• 제목/요약/키워드: rapid closure

검색결과 51건 처리시간 0.024초

Cervical Spinal Epidural Hematoma Following Cervical Posterior Laminoforaminotomy

  • Choi, Jeong Hoon;Kim, Jin-Sung;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • 제53권2호
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    • pp.125-128
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    • 2013
  • A 65-year-old man who had lateral cervical disc herniation underwent cervical posterior laminoforaminotomy at C5-6 and C6-7 level right side. During the operation, there was no serious surgical bleeding event. After operation, he complained persistent right shoulder pain and neck pain. Repeated magnetic resonance image (MRI) showed diffuse cervical epidural hematoma (EDH) extending from C5 to T1 level right side and spinal cord compression at C5-6-7 level. He underwent exploration. There was active bleeding at muscular layer. Muscular active bleeding was controlled and intramuscular hematoma was removed. The patient's symptom was reduced after second operation. Symptomatic postoperative spinal EDH requiring reoperation is rare. Meticulous bleeding control is important before wound closure. In addition, if patient presents persistent or aggravated pain after operation, rapid evaluation using MRI and second look operation is needed as soon as possible.

연소로에서 NO 배출 및 연소특성에 대한 수치해석적 연구 (Numerical Simulation of NO Emission and Combustion Characteristics in Furnace)

  • 전영남
    • 한국대기환경학회지
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    • 제12권5호
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    • pp.577-585
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    • 1996
  • A screening study was performed in order to resolve the flow, combustion and emission characteristics of the gas furmace with co-axial diffusion flane burner. A control-valume based finite-difference method with the power-law scheme was employed for discretization. Numerical procedure for the differential equation was used by SIMPLEST to enclosute rapid converge. A k-.varepsilon. model was incorporated for the closure of turbulence. The mass fraction and mixture fraction were calculated by cinserved scalar method. An equilibrium analysis was employed to determine the concentration of radicals in the product stream and conserbation equations were them solved for N amd NO by Zelovich reaction scheme. The method was exercised in a simple one-dimensional case first, to determine the effects of air ratio, temperature and residence time on NO formation and applied to a furnace with co-axial diffusion flame burner.

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승모판막 치환술후 합병한 좌심실 파열의 외과적 고찰 - 3례 보고 - (Left Ventricular Rupture after Mitral Valve Replacement - 3 cases report -)

  • 유환국
    • Journal of Chest Surgery
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    • 제23권5호
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    • pp.987-993
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    • 1990
  • An unusual but often lethal complication of mitral valve replacement is rupture of the left ventricle. From March 1977 through June 1990, 424 mitral valve replacements were performed as isolated or combined procedures. Rupture of the posterior wall of the left ventricle was observed in 3 patients. Their was one type I and two type II rupture. Once the diagnosis was made, all of the patient were connected to the heart-lung machine again and total cardiopulmonary bypass is re-established. Repair was attempted in all of them from the outside of the heart. One of them was successively repaired but two were failed due to myocardial ischemia by circumflex coronary artery injury and failure of adequate closure of the ruptured site. From this results, we concluded that prevention is the best solution. But if we encountered this condition, early diagnosis and rapid treatment may improve the patient`s chances for survival.

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Synthesis of Isoxazolone Derivatives from (Chlorocarbonyl)phenyl Ketene with Benzhydroxamic Acids

  • Nejadshafiee, Vajihe;Saidi, Kazem;Abaszadeh, Mehdi
    • Bulletin of the Korean Chemical Society
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    • 제32권12호
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    • pp.4176-4178
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    • 2011
  • The reaction of (chlorocarbonyl)phenyl ketene, with readily available benzhydroxamic acid derivatives, such as benzhydroxamic acid, 4-chlorobenzhydroxamic acid, 3-nitrobenzhydroxamic acid, 4-methylbenzhydroxamic acid, N-hydroxy-3-oxo-3-phenylpropionamide, N-hydroxy-2-phenylacetamide, affords isoxazolone derivatives in high yields in a one step procedure. The formation of the products proceeds by a mechanism, that involves replacement of chlorine of the ketene, by benzhydroxamic acids, followed by rapid ring closure of this intermediate to form isoxazolone derivatives.

유동망 시스템 해석을 위한 경계처리에 대한 보존형 유한체적법 (CONSERVATIVE FINITE VOLUME METHOD ON BOUNDARY TREATMENTS FOR FLOW NETWORK SYSTEM ANALYSES)

  • 홍석우;김종암
    • 한국전산유체공학회지
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    • 제14권1호
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    • pp.35-44
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    • 2009
  • To adequately analyze flows in pipe or duct network system, traditional node-based junction coupling methods require the junction loss which is specified by empirical or analytic correlations. In this paper, a new finite volume junction coupling method using a ghost junction cell is developed by considering the interchange of linear momentum as well as the important wall-effect at junction without requiring any correlation on the junction loss. Also, boundary treatment is modified to preserve the stagnation enthalpy across boundaries, such as pipe-end and the interface between junction and branch. Also, the computational accuracy and efficiency of the Godunov-type finite volume schemes are investigated by tracing the total mechanical energy of rapid transients due to sudden closure of valve at downstream end.

Ecological impact of fast industrialization inferred from a sediment core in Seocheon, West Coast of Korean Peninsula

  • Choi, Rack Yeon;Kim, Heung-Tae;Yang, Ji-Woong;Kim, Jae Geun
    • Journal of Ecology and Environment
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    • 제44권4호
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    • pp.212-221
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    • 2020
  • Background: Rapid industrialization has caused various impacts on nature, including heavy metal pollution. However, the impacts of industrialization vary depending on the types of industrializing activity and surrounding environment. South Korea is a proper region because the rapid socio-economical changes have been occurred since the late nineteenth century. Therefore, in this study, we estimate the anthropogenic impacts on an ecosystem from a sediment core of Yonghwasil-mot, an irrigation reservoir on the western coast of Korea, in terms of heavy metal concentrations, nutrient influx, and pollen composition. Results: The sediment accumulation rate (SAR) determined by 210Pb geochronology showed two abrupt peaks in the 1930s and 1950s, presumably because of smelting activity and the Korean War, respectively. The following gradual increase in SAR may reflect the urbanization of recent decades. The average concentrations of arsenic (As), copper (Cu), and lead (Pb) during the twentieth century were > 48% compared to those before the nineteenth century, supporting the influence of smelting activity. However, at the beginning of the twenty-first century, the As, Cu, and Pb concentrations decreased by 19% compared to levels in the twentieth century, which is coincident with the closure of the smelter in 1989 and government policy banning leaded gasoline since 1993. The pollen assemblage and nutrient input records exhibit changes in vegetation cover and water level of the reservoir corresponding to anthropogenic deforestation and reforestation, as well as to land-use alteration. Conclusions: Our results show that the rapid socio-economic development since the twentieth century clearly affected the vegetation cover, land use, and metal pollutions.

Development of Hair Keratin Protein to Accelerate Oral Mucosal Regeneration

  • So-Yeon Kim
    • 치위생과학회지
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    • 제23권4호
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    • pp.369-377
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    • 2023
  • Background: In this study, we investigated the potential use of keratin for oral tissue regeneration. Keratin is well-known for its effectiveness in skin regeneration by promoting keratinization and enhancing the elasticity and activity of fibroblasts. Because of its structural stability, high storability, biocompatibility, and safety in humans, existing research has predominantly focused on its role in skin wound healing. Herein, we propose using keratin proteins as biocompatible materials for dental applications. Methods: To assess the suitability of alpha-keratin protein as a substrate for cell culture, keratin was extracted from human hair via PEGylation. Viabilities of primary human gingival fibroblasts (HGFs) and human oral keratinocytes (HOKs) were assessed. Fluorescence immunostaining and migration assays were conducted using a fluorescence microscope and confocal laser scanning microscope. Wound healing and migration assays were performed using automated software to analyze the experimental readout and gap closure rate. Results: We confirmed the extraction of alpha-keratin and formation of the PEG-g-keratin complex. Treatment of HGFs with keratin protein at a concentration of 5 mg/ml promoted proliferation and maintained cell viability in the test group compared to the control group. HOKs treated with 5 mg/ml keratin exhibited a slight decrease in cell proliferation and activity after 48 hours compared to the untreated group, followed by an increase after 72 hours. Wound healing and migration assays revealed rapid closure of the area covered by HOKs over time following keratin treatment. Additionally, HOKs exhibited changes in cell morphology and increased the expression of the mesenchymal marker vimentin. Conclusion: Our study demonstrated the potential of hair keratin for soft tissue regeneration, with potential future applications in clinical settings for wound healing.

Surgical Resection and Polypropylene Mesh Reconstruction for Canine Chest Wall Soft Tissue Sarcoma

  • Youngsoo Hong;Youngrok Song;Woojin Song;Myung-Chul Kim;Joo-Myoung Lee;Hyunjung Park;Jiwhan Moon;Jongtae Cheong
    • 한국임상수의학회지
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    • 제41권1호
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    • pp.24-29
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    • 2024
  • A 6-year-old spayed female French Bulldog presented with a left-sided chest wall tumor. Physical examination revealed that the tumor was firmly adhered to the chest wall. A preoperative punch biopsy of the tumor revealed a grade 2 soft tissue sarcoma (STS). On computed tomography, the tumor's dimensions were assessed as 6.5 × 5.7 × 3.5 cm, and it exhibited invasiveness near the tissue surrounding the ninth rib. The tumor size was large in comparison to the dog's chest wall area. Hence, if the traditional wide-margin resection surgery were to be performed, primary wound closure seemed impractical and could potentially result in respiratory function complications. Therefore, considering the extent of tumor invasion and grade, deep margins were established to include the removal of the eighth to tenth ribs, and a 1-cm lateral margin was designated to enable primary wound closure. To reconstruct the chest wall, polypropylene mesh was attached to the adjacent ribs and the remaining muscles were sutured and covered over the mesh. The dog exhibited a rapid recovery beginning the day after the operation. Postoperative biopsy confirmed that the tumor was a grade 2 STS, and the surgical margins were evaluated as incomplete. The owner chose to pursue follow-up observation instead of chemotherapy. In this study, the surgical approach was chosen based on the importance of functional recovery after surgery. Recent research indicates that the tumor grade is more critical for postoperative prognosis than the extent of surgical margins when removing an STS.

다층 블록 장애물과 상호작용하는 3차원 댐붕괴흐름 모의를 위한 층류 및 난류 모델 비교 연구 (Comparative study of laminar and turbulent models for three-dimensional simulation of dam-break flow interacting with multiarray block obstacles)

  • 크리산티 아스리니;송양헌;손상영
    • 한국수자원학회논문집
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    • 제56권spc1호
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    • pp.1059-1069
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    • 2023
  • 댐붕괴흐름은 댐이 갑자기 붕괴하여 제어가 어려운 상태의 고속흐름이 방출되는 현상이다. 이 연구에서는 3차원의 댐붕괴흐름을 모의하기 위해 OpenFOAM을 사용하여 층류 및 난류 모델을 적용하고 그 결과를 비교하였다. 난류 모의를 위해 레이놀즈 평균 나비에-스토크스 (Reynolds-Averaged Navier-Stokes) 모델, 구체적으로 k-ε 모델을 사용하였다. 수리모형실험과 함께 수정된 다층 블록 장애물 시나리오를 대상으로 두 가지 모델을 평가하였다. 두 모델 모두 댐붕괴흐름을 효과적으로 재현하였으며, 난류 모델은 흐름의 변동성을 감소시키는 역할을 보여줬다. 그러나 난류 모델에서의 과도한 에너지소산은 수위를 과소 평가하게 하는 것으로 나타났다. 수치기법 및 격자 해상도를 개선하여 적용한 결과 흐름재현성이 향상되었는데 이는 특히 구조물 근처의 난류흐름에서 두드러졌다. 모델 안정성의 경우 난류모델의 사용여부보다는 수치기법 및 격자 해상도의 개선에 더 크게 영향을 받았다. k-ε 모델에 내재된 시간평균처리의 특성은 불연속성과 불안정성이 두드러진 댐붕괴흐름을 재현하는 데 한계가 있음을 나타냈다. RANS 모델을 포함한 난류모의는 방대한 계산자원이 필요하지만, 층류 모델과 비교하여 성능 향상이 제한적이었다. 댐붕괴흐름을 정확히 재현하기 위해 LES (Large Eddy Simulation) 및 DNS (Direct Numerical Simulation)과 같은 고급 난류 모델의 사용이 권장되며, 이를 위해서는 미세한 공간 및 시간 스케일의 구성이 필수적이다. 이 연구를 통해 댐붕괴흐름을 모의할 때 기본적으로 사용할 수 있는 주요 접근법과 적용가능성을 측정하였으며, 구조물 근처에서 난류흐름에 대한 정확한 표현의 중요성을 강조할 수 있었다.

Surgical refinement of the purse-string suture for skin and soft tissue defects of the head and neck

  • Park, Hyochun;Lee, Yunjae;Yeo, Hyeonjung;Park, Hannara
    • 대한두개안면성형외과학회지
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    • 제22권4호
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    • pp.183-192
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    • 2021
  • Background: The purse-string suture (PSS) is a simple and rapid wound closure method that results in minimal scarring. It has been used to treat circular or oval skin defects caused by tumor excision or trauma. However, due to obscurity, it is not widely used, especially for the head and neck. This study aimed to modify the PSS to obtain predictable and acceptable results. Methods: A total of 45 sites in 39 patients with various types of skin and soft tissue defects in the head and neck were treated with PSS. We used PDS II (2-0 to 5-0), which is an absorbable suture. Minimal dissection of the subcutaneous layer was performed. The suture knot was hidden by placing it in the dissection layer. Depending on the characteristics of the skin and soft tissue defects, additional surgical interventions such as side-to-side advancement sutures, double PSS, or split-thickness skin graft were applied. Results: All wounds healed completely without any serious complications. Large defects up to 45 mm in diameter were successfully reconstructed using only PSS. Postoperative radiating folds were almost flattened after approximately 1-2 months. Conclusion: PSS is simple, rapid, and relatively free from surgical design. Owing to the circumferential advancement of the surrounding tissue, PSS always results in a smaller scar than the initial lesion and less distortion of the body structures around the wound in the completely healed defect. If the operator can predict the process of healing and immediate radiating folds, PSS could be a favorable option for round skin defects in the head and neck.