• Title/Summary/Keyword: Soft Dead

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Computed Tomographic Diagnosis of Bronchiectasis in a Dog with Chronic Bronchopneumonia (만성 기관지폐염 견에서 컴퓨터단층촬영을 통한 기관지확장증 진단 1례)

  • Lim Chang-yun;Choi Ho-jung;Jeong Yu-cheol;Oh Sun-kyoung;Seo Eun-jung;Jung Joo-hyun;Choi Min-cheol;Yoon Junghee
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.431-434
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    • 2005
  • A 2-year-old castrated male, Cocker spaniel dog with a history of chronic productive cough for 2 to 3 months and with unsuccessful treatment was referred to Veterinary Medical Teaching Hospital, Seoul National University. On thoracic radiographs, there were alveolar infiltrations at left cranial and right caudal lung fields, and soft-tissue opacity round to oval images at overall lung field. The bronchi were dilated, tortuous and not tapered. Abnormal air was accumulated focally in the caudodorsal lung fields. To scrutinize the soft-tissue opacity image and accumulated air, computed tomography (CT) was done. On CT images, severe cylindrical or tubular bronchiectasis was confirmed. And the soft-tissue opacity images were found in the dilated bilated and thought to complexes of mucous plugs, inflammatory cells, necrotic and fibrotic tissue. The dog was dead next day to the CT scan, so necropsy and histopathologic examination were perfermed. On the histopathology, there were cylindrical bronhiectasis and severe diffuse chronic fibrinous necropurulent bronchitis and bronchopneumonia. In this case, it was difficult to diagnose the bronchiectasis only with radiography due to the concurrent lesions, such as pulmonary infiltrations and mucous plugs, which was identified by computed tomography. Thus, computed tomography is considered as a useful modality to confirm tile bronchiectasis camouflaged by the concurrent lesion.

Surgical Treatment for Metastatic Pulmonary Sarcoma (폐전이 골 연부조직 육종에 대한 외과적 치료)

  • 박재길;이선희
    • Journal of Chest Surgery
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    • v.30 no.12
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    • pp.1214-1218
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    • 1997
  • The therapeutic results of pulmonary resection for metastatic bone and soft tissue sarcomas were analyzed. From 1986 to 1996, 14 patients(11 male and 3 female) underwent 15 pulmonary resections for metastatic sarcomas. One(7.1%) patient had 2 thoracotomies for recurrences. The number of metastatic tumors were from one to five. The primary malignant tumors were from bone in 4 and from soft tissues in 10. Mean survival time after thoracotomy was 29.2 months, and Kaplan-Meier's 5-year survival rate from the first metastasectomy was 33.2%. Three patients who had the tumor free interval period over 3 years were alive(mean survival period 52.6 months), whereas eleven patients of the less than 3 years were dead with disease(mean survival period 17.3 months). These results suggested that pulmonary. metastasectomy in bone and soft tissue sarcoma may prolong the survival rate.

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Reconstruction of the Recurrent Ischial Sore with Modified Gluteus Maximus Myocutaneous V-Y Advancement flap (변형된 대둔근 V-Y 전진 피판을 이용한 재발성 좌골부 욕창의 재건)

  • Lee, SeungRyul;Kim, Da-Arm;Oh, SangHa
    • Archives of Plastic Surgery
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    • v.36 no.6
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    • pp.714-719
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    • 2009
  • Purpose: Recurrent ischial pressure sore is troublesome for adequate soft tissue coverage, because usually its pocket has a very large deep space and adjacent donor tissue have been scarred in the previous surgery. However, the conventional reconstructive methods are very difficult to overcome them. Modified gluteus maximus myocutaneous V - Y advancement flap from buttock can be successfully used in these circumstances. Methods: From February 2007 to October 2008, modified gluteus maximus myocutaneous V - Y advancement flaps were perfomed in 10 paraplegic patients with recurrent ischial pressure sore. The myocutaneous flap based on the inferior gluteal artery was designed in V - shaped pattern toward the superolateral aspect of buttock and was elevated from adjacent tissue. Furthermore, when additional muscular bulk was required to obliterate dead space, the flap dissection was extended to the inferolateral aspect which can included the adequate amount of the gluteal muscle. After the advanced flap was located in sore pocket, donor defect was repaired primarily. Results: The patients' mean age was 46.9 and the average follow - up period was 12.4 months. The immediate postoperative course was uneventful. But, two patients were treated through readvancement of previous flap due to wound dehiscence or recurrence after 6 months. The long - term results were satisfied in proper soft tissue bulk and low recurrence rate. Conclusions: The modified gluteus maximus myocutaneous V - Y advancement flap may be a reliable method in reconstruction of recurrent ischial pressure sore, which were surrounded by scarred tissue because of its repetitive surgeries and were required to provide sufficient volume of soft tissue to fill the large pocket.

A Study on the Transmission Tower Foundation Design and Construction Method - A Focus of Cylindrical Foundation - (가공 송전 철탑기초 설계 및 시공 방법 연구 - 심형기초를 중심으로 -)

  • Jang, Suk-Han;Kim, Hee-Kwang;Lee, Kang-Hyeon;Han, Kyung-Soo;Ham, Bang-Wook;Chung, Ki-Sun
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.56 no.6
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    • pp.1031-1034
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    • 2007
  • Electric transmission lines pass through a variety of area. Foundation supporting the conductors and tower are selected properly in accordance with external load, for example dead load, wind load, snow load, construction load etc, and topography and geology condition. Typical types of foundation are as follows: pad foundation for small load and hard soil or rock in mountainous area, pile foundation for medium or large load and soft soil in plain field area. This paper introduced cylindrical foundation design & construction for large load and mountainous area. This foundation failure mode against pulling-out show splitting failure by tensile force toward circumferential direction.

The Stablized Control Method for The Voltage Source Inverter Fed Induction Motor Driver (전압형 인버터로 구동되는 유도기의 안정화 제어)

  • Ro, S.C.;Lee, H.W.;Lee, O.G.;Woo, J.I.
    • Proceedings of the KIEE Conference
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    • 1989.07a
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    • pp.567-570
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    • 1989
  • A constant V/F control system of voltage contrlled PWM inverter has a unstable operation of the low- speed and the light-load. In this paper, the authors propose stability control with idealized operation of induction motor by the neglect of primary leakage inductance and resistance. Also ldealized operation system is adopted voltage error, feed back impedance circuit, and increasing resistance from dead time of switching is compensated by the soft ware with u-processors. The proposed simulation of the idealized control method is proved at the low-speed operation for three phase induction motor.

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Extensive calcific myonecrosis of the lower leg treated with free tissue transfer

  • Kim, Tae Gon;Sakong, Yong;Kim, Il Kug
    • Archives of Plastic Surgery
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    • v.48 no.3
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    • pp.329-332
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    • 2021
  • Calcific myonecrosis is a rare condition in which hypoperfusion due to compartment syndrome causes soft tissue and muscle to become calcified. As calcific myonecrosis gradually deteriorates, secretions steadily accumulate inside the affected area, forming a cavity that is vulnerable to infection. Most such cases progress to chronic wounds that are unlikely to heal spontaneously. After removing the calcified tissue, the wound can be treated by primary closure, flap coverage, or a skin graft. In this case, a 72-year-old man had extensive calcific myonecrosis on his left lower leg, and experienced swelling and increasing tenderness. After removing the muscle calcification, we combined two anterolateral thigh free flaps, which were harvested from the patient's right and left thigh, respectively, to reconstruct the wound with a dead-space filler and skin-defect cover at the same time. The patient recovered without revision surgery or major complications.

Superior Gluteal Artery Perforator Turn-Over Flap Coverage for Lumboscaral Soft Tissue Defect in Ambulatory Patient (보행 환자에서의 위볼기동맥천공지뒤집기피판을 이용한 허리엉치 부위 연부조직 결손의 치료)

  • Moon, Suk-Ho;Kim, Dong-Seok;Oh, Deuk-Young;Lee, Jung-Ho;Rhie, Jong-Won;Seo, Je-Won;Ahn, Sang-Tae
    • Archives of Plastic Surgery
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    • v.37 no.5
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    • pp.712-716
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    • 2010
  • Purpose: Extensive lumbosacral defects after removal of spinal tumors have a high risk of wound healing problems. Therefore it is an effective reconstructive strategy to provide preemptive soft tissue coverage at the time of initial spinal surgery, especially when there is an instrument exposure. For soft tissue reconstruction of a lumbosacral defect, a variation of the gluteal flap is the first-line choice. However, the musculocutaneous flap or muscle flap that is conventionally used, has many disadvantages. It damages gluteus muscle and causes functional disturbance in ambulation, has a short pedicle which limits areas of coverage, and can damage perforators, limiting further surgery that is usually necessary in spinal tumor patients. In this article, we present the superior gluteal artery perforator turn-over flap that reconstructs complex lumbosacral defects successfully, especially one that has instrument exposure, without damaging the ambulatory function of the patient. Methods: A 67 year old man presented with sacral sarcoma. Sacralectomy with L5 corpectomy was performed and resulted in a $15{\times}8\;cm$ sized complex soft tissue defect in the lumbosacral area. There was no defect in the skin. Sacral stabilization with alloplastic fibular bone graft and reconstruction plate was done and the instruments were exposed through the wound. A $18{\times}8\;cm$ sized superior gluteal artery perforator flap was designed based on the superior gluteal artery perforator and deepithelized. It was turned over 180 degrees into the lumbosacral dead space. Soft tissue from both sides of the wound was approximated over the flap and this provided in double padding over the instrument. Results: No complications such as hematoma, flap necrosis, or infection occurred. Until three months after the resection, functional disturbances in walking were not observed. The postoperative magnetic resonance imaging scan shows the flap volume was well maintained over the instrument. Conclusion: This superior gluteal artery perforator turn-over flap, a modification of the conventional superior gluteal artery perforator flap, is a simple method that enabled the successful reconstruction of a lumbosacral defect with instrument exposure without affecting ambulatory function.

HEALING PATTERN OF BONE REGERNERATION IN PERIIMPLANT SPACE AFTER IMMEDIATE IMPLANT PLACEMENT;AN EXPERIMENTAL STUDY IN DOGS (발치후 즉시 임프란트 식립시 임프란트 주위공간의 치유양상에 관한 실험적 연구)

  • Choi, Mee-Sook;Kim, Jong-Eon;Kang, Bo-Won;Kim, Sung-Moon;Rim, Jae-Suk;Kwon, Jong-Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.4
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    • pp.499-507
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    • 1994
  • The aim of this experiment is to compare the healing process of extraction sockets after immediate implant placement with those using autogenous bone grafts and guided tissue regeneration with Gore-Tex. The first lower premolars and the second premolars of six experimental dogs were extracted and Stryker fin type implants were placed into the extraction sockets immediately after extraction. In the control group, any graft materials were'not used and the dead space around implants was left in itself and covered with only periosteum. In the experimental group A, implants were covered with Gore tex without any bone grafts, and in the experimental group B, the dead space around implants was filled with the bone chips gained from drilling procedure. Each experimental dogs were sacrificed at the 1st, 2nd, 3rd, 6th, and 8th week and the specimens were observed by gross examination, radiological examination, and light microscopic examination. The following results were obtained. 1. Well healed soft tissue and no mobility of the implants were observed in control and two experimental groups. 2. In the radiogical examination, radiopacity around implants had been increased gradually. 3. In the microscopic examination, there were good healing process and active new bone formation in both in the experimental groups, Especially the more amount of new bone formation occurred in the experimental group B using bone chips. 4. Bone chip grafts and guided tissue regeneration (GTR) using Gore-Tex may be one of the successful methods in the immediate implantation.

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Treatment Time and Concentration of GA3 for Increasing Efficiency of the Lettuce Seed Production for Lettuce Breeding and Selection (상추 육성 및 선발을 위한 채종 효율증진을 위한 GA3 처리시기 및 농도)

  • Lee, K.H.;Ryu, G.M.
    • Journal of Practical Agriculture & Fisheries Research
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    • v.14 no.1
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    • pp.119-130
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    • 2012
  • To increasing efficiency of the seed production through GA3 treatment, treatment of GA3 20mg/ℓ at its fourteen leaf stage had an effect on 21% increasing seed yield at leaf lettuce (cv.'Ttugseomjeokchugmyeon') in seed production from 50.9ℓ/10a to 61.7ℓ/10a, and 'GA3 50mg/ℓ at its eight leaf and fourteen leaf stage had a effect on 14% increasing the seed yield of head lettuce (cv.'Urake') at seed production from 14.2ℓ/10a to 21.1ℓ/10a reducing rate of dead plant in field. Especially, it will be recommended for planting after June for seed production of head lettuce owing to decreasing rate of dead by soft rot and stem rot.

Morphological Assessment of Proximal Restoration Depending on Different Matrix Systems in Primary Molars with a 3D Scanner: In Vitro Studies (매트릭스 시스템에 따른 유구치 인접면 수복물에 대한 3D 스캐너를 이용한 형태학적 평가: 실험실적 연구)

  • Hyewon Shin;Nanyoung Lee;Joohun Song;JoonSeong Kim;Myeongkwan Jih
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.4
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    • pp.396-408
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    • 2023
  • The purpose of this study was to compare the proximal surface contour, size of contact area, and volume difference before and after restoration in artificial teeth of primary molars during proximal composite resin restoration using different matrix systems. Four types of artificial teeth were restored with composite resin using sectional matrix systems-Palodent V3 Sectional Matrix System and myJunior Kitand a circumferential matrix system-Tofflemire Matrix System-and modeled threedimensionally for analysis. When sectional matrix systems were used, there was a higher probability of concave proximal surface contour and simultaneously greater contact area and volume. This is attributed to the dead soft properties of the matrix band used in sectional matrix systems, which can lead to deformation of the band and hence an excessive amount of resin applied around the contact point. Additionally, the rubber wedge in the sectional matrix system may not help the matrix band fit into the cavity. Therefore, based on the findings of this study, morphological aspects need to be carefully considered for proximal composite resin restoration of primary molars using sectional matrix systems.