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The Clinical Analysis of the Nasal Septal Cartilage by Measurement Using Computed Tomography

  • Hwang, So Min;Lim, On;Hwang, Min Kyu;Kim, Min Wook;Lee, Jong Seo
    • Archives of Craniofacial Surgery
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    • v.17 no.3
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    • pp.140-145
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    • 2016
  • Background: The nasal septal cartilage is often used as a donor graft in rhinoplasty operations but can vary widely in size across the patient population. As such, preoperative estimation of the cartilaginous area is important for patient counseling as well as operating planning. We aim to estimate septal cartilage area by using facial computed tomography (CT) studies. Methods: The study was performed using facial CT images taken from 200 patients between January 2012 to July 2015. Using the mid-sagittal image, the boundary of cartilaginous septum was delineated from soft tissue using the mean difference in signal intensity (or brightness). The area within this boundary was calculated. The calculated area for septal cartilage was then compared across age groups and sexes. Results: Overall, the mean area of nasal septal cartilage was $8.18cm^2$ with the maximum of $12.42cm^2$ and the minimum of $4.89cm^2$. The cartilage areas were measured to be larger in men than in women (p<0.05). The area decreased with advancing age (p<0.05). Conclusion: Measuring the size of septal cartilage using brightness difference is more precise and reliable than previously reported methods. This method can be utilized as the standard for prevention of postoperative complication.

Transposition of Intravascular Lipid in Experimentally Induced Fat Embolism: A Preliminary Study

  • Hwang, So-Min;Lee, Jong-Seo;Kim, Hong-Il;Jung, Yong-Hui;Kim, Hyung-Do
    • Archives of Plastic Surgery
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    • v.41 no.4
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    • pp.325-329
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    • 2014
  • Background Liposuction is a procedure to reduce the volume of subcutaneous fat by physical force. Intracellular storage fat is composed of triglyceride, whereas circulating fat particles exist as cholesterol or triglycerol bound to carrier proteins. It is unavoidable that the storage form of fat particles enters the circulation system after these particles are physiologically destroyed. To date, however, no studies have clarified the fatal characteristics of fat embolism that occurs after the subclinical phase of free fat particles. Methods A mixture of human lipoaspirate and normal saline (1:100, 0.2 mL) was injected into the external jugular vein of rats, weighing 200 g on average. Biopsy specimens of the lung and kidney were examined at 12-hour intervals until postoperative 72 hours. The deposit location and transport of the injected free fat particles were confirmed histologically by an Oil Red O stain. Results Inconsistent with previous reports, free fat particles were transported from the intravascular space to the parenchyma. At 24 hours after infusion, free fat particles deposited in the vascular lumen were confirmed on the Oil Red O stain. At 72 hours after infusion, free fat particles were accumulated compactly within the parenchymal space near the perivascular area. Conclusions Many surgeons are aware of the fatal results and undiscovered pathophysiologic mechanisms of free fat particles. Our results indicate that free fat particles, the storage form of fat that has been degraded through a physiological process, might be removed through a direct transport mechanism and phagocytotic uptake.

A Study of Ultrastructure on attachment of Soft Contact Lens Surface of Incubated Pseudomonas aeruginosa (배양된 Pseudomonas aeruginosa의 소프트 콘택트 렌즈 표면부착에 대한 미세구조적 연구)

  • Kim, Douk Hoon;Park, Yong Tae;You, Hae Byung
    • Journal of Korean Ophthalmic Optics Society
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    • v.5 no.2
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    • pp.11-14
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    • 2000
  • The soft contact lens was very simple technique in handling, good sensation in fitting, good effect of a beauty, and good attachment state on the cornea in physical movement. So that, the subjects have used the correct of visual acuity. If the contact lens handling have not skill, they have acquired the side effect on eye. To analysis of a study of ultrastructure on soft contact lens surface of incubated P. aeruginosa. We have observed the soft contact lens surface by SEM. We have founded the good technical method. On the method of sample process of manufacture, the best observation of samlpe tissue was $OsO_4$ postfixation and tannic acid treatment. In this case, P. aeruginosa was a rod shape and one cilia in ultrastructure and the identification was very good. But, On the process of manufacture have not used the $OsO_4$ and tannic acid treatment, this tissue sample appeared the foreign body materials and artifacts, and the identification of the P. aeruginosa was very difficult.

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Elementary Pre-service Teachers' Perception on the Importance and Performance of Good Instruction (초등 예비교사의 좋은 수업에 대한 중요도와 실행도 인식)

  • Jo, Miheon
    • The Journal of the Korea Contents Association
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    • v.20 no.11
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    • pp.435-446
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    • 2020
  • This research analyzed elementary pre-service teachers' perception on the importance and performance of major factors that constitute good instruction, and attempted to find ways to improve pre-service teacher education. A survey was conducted to 157 pre-service teachers who were senior students at a university. The questionnaire consisted of four main areas of good instruction and major factors for each area, and the importance and performance of each factor were answered on a 5-point scale. As the result of the t-test on the difference between importance and performance, significant differences were found between the importance and performance of all 24 factors. In addition, the importance-performance analysis showed that there were 3 factors to be concentrated for the improvement, 9 factors to be kept up because of their good work, 9 factors to have low priority, and 3 factors to avoid excessive effort. Based on the results, the research proposed issues to be considered in organizing and operating the elementary pre-service teacher education program.

Antibacterial properties of quinolones

  • Yoshida, Hiroaki
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1997.04a
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    • pp.40-47
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    • 1997
  • New quinolones generally have a broad antibacterial spectrum against gram-positive, gram-negative, glucose-nonfermenting and anaerobic bacteria. Some of newly developed quinolones have potent activities against S. aureus including MRSA, S.pneumoniae including PRSP, B. fragilis, chlamydiae, mycoplasmas and mycobacteria as well, and show good activities against various strains resistant to antibacterial agents of other classes. Quinolones display postantibiotic effects in vitro and are bactericidal at concentrations similar to or twice that of the minimum inhibitory concentrations (MICs) for susceptible pathogens. In experimental murine infection models including systemic infections with various pathogens such as S. aureus, S. pyogenes, S. pneumoniae, E. coli and P. aeruginosa, quinolones have shown good oral efficacy as well as parenteral efficacy. Good oral absorption and good tissue penetration of quinolones account for good therapeutic effects in clinical settings. The target of quinolones are two structurally related type II topoisomerases, DNA gyrase and DNA topoisomerase IV. Quinolones are shown to stabilize the ternary quinolone-gyrase-DNA complex and inhibit the religation of the cleaved double-stranded DNA. Bacteria can acquire resistance to quinolones by mutations of these target enzymes. Mutation sites and amino acid changes in DNA gyrase and DNA topoisomerase IV are similar in the organisms examined, suggesting that the mechanism of quinolone resistance in the target enzymes is essentially the same among various organisms. Quinolones act on both the target enzymes to different degrees depending on the organisms or agents tested, and bacteria become highly resistant to quinolones in a step-wise fashion. Incomplete cross-resistance among quinolones in some strains of E. coli and S. aureus suggests the possibility of finding quinolones active against quinolone-resistant strains which are prevailing now. To find such quinolones, the potency toward two target enzymes and the membrane permeability including influx and/or efflux systems should be taken into account.

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The Dietary Habits of the Nonagenarian Population in Longevity Belt in Korea (장수벨트지역 장수인의 식생활 특성)

  • Lee, Mee-Sook
    • Korean Journal of Community Nutrition
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    • v.10 no.4
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    • pp.513-524
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    • 2005
  • The dietary habits and eating behaviors of nonagenarian subjects over 90 years old in Korean representative longevity belts of Damyang, Gokseong, Kurye, Sunchang were evaluated. The subjects of the study were 91 elderly people (26 males and 65 females) over 90 years old and their dietary habits, food preferences and meal patterns were collected by individual interview. The percentage of subjects, who answered 'very good' or 'good' for their health status, was $65.9\%$. In this study, $55\%$ of subjects were without chronic diseases, and there was no significance difference in gender. Many subjects had performed regular exercise and outdoor activity. The rate of eating together with their family was $79.1\%$. Most of subjects ($91.2\%$) had a regular mealtime consuming three meals a day, and they had good appetite and pleasure of eating. The higher preference of food group was fruits ($95.6\%$), legumes ($94.5\%$), mushrooms ($93.4\%$) and vegetables ($92.3\%$), but the amount of intakes is higher in vegetables than the others. Eating with family, regular exercise and self-rated good health are improved their nutrient intakes. Most frequently consumed meal pattern was rice plus soup and side dishes. The side dish consumed frequently was Namul (blanch and seasoned vegetables). From this study, the nonagenarian populations in longevity belt in Korea have good dietary habits such as regular mealtime, constant amount of meal and eat with pleasure. They are taking Korean traditional meal pattern, providing enriched antioxidant vegetable foods. Also, it can be concluded that the amount and quality of diet in the long-lived elderly are responsible for the Korean traditional family system.

Improved Heat Lamp for Preventing Arterial Spasm after Microvascular Surgery (미세혈관 수술 후 혈관 연축의 예방을 위한 개선된 온열전등)

  • Ahn, Sung-Min;Hwang, So-Min;Hu, Eun-Suk;Park, Jung-Mi;Park, Kyung-A;Oh, Jin-A
    • Archives of Reconstructive Microsurgery
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    • v.17 no.2
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    • pp.120-125
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    • 2008
  • Purpose: Heat therapy by heat lamp after microvascular surgery is being used for preventing blood vessels's contraction and blood-flow's disturbance. As usually, incandescent lamp has been used. But there have been several problems and need for improvement in the existing heat lamp treatment. So we would like to introduce improved heat lamp to keep an appropriate temperature and intensity of illumination. Methods: The existing heat lamps are the ones of general light stands covered with newspaper, having 60 watt light bulb of incandescence and lampshade made of aluminum. We have tried to improve shortcomings of the existing heat lamps by enlarging the size of aluminum lampshade and attaching a curtain that can block heat and light. We conducted a comparative study between the existing and improved heat lamps. Under the assumption that there are several affected parts, we have also measured the distance from heat lamp to patients' eye region and then intensity of illumination. Result: The target temperature of surface was realized in 11 minutes with the maximum temperature reaching at 36.6 degrees C in 28 minutes at the existing heat lamp while the target temperature reached in 7 minutes with the maximum temperature reaching at 39.0 degrees C in 17 minutes at the improved heat lamp. The existing and improved heat lamp showed 38 lx and 0.1 lx of intensity of lumination, respectively. Conclusion: Using improved heat lamps, we can keep an appropriate temperature and we think we can make contribution to patients' treatment by making them and their neighbors able to sleep with minimized disturbance thanks to low intensity of illumination secured by blocking light.

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Bone remodeling after conservative treatment of nasal bone fracture in pediatric patients

  • Kang, Won Ki;Han, Dong Gil;Kim, Sung-Eun;Lee, Yong Jig;Shim, Jeong Su
    • Archives of Craniofacial Surgery
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    • v.21 no.3
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    • pp.166-170
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    • 2020
  • Background: The standard treatment of nasal bone fractures in pediatric patients is closed reduction. Conservative treatment is sometimes performed, but poses a risk of nasal deformity. The aim of this study was to evaluate the outcomes of bone remodeling in pediatric nasal fractures. Methods: Information was extracted from the medical records of patients under 12 years of age who received conservative treatment for a nasal bone fracture and underwent follow-up computed tomography (CT) examinations. The initial fracture and its outcomes over time were graded as excellent, good, or fair according to the malalignment, displacement, or irregularity of the fractured segments. The outcomes of remodeling were evaluated through changes in the grade of the fracture between initial and subsequent CT scans. Results: The review identified 16 patients between March 2015 and December 2019. Their mean age was 6.2 years, and the average follow-up period was 4.9 months. Three of the five patients with a plane I frontal impact showed improved outcomes of remodeling from good to excellent, and the remaining two patients, improved from fair to good. Eight of the 11 patients with plane I lateral impacts showed improved outcomes, from good to excellent, while one patient, improved from fair to good, one patient, improved from fair to excellent, and one patient showed no interval changes. Conclusion: In 15 of these 16 patients with non-severe fractures, the bony contour improved through remodeling, without surgical intervention. Therefore, we suggest that conservative treatment is a feasible option for mild pediatric nasal fractures.

Surface Reforming of Engineering Plastic for adding nano-ATH (nano-ATH 첨가를 통한 엔지니어링 플라스틱의 표면개질)

  • Heo, Jun;Lee, Seung-Su;Jung, Eui-Hwan;Lim, Kee-Joe;Kang, Seong-Hwa
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2009.06a
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    • pp.259-259
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    • 2009
  • Surface contamination and leakage current have caused operating problems. A flashover in a substation may result in destruction of an insulator or many others electrical equipment. Engineering plastics have good characteristic (light weight, good productivity and little of void) as compare with epoxy or porcelain insulators. Outdoor insulator must have resistance to contamination. However, they are not suited to outdoor insulator by reason of being not good hydrophobic. RTV has a good property of hydrophobic and ATH has characteristic obstructing exothermic reaction. In order to reduce the incidence of insulator flashover and damage, the silicon rubber contained nano size ATH coat on surface of engineering plastics. In this paper, it compares resistance tracking of the engineering plastic coated RTV with that of non-coated engineering plastic and ATH filled composites performed much better than non-filled composites.

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Job Satisfaction related Factors of Home Visiting Nurses in the Public Health Centers (보건소 방문간호사의 직무만족 관련요인)

  • Kim, Yi-Soon;Jeong, Ihn-Sook;Lee, Jung-Hee;Park, Hyoung-Sook
    • Journal of Home Health Care Nursing
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    • v.9 no.2
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    • pp.129-137
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    • 2002
  • Purpose: This study was aimed to investigate predictors of job satisfaction of home visiting nurses at the 16 public health centers in Busan. Method: There are two groups of independent factors: non-work related (age. educational level. working duration as nurses in hospitals. certificate). and work related (working duration as nurses in public health centers. working duration as home visiting nurse. position. number of households visited per week, workload, cooperation among staff, support by supervisors, supply of vehicles, supply of materials). The participants were 88 home visiting nurses from 16 public health centers in Busan. Data were collected with self-administrated questionnaires and analysed using an univariate logistic regression and multiple logistic regression analysis. Result: support by supervisors (good vs not-good, OR=3.70. p=0.025), and supply of materials (good vs not-good, OR=3.33, p=0.038) had significants effects on job satisfaction. Conclusion: The results were similar to those of other studies on the predictors of job satisfaction of clinical nurse at hospitals, and were helpful in developing nursing interventions to increase job satisfaction among home visiting nurses in public health centers. Busan.

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