• Archives of Reconstructive Microsurgery
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• 제26권1호
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• pp.14-17
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• 2017

The superior gluteal artery perforator flap technique has increasingly been used for soft tissue defects in the sacral area following its introduction nearly 25 years ago. Advantages in covering sacral defects include muscle sparing, versatility in design, and low donor side morbidity. The bilateral superior gluteal artery perforator flap procedure is planned in cases of large sacral defects that cannot be covered with the unilateral superior gluteal artery perforator flap. Here, we report two cases of large sacral defects in which patient factors of poor general health, such as old age, pneumonia, and previous operation scar, led to use of a large unilateral superior gluteal artery perforator super-flap with parasacral perforator. The approach was utilized to reduce the operation time and prevent unpredictable flap failure due to the large flap size. Even though the parasacral perforator was included, the versatility of the large superior gluteal artery perforator flap was preserved because sufficient perforator length was acquired after adequate dissection.

• 한국패류학회지
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• 제29권3호
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• pp.217-223
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• 2013

The morphological relations and physiological characteristics of the triploid and diploid oysters (Crassostrea gigas) in Taean area, west coast of Korea, were investigated from May 2012 to April 2013. Mophometric analysis indicated that the triploid oysters have the same shell length to shell height ratio but higher shell depth to shell height ratio than diploids. Consistent with morphological characteristics, triploid oysters showed greater values of fatness, condition index and RNA/DNA ratio during the period of experiment. The DNA concentration in adductor muscle and mantle of triploid were either lower or equal to the nucleic acids of diploid. However, RNA/DNA ratio were significantly higher than diploid. It appears that RNA/DNA ratio could be a useful indicator of health condition of triploid and diploid oysters when taken in correlation with the morphological indices.

• Archives of Plastic Surgery
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• 제48권1호
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• pp.44-48
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• 2021

Previously reported nipple-areolar complex reconstruction (NAR) methods involve multiple incisions and wide skin redraping, which increase retraction forces and heighten the risk of nipple-areolar complex (NAC) flattening. We introduce a NAR method using the long V-Y advancement technique that can overcome these disadvantages. A V-shaped flap is designed with the width of the flap base 4-5 mm larger than the diameter of the normal nipple. The flap length is designed to be at least 2.5 times its width. Dissection is performed to the top of the artificial dermal matrix or muscle layer. The nipple is constructed with the same projection as the contralateral side by folding the elevated flap. The tip of the elevated flap is apposed in the middle of the donor defect to minimize the deformity during donor site closure. A 3-point skin suture is applied to the upper third of the folded flap to mold its shape. Using this long V-Y advancement technique, we successfully decreased skin tension in NAC flaps and improved the maintenance of reconstructed nipple projection. The long V-Y advancement technique provides an easy, simple NAR method, effectively maintaining longer nipple projections and reducing breast deformities, especially in Asian women with relatively large nipples.

• Journal of Chest Surgery
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• 제54권3호
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• pp.206-213
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• 2021

Background: Tracheoesophageal fistula (TEFs) is a rare condition that requires complex surgical treatment. We analyzed the surgical outcomes of TEF reported in the literature and at Pusan National University Yangsan Hospital using standardized techniques. Methods: This retrospective study included 8 patients diagnosed with acquired benign TEF between March 2010 and December 2019. The surgical method was determined based on the size of the fistula observed within the endoscope. Results: TEF occurred in 7 patients (87.5%) after intubation or tracheostomy and in 1 patient (12.5%) after esophageal surgery due to conduit necrosis. For tracheal management, 5 and 2 patients underwent tracheal resection and end-to-end anastomosis and primary repair, respectively. The median length of resection was 2.5 cm (range, 1.3-3.4 cm). For esophageal management, 6 patients underwent primary repair and 1 patient underwent esophageal diversion. One patient underwent TEF division with a stapler. Interposition of a muscle flap was performed in 2 patients. TEF recurrence, esophageal stenosis, and dehiscence or granulation occurred in 1, 1, and 2 patients, respectively. A long-term tracheostomy tube or T-tube was used in 2 patients for >2 months. Conclusion: Although TEF surgery is complex and challenging, good results can be achieved if surgical standards are established and experience is accumulated.

• Archives of Plastic Surgery
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• 제49권1호
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• pp.34-38
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• 2022

The deep inferior epigastric perforator (DIEP) flap has been widely used for autologous breast reconstruction after mastectomy. In the conventional surgical method, a long incision is needed at the anterior fascia of the rectus abdominis muscle to obtain sufficient pedicle length; this may increase the risk of incisional hernia. To shorten the incision, several trials have investigated the use of endoscopic/robotic devices for pedicle harvest; however, making multiple additional incisions for port insertion and operating in the intraperitoneal field were inevitable. Here, we describe the first case, in which a DIEP free flap was successfully made using the da Vinci SP model. Our findings can help surgeons perform operations in smaller fields with a single port in the extraperitoneal space. Moreover, this method is expected to lead to fewer donor-related complications and faster healing.

• 패션비즈니스
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• 제26권5호
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• pp.122-134
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• 2022

This study is conducted on hardening leather with improved firmness and stability of shape, based on research on types and thickness of leather. The purpose of this study is to test the physical properties of the leather for molding to prepare the foundation for leather molding based on the test results using four methods by thickness of Vegetable and Split. The tests were conducted using a total of five leather types, including three types of vegetable leathers and two types of split, by thickness. Based on the testing method for leathers in KS M 6882, the tests were performed at 27℃ with relative humidity of 65±20%. The samples were prepared with cowhide, size 9cm× 2cm. The measurement parameters are length and width. thickness, volume, mass, density. Regarding the hardening treatment method, changes in appearance and major physical characteristics of leather were reviewed by soaking in hot water, dry heating, hammering, waxing, and olive oil coating. The study results are as follows. In planar works, it is judged that hardening work using a hammer is more suitable for stiffness or density in order to prevent easy breakage with adult muscle density, rather than boiling water or baking. In conclusion, there is no curling, soot, or breaking phenomenon, and the densest curing method is 50℃ for 20 sec of V2 and 75℃ for 60 sec of V2 in boiling water. The combination of paraffin treatment improve waterproof and quality.

• 대한정형도수물리치료학회지
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• 제29권3호
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• pp.55-61
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• 2023

Background: The purpose of this study was to determine whether applying ultrasound after stretching the erector spinae muscle is an effective method for normal adults as a way to restore reduced back flexibility that causes back pain. Methods: The study was conducted on 60 healthy volunteers divided randomly into four groups (control group, stretching group, ultrasound group, ultrasound after stretching group). The flexibility-promoting effects were determined by assessing, each group, at the time of treatment, pre and post by modified fingertip to-floor (MFTF) and active straight leg raising (ASLR). The data were analyzed using the two-way ANOVA repeated measure with significant level α=.05. Results: Each group showed statistically significant changes in MFTF distance and ASLR degree. In the post-hoc test about this result, the length of MFTF and degree of ASLR in ultrasound after stretching group increased significantly compared to the others. Conclusion: The results suggest that using ultrasound after stretching is far more effective in increasing the flexibility of the erector spinae than using stretching or ultrasound intervention.

• 한국패류학회지
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• 제27권4호
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• pp.323-330
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• 2011

동해안 일대의 양식자원 증식과 어업인의 소득증대를 위해 남해안 일대에서 주를 이루고 있는 전복양식을 동해안 일대로 넓히기 위해서 수심이 깊고 파고가 높은 동해안 지역에 맞는 전복과 해삼 복합사육기를 개발하고 복합사육기의 효과를 알아보고자 양식 생산력을 조사하였다. 전복해삼복합사육기에 각장 5 cm 전복 500마리와 7-9 cm 해삼을 50, 75, 100마리로 각각 넣어 실험한 결과 해삼 적정수용능력은 13-18마리/$m^2$로서 사육기당 52-72마리가 적절하였다. 수용량에 따른 생화학적 건강도를 조사하기 위해서 복합사육기에 각장 5 cm 전복 300마리와 500마리를 각기 달리 수용하고, Reflotron kit를 이용하여 GOT (glutamate oxaloacetate transaminase) 와 GPT (glutamate pyruvate transaminase) 를 조사하였으며, 전복과 해삼을 함께 사육하여 RNA/DHA ratio와 DNA 및 RNA contents (ug/mg) 를 조사한 결과, 전복 단독구와 복합사육구간에 유의적인 차이가 없어 (P > 0.05) 전복과 해삼을 함께 양성하더라도 해삼이 전복 성장에 영향을 미치지 않는 것으로 나타났다. 또한, 자체 개발한 전복해삼 복합사육기와 남해안에서 주로 사용되고 있는 전복 사육기의 생산능력을 비교하기 위해서 수하식으로 8개월 동안 실험한 결과, 자체 개발한 복합사육기에서 양식한 전복과 해삼이 성장이 빨라 전복해삼복합사육기가 동해안 일대의 양식사업에 적합한 것으로 나타났다.

• 대한수의학회지
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• 제28권2호
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• pp.379-385
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• 1988

포유류(哺乳類)의 주요(主要) 기생원충(寄生原蟲)인 Toxoplasma gondii와 Sarcocystis species의 증식형(增殖型)에 대(對)한 표면미세구조(表面微細構造)를 비교(比較)하기 위하여 주사전자현미경(走査電子顯微鏡)으로 관찰(觀察)하였다. 동(同) 시료(試料)는 인공감염(人工感染)된 마우스로부터 분리(分離)된 T gondii와 자연감염(自然感染)된 도축우(屠畜牛)로부터 분리(分離)된 Sarcocystis species의 증식형(增殖型)이었다. 관찰결과(觀察結果) 마우스 복강(腹腔)으로부터 채취(採取)된 T gondii의 증식형(增殖型)인 tachyzoites는 초승달모양(crescent-like feature)을 나타냈고, 계측결과(計測結果) 길이 $5.57{\mu}m$, 폭 $2.33{\mu}m$이었으며 도축우(屠畜牛)의 심근(心筋)에서 채취(採取)된 Sarcocystis species의 증식형(增殖型)인 bradyzoites는 바나나모양으로 길이 $14.18{\mu}m$, 폭 $2.85{\mu}m$이었다. 특(待)히 Sarcocystis species 증식형(增殖型)의 표면관찰(表面觀察)에 있어서 높은 확대배율(擴大倍率)(60,000X)의 관찰계측(觀察計測) 결과(結果), 길이 $0.35{\mu}m$, 폭 $0.18{\mu}m$의 미세공(微細孔)(micropore)이 확인(確認)되었다.

• Asian-Australasian Journal of Animal Sciences
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• 제21권11호
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• pp.1544-1550
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• 2008

The retinoids (vitamin A and its derivatives) play a critical role in vision, growth, reproduction, cell differentiation and embryonic development. Using the IMpRH panel, porcine cellular retinol binding protein genes 5 and 7 (RBP5 and RBP7) were assigned to porcine chromosomes 5 and 6, respectively. The complete coding sequences (CDS) of the RBP5 and RBP7 genes were amplified using the reverse transcriptase polymerase chain reaction (RT-PCR) method, and the deduced amino acid sequences of both genes were compared to human corresponding proteins. The mRNA distributions of the two genes in adult Wuzhishan pig tissues (lung, skeletal muscle, spleen, heart, stomach, large intestine, lymph node, small intestine, liver, brain, kidney and fat) were examined. A total of nine single nucleotide polymorphisms (SNPs) were identified in two genes. Three of these SNPs were analyzed using the polymerase chain reaction-restriction-fragment length polymorphism (PCR-RFLP) method in Laiwu, Wuzhishan, Guizhou, Bama, Tongcheng, Yorkshire and Landrace pig breeds. Association analysis of genotypes of these SNP loci with economic traits was done in our experimental populations. Significant associations of different genotypes of $RBP5-A/G^{63}$, $RBP5-A/G^{517}$ and $RPB5-T/C^{intron1-90}$ loci with traits including maximum carcass length (LM), minimum carcass length (LN), marbling score (MS), back fat thickness at shoulder (SBF), meat color score (MCS) and hematocrit (HCT) were detected. These SNPs may be useful as genetic markers in genetic improvement for porcine production.