• Title/Summary/Keyword: 가성대

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Microsurgery of the Laryngeal Lesions (Suspenison Laryngoscope에 의한 후두병 변의 진단 및 치험례)

  • 장인원;이종원;권영춘;정규화;정종진
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1978.06a
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    • pp.7.1-7
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    • 1978
  • The microsurgery of the laryngeal lesions was introduced by Kleinsasser in 1965. This has been utilized for diagnosis, surgical management and education of the laryngeal lesions. The laryngomic-roscopic technique appear to be useful in the evaluation of the lesions which may be precancerous, since minor degrees of epithelial thickening and alterations in the pattern of fine vessels beneath the epithelium may be observed with greater clarity. With suspension laryngoscopy, the authors experienced 11 cases of the laryngeal lesions: polyp (4 cases), web formation between false cords and true cords (1), papilloma (4), laryngeal trauma (1), and squamous cell carcinoma (1).

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Endovascular Repair of Acute Type B Aortic Dissection: The Early Results and Aortic Wall Changes (급성 B형 대동맥 박리의 혈관내 스텐트-그라프트 삽입이 초기성적 및 대동맥 벽의 변화)

  • Her, Keun;Won, Yong-Soon;Shin, Hwa-Kyun;Yang, Jin-Sung;Baek, Kang-Seok
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.648-654
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    • 2010
  • Background: This study assessed the early results of endovascular repair of acute type B aortic dissection and the aortic wall changes following endovascular repair. Material and Method: From July 2008 to May 2009, the preoperative and follow-up computed tomography (CT) scans of 5 patients with acute type B aortic dissection were evaluated, and these patients had underwent stent graft implantation within 13 days of the onset of dissection (mean: 7 days; range: 3~13). The whole lumen (WL), true lumen (TL) and false lumen (FL) diameters were measured at the proximal (p), middle (m) and distal (d) third of the descending thoracic aorta. Result: The study included four men and one woman with an average age of $59.4{\pm}20.1$ years (age range: 37~79 years). The follow-up CT was performed and evaluated at 7 days and 6 months. The primary tear was completely sealed in all the patients. No paraplegia, paresis or peripheral ischemia occurred and none of the patients died. No endoleaks developed in any of the patients during follow-up. The TL diameters increased from 20.4 to 33.5 mm in the proximal third (p/3), from 19.5 to 29.8 mm in the middle third (m/3) and from 15.2 to 23.5 mm in the distal third (d/3). The FL diameters decreased from 18.7 to 0 mm in the p/3, from 15.4 to 0 mm in the m/3 and from 21.4 to 8.7 mm in the d/3. The changes in the TL diameter were statistically significant in the middle and distal aorta, and those changes in the FL diameter were not statistically significant. There was a decrease in the WL after repair, but this was not statistically Significant. In three patients, the false lumen disappeared completely on follow-up CT at 6 months. Two patients had patent false lumens and no thrombosis. Conclusion: The early results showed that endovascular repair was effective in treating acute type B aortic dissection, and endovascular repair promoted positive aortic wall changes.

Surgical Therapy of Stanford Type A Acute Aortic Dissection -Dose intimal tear within replaced aortic segment make any difference in its clinical characteristics- (Stanford A형 급성 대동맥박리증의 외과적 치료 -내막 파열점 위치에 따른 임상경과의 차이-)

  • 조광조;우종수;성시찬
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.125-132
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    • 2001
  • 배경 및 목적: Stand A형 급성대동맥박리증의 박리 시발점이 수술치환부위 내에 있는 경우와 그렇지 않은 경우의 임상적 차이점을 분석하여 치료에 도움을 주고자 하였다. 방법: 1991년 3월부터 1999년 7월까지 본원에서 급성상행대동맥박리증으로 진단되어 상행대동맥치환술을 받은 40명의 환자를 대상으로 병력기록을 근거로 수술 소견 상 찢어진 부위를 발견한 환자 27명을 1군, 발견 못한 나머지 13명을 2군으로 나누고 환자의 술 전 상태와 수술소견 및 술후 경과의 임상적 차이점을 분석하였다. 결과: 1군에서 술전에 저혈압, 대동맥판막부전, 심허혈, 신부전 등이 더 많이 발생되었다. 수술 소견 상 대동맥근부 이상은 1군에서 많았다. 가성 내강 내 혈종은 2군에서 더 많이 관찰되었지만 통계적으로 유의하지는 않았다. 술후에 2군에서는 신부전이 더 많이 발생하였고 술후 출혈로 인한 재수술은 1군에서 더 많았다. 조기 수술사망은 1군에 6명으로 사망률은 22.2%이었고 2군에는 사망 례는 없었다. 결론: 본 연구를 통하여 상행대동맥에서 내막 파열이 발견된 1군에서는 2군에 비해 술전 상태가 불량하였고 대동맥판막 병변으로 수술이 복잡해져 사망률이 높다고 생각된다. 반면 원위부 하행대동맥에서 박리가 진행되어 상행대동맥으로 이어진 2군에서는 1군에 비해 순환 장애로 인해 술후에 신부전이 더 많이 발생되었다. 결론적으로 상행대동맥내막에 파열점이 없었던 군에서 수술 예후는 상행대동맥내막에 파열점이 있는 군보다 더 좋았다.

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A Case of Decannulation Difficulty Due to Cricoid Stenosis (윤상연골 협착에 의한 기관 Cannula 발거곤란증의 치험 1례)

  • 송기준;김흥곤;이형석;추광철;김선곤
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.12-12
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    • 1982
  • We have recently experienced a case of decannulation difficulty resulted from head and thoracic injury. The patient was 21-year-old male who undergone craniectomy and tracheotomy at other hospital about 7 months ago prior to admission On admission, there was swelling in glottic and subglottic region in indirect laryngoscopy and bronchoscopy with fixation of vocal cords in paramedian position. We tried to reestablish an adequate air way with bougination using Jackson esophageal bougie but there was no effect with it. So we performed vertical incision through cricoid cartilage and tracheal rings and insertion of Teflon tube in stenotic lesion for 9 months and removed it. At present time, the patient has been satisfactory corking training course.

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Synthesis and Characterizations of Aluminum Hydroxide Using NaOH Additional Amounts and Polyalmuniumchloride (Polyaluminumchloride와 NaOH 첨가량에 따른 수산화알루미늄 합성에 관한 연구)

  • Hwang, Dae Ju;Cho, Kye Hong;Choi, Moon Kwan;Ahn, Ji Whan;Han, Choon;Lee, Jong Dae
    • Korean Chemical Engineering Research
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    • v.48 no.2
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    • pp.205-211
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    • 2010
  • The water-sewage cohesion agent(polyaluminumchloride(PAC)) and NaOH were used to synthesize $Al(OH)_3$. For various additions of NaOH, characteristics of the synthesized $Al(OH)_3$ was analysed by XRD, SEM and PSA. According to XRD analysis, small amount of NaOH(NaOH:PAC=15g:100g) resulted in amorphous form of $Al(OH)_3$. By increasing NaOH(NaOH:PAC=20g:100g), the mixture of gibbsite(37%), bayerite(35%) and boehmite(28%) were produced. By adding more NaOH(NaOH:PAC=25g:100g), binary mixtures of gibbsite(67%) and bayerite(33%) were formed. Finally, high addition of NaOH(NaOH:PAC=30g:100g) gave the high concentration of gibbsite(gibbsite:bayerite=83:17). Also, SEM analysis indicated that the product featured the plate form with 20 and 30g of NaOH addition. Furthermore it was found that the particle size of the product decreased with the addition of NaOH.

How to Use EVT Figures for Actor Voice Training II (배우 음성 훈련을 위한 EVT 구조연습 활용방안 II)

  • Lee, Young-Su
    • The Journal of the Korea Contents Association
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    • v.22 no.2
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    • pp.647-664
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    • 2022
  • This study explores the possibility that the figure of the Estill Voice Training model, which is based on speech science, can contribute to the expansion of vocal expertise in the acting art where an actor creates a character. The purpose of this study is to examine the usage plan. The training model through the fluidity and structural functionality of the voice production organ is differentiated from the existing voice training that focuses only on the results of sound due to its ambiguous abstraction. Developing the voluntary coordination ability of the occipital region and vocal tract, such as False Vocal Folds, Cricoid Cartilage, Velum, AES, and Anchoring, has scientific efficiency that makes it easier to produce artistic target sounds, and it is a technical skill that can creatively overcome the functional limitations faced by actors. It can be used as a methodology. The Estill model Figure, which is a principle training for harmony and coordination between the elements of voice production, has a practical value that can be used as an alternative training model for the voice education of actors in Korea, where images and abstractions are the mainstream.

Hand and Physical Properties of Mercerized Cotton Fabric using KES (머서화 가공(加工) 면직물(綿織物)의 KES에 의(依)한 물리적(物理的) 특성(特性)과 태(態)의 변화(變化)에 대(對)한 연구(硏究))

  • Choi, Jeong-Im;Kim, Jong-Jun;Jeon, Dong-Won
    • Journal of Fashion Business
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    • v.11 no.1
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    • pp.125-135
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    • 2007
  • Each cotton fiber is a unicellular hair collected from the seed of cotton plant. The fiber contains many convolutions along its length. Mercer was the first to suggest caustic soda treatment of cotton in commercial application. Mercerization has been commercially used since Lowe's suggestion to endow cotton with increased strength and affinity for dyes with additional properties such as fabric touch or luster. In this study, cotton fabric specimens were mercerized to investigate the changes in physical and mechanical properties pertaining to the hand or touch of fabrics. Physical properties were measured using the KES(Kawabata Evaluation System).

Evaluation of Resource Value on Urban Park - Using Contingent Valuation Method - (가상적 가치추정법(CVM)을 이용한 관광위락자원의 편익가치 분석)

  • Park, Chang-Kyu
    • Journal of the Economic Geographical Society of Korea
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    • v.9 no.2
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    • pp.211-224
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    • 2006
  • With the increasing concern about natural resources that is being devastated and lost its reproductivity, Non-use value of resources for future use is considered more important than the present use value in the resource valuation. This study aims to measure Total Non-use value in Namsan Park, Kwanak and Paldal Mountain with CVM(Contingent Valuation Method). CVM is the method which can evaluate Non-use value of tourism resource to find the future value of the given resource. This study is carried on the assumption that respondents give answers not to real situation but to imaginary circumstances. After analysing benefit value by estimating conservation value and separate use value, we can conclude that conservation value of tourism resource is given much weight.

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A Case of Ascending Aortic Dissection with Severe Aortic Regurgitation Diagnosed by Echocardiography (심장초음파검사로 진단된 중증 대동맥판역류를 동반한 상행대동맥박리증 1예)

  • Kim, Sung-Hee;Lee, Ok-Kyoung
    • Korean Journal of Clinical Laboratory Science
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    • v.52 no.4
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    • pp.425-429
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    • 2020
  • Aortic dissection refers to the separation of the aorta into a true and false lumen as the medial membrane of the aorta is torn along the long axis due to a high aortic pressure when a minute rupture occurs in the aortic lining. The mortality rate is very high, and aortic dissection occurs 2~5 times more in men than women. The prevalent age range is 50~70 years old. In this case, the authors experienced a diagnosis of aortic dissection that occurred in a young woman in her 30s, which does not occur frequently. In the process of tracking severe aortic regurgitation, aortic valve prolapse was initially suspected. We report this case because aortic dissection could be diagnosed by observing the intimal flap of the ascending aorta in the process of confirming this suspected part.

Redo Opeations for Recurrent Dissection After Operation for Type A Aortic Dissection (A형 대동맥 박리 수술 후 재발성 박리의 재수술)

  • 홍유선;강정한;윤치순;이현성;박형동
    • Journal of Chest Surgery
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    • v.34 no.8
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    • pp.604-610
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    • 2001
  • Stanford type A aortic dissection after graft replacement of ascending aorta and/or aortic arch required careful follow-up due to progression of the enlarged false lumen or the recurrence of dissection. From June 1984 to June 200, 124 patients underwent operations for type A aortic dissection. Among them, 6 patients underwent reoperation due to recurred aneurysm or dissection. We evaluated that the causes of reoperation, including Marfan syndrome, the approach and result of reoperation, and strategy to reduce the risk of reoperation. Material and method: The first operation was done on acute stage in 4 cases, and chronic stage in 2 cases. There were Marfan syndromes in 3 cases. The entry site was the ascending aorta for all cases except one who underwent Bentall operation(n=3) or ascending aorta graft replacement(n=2). In one case, Bentall operation and total arch replacement was performed due to chronic type A dissection with multiple fenestrations. Mean interval of reoperation was 67.6months(range 5 months to 14 year 4months) after the first operation. Reoperations were performed with recurrence of dissection(n=4), threatening aneurysmal evolution of persisting dissection(n=1), and false aneurysm with infection(n=1). The redo operation involved the hemiarch in 1 case, distal ascending to total arch and descending thoracic aorta in 4 cases, and only descending thoracic aorta in 1 case. Result: There were Marfan syndromes in 18 patients. The mean age in type A dissection was 56.7 years and that in the first operation of reoperationc ases was 32.2 years. Especially in 3 patients with Marfan syndrome, the mean age was 29 years.

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