• Title/Summary/Keyword: REMNANT

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Immediate regraft of the remnant skin on the donor site in split-thickness skin grafting

  • Park, Young Ji;Ryu, Woo Sang;Kim, Jun Oh;Kwon, Gyu Hyeon;Kim, Jun Sik;Kim, Nam Gyun;Lee, Kyung Suk
    • Archives of Craniofacial Surgery
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    • v.20 no.2
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    • pp.94-100
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    • 2019
  • Background: Skin defects of head and neck need reconstruction using various local flaps. In some cases, surgeons should consider skin graft for large skin defect. It is important to heal skin graft and donor sites. The authors investigated wound healing mechanisms at the donor sites with split-thick-ness skin graft (STSG). In this study, the authors compared two types of immediate regraft including sheets and islands for the donor site after facial skin graft using remnant skin. Methods: The author reviewed 10 patients who underwent STSG, from March 2015 to May 2017, for skin defects in the craniofacial area. The donor site was immediately covered with the two types using remnant skin after harvesting skin onto the recipient site. Depending on the size of the remnant skin, we conducted regraft with the single sheet (n= 5) and island types (n= 5). Results: On postoperative day 1 and 3 months, the scar formation was evaluated using the Patient and Observer Scar Assessment Scale (POSAS) and Vancouver Scar Scale (VSS). Total POSAS and VSS scores for the island type were lower than in single sheet group after 3 months postoperatively. There was significant difference in specific categories of POSAS and VSS. Conclusion: This study showed a reduction in scar formation following immediate regrafting of the remnant skin at the donor site after STSG surgery. Particularly, the island type is useful for clinical application to facilitate healing of donor sites with STSG.

Two Cases of Repeated Pancreatectomy for Pancreatic Cancer Developing in the Remnant Pancreas after a Resection of Pancreatic Cancer - Repeated Pancreatectomy of Pancreatic Cancer - (췌장암 절제 후 잔여췌장에 발생한 췌장암에 대한 반복절제를 시행한 2례 - 췌장암의 반복절제 -)

  • Young-Il Kim;Sang Myung Woo;Woo Jin Lee
    • Journal of Digestive Cancer Research
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    • v.1 no.1
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    • pp.43-47
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    • 2013
  • There have been very few reports related to pancreatic cancer developing in the remnant pancreas after a resection for pancreatic cancer. We report two cases of repeated pancreatectomy for second primary pancreatic cancer. A 58-year-old man with a 2.3 cm sized low attenuated pancreatic tail mass on abdomen CT scan, received a distal pancreatectomy (adenosquamous carcinoma, stage IIB) and adjuvant chemoradiotherapy. A follow-up abdomen CT scan revealed a 2.0 cm sized pancreatic head mass in the remnant pancreas at 35 months after the distal pancreatectomy. He received a pancreaticoduodenectomy and diagnosed as ductal adenocarcinoma (stage IIA). Another 62-year-old female was declared pancreatic head mass on a regular health examination. An abdomen CT scan revealed a 3.6 cm sized mixed solid and cystic mass. She received a pylorus-preserving pancreaticoduodenectomy (ductal adenocarcinoma, stage IB) and adjuvant chemoradiation therapy. At 20 months after the resection, a 1.8 cm sized ill-defined low attenuated mass developing in the tail of remnant pancreas was detected on a follow-up abdomen CT scan. The patient received a distal pancreatectomy and diagnosed as ductal adenocarcinoma (stage IIA).

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DYNAMICAL EVOLUTION OF SUPERNOVA REMNANT VRO 42.05.01

  • Choe, Seung-Urn;Jung, Hyun-Chul
    • Publications of The Korean Astronomical Society
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    • v.12 no.1
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    • pp.173-183
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    • 1997
  • We have numerically simulated the evolution of supernova remnant VRO 42.05.01(G166.0+43) in order to understand its morphology m radio and X-ray observations as well as the dynamical interaction of the supernova remnant with the surrounding interstellar medium. The Radio and ROSAT observations suggest that the unusual morphology of VRO 42.05.01 is caused by a supernova blast wave breaking out of the cloud boundary where the supernova event occurred, and expanding into another cloud across a much less dense and presumably hot cavity. Our numerical results are consistent with the interactions of a passing supernova blast wave with the clouds across the cavity. We discuss the implications of our results on the dynamics of VRO 42.05.01 such as the reverse shocks, the rejuvenation of the hot cavity, and the reflected shocks formed by the reverse shock collisions. We have theoretically mapped the radio continuum(1.4 GHz) and X-ray(0.1~2 keV) morphology which are consistent with the observational ones.

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Evolution of Remnant State Variables and Linear Material Moduli in a PZT Cube under Compressive Stress at Room and High Temperatures (상온과 고온에서 압축하중을 받는 PZT에서의 잔류상태변수와 선형재료상수의 변화)

  • Ji, Dae Won;Kim, Sang-Joo
    • Journal of the Korean Ceramic Society
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    • v.50 no.1
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    • pp.82-86
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    • 2013
  • A poled lead zirconate titanate (PZT) cube specimen is subjected to impulse-type compressive stress with increasing magnitude in parallel to the poling direction at four room and high temperatures. During the ferroelastic domain switching induced by the compressive stress, electric displacement in the poling direction and longitudinal and transverse strains are measured. Using the measured responses, linear material properties, namely, the piezoelectric and elastic compliance coefficients, are evaluated by a graphical method, and the effects of stress and temperature are analyzed. Finally, the dependency of the evaluated linear material properties on relative remnant polarization is analyzed and discussed.

CHANDRA SPECTROSCOPY OF SUPERNOVA REMNANT 3C 391

  • CHEN YANG;SU YANG;SLANE PATRICK O.;WANG Q. DANIEL
    • Journal of The Korean Astronomical Society
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    • v.38 no.2
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    • pp.211-214
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    • 2005
  • We performed a spatially resolved spectroscopic study of the thermal composite supernova remnant 3C 391 by the Chandra observation. Broad- and narrow-band X-ray images show a southeast-northwest elongated morphology and unveil a highly clumpy structure of the remnant. The spectral analysis for. the small-scale features indicates normal metal abundance and uniform temperature for the interior gas. The properties of the hot gas are largely in agreement with the cloudlet evaporation model as a main mechanism for the 'thermal composite' X-ray appearance, though radiative rim and thermal conduction may also be effective. An unresolved X-ray source, with a power-law spectrum, is observed on the northwest border. The equivalent width images reveal a faint finger-like protrusion in Si and S lines out of the southwest radio border.

Dielectric and Remnant Mechanical Properties Due to Cyclic Stress in PZT Ceramics (반복응력에 따른 PZT 세라믹스의 유전 및 잔류 기계적 특성)

  • 태원필;김송희
    • Journal of the Korean Ceramic Society
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    • v.31 no.8
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    • pp.829-834
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    • 1994
  • The aim of this study is to investigate the changes in dielectric properties, Young's modulus and remnant compressive strength with compressive cyclic loading in PZT of tetragonal, MPB and rhombohedral composition. Higher relative dielectric constants appeared in the poled condition than the unpoled condition for all the compositions. After poling treatment remarkably higher relative dielectric constants were observed particularly in MPB, tetragonal compositions. Until five percent of the expected fatigue life was exhausted, the dielectric constant increased with compressive cyclic stress in MPB and rhombohedral while it remained nearly constant in tetragonal. During the subsequent compressive cyclic stress, dielectric constant decreased in all the three compositions. As the compressive cyclic stress is applied the change of Young's modulus was coincided with the change of remnant compressive strength.

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Ectopic ureters and urachal remnant in a dog (딴곳요관증과 요막관 잔존증 증례 보고)

  • Jung, Joohyun;Lee, Kwanyoung;Chang, Jinhwa;Choi, Mincheol
    • Korean Journal of Veterinary Research
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    • v.47 no.3
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    • pp.357-362
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    • 2007
  • An intact male, 3-month-old, Great Pyrenees mountain dog, weighing 7.3 kg with a history of severe hematuria during 2 months was referred. Hematology showed mild leukocytosis. There were no remarkable findings in abdominal radiographs due to ingesta and gas in the gastrointestinal tracts. Ultrasonographs showed bilateral hydronephrosis, bilateral dilated and tortuous ureters, and hyperechoic sludges in the urinary bladder (UB). And a dilated cavity was identified cranial to the UB. Excretory urography and cystography were performed to examine the cause of hydronephrosis and an abnormal cavity cranial to the UB. Bilateral ureters were tortuously dilated and opened into the craniodorsal part of the UB. An abnormal cavity was connected to the UB at the left cranioventral part of the UB. Therefore bilateral ectopic ureters and urachal remnant were diagnosed.

Controversies about Radioactive Iodine-131 Remnant Ablation in Low Risk Thyroid Cancers: Are We Near A Consensus?

  • Zaman, Maseeh Uz;Fatima, Nosheen;Padhy, Ajit Kumar;Zaman, Unaiza
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6209-6213
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    • 2013
  • Well differentiated thyroid cancers (WDTC), including papillary (80%) and follicular (10%) types, are the most common endocrine cancers globally. Over the last few decades most the diagnosed cases have fallen into low risk categories. Radioactive iodine-131 (RAI) has an established role in reducing recurrence and improving the survival in high risk patients. In patients with primary tumor size <1 cm, RAI is not recommended by many thyroid societies. However, low risk WDTC has been an arena of major controversies, most importantly the role and dose of adjuvant RAI for remnant ablation to minimize chances of recurrence and improving survival. This review is an attempt to update readers about the previous and existing practice based on results of non-randomized trials and evolving trends fueled by recently published randomized studies.

X-ray observation of the shocked red supergiant wind of Cassiopeia A

  • Lee, Jae-Joon;Park, Sang-Wook
    • The Bulletin of The Korean Astronomical Society
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    • v.36 no.2
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    • pp.104.2-104.2
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    • 2011
  • We study X-ray characteristics of shocked ambient gas of the Galactic core-collapse supernova remnant Cas A. Using 1 Msec observation with Chandra X-ray Observatory, we identify thermal emissions from the shocked ambient gas along the outer boundary of the remnant. Our results show that Cas A is expanding into a circumstellar wind with a wind density n ~ 1 $cm^{-3}$ at the current outer radius of the remnant (~ 3 pc). We suggest that the progenitor star of Cas A, which exploded as a Type~IIb SN, had an initial mass ~16 Msun, and have lost ~10 Msun as a RSG wind. We discuss the implications of our results for the mass loss of massive stars and the resulting supernova type.

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'Triangular Cord' Sign in Biliary Atresia (담도폐쇄증에서 'Triangular Cord' Sign)

  • Hee Jung Lee;Mu Sook Lee;Jin Young Kim
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.1003-1013
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    • 2022
  • Biliary atresia is an unknown etiology of extrahepatic bile duct obstruction with a 'fibrous ductal remnant,' which represents the obliterated ductal remnant in the porta hepatis. The sonographic 'triangular cord' (TC) sign has been reported to indicate a fibrous ductal remnant in the porta hepatis. In this review, we discuss the correlations among surgicopathological and sonographic findings of the porta hepatis and the definition, objective criteria, diagnostic accuracy, and differential diagnosis of the TC sign in biliary atresia.