• 제목/요약/키워드: space closure

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Experimental Studies of the Pericardial Releasing Technique in Rabbits (가토에서 심낭이완술에 관한 실험적 연구)

  • 박만실
    • Journal of Chest Surgery
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    • v.20 no.3
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    • pp.451-457
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    • 1987
  • Reoperations following cardiac surgery have an increased risk of the danger of damaging the heart, great vessels or extracardiac grafts because of adhesions to the sternum. We experimentally evaluated 3 different methods for pericardial closure. A standardized procedure for induction of pericardial adhesions was carried out in 30 rabbits. For closure of pericardium, animals were divided into 3 groups, 10 animals respectively: Croup 1 [simple pericardial closure]The pericardium was primarily resuture; Group 2 [Core-Tex surgical membrane as a pericardial substitute]- A Gore-Tex surgical membrane was interposed between the sternum and the heart; and Group 3 [pericardial tension releasing technique]-Three longitudinal overlapping incisions were made on the right side of the pericardium while the midline incison was sutured. Animals were put to death 4 weeks postoperatively and the pericardial space was examined for pericardial adhesions and epicardial reactions. The extent of adhesions and reactions were graded as: I-none; II-minimal; III-moderate; and IV-severe. Histologic studies of the pericardium, the pericardial substitute and the epicardium were also performed. The results were as follows: 1. In group 1 [simple pericardial closure], the degree of pericardial adhesions were grade I in 1 animal, grade II in 2, grade III in 4 and grade IV in 3. Epicardial reactions were grade I in 1 animal, grade II in 3, grade III in 5 and grade IV in 1. Histologic examination revealed thick fibrous tissue that obliterated the pericardial space in 7 animals. 2. In group 2 [Gore-Tex surgical membrane as a pericardial substitute], the degree of pericardial adhesions were grade I in 3 animals, grade II in 3, grade III in 2 and grade IV in 2. The degree of epicardial reactions were grade II in 1 animal, grade III in 5 and grade IV in 4. Histologic studies revealed a thin layer of dense fibrous tissue which covered the Gore-Tex surgical membrane and thick loose fibrous tissue on the epicardium just beneath the substitute. 3. In group 3 [pericardial tension releasing technique], the degree of pericardial adhesions were grade I in 3 animals, grade II in 4, grade III in 2 and grade IV in 1. The degree of epicardial reactions were grade 1 in 4 animals, grade II in 4 and grade III in 2. Severe epicardial reactions were not observed in this group. Histologic examination showed normal epicardium in 4 animals and the epicardium of the other 6 animals only revealed very thin fibrous layer compared to group I and group II. Pericardial adhesions more than grade III were 70% in group 1, 40% in group 2 and 30% in group 3. Pericardial adhesions were reduced in group 2 and group 3 compared to group 1, but statistically not significant. Epicardial reactions more than grade III were 60% in group 1, 90% in group 2 and 20% in group 3. Epicardial reactions were significantly reduced in group 3 compared to group 2. Author`s modified pericardial releasing technique provides marked augment of pericardial surface area and facilitates tension-free pericardial closure. Furthermore, pericardial adhesion and epicardial reaction will be reduced with the pericardial tension releasing technique.

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Stomatal Closure due to Water Stress in Plants (수분 스트레스에 의한 식물의 기공 닫힘)

  • Joon Sang Lee
    • Journal of Life Science
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    • v.34 no.6
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    • pp.426-433
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    • 2024
  • The environmental stress that plants are most susceptible to is water stress. Abscisic acid (ABA) is a plant hormone synthesized by plants to counteract environmental stress. The role of stomata in plants is to allow the synthesis of sucrose by absorbing CO2, which greatly affects photosynthetic activity. In addition, stomata are pathways for transpiration, which releases H2O and help establish a water potential gradient that allows plant roots to continuously absorb water and inorganic substances from the soil. Plants have a mechanism to minimize water loss by closing their stomata when exposed to water-stressed environments. The most well-studied hypothesis concerning the mechanism of stomatal closure is the response to water stress. When a plant receives sufficient water, its stomata open during the day and close at night due to its circadian rhythm. In addition, stomatal closure occurs when the concentration of CO2 in the intercellular space increases. However, the mechanism of stomatal closure due to circadian rhythm and increased CO2 concentration in the intercellular space is not well understood. When plants undergo water stress, the increased concentration of ABA in the guard cell cytoplasm induces an increase in Ca2+ concentration, resulting in cytoplasmic depolarization. As a result, the outward K+-channel of the tonoplast and the slow-type anion channels SLAC1 and SLAH3 are activated, releasing K+, Cl-, and malate2-, causing the stomata to close. Therefore, in this paper, the mechanism of stomatal closure caused by water stress was investigated.

A study on the effect of the magnitude of the gable bends on the tooth movement pattern during on-masse space closure in the maxillary dentition (상악전치 후방 견인시 견인 loop후방에 부여한 gable bend 양에 따른 치아이동 양상에 관한 연구)

  • Chun, Youn-Sic;Row, Joon;Jung, Sang-Hyuk;Kim, Hui-Jung
    • The korean journal of orthodontics
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    • v.34 no.1 s.102
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    • pp.33-45
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    • 2004
  • The purpose of this experimental study was to determine appropriate magnitude of the Gable bends to produce maximum retraction of the anterior teeth. The Calorific Machine was used to illustrate the tooth movement in three dimension. The experimental teeth except the first premolar were embedded in the artificial alveolar bone part. In a series of experiments, the extraction space was closed using arch wires with bull loops into which the gable bends of $10^{\circ},\;20^{\circ},\;30^{\circ}$ degrees were incorporated. The experiments were repeated three times for each degree of the gable bend. Before and after the space closure, radiographs were taken in the sagittal and occlusal directions using occlusal films. Analysis of variance and Scheffe post hoc test were used to determine significant differences among the three groups. The following results were obtained. 1. As magnitudes of the gable bends increased, more bodily anterior tooth movement was seen and the distance of retraction also increased. 2. As magnitudes of the gable bends increase, the amount of posterior tooth protraction decreased while intrusive and buccal movement increased. 3. The arch was coordinated by distal-in rotation of the canine and mesial-in rotation of the second premolar adjacent to the extraction space.

Chest Wall Reconstruction with a Transverse Rectus Abdominis Musculocutaneous Flap in an Extremely Oversized Heart Transplantation

  • Yim, Ji Hong;Eom, Jin Sup;Kim, Deok Yeol
    • Archives of Reconstructive Microsurgery
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    • v.23 no.2
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    • pp.89-92
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    • 2014
  • An 8-year-old girl diagnosed with dilated cardiomyopathy and Russell-Silver syndrome was admitted to our pediatric intensive care unit due to low cardiac output and multiple-organ dysfunction. The patient was placed on the heart transplant waiting list and extracorporeal membrane oxygenation was performed as a bridge to transplantation. After 17 days, heart transplantation was performed. The donor was a 46-year-old female (weight, 50 kg; height, 150 cm). The donor:recipient weight ratio was 3.37:1. Because the dimension and volume of the recipient's thoracic cage were insufficient, the sternum could not be closed. Nine days after transplantation, the patient underwent delayed sternal closure. To obtain adequate space, we left the sternum 4.5 cm apart from each margin using four transverse titanium plates. A transverse rectus abdominis musculocutaneous flap was chosen to cover the wound. Due to the shortage of donors, a size-mismatched pediatric heart transplantation is sometimes unavoidable. Closure of the opened sternum of a transplant recipient can be challenging. Sternal reconstruction after an extremely oversized heart transplantation with transverse titanium plate fixation and a musculocutaneous flap can effectively achieve sternal closure and stability.

Galeal Tack-Up Sutures to Prevent Subgaleal Cerebrospinal Fluid Collection

  • Choi, Won Ho;Moon, Chang Taek;Koh, Young-Cho;Chun, Young Il;Cho, Joon;Song, Sang Woo
    • Journal of Korean Neurosurgical Society
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    • v.54 no.4
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    • pp.336-339
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    • 2013
  • Objective : Postoperative subgaleal cerebrospinal fluid (CSF) collection is considered as one of the common minor surgical complication which can lead to prolonged hospitalization. We introduce "galeal tack-up suture" to prevent postoperative subgaleal CSF collection. Methods : Galeal tack-up suture consists of various surgical techniques which aim to fix galea to cranium in order to prevent CSF pooling in subgaleal space. A total of 87 patients who underwent craniotomy were divided into two groups while closing the wound : group A with galeal tack-up suture and group B with routine wound closure without galeal tack-up suture. The patients were observed for postoperative subgaleal CSF collection. Results : Among 87 cranitomy cases, galeal tack-up suture was performed in 32 cases and routine wound closure was done in 55 cases. Postoperative subgaleal CSF collection occurred in 13 cases (15%) in which 12 cases occurred in group B patients and 1 case occurred in group A patients (p=0.026). Conclusion : Galeal tack-up suture is an easy and effective technique in wound closure to prevent postoperative CSF collection.

A Study on the Space Composition of Renaissance Monastery Certosa - Based on the Cell Space in Certosa di Pavia (르네상스 수도원 체르토사의 공간 구성에 관한 연구 - 체르토사 디 파비아의 셀 공간을 중심으로 -)

  • Lim, Jong-Yup
    • Korean Institute of Interior Design Journal
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    • no.34
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    • pp.106-113
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    • 2002
  • Certosa, a representative Monastic Architecture of Renaissance era, has been well preserved. And it has worked as a symbol of the space form & style revealed by monad, sell, arcade and court, which are characteristic of a monastery. A court is divided into large court and small one, and it connects each units and each sells through the annex with clarifying each space identities. And arcade and pillar is not only to derive a unitary space from entire space, but also to try openness and extension applying a different height in spite of physical closure of style. Especially planned by monad and cell, the routine space of monks, a structure of rational space is a yardstick of moderation and frugality, showing affluent space which occupy essential areas without extra space. And the space appears self-sufficiency, honest poverty, and affluence with order and eternity based on elementary principles of the Cartusio order in composition and plan of the space. Keeping strong linking with entire sells in the monastery, Each sell symbolizes entire sells, and the inverse is the same. And it is the universe advocating eternity and it is also a small city which provides the monks with accurate modules and scales in the very recluse space.

Factors Affecting the Delay of the Final Purchase Decision in Online Shopping: Investigating the Moderating Effect of Need for Cognitive Closure (온라인 쇼핑에서 최종 구매결정 지연 발생의 영향요인: 인지적 종결욕구의 조절효과를 중심으로)

  • Lee, Ae Ri;Kim, Dohoon;Kim, Kyung Kyu
    • The Journal of the Korea Contents Association
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    • v.17 no.12
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    • pp.658-669
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    • 2017
  • While online shopping has been increased expeditiously, a significant portion of purchasing intention has not been converted into actual purchasing behavior without delay in online space. This study investigates the factors causing a delay in online purchasing decision even after purchasing intention has been formed. It identifies the uncertainty variables (information, psychological, and preference uncertainties) related to consumer needs and the situational variables (time pressure and past purchase experience) surrounding the purchasing transaction. Furthermore, the need for cognitive closure is proposed to moderate the relationships between uncertainty/situational variables and the purchasing behavior. The results show that the uncertainties and situational factors significantly influence purchasing delay. Also, the need for cognitive closure indeed works as a moderator between the uncertainty variables and the purchasing behavior. Practical and academic implications of these findings are also discussed.

A Study on Natural Element Application Method for Creating Healing Environment in Hospital's Interior Space (병원 실내공간의 치유환경 조성을 위한 자연요소 적용방법에 관한 연구)

  • Kim, Jeong-Ah
    • Korean Institute of Interior Design Journal
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    • v.20 no.5
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    • pp.245-253
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    • 2011
  • As interests towards health rapidly increase recently, interests and demand for hospital interior space are increasing as well. Therefore, most of today's hospitals that have been functionally designed are transforming into healing environments that consider psychological aspects, in order to assist patients forget about fear, desperation and have peace of mind. With such creation method of healing environment, natural elements can be applied to spaces in order to allow patients feel vitality, hope and adapt positive thinking, and these can eventually lead to affluent fusion of humans, nature and space. Through case analyses of how natural elements are applied to hospital's interior space, this study understands its characteristics. According to the findings, nature is largely classified into light, water, plant, stone/soil, and its application methods can be classified into center, transition, continuity, division, opening and closure. As evident from case analyses, application of natural elements to hospital's interior space promotes exchanges among patients through community formation, and achieves the effect of spatial concentration and public place. Also, ambiguity of exterior and interior boundary creates a sense of expansion and continuous effect, and can also provide a healing environment that can fully absorb natural environment open to patients. This study aims to be of service when designing hospital's interior space, with its natural element application method for healing environment research, and wishes for continuous studies on healing environments with more diverse methods.

A CASE REPORT ON THE SPACE MAINTAINER USING PRIMARY MOLAR HEMISECTION (유구치의 편측치아절제술을 이용한 공간유지장치)

  • Kim, Jun-Hyun;Lee, Jae-Ho;Kim, Seang-Oh;Shon, Heung-Ky
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.4
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    • pp.776-780
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    • 1997
  • Patient with alveolar abscess due to dental caries with severe alveolar bone loss, severe tooth mobility, root resorption need extraction of tooth because it is impossible to carry out pulp treatment and restoration by using conventional method. Early loss of primary molar might cause masticatory interference, extrusion of opposing tooth, problem in maintaining space and interference on eruption of permanent tooth. Especially, early loss of primary second molar before the eruption of permanent first molar might cause space closure by mesially erupted permanent first molar and impaction of second premolar. In such a case, distal shoe space maintainer and removable space regaining appliance was the first choice of treatment. But, distal shoe space maintainer need precise adaptation and might cause chronic inflammation if the oral hygiene is poor. In a case using removable space regaining appliance, patient's cooperation is most important. If the distal root of primary second molar is comparably sound and alveolar abscess with alveolar bone loss is localized at mesial root, hemisection should be carried out for precise guide to eruption of the permanent first molar, restoration of masticatory fuction and solution to the discomfort of the patient

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