• 제목/요약/키워드: Repair technique

검색결과 674건 처리시간 0.028초

근타박상시 치료용 초음파가 혈관내피성장인자와 Substance-P 발현에 미치는 효과에 대한 면역조직화학적 연구 (An Immunohistochemical Study of Effects of Therapeutic Ultrasound on the Expression of VEGF and Substance-P in Muscle Contusion Injury)

  • 김용수;오태영;김석범
    • The Journal of Korean Physical Therapy
    • /
    • 제15권4호
    • /
    • pp.46-64
    • /
    • 2003
  • Therapeutic angiogenesis is the controlled induction or stimulation of new blood vessel formation to reduce unfavourable tissue effects caused by local hypoxia and to enhance tissue repair. Therapeutic ultrasound can be considered as a physical agent to deliver therapeutic angiogenesis. The purpose of this study was to evaluate the effect of therapeutic ultrasound after muscle contusion injury by observed immunoreactivity of vascular endothelial growth factor(VEGF) that plays an important role in angiogenesis and substance-P in pain transmission. Ultrasound irradiation(1MHz, $1W/cm^2$, continuous mode, treatment time 5 min) was applied through water submersion technique to 1 limb daily by kept off 5cm from muscle belly of gastrocnemius. The result of this study were as follows. 1. In morphological observation, there were no significant changes excepts of 7 days. At 7 days, granular tissue viewed abundantly in control group. In other groups, general feature were increased interspace of muscle fiber; centronucleated muscle fiber; collapsed of muscle and nerve tissue; appeared inflammatory cell. 2. The VEGF was expressed in interspace of muscle fiber. Especially, at 7 days in experimental group, VEGF was showed in connective tissue surrounding gastrocnemius muscle. 3. The VEGF was higher expressed in experimental group at 2 and 3 days, but in control group at 7 days. These data suggest therapeutic ultrasound enhanced production of VEGF in the early day relatively, therefore stimulated angiogenesis in the skeletal muscle induced contusion injury. Also therapeutic ultrasound may stimulate pain relief by diminish of substance-P in dorsal horn of spinal cord.

  • PDF

말판증후군과 동반된 해리성 대동맥류에 대한 대동맥 근부 개형술(改型術): Yacoub-David 수술법 (Aortic Root Remodeling Procedure in Marfan Syndrome associated with Aortic Dissection: Yacoub-David Technique)

  • 박형주;이승진;박영우;최태명;신원용;곽수달;고정관;이철세;염욱
    • Journal of Chest Surgery
    • /
    • 제34권7호
    • /
    • pp.557-558
    • /
    • 2001
  • 순턴향대학 턴안병원 흥부외과에서는 Stan$\ulcorner$old type A급성 대동맥 박리증, 대동맥 근부 동맥류 및 대동맥 폐쇄부전을 보인 45세 말판 증후군 환자에게 24m Hemashield 도관을 이용하여 Yacoub-David 수술법에 의한 대동맥 근부 개형술(aortic root remodeling procedure)을 시행하였다 수술은 환자의 대동맥 판막을 보존하면서 대동맥등을 포함한 대동맥 근부의 질병조직을 모두 제거한 후, 글이 발살바동 모양으로 3등분된 인조혈관으로 대동맥등으로부터 상행 대동맥가지 대치하는 방법으로 하였다. 환자는 수술 후 양호한 회복을 보였고 대 동맥 판막의 역류는 완전히 교정되었다.

  • PDF

Load carrying capacity of CFRP retrofitted broken concrete arch

  • Wang, Peng;Jiang, Meirong;Chen, Hailong;Jin, Fengnian;Zhou, Jiannan;Zheng, Qing;Fan, Hualin
    • Steel and Composite Structures
    • /
    • 제23권2호
    • /
    • pp.187-194
    • /
    • 2017
  • To reuse a broken plain concrete (PC) arch, a retrofitting method was proposed to ensure excellent structural performances, in which carbon fiber reinforced polymers (CFRPs) were applied to repair and strengthen the damaged PC arch through bonding and wrapping techniques. Experiments were carried out to reveal the deformation and the load carrying capacity of the retrofitted composite arch. Based on the experiments, repairing and strengthening effects of the CFRP retrofitted broken arch were revealed. Simplified analysing model was suggested to predict the peak load of the CFRP retrofitted broken arch. According to the research, it is confirmed that absolutely broken PC arch can be completely repaired and reinforced, and even behaves more excellent than the intact PC arch when bonded together and strengthened with CFRP sheets. Using CFRP bonding/wrapping technique a novel efficient composite PC arch structure can be constructed, the comparison between rebar reinforced concrete (RC) arch and composite PC arch reveals that CFRP reinforcements can replace the function of steel bars in concrete arch.

손상된 전방십자인대의 보존적 치료 - 증례 보고 - (Conservative Treatment for Injured Anterior Cruciate Ligament - Two Cases Report -)

  • 정영복;태석기;염재광;김진수
    • 대한관절경학회지
    • /
    • 제1권1호
    • /
    • pp.112-115
    • /
    • 1997
  • 저자들이 전방십자인대 파열과 함께 전방 불안정성을 보인 2례를 보존적으로 치료하여 좋은 임상적 결과를 얻은 바를 고려할 때, 급성기에 전방십자인대가 파열된 경우에도 전방십자인대를 싸고 있는 활액막이 파열되어 없어지지 않고 비교적 연속성이 잘 유지된 경우에는 보존적으로 치료함으로써 좋은 결과를 기대할 수 있을 것으로 사료되며 아울러 십자인대가 손상받았을 때 스스로 복원 능력이 있는 지에 대하여 새로운 연구가 필요하리라 사료된다.

  • PDF

Neuregulin-1 promotes cardiomyocyte differentiation of genetically engineered embryonic stem cell clones

  • Wang, Zhi;Xu, Guotong;Wu, Yalan;Liu, Shaowen;Sun, Baogui;Dai, Qiuyan
    • BMB Reports
    • /
    • 제41권10호
    • /
    • pp.699-704
    • /
    • 2008
  • Embryonic stem (ES) cell-derived cardiomyocytes (ESCMs) must be specifically purified in order to prevent teratoma formation, and this confusing issue has hampered their clinical application. We therefore investigated a technique to generate pure labeled ESCMs for possible use in cardiac repair. We generated transgenic ES cell lines expressing enhanced green fluorescent protein (EGFP) under the transcriptional control of the $\alpha$-cardiac myosin heavy chain ($\alpha$-MHC) promoter. Differentiated EGFP-positive ES cells displayed characteristics of CMs. Furthermore, neuregulin-1 (NRG-1) upregulated the expression of the cardiac-restricted transcription factors Nkx2.5 and GATA-4, as well as differentiated CM factors ($\alpha$-MHC, $\beta$-MHC). Immunohistochemistry demonstrated that NRG-1 increased expression of cardiac-specific troponin T in the beating foci of the embryoid bodies. This work revealed a potential method for specifically labeling and enriching ESCMs by combining genetically-engineered ES cell clones and exogenous growth factor treatment.

소프트웨어 재활 기법을 적용한 다중계 시스템의 가용도 분석 (Availability Analysis of Multiplex Systems using Software Rejuvenation Method)

  • 박기진;김성수;김재훈
    • 한국정보과학회논문지:시스템및이론
    • /
    • 제27권8호
    • /
    • pp.730-740
    • /
    • 2000
  • 고가용성 다중계 시스템의 소프트웨어 재활 기법은 시스템의 결함 발생 이후에 수동적으로 대처하기보다는 결함이 발생하기 전에 이를 미연에 방지하는 능동적 차원의 결함 허용 방법이다. 특히 멀티미디어 이동 컴퓨팅에서 사용되는 소프트웨어는 통신 단절, 데이터 유실 등으로 인한 노화 진행이 일반 소프트웨어보다 상당히 빠르게 진행되기 때문에 소프트웨어 재활에 의한 결함 예방 방법은 대규모 멀티미디어 이동 컴퓨팅 시스템에 사용될 가능성이 높다고 볼 수 있다. 본 연구에서는 서버에서 수행되는 소프트웨어의 재활 주기, 재활 소요시간, 서버의 고장률, 수리률, 동시에 가동되는 서버의 수, 서버의 가동 기간 및 가동 방식 등의 시스템 운영 파라미터에 기초하여, 소프트웨어 재활 정책에 대한 평가를 위한 평형 상태에서의 확률, downtime, 가용도, 손실 비용 등을 계산하였다 수학적 분석을 통해 구한 재활 모델의 closed-form 해는 다양한 시스템 운영 상태에 대한 실험을 통해 검증하였으며, 소프트웨어 재활을 통한 예방적 결함허용 기법의 적용 가능성이 높다는 것을 확인하였다. 또한 서버의 고장률 및 불안정률이 소프트웨어 재활 정책 결정에 중요한 요소임을 파악하였다.

  • PDF

Genotoxicity of Taxol and 10-Deacetyl Baccatin III Using Single Cell Gel Electrophoresis (Comet Assay) in Chinese Hamster Lung Fibroblast

  • Kim, Hyun-Joo;Kim, Kyung-Ran;Youn, Ji-Youn;Kim, Min-Hee;Ryu, Jae-Chun
    • 한국환경독성학회:학술대회논문집
    • /
    • 한국환경독성학회 1996년도 제19회정기학술대회(The 19th Symposium of the Korean Society of Environmental Toxicology)
    • /
    • pp.61-61
    • /
    • 1996
  • Taxol is used as cancer therapeutic agent. It has been known as weak posotive of chromosome aberration assay in vitro in our previous results (Ryu et al., 1996) and potent clastogens in the mouse bone marrow micronucleus (Tinwell and Ashby, 1994). We performed microgel electrophoresis to determine the effect of taxol and it's precursor 10-deacetyl baccatin III(DAB) on DNA. Microgel electrophoresis is useful, rapid, simple, visual, and sensitive technique for measuring DNA breakage and repair mechanisms in mammalian 근ells. The range of concentration used for taxol were 854, 427, 213.5, 106.8, 53.4 Ug/ml, for DAB 910 ,455, 227.5 U9/ml, Cell viability always exceed 85%. We analyzed the results by using the special software of image analyzer for this comet assay (Komet 3.0). By using this image analyzer software , we can get the result as the tail moment ((mean of tail length - mean of head lengh) x tail%DNA/100). A slight increase in DNA migration was observed for taxol at the concentration of 854 Ug/m4 in the absence of S9 mixture. No increased DNA migration was observed after treatment with DAB.

  • PDF

Detection of DNA Damage in Carp Using Single-Cell Gel Electrophoresis Assay for Genotoxicity Monitoring

  • Jin, Hai-Hong;Lee, Jae-Hyung;Hyun, Chang-Kee
    • Journal of Microbiology and Biotechnology
    • /
    • 제14권2호
    • /
    • pp.268-275
    • /
    • 2004
  • To investigate the potential application of the single-cell gel electrophoresis (SCGE) assay to carp as an aquatic pollution monitoring technique, gill, liver, and blood cells were isolated from carp exposed to a direct-acting mutagen, N-methyl-N'-nitro-N-nitrosoguanidine (MNNG), or indirect mutagen, $benzo[\alpha]pyrene$ $(B[\alpha]P)$, then the DNA strand breakage was analyzed using the assay. Based on testing 5 different cell isolation methods and 6 electrophoretic conditions, the optimized assay conditions were found to be cell isolation by filter pressing and electrophoresis at a lower voltage and longer running time (at 0.4 V/cm for 40 min). In preliminary experiments, gill and liver cells isolated from carp exposed to MNNG in vitro exhibited DNA damage signals even with 0.5 ppb exposure, which is a much higher dose than previously reported. In the gill cells isolated from carp exposed to 0.01-0.5 ppm MNNG in vivo, significant dose-and time-dependent increases were observed in the tail for 4 days. As such, the linear correlation between the relative damage index (RDI) values and time for each dose based on the initial 48-h exposure appeared to provide effective criteria for the genotoxicity monitoring of direct-acting mutagenic pollution. In contrast, the in vivo exposure of carp to 0.25-1.0 ppm of $B[\alpha]P$ for 7 days resulted in dose-and time-dependent responses in the liver cells, in which 24-h delayed responses for metabolizing activation and gradual repair after 48 h were also observed. Thus, the negative-sloped linear correlation between the RDI and time at each dose based on the initial 48 h appeared to provide more effective criteria for the genotoxicity monitoring of indirect mutagenic pollution.

Deep-Plane Lipoabdominoplasty in East Asians

  • Kim, June-Kyu;Jang, Jun-Young;Hong, Yoon Gi;Sim, Hyung Bo;Sun, Sang Hoon
    • Archives of Plastic Surgery
    • /
    • 제43권4호
    • /
    • pp.352-359
    • /
    • 2016
  • Background The objective of this study was to develop a new surgical technique by combining traditional abdominoplasty with liposuction. This combination of operations permits simpler and more accurate management of various abdominal deformities. In lipoabdominoplasty, the combination of techniques is of paramount concern. Herein, we introduce a new combination of liposuction and abdominoplasty using deep-plane flap sliding to maximize the benefits of both techniques. Methods Deep-plane lipoabdominoplasty was performed in 143 patients between January 2007 and May 2014. We applied extensive liposuction on the entire abdomen followed by a sliding flap through the deep plane after repairing the diastasis recti. The abdominal wound closure was completed with repair of Scarpa's fascia. Results The average amount of liposuction aspirate was 1,400 mL (700-3,100 mL), and the size of the average excised skin ellipse was $21.78{\times}12.81cm$ (from $15{\times}10$ to $25{\times}15cm$). There were no major complications such as deep-vein thrombosis or pulmonary embolism. We encountered 22 cases of minor complications: one wound infection, one case of skin necrosis, two cases of undercorrection, nine hypertrophic scars, and nine seromas. These complications were solved by conservative management or simple revision. Conclusions The use of deep-plane lipoabdominoplasty can correct abdominal deformities more effectively and with fewer complications than traditional abdominoplasty.

일측 구순열비변형에서 음향비계측법(acoustic rhinometry)의 이용: 개열측과 비개열측의 비교 (Acoustic Rhinometric Comparison of Cleft Side with Non-cleft Side after Repair of Unilateral Cleft Lip Nose Deformity)

  • 한기환;권혁준;김현지;김준형;손대구
    • Archives of Plastic Surgery
    • /
    • 제33권1호
    • /
    • pp.75-79
    • /
    • 2006
  • The upper and lower lateral cartilages provide the key to the lower cartilaginous portion of the nose. Lifting the cartilages is essential procedure for correction of unilateral cleft lip nose deformity. After correction of cleft lip nose deformity, authors used acoustic rhinometry (AR) to compare the lower nasal cavity of cleft side with non-cleft side. AR is a well known new, non-invasive diagnostic technique in which nasal geometry is assessed by means of acoustic reflection. From June 1996 to January 2004, we performed acoustic rhinometric analysis after correction of unilateral cleft lip nose deformity. This study involved 40 children of age ranged from 3 months to 8 years. Subjects were divided into the group of incomplete unilateral cleft lip nose deformity(20 subjects), and the group of complete unilateral cleft lip nose deformity(20 subjects). Results show that lower nasal cavity volume between non-cleft side and cleft side has no difference, and better results were obtained when nasal molding prong was applied at cleft side nostril. The results between incomplete type and complete type have no significant difference. In conclusion, AR is an effective method to calibrate cross sectional area and nasal cavity volume of unilateral cleft lip nose deformity, and furthermore effective in comparing the volume of cleft side with non-cleft side after unilateral cleft lip nose deformity correction with lifting the lower lateral cartilages to the upper lateral cartilages.