• Title/Summary/Keyword: center loss

Search Result 3,752, Processing Time 0.035 seconds

Outcomes of Take-Back Operations in Breast Reconstruction with Free Lower Abdominal Flaps

  • Yim, Ji Hong;Yun, Jiyoung;Lee, Taik Jong;Kim, Eun Key;Cho, Jonghan;Eom, Jin Sup
    • Archives of Plastic Surgery
    • /
    • v.42 no.6
    • /
    • pp.741-745
    • /
    • 2015
  • Background Microvascular complications after free-flap breast reconstructions are potentially devastating problems that can increase patient morbidity and lead to flap loss. To date, no comprehensive study has examined the rates of salvage and the methods of microvascular revision in breast reconstruction. We reviewed the treatment of microvascular complications of free-flap breast reconstruction procedures over a seven-year period. Methods A retrospective review of all patients who underwent microvascular breast reconstruction at our institution between April 2006 and December 2013 was conducted. Based on their surgical records, all patients who required emergency re-exploration were identified, the rate of flap salvage was determined, the factors associated with flap salvage were evaluated, and the causes and methods of revision were reviewed. Results During the review period, 605 breast reconstruction procedures with a free lower abdominal flap were performed. Seventeen of these flaps were compromised by microvascular complications, and three flaps were lost. The overall salvage rate was 82.35%. No significant differences between the salvaged group and the failed group were observed with regard to age, BMI, axillary dissection, number of anastomotic arteries and veins, recipient vessel types, or use of the superficial inferior epigastric vein in the revision operation. Successful salvage of the flap was associated with a shorter time period between recognizing the signs of flap compromise and the take-back operation. Conclusions The salvage rate of compromised lower abdominal flaps was high enough to warrant attempting re-exploration. Immediate intervention after the onset of flap compromise signs is as important as vigilant postoperative monitoring.

Oxidation of 2,6-Dimethylnaphthalene by Co-Mn-Br Based Homogeneous Catalyst (Co-Mn-Br계 균일촉매를 이용한 2,6-Dimethylnaphthalene의 산화반응)

  • Kim, Dong-Bum;Park, Seungdoo;Cha, Woonou;Roh, Hang-Duk;Kwak, Kyu Dae
    • Applied Chemistry for Engineering
    • /
    • v.10 no.6
    • /
    • pp.863-870
    • /
    • 1999
  • The catalytic performance of Co-Mn-Br system was performed in the 2,6-dimethylnaphthalene(DMN) oxidation at relatively mild reaction conditions such as $160^{\circ}C$ and $6kg/cm^2$. Experiments were conducted using a $2{\ell}$ batch reactor with varying the concentrations of catalysts. The reaction route of DMN oxidation was considered by measuring the concentration of intermediate species. As the intermediate species, 2-formyl-6-naphthoic acid, 2-methyl-6-naphthoic acid and 2-hydroxymethyl-6-methylnaphthalene are found. It was found that the yield of 2,6-naphthalene dicarboxylic acid(NDA) is largely dependent on the Co and Br concentrations. In addition, it was observed that color-b was closely related with Mn concentration in this experimental range. The burning loss of solvent could be reduced by controlling the concentration of Mn and Br. Addition of small amount of Ce and Cu compounds led to increase the NDA yields and decrease the burning amount of solvent.

  • PDF

2-(Trimethylammonium) Ethyl (R)-3-Methoxy-3-oxo-2-Stearamidopropyl Phosphate Suppresses Osteoclast Maturation and Bone Resorption by Targeting Macrophage-Colony Stimulating Factor Signaling

  • Park, So Jeong;Park, Doo Ri;Bhattarai, Deepak;Lee, Kyeong;Kim, Jaesang;Bae, Yun Soo;Lee, Soo Young
    • Molecules and Cells
    • /
    • v.37 no.8
    • /
    • pp.628-635
    • /
    • 2014
  • 2-(Trimethylammonium) ethyl (R)-3-methoxy-3-oxo-2-stearamidopropyl phosphate [(R)-TEMOSPho], a derivative of an organic chemical identified from a natural product library, promotes highly efficient megakaryopoiesis. Here, we show that (R)-TEMOSPho blocks osteoclast maturation from progenitor cells of hematopoietic origin, as well as blocking the resorptive function of mature osteoclasts. The inhibitory effect of (R)-TEMOSPho on osteoclasts was due to a disruption of the actin cytoskeleton, resulting from impaired downstream signaling of c-Fms, a receptor for macrophage-colony stimulating factor linked to c-Cbl, phosphoinositol-3-kinase (PI3K), Vav3, and Rac1. In addition, (R)-TEMOSPho blocked inflammation-induced bone destruction by reducing the numbers of osteoclasts produced in mice. Thus, (R)-TEMOSPho may represent a promising new class of antiresorptive drugs for the treatment of bone loss associated with increased osteoclast maturation and activity.

Recipient Vessel Selection in Immediate Breast Reconstruction with Free Abdominal Tissue Transfer after Nipple-Sparing Mastectomy

  • Yang, Sung-Jun;Eom, Jin-Sup;Lee, Taik-Jong;Ahn, Sei-Hyun;Son, Byung-Ho
    • Archives of Plastic Surgery
    • /
    • v.39 no.3
    • /
    • pp.216-221
    • /
    • 2012
  • Background : Nipple-sparing mastectomy (NSM) is gaining popularity due to its superior aesthetic results. When reconstructing the breast with free abdominal tissue transfer, we must readdress the recipient vessel, because NSM can cause difficulty in access to the chest vessel. Methods : Between June 2006 and March 2011, a total of 92 women underwent NSM with free abdominal tissue transfer. A lateral oblique incision was used for the nipple-sparing mastectomy. For recipient vessels, the internal mammary vessels were chosen if the mastectomy flap did not block access to the vessels. If it did, the thoracodorsal vessels were used. Age, degree of breast ptosis, weight of the mastectomy specimen, and related complications of the internal mammary vessel group and the thoracodorsal vessel group were compared. Results : Thoracodorsal vessels were used as recipient vessels in 59 cases, and internal mammary vessels in 33 cases including 4 cases with perforators of the internal mammary vessels. Breast reconstruction was successful in all cases except one case involving a total flap failure, which was replaced by a silicone gel implant. The internal mammary group and the thoracodorsal group were similar in terms of age, height, breast weight, and degree of ptosis. The flap related complications such as flap loss and take-back operation rates were not significantly different between the two groups. The rate of nipple necrosis was higher in the internal mammary group. Conclusions : The thoracodorsal vessels could produce comparable outcomes in breast reconstruction after nipple-sparing mastectomies. If access to internal mammary vessels is difficult, the thoracodorsal vessel can be a better choice.

Protective Effect of Rehmannia Radix Preparata Extract on the Cisplatin-induced Cytotoxicity of HEI-OC1 Cells via Scavenging of Free Radicals (숙지황 추출물이 Cisplatin으로 손상된 HEI-OC1 세포보호와 유리라디칼 소거능에 미치는 영향)

  • Yu Hyeon-Hee;Seo Se-Jeong;Kim Yeon-Hwa;Park Rae-Kil;So Hong-Seob;Jeon Byung-Hun;Shin Mee-Kyung;Jung Su-Young;Kim Ki-Young;You Yong-Ouk
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.19 no.5
    • /
    • pp.1349-1355
    • /
    • 2005
  • The steamed root of Rehmannia glutinosa has been used for treatment of inner ear diseases, such as tinnitus and hearing loss in traditional Oriental Medicine. In the present study, we investigated the effect of ethanol extract of steamed root R. glutinosa (SRG) on cisplatin cytotoxicity of HEI-OC1 auditory cells. In addition, to investigate the mechanism of SRG on cisplatin cytotoxicity, the effects of SRG on lipid peroxidation as well as scavenging activities against various free radicals were measured in cisplatin-treated cells. Treatment of SRG protected cells from cisplatin and reduced lipid peroxidation in a dose-dependent manner. Furthermore, SRG demonstrated significant scavenging activity against various free radicals, including superoxide radical, hydroxyl radical, hydrogen peroxide, and DPPH radical. These results indicate that SRG protects cisplatin-induced damages of HEI-OC1 cells through inhibition of lipid peroxidation and augmenting scavenging activities against free radials.

Size-homogeneous gold nanoparticle decorated on graphene via MeV electron beam irradiation

  • Kim, Yoo-Seok;Song, Woo-Seok;Jeon, Cheol-Ho;Kim, Sung-Hwan;Park, Chong-Yun
    • Proceedings of the Korean Vacuum Society Conference
    • /
    • 2011.02a
    • /
    • pp.487-487
    • /
    • 2011
  • Recently graphene has emerged as a fascinating 2D system in condensed-matter physics as well as a new material for the development of nanotechnology. The unusual electronic band structure of graphene allows it to exhibit a strong ambipolar electric field effect with high mobility. These properties lead to the possibility of its application in high-performance transparent conducting films (TCFs). Compared to indium tin oxide (ITO) electrodes, which have a typical sheet resistance of ${\sim}60{\Omega}$/sq and ~85 % transmittance in the visible range (400?900 nm), the CVD-grown graphene electrodes have a higher/flatter transmittance in the visible to IR region and are more robust under bending. Nevertheless, the lowest sheet resistance of the currently available CVD graphene electrodes is higher than that of ITO. Here, we report an ingenious strategy, irradiation of MeV electron beam (e-beam) at room temperature under ambient condition, for obtaining size-homogeneous gold nanoparticle decorated on graphene. The nano-particlization promoted by MeV e-beam irradiation was investigated by transmission electron microscopy, electron energy loss spectroscopy elemental mapping, and energy dispersive X-ray spectroscopy. These results clearly revealed that gold nanoparticle with 10 ~ 15 nm in mean size were decorated along the surface of the graphene after 1.5 MeV-e-beam irradiation. A chemical transformation and charge transfer for the metal gold nanoparticle were systematically explored by X-ray photoelectron spectroscopy and Raman spectroscopy. This approach advances the numerous applications of graphene films as transparent conducting electrodes.

  • PDF

Comparative Study on the Effects of Boiling, Steaming, Grilling, Microwaving and Superheated Steaming on Quality Characteristics of Marinated Chicken Steak

  • Choi, Yun-Sang;Hwang, Ko-Eun;Jeong, Tae-Jun;Kim, Young-Boong;Jeon, Ki-Hong;Kim, Eun-Mi;Sung, Jung-Min;Kim, Hyun-Wook;Kim, Cheon-Jei
    • Food Science of Animal Resources
    • /
    • v.36 no.1
    • /
    • pp.1-7
    • /
    • 2016
  • The effects of five different cooking methods (boiling, steaming, grilling, microwaving, and superheated steaming) on proximate composition, pH, color, cooking loss, textural properties, and sensory characteristics of chicken steak were studied. Moisture content and lightness value (L*-value) were higher in superheated steam cooked chicken steak than that of the other cooking treatments such as boiling, steaming, grilling and microwaving cooking (p<0.05), whereas protein content, redness value (a*-value), hardness, gumminess, and chewiness of superheated steam cooked chicken steak was lower than that in the other cooking treatments (p<0.05). Fat content and ash content, springiness, and cohesiveness were not significantly different among the chicken steak cooked using various methods (p>0.05). Among the sensory characteristics, tenderness score, juiciness score and overall acceptability score were the highest for the superheated steam samples (p<0.05), whereas no difference in flavor scores were observed among the other treatments (p>0.05). These results show that marinated chicken steak treated with superheated steam in a preheated 250℃ oven and 380℃ steam for 5 min until core temperature reached 75℃ improved the quality characteristics and sensory properties the best. Therefore, superheated steam was useful to improve cooked chicken steak.

Impact of Cooking, Storage, and Reheating Conditions on the Formation of Cholesterol Oxidation Products in Pork Loin

  • Min, Joong-Seok;Khan, Muhammad I.;Lee, Sang-Ok;Yim, Dong Gyun;Seol, Kuk Hwan;Lee, Mooha;Jo, Cheorun
    • Food Science of Animal Resources
    • /
    • v.36 no.1
    • /
    • pp.23-28
    • /
    • 2016
  • This study investigates the effect of cooking, storage, and reheating conditions on the formation of cholesterol oxidation products (COPs) in pork loin. Samples of pork loin procured 24 h postmortem were initially processed and assessed for total fat and cholesterol content. The cooking methods evaluated were pan roasting, steaming, oven grilling, and microwaving. Cooked pork loin samples were stored at 4℃ and reheated after 3 and 6 d of storage using the original method of preparation or alternately, microwaving. Fat content increased significantly with cooking as a result of the loss in moisture but cholesterol content remained unchanged. Pan roasting and microwave cooking caused a significantly higher production of COPs, as with the process of reheating using microwave, pan roasting, and oven grilling methods. The major COPs found in pork loin were cholestanetriol, 20-hydroxycholesterol, and 25-hydroxycholesterol, whose concentrations varied according to the different cooking and reheating methods used. Moreover, the aerobic storage of cooked pork loin under a refrigerated condition also increased the formation of cholesterol oxides on reheating.

Endoscopic and Laparoscopic Full-Thickness Resection of Endophytic Gastric Submucosal Tumors Very Close to the Esophagogastric Junction

  • Kwon, Oh Kyoung;Yu, Wansik
    • Journal of Gastric Cancer
    • /
    • v.15 no.4
    • /
    • pp.278-285
    • /
    • 2015
  • Purpose: Gastric submucosal tumors (SMTs) located very close to the esophagogastric junction (EGJ) are a challenge for gastric surgeons. Therefore, this study reports on the experience of using endoscopic and laparoscopic full-thickness resection (ELFR) with laparoscopic two-layer suturing in such tumors. Materials and Methods: Six patients with gastric SMTs very close to the EGJ underwent ELFR with laparoscopic two-layer suturing at Kyungpook National University Medical Center. With the patient under general anesthesia, the lesser curvature and posterior aspect adjacent to the EGJ were meticulously dissected and visualized using a laparoscopic approach. A partially circumferential full-thickness incision at the distal margin of the tumor was then made using an endoscopic approach under laparoscopic guidance. The SMT was resected using laparoscopic ultrasonic shears, and the gastric wall was closed using two-layer suturing. Thereafter, the patency and any leakage were checked through endoscopy. Results: All the ELFR procedures with laparoscopic two-layer suturing were performed successfully without an open conversion. The mean operation time was $139.2{\pm}30.9$ minutes and the blood loss was too minimal to be measured. The tumors from four patients were leiomyomas, while the tumors from the other two patients were gastrointestinal stromal tumors with clear resection margins. All the patients started oral intake on the third postoperative day. There was no morbidity or mortality. The mean hospital stay was $7.7{\pm}0.8$ days. Conclusions: ELFR with laparoscopic two-layer suturing is a safe treatment option for patients with an SMT close to the EGJ, as major resection of the stomach is avoided.

High Power Cavity Type Tunable Filter Using Switch for 1.5 GHz Band (Switch를 이용한 1.5 GHz 대역 고출력 Cavity 기반 Tunable Filter)

  • Ahn, Sehoon;Lee, Minho;Park, Jongcheol;Jeong, Gyetaek
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
    • /
    • v.27 no.1
    • /
    • pp.1-7
    • /
    • 2016
  • In this paper, the tunable filter based on high power cavity using mechanical switch for 1.5 GHz band is presented. The LPF is inserted to eliminate the spurious wave, coupler is embeded to extract the output power, and then the tunable filter system is configured using mechanical switch. The LPF obtains attenuation over 40 dB between 4 GHz and 12.75 GHz, Coupler is satisfied with coupling value 40 dB and coupling isolation over 55 dB. The tunable filter system using mechanical switch obtains insertion loss 0.88 dB at bypass mode between 1,495.9 MHz and 1,510. 9 MHz, 3.29 dB at fil mode between 1,495.9 MHz and 1,500.9 MHz. It is also satisfied with output power of 132 W at the center frequency 1,498.4 MHz, and switching time below 10 ms.