• Title/Summary/Keyword: 화학 화상

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Pain Control for Hydrofluoric Acid Chemical Burn Using EMLA® creams (EMLA® 연고를 이용한 불산 화학 화상의 통증 조절)

  • Choi, Hwan Jun;Song, Jin Woo;Choi, Chang Yong
    • Archives of Plastic Surgery
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    • v.36 no.1
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    • pp.113-117
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    • 2009
  • Purpose: Although Hydrofluoric acid(HF) is not a strong acid when compared to other hydrogen halides, it is a feared corrosive and is particularly dangerous at higher concentrations. HF burns are characterized by symptoms, often delayed and localized with diluted HF solutions, to include erythema, edema and severe pain. Pain, a well known symptom following exposure to calcium binding. And, EMLA$^{(R)}$ cream is a topical formulation based upon the eutectic mixture of lidocaine and prilocaine and is used in clinical settings to provide pain relief undergoing superficial surgical procedures. The aim of this study is to evaluate effects of EMLA$^{(R)}$ cream, pain - control dressing on the treatment for HF injury wound. Methods: From June 2007 to June 2008, this study was carried out with 10 patients who had HF partial thickness burns. We were applied topically EMLA$^{(R)}$ cream to injured wound with vaseline gauze and 10% calcium gluconate wet gauze dressings. As a principle, in the emergency treatment, partial or complete removal of the bullae along with copious washing with normal saline was done, depending on the degree of HF invasion of the distal digital extremities. The effect of dressing was investigated by visual analogue pain scale. Results: We therefore reviewed 10 cases of HF - induced pain and pain relief treatment principle. The 10 cases who came to the hospital nearly immediately after the injury healed completely without sequelae and EMLA$^{(R)}$ related complications. Conclusion: Proper initial treatment of HF burns are important, if not promptly recognized and properly treated, for produce serious injury. Topical EMLA$^{(R)}$ cream remain a powerful, new advancement for minimizing HF - related pain during dressing procedures. When used appropriately, topical EMLA$^{(R)}$ cream can provide a safe and effective alternative to other forms of HF - pain control treatment.

Treatment for Hydrofluoric Acid Chemical Burn Using Acticoat® (Acticoat®를 이용한 불산에 의한 화학 화상의 치료)

  • Choi, Hwan Jun;Wee, Syeo Young;Choi, Chang Yong
    • Archives of Plastic Surgery
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    • v.35 no.4
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    • pp.407-412
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    • 2008
  • Purpose: Hydrofluoric acid(HF) is one of the most dangerous mineral acids with the dissociated fluoride ions. The initial corrosive burn is caused by free hydrogen ion, and the second and more severe burn is caused by penetration of fluoride ions into subcutaneous tissues. Silver is a cation producing dressing, an effective antimicrobial agent, but older silver-containing formulations are rapidly inactivated by wound environment, requiring frequent replenishment. But, $Acticoat^{(R)}$ is a relatively new form of silver dressing which helps avoid the problems of earlier agents. The aim of this study is to evaluate effects of $Acticoat^{(R)}$, silver-containing dressing on the treatment for HF injury wound. Methods: From september 2006 to september 2007, the study was carried out with 10 patients who had HF partial thickness burns. $Acticoat^{(R)}$ dressing and 10% calcium gluconate wet gauze dressings in 10 cases. As a principle, in the emergency treatment, partial or complete removal of the nail and early bullectomy along with copious washing with normal saline was done, depending on the degree of HF invasion of the wound. Wound was dressed with $Acticoat^{(R)}$ and 10% calcium gluconate solution. The effect of dressing was investgated by serial bacterial culture and wound exudates assessment. Results: We therefore reviewed 10 cases of HF-induced chemical burns and treatment principle. The 10 cases who came to the hospital nearly immediately after the injury healed completely without sequelae. Conclusion: As the industrial sector develops, the use of HF is increasing more and more, leading to increased incidences of HF-induced chemical burns. The education of patients regarding this subject should be empathized accordingly. In conclusion, $Acticoat^{(R)}$ dressing is a better choice for HF partial thickness burn injuries because of shorter healing time, less pain and more comfortable dressing.

Anatomical Characteristics and Trace Elements of Historical Papers and Cloths from Neunggasa Temple in Korea (능가사 출토 종이와 섬유의 해부학적 성질 및 미량원소 분석)

  • Wazny, Agnieszka Helman;Park, Won-kyu
    • Journal of Conservation Science
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    • v.10 no.1 s.13
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    • pp.1-9
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    • 2001
  • The objective of this study is to examine the characteristics of historical papers and cloths found at Neunggasa temple, Goheunggun, Chonnam Province, Korea, using light microscopy, image analysis and SEM-EDS for fiber morphology and trace metal composition. All papers were made from paper mulberry. Transparent membrane, which was separated from bast fiber, was unique in these fibers. The papers found on the wall of Daewungjun were most highly degraded and those of the books, which were excavated under Cheungwangmun, were relatively well preserved. The cloths found under the statue 'Dong-bangjiguk' were silk, very narrow fiber without any marks. In the analysis of SEM-EDS, high content of silica was detected. Also small content of calcium was taken into consideration. Content of iron and chlorine were discussed from the viewpoint of potentially harmful elements for the conservation of paper. The composition of trace elements could not be used to determine the origins of papers.

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Solubilization of Monochlorophenol Isomers by the Aqueous Solution of Tetradecyltrimethylammonium bromide (Tetradecyltrimethylammonium bromide 수용액에서 Monochlorophenol 이성질체들의 가용화에 대한 연구)

  • Lee, Byung-Hwan
    • Applied Chemistry for Engineering
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    • v.21 no.3
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    • pp.337-342
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    • 2010
  • The interaction of monochlorophenol isomers with the micellar system of TTAB (tetradecyltrimethylammonium bromide) was studied by the UV/Vis spectrophotometric method. The solubilization constants ($K_s$) of monochlorophenol isomers into this micellar system have been measured with the change of temperature. Various thermodynamic parameters (${\Delta}G^{\circ}_s$, ${\Delta}H^{\circ}_s$, and ${\Delta}S^{\circ}_s$) have been calculated and analyzed from the dependence of $K_s$ values on the temperature. The results show that the values of ${\Delta}G^{\circ}_s$ and ${\Delta}H^{\circ}_s$ are all negative but the values of ${\Delta}S^{\circ}_s$ are all positive for the solubilizations of all isomers within the measured temperature range. The effects of additives (n-butanol and NaCl) on the solubilization of monochlorophenol isomers by the same surfactant system have been also measured. There was a great change on the values of $K_s$ and CMC simultaneously with these additives. From these changes we can postulate the solubilization sites of each isomer in the micellar system of TTAB.

Treatment for Hydrofluoric Acid Chemical Injury on Hands (불산에 의한 수부 화학 화상의 치료)

  • Nam, Seung Min;Choi, Hwan Jun;Kim, Mi Sun
    • Archives of Plastic Surgery
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    • v.34 no.4
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    • pp.471-477
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    • 2007
  • Purpose: Hydrofluoric acid(HF) is one of the most dangerous mineral acids with dissociated fluoride ions. As hydrofluoric acid is present in various household products(such as rust removers), a large population of industrials is at the risk of HF exposure. It is a very strong organic acid, used widely in glass etching, metal washing, and in the semiconductor industry. Even when using adequate safety measures, lack of care on the user's part results in chemical burn by HF. Symptoms caused by HF-induced chemical burns shows delayed manifestations resulting in a loss of proper treatment opportunities. We therefore reviewed 20 cases of HF-induced chemical burns and treatment principle. Methods: The objects of this study were 19 male patients and 1 female treated from March 2004 to March 2006. There were 19 cases of injury on digits and 1 on the wrist area. There were 15 cases of immediate treatment after sustaining HF-induced burns, and 5 cases of delayed treatment. As a principle, in the emergency treatment, partial or complete removal of the nail along with copious washing with normal saline was done, depending on the degree of HF invasion of the distal digital extremities. Results: The 15 cases who came to the hospital immediately after the injury were healed completely without sequelae, and those who delayed their treatment needed secondary surgical measures, due to the severity of inflammation and necrosis of the digital tissues. Conclusion: As the industrial sector develops, the use of HF is increasing more and more, leading to increase in incidences of HF-induced chemical burns. When treating chemical burns caused by HF, washing by copious amounts of normal saline, along with early removal of the nails, rather than calcium gluconate, seems to be a available method for preserving the shape and function of the digits and the nail. The education of patients regarding this subject should be empathized accordingly.

Solubilization of Cresol Isomers by the Cationic Surfactant of TTTAB in Aqueous Solution of n-Butanol and NaCl (n-부탄올 및 NaCl 수용액에서 양이온 계면활성제인 TTAB에 의한 크레졸 이성질체들의 가용화에 대한 연구)

  • Lee, Byung-Hwan
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.3
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    • pp.832-839
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    • 2021
  • We tried to investigate the effects of substituent position, temperature, and additives such as NaCl and n-butanol on the solubilizations of cresol isomers by tetradecyltrimethylammonium bromide (TTAB), using the UV-Vis spectrophotometric method. The measured solubilization constants (Ks) values for each cresol isomer increased in the order o-cresolo and ∆Ho values for the solubilizations of cresols were all negative values but the ∆So values were all positive values within the measured ranges. The values of ∆Go increased also with increasing the concentration of n-butanol but decreased with increasing the concentration of NaCl. From these facts, we could conclude that both the enthalpy and entropy changes contribute together for the solubilizations of cresols isomers by cationic surfactant of TTAB and they are solubilized in the polar palisade region or at the surface of micelle.

Geochemistry, Isotope Properties and U-Pb Sphene Age of the Jeongeup Foliated Granite, Korea (정읍엽리상화강암의 지구화학 및 동위원소 특성과 U-Pb 스핀 연대)

  • Jeong, Youn-Joong;Cheong, Chang-Sik;Park, Cheon-Young;Shin, In-Hyun
    • Journal of the Korean earth science society
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    • v.29 no.7
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    • pp.539-550
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    • 2008
  • In this paper, we investigate the geochemical and isotope properties of the Jeongeup foliated granite (hereafter, the JFG) in the Jeongeup area, aiming at establishing the movement age of the Honam shear zone by U-Pb sphene geochronology. In the AMF diagram, the JFG corresponds to the calc alkalic rock series, and belongs to the magnesia region in the diagram of silica versus $FeO^{total}/(FeO^{total}+MgO)$. Additionally, in the Rb-Ba-Sr diagram, it is classified as granodiorite and anomalous granite with distinctive negative Eu-anomaly in the REE patterns. According to the silica and trace element contents, the JFG falls on the type VAG+syn-COLG, which implies that this was formed under the circumstance of compressional continental margin or volcanic arc. $^{143}Nd/^{144}Nd$ isotope ratios range from 0.511495 to 0.511783 and $T_{DM}$ are calculated to be about $1.68{\sim}2.36Ga$. U-Pb sphene ages of the JFG are $172.9{\pm}1.7Ma$ and $170.7{\pm}2.8Ma$, based on $^{238}U-^{206}Pb$ and $^{235}U-^{207}Pb$ ages, respectively. Presumably, the dextral ductile shearing in the Jeongeup area has occurred after 173 Ma.

A Clinical Observation on Children with Corrosive Esophagitis (소아 부식성 식도염의 임상적 고찰)

  • Choi, Dong-Hyeon;Cho, Moon-Gi;Ju, Hyo-Geun;Kim, Byung-Ju;Ma, Jae-Sook
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.3 no.1
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    • pp.1-8
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    • 2000
  • Purpose: This study was undertaken to evaluate the clinical features and complication such as esophageal stricture in children with corrosive esophagitis. Methods: We retrospectively reviewed medical records of 31 children who accidentally ingested corrosive materials and visited to emergency room of Chonnam National University Hospital from Jan. 1992 to Dec. 1999. Twenty-one children were examined by upper gastrointestinal (UGI) endoscopy to evaluate location and severity of caustic injury. Results: 1) Among 31 patients, there were 20 males and 11 females and the ratio of male to female was 2:1. Average age at diagnosis was 2.3 years (12 months to 9.8 years). Twenty-seven (87.1%) patients were accidentally ingested vinegar. 2) Initial presenting symptoms were dysphagia (54.8%), vomiting (48.3%), chemical burn on lips and skin (45.2%), excessive salivation (45.2%), coughing and respiratory grunting (32.3%) and aspiration pneumonia (9.8%). 3) UGI endoscopic examination showed caustic injury in 17 children: grade I in 8, grade II in 7 and grade III in 2. The region of caustic injury was proximal esophagus in 5, distal esophagus in 3, entire esophagus in 9 and stomach in 6. 4) Corrosive esophageal strictures developed in 6 children (19.4%) and gastric outlet stricture in 1 (3.2%). All of them showed grade II or III caustic injury on endoscopic examination. Conclusion: The development of esophageal stricture was related to the severity of the caustic injury. Early UGI endoscopic examination in caustic ingestion seems to be useful for prediction of development of caustic stricture.

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Significance of Early Esophagoscopy in Corrosive Esophagitis (부식성 식도염에서의 조기 식도경술의 의의)

  • 임병석;봉정표;박순일;문태용;윤강묵
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.12.2-13
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    • 1983
  • Corrosive injuries of the esophagus by accident or suicidal attempt, though decreasing in number, still represent an important problem of our national pathology. One of the most difficult problems facing any physician is the diagnosis and management of caustic ingestion. In order to determine the extent of esophageal bums, to prevent the potential complication, to increase the therapeutic effect, the use of esophagoscopy is an essential step, and it has lessened an unnecessary admission and treatment. The authors have found the value of early esophagoscopy in selected 41 corrosive esophagitis patient who were admitted to Dept. of ENT, Wonju medical college, Yonsei university between 1980. 1-1982. 12

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Physico-Chemical Factors on the Growth of Cochlodinium polykrikoides and Nutrient Utilization (Cochlodinium polykrikoides의 성장에 미치는 물리$\cdot$화학적 요인과 영양염 이용)

  • KIM Hyung Chul;LEE Chang Ku;LEE Sam Geun;KIM Hak Gyoon;PARK Chung Kil
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.34 no.5
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    • pp.445-456
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    • 2001
  • In the 1990s, Cochlodinium polykikoides red tide has been annually occurred in the southern coast of Korea and caused the mass damage to the fisheries with a huge amount of economic loss. The present study was done to establish the biological foundation for the elucidation of the mechanism of C. polykikoiaes red tide. The growth response of C. polykikoides to physico-chemical factors such as temperature, salinity, pH, and light intensity were examined using axenic cultures to evaluate the relative importance of these factors on the dynamics of natural populations, It was found that the highest growth conditions were $25^{\circ}C,\;40\%_{\circ}$, pH 7.5, and 7,500 lux, respectively. The tolerable salinity range of growth was relatively wide at an optimum temperature and was reduced to a much narrower range at a sub-optimum temperature. These findings indicate that C. polykikoides is an eurythermal and euryhaline organism. The organism demanded higher light intensity and oceanic pH narrow in its growth. C. polykikoides utilize inorganic nutrients, such as nitrate and ammonium as N, and phosphate as P. The nutritional requirements of C. polykikoides were $40{\mu}M$ for nitrate, $50{\mu}M$ for ammonium, and $5{\mu}M$ for phosphate. The half saturation constant (Ks) for growth was $2.10{\mu}M$ for nitrate, $1.03{\mu}M$ for ammonium, and $0.57{\mu}M$ for phosphate. These values were comparatively smaller than those of other dinoflagellates reported previously. We confirmed that the organism is characterized as an eutrophic species. However, ammonium Ks value is smaller than that of other eutrophic species, This result indicates that C. polykikoides red tide may outbreak in the waters which eutrophication is in progress rather than eutrophicated waters. C. polykikoides preferred ammonium better than nitrate as a nitrogen source when in a growth stage, Therefore, our results indicate that ammonium is more important nutrient on the growth of the organism in comparison with other inorganic nutrients and C. polykikoides red tide is related with the increased ammonium concentration in the coastal waters.

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