• Title/Summary/Keyword: 기관 튜브

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The Short Term and Intermediate Term Results of using a T-tube in Patients with Tracheal Stenosis (기관 협착 환자에서의 T-튜브의 중단기 결과)

  • Sa, Young Jo;Moon, Seok-Whan;Kim, Young-Du;Jin, Ung;Park, Jae-Kil;Kim, Jae Jun;Kim, Chi-Kyung;Jo, Keon Hyon;Park, Chan Beom;Yim, Hyeon Woo
    • Journal of Chest Surgery
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    • v.42 no.1
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    • pp.63-71
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    • 2009
  • Background: The treatment of tracheal stenosis includes less invasive bronchoscopic intervention and more invasive segmental resection & anastomosis. Depending on the patient's clinical features, sometimes all these methods are inappropriate. Silicone T-tube stenting has recently been used as an alternative, safe management of tracheal stenosis. We studied the short term and Intermediate term results of using T-tubes in patients with tracheal stenosis, and this tracheal stenosis was caused by various underlying diseases. Material and Method: We retrospectively reviewed 57 patients with tracheal stenosis and who were treated with T-tubes between Jan 1997 and Apr 2007. Based on the patient's medical records and the imaging studies, we evaluated the clinical findings and status of T-tube removal. Result: There was no T-tube related morbidity or mortality in this series. On follow-up, one patient underwent sleeve resection and end-to-end anastomosis. The T-tube could be successfully removed from 13 patients (13/57, 22.8%) without additional interventions. For another four patients, a T-tube was again inserted after removal of the first T-tube due to tracheomalacia or recurrent stenosis. Four patients died of underlying disease and cancer. The patients' gender and previous tracheostomy significantly affected T-tube removal. By contrast, multiple logistic regression analysis identified gender as a predictor of successfully removing a T-tube. Gender (p=0.033) and previous tracheostomy (p=0.036) were the two factors for success or failure of T-tube removal. Conclusion: A T-tube provided reliable patency of a stenotic airway that was caused by any etiology. We have proven that using a T-tube is safe and effective therapy for patients with tracheal stenosis for the short term or the intermediate term.

Effect of Air Flow Change on Voice Parameters: In Vivo Canine Laryngeal Model (생체 발성모형에서 발성시 공기양의 변화가 음성 지표에 미치는 영향)

  • 최홍식
    • Proceedings of the KSLP Conference
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    • 1993.12a
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    • pp.9-9
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    • 1993
  • 후두 형태에 이상이 없는 잡종개 2마리를 정맥 마취한 상태에서 생체 발성 모형을 만들었다. 경부 피부를 수직절개하고 후두 및 기관을 노출시킨 후, 기관에 상, 하 두 개의 기관절개를 가하고 두개의 삽관튜브를 삽입하였다. 아래 튜브로는 호흡을 유지하게 하였고, 위의 튜브로는 공기를 후두 방향으로 보내면서, 상후두신경의 외지와 반회신경 및 반회신경의 최종 분지인 갑상피열 분지에 전극을 각각 부착하여 일정한 정도의 전기자극을 가함으로써 소리가 유발되도록 하였다.(중략)

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Current Status and User Experiences of the Science-Related YouTube Services by Government-Funded Research Institutes (정부출연연구기관의 과학 유튜브 서비스 현황과 이용자 경험 연구)

  • Byun, Kwanjoo;Oh, Sanghee
    • Journal of Korean Library and Information Science Society
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    • v.52 no.4
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    • pp.277-307
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    • 2021
  • This study aims to understand the current status of science-related channels on YouTube provided by government-funded research institutes and investigate user experiences and behaviors of using the services. We examined the number of subscribers, view counts, and video contents of 26 YouTube channels from the government-funded research institutes. We also designed a user study with the uses and gratifications theory and conducted a semi-structured interview. By grouping videos into five categories: Public Relations, Lectures, Entertainment, Vlogs, and Q&A, most videos were about research projects or institutional promotions. User motivation for using the YouTube channel was to acquire scientific knowledge and information. Users thought that YouTube channels could provide reliable information and satisfy their intellectual curiosity. But they criticized that most videos were uninteresting, and the lack of promotions of the channels made others hesitant to sign up and watch. Findings from this study could help fully understand the current status of the government-funded research institute's YouTube channel and be used as resources for the government's planning and development of various YouTube services.

A Study on the Core Metadata Elements for YouTube Video Archiving in Public Institutions (공공기관 유튜브 동영상 아카이빙을 위한 메타데이터 핵심 요소 연구)

  • Rack Keun, Kim;Jin Ho, Park
    • Journal of Korean Society of Archives and Records Management
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    • v.22 no.4
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    • pp.45-65
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    • 2022
  • YouTube videos of public institutions are digital public records that need to be managed and preserved. As such, the video and the metadata describing the video should also be preserved. This study aims to select the key metadata elements necessary for archiving videos published on YouTube by public institutions. To this end, five high-level areas, namely the description, structure, management, preservation, and user participation, and the metadata elements of 10 subareas, were designed by referring to NAK 8, PREMIS, ISAD(G), and YouTube metadata. Afterward, the metadata elements designed by 14 experts were verified. Lastly, the validity and reliability of the evaluation results were verified. Of the 63 elements, 33 satisfied the validity and reliability criteria. Thus, these elements were selected as the core metadata for archiving YouTube videos in public institutions.

단기간 기관내 삽관전, 후 음성지표의 측정

  • 서영일;남순열
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1997.04a
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    • pp.116-116
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    • 1997
  • 배경 및 목적: 전신마취를 위하여 시행한 기관내 삽관은 삽관튜브와 성대내면의 접촉에 의한 압력과 마찰로 후두 미세한 손상을 주게된다. 저자들은 단기간 기관내 삽관 전,후의 음성분석을 통하여 손상의 유무와 회복을 측정할 수 있는 객관적인 음성지표를 찾아보고자 하였다. 대상 및 방법: 만성 중이염 수술시 전신마취를 목적으로 경구기관 튜브를 거치한 성인 남자 10명과 여자 15명 환자를 대상으로 수술 1일전과 술후 24시간 후 각각 "a"음을 연장 발성시켜 CSL 4300B (KAY elemetrics Corp)의 MDVP(multidimensional voice program)을 이용하여 harmonic to noise ratio(NHR), Jitter, Shimmer, Fundamental frequency를 측정 비교하였다. 결 과: 남녀 모두에서 Jitter, Shimmer는 각각 평균 0.70%에서 1.06%, 1.92%에서2.28%로 증가되는 경향을 보였으나 통계학적 유의성은 없었다. Fundamental frequency는 여자에서 평균 220Hz에서 221Hz로 남자는 125Hz에서 128Hz로 변화를 보이지 않았고 harmonic to noise ratio(NHR)또한 평균 0.11로 수술 전, 후 변화를 관찰할 수 없었다. 결 론: 이상의 결과로 2내지 6시간의 단기간 삽관으로 인한 성대의 손상은 경미하여 24시간 이내에 회복되는 것으로 판단된다. 향후 6시간 이상의 기관내삽관이나 수일이상의 장기간 삽관후의 음성지표의 측정등의 연구가 필요할 것으로 사료된다.

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Trends on the Development of Carbon Nanotube-Based Digital X-ray Tube (탄소나노튜브 기반 디지털 엑스선 튜브 기술개발 동향)

  • Song, Y.H.;Kang, J.T.;Kim, J.W.;Choi, Y.C.;Park, S.;Jeong, J.W.
    • Electronics and Telecommunications Trends
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    • v.31 no.2
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    • pp.116-123
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    • 2016
  • 병원의 X선 및 CT 영상, 반도체 소자 내의 결함분석, 공항의 보안검색 등 다양한 분야에 X선이 사용되고 있다. 지금까지는 이러한 X선을 발생시키기 위해 고온으로 가열하여 전자를 방출시키는 열전자원이 사용됐으나, 높은 소비전력과 디지털 구동의 어려움 등의 단점이 존재한다. 이러한 한계를 극복하기 위해 전계방출원 기술, 특히 탄소나노튜브를 이용한 나노전자원의 제조 및 디지털 엑스선 튜브 응용 기술에 관한 연구가 최근 활발히 진행 중이다. 이 글을 통해 디지털 시대에 부합하는 탄소나노튜브 기반 나노전자원 및 이를 이용한 디지털 엑스선 튜브의 개념 및 제조기술을 소개하고, ETRI 및 다른 기관들에서 개발 중인 최신 기술개발 동향을 소개하고자 한다.

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Left Bronchial Rupture Following Endobronchial Intubation - One case report - (기관 삽관후 발생한 좌측 주기관지 파열 - 1례 보고 -)

  • 김건일;지현근;김형수;이희성;이원용
    • Journal of Chest Surgery
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    • v.31 no.10
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    • pp.1014-1016
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    • 1998
  • Rupture of the bronchus following endotracheal intubation with a double-lumen tube is extremely rare in all complications of endotracheal intubation. We experienced a case of left main bronchial rupture following endotracheal intubation. This 58-year old female patient was diagnosed of well-differentiated adenocarcinoma of right lower lobe, stage IIB, preoperatively. She was intubated with Robertshaw double-lumen tube(35 Fr.) for Rt. lower lobectomy. Intraoperatively, Lt. main bronchial rupture was suspected because of pneumomediastinum and ventilation insufficiency and immediately repaired with monofilament absorbable sutures(PDS) through left thoracotomy. Postoperative course was uneventful.

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Tracheal Rupture Following Double-lumen Endotracheal Tube Intubation -One Case Report- (이중관 기관 삽관후 발생된 기관파열 - 1례 보고 -)

  • 박승일;원준호;이종국
    • Journal of Chest Surgery
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    • v.32 no.8
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    • pp.765-767
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    • 1999
  • Tracheobronchial rupture following tracheal intubation is a rare complication. We experienced a case of tracheal rupture following double-lumen endotracheal tube intubation. A 76 year old female was admitted due to coughing and chest discomfort. The operation was performed with the diagnosis of congenital broncho esophageal fistula. During the operation, accidently the main trachea was ruptured longitudinally. There was no history of surgical trauma. The ruptured trachea was repaired with prolene and monofilament absorbable sutures. The cause of tracheal rupture was suspected overinflation of the cuff. The patient was discharged from the hospital without any significant complications.

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Fractured Tracheostomy Tube as Bronchial Foreign Body in Child (부서진 기관튜브로 발생한 소아 기관지 이물)

  • Han, Min-Seck;Kwon, Seong-Keun
    • Korean Journal of Bronchoesophagology
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    • v.16 no.1
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    • pp.47-50
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    • 2010
  • Fracture of tracheostomy tube with subsequent migration into the tracheobronchial tree is rare, but tracheobronchial foreign body in child carries the potentially fatal risk of respiratory obstruction, We report a case of a 5-year-old girl who had aspirated a fractured tracheostomy tube which was removed under rigid bronchoscope.

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Post-extubation Negative Pressure Pulmonary Edema Complicating Partial Rib Resection -A case report- (늑골 절제술 환자에서 기관 내 튜브 발관 후 발생한 음압성 폐부종 -1예 보고-)

  • Kim, Jae-Jun;Jo, Min-Seop;Cho, Kyu-Do;Park, Yeon-Jin;Kim, Yong-Shin;Cho, Deog-Gon
    • Journal of Chest Surgery
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    • v.40 no.4 s.273
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    • pp.313-316
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    • 2007
  • Negative pressure pulmonary edema (NPPE) during anesthetic recovery is a rare, but potentially serious complication for patients who are undergoing different surgical procedures. The proposed mechanism is the generation of high negative pressure during markedly respiratory effort and upper airway obstruction from glottis closure and laryngospasm, and this all leads to pulmonary edema. We report here on a case of a healthy 26-year-old male who immediately developed NPPE and hemoptysis following extubation after partial rib resection due to benign rib tumor; the patient was treated conservatively. We also include a review of the review literatures.