• Journal of Chest Surgery
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• v.27 no.10
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• pp.888-892
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• 1994

Acquired, traumatic tracheoesophageal fistula [TEF] is rare and difficult problem to manage. This 55 years old man met with a roller accident of a tractor. During accident, he received a penetrating injury on the left upper sternal border. At local clinic, he received closed thoracotomy drainage [CTD]for relief of pneumothorax[left]. Three days after CTD, he complained abdominal pain and hematemesis. The endoscopy revealed large ulcer at the stomach, so he received subtotal gastrectomy. On 10th day post subtotal gastrectomy, he developed aspiration and coughing from a TEF. The esophagogram showed large TEF at the mid-trachea level. So he transfered to our hospital for operation. This patient was operated on for late TEF three weeks after injury. We have used absorble 4-0 Vicryl sutures to repair trachea. We repair all esophageal injuries with two layers of nonabsorbable silk suture. Where suture line on the esophagus, the strap muscle was interposed for reinforcement. And for feeding, the feeding jejunostomy was performed. Postoperatively the osteomyelitis of the manubrium site was developed, so on the 30th postoperative day, an ostectomy of manubrium, both clavicle and fight 1st, 2nd ribs, and the pectoralis major musculo-cutaneous flap coverage were performed.

• Journal of Microbiology and Biotechnology
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• v.25 no.6
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• pp.788-794
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• 2015

Cationic liposomes have been actively used as gene delivery vehicles despite their unsatisfactory efficiencies because of their relatively low toxicity. In this study, we designed novel heterodimeric peptides as nonviral gene delivery systems from TAT and NLS peptides using cysteine-to-cysteine disulfide bonds between the two. Mixing these heterodimeric peptides with DNA before mixing with lipofectamine resulted in higher transfection efficiencies in MCF-7 breast cancer cells than mixing unmodified TAT, NLS, and a simple mixture of TAT and NLS with DNA, but did not show an adverse effect on cell viability. In gel retardation assays, the DNA binding affinities of heterodimeric peptides were stronger than NLS but weaker than TAT. However, this enhancement was only observed when heterodimeric peptides were premixed with DNA before being mixed with lipofectamine. The described novel transfection-enhancing peptide system produced by the heterodimerization of TAT and NLS peptides followed by simple mixing with DNA, increased the gene transfer efficiency of cationic lipids without enhancing cytotoxicity.

• Korean Journal of Bronchoesophagology
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• v.9 no.1
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• pp.92-95
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• 2003

Laryngeal foreign bodies are not common among the foreign bodies of aerodigestive tract. It is relatively easy to diagnose in acute phase of entry because of a readily\ulcorner available history of intake, and signs or symptoms referable to the foreign body in the highly sensitive air passage. However, on occasion, sudden death by respiratory failure occurs due to complete obstruction of airway. Therefore, it is common and safe to remove the laryngeal foreign bodies by suspension laryngoscope under general anesthesia after tracheostomy. Recently, the authors experienced a case of metallic foreign body in larynx penetrating neck, which was removed by suspension laryngoscope under general anesthesia without any life threatening complication.

• Korean Journal of Bronchoesophagology
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• v.14 no.1
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• pp.38-41
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• 2008

Deep neck infection is an infection in the potential spaces and fascial planes of the neck, either with abscess formation or cellulitis. In the preantibiotics era most cases of deep neck infection were secondary to an oropharyngeal infection. Moreover, today manupulation of intubation tube and gastroenteroscopy may cause deep neck infection by iatrogenic trauma. We experience 1 case of deep neck infection which originate from pharyngeal penetrating injury following gastroenteroscopy.

• Nuclear Engineering and Technology
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• v.33 no.3
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• pp.349-354
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• 2001

While the United Nations UN) agencies work to restrict the manufacture, sale, and use of land-mines worldwide, a massive clean-up effort is needed to find and destroy the estimated 100 million land-mines still buried around the world. Land-mines left behind from wars worldwide are one of the past century＇s main unsolved problems of war and remain the focus of humanitarian land-mine detection and removal primarily in Europe, Africa, Asia and Central and South America. For example, approximately 1 million anti-personnel mines and other various kinds which have been buried in the 249.4 km (155 miles) demilitarized zone (DMZ) of the Korean peninsular should be completely removed in historical process of the peaceful unification between South and North Korea. In this regard, the current trends of technologies linked to land-mine detection systems are surveyed.

• Journal of Welding and Joining
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• v.20 no.2
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• pp.50-58
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• 2002

Residual stress is generated in the structures as a result of irregular elastic-plastic deformation during fabrication processes such as welding, heat treatment, and mechanical processing. There are several factors attributed to the origin of residual stresses, tensile or compressive. The stresses can be determined by destructive ways or nondestructive ways using X-ray or neutron diffraction. Although X-ray diffraction is a well established technique, it is practically limited to near-surface stresses. Neutrons penetrate easily into most materials and neutron diffraction permits non-destructive evaluation of lattice strain within the bulk of large specimens because the radiation is more deeply penetrating for metallic engineering components. This paper presented application of neutron diffraction technique to the residual stress measurement using 20 mm thick welded stainless steel plate($100{\times}100 \textrm{mm}^2$)

• Journal of Welding and Joining
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• v.33 no.6
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• pp.36-41
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• 2015

In the automotive industry, TWB hot stamping process is broadly adapted to reduce weight of the car and improve fuel efficiency. However, the process faces a problem of weakened strength of the welded zone after hot stamping process, due to the fact that Al-Si elements of the coating layer penetrating the welded zone. In this study, filler wires with high percentages of carbon and manganese is adapted during laser welding process to secure the strength of the fusion zone. In addition, wire feeding speed and laser welding speed are optimized by sample test.

• Journal of Chest Surgery
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• v.25 no.10
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• pp.1001-1012
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• 1992

13 cases of traumatic diaphragmatic ruptures were treated at the department of thoracic and cardiovascular surgery in Lee-Rha general hospital, Cheong-Ju, Choong Cheong Buk Do, between Oct. 1989 and Feb. 1992. The above 13 cases were reviewed in this study. And the following results were obtained. 1. Sex ratio is 11: 2 with male dominance 2. The 9 cases were due to blunt trauma and other 4 cases were due to penetrating injury. 3. Right side injury was more common than left[7: 5] and there was 1 case of central type which ruptured through subepicardial diaphragm. 4. All of the cases had association injury. 5. Preoperative diagnosis was possible in the 9 cases and others were diagnosed during operation under other indication. 6. Finger exploration was one of effective diagnostic procedure. 7. All of diaphragmatic ruptures was corrected through thoracotomy and exploratory laparotomy was done in 6 cases. 8. A patient died after operation due to associated injuries.

• Journal of Chest Surgery
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• v.45 no.1
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• pp.69-71
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• 2012

The inferior vena cava (IVC) filter is known as an effective and safe method for preventing fatal pulmonary thromboembolism in patients with deep vein thrombosis. Usually, the remaining IVC filters are asymptomatic and do not cause clinical problems. We report a case of duodenal perforation caused by a remaining IVC filter.

• Journal of Chest Surgery
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• v.51 no.4
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• pp.241-246
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• 2018

Alexander the Great was a world-class leader with tremendous courage. He paid no heed to the dangers of the battlefield, so he was always in the front lines. However, his excessive courage put his life in danger. Herein, we present an analysis of the information contained in the chronicles about a very severe, life-threatening thoracic trauma that nearly killed the great stratelates. The detailed descriptions made by Arrianus allow us to conclude that Alexander the Great experienced a nearly fatal case of tension pneumothorax. Information on how he was managed is also presented.