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Foot Reconstruction by Reverse Island Medial Plantar Flap Based on the Lateral Plantar Vessel

  • Moon, Min-Cheol;Oh, Suk-Joon;Cha, Jeong-Ho;Kim, Yoo-Jeong;Koh, Sung-Hoon
    • Archives of Plastic Surgery
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    • v.37 no.2
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    • pp.137-142
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    • 2010
  • Purpose: Tumor ablation and traumatic intractable ulceration of the plantar surface of the foot results in skin and soft tissue defects of the weight-bearing sole. Simple skin grafting is not sufficient for reconstruction of the weight-bearing areas. Instead, the island medial plantar flap (instep flap) and distally-based island medial plantar flap was used for proper reconstruction of the weight bearing area. However, there are some disadvantages. In particular, an island medial plantar flap has a short pedicle limiting the mobility of the flap and the distally-based island medial plantar flap is based on a very small vessel. We investigated whether good results could be obtained using a reverse island medial plantar flap based on the lateral plantar vessel as a solution to the above limitations. Methods: Three patients with malignant melanoma were cared for in our tertiary hospital. The tumors involved the lateral forefoot, the postero-lateral heel, and the medial forefoot area. We designed and harvested the flap from the medial plantar area, dissected the lateral and medial plantar artery and vena comitans, and clamped and cut the vessel 1 cm proximal to the branch from the posterior tibial artery and vena comitans. The medial plantar nerve fascicles of these flaps anastomosed to the sural nerve, the 5th interdigital nerve, and the 1st interdigital nerve of each lesion. The donor sites were covered with skin grafting. Results: The mean age of the 3 subjects was 64.7 years (range, 57 - 70 years). Histologically, all cases were lentiginous malignant melanomas. The average size of the lesion was $5.3\;cm^2$. The average size of the flap was $33.1\;cm^2$. The flap color and circulation were intact during the early postoperative period. There was no evidence of flap necrosis, hematomas or infection. All patients had a normal gait after the surgery. Sensory return progressively improved. Conclusion: Use of an island medial plantar flap based on the lateral plantar vessel to the variable weight-bearing sole is a simple but useful procedure for the reconstruction of any difficult lesion of the weight-bearing sole.

Hydrogenation and Electrochemical Characteristics of Amorphous-nanostructured Mg-based Alloys

  • Gebert, A.;Khorkounov, B.;Schultz, L.
    • Journal of Powder Materials
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    • v.13 no.5 s.58
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    • pp.327-335
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    • 2006
  • In the development of new hydrogen absorbing materials for a next generation of metal hydride electrodes for rechargeable batteries, metastable Mg-Ni-based compounds find currently special attention. Amor phous-nanocrystalline $Mg_{63}Ni_{30}Y_7$ and $Mg_{50}Ni_{30}Y_{20}$ alloys were produced by mechanical alloying and melt-spinning and characterized by means of XRD, TEM and DSC. On basis of mechanically alloyed Mg-Ni-Y powders, complex hydride electrodes were fabricated and their electrochemical behaviour in 6M KOH (pH=14,8) was investigated. The electrodes made from $Mg_{63}Ni_{30}Y_7$ powders, which were prepared under use of a SPEX shaker mill, with a major fraction of nanocrystalline phase reveal a higher electrochemical activity far hydrogen reduction and a higher maximum discharge capacity (247 mAh/g) than the electrodes from alloy powder with predominantly amorphous microstructure (216 mAh/g) obtained when using a Retsch planetary ball mill at low temperatures. Those discharge capacities are higher that those fur nanocrystalline $Mg_2Ni$ electrodes. However, the cyclic stability of those alloy powder electrodes was low. Therefore, fundamental stability studies were performed on $Mg_{63}Ni_{30}Y_7$ and $Mg_{50}Ni_{30}Y_{20}$ ribbon samples in the as-quenched state and after cathodic hydrogen charging by means of anodic and cathodic polarisation measurements. Gradual oxidation and dissolution of nickel governs the anodic behaviour before a passive state is attained. A stabilizing effect of higher fractions of yttrium in the alloy on the passivation was detected. During the cathodic hydrogen charging process the alloys exhibit a change in the surface state chemistry, i.e. an enrichment of nickel-species, causing preferential oxidation and dissolution during subsequent anodization. The effect of chemical pre-treatments in 1% HF and in $10\;mg/l\;YCl_3/1%\;H_2O_2$ solution on the surface degradation processes was investigated. A HF treatment can improve their anodic passivation behavior by inhibiting a preferential nickel oxidation-dissolution at low polarisation, whereas a $YCl_3/H_2O_2$ treatment has the opposite effect. Both pre-treatment methods lead to an enhancement of cathodically induced surface degradation processes.

Simultaneous Removal of $SO_2$ and NOx Using Ozone Generator and Absorption- Reduction Technique (오존발생장치와 흡수환원법을 이용한 배기가스 동시 탈황 탈질 공정)

  • Mok, Young-Sun;Lee, Joo-Hyuck;Shin, Dong-Nam;Koh, Dong-Jun;Kim, Kyong-Tae
    • Journal of Korean Society of Environmental Engineers
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    • v.28 no.2
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    • pp.191-196
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    • 2006
  • The injection of ozone, produced by dielectric barrier discharge, into the exhaust gas gives rise to a rapid oxidation of NO that is the main component of nitrogen oxides($NO_x$) in most practical exhaust gases. Once NO is converted into $NO_2$, it on readily be reduced to $N_2$ in the next step by a reducing agent such as sodium sulfide and sodium sulfite. The reducing agents used ca also remove $SO_2$ effectively, which makes it possible to treat $NO_x\;and\;SO_2$ simultaneously. The present two-step process made up of an ozonizing chamber and an absorber containing a reducing agent solution was able to remove about 95% of the $NO_x$ and 100% of the $SO_2$, initially contained in the simulated exhaust gas. The formation of $H_2S$ from sodium sulfide was prevented by using a strong basic reagent(NaOH) together with the reducing agent. The removal of $NO_x$\;and\;SO_2$ was more effective for $Na_2S$ than $Na_2SO_3$.

Mineralogical Characteristics and Genesis of Phlogopite in the Talc Deposits of the Chungnam Area, Korea (충남지역 활석광상에서 산출되는 금운모의 광물특성 및 기원)

  • Kim Geon-Young;Kim Soo Jin;Koh Yong Kwon;Bae Dae Seok
    • Journal of the Mineralogical Society of Korea
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    • v.17 no.3
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    • pp.221-233
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    • 2004
  • Mineralogical characteristics and genesis of phlogopite in the talc deposits of the chungnam area were studied. Mica is one of the major impurity of talc ores in the study area. Talc-related micas show typical phlogopite composition, whereas talc-unrelated micas show wide compositional variations between biotite and phlogopite. Phlogopite mainly occurs in the black-wall type zone, especially in the nodular talc ores near the outer part of talc ore bodies. Interleaving textures of phlogopite and chlorite are easily observed under the optical microscope and back-scattered electron images. Interleaving textures of phlogopite and talc are observed also. Examination of the phlogopite by transmission electron microscope reveals that 14 $\AA$ layers of chlorite are randomly interlayered within the 10 $\AA$ layers of phlogopite, which suggests that the genesis of phlogopite is closely related to chlorite. Considering the occurrence and mineralogical characteristics of phlogopite, and the possible origin of K for the formation of phlogopite, phlogopite of the study area was formed by interaction between talc ore body and hydrothermal solution containing sufficient K at the late stage of talc formation. K might be introduced from the granitic gneiss at the contact zone between the talc ore body and the granitic gneiss under favorable structural condition for the potash metasomatism.

The Effect of Smilacis glabrae Rhizoma aqua-acupuncture on injured kidneys Induced by $HgCl_2$ Intoxication in Rats (토복령약침자극(土茯笭藥鍼刺戟)이 $HgCl_2$중독(中毒) 흰쥐의 손상신(損傷腎)에 미치는 영향(影響))

  • Jung Hye-Yoon;Kang Sung-Keel;Kim Yong-Suk;Park Young-Bae;Koh Hyung-Kyun;Kim Chang-Hwan
    • Journal of Acupuncture Research
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    • v.15 no.2
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    • pp.331-348
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    • 1998
  • Purpose: In order to study the therapeutic effect of TBR(Smilacis glabrae Rhizoma) aqua-acupuncture on the $HgCI_2$(mercury bichloride) intoxicated kidneys of rats. Methods: 10% TBR extract solution was aqua-punctured into the bilateral loci of Shin-su(BL23), every other day for 18 days, and the amount of leucocytes, erythrocytes, thrombocytes, hematocrit, hemoglobin, serum BUN and creatinine levels were measured and renal mercury level and histopathological findings were studied as well. The experimental groups were into nonmaI group, control group, sample I group, sample II group and sample III group. Results: 1. There were not any significant changes of leucocytes, erythrocytes and serum creatinine level in the TBR aqua-acupuncture group, saline aqua-acupuncture group and TBR aqua-acupuncture group respectively as compared with control group. 2. It showed a significant increase of hematocrit and hemoglobin level in the TBR aqua-acupuncture group on the 8th experimental day as compared with the control group. 3. It showed a significant increase of platelet in the TBR aqua-acupuncture group on the 8th experimental day, whereas significant decreases on the 18th experimental day as compared with the control group. 4. It showed a significant decrease of serum BUN level in the TBR aqua-acupuncture group on the 8th and 18th experimental day as compared with the control group. 5. It showed a significant decrease of renal mercury level in the TBR aqua-acupuncture group on compared with the control group. 6. In the histopathological findings, TBR aqua-acupuncture group showed slight atrophy of the renal tubules, mitosis and regeneration of tubular lining cells with visible nuclei, whereas the control group showed acute tubular necrosis, especially severe necrosis of tubular epithelial cells. Conclusions: Smilacis glabrae Rhizoma aqua-acupuncture on injured kidneys Induced by HgCl2 Intoxication in Rats increases hematocrit, hemoglobin and platelet level, and decreases BUN, renal mercury level. This suggests that Smilacis glabrae Rhizoma aqua-acupuncture helps to recover kidney from HgCl2 intoxication.

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Microarray Analysis of Gene Expression in RAW Cells Treated with Carthami Flos Herbal Acupuncture Solution (홍화약침액(紅花藥鍼液)이 RAW Cell 유전자발현(遺傳子發顯)에 미치는 영향(影響))

  • Kang, Seung-Beom;Kim, Jong-In;Kim, Yong-Seok;Kang, Sung-Keel;Koh, Hyung-Kyun
    • Journal of Acupuncture Research
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    • v.25 no.1
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    • pp.139-154
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    • 2008
  • 목적 : 홍화(紅花)는 활혈거어(活血祛瘀), 해독지통(解毒止痛)의 효능이 있어 관절염, 동맥경화(動脈硬化), 종양(腫瘍), 월경부조(月經不調), 뇌혈전(腦血栓)에 사용되어 왔다. 이에 홍화약침액(紅花藥鍼液)의 분자생물학적 효능 분석을 하고자 Lipopolysaccharide(LPS)로 염증을 유발한 RAW 264.7 cell의 유전자(遺傳子) 발현(發顯)에 미치는 영향을 Microarray를 통하여 관찰하였다. 방법 : RAW cell을 배양하고 홍화약침액(紅花藥鍼液)의 세포 독성을 확인한 후 (1) LPS, (2) 홍화약침액(紅花藥鍼液), (3) 홍화약침액(紅花藥鍼液)과 LPS를 처치했을 때의 유전자 발현양상을 microarray를 이용하여 관찰하였다. 대조군에 비해 2배 이상 발현의 차이가 있는 경우를 유의한 것으로 보았다. 결과 : 8,170개의 유전자 중 (1) LPS를 처치하였을 경우 35개의 유전자에서 발현이 상승되었고, (2) 홍화약침액(紅花藥鍼液)을 처치하였을 경우 11개의 유전자에서 발현이 상승되고 53개의 유전자에서 발현이 억제되었으며, (3) 홍화약침액(紅花藥鍼液)과 LPS를 동시에 처치하였을 경우에는 47개의 유전자에서 발현이 상승되었고 11개의 유전자에서 발현이 억제되었다. LPS 자극으로 발현이 상승되었지만 홍화약침액(紅花藥鍼液)을 처치할 때 발현이 억제되는 유전자는 SUMO1/sentrin specific protease 7(SENP7), Serine(or cysteine) proteinase inhibitor, clade B(ovalbumin), member 7(SERPINB7), M-phase phosphoprotein, mpp8(HSMPP8), Glycogenin 2(GYG2), InaD-like(Drosophila)(INADL), Copine III(CPNE3), Loss of heterozygosity, 11, chromosomal region 2, gene A(LOH11CR2A), Chromosome 9 open reading frame 33(SHC3), NADH dehydrogenase(ubiquinone) 1 beta subcomplex, 2, 8kDa(NDUFB2)로 9개가 있었다. 요약 : 홍화약침액(紅花藥鍼液)이 LPS로 염증을 유발시킨 RAW 264.7 cell의 유전자 발현에 미치는 영향을 Microarray를 통해 분석하였다. 홍화약침액(紅花藥鍼液)이 LPS로 발현을 항진시킨 35개의 유전자 중 9개를 효과적으로 억제하는 것을 확인하여 염증 치료 기전을 시사하는 유용한 자료를 얻을 수 있었으며 홍화약침액(紅花藥鍼液)이 발현을 항진시킨 유전자들을 통해 혈관생성과 종양억제 등 보다 넓은 범위에 대한 연구가 가능할 것으로 사료된다.

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Labeling and Biodistribution of Re-188-DTPA (Diethylenetriaminepentaaceticacid) (Re-188-DTPA (Diethylenetriaminepentaacetic acid)의 표지와 생체내 분포)

  • Lee, Jin;Kim, Young-Ju;Chang, Young-Soo;Jeong, Jae-Min;Shin, Seung-Ae;Chung, June-Key;Lee, Myung-Chul;Koh, Chang-Soon;Lee, Dong-Soo
    • The Korean Journal of Nuclear Medicine
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    • v.31 no.4
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    • pp.427-432
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    • 1997
  • Re-188 is useful candidate for therapeutic radionuclide because it has a physical half life of 17 hours, contains beta emissions suitable for therapy(maximum energy 2.12MeV) and emits a gamma ray that is suitable for quantitative diagnostic scanning(155keV). To use Re-188 as a radionuclide compound of angioplasty balloon radiotherapy, we investigated the labelling method and biodistribution of Re-188-DTPA We postulated that labeled Re-188-DTPA is preferable because it would be excreted via urinary system more easily than other compounds. To label Re-188 with DTPA, 1ml of 222MBq(6mCi) of Re-188 was added to DTPA solution(DTPA 20mg, $SnCl_2{\cdot}2H_2O$ 10mg, pH 3.5) and boiled at $100^{\circ}C$ for 120min in water bath. pH was adjusted to 5 with 2.3% sodium acetate. Labeling efficiency was measured using TLC-SG(acetone, saline). We evaluated biodistribution of Re-188-DTPA in sacrificed mice at 10 and 60 minutes after injection. We acquired images of kidneys, and drew time-activity curves in normal dogs and rats and calculated Tmax and Tl/2 in rats. The labelling efficiency was 95.7% on average. Labelling of Re-188-DTPA was.stable(90% after 5hours) in vitro at room temperature. According to time-activity curves of dogs and rats, it took 15 to 20 minutes after injection for Re-188-DTPA to be washed out through kidneys. In conclusion, Re-188-DTPA was successfully labeled, Re-188-DTPA was stable in vitro and was excreted early via kidneys in animals. We could recommend Re-188-DTPA as radionuclide of potential use in angioplasty balloon radiotherapy.

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The Calcium and Magnesium Ion-Exchange Properties of Snythetic δ-Na2Si2O5 from Water Glass (Water Glass로부터 합성한 δ-Na2Si2O5의 Ca2+, Mg2+ 이온교환성)

  • Jeong, Soon-Yong;Suh, Jeong-Kwon;Park, Jeong-Hwan;Doh, Myung-Ki;Koh, Jae-Cheon;Lee, Jung-Min
    • Applied Chemistry for Engineering
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    • v.5 no.3
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    • pp.406-412
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    • 1994
  • The ion-exchange properties of $Ca^{2+}$ and $Mg^{2+}$ ions have been studied in ${\delta}-Na_2Si_2O_5$ synthesized from water glass. Results show that optimum temperature for synthesis of ${\delta}-Na_2Si_2O_5$ was $725^{\circ}C$. Ion-exchange isotherms for $Ca^{2+}$ and $Mg^{2+}$ exchange for $Na^+$ in the synthetic ${\delta}-Na_2Si_2O_5$ show that the ion-exchange capacity of magnesium is better than that of calcium, and the ion-exchange of magnesium is less sensitive for temperature than that of calcium. When initial pH of solution is increased between 2 and 6, the ion-exchange capacities of magnesium and calcium decrease a little. However, they are almost constant above pH 6 because of alkali buffer effect of ${\delta}-Na_2Si_2O_5$. In the thermodynamic studies, it was found that Gibbs free energies of reaction of calcium ion-exchange are larger than those of magnesium ion-exchange with inverse order of selectivity. The standard enthalpy and entropy of reaction of calcium ion-exchange are larger than those of magnesium ion-exchange.

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Preparation and Characterization of PVdF Microporous Membranes with PEG Additive for Rechargeble Battery (Poly(ethylene glycol)를 첨가한 이차전지용 poly(vinylidene fluoride) 미세다공성 분리막의 제조와 물성)

  • Nam, Sang-Yong;Jeong, Mi-Ae;Yu, Dae-Hyun;Koh, Mi-Jin;Rhim, Ji-Won;Byun, Hong-Sik;Seo, Myung-Su
    • Membrane Journal
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    • v.18 no.1
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    • pp.84-93
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    • 2008
  • Poly(vinylidene fluoride) has received much attention in the last several years for the lithium secondary batteries. In this study, to enhance the porosity, PVdF was prepared by phase inversion method using as an additive, PEG (poly(ethylene glycol)), with N,N-dimethylformamid as a solvent. The pores are generated during the solvent and non-solvent exchange process in the coagulation bath filled with non-solvent (distilled water). The surface and cross-section of the membranes were observed with a scanning electron microscopy (SEM). The mechanical property of the membrane was determined by using an universal testing machine (UTM) and thermal property was verified by heat shrinkage. Uniformed sponge structure of PVdF-PEG membrane for the lithium secondary batteries was prepared with 10 wt% of PEG concentration in the PVdF-PEG solution. Porosity, elongation and tensile strengh of the membrane were 87%, 75.45%, and 275. 27 MPa respectively.

A Behavior Test on a Frictional-Wedge-Type Vibration Isolation Device for Vibration Reduction of a Railway Track (열차 진동 저감을 위한 마찰쐐기형 방진장치의 거동 시험)

  • Lee, Chanyoung;Choi, Sanghyun;Lee, Yooin;Kwon, Segon;Koh, Yongsung;Ji, Yongsoo
    • Journal of the Society of Disaster Information
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    • v.11 no.1
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    • pp.45-54
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    • 2015
  • In the case of railway facilities in cities such as a railway station or a bridge, the significance of design for reducing vibration and noise is getting more significant. The vibration control solution is in need especially for an elevated railway station to block vibration of a train and secondary noise effectively. Even though a vertical vibration isolation device is able to be applied effectively to railway facilities such as elevated railway stations which transfer vibration directly from a train to a structure, the development of the vertical device is much slower than a horizontal vibration isolation device. In this paper, a vibration isolation device using wedge type friction material which is currently developing to reduce train-induced vibration effectively is introduced and test results for verification of dynamic performance is also presented. The vibration test on a concrete structure equipped with the developed vibration isolation device is conducted through which the isolation performance and dynamic properties are verified and needs for improving the performance of the device is identified.