• Title/Summary/Keyword: 관 삽입

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A Synergy Effect of Combination of Acupoints in Cocaine Take (코카인 중독에서 경혈의 복합사용에 따른 상승 효과)

  • Jeon, Hyeon-Jeong;Lee, Bong-Hyo;Lee, Kyung-Min;Kim, Jae-Su;Lee, Yun-Kyu;Lee, Ji-Hye;Jung, Tae-Young;Yang, Chae-Ha;Yoon, Seong-Shoon;Kim, Hong-Yu;Choi, Seong-Hun;Han, Chang-Hyun;Lim, Sung-Chul
    • Journal of Acupuncture Research
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    • v.27 no.2
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    • pp.31-41
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    • 2010
  • 목적 : 침술은 한국과 같은 동아시아에서 잘 알려진 효과적인 치료법이며 정신 이상을 포함한 다양한 질환의 치료에 사용되어 왔다. 서양에서 침술은 유용한 보완대체의학으로서 각광을 받고 있다. 본 연구는 침술이 코카인 섭취를 줄이는 데에 있어서 효과가 있는지, 또 경혈의 복합 처방이 단일 경혈에 비해 더 효과적인지 여부를 알아보고자 계획되었다. 방법 : 본 실험에서는 270~300 그램의 웅성 흰쥐에게 FR 1 프로그램에서 먹이를 자가 섭취하도록 훈련시켰다. 동물이 3일 연속 3시간 이내에 100개의 먹이를 섭취하면 수술을 하였다. 복강주사로 마취를 시킨 뒤 오른쪽 경정맥으로 관을 삽입하고 천으로 고정시켰다. 회복기를 끝낸 동물은 매일 1시간 동안 FR 3 프로그램으로 코카인을 섭취하도록 훈련 받았다. 3일 연속 섭취량이 일정하면 다음날 한의사가 1분간 침 처치를 하였다. 대조군은 침 자극을 제외하고 똑 같은 조건으로 하였다. 결과 : 신문혈은 코카인 섭취를 줄였으나, 다른 경혈은 그렇지 못하였다. 더구나 신문과 태연을 같이 자침한 경우 단일 경혈에 비해 약간 더 억제하는 효과를 보였다. 그럼에도 불구하고 침술이 식욕에는 별다른 영향을 주지 않았다. 결론 : 이러한 연구 결과는 침술이 적어도 어느 정도 코카인 남용 치료에 있어서 유용하며 경혈을 복합으로 사용하는 것이 단독 사용보다 더 우수할 수 있음을 제시한다.

Predictive Factors of Major Adverse Cardiac Events after Drug-Eluting Balloon Angioplasty for In-Stent Restenosis Lesion (스텐트 내 재협착 병변에서 약물용출 풍선확장술 후 주요 심장사건 발생의 예측인자)

  • Lee, Doo Hwan;Kim, In Soo;Kong, Chang gi;Han, Jae Bok
    • Journal of the Korean Society of Radiology
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    • v.14 no.2
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    • pp.179-191
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    • 2020
  • The aim of this study was to investigate the predictors of major adverse cardiac events (MACE) in patients with drug-eluting balloon (DEB) for in-stent restenosis (ISR) lesion. Total of 257 patients who developed ISR on follow-up coronary angiography (66.1 ± 10.1years, 172 males) in Chonnam National University Hospital between October 2012 and January 2017 were enrolled. We divided the patients into two groups; group I (MACE group; n= 35) and group II (No MACE group; n= 222). A multivariate logistic regression analysis revealed that type IV ISR (HR=4.179, 95% C.I.=1.851-9.437 p= 0.001), lesion length > 25 mm (HR=8.773, 95% C.I.=1.898-40.546 p=0.005), number of ISR recurrence > 2 (HR=4.693, 95% C.I.=1.259-17.490 p= 0.021) were independent factors for MACE after DEB in ISR lesions.

A Simulation Study of Artificial Cochlea Based on Artificial Basilar Membrane for Improving the Performance of Frequency Separation (인공기저막 기반 인공와우의 주파수 분리 성능향상을 위한 인공기저막 전산모사)

  • Kim, Tae-In;Chang, Seong-Min;Song, Won-Joon;Bae, Sung-Jae;Kim, Wan-Doo;Cho, Maeng-Hyo
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.36 no.4
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    • pp.457-463
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    • 2012
  • The basilar membrane (BM), one of organs of cochlea, has the specific positions of the maximum amplitude at each of related frequencies. This phenomenon is due to the geometry of BM. In this study, as the part of the research for the development of fully implantable artificial cochlea which is based on polymer membrane, parametric studies are performed to suggest the desirable artificial basilar membrane model which can detect wider range of frequency separation. The vibro-acoustic characteristics of the artificial basilar membrane are predicted through finite element analysis using commercial software Abaqus. Simulation results are verified by comparing with experimental results. Various geometric shapes of the BM and residual stress effects on the BM are investigated through the parametric study to enable a wider detectable frequency separation range.

Occurrence and Prognosis for the Thrombosis in the Drug-Eluting Stents and Bare-Metal Stents (약물 용출 스텐트와 일반 금속 스텐트에서 혈전증에 대한 발생과 예후)

  • Kim, In-Soo;Choi, Nam-Gil;Jang, Seong-Joo;Han, Jae-Bok;Jang, Young-Ill
    • The Journal of the Korea Contents Association
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    • v.12 no.7
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    • pp.273-283
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    • 2012
  • Drug-eluting stents (DES) have significantly reduced in-stent restenosis, compared to bare-metal stents (BMS). However, there remains concern for the increased risk of stent thrombosis (ST) associated with DES. The present study sought to evaluate the incidence, clinical characteristics and outcome of ST in patients with acute myocardial infarction (MI) during a 1-year follow-up. 80 patients who developed ST were divided into 2 groups according to stent type: group I (DES-ST, n = 57 ) and group II (BMS-ST, n = 23 ). There were no differences between group I and II in the overall incidence of ST (2.7% vs. 4.3%, p=0.064) and in the incidence of each type of ST: acute ST (8.8% vs. 2.3%), subacute ST (50.9% vs. 60.9%), late ST (19.3% vs. 8.7%), and very late ST (21.1% vs. 17.4%) (p=0.605). Predictors of 1-year mortality were the occurrence of ST (OR 8.12, 95% CI 2.83-23.61, p<0.001), left ventricular ejection fraction<40% (OR 6.41, 95% CI 2.42-16.96, p<0.001), and age${\geq}$75 years (OR 4.98, 95% CI 1.95-12.74, p=0.001).

Recurrent Herpetic Stomatitis Mimicking Post-Root Resection Complication (치근 절제술의 합병증으로 오인 가능한 재발성 구내 헤르페스)

  • Hong, Sung-Ok;Lee, Jae-Kwan;Chang, Hoon-Sang
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.4
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    • pp.418-425
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    • 2013
  • This case report describes about recurrent herpetic stomatitis mimicking post-root resection complication. A 49 year-old male patient was diagnosed vertical root fracture of the mesiobuccal root of his left maxillary first molar (#26). The mesiobuccal root was resected following root canal treatment of the same tooth. 19 months later, the patient presented with pain on left hard palate after a barbecue party. Intra oral examination revealed a gum boil-like blister at the hard palate corresponding to the apex of the palatal root of #26. On clinical examination, there was bleeding on probing and the periodontal pocket depth was measured less than 5 mm with no tooth mobility. On a periapical radiograph, periodontal ligament space widening was observed. Tracing the sinus tract with gutta percha cone was attempted, however, it was impossible. Extending the field of vision, small multiple round ulcerations were observed at the palate front which caused pain to the patient. Therefore, the pain was considered a non odontogenic and the patient was referred to the department of oral medicine. The patient was diagnosed recurrent herpetic stomatitis and after 3 days of antiviral medication, the pain and ulceration were subsided.

A Case of Esophageal Perforation and Mediastinitis complicated after Foreign Body Ingestion (식도천공 및 종격동염을 초래한 식도이물 1례)

  • 김무명;나기상;김광현;박찬일
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.8.5-9
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    • 1981
  • Foreign body in the esophagus is not uncommon in the otolaryngological field and esophageal perforation followed by mediastinitis is one of the most serious complications. Authors had experienced such case developed in 69 year old female patient. This woman swallowed a piece of sharp glass accidentally. Severe pain and swelling around the neck developed after ingestion. Marked subcutaneous emphysema was noted on first examination. By esophagoscopy, longitudinal laceration at right lateral wall of the cervical esophagus was noted and a lot of food debries were removed through this perforation, but foreign body could not be found. On third hospital day, patient complained chest pain and dyspnea. Mediastinal widening was noted on chest P-A. Tracheostomy was performed on next day and neck swelling decreased much. In spite of massive antibiotics, mediastinal abscess was developed and external drainage was performed on 15th hospital day. She was discharged on 38th hospital day with marked improvement and recovered completely on follow-up study. Still, we do not know where the foreign body is located.

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Design of Multilayer Radome with Particle Swarm Optimization (Particle Swarm Optimization을 이용한 다층 구조 레이돔 설계)

  • Lee, Kyung-Won;Hong, Ic-Pyo;Park, Beom-Jun;Chung, Yeong-Chul;Yook, Jong-Gwan
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.21 no.7
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    • pp.744-751
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    • 2010
  • In this paper, the design of multilayer radome within, the insertion loss, -0.3 dB in X-band with PSO was carried out based on two cases. The first is that, deciding material constant of skin and core, each layer thickness of c-sandwich radome with PSO is found and the second is that, deciding material constant and thickness of the skins of both sides, the material constant and thickness of three layers between skins of both sides using PSO is decided. The performance of the designed radome almost agreed with the required performance. It was showed that the radome design applying PSO algorithm is easy and fast and the optimum radome is also designed in combination of the various parameters of radome. From these results, the radome having various performance can be designed except the tedious calculation and also be applied to various radome structure.

Construction and Characterization of a cDNA Library from the Camelina sativa L. as an Alternative Oil-Seed Crop (신 바이오디젤 원료 작물인 Camelina의 cDNA library 제작 및 유전자 특성)

  • Park, Won;Jang, Young-Seok;Ahn, Sung-Ju
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.55 no.2
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    • pp.151-158
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    • 2010
  • Camelina sativa L., known as popular names "gold-of-pleasure" or "false flax" is an alternative oilseed crop that can be grown under different climatic and soil conditions. Up to date, however, the genomic information of Camelina has not been studied in detail. Therefore, a cDNA library was constructed and characterized from young leaves. The constructed cDNA library incorporated of 1334 cDNA clones and the size of the insertion fragments average was 736 base pair. We generated a total of 1269 high-quality expressed sequence tags (ESTs) sequences. The result of cluster analysis of EST sequences showed that the number of unigene was 851. According to subsequent analysis, the 476 (55.9%) unigenes were highly homologous to known function genes and the other 375 (44.1%) unigenes were unknown. Remaining 63 (7.4%) unigenes had no homology with any other peptide in NCBI database, indicating that these seemed to be novel genes expressed in leaves of Camelina. The database-matched ESTs were further classified into 17 categories according to their functional annotation. The most abundant of categories were "protein with binding function or cofactor requirement (27%)", "metabolism (11%)", "subcellular localization (11%)", "cellular transport, transport facilities and transport routes (7%)", "energy (6%)", "regulation of metabolism and protein function (6%)". Our result in this study provides an overview of mRNA expression profile and a basal genetic information of Camelina as an oilseed crop.

Surgical Treatment with Extracorporeal Circulation for Acute Dissection of Descending Thoracic Aorta (체외순환을 이용한 흉부 하행대동맥의 급성 박리증 수술)

  • 최종범;정해동;양현웅;이삼윤;최순호
    • Journal of Chest Surgery
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    • v.31 no.5
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    • pp.481-487
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    • 1998
  • The surgical management of acute type B dissection is controversial. The complexity of the repair usually requires a period of aortic cross-clamping exceeding 30 minutes, which can cause ischemic injury of the spinal cord. Several forms of distal perfusion have been considered for use to prevent this injury. To determine the safety and efficacy of a graft replacement with cardiopulmonary bypass in reparing acute dissection of descending thoracic aorta, we retrospectively reviewed our surgical experience treating 8 patients who had aortic dissection secondary to atherosclerosis, trauma, and carcinoma invasion. Cardiopulmonary bypass was performed with two aortic cannulas for simultaneous perfusion of the upper and lower body and one venous cannula for draining venous blood from the right atrium or inferior vena cava. Although aortic cross-clamp time was relatively long (average, 117.8 minutes; range, 47 to 180 minutes) in all cases, there was no neurologic deficit immediately after graft replacement for the aortic lesion. Two patients(25%) of relatively old age died on the postoperative 31st and 41st days, respectively, because of delayed postoperative complications, such as pulmonary abscess and adult respiratory distress syndrome. Although any of several maneuvers may be appropriate in managing dissection of the descending aorta, graft replacement with cardiopulmonary bypass during aortic cross-clamping may be a safe and effective method for the treatment of acute dissection of the descending thoracic aorta.

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Clinical Analysis of Iatrogenic Pneumothorax (의인성 기흉에 대한 임상 고찰)

  • Choi, Si-Young;Moon, Mi-Hyoung;Kwon, Jong-Bum;Kim, Yong-Hwan
    • Journal of Chest Surgery
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    • v.42 no.6
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    • pp.744-748
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    • 2009
  • Background: This study was designed to determine etiologic factors for iatrogenic pneumothorax in an era of in-creased use of invasive procedures and to evaluate its impact on morbidity. Material and Method: Subjects were 112 patients (65 men and 47 women ranging in age from 20 to 90 years) who were diagnosed with an iatrogenic pneumothorax between January 2005 and December 2008. We reviewed medical records retrospectively. Result: The leading causes of iatrogenic pneumothorax were percutaneous needle aspiration (50), central venous catheterization (29), acupuncture (14), thoracentesis (8) and positive pressure ventilation (7). The majority of the patients (60 of 114) were treated with chest tubes. The mean duration of hospital treatment was 5.8 $({\pm}4.0)$ days. Hospitalization was prolonged in 24 patients (21.1%). No patient died from iatrogenic pneumothorax. Conclusion: In our study, the most common cause of Iatrogenic pneumothorax was percutaneous needle aspiration. The mortality and morbidity from iatrogenic pneumothorax is not significant. The recognition of pneumothorax, depends on careful examination after completion of an invasive procedure, and should be followed by prompt and definitive therapy.