• Archives of Plastic Surgery
• /
• v.37 no.6
• /
• pp.847-849
• /
• 2010

Purpose: Traditional radical surgery for vulvar cancer produces severe skin and soft tissue defects in the vulvar and vaginal area. Vulvoperineal V-Y advancement fasciocutaneous flaps have limitations in advancement and tension at the wound margin and vaginal orifice area, causing wound disruption or vaginal wall exposure. Therefore, we designed the "Butterfly flap" using a vulvoperineal V-Y advancement fasciocutaneous flap and an inguinal rotational skin flap for 3-dimensional reconstruction of vagina and vulvar area. Methods: A 27 year-old female was diagnosed with vulvar intraepithelial neoplasia. Radical vulvectomy and full-thickness-skin-graft was performed. We designed a vulvoperineal V-Y advancement fasciocutaneous flap as the greater wing and inguinal rotational skin as the lesser wing. After flap elevation, the inguinal flap was rotated $180^{\circ}$ to reconstruct the labia major and vaginal orifice. The perineum was reconstructed using V-Y advancement flaps. Results: The flap survived completely, without any complications. After 6 months, the patient was able to perform normal sexual activities and after 18 months, the patient was able to give birth to normal child by caesarean section. Conclusion: The traditional vulvoperineal V-Y advancement fasciocutaneous flap is thin, reliable, easily elevated and matches local skin quality. However, the vaginal wall becomes exposed due to limited advancement and tension of the flap. The "Butterfly flap" using a vulvoperineal V-Y advancement fasciocutaneous flap and an inguinal rotational skin flap is useful for the release of vaginal orifice contracture, reconstruction of the labia major, and 3-dimensional reconstruction of vagina and vulvar area.

• Korean Journal of Anesthesiology
• /
• v.71 no.6
• /
• pp.476-482
• /
• 2018

Background: Several types of receptors are found at neuromuscular presynaptic membranes. Presynaptic inhibitory $A_1$ and facilitatory $A_{2A}$ receptors mediate different modulatory functions on acetylcholine release. This study investigated whether adenosine $A_1$ receptor agonist contributes to the first twitch tension (T1) of train-of-four (TOF) stimulation depression and TOF fade during rocuronium-induced neuromuscular blockade, and sugammadex-induced recovery. Methods: Phrenic nerve-diaphragm tissues were obtained from 30 adult Sprague-Dawley rats. Each tissue specimen was randomly allocated to either control group or 2-chloroadenosine (CADO, $10{\mu}M$) group. One hour of reaction time was allowed before initiating main experimental data collection. Loading and boost doses of rocuronium were sequentially administered until > 95% depression of the T1 was achieved. After confirming that there was no T1 twitch tension response, 15 min of resting time was allowed, after which sugammadex was administered. Recovery profiles (T1, TOF ratio [TOFR], and recovery index) were collected for 1 h and compared between groups. Results: There were statistically significant differences on amount of rocuronium (actually used during experiment), TOFR changes during concentration-response of rocuronium (P = 0.04), and recovery profiles (P < 0.01) of CADO group comparing with the control group. However, at the initial phase of this experiment, dose-response of rocuronium in each group demonstrated no statistically significant differences (P = 0.12). Conclusions: The adenosine $A_1$ receptor agonist (CADO) influenced the TOFR and the recovery profile. After activating adenosine receptor, sugammadex-induced recovery from rocuronium-induced neuromuscular block was delayed.

• Journal of Ginseng Research
• /
• v.18 no.2
• /
• pp.95-101
• /
• 1994

Saponin of Panax ginseng (C.A. Meyer) is composed of Protopanaxatriol (PT) and Protopanaxa- diol (PD). We investigated the effects of PT and PD on the contractility and $^{45}Ca$ uptake in the pig coronary artery. Isometric tension in the helical strips and $^{45}Ca$ uptake in the ring strips were measured in the presence or absence of PT and PD. PT and PD did not affect the high K+ (40 mM)-induced contraction but relaxed the ACh-induced contraction in a dose4ependent manner (1~10 mg/dl). The vasorelaxing effect of PT on the ACh-induced contraction was more potent than that of PD. Those relaxations were partially suppressed by the rubbing of endothelium removal. ACh-induced contraction in the $Ca^{2+}$-free Tyrode's solution was suppressed by the pretreatment of PT or PD. Following the depletion of ACh-sensitive intracellular $Ca^{2+}$ pool, ACh-induced contraction was suppressed by the pratreatment of PT or PD. With the pretreatment of PT or PD, $^{45}Ca$ uptake by high K+ (43 mM) was not changed but that by ACh was suppressed in the pig coronary artery. From the above results, we suggested that the vasorelaxing effect of PT and PD of Panax ginseng was due to inhibition of intracellular $Ca^{2+}$ release, inhibition of $Ca^{2+}$ uptake via receptor-operated $Ca^{2+}$ channels and in part a release of vasorelaxing factor from endothelium in pig coronary artery.

• Transactions of the Korean Society of Mechanical Engineers A
• /
• v.40 no.8
• /
• pp.693-701
• /
• 2016

In this study, notch defects are evaluated using fracture mechanics. To understand the effects of notch defects, FE analysis is conducted to predict the limit load and J-integral for middle-cracked and single-edge cracked plates with various sizes of notch under tension and bending. As the radius of the notch increases, the energy release rate also increases, although the limit load remains constant. The values of fracture toughness($J_{IC}$) of SM490A are determined for various notch radii through FE simulation instead of conducting an experiment. As the radius of the notch increases, the energy release rate also increases, together with a more significant increase in fracture toughness. To conclude, as the notch radius increases, the resistance to crack propagation also increases.

• Journal of the Computational Structural Engineering Institute of Korea
• /
• v.15 no.3
• /
• pp.389-398
• /
• 2002

The mixed mode problem (I and II) of a peny-shaped interface cracks in remote tension loading on a bi-material cylinder is studied using finite element method. The energy release rates for the tip of the crack in the interface were calibrated for several different moduli combinations and crack ratios using the modified crack closure integral technique and J-integral method, with numerical results obtained from a commercial finite element program. Numerical results show that non-dimensional value of$\sqrt{G_{II}E^*}/\sqrt[p]{\pi a}$ increases as the crack size or moduli ratio increases. Meanwhile, non-dimensional value of$\sqrt{G_{I}E^*}/\sqrt[p]{\pi a}$ decreases as the moduli ratio increases, but above the moduli ratio of 3 its value decreases then increases again as the crack size increases. Reliability of the numerical analysis in this study was acquired with comparison to an analytical solution for the peny-shaped interface crack in an infinite medium.

• Korean Journal of Soil Science and Fertilizer
• /
• v.17 no.1
• /
• pp.7-11
• /
• 1984

A study was carried out to develop a modified Gardner's method, which enabled us to obtain simultaneously both the unsaturated hydraulic conductivities and the moisture retention curves by the use of a soil moisture pressure-plate extractor. The unsaturated hydraulic conductivity was calculated from soil moisture changes under different tension ranges in the pressure- plate extractor by means of Gardner's pressure-plate outflow equation. From 30mbar-tension to 10bar-tension, the unsaturated hydraulic conductivities obtained on three soils (Bonryang sandy loam, Yesan silt loam, and Pogog clay loam) varied $3.09{\times}10^{-2}cm/day{\sim}4.06{\times}10^{-6}cm/day$, $1.34{\times}10^{-2}cm/day{\sim}7.30{\times}10^{-6}cm/day$, and $1.83{\times}10^{-2}cm/day{\sim}8.50{\times}10^{-6}cm/day$, respectively. In comparison with the outflow method, it is inconvenient to perform the periodic determinations of the soil moisture content that require release of the applied Pressure before readjusting the pressure desired for each measurement. Nevertheless, the main advantage of the modified method is that the unsaturated hydraulic conductivities of different soils can be calculated simultaneously with a small amount of each soil sample. It is concluded that the unsaturated hydraulic conductivity can be calculated from soil moisture changes in the soil moisture pressure-plate extractor.

• The Korean Journal of Pharmacology
• /
• v.26 no.1
• /
• pp.7-12
• /
• 1990

Cyclobuxine D is a steroidal alkaloid, which was extracted from Buxus microphylla var. koreana Nakai. In our previous studies, we clarified several pharmacological actions of cyclobuxine D: an antiinflammatory action, hypotensive and bradycardiac effects, negative inotropic effects on the several smooth muscles and cardiac muscle. The present study was undertaken to elucidate possible mechanisms by protection of myocardial tells from ischemia and reperfusion induced derangement in cardiac function and metabolism by cyclobuxine D. For this purpose, the isolated rat heart was used. Rat hearts were perfused for 60 min under ischemia conditions in the presence and absence of cyclobuxine D and verapamil, and for 30 min under reperfusion conditions. Ischemia produced a marked decline in contractile force, an increase of resting tension, an immediate release of ATP metabolites and an accumulation of calcium in the left ventricle. Cyclobuxine D (100ng/ml) ameliorated the myocardial injury produced by ischemia.

• The Korean Journal of Pharmacology
• /
• v.29 no.2
• /
• pp.203-212
• /
• 1993

This study was designed to observe hypoxia-induced mechanical responses of porcine cerebral artery and to clarify their possible mechanisms. Hypoxia produced a transient vasoconstriction, recovering to the basal tension within 10 min and subsequent reoxygenation produced a biphasic (relaxalion-contraction) response in rings with endothelium under resting tension. Hypoxia produced a further contraction in rings precontracted with KCl or $PGF_{2{\alpha}}$, and following reoxygenation caused only sustained relaxation. Removal of the endothelium and pretreatment with nimodipine or indomethacin markedly attenuated the hypoxia- and reoxygenation-induced contractions. The KCl-induced contraction was not affected in hypoxic state, but contractions induced by $PGF_{2{\alpha}}$ or endothelin (ET) were inhibited in the hypoxia, the latter being more sensitive to the hypoxia. Upon reoxygenation, the attenuated contraction rapidly recovered to the original tension. Both hypoxia and reoxygenation significantly increased cyclic GMP content in the intact preparations, but not in the endothelium-removed ones. Acetylcholine (ACh) produced concentration-dependent relaxations in the intact endothelial rings precontracted with $PGF_{2{\alpha}}$ or endothelin, and the ACh-induced relaxation was inhibited by removal of endothelium and by hypoxia. ACh also increased cyclic GMP content in tissues pretreated with $PGF_{2{\alpha}}$ and the increase of cyclic GMP was abolished in hypoxic state. These results suggest that hypoxia- and reoxygenation-induced contractions are dependent on endothelium and extracellular calcium, and related to the release of prostaglandin-like substance(s).

• The Korean Journal of Physiology
• /
• v.24 no.1
• /
• pp.77-90
• /
• 1990

There have been conflicting reports concerning the effect of Panax ginseng on the contractility of vascular smooth muscle, i.e., Panax ginseng extract has been reported to cause relaxation, contraction or to have no effect on the tension of vascular smooth muscle. A further investigation of $Ca^{++}$ stores which supply $Ca^{++}$ for contraction of vascular smooth muscle is needed to understand the underlying mechanisms of this conflicting effect of ginseng alcohol extract (GAE). The present study was intended to examine the sources of calcium mobilized for contraction of vascular smooth muscle by GAE. Aortic ring preparations were made from the rabbit thoracic aorta and endothelial cells were removed from the ring. The contractility of the aortic ring was measured under various experimental conditions and $Ca^{++}$ flux across the membrane of aortic ring and the sarcoplasmic reticulum and mitochondria were measured with a calcium selective electrode. The result were summarized as follows; 1) At low concentration of extracellular $Ca^{++}$, GAE increased the contractility of vascular smooth muscle in dose-dependent fashion except high concentration $Ca^{++}$ (1 mM). 2) In the presence of ryanodine, GAE still increased contractility of vascular smooth muscle as much as control group, but in the presence of caffeine, GAE increased it significantly. i.e. Their effects seemed to be additive. 3) In the presence of verapamil+lanthanum, and verapamil+lanthanum+ryanodine, the contractility of the vascular smooth muscle was decreased, but a dose dependent increase in vascular tension was still demonstrated by GAE although total tension was low. 4) GAE increased $Ca^{++}$ efflux from vascular smooth muscle cells, but have no effect on $Ca^{++}$ influx. 5) GAE increased $Ca^{++}$ efflux from sarcoplasmic reticulum and mitochondria vesicles. From the above results, it may be concluded that GAE increased the release of $Ca^{++}$ from sarcoplasmic reticulum, mitochondria or other intracellular $Ca^{++}$ stores of vascular smooth muscle, but it does not increase $Ca^{++}$ influx across the plasma membrane.

• The Korean Journal of Physiology
• /
• v.23 no.1
• /
• pp.99-108
• /
• 1989

The effects of prostaglandin $(PGF_{2{\alpha}})$ on the contractility of vascular smooth muscle were investigated in the helical strip of the rabbit aorta. The aortic strip was immersed in the phosphate-buffered Tyrode's solution which was equilibrated with 100% $O_{2}$ at $35^{\circ}C$ and its isometric tension was measured. The contraction was induced by $(PGF_{2{\alpha}})$, norepinephrine (NE), or potassium (40 mM) in the nomal Tyrode's solution (1 mM, $Ca^{2+}$) or $Ca^{2+}-free$ Tyrode's solution. Effects of verapamil and phentolamine on the contraction were also observed. The aortic strip began to contract at the concentration of $5\;{\mu}g%$ and reached the maximal contraction at the concentration of $150\;{\mu}g%$ $(PGF_{2{\alpha}})$. The maximal contraction was corresponded respectively to $52.2{\pm}3.0%$ and $81.5{\pm}3.5%$ of maximal contraction by NE $(1{\times}10^{-5}M)$ and 40 mM $K^{+}$. And the maximal contractions by $(PGF_{2{\alpha}})$ or NE were induced at the concentration of about 1 mM $Ca^{2+}$. $(PGF_{2{\alpha}})$ induced the contraction of aortic strip even after induction of contraction by 40 mM $K^{+}$ and the contraction by $(PGF_{2{\alpha}})$ was not blocked by the ${\alpha}-receptor$ blocker, phentolamine. And the contraction by the $(PGF_{2{\alpha}})$ was inhibited partially by a verapamil at the concentration of $1{\times}10^{-5}M$ and the contraction began to increase at the concentration of $1{\times}10^{-4}M$ verapamil. Whereas the contraction by NE was completely blocked by verapamil. Though both the $(PGF_{2{\alpha}})$ and NE induced the contraction in the $Ca^{2+}-free$ Tyrode's solution, the peak tension was not maintained. But the rate of tension decline was lower in the contraction by $(PGF_{2{\alpha}})$ than in that by NE. The verapamil did not inhibit the contraction by $(PGF_{2{\alpha}})$ in the $Ca^{2+}-free$ Tyrode's solution and increased the contraction at the concentration of above $1{\times}10^{-4}M$. The NE-induced contraction in the $Ca^{2+}-free$ Tyrode's solution was inhibited completely by a verapamil. From the above results it is suggested that the contraction induced by $(PGF_{2{\alpha}})$ results from the promotion of the both $Ca^{2+}$ influx and the intracellular $Ca^{2+}$ release by different way from NE.