• Title/Summary/Keyword: Site release

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A Simple, Reliable, and Inexpensive Intraoperative External Expansion System for Enhanced Autologous Structural Fat Grafting

  • Oranges, Carlo M.;Tremp, Mathias;Ling, Barbara;Wettstein, Reto;Largo, Rene D.;Schaefer, Dirk J.
    • Archives of Plastic Surgery
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    • v.43 no.5
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    • pp.466-469
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    • 2016
  • External volume expansion of the recipient site by suction has been proposed as a way of improving fat graft survival. The objective of this study was to present an innovative and simple intraoperative external expansion system to enhance small-volume autologous fat grafting (40-80 mL) and to discuss its background and its mechanism of action. In this system, expansion is performed using a complete vacuum delivery system known as the Kiwi VAC-6000M with a PalmPump (Clinical Innovations). The recipient site is rapidly expanded intraoperatively 10 times for 30 seconds each with a negative pressure of up to 550 mm Hg before autologous fat injection. During this repetitive stimulation, the tissues become grossly expanded, developing macroscopic swelling that regresses slowly over the course of hours following the cessation of the stimulus. The system sets various mechanisms in motion, including scar release, mechanical stimulation, edema, ischemia, and inflammation, which provide an environment conducive for cell proliferation and angiogenesis. In order to maintain the graft construct in its expansive state, all patients are encouraged postoperatively to use the Kiwi three times daily for one minute per session over the course of three days. The handling of this system is simple for both the patients and the surgeon. Satisfactory clinical outcomes have been achieved without significant complications.

Infraorbital nerve transpositioning into orbital floor: a modified technique to minimize nerve injury following zygomaticomaxillary complex fractures

  • Kotrashetti, Sharadindu Mahadevappa;Kale, Tejraj Pundalik;Bhandage, Supriya;Kumar, Anuj
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.41 no.2
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    • pp.74-77
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    • 2015
  • Objectives: Transpositioning of the inferior alveolar nerve to prevent injury in lower jaw has been advocated for orthognathic, pre-prosthetic and for implant placement procedures. However, the concept of infra-orbital nerve repositioning in cases of mid-face fractures remains unexplored. The infraorbital nerve may be involved in trauma to the zygomatic complex which often results in sensory disturbance of the area innervated by it. Ten patients with infraorbital nerve entrapment were treated in similar way at our maxillofacial surgery centre. Materials and Methods: In this article we are reporting three cases of zygomatico-maxillary complex fracture in which intra-operative repositioning of infra-orbital nerve into the orbital floor was done. This was done to release the nerve from fractured segments and to reduce the postoperative neural complications, to gain better access to fracture site and ease in plate fixation. This procedure also decompresses the nerve which releases it off the soft tissue entrapment caused due to trauma and the organized clot at the fractured site. Results: There was no evidence of sensory disturbance during their three month follow-up in any of the patient. Conclusion: Infraorbital nerve transposition is very effective in preventing paresthesia in patients which fracture line involving the infraorbital nerve.

Usefulness of the High B-value DWI in Brain Tumors (뇌종양 확산강조영상에서 High B-value의 유용성 평가)

  • Kim, Jin-tae;Byun, Jae-Hu;Park, Yong-Seong;Lee, Rae-Gon;Hwang, Seon-Kwang
    • Korean Journal of Digital Imaging in Medicine
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    • v.17 no.1
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    • pp.33-41
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    • 2015
  • This study attempts to examine the clinical usefulness of High b-value DWI (diffusion weighted imaging) for brain tumors with an edema. Subjects were seven patients selected from 65 patients who received an MRI scan for suspected encephalopathy and confirmed diagnosis at our hospital from February to July 2015 (male: 7, average age : 66 years old). As test equipment, 3.0T MR System (ACHIEVA Release, Philips, Best, The Netherlands) and 8Channel SENSE Head Coill were used. DWI checks on the use of the variable TR 5460ms, TE 132ms, Slice Thickness 4mm, gap 1mm, Slice number 29 is, 3D T1WI is TR 8.4ms, TE 3.9ms, matrix size $240{\times}240$, Slice can set 180 piecesIt was. b value of 0, 1,000, 2,000 s/mm2 with DWI acquisition and 3D T1WI enhancement five minutes after the Slice Thickness 3mm, gap 0mm to reconstruct the upper face axis (MPR TRA CE) was. As for the experiment, in b-value 1,000 and 2,000 images, SNR and the lesion at the lesion site and CNR in the normal site opposite to the lesion are measured. WW(window width) and WL(window level) are made equal in MRICro software, and the volume of the lesion is measured from each of b-value and MPR TRA CE image. Using SPSS ver. 1.8.0.0 Mann Whitney-test was analyzed for SNR and CNR, while Kruskal-Wallis test was analyzed for volume.

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A Study on the Field Application of Alkaline Tunnel Wastewater to Neutralization Using CO2 (터널시공 시 이산화탄소(CO2)를 이용한 알칼리성 폐수의 중화처리 현장적용 연구)

  • Park, Young-Jin;Lee, Ho-Chul
    • Journal of the Korean Geotechnical Society
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    • v.36 no.8
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    • pp.27-34
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    • 2020
  • Strong alkaline waste water is generated in large quantities due to using Concrete, shotcrete and various compounds in tunnel construction sites. As the release of this alkaline waste water will contaminate the stream water, it has to be neutralized. Currently, this waste water is mainly neutralized by using sulfuric acid or hydrochloric acid, but the risks of corrosion and handling of facilities are inherent and the chemical control act requires strict management measures. Therefore, using CO2 (carbon dioxide) as an alternative has been highlighted and various indoor experiment studies have been conducted to prove its potential. However, it is difficult to apply CO2 to the site because it is still completely lacking in field application research and shows different characteristics from indoor experiments. In this study, the actual site applicability is verified through field testing.

Dephosphorylation Study of Phosphorylated Myelin Basic Protein: A Model Substrate for Protein Phosphatase (인산화된 신경수초 염기성 단백질의 탈인산화 연구: 단백질 탈인산화 효소의 기질 모델)

  • Kim, Jin Hahn;Choi, Myung Un
    • Journal of the Korean Chemical Society
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    • v.41 no.4
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    • pp.205-209
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    • 1997
  • The site specificity of dephosphorylation of myelin basic protein(MBP) was studied in vitro. To assign amino acid site of dephosphorylation, MBP was phosphorylated by protein kinase C(PKC) and dephosphorylated by protein phosphatase PP2A. The phosphorylated MBP was digested by trypsine and the digested peptides were separated by a reverse phase HPLC chromatography. The radioactivity of each fraction was counted and partially sequenced. Seven radioactive peptides were observed and $Ser^{55}$ in the second peak($P_2$) shows the best susceptibility for the phosphorylation. However in the dephosphorylation, the fifth peak($P_5$) appeared to release it's phosphate group most rapidly. This result demonstrates that MBP is a suitable substrate for protein phosphatase.

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What Can Radiation Protection Experts Contribute to the Issue of the Treated Water Stored in the Damaged Fukushima Daiichi Nuclear Power Plant?

  • Yamaguchi, Ichiro
    • Journal of Radiation Protection and Research
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    • v.46 no.1
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    • pp.24-31
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    • 2021
  • Decommissioning efforts are underway at the reactor where the accident occurred, namely the damaged Tokyo Electric Power Company (TEPCO) Fukushima Daiichi Nuclear Power Plant (FDNPP). However, a large amount of groundwater flowing into the site has become contaminated with radioactive substances and is stored in tanks on site, which has hampered the decommissioning work. Although the inflow of groundwater has been greatly reduced through measures such as the construction of frost walls, approximately 170 ㎥ of water treated by the Advanced Liquid Processing System (ALPS) is being stored in tanks, each day. The tanks used to store this treated water are expected to become full by around the summer of 2022. It is not easy to get people to understand the efforts of all concerned parties, and providing clear information to these concerned parties is also a challenge. Questions have also been raised regarding whether other alternatives have been fully explored in the ALPS subcommittee. Some people have commented that the answers to the questions raised regarding the biological effects of tritium transmutation are inadequate. Some suspect that the answers are too detailed and incomprehensible, and that the respondents may be manipulating the public with some malicious intent. In any case, each possible plan presents both advantages and disadvantages, depending on the people who are involved. That makes it an ethical and vexing issue that can sway decisions, as perspectives change. While the environmental release plan is scientifically safe, it may represent a painful alternative. On the other hand, a more careful and imaginative approach to the idea of continued storage in tanks or other forms of storage may reveal some troublesome hidden disadvantages. Under these circumstances, experts must be prepared to answer people's questions in a comprehensive and robust manner.

Coactivity of Mast Cells and Stem Cells on Angiogenesis and Antioxidants' Potentials at Inflammation, Proliferation, and Tissue Remodeling Phases of Wound

  • Mousavi, Mahshad;Khanifar, Ahmad;Mousavi, Nazanin;Anbari, Khatereh;Chehelcheraghi, Farzaneh
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.462-470
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    • 2022
  • Background Reactive oxygen species cause serious damage to the physiological function of tissues. Determination of total antioxidant capacity of skin tissue is one of the determinants of damaged tissue function. Mast cells (MCs) are one of the groups of cells that are invited to the site of injury. The healing process begins with the rapid release of various types of MCs' intermediate factors at the site of injury. Bone marrow mesenchymal stem cell (BMMSC) production and secretion have been shown to regenerate the skin. The aim of this research was to evaluate the wound-healing and antioxidant effects of BMMSCs per MCs. Methods Fifty-four albino Wistar male rats were divided into three groups: (1) nonsurgery, (2) surgery, and (3) surgery + BMMSCs. Groups 2 and 3 were operated with a 3 × 8 cm flap and in group 3, cell injections (7 × 109 cell injection at the time of surgery) were performed. After days 4, 7, and 15, percentage of the surviving tissue, histological characteristics, superoxide dismutase (SOD) activity, and amount of malondialdehyde (MDA) were measured in the groups. For results, Graph Pad Prism 8 software was used, and data were analyzed and compared by analysis of variance and Tukey test. Results BMMSCs' application decreased the amount of MDA, increased SOD activity and survival rate of the flaps, and improved the histological characteristics. Conclusion This study revealed the protective effects BMMSCs alongside MCs against oxidative stress on the survival of the flaps. However, for clinical use, more research is needed to determine its benefits.

Growth and maturation period of a brown alga, Scytosiphon lomentaria(Lyngbye) Link in a natural habitat of Sodol, Jumunjin, eastern coast of Korea (한국 동해안 주문진의 자연산 고리매(Scytosiphon lomentaria)의 생장과 성숙주기)

  • Myeong Seok Han;Chan Sun Park;Eun Kyoung Hwang
    • Korean Journal of Environmental Biology
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    • v.40 no.2
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    • pp.206-213
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    • 2022
  • Ecological characteristics of a brown alga, Scytosiphon lomentaria, were investigated from January 2021 to December 2021 in its natural habitat off Sodol, Jumunjin, eastern coast of Korea. The S. lomentaria population at the site formed widespread patches on mid shore. During the investigation, environmental conditions including seawater temperature, salinity, and dissolved oxygen were monitored at the site. Growth and maturation of the S. lomentaria population were identified through qualitative and quantitative investigations. An estimation of the effective cumulative temperature for maturation of the alga was obtained based on growth data and a biological zero temperature of 8℃. Sporangia were observed from February to May when seawater temperatures ranged from 7.7℃ to 16.4℃. A maturation peak was detected in April when seawater temperature was 12.1℃. After zoospore release, the alga became bleached and only the crust remained after June. Developmental initiation of the thallus occurred at temperatures above 8℃. Its maturation required approximately 162 degree-days.

Patients with brain metastases the usefulness of contrast-enhanced FLAIR images after delay (뇌전이 환자의 조영 증강 후 지연 FLAIR 영상의 유용성)

  • Byun, Jae-Hu;Park, Myung-Hwan;Lee, Jin-Wan
    • Korean Journal of Digital Imaging in Medicine
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    • v.16 no.1
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    • pp.13-19
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    • 2014
  • Purpose: FLAIR image is beneficial for the diagnosis of various bran diseases including ischemic CVS, brain tumors and infections. However the border between the legion of brain metastasis and surrounding edema may not be clear. Therefore, this study aims to investigate the practical benefits of delayed imaging by comparing the image from a patient with brain metastasis before a contrast enhancement and the image 10 minutes after a contrast enhancement. Materials and methods: Of the 92 people who underwent MRI brain metastases in suspected patients 13 people in three patients there is no video to target the 37 people confirmed cases, and motion artifacts brain metastases in our hospital June-December 2013, 18 people measurement position except for the three incorrect patient (male: 11 people, female: 7 people, average age: 60 years) in the target, test equipment, 3.0T MR System (ACHIEVA Release, Philips, I was 8ChannelSENSE Head Coil use Best, and the Netherlands). TR 11000 ms, TE 125 ms, TI2800 ms, Slice Thickness 5 mm, gap 5 mm, is a Slice number 21, the parameters of the 3D FFE, T2 FLAIR variable that was used to test, TR 8.1 ms, TE 3.7 ms, Slice number 240 I set to. The experiment was conducted by acquiring the FLAIR prior to contrast enhancement (heretofore referred to as Pre FLAIR), and acquiring the 3D FFE CE five minutes after the contrast enhancement, and recomposing the images in an axial plane of S/T 3mm, G 0mm (heretofore referred to as MPR TRA CE). Using the FLAIR 10 minutes after the contrast enhancement (heretofore referred to as Post FLAIR) and Pi-View, a retrospective study was conducted. Using MRIcro on the image of a patient confirmed for his diagnosis, the images before and after the contrast media, as well as the CNR and SNR of the MPR TRA CE images of the lesion and the site absent of lesion were compared and analyzed using a one-way analysis of variance. Results: CNR for Pre FLAIR and Post FLAIR were 34.35 and 60.13, respectively, with MPR TRA CE at 23.77 showing no significant difference (p<0.050). Post-experiment analysis shows a difference between Pre FLAIR and Post FLAIR in terms of CNR (p<0.050), but no difference in CNR between Post FLAIR and MPR TRA CE (p>0.050), indicating that the contrast media had an effect only on Pre FLAIR and Post FLAIR. The SNR for the normal site Pre FLAIR was 106.43, and for the lesion site 140.79. Post FLAIR for the normal site was 107.79, and for the lesion site 167.91. MPR TRA CE for the normal site was 140.23 and for the lesion site 183.19, showing significant difference (p<0.050), and post-experiment analysis shows that there was a difference in SNR only on the lesion sites for Pre FLAIR and Post FLAIR (p<0.050). There was no difference in SNR between the normal site and lesion site for Post FLAIR and MPR TRA CE, indicating no effect from the contrast media (p>0.050). Conclusions: This experiment shows that Post FLAIR has a higher contrast than Pre FLAIR, and a higher SNR for lesions, It was not not statistically significant and MPR TRA CE but CNR came out high. Inspection of post-contrast which is used in a high magnetic field is frequently used images of 3D T1 but, since the signal of the contrast medium and the blood flow is included, this method can be diagnostic accuracy is reduced, it is believed that when used in combination with Post FLAIR, and that can provide video information added to the diagnosis of brain metastases.

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Dynamics of the mobile insert helix in the domain III-IV of Aux/IAA17 probed by site-directed spin labeling and paramagnetic NMR spectroscopy

  • Han, Mookyoung;Suh, Jeong-Yong
    • Journal of the Korean Magnetic Resonance Society
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    • v.19 no.2
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    • pp.61-66
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    • 2015
  • The plant hormone auxin is involved in all stages of plant development. Aux/IAAs are the transcriptional repressors that bind to the Auxin Response Factors (ARFs) to regulate the gene expression upon auxin release. Aux/IAA have highly conserved C-terminal domains (domains III-IV) that mediate both homotypic and heterotypic interactions between Aux/IAA and ARF family proteins. Recent studies revealed that the conserved domains III-IV share a common ${\beta}$-grasp fold that oligomerizes in a front-to-back manner. In particular, Aux/IAA contains a mobile insert helix in the domain III-IV, whereas ARFs do not. Here, we investigated the dynamics of the insert helix using paramagnetic NMR spectroscopy. The insert helix exhibited fast motions in the ps-ns time scale from $^{15}N$ relaxation data, but the amplitude of the motion is likely limited to the local neighborhood. Our result suggests that the motion of the helix may have functional implications in protein-protein interactions for transcriptional regulations.