• 제목/요약/키워드: Dissecting

검색결과 212건 처리시간 0.023초

내시경과 선택적 도뇨관 풍선을 이용한 안와하벽복원술 (Orbital Floor Reconstruction Using Endoscope and Selected Urethral Balloon Catheter)

  • 최환준;이주철;이형교;김준혁
    • Archives of Plastic Surgery
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    • 제38권1호
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    • pp.35-42
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    • 2011
  • Purpose: Blow-out fractures can be reduced using various methods. The orbital reconstruction technique using a balloon under endoscopic control has advantages over other methods. However, this method has some problems too, such as postoperative follow-up, management of the balloon catheter, and reduction of the posterior orbital floor. Thus, we developed a simple, effective method for orbital floor reduction that involves molding and shaping the antral balloon catheter. Methods: A 0, 30, or $70^{\circ}$, 4-mm endoscope was placed though a two-point, 5-mm maxillary antrostomy. The balloon catheter is placed directly at the orbital apex to reconstruct the anterior shelf (spherical shape), while it is turned in a U-shape towards the anterior maxilla for the posterior shelf (elliptical shape). Orbital floor defects, compound or comminuted fractures are reconstructed with alloplastic materials through an open lid incision under the endoscopic control. Results: This technique was applied to ten patients with orbital floor fractures: five anterior shelf and five posterior shelf fracture, respectively. Four of the patients had zygomatico-orbital fractures, while the rest had isolated orbital floor fractures. Two patients were given porous polyethylene implants Synpor$^{(R)}$) and three underwent reconstruction with a resorbable mesh plate. No complication associated with this technique was identified. Conclusion: The freestyle placement and selection of a urinary balloon catheter under endoscopic control and the preoperative estimation of the volume enhanced the stabilization of the orbital contour. This method improves the adaptation of the orbital floor without the risk of injuring the surrounding orbital contents, dissecting blindly, or using sharp traction. One drawback of this method is the patient's discomfort from the catheter during treatment.

Carcass Fat-free Lean Gain of Chinese Growing-finishing Pigs Reared on Commercial Farms

  • Yang, Libin;Li, Defa;Qiao, Shiyan;Gong, Limin;Zhang, Defu
    • Asian-Australasian Journal of Animal Sciences
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    • 제15권10호
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    • pp.1489-1495
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    • 2002
  • Five regions and 258 pigs were selected for this study: North (Beijing), Central (Wuhan), South (Guangzhou), Southwest (Chongqing), Northeast (Harbin). Five typical genetics of growing-finishing pig were selected: Landrace${\times}$Large White${\times}$Beijing Black, Duroc${\times}$Landrace${\times}$Large White, Duroc${\times}$Large White${\times}$Landrace, Landrace${\times}$Rongchang, Landrace${\times}$Harbin White, respectively at each sites. The basal diet was a corn-soybean meal containing sufficient nutrients to meet requirements. Carcass fat-free lean gain was determined by dissecting and analyzing chemical composition of the carcass. Cubic function fitted lean moistures to live weights better than other functions. Exponential function fitted lean lipids to live weights equally to allometric function. Carcass fat-free lean gain of Duroc${\times}$Large White${\times}$Landrace, Landrace${\times}$Large White${\times}$Beijing Black, Duroc${\times}$Landrace${\times}$Large White, Landrace${\times}$Harbin White, Landrace${\times}$Rongchang from 20 to 100 kg of average body weight was 259 g/d, 261 g/d, 311 g/d, 220 g/d, 200 g/d, respectively. All are lower than intermediate fat-free lean gain in NRC (1998).

경증 외상관련 척추동맥박리의 임상양상 및 해부학적 위치 비교 (Comparison of Clinical and Anatomical Differences of Vertebral Artery Dissection between Minor Trauma and Non-trauma Causes)

  • 정연희;안지윤;오범진;김원;임경수
    • Journal of Trauma and Injury
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    • 제20권2호
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    • pp.101-105
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    • 2007
  • Purpose: This study aimed to find any difference in the clinical or the anatomical findings of vertebral artery dissection (VAD) between the trauma and the non-trauma groups. Methods: We retrospectively reviewed the clinical data and radiologic images of VAD patients. We compared data on symptoms, neurologic deficit, National institutes of health stroke scale (NIHSS) at admission, Rankin score (RS) at admission and discharge, and radiological findings including anatomical features, between the trauma and the non-trauma groups. Results: From January 1997 to May 2006, 42 patients were enrolled and 13 patients (31%) had a history of earlier trauma. Focal neurologic deficit (trauma group 11/13 vs. non-trauma group 11/29), cerebral stroke (10/13 vs. 9/29), and extradural lesions of dissection (6/13 vs. 3/28) were more common in the trauma group than non-trauma group (p=0.007, p=0.017, p=0.018, respectively) and NIHSS at admission and discharge were significantly higher (p=0.012, p=0.001, respectively). Dissecting aneurysms were less frequent in the trauma group (2/13 vs. 19/29, p=0.006). Subarachnoid hemorrhage and unfavorable prognostic value (Rankin score at discharge ${\geq}$ 2) showed no differences between the groups (p=0.540, p=0.267, respectively). Conclusion: In VAD patients after trauma, focal neurologic deficit due to ischemic stroke and a steno-occlusive pattern are more frequent than they are in non-trauma patients. The location of dissection was most frequent at the extradural vertebral artery in the trauma group. NIHSS was higher in the trauma groups but the incidence of an unfavorable prognostic value (RS ${\geq}$ 2) was not significantly different between the groups.

Determining the Proportions of Bone and Cartilage Growth in the Crucian Carp (carassius auratus) Using the Modified Simultaneous Differential Staining Technique

  • Lee, Jin-Heon
    • 한국환경보건학회지
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    • 제36권4호
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    • pp.337-341
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    • 2010
  • The modified simultaneous differential staining technique, which enables double staining of cartilage and bones, needs to be improved to prevent soft tissues from being damaged during the staining process. Key factors influencing the extent to which soft tissues are damaged include the fixative used, macerating time, potassium hydroxide concentration, incubation temperature and the removal of skin from specimens. Here we describe a protocol that enables the hardening of tissues during bleaching and maceration. We also describe a method for objectively measuring rates of cartilage and bone growth. The use of formalin as a fixative rendered soft tissues more rigid due to the resulting chemical bonds formed between proteins. Blotted specimens were immersed in 1% potassium hydroxide (KOH) and incubated at $37^{\circ}C$ for 1 day (smaller specimens) or 2-3 days (larger specimens). The 1% KOH solution was also used as the diluent solution for the subsequent immersion in a graded series of 30%, 50%, 70%, 90%, 100% glycerol solutions, a procedure that made soft tissues even more transparent and hardened. It was not necessary to remove the skin of specimens shorter than 2 cm, since the macerating solution could easily penetrate their thin skin layer and continuously remove those pigments hindering visibility. Since excessive osmosis is another factor that can damage soft tissues in the macerating process by causing the rupture of those cells not able to withstand the osmotic pressure, here it was minimized by balancing the salt concentration between the interior and exterior of cells with the addition of 0.9% sodium chloride (NaCl) in the macerating solution. Finally, to determine the proportions of cartilage and bone growth, photographs of the stained specimens were taken with a dissecting microscope and sections corresponding to the cartilage and bones were cut out from the printed pictures and weighed. Our results show that this method is suitable for the objective evaluation of bone and cartilage growth.

자연 지역으로서의 태백 산지 (Taebaek Mountainous Region as a Natural Unit)

  • 기근도
    • 한국지역지리학회지
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    • 제8권4호
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    • pp.468-479
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    • 2002
  • 태백 산지는 대체로 냉량하고 습한 편이지만, 강수량은 지역적으로 많은 차이를 나타내고 있다. 이와 같은 기후지형 환경과 관련하여 태백산지의 지형 및 토양환경은 기반암의 유형에 따라서 차이를 보인다. 북부의 금강산과 설악산 같은 화강암 분포 지역은 절리밀도의 차이를 반영하는 풍화 성향 때문에 암괴 노출이 심한 산지를 이루며, 미시령 일대의 편마암 분포 지역은 전사면이 흙으로 덮여있고 상대적으로 식생밀도가 높은 곳이다. 중부에서는 암괴 노출이 심한 타지역의 화강암산지와는 달리 박토상태지만 대체로 전사면이 흙으로 덮여있다. 이는 이 지역이 눈이 많고 서릿발 작용이 활발하여 화강암을 얇게나마 풍화시킬 수 있었기 때문이다. 남부에서는 급사면의 뾰족한 봉우리와 좁고 깊은 협곡을 이루는 석회암산지 및 완만한 사면지역의 여러 가지 용식지형이 발달한다. 이 지역에는 초본류나 관목류들이 연속성이 높게 분포하여 박토상태인 토양을 잘 보전하고 있다.

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가토의 수정란이식에 관한 연구 ―II. 동결융해난자의 발육단계별 생존성- (Studies on Embryo Transfer in Rabbit ―II. The viability of deep-frozen embryos at different developing stages―)

  • 김정익;양부근;남상헌;고광두
    • 한국가축번식학회지
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    • 제7권1호
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    • pp.19-23
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    • 1983
  • Present studies were conducted to investigate the developmental stage and the location of embryos in the reproductive tract at various times after ovulation, the morphologically normal after thawing of embryos preserved in liquid nitrogen, and the survival after transferring frozen-thawed embryos. The results obtained were as follows: 1. Embryo stage and location in the reproductive tract after hCG administration. For the investigation of embryo stage and location in the reproductive tract after ovulation, rabbits were laparotomized at 24, 40, 48, 72 and 120 hrs post hCG injection, simultaneously with mating. the oviducts and uteri were flushed out with PBS medium containing 50% rabbit serum, respectively. 1) Most of embryos was remained in the oviduct within 48 hrs, with the lapse of time, embryos were started to move to uterus and shifted in uterus at 72 hrs after hCG injection. 2) The representatives of embryos stage collected at 24, 40, 48, 72 and 120 hrs were 1-cell(60.4%), 8-cell to early morula (52.3, 39.3%), late blastocyst (95.5%) stages, respectively. 2. Morphological normality and survival of the frozen-thawed embryos. For the evalution of the quality and viability on the frozen-thawed embryos, immediately after thawing, embryos were assessed by morphologically normal under a dissecting microscope, and a further test of frozen-thawed embryos was made by transferring the morphologically normal embryos to the uteri of recipient rabbit induced pseudopregnancy by the injection of hCG at the time of hCG injection in donor rabbits. 1) The propotions of embryos which a, pp.ared morphologically normal was higher when 8-cell (85.7%) and morula(90.5%) were used for freezing than when 4-cell (66.7%) and blastocyst (75.8%) were used. 2) Preganacies were observed at Day 15 after transfer of frozen-thawed 8-cell (7/13), morula (19/42) and blastocyst (3/19) but not after transfer of embryos at 4-cell stage.

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TIMP-1 in the regulation of ECM and apoptosis

  • Liu, Xu-Wen;Jung, Ki-Kyung;Kim, Hyeong-Reh-Choi
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 2002년도 창립10주년기념 및 국립독성연구원 의약품동등성평가부서 신설기념 국재학술대회:생물학적 동등성과 의약품 개발 전략을 위한 국제심포지움
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    • pp.89-96
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    • 2002
  • The importance of apoptosis in normal development and pathogenesis has been well recognized, and explosive progress towards dissecting its commitment step has been made during the past decade. Mitochondria, Apaf-1, caspase, and bcl-2 family members play central roles in the commitment step. However, it is still unclear how upstream cell survival pathways regulate apoptosis. It is also unknown whether the bcl-2 family members have any effect on the upstream survival pathways. We have demonstrated that the anti-apoptotic gene product bcl-2 greatly induces expression of the tissue inhibitor of metalloproteinase-1 (TIMP-1) in human breast epithelial cells. Surprisingly, we found that TIMP-1, like bcl-2, is a potent inhibitor of apoptosis induced by a variety of stimuli. Functional studies indicate that TIMP-1 inhibits a classical apoptotic pathway mediated by caspases, and that focal adhesion kinase (FAK)/Pl 3-kinase and mitogen activated protein kinase (MAPK) are critical for TIMP- 1 -mediated cell survival. We also showed specific association of TIMP-1 with the cell surface. Consistently, a 150-H)a surface protein was identified in MCF10A cells that specifically binds TIMP-1. Taken together, we hypothesize that TIMP-I binding on the cell surface induces a cell survival pathway that regulates the common apoptosis commitment step. The results of these studies will address a new paradigm in the regulation of apoptosis by an extracellular molecule TIMP-1, and also greatly enhance our understanding of TIMP-1's pleiotropic activity in many physiological and pathological processes. This information may also be useful in designing more rational therapeutic interventions aimed at modulating the anti-apoptotic activity of TIMP-1 .

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박리성 대동맥류(DeBakey Type III)의 외과적 치험 -2예보고- (dissecting aortic aneurysm (DeBakey Type III) -Report of two cases-)

  • 문경훈
    • Journal of Chest Surgery
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    • 제19권3호
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    • pp.443-448
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    • 1986
  • Aortic dissection is a serious disease that mortality does not approach to zero despite of medical and surgical improvement. Recently two cases of aortic dissection were treated with good results by the two other methods. Case 1 [57-Y-0-Male]; Chief complaint was chest pain radiating to the back. Preoperatively he was controlled by Minipress, dichlotride, & sodium nitroprusside. Aortography showed DeBakey Type III aortic dissection extending from just below the Lt. subclavian artery to the proximal portion of the origin of the renal artery. Through the midline long incision Flow reversal & Thrombo-exclusion method was used, and bypass course was proximal anastomosis at the ascending aorta - through the Rt. thoracic cavity - midportion of the diaphragm - posterior to the liver, stomach, & pancreas - distal anastomosis at the abdominal aorta proximal to its bifurcation. Bypass graft was preclotted 20 mm Dacron Woven Graft, and the aortic arch between the Lt. subclavian artery & Lt. common carotid artery was divided and meticulously sutured. Control aortogram which was done at 4th postoperative month revealed obstruction of the false lumen by thrombosis, and complications were not noticed. Case 2 [53-Y-0-Male]; Chief complaint was chest pain radiating to the abdomen. DeBakey Type III aortic dissection which was similar to the case 1 was detected by the aortography, and involvement of the Lt. subclavian & common carotid arteries was suspicious. Through the Lt. posterolateral thoracotomy the Ringed Intraluminal Sutureless Graft, No. 22 mm, was inserted from just below the Lt. common carotid artery to the midportion of the descending thoracic aorta under total circulation arrest using a F-F bypass, and the Lt. subclavian artery was ligated. Postoperatively hospital course was uneventful with antihypertensive drugs, and any specific complications were not noticed.

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Aortic Composite Valve Graft의 이식시 인조혈관을 이용한 좌 관상동맥의 문합술 1례 보고 (Use of an Interposition Tube Graft for the Reattachment of Left Coronary Ostium to the Aortic Composite Valve Graft. -One Case-)

  • 김창남;최종범;최형호
    • Journal of Chest Surgery
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    • 제29권6호
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    • pp.646-650
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    • 1996
  • Aortic composite valve graft를 이식하는 술식에서 관상동맥을 문항하는 방법에 따라 그 단점과 합병증을 가지고 있다. 종래에 주로 이용되었던 방법과 달리, composite graf 문합부의 긴장을 줄여 출혈을 최소화하고 만기에 발생할 수 있는 가성 대동맥류를 방지할 수 있는 술식을 서술하고자 한다. 저자들은 심한 대동맥판 폐쇄부전이 합병된 급성 대동맥 박리 (DeBakey Type I)를 가진 40세 남자에서 composite graft의 이식과본변형술식을시행했다 본술식에서 좌관상동맥구에 직경 10mm의 인조혈관을문합하고 그 원위부를 composite gray떼 문합하였으며 우 관상동맥 단추편은 composite graf떼 직접 문합하였다. 이 방법으로 판륜 가까이에 위치한 좌관상동맥구를 과도한 긴장없이 composite gray에 쉽게 부착할 수 있어서 술후 출혈 및 가성동맥류의 발생을 최소화할 수 있을것으로 사료된다.

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양식 조피볼락(Sebastes schlegeli) 치어의 대량폐사 원인인 비브리오병에 관하여 (Vibro ordalii, the causative agent of massive mortality in cultured rockfish(Sebastes schlegeli) larvae)

  • 박성우;김영길;최동림
    • 한국어병학회지
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    • 제9권2호
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    • pp.137-145
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    • 1996
  • 1995년과 1996년 충남의 조피볼락 종묘생산장에서 발생한 대량폐사의 원인을 조사하였다. 병어로 부터 분리된 원인균은 생화학적 및 생물학적 특성에 의해 Vibrio ordalii로 동정되었다. 당년생과 일년생 조피볼락에 대한 병원성 조사를 위하여 수온 $18^{\circ}C$$25^{\circ}C$에서의 감염실험을 실시한 결과 $25^{\circ}C$의 일년생 시험어에 비해 $18^{\circ}C$의 당년생 치어가 훨씬 높은 비율로 감염되었다. 이러한 결과는 양어장에서의 질병발생예를 포함한 현장조사 결과와 일치하고 있었다. 병어의 병리조직학적 관찰결과 아가미는 2차새변과 뇌의 모세혈관의 확장, 호흡상피의 박리, 간실질의 위축, 신장의 괴사가 관찰되었고 소화관계는 뚜렷한 병변이 없었다.

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