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Fibrin Sealant and Lipoabdominoplasty in Obese Grade 1 and 2 Patients

  • Mabrouk, Amr Abdel Wahab;Helal, Hesham Aly;Al Mekkawy, Soha Fathy;Mahmoud, Nada Abdel Sattar;Abdel-Salam, Ahmed Mohamed
    • Archives of Plastic Surgery
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    • v.40 no.5
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    • pp.621-626
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    • 2013
  • Background Ever since lipoabdominoplasty was first developed to achieve better aesthetic outcomes and less morbidity, the rate of seroma formation, especially in obese patients, has disturbed plastic surgeons. The aim of this study was to evaluate the effect of fibrin sealant in the prevention of seroma formation after lipoabdominoplasty in obese patients. Methods Sixty patients with a body mass index (BMI) between 30 and 39.9 were assigned randomly to 1 of 2 groups (30 patients each). Group A underwent lipoabdominoplasty with fibrin glue, while group B underwent traditional lipoabdominoplasty; both had closed suction drainage applied to the abdomen. The patients' demographics and postoperative complications were recorded. Seroma was detected using abdominal ultrasound examinations at two postoperative periods: between postoperative days 10 and 12 and, between postoperative days 18 and 21. Results The age range was 31 to 55 years ($38.5{\pm}9.5$ years) in group A and 25 to 58 years ($37.8{\pm}9.1$ years) in group B, while the mean BMI was 31.4 to 39.9 $kg/m^2$ (32.6 $kg/m^2$) in group A and 32.7 to 37.4 $kg/m^2$ (31.5 $kg/m^2$) in group B. In group A, the patients had a complication rate of 10% in group A versus 43% in group B (P<0.05). The incidence of seroma formation was 3% in the fibrin glue group but 37% in the lipoabdominoplasty-alone group (P<0.05). Conclusions Lipoabdominoplasty with the use of autologous fibrin sealant is a very effective method that significantly reduces the rate of postoperative seroma.

The Effects of Reactive Nitrogen (Nr) Compounds on the Acidification in Soil and Water Environment Ecosystems and the Mitigation Strategy (반응성 질소화합물로 인한 토양 및 물 환경 생태계의 산성화 영향 및 대응방안)

  • Cho, Youngil;Kang, Hyesoon;Jeon, Eui-Chan
    • Korean Journal of Ecology and Environment
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    • v.49 no.1
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    • pp.1-10
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    • 2016
  • The increases of industrial and technological development and human activities have disturbed the balance of natural nitrogen (N) circulation. These phenomena have induced that large amounts of N are to be present in excess in air, soil and water environment. We investigated the effects of excess of reactive nitrogen ($N_r$) compounds on soil and water environment ecosystems through literature and case studies, and suggested the strategy of mitigating the acidification in soil and water ecosystems. $N_r$ moves to air, soil and water media, can be converted to different types, and interacts with other chemical compounds. As an efficient N management plan, the evaluation (application of monitoring and safety index) and the chemical restoration (research and development) of the acidification in soil and water environment ecosystems are required to minimize the effects of $N_r$ as well as policies to regulate the various emission sources and amounts of $N_r$.

The Effects of Flow Wave form on the Flow Characteristics in Tapered Vascular Grafts (유량 파형이 데이퍼형 인조혈관 유동에 미치는 영향)

  • Lee, H. C.;Seok, K. W.;Jon, C. W.;Lee, J.;Lee, Y. S.;Kim, S. H.
    • Journal of Biomedical Engineering Research
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    • v.17 no.3
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    • pp.337-346
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    • 1996
  • The patency of small size vascular grafts is poor, and the blood flow characteristics in the artery graft anastomosis are suspected as one of the important factors influencing intimal hyperplasia. Disturbed flow patterns caused by sixte and compliance mismatch generate unfavorable flow environment which promotes intimal thickening. Tapered vascular yuts are suggested in order to reduce sudden expansion near the anastomosis. The photochromic flow visualization method is used to measure the flout fields in the end-to-end anastomosis model under the carotid and femoral artery flow wave form. The results show that flow disturbance near the anastomosis is diminished in the tapered grafts comparing to the tubular graft. As the divergent ang1e decreases, we can reduce the low and oscillatory wall shear stress zone which is prone to intimal hyperplasia. The flow wave form effects the wall shear rate dis- tribution significantly. The steep deceleration and back flow in the femoral flow wAve form cause low mean wall shear rate and high oscillatory shear index.

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Atherogenic Risk Stratification According to Changes in the Geometrical Shape of the Coronary Artery (관상동맥의 기하학적 형상변화에 따른 동맥경화 위험도)

  • Suh, Sang-Ho;Park, Jun-Gil;Roh, Hyung-Woon;Lee, Byung-Kwon;Kwon, Hyuck-Moon
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.34 no.10
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    • pp.893-899
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    • 2010
  • A previous study showed that hemodynamics is correlated with stenosis in the coronary artery. The flow characteristics and the distributions of the hemodynamic wall parameters in the coronary artery are investigated under physiological flow condition. The present study also aims to establish the mechanism of the generation of atherosclerosis by analyzing the hemodynamic variables in the coronary artery where atherosclerosis frequently occurs. The stenosis phenomena due to atherosclerosis are related to not only the biochemical reaction between blood and blood vessels but also the hemodynamic factors sush as flow separation and oscillatory wall shear stress. As the bifurcated angle increases, the size of the recirculation area that appears in the cross section increases and disturbed flow is observed in this area. We speculate that this area is the starting point of atherosclerosis in the coronary artery.

Spatial Distribution Pattern of the Populations of Carex siderosticta at Mt. Geumjeong and Mt. Ahop (금정산과 아홉산의 대사초 집단의 공간적 분포 양상)

  • Huh, Man Kyu
    • Journal of Life Science
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    • v.25 no.4
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    • pp.369-375
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    • 2015
  • Data on the spatial distribution of a plant population among administrative areas is useful for various purposes. In this study, I analyzed the spatial distribution of the geographical distances of Carex siderosticta at Mt. Geumjeong and Mt. Ahop in Korea. The aim was to test a spatial structure within two populations of C. siderosticta. Most natural plots of C. siderosticta are not uniformly distributed in the forest community; for example, uniform plots were aggregately distributed within a space of 6.0 m $\times$ 6.0 m. When the sampling plots were larger than 6.0 m $\times$ 12.0 m, the individuals of C. siderosticta were aggregately distributed. The neighboring patches of C. siderosticta were predominantly 7.5 m to 9.0 m apart, on average; however, if the natural populations were disturbed by human activities, the aggregation occurred in shorter distances than a scale of 9.0 m. Moran's I of C. siderosticta significantly differed from the expected value in only 16 of 40 cases (40%). In conclusion, the geographical distribution of C. siderosticta is not even, with varying degrees of size in the plots, while human activities give rise to density effects in the plots at both Mt. Geumjeong and Mt. Ahop in Korea.

Sleep Quality and Its Association with the Dietary Behavior and Lifestyle of University Students in Cheongju (청주지역 일부 대학생의 수면의 질에 따른 식행동 및 생활습관)

  • Jin, Sewhan;Pae, Munkyong
    • Korean Journal of Community Nutrition
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    • v.24 no.5
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    • pp.395-407
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    • 2019
  • Objectives: This study examined the association of the sleep quality and patterns with the dietary behavior, including snack and beverage consumption, taste preferences, as well as lifestyle of university students. Methods: The subjects were 406 university students in Cheongju, Korea, and the data were collected using a self-administered questionnaire. They were divided into two groups according to the Pittsburgh Sleep Quality Index (PSQI): good-quality sleepers (PSQI score ≤ 5) and poor-quality sleepers (PSQI score > 5). The data were analyzed using a χ2-test, independent t-test, and analysis of covariance using the SPSS 25.0 program. Results: Fifty-two percent of university students were categorized as poor-quality sleepers by the PSQI. Students classified as poor-quality sleepers had delayed bedtimes, and a shorter duration in bed and total sleep hours than the good-quality sleepers did. Poor-quality sleepers were more prevalent among those who were female, having irregular mealtimes, or frequent late night meals. They also consumed fast food frequently, such as fried chicken and hamburgers, and noodles when adjusted for gender. In addition, drinks with caffeine over milk were dominant among poor-quality sleepers. Furthermore, the preferences for spicy and salty tastes and longer smartphone usage were more prevalent in those with poor-sleep quality. Conclusions: These results showed that more than 50% of university students reported disturbed sleep and poor quality sleep was associated with less desirable snack consumption and taste preference, more smartphone usage, and others. Therefore, nutrition education program along with lifestyle changes promoting sufficient sleep are encouraged to provide for university students, particularly those who have poor sleep quality.

Estimation of Degree of Weathering in Residual Soil Using Water Content from Fall Cone Test Result (Fall cone test의 함수비를 이용한 잔적토의 풍화도 측정)

  • Son, Young-Hwan;Chang, Pyoung-Wuck;Kim, Seong-Pil
    • Journal of the Korean Geotechnical Society
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    • v.23 no.12
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    • pp.13-23
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    • 2007
  • Weathered soils appear from the rock and its weathering result. In accordance with the degree of weathering the roch may become soft rock, weathered rock and residual soil. In general, classification method for determining the degree of weathering are performed by chemical method and N-value. But these method have some problems. So, this research is to suggest an appropriate physical method to determine the degree of weathering of weathered soils. A new classification method for determining the degree of weathering is suggested, based upon the results from fall cone test. According to the proposed physical method using fall cone apparatus, the measured values of the samples from the same area show distinctive difference of weathering. For the checking, we selected two areas. As a result, the relationship between CWI and water content according to penetration is expressed as an equation in Ilsan and Incheon area. And it proved to be a good method to determine the degree of weathering.

A Study on Consolidation Settlement Calculation of Cutting Soft Clay as Fill Material (절취 연약점성토의 성토재 활용에 따른 압밀침하량 산정에 관한 연구)

  • Yonghee Park
    • Journal of the Korean GEO-environmental Society
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    • v.25 no.4
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    • pp.5-12
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    • 2024
  • In the case of creating a site in the reclaimed land (public waters), due to the nature of the coastal sedimentary ground, large-scale construction materials are required, It is necessary to utilize soft clay, which is inevitably generated during construction of the complex, as a fill material in terms of resource recycling and economic aspects (reducing the amount of embankment required). In this study, changes in the consolidation characteristics of cut-out disturbed soft clay due to the recycling of soft clay soil were identified, and a consolidation settlement design plan was proposed. Through the results of the consolidation test of the study site, the change in consolidation characteristics (compression index reduction, precede load uncountable) due to disturbance (cutting) was confirmed, the method of calculating (consolidation settlement) the filling clay layer as the composite target layer (consolidation target layer, loading load layer) was analyzed as a result consistent with the actual behavior.

The Effects of Kamipalmijiwhangtang and Kamigangwhalsokdantang on Osteoporosis in Ovariectomized Rats (가미팔미지황탕(加味八味地黃湯) 및 가미강활속단탕(加味羌活續斷湯)이 난소적출(卵巢摘出) 흰쥐의 골다공증(骨多孔症) 유발억제(誘發抑制)에 미치는 영향(影響))

  • Jang Dong-Soon;Kim Kwang-Ho
    • Journal of Society of Preventive Korean Medicine
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    • v.3 no.1
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    • pp.1-33
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    • 1999
  • In order to compare and study the effects of Kamipalmijiwhang tang(加味八味地黃湯) & Kamigangwhalsokdantang(加味羌活續斷湯) on inhibition of osteoporosis induced by ovariectomy, the author administered Kamipalmijiwhangtang & Kamigangwhalsokdantang to the sample groups per orally before and after ovariectomy. The author observed the activities of cathepsin L, K and the contents of calcium, calcitonin, osteocalcin and phosphorus in the serum for the biochemical index, the contents of IL-6 in the serum and bone marrow for immunological index, the state of bone loss in the metaphysis of tibia by histological study, the expression of ELAM-1 &collagen IV by immunohistochemical analysis, the expression of fos by immunocytochemical analysis. The results were as follows: 1. The activities of cathepsin L, K in the serum had a significant inhibitive effects in all sample groups compared with the control group. The inhibitive effects of Sample A-1 & B-1 was better than those of A-2 & B-2 and the inhibitive effects of sample B-1 & B-2 was better than those of A-1 & A-2. 2. The content changes of IL-6 in the serum and bone marrow had a significant inhibitive effects in all sample groups compared with the control group. The inhibitive effects of sample A-1 & B-1 was better than those of A-2 & B-2 and the inhibitive effects of sample B-1 & B-2 was better than those of A-1 & A-2. 3. In the histological study of tibial metaphysis all the sample groups inhibited bone loss significantly compared with the control group and expressed trabecula shape of bone similar to the normal group. 4. The expression of ELAM-1 & collagen IV decreased a little bit in sample A-2. It also decreased to a similar degree in sample B-2 like normal group and disturbed itself. 5. The expression of fos was inhibited in all sample groups compared with control group. The inhibitive expression of sample B-1 & B-2 was more remarkable than those of A-1. & A-2. 6. The serum calcium had a significant increasing effects in an sample groups compared with control group. Each sample groups didn't have any significant difference. 7. The serum calcitonin had a significant increasing effects in sample A-1, A-2 and B-1 groups compared with control group. Each sample groups didn't have any significant difference. 8. The serum osteocalcin and phosphorus didn't have any significant difference in all sample groups compared with control group.

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Disturbed Functional Asymmetry of Sensorimotor Cortex in Schizophrenia: A Study with Functional Magnetic Resonance Imaging (정신분열증에서 감각운동피질의 기능적 비대칭성의 장애: 기능적 자기공명영상을 이용한 연구)

  • Ahn, Kook-Jin;Chae, Jeong-Ho;Kim, Tae;Kim, Euy-Neyng;Lee, Jee-Mun;Choi, Kyu-Ho;Hahn, Seong-Tai
    • Investigative Magnetic Resonance Imaging
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    • v.4 no.1
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    • pp.52-57
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    • 2000
  • Purpose : The purpose of this study was to investigate the pattern of cerebral response to motor tasks in patients with schizophrenia compared with normal subjects using functional MRI. Materials and methods ; Nine right handed-schizophrenic patients and six right-handed normal subjects were included. We used right hand movement as task. Series of 120 consecutive echo-planar images per section were acquired during three cycles of task and rest activations. Lateralization index of cortical response was measured and compared between patients and normal subjects. Results ; Right hand motor task was associated with greater activation in left sensorimotor cortex than the right in normal subjects. Schizophrenia patients showed relatively decreased activation in left cortex and increased activation in right cortex compared with normal subjects. In one patient, reversed lateralization was noted. Conclusion : Normal hemispheric asymmetry of cortical response to motor task was found in different pattern in schizophrenia. Our result is consistent with functional disturbance of motor circuitry in this disorder. Functional MRI will play an important role in diagnosis and research of this disorder.

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