되고 있으며 그에 비례하여 많은 사고들이 발생하고 있다. 한 예로 GO$_2$/kerosene을 추진제로 하는 노즐삭마 시험용 로켓엔진(추력 1001bf, 연소실 압력 600psia) 개발 중에 화염이 인젝터면에 형성되어 인젝터면을 손상시키는 사고를 여러 번 경험하게 되었다. 본 연구는 인젝터 손상의 원인을 규명하여 안정적인 인젝터 설계에 도움을 주기 위한 목적으로 실험용 동축 인젝터를 제작하여 화염 부상 특성을 실험적으로 연구하였다. 사용된 인젝터는 연료인 Kerosene을 접선형 선회기로부터 90$^{\circ}$의 원뿔 각을 가지고 분무되도록 설계하였으며, 그 주위로 산하제인 GO$_2$가 연소실의 축방향에 수평하게 분무되도록 설계하였다. 2-유체 동축 인젝터의 난류 확산 화염에서 연료와 산화제의 혼합은 화염 특성을 결정하는 주요 변수이므로 인젝터로부터 분무되는 추진제간의 유량을 변화시켜 화염 부상 특성을 연구하였다.

• Journal of the Korean Arthroscopy Society
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• v.16 no.1
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• pp.17-25
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• 2012

Purpose: The aim of this retrospective study was to evaluate the relationship between appearance and size of bone bruise and severity of anterior cruciate ligament (ACL) injury with magnetic resonance imaging (MRI), furthermore, to identify the mechanism of ACL injury by analyzing the footprint of bone bruise. Materials and Methods: Sixty-five subjects who was taken an MRI within 6 weeks after acute ACL injury were studied. All MRI showed ACL injury and associated bone bruises. Bone bruises were analyzed using Costa-Paz classification based on appearance and location and also scored using Kornaat bone bruise grading system based on size and location. The severity of the ACL injury was graded using a 4-point system (ie, grade 0-3) with oblique coronal MRI. Results: There was statistically significant correlation between Costa-Paz classification of bone bruises in lateral femoral condyle and grade of ACL injury. There were more type 2 lesions in partial tear group (grade 1, 2), however, type 3 lesions of Costa-Paz classification in complete tear group (P=0.037). Significant positive correlations were observed between Kornaat total bone bruise score and grade of ACL injury (P=0.014). Most common ACL injury mechanism was pivot shift injury. Other mechanisms were clip valgus injury, phantom foot injury, and hyperextension injury. Conclusion: It is highly suggested that appearance and size of bone bruise is related to severity of ACL injury after acute ACL injury. The foot print of bone bruise provides valuable clues to identify ACL injury mechanism.

• Proceedings of the Korean Institute of Surface Engineering Conference
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• 2017.05a
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• pp.136-136
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• 2017

화학제염 기술은 산화제, 환원제, 금속이온, 무기산등이 혼합되어 있는 화학용액을 사용하여 원전기기 계통 내부에 생성된 고방사능 준위의 산화막과 오염물질을 제거하는 기술이다. 원전의 해체 및 유지보수에 있어 방사능 피복저감을 위한 필수적인 기술이다. 현재 원전 해체 산업은 잠재성이 높은 고부가가치 창출 산업으로 주목을 받고 있다. 원전 보유국의 경우, 기존 상용 제염기술과는 차별성 있는 제염기술을 확보하고자 노력하고 있다. 기존의 공정과 비교하여 공정비용 및 시간을 감소시킬 수 있어야 할 뿐만 아니라, 화학용액에 의한 원전 계통 금속 부품의 부식 및 손상을 최소화해야 한다. 금속 부품이 화학약품에 의한 부식손상을 받는다면 금속 부품의 수명 및 재활용 가치가 감소하기 때문에, 화학제염 기술 적용에 있어 용액에 대한 재료의 건전성 평가가 사전에 필히 이루어져야 한다. 본 연구에서는 원전 냉각재 펌프용 재료로 주로 사용되는 Stainless 304강을 시험편으로 선정하여, 화학제염 시험공정 3가지에 대한 부식손상 특성을 규명하였다. 산화공정은 과망간산($HMnO_4$) 용액을 공통으로 사용하였으며, 산화공정 종료 후 환원공정은 각 시험공정에 따라 시험공정 1은 옥살산($H_2C_2O_4$) 2000ppm, 시험공정 2는 옥살산($H_2C_2O_4$)1500ppm + 시트르산($H_8C_6O_7$)500ppm, 그리고 시험공정 3은 옥살산($H_2C_2O_4$) 3000ppm 용액을 각각 투입하여 수행하였다. 산화, 환원공정을 1Cycle로 하여, 각 시험공정 별로 총 5Cycle을 실시하였다. 각 시험공정 Cycle종료 후 시험편을 취외하여 무게감량측정, SEM(Scanning electron microscope) 분석, 3D현미경분석 그리고 타펠분극 실험을 실시하였다. 각 분석결과를 토대로 하여, Stainless 304강에 대한 화학제염 시 모델별 시험공정에 따른 부식특성을 규명하였다.

• The Korean Journal of Food And Nutrition
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• v.11 no.2
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• pp.165-170
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• 1998

Diagnostic radiology and conservative management for S75 patient with L1 lumbar fracture by traffic accidents were discussed with references, and then the obtained results were as follows ; 1. Wedging compression fractures with 10% deformity was confirmed at anterior vertebral body of L1 lumbar spine through lateral plain X-ray film. 2. Irregular bony fractures were observed at anterior vertebral body of L1 lumbar spine by CT scans, anatomically T12-L1 sites showed highly frequency of injuries, Denis's fracture type was classified as multiple compression fracture at anterior column without abnormal middle and posterior column, also no Cobb's angle, and then Frankel's neurological classification was E grade. 3. Orthopaedic treatments were performed with conservative methods. With rest on the bed, anti-in-flammatory medication, electrolyte and nutritional solution, the pain diminished. 4. After 3 weeks, rehabilitation was worked with putting on polyethylene back corset, although pains remained slightly until after 8 weeks, thereafter the spine showed gradually stability.

• Journal of Adhesion and Interface
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• v.13 no.4
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• pp.171-181
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• 2012

The demand characteristics of the conventional 12 kinds of epoxy resins which have been used for restoration of the ceramic relics were investigated to provide standards of the effective materials in this study. The result of durability analysis showed that a liquid type is more effective in ceramic relics (low damage, high strength), and a paste type is more effective in earthenware relics (high damage, low strength). The result of workability analysis appears that the liquid type is higher than the paste type, and a slow curing type is higher than a fast curing type in surface hardness. Therefore, in the case of the liquid type which is hard to reprocess due to high surface hardness, it is necessary to conduct a study on improving physical properties by adding filler. The result of the gloss analysis on epoxy resins showed that the liquid type (colorless) has higher gloss than the paste type, and the slow curing type has higher gloss than the fast curing type in liquid types. CDK-520A/520B and Araldite SV 427-2/HV 427-1 showed the most similar gloss to $700^{\circ}C$ earthenware, Devcon 5 minute, EPO-TEK 301-2, and Quik Wood showed the most similar gloss to celadon and whiteware, Quik Wood, EPO-TEK 301-2, and Devcon 5 minute showed the most similar gloss to buncheongware. It is necessary for conservator to decide the range of the restoration surface by predicting the increase and decrease of the restoration surface because most of the epoxy resins caused the volume change in curing process.

• Journal of Chest Surgery
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• v.32 no.5
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• pp.413-421
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• 1999

Background: Ischemia reperfusion injury is known to contribute to the major causes of the early graft failure in lung transplantation. Triiodothyronine (T3) has been suggested to ameliorate ischemia reperfusion injury from both in vivo and in vitro experiments of various organs. Prospecting its beneficial effect for pulmonary allograft preservation, we made a new solution by adding T3 into the extracellular type dextran solution. Material and Method: Twelve adult mongrel dogs underwent left lung allotransplantation. Six donor dogs were flushed with the new solution(Group 1, n=6), and the remaining six were flushed with Euro-Collins solution to serve as controls(Group 2, n=6). Allografts were stored in each preservation solution for 20 hours at 4$^{\circ}C$. Left single lung transplantations were performed. The right pulmonary artery and the right main bronchus were clamped at 15 minutes after the reperfusion and maintained throughout the experiment to evaluate the transplanted left lung function. Result: Arterial carbon dioxide tension was better in group 1 than in group 2 throughout the experiment period and the difference was statistically significant at 2 hours after reperfusion(28.0${\pm}$3.0 mmHg and 53.1${\pm}$17.4 mmHg, p<0.05). The differences of arterial oxygen partial pressure, peak airway pressure and pulmonary vascular resistance showed no statistical significance. The malondialdehyde(MDA) level, measured from tissue obtained at 120 minutes after reperfusion showed no statistically significant difference. The tissue wet/dry ratio of group 1(649${\pm}$27 %) was significantly lower than that of group 2(686${\pm}$71 %, p<0.05). The microscopic examination revealed varying degrees of injury represented mainly by findings such as perivascular neutrophil infiltration, capillary hemorrhage and interstitial congestion. These findings were less severe in group 1 than those in group 2. Conclusion: The new solution demonstrated superior allograft preservation after 20 hour ischemia compared to Euro-Collins solution in canine single left lung transplantation model, these results suggest that T3 might be a promising agent for pulmonary allograft preservation.

• Journal of Chest Surgery
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• v.33 no.11
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• pp.910-914
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• 2000

Ehlers-Danlos 증후군 중 제4형은 다른 형들과 마찬가지로 피부 손상이 쉽게 오고, 쉽게 멍이 들고, 관절이 잘 휘어지는 등의 신체적인 특징을 가기지만 대혈관을 침범하여 때로는 치명적인 출혈을 일으키기도 한다. 아주 작은 충격이나 힘에도 혈관들이 쉽게 찢어지거나 때로는 심각한 손상을 임기 때문에 수술 적인 치료를 하는데 많은 위험이 있을 수 있고 심지어는 이득을 얻지 못하는 경우도 있다. 저자들은 Ehlers-Danlos 증후군을 동반한 급성 대동맥박리의 성공적인 수술적 치료를 보고하는 바이다.