• Title/Summary/Keyword: 기낭

Search Result 50, Processing Time 0.03 seconds

The Changes of Cuff Pressure from Endotracheal Intubation for Long-term Mechanical Ventilation (장기간 기계호흡 환자에서 기관내 관의 기낭압의 변화)

  • Jung, Bock-Hyun;Park, Whan;Koh, Youn-Suck
    • Tuberculosis and Respiratory Diseases
    • /
    • v.52 no.2
    • /
    • pp.156-165
    • /
    • 2002
  • Background: A tracheal stenosis is caused by mucosal ischemic injury related to a high cuff pressure ($P_{cuff}$) of the endotracheal tube. In contrast, aspiration of the upper airway secretion and impaired gas exchange due to cuff leakage is related to a low $P_{cuff}$. To prevent these complications, the $P_{cuff}$ should be kept appropriately because the appropriate $P_{cuff}$ appears to change according to the patient's daily respiratory mechanics. However, the constant cuff volume($V_{cuff}$) has frequently been instilled to the cuff balloon on a daily basis to maintain the optimal $P_{cuff}$ instead of monitoring the $P_{cuff}$ directly at the patients' bedside. To address the necessity of continuous $P_{cuff}$ monitoring, the change in the $P_{cuff}$ was evaluated at various $V_{cuff}$ levels on a daily basis in patients with long-term mechanical ventilation. The utility of mercury column sphygmomanometer for the continuous monitoring $P_{cuff}$ was also investigated. Method: The change in $P_{cuff}$ according to the increase in $V_{cuff}$ was observed in 17 patients with prolonged endotracheal intubation for mechanical ventilation for 2 week or more. This maneuver measured the change in $P_{cuff}$ daily during the mechanical ventilation days. In addition, the $P_{cuff}$ measured by mercury column sphygmomanometer was compared with the $P_{cuff}$ measured by an automatic cuff pressure manager. Results : There were no statistically significant changes of $P_{cuff}$ during more than 14 days of intubation for mechanical ventilation. However the $V_{cuff}$ required to maintain the appropriate $P_{cuff}$ varied from 1.9 cc to 9.6 cc. In addition, the intra-individual variation of the $P_{cuff}$ was observed from 10 $cmH_2O$ to 46 $cmH_2O$ at constant 3 cc $V_{cuff}$. The $P_{cuff}$ measured by the bedside mercury column sphygmomanometer is well coincident with that measured by the automatic cuff pressure manager. Conclusion: Continuous monitoring and management of the $P_{cuff}$ to maintain the appropriate $P_{cuff}$ level in order to prevent cuff related problems during long-term mechanical ventilation is recommended. For this purpose, mercury column sphygmomanometer may replace the specific cuff pressure monitoring equipment.

Comparative Morphology of Pollen Grains from Some Korean Gymnosperms (한국산 나자식물 화분의 비교형태)

  • 고성철
    • Journal of Plant Biology
    • /
    • v.37 no.2
    • /
    • pp.203-221
    • /
    • 1994
  • Pollen grains of 19 taxa belonging to 12 genera in 5.families of the Korean gymnosperms were investigated by LM, SEM and TEM, and their morphological characters were described and palynological keys were made for each family. From the taxonomic viewpoint, palynological characters are very available to intergeneric and intrageneric classifications since their distinctive differences in pollen shape, size, condition of surface, sculpture pattern and presence of air bladders and projection except for the intrageneric classification of the genus Pinus since the overlapped characters such as pollen size and sculpture pattern. Pollen grains of Picea koraiensis in the family Pinaceae are distinguished from thc genera Pinus and Abies for the reasons that shape of air bladders are irregular, air bladders are bigger than pollen body, and pollen wall is thin. Compared with the genera Abies and Pinus that have air bladders, Picea koraiensis is closely related to Abies in that pollen body wall become gradually thin from pole of proximal face to air bladder, surface of pollen body is not rough, and pollen size is similar to that of the genus Abies. The presence of ektexine and enexine in proximal face, and the connections of the former to air bladder wall and the latter to distal face were elucidated by the investigation of pollen grains with air bladders through TEM. Endexine of the families of Taxaceae, Taxodiaceae and Cupressaceae was also obse-rved as a pile of laminae. From the observation by SEM, sculpture pattern of air bladder was foveolate with fine pits on surface. Sculpture pattern of air bladder is reticulate under LM, but observed by TEM, it resulted from the transmission of netted structure in air bladder.

  • PDF

Chronic Aspergillus fumigatus Infection in a Ostrich (Struthio camelus) (타조에서 Aspergillus fumigatus 만성 감염증)

  • Kiku Matsuda;Seol, Min-Suk;Kim, Yeo-Jung;Valieryevna, Yetobayeva-Irina;Lee, Hyoung-Ja;Lim, Chae-Woong
    • Journal of Veterinary Clinics
    • /
    • v.19 no.1
    • /
    • pp.107-109
    • /
    • 2002
  • An 8-month-old ostrich (Struthio camelus) which had shown lethargy died in 2-day clinical course. Gross necropsy revealed greenish gray mold grow on the wall of thickened air sacs and multiple tiny nodules on the liver. Microscopically, the granulomatous lesions of air sac membrane, lung, and liver contained numerous septate, branching fungal hyphae. The typical conidial heads of fungi were observed in inner membrane of inflammatry thickened air sacs. This case was a chronic and systemic mycotic air sacculitis and pneumonitis caused by Aspergillus fumigatus in a ostrich at a zoo.

Design technology of airship envelop materials (비행선용 막구조 설계기법 연구)

  • 김동민;강왕구;이진우;염찬홍
    • Proceedings of the Korean Society For Composite Materials Conference
    • /
    • 2002.10a
    • /
    • pp.224-227
    • /
    • 2002
  • 비행선 기낭을 개발하기 위한 막재 요구조건과 이를 만족하기 위한 막재(membrane)의 구성을 살펴보고, 실제 연구에 사용된 기낭재료의 조성과 소재 기본 물성시험 그리고 접착강도, 패치강도 등과 같은 설계개발시험을 수행한 결과 및 향후 계획을 소개한다.

  • PDF

Aspergillus Fumigatus Infection in a Golden Eagle (Aquila chrysaetos) (정독수리에서 Aspergillus Fumigatus 감염증)

  • 임채웅;이오헝;송주영
    • Journal of Veterinary Clinics
    • /
    • v.15 no.2
    • /
    • pp.468-471
    • /
    • 1998
  • 동물원에서 사육중인 검독수리(Aquila chrysaetos)가 구토중세를 보이다 약 111여 일간물과 사료를 절폐하였고 전신적 삭쇄, 안구에는 염증성 삼출물로 덮여 실명, 한쪽날개가 처지며 호흡곤란으로 폐사하여 부검의뢰 되었다. 부검 소견상 폐와 기낭에 회백색의 육아종 성 결절이 다수 존재하였다. 기낭은 비후되어 있었고 일부는 균사가 자라 청색을 띄는 병변도 관찰되었다. 병리조직학적으로 병변은 육아종성 괴사였으며, 병소에는 곰팡이의 균사와 소포 가 관찰되여 곰팡이성 폐렴과 기낭염이였다. 병면의 배양 결과 Aspergillus Fumigatus로 동정 되었다. 본 예는 맹금류인 검독수리에서의 Aspergillus감염 중계이다.

  • PDF

Development of lighter than air-vehicle envelope (L.T.A(lighter than air-vehicle) 기낭 개발)

  • Choi, Dong-Su;Kang, Wang-Gu;Kim, Dong-Min;Yeom, Chan-Hong;Park, Seung-Sin;Hong, Eu-Seok
    • Proceedings of the Korean Society For Composite Materials Conference
    • /
    • 2005.04a
    • /
    • pp.217-220
    • /
    • 2005
  • 한국항공우주연구원과 신영중공업(주)는 L.T.A 비행체의 주구조물인 기낭(envelope)의 설계 및 제작을 국내 기술에 의해 개발하는데 성공하였다. 막재료를 고어로 재단하여 열접합으로 이어 붙여 제작하는 기낭의 개발에는 설계 및 제작에 기존의 항공기와는 구별되는 설계 및 제작기술이 요구된다. 본 연구에서는 개념설계 단계로부터 제작도면화 및 생산에 이르기 까지 전 공정을 국산화하는데 성공하였다. 본 논문에서는 이번 연구성과를 요약하였다.

  • PDF

Separation Device Development and Flight Test for Marine Recovery of Scientific Balloon (과학기구 기낭의 해상 회수를 위한 분리장치 개발 및 비행시험)

  • Shim, Gyujin;Kang, Jungpyo;Kim, Hweeho;Yee, Kwanjung
    • Journal of the Korean Society for Aeronautical & Space Sciences
    • /
    • v.47 no.1
    • /
    • pp.49-58
    • /
    • 2019
  • The Scientific balloon is a flight system that could recover an entire platform at the end of the mission. The recovery takes place mainly in low-density populated areas, taking into account for the possible damage to the human life and public safety. In Republic of Korea, on the other hand, marine recovery should be considered due to the dense mountainous terrain and restrictions of the peninsula. In this operating environment, the envelope must be recovered because of severe marine pollution that may occur after the splashdown. Therefore, in this study, the separation device that consists of a location tracker and the waterproof system were developed. The device includes data transmission/reception, separation, and waterproof systems which are manufactured considering the environmental condition of the Korea. The performance of the device and the trajectory of the envelope were verified by conducting a separation test of a 20km platform at a target altitude and the recovery of the zero-pressure balloon.

Modified Thoracoscopic Bullectomy (흉강경하 기낭절제술의 변형 술식)

  • Park, Chan-Beom;Cho, Min-Seob;Sa, Young-Jo;Lee, Jong-Ho;Jin, Ung;Kwon, Jong-Bum;Cho, Deog-Gon;Park, Kuhn;Cho, Kyu-Do;Kim, Chi-Kyeong
    • Journal of Chest Surgery
    • /
    • v.36 no.12
    • /
    • pp.937-942
    • /
    • 2003
  • Morbidity, the use of analgesics, the amount of postoperative drainage and the postoperative hospital stay were reduced in VATS for pneumothorax. However, some authors preferred minithoracotomy to VATS because the rate of recurrence after VATS were between 5% and 10%. Therefore, we present a modified thoracoscopic bullectomy (MTB) which we believe has the advantages of conventional VATS and minithoracotomy. Material and Method: Sixty-six patients who received the operation from January 2002 to December 2002 were divided into 3 groups. Twenty-six patients were treated by axillary minithoracotomy and thirteen by conventional VATS and 18 by modified thoracoscopic bullectomy, The mean age was 21.9 years (range, 16∼35 years) for minithoracotomy group, 20.6 years (range, 17∼28 years) for conventional VATS group and 22.6 years (range, 16∼39 years) for MTB group. The mean follow-ups were 11.4 months for minithoracotomy group, 9.5 months for conventional VATS group and 4.7 months for MTB group. Result: The mean duration of operation was 55.79$\pm$23.35 minutes in MTB and 44.23$\pm$19.24 minutes in conventional VATS (p=0.333). The number of staplers being used was 1.63 $\pm$0.76 in MTB, 1.41$\pm$0.64 in minithoracotomy (p=0.663), and 2.92$\pm$1.19 in conventional VATS (p<0.001). The duration of indwelling chest tube was 1.63$\pm$0.76 day in MTB, 4.07$\pm$ 1.41 day in minithoracotomy (p<0.001) and 4.46$\pm$2.33day in conventional VATS (p<0.001). Hospital length of stay was 3.26$\pm$0.81 day in MTB, 6.04$\pm$2.21 day in minithoracotomy (p<0.001) and 6.69$\pm$3.33 day in conventional VATS (p<0.001). The number of postoperative complication and recurrence were 2 in minithoracotomy (7.4%), 5 in conventional VATS (38.5%) and 1 in MTB (5.6%). Conclusion: Modified thoracoscopic bullectomy is an effective procedure in the treatment of spontaneous pneumothorax.

아시아 지역의 닭마이코플라즈마병 상황

  • 강민수
    • KOREAN POULTRY JOURNAL
    • /
    • v.33 no.7 s.381
    • /
    • pp.100-105
    • /
    • 2001
  • 마이코플라즈마 갈리셉티쿰(Mycoplasma gallisepticum, MG)및 마이코플라즈마 시노비에(M. synoviae,MS)에 의한 감염증은 아시아지역 뿐만 아니라 전세계적으로 닭에서 흔히 발생하는 질병이다. MG 감염은 흔히 닭에서 기낭염을 수반하는 만성호흡기병(chronic respiratory disease, CRD)과 칠면조의 전염성부비동염(infectious sinusitis)을 일으킨다. MS는 처음에 육계에서 전염성활막염(infectious synovitis)을 유발하는 병원체로만 알려졌으나, MG에 감염되지 않은 육계의 기낭염 병변부에서 빈번히 분리됨으로 인해 최근에는 원래의 전염성활막염보다 기낭염과 관련하여 많은 관심이 고조되고 있다. 아시아지역의 마이코플라즈마 감염상황을 대변하는 많은 문헌자료가 있으나, 대부분이 자국의 언어로 출판되어 있는 관계로 자료분석에 많은 애로가 있어 주로 해독이 가능한 영문자료를 근거로 하여 각국의 닭에서의 MG 및 MS 감염증의 발생상황과 방제현황에 대하여 언급하고자 한다. 비록 개략적이 나마 이를 토대로 국내 마이코플라즈마 방역상황을 되돌아볼 수 있는 계기가 되었으면 한다.

  • PDF