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복직근 유리피판 거상 후 합병된 대퇴 신경손상 1례 (Femoral Nerve Injury after Rectus Abdominis Muscle Slap Harvesting: A Case Report)

  • 김진오;유대현;탁관철
    • Archives of Plastic Surgery
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    • 제33권4호
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    • pp.510-513
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    • 2006
  • Purpose: The Rectus abdominis muscle free flap is utilized in various reconstruction surgeries due to easiness in harvesting, consistency of vascular pedicle and reduced donor site morbidity. But rarely, femoral nerve injury during rectus abdominis harvesting can be resulted. We report a case of femoral nerve injury after rectus muscle harvesting and discuss the injury mechanism with the follow-up process of this injury. Methods: To reconstruct the defect of middle cranial base after wide excision of cystic adenocarcinoma of the external ear, rectus muscle free flap was havested in usual manner. To achieve a long vessel, inferior epigastric artery was dissected to the dividing portion of femoral artery and cut. Results: One week after the surgery, the patient noted sensory decrease in the lower leg, weakness in muscle strength, and disabilities in extension of the knee joint resulting in immobilization. EMG and NCV results showed no response on stimulation of the femoral nerve of the left leg, due to the defects in femoral nerve superior to the inguinal ligament. With routine neurologic evaluations and physical therapy, on the 75th day after the operation, the patient showed improvement in pain, sensation and muscle strength, and was able to move with walking frame. In 6 months after the operation, recovery of the muscle strength of the knee joint was observed with normal flexion and extension movements. Conclusion: Rarely, during dissection of the inferior epigastric artery, injuries to the femoral nerve can be resulted, probably due to excessive traction or pressure from the blade of the traction device. Therefore, femoral nerve injury can be prevented by avoiding excessive traction during surgery.

양파식초가 뇌혈류 및 안전성에 미치는 영향 (Effects of Onion Vinegar on the Cerebral Blood Flow and the Safety Examination)

  • 최찬헌;김경윤;정우식;전병관;정재곤;정종길;이상영;정현우
    • 동의생리병리학회지
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    • 제26권5호
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    • pp.657-664
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    • 2012
  • The aim of this study is to investigate the effects of onion vinegar on the cerebral blood flow by measuring the changes of regional cerebral blood flow (rCBF) and mean arterial blood pressure (MABP) and by observing the recovery of focal ischemic brain injury in rats. Rats are divided into thee groups depending on the medication; control group (no medication), 8.8-OV group (vinegar using 8.8 brix onion medication), 14.6-OV group (vinegar using 14.6 brix onion medication). The medication of onion vinegar significantly increased rCBF but decreased MABP. This result suggests that onion vinegar significantly increased rCBF by dilating arterial diameter. In addition, focal ischemic brain injury is induced in rats by middle cerebral arterial occlusion. The recovery from focal ischemic brain injury is more significantly improved in the groups using onion vinegar compared to the control group. The amount of recovery is measured by the GAP-43 and the medication of onion vinegar significantly increased GAP-43. This result suggests that onion vinegar is effective on the nerve regeneration. After the medication, the change of body weight, outcomes of renal and liver function test, and outcomes of CBC are analysed for safety examination. There are no statistical differences among control group and all experimental groups in the body weight, renal and liver function test, and CBC. In conclusion, these results suggest that onion vinegar can increase rCBF in normal state, and improve the stability of rCBF in ischemic state.

SWRO-PRO 복합해수담수화 신공정기술의 연구 (The study of a novel SWRO-PRO hybrid desalination technology)

  • 김지숙;여인호;이원일;박태신;박용균
    • 상하수도학회지
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    • 제32권4호
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    • pp.317-324
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    • 2018
  • SWRO-PRO hybrid desalination technology is recently getting more attention especially in large desalination markets such as USA, Middle East, Japan, Singapore, etc. because of its promising potential to recover a considerable amount of osmotic energy from brine (a high-concentration solution of salt, 60,000 - 80,000 mg/L) and also to minimize the impact of the discharged brine into a marine ecosystem. By the research and development of the core technologies of the SWRO-PRO desalination system in a national desalination research project (Global MVP) supported by Ministry of Land, Infrastructure, and Transport (MOLIT) and Korea Agency for Infrastructure Technology Advancement (KAIA), it is anticipated that around 25% of total energy consumption rate (generally 3 to $4kWh/m^3$) of the SWRO desalination can be reduced by recovering the brine's osmotic energy utilizing wastewater treatment effluent as a PRO feed solution and an isobaric pressure exchanger (PX, ERI) as a PRO energy converter. However, there are still several challenges needed to be overcome in order to ultimately commercialize the novel SWRO-PRO process. They include system optimization and integration, development of efficient PRO membrane and module, development of PRO membrane fouling control technology, development of design and operation technology for the system scaling-up, development of diverse business models, and so on. In this paper, the current status and progress of the pilot study of the newly developed SWRO-PRO hybrid desalination technology is discussed.

민주주의의 공고화와 복지국가의 발전 : 문민정부와 국민의 정부 비교 (Democratic Consolidation and Welfare State Development : A Comparison of the Kim Young Sam Government and the Kim Dae Jung Government)

  • 성경륭
    • 한국사회복지학
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    • 제46권
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    • pp.145-177
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    • 2001
  • This paper seeks to analyze how the welfare state has developed both in the Kim Young Sam government and in the Kim Dae Jung government. Among other things, the two governments share some similarities: compared to the previous authoritarian governments, both of them enjoyed a high level of democratic legitimacy; the two were under pressure to win the elections to acquire and remain in power; and finally, the two tried to strengthen welfare system. But there exist more critical differences. The Kim Dae Jung government was a minority government, while the Kim Young Sam government was a majority one. Compared to the latter one, the former came to power in an extremely bad economic condition. Fortunately, however, the Kim Dae Jung government was able to enjoy a relatively high level of state autonomy resulting from an exceptional situation of foreign currency crisis. In addition, it was more reformist in policy orientation and had a more open cooperative network with civil society. All these differences added up to produce remarkable differences with regard to the improvement in welfare development. Especially, it is noted that the Kim Dae Jung government was very successful in several respects: provision of national minimum, integration of national medical insurance, development of productive welfare system, and final1y increase in welfare spending. Recently, criticisms from the opposition party, the press, and middle and upper class people mount against the Kim Dae Jung government which has made significant mistakes in instituting the separation of medical and pharmaceutical businesses. However, the important improvements in welfare institutions and programs by the Kim Dae Jung government need to be maintained to deal with all the negative effects of a naked market economy. They must also be sustained to keep alive democracy that Korean people have fought for nearly half a century.

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서울 일지역 청소년 흡연관련 요인 분석 (A study of Adolescent Smoking Related Factors in the Seoul Area)

  • 서미혜;조원정;배선형;이경희;함옥경;서구민;이정렬
    • 지역사회간호학회지
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    • 제15권1호
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    • pp.95-101
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    • 2004
  • Purpose: The purpose of this study was to identify factors influencing adolescent smoking behavior in the Seoul area. Method: A total of 6.352 middle and high school students living in the Gangnam district of Seoul participated in the study. A self report survey method was used to identify factors related to smoking. Result: A stepwise logistic regression analysis identified four factors associated with adolescent smoking: living with a parent who smokes (OR=1.4), having friend (s) who smoke (OR=14.8), negative attitudes toward passive smoking(OR=4.8), and ignorance of the impact of smoking on health(OR=4.6). Conclusion: Based on the study results, components of effective programs to reduce adolescent smoking rates should include programs to deal with peer pressure to smoke and to reduce the impact of parents who smoke, to increase knowledge of the impact of smoking, and to promote positive attitudes toward anti smoking.

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투수시트를 적용하여 잉여수를 탈수한 콘크리트의 강도 특성 (Characteristics of Excess Water Dewatered Concrete Using Permeable Liner)

  • 전규남;안기홍;이종석
    • 콘크리트학회논문집
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    • 제25권6호
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    • pp.675-682
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    • 2013
  • 이 연구에서는 콘크리트 타설 시 발생하는 잉여수를 제거하여 피복 콘크리트의 성능을 향상 시키고자 거푸집에 구멍을 뚫지 않은 일반 유로폼에 투수시트를 부착하여 타설한 콘크리트의 물-결합재비 종류 및 시험체 높이에 따른 강도 특성을 분석하였다. 슈미트해머 반발경도 및 압축강도의 경우 투수시트면이 물-결합재비가 높은 배합일수록 크게 나타났으며, 시험체의 높이에 따라서는 상부보다는 중부 및 하부에서 크게 나타남을 알 수 있었다. SEM 분석 결과의 경우 수화물의 생성형태는 유사하였으나 투수시트면이 일반면에 비해 공극이 확연히 감소되고 밀실해 지는 것으로 나타났으며, MIP 분석 결과 투수시트를 사용하였을 경우 $0.01{\mu}m$ 이하 공극량이 최대 50%까지 감소되어 공극이 치밀해지는 것으로 나타났다.

Fabrication and Inertia Dynamic Friction Properties of Pitch-based Carbon-Carbon Composites

  • Lee, Jinyong;Suhr, Dong-Soo;Lim, Yun-Soo;Lee, Seung-Goo;Park, Jong-Kyoo
    • The Korean Journal of Ceramics
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    • 제4권3호
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    • pp.193-198
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    • 1998
  • This paper presents the effects of an initial braking velocity, a braking pressure, and the number of braking stop on the tribological behaviors for the three different C-C composites using an inertia dynamic-friction tester. The C-C composites were prepared through the processes of several cycles of pitch impregnation/carbonization with different friction surface texture such as continuous 8-harness satin fabric (ADD-1), chopped fiber (ADD-2) and chopped fiber (ADD-3) having higher fiber volume fraction on friction than ADD-2 by about 10%. ADD-1 exhibited a higher fraction coefficient (0.41~0.33) than those of ADD-2 and ADD-3 (0.32~0.26) under the various initial braking velocities and braking pressures. The fraction coefficients decreased with increasing the initial velocity and the braking pressures. Wear rate by the thickness change after every 25 stop indicated that ADD-2 and ADD-3 having 1.7~2.7 $\mu\textrm{m}$/stop/pair were much lower than that of ADD-1 showing 5.0~6.5 $\mu\textrm{m}$/stop/pair. All specimens showed a little bit lower wear rate during the middle stage than the initial and latter stages among 100 braking stops. ADD-1 showed higher friction coefficient and wear rate due to the active pull-out of the fibers, evidenced by thicker were film and wear debrises.

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한반도 겨울철 한파와 관련된 대기 순환과 열원의 특성 (Characteristics of Atmospheric Circulation and Heat Source related to Winter Cold Surge in Korea)

  • 김맹기;신성철;이우섭
    • 한국지구과학회지
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    • 제26권6호
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    • pp.560-572
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    • 2005
  • 이 연구에서는 1979년부터 1999년까지 21년 동안에 한반도 겨울철 한파와 관련된 대기 순환 및 열원$(Q_1)$의 분포 특성을 조사하였다. 한파 발생 빈도는 1년간 약 1개로 나타났으며, 1989년을 중심으로 전반기에 전체의 $60\%$가 발생하였다. 한파 발생 동안 하층의 대기 순환 패턴은 평년에 비해 서고동저형의 기압 패턴이 더 뚜렷하며, 상층에서도 한반도에 기압골의 영향이 더 강하게 나타난다. 한파가 발생하는 동안에 한반도 부근의 기온 하강 패턴은 바이칼호 부근의 기온 패턴과 반대로 나타나며, 기온의 연직 구조에서도 400 hPa을 기준으로 하층과 상층의 기온 편차는 반대로 나타난다. 열원에 대한 분석은 한파 발생 시 한랭 이류에 의한 냉각은 하강 운동에 의한 단열 승온에 의해 균형을 이룬다는 것을 보여주는데, 이것은 한랭 핵의 이동이 열흡수원의 이동 경로와 연관되어 있음을 나타낸다. 따라서 한파의 유지 기작을 이해하고 한파를 예측하기 위해서는 열원 그리고 열흡수원의 이동 기작이 밝혀져야 할 것이다.

구강내에서 임플랜트 지대주 형성 시 내부연결방식과 외부연결방식간의 열전달 효과 비교 (THE COMPARATIVE STUDY OF THERMAL INDUCTIVE EFFECT BETWEEN INTERNAL CONNECTION AND EXTERNAL CONNECTION IMPLANT IN ABUTMENT PREPARATION)

  • 허중보;고석민
    • 대한치과보철학회지
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    • 제45권1호
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    • pp.60-70
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    • 2007
  • Statement of problem: The cement-type abutment would be needed for the reduction of its body in order to correct the axis and to assure occlusal clearance. In the case of intraoral preparation, there is a potential risk that generated heat could be transmitted into the bone-implant interface, where it can cause deterioration of tissues around the implant and failed osseointegration. Purpose: The purpose of this study was to assess the difference of the heat transmitting effect on external and internal connection implant types under various conditions. Material and method: For evaluating the effects of alternating temperature, the thermocoupling wires were attached on 3 areas of the implant fixture surface corresponding to the cervical, middle, and apex. The abutments were removed 1mm in depth horizontally with diamond burs and were polished for 30 seconds at low speed with silicone points using pressure as applied in routine clinical practice. Obtained data were analyzed using Mann-Whitney rank-sum test and Wilcoxon / Kruskal-Wallis Tests. Result: Increased temperature on bone-implant interface was evident without air-water spray coolant both at high speed reduction and low speed polishing (p<.05). But, the difference between connection types was not shown. Conclusion: The reduction procedure of abutment without using proper coolant leads to serious damage of oral tissues around the implant irrespective of external and internal connection type.

기존터널에 근접하여 경사로 교차되는 하부터널굴착에 따른 교차부지반의 거동 (Behavior of the Ground in Obliquely Crossed area Due to Tunnel Excavation Under the Existing Tunnel)

  • 김동갑;이상덕
    • 한국터널지하공간학회 논문집
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    • 제7권4호
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    • pp.285-294
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    • 2005
  • 본 연구에서는 저토피 구간에서 기존터널 하부에 새로운 터널이 경사로 교차하여 신설할 때 하부 터널굴착으로 인하여 발생하는 교차부 주변지반과 상부터널의 거동을 분석하였다. 4.0m (폭), 3.8m (높이), 4.1m (길이) 크기의 콘크리트로 제작된 대형토조에서 모래를 이용하여 상대밀도기 일정한 모형지반을 3.4m높이로 조성하였고, 상하터널의 교차 각도가 $56^{\circ}$인 경우에 대하여 대형모형실험을 실시하였다. 또한, 모형실험과 동일한 조건으로 수치해석을 실시하여 실험결과와 연관하여 분석하였다. 연구결과 교차부 주변지반은 하부터널 종방향의 응력 전이로 인하여 교차 전과 교차 후에 응력과 지반변위의 차이가 발생하였다. 모형실험 결과로부터 교차 전 후의 하부터널굴착에 따른 종방향 응력전이가 상부터널에 의하여 차단됨을 알 수 있었다.

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