• 제목/요약/키워드: full-thickness

검색결과 943건 처리시간 0.029초

Bio-Conjugated Polycaprolactone Membranes: A Novel Wound Dressing

  • Cai, Elijah Zhengyang;Teo, Erin Yiling;Jing, Lim;Koh, Yun Pei;Qian, Tan Si;Wen, Feng;Lee, James Wai Kit;Hing, Eileen Chor Hoong;Yap, Yan Lin;Lee, Hanjing;Lee, Chuen Neng;Teoh, Swee-Hin;Lim, Jane;Lim, Thiam Chye
    • Archives of Plastic Surgery
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    • 제41권6호
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    • pp.638-646
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    • 2014
  • Background The combination of polycaprolactone and hyaluronic acid creates an ideal environment for wound healing. Hyaluronic acid maintains a moist wound environment and accelerates the in-growth of granulation tissue. Polycaprolactone has excellent mechanical strength, limits inflammation and is biocompatible. This study evaluates the safety and efficacy of bio-conjugated polycaprolactone membranes (BPM) as a wound dressing. Methods 16 New Zealand white rabbits were sedated and local anaesthesia was administered. Two $3.0{\times}3.0cm$ full-thickness wounds were created on the dorsum of each rabbit, between the lowest rib and the pelvic bone. The wounds were dressed with either BPM (n=12) or Mepitel (n=12) (control), a polyamide-silicon wound dressing. These were evaluated macroscopically on the 7th, 14th, 21st, and 28th postoperative days for granulation, re-epithelialization, infection, and wound size, and histologically for epidermal and dermal regeneration. Results Both groups showed a comparable extent of granulation and re-epithelialization. No signs of infection were observed. There was no significant difference (P>0.05) in wound size between the two groups. BPM (n=6): $8.33cm^2$, $4.90cm^2$, $3.12cm^2$, $1.84cm^2$; Mepitel (n=6): $10.29cm^2$, $5.53cm^2$, $3.63cm^2$, $2.02cm^2$; at the 7th, 14th, 21st, and 28th postoperative days. The extents of epidermal and dermal regeneration were comparable between the two groups. Conclusions BPM is comparable to Mepitel as a safe and efficacious wound dressing.

InAs/GaSb 제2형 응력 초격자 nBn 장적외선 검출소자 설계, 제작 및 특성평가 (nBn Based InAs/GaSb Type II Superlattice Detectors with an N-type Barrier Doping for the Long Wave Infrared Detection)

  • 김하술;이훈
    • 한국진공학회지
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    • 제22권6호
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    • pp.327-334
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    • 2013
  • InAs/GaSb 제2형 응력 초격자(strained layer type II superlattice, T2SL)을 이용한 nBn 구조 장적외선 검출소자의 설계 및 제작을 하였다. InAs와 GaSb 두께에 따른 T2SL 구조의 장적외선 밴드갭 에너지를 Kronig-Penney 모델을 이용하여 계산하였다. 소자의 암전류 밀도를 줄이기 위해서, nBn 구조에서 장벽층인 $Al_{0.2}Ga_{0.8}Sb$ 성장 중에 Te 보상도핑(compansated doping)을 하였다. 온도(T) 80 K 및 인가전압($V_b$) -1.5 V에서, 반응스펙트럼 측정을 통한 소자의 차단파장은 ${\sim}10.2{\mu}m$ (~0.122 eV)로 나타났다. 또한 온도 변화에 따른 암전류 측정으로부터 도출된 활성화 에너지는 0.128 eV로 계산 되었다. T=80 K 및 $V_b$=-1.5 V에서 암전류는 $1.0{\times}10^{-2}A/cm^2$으로 측정되었다. 흑체복사 적외선 광원을 이용한 반응도(Responsivity)는 소자 온도 80 K 및 인가전압 -1.5 V의 조건에서 0.58 A/W로 측정되었다.

Dehydrothermal Treatment로 제작한 흡수성 콜라겐 골유도재생술 차단막 (Absorbable Guided Bone Regeneration Membrane Fabricated from Dehydrothermal Treated Porcine Collagen)

  • 방강미;정한울;김성포;양은경;김기호;김성민;김명진;장정원;이종호
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제33권2호
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    • pp.112-119
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    • 2011
  • Purpose: Collagen membranes are used extensively as bioabsorbable barriers in guided bone regeneration. However, collagen has different effects on tissue restoration depending on the type, structure, degree of cross-linking and chemical treatment. The purpose of this study was to evaluate the inflammatory reaction, bone formation, and degradation of dehydrothermal treated porcine type I atelocollagen (CollaGuide$^{(R)}$) compared to of the non-crosslinked porcine type I, III collagen (BioGide$^{(R)}$) and the glutaldehyde cross-linked bovine type I collagen (BioMend$^{(R)}$) in surgically created bone defects in rat mandible. Methods: Bone defect model was based upon 3 mm sized full-thickness transcortical bone defects in the mandibular ramus of Sprague-Dawley rats. The defects were covered bucolingually with CollaGuide$^{(R)}$, BioMend$^{(R)}$, or BioGide$^{(R)}$ (n=12). For control, the defects were not covered by any membrane. Lymphocyte, multinucleated giant cell infiltration, bone formation over the defect area and membrane absorption were evaluated at 4 weeks postimplantation. For comparison of the membrane effect over the bone augmentation, rats received a bone graft plus different covering of membrane. A $3{\times}4$ mm sized block graft was harvested from the mandibular angle and was laid and stabilized with a microscrew on the naturally existing curvature of mandibular inferior border. After 10 weeks postimplantation, same histologic analysis were done. Results: In the defect model at 4 weeks post-implantation, the amount of new bone formed in defects was similar for all types of membrane. Bio-Gide$^{(R)}$ membranes induced significantly greater inflammatory response and membrane resorption than other two membranes; characterized by lymphocytes and multinucleated giant cells. At 10 weeks postoperatively, all membranes were completely resorbed. Conclusion: Dehydrotheramal treated cross-linked collagen was safe and effective in guiding bone regeneration in alveolar ridge defects and bone augmentation in rats, similar to BioGide$^{(R)}$ and BioMend$^{(R)}$, thus, could be clinically useful.

Therapeutic Effect of Total Ginseng Saponin on Skin Wound Healing

  • Kim, Young-Soo;Cho, Ik-Hyun;Jeong, Moon-Jin;Jeong, Soon-Jeong;Nah, Seung-Yeol;Cho, Young-Sik;Kim, Seung-Hyun;Go, A-Ra;Kim, Se-Eun;Kang, Seong-Soo;Moon, Chang-Jong;Kim, Jong-Choon;Kim, Sung-Ho;Bae, Chun-Sik
    • Journal of Ginseng Research
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    • 제35권3호
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    • pp.360-367
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    • 2011
  • In this study, we investigated the effects of total ginseng saponin (TGS) on the cutaneous wound healing process using histological analysis. A total of 24 ICR mice, 5-weeks-old, were used for all in vivo experiments. Mice were divided into control and TGS-treated groups and four equidistant 1-cm full-thickness dorsal incisional wounds were created. The wounds were extracted at days 1, 3, 5, and 7 post-injury for histomorphometrical analysis including wound area and contracture measurements, keratinocyte migration rate, and calculation of infiltrating inflammatory cells. The results showed that the wound area was smaller and keratinocyte migration rate was higher in the TGS-treated group than that of the control group from days 3 to 7. Inflammatory cells in the TGS-treated group at days 1 and 3 were reduced compared to the control group. Wound contraction in the TGS-treated group was greater than in the control group on days 3 to 5, and collagen deposition in the TGS-treated group was higher than in the control group during wound healing. The results indicate a beneficial effect of TGS when used to treat skin wounds.

부분층 피부이식으로 전판상화된 전완유리피판을 이용한 경구개 결손의 재건 (Reconstruction of Hard Palatal Defect using Staged Operation of the Prelaminated Radial Forearm Free Flap)

  • 최의철;김준혁;남두현;이영만;탁민성
    • 대한두개안면성형외과학회지
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    • 제11권1호
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    • pp.53-57
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    • 2010
  • 연부조직만으로 경구개를 재건하는데 있어서는 환자군을 적절히 선택하는 것이 중요하며 골재건이 필요하지 않은 Okay 분류 Ia와 Ib가 주요한 적응증이 된다. 하악이나 구강저부 결손을 재건하는 것과는 다르게 경구개 결손은 구강과 비강 점막층을 동시에 수복할 수 있는 피판이 이상적이다. 이중 저자들은 전완유리피판에 전상판화 방법을 좀 더 안정적으로 시행, 경구개 전층을 성공적으로 재건하였으며, 특히 저작과 연하 등 기능적 측면뿐 아니라 경구개 및 비강의 점막을 함께 복원할 수 있는 해부학적인 장점이 있는 피판임을 확인하여 문헌고찰과 함께 보고하는 바이다.

옆구리 부위의 거대 연부조직 결손에 대한 역넓은등근 근육피부피판을 이용한 치험례 (Flank Reconstruction of Large Soft Tissue Defect with Reverse Pedicled Latissimus Dorsi Myocutaneous Flap: A Case Report)

  • 송승용;김다한;김정헌
    • Archives of Plastic Surgery
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    • 제38권6호
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    • pp.894-898
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    • 2011
  • Purpose: Coverage of full-thickness large flank defect is a challenging procedure for plastic surgeons. Some authors have reported external oblique turnover muscle flap with skin grafting, inferiorly based rectus abdominis musculocutaneous flap, and two independent pedicled perforator flaps for flank reconstruction. But these flaps can cover only certain portions of the flank and may not be helpful for larger or more lateral defects. We report a case of large flank defect after resection of extraskeletal Ewing's sarcoma which is successfully reconstructed with reverse latissimus dorsi myocutaneous flap. Methods: A 24-year-old male patient had $13.0{\times}7.0{\times}14.0$ cm sized Ewing's sarcoma on his right flank area. Department of chest surgery and general surgery operation team resected the mass with 5.0 cm safety margin. Tenth, eleventh and twelfth ribs, latissimus dorsi muscle, internal and external oblique muscles and peritoneum were partially resected. The peritoneal defect was repaired with double layer of Prolene mesh by general surgeons. $24{\times}25$ cm sized soft tissue defect was noted and the authors designed reverse latissimus dorsi myocutaneous flap with $21{\times}10$ cm sized skin island on right back area. To achieve sufficient arc of rotation, the cephalic border of the origin of latissimus dorsi muscle was divided, and during this procedure, ninth intercostal vessels were also divided. The thoracodorsal vessels were ligated for 15 minutes before divided to validate sufficient vascular supply of the flap by intercostal arteries. Results: Mild congestion was found on distal portion of the skin island on the next day of operation but improved in two days with conservative management. Stitches were removed in postoperative 3 weeks. The flap was totally viable. Conclusion: The authors reconstructed large soft tissue defect on right flank area successfully with reverse latissimus dorsi myocutaneous flap even though ninth intercostal vessel that partially nourishes the flap was divided. The reverse latissimus dorsi myocutaneous flap can be used for coverage of large soft tissue defects on flank area as well as lower back area.

화상 반흔구축 재건 시 유리피판술의 적응증 및 적절한 피판의 선택 (Correction of Burn Scar Contracture: Indication and Choice of Free Flap)

  • 허지연;이종욱;고장휴;서동국;최재구;장영철;오석준
    • Archives of Plastic Surgery
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    • 제35권5호
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    • pp.521-526
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    • 2008
  • Purpose: Most burn scar contractures are curable with skin grafts, but free flaps may be needed in some cases. Due to the adjacent tissue scarring, local flap is rarely used, and thus we may consider free flap which gives us more options than local flap. However, inappropriate performance of free flap may lead to unsatisfactory results despite technical complexity and enormous amount of effort. The author will discuss the points we should consider when using free flaps in treating burn scar contractures Methods: We surveyed patients who underwent free flaps to correct burn scar contractures from 2000 to 2007. We divided patients into two groups. The first group was those in which free flaps were inevitable due to exposure of deep structures such as bones and tendons. The second group was those in which free flap was used to minimize scar contracture and to achieve aesthetic result. Results: We performed 44 free flap on 42 patients. All of the flaps were taken well except one case of partial necrosis and wound dehiscence. Forearm free flap was the most common with 21 cases. Most of the cases(28 cases) in which free flaps were inevitable were on the wrist and lower limbs. These were cases of soft tissue defect due to wide and extensive burns. Free flaps were done in 16 cases to minimize scar contracture and to obtain aesthetic outcome, recipient sites were mostly face and upper extremities. Conclusion: When using free flaps for correction of burn scar contractures, proper release and full resurfacing of the contracture should be carried out in advance. If inadequate free flap is performed, secondary correction is more challenging than in skin grafts. In order to optimize the result of reconstruction, flap thickness, size and scar of the recipient site should be considered, then we can achieve natural shape, and minimize additional correction.

PbSnSe 단결정 박막의 성장과 광학적 특성 (Growth and Optical Properties of PbSnSe Epilayers Grown on BaF2(111))

  • 이일훈
    • 한국안광학회지
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    • 제9권1호
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    • pp.35-41
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    • 2004
  • IV-VI족 화합물인 PbSnSe는 흥미 있는 물리적 특성을 가지고 있는 화합물 반도체로써 본 실험에서는 HWE 방법으로 성장시킨 PbSnSe 박막에 대한 특성을 조사하였다. 원료부와 열벽부 그리고 기판의 온도를 변화시키며 단결정 박막을 성장시켰다. Rutherford back scattering (RBS)을 측정하여 Pb:Sn:Se의 조성비를 확인하였다. 특히 좁은 에너지 대역을 측정하기에 매우 용이한 Fourier transform infra red (FT-IR)측정 장치를 이용하여 에너지 갭을 측정하였다. 박막의 표면 상태는 atomic force microscopy (AFM) 사진과 주사 전자 현미경 (SEM) 사진으로 관찰하여 결정구조와 성장 용도와의 연관성을 조사하였다. 광학 상수는 Spectroscopic ellipsometry (SE) 방법을 이용하여 박막의 광학 상수를 측정했다. PbSnSe 화합물 에피층 시료의 굴절률(n), 유전상수(${\varepsilon}$), 반사율(R) 그리고 흡수 계수(${\alpha}$)등 광학상수를 측정하였다.

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방사성물질 운반용기의 적층시험조건에 대한 안전성 평가 (Safety Evaluation of Radioactive Material Transport Package under Stacking Test Condition)

  • 이주찬;서기석;유성연
    • 방사성폐기물학회지
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    • 제10권1호
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    • pp.37-43
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    • 2012
  • IAEA 및 국내의 방사성물질 운반 관련 규정에 따라 중 저준위 방사성폐기물 드럼 8개를 운반할 수 있는 IP-2형 운반용기를 개발하였다. IP-2형 운반용기는 낙하시험 및 적층시험을 거친 후 내용물의 유실 또는 분산과 운반용기 외부표면에서의 방사선량률이 20 % 이상 증가할 수 있는 차폐능력의 상실이 없어야 한다. 본 연구의 목적은 적층시험조건에 대한 시험방법 및 절차를 수립하고 IP-2형 운반용기의 적층조건에 대한 구조적 건전성을 평가하는데 있다. 운반용기의 원형시험모델을 이용하여 운반용기 중량의 5배 하중으로 24시간 동안 압축하는 적층조건에 대한 시험 및 전산해석을 수행하였다. 적층시험 시 운반용기의 모서리기둥에서의 변형률 및 변위를 측정하였으며, 측정된 변형률 및 변위는 해석결과와 서로 일치하였다. 컨테이너 바닥부의 처짐량은 측정이 어렵기 때문에 전산해석 방법으로 구하였다. 모서리기둥의 최대 변위와 컨테이너 바닥의 최대 처짐은 법규에서 규정하는 허용치에 비하여 낮게 나타났다. 적층시험 전 후에는 운반용기의 외형치수, 차폐체 두께, 볼트토크 등을 측정하였으며, 그 값들을 비교분석한 결과 운반용기는 내용물의 유실 및 분산, 차폐체 두께의 감소가 나타나지 않았다. 따라서 적층시험조건에서 IP-2형 운반용기의 구조적 건전성이 입증되었다.

Morphological Assessment of Ovulated and In Vitro Immature Canine Oocytes and Biological Availability according to the Size at Different Reproductive Stages

  • Hossein Mohammad-Shamim;Kim Min-Kyu;Jang Goo;Fibrianto Yuda-Heru;Oh Huyn-Joo;Kim Hye-Jin;Kim Joung-Joo;Kang Sung-Keun;Lee Byeong-Chun
    • Reproductive and Developmental Biology
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    • 제30권2호
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    • pp.99-105
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    • 2006
  • The growing oocytes become progressively capable of resuming meiosis, and full meiotic competence appear when they are about 80% of the size of fully grown oocytes. As hormonal influences vary at different stages of reproductive cycle, the size of oocytes may vary according to the reproductive stages. The present study was designed to compare the diameter between the ovulated and freshly collected immature canine oocytes. The ovulated oocytes were collected 72 hr after ovulation by oviductal tube flushing by laparotomy under general anesthesia. Immature oocytes were collected by ovarian slicing method. Diameter of all oocytes was measured directly using epiflurescence microscope with a calibrated micro-eyepiece micrometer at ${\times}200$ magnification. The thickness of zona pellucida and diameter of cytoplasm were measured separately and recorded. A total of 2209 zona intact oocytes were collected, among them 628 from anestrus, 675 from follicular, 838 from luteal and 68 by fallopian tubes flushing methods. The average number of oocytes was 104.7, 168.8, 119.7 and 11.3 for anestrus, follicular, luteal and fallopian tubes flushing methods, respectively. The average diameters of the ooplasm and oocyte were significantly varied in different reproductive stages as well as with ovulated oocytes (P<0.05). The average diameter of ooplasm and oocyte was 115.6 and 127.7, 143.0 and 162.0, 134.6 and 150.6, 159.6 and 185.6 for anestrus, follicular, luteal and ovulated oocytes, respectively. Highest number of oocytes with larger diameter could be collected from the follicular and luteal stages. In conclusion, the follicular and luteal ovaries are the best sources of oocytes for canine IVM.