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      • 경동맥 절제술 및 치환술 1례

        김대식,오천환,Kim, Dea-Sik,Oh, Cheon-Hwan 대한기관식도과학회 1999 大韓氣管食道科學會誌 Vol.5 No.2

        A carotid artery resection and replacement including neck dissection are used as a method of treatment for head and neck cancer with infiltration into the carotid artery. The recent development of imaging technique makes it easy to estimate the detailed anatomical relationship between the tumor infiltration into the carotid artery, it's resection and replacement are indicated at radical neck dissection. To detect any possibility of cerebral ischemia at the time of ligation of carotid artery, a temporary occlusion test of internal carotid artery with a ballon catheter (balloon occlusion test) is performed. Recently, we performed a carotid artery resection and replacement using an artificial vessel Gore-Tex) in a case of neck cancer with infiltration into the carotid artery.

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      • KCI등재

        고속 전단 가공에 의한 PC/ABS 블렌드의 열적 물성 변화 연구

        이형일(Hyeong Ll Lee),이한기(Han Ki Lee),김대식(Dea Sik Kim),최석진(Seok Jin Choi),김선홍(Seong Hong Kim),유재정(Jea Jung Yoo),용다경(Da Kyong Yong),이승구(Seung Goo Lee),이기윤(Kee Yoon Lee) 한국고분자학회 2014 폴리머 Vol.38 No.3

        본 연구에서는 polycarbonate(PC)/acrylonitrile-butadiene-styrene(ABS) 블렌드의 고속 전단 가공 조건하에서의열적 물성 변화에 대해 연구하였다. 고전단 압출 성형기(NHSS2-28)를 이용하여 공정조건인 스크류 회전속도와 전단 부하 시간을 변화시키면서 가공하였다. 고전단 부하 실험 후에 유리전이온도(Tg) 변화를 조사하여, 전단 부하 조건에 따라 약 143 oC에서 약 133 oC로 감소하는 경향을 관찰하였다. 열 중량 분석(TGA)을 통해 열분해 현상을 관찰하여 전단을 가하지 않은 경우 ABS와 PC의 분해곡선이 뚜렷한 두 단계로 나타났으나, 고속 전단 가공을 한 경우분해하는 경향이 일직선상으로 변화되어 나타났다. 이에 대한 물성변화의 원인을 조사하기 위해 주사전자현미경(SEM)으로 관찰하여 분산상의 크기 또한 감소함을 확인하였고, 만능 재료 시험기(UTM)를 이용하여 신율이 고속전단 가공을 한 경우, 소폭 감소하다가 특정 조건 이상에서는 급격한 감소를 보임을 관찰하였다. 결론적으로 적정한고속 전단 응력 조건 이하에서는 PC/ABS 블렌드의 유리전이온도가 수렴하고, 적정 조건 이상에서는 유리전이온도가 급감하므로 전단응력에 의해 열화되는 것을 확인하였다. The effects of high shear rate processing on the thermal properties of PC/ABS blends were studied. It was executedby the high shear processing machine (NHSS2-28) at the varied conditions of screw speeds and loaded duration. After the samples were processed with NHSS2-28, the Tgs were shifted from 143 to 133 oC, and the behavior of degradationdetermined by TGA showed two distinct steps before high shear rate processing, while it showed a straight lineafter the processing. In order to provide the reasons of the properties, it was showen by SEM and UTM that the dropletsizes morphologically decreased after the processing, and the elongations decreased slightly until 1000 rpm of screwspeed and then sharply decreased, according to the conditions of high shear rate processing. Therefore, it can be confirmedthat Tg,s of PC/ABS blends were considerably shifted under an appropriate high shear rate condition, and rapidlydropped, so that blends degraded above the condition, due to stress-induced degradation.

      • 새열기형의 임상적 고찰

        김장묵,김대식,백승혁,한동렬,김희중,백병준,오천환 순천향의학연구소 2000 Journal of Soonchunhyang Medical Science Vol.6 No.2

        Background and Objectives : Branchial cleft anomalies are encountered rarely in clinical practice. We reviewed medical records of branchial cleft anomalies according to age and sex distribution, site distribution, characteristics of mass on physical examination, location of mass, preoperative diagnosis, type of branchial cleft cyst and report our experience with 25 cases of branchial cleft anomalies. Materials and Methods : A review of medical records was performed on 25 cases of branchial cleft anomalies diagnosed in pathologic report from January, 1990 to March, 2000. Result : Sex distribution was 11 male and 14 female, age distribution was most common in third decade which was 8 cases(32%). Site distribution was predominant in left side(13 cases), and in physical examination, the characteristics of the mass was nontender(76%), mobile(60%), soft(80%). The lesion site was submandibular area in 2 cases, upper 1/3 portion of sternocleidomastoid muscle(SCM) in 2 cases, middle 1/3 portion of SCM in 20 cases and parotid area in 1 case. The preoperative diagnosis was branchial cleft cyst in 16 cases, cervical lymphadenitis in 3 cases, tuberculous lymphadenitis in 3 cases, branchial cleft fistula in 1 case, dermoid cyst in 1 case and parotid mass in 1 case. Among 25 cases, first branchial cleft cyst was seen in 4 cases, second branchial cleft cyst in 20 cases and second branchial cleft fistula in 1 case. Conclusion : The clinical history of recurrent neck inflammatory episodes in young patients and nontender, mobile, soft neck mass should raise the suspicion of this entity. Investigation using CT scanning in combination with aspiration is useful. Treatment of all branchial cleft anomalies is complete surgical excision because there is lack of spontaneous regression, a high rate of recurrent infection, the possibility of other diagnosis, and rare malignant degeneration. Complete removal without complications depends on a good understanding of regional embryogenesis, a knowledge of the surrounding structure, and awareness of the different anatomical presentation.

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