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Easy and Safe Catheterization of the Innominate Vein (무명정맥의 쉽고 안전한 삽관)

  • 이흥섭;조창욱
    • Journal of Chest Surgery
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    • v.29 no.12
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    • pp.1401-1404
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    • 1996
  • Central venous line insertion is an essential procedure in a cardiac operation. For this, percuteneous Insertion is usually done in the internal jugular vein or the subclavian vein. However, this method can create such complications as pneumothorax and hemothorax, and repeated failure in inserting the cathet r, especially in infant and child patients, can waste excessive time. Consequently, in our hospital, catheterization of the innominate vein was done after the completion of sternotomy in the cardiac operation of infant and child patients weighing under 1 Okg. During operation, the catheter was placed in the left atrium through the foramen ovate or pulmonary artery to be used for pressure monitoring. When the patient's hemodynamic became stabilized, the catheter was withdrawn to either the right atrium or superior vena casa to be used as the channel for fluid replacement or drug administration. In our hospital, this procedure has been used in 96 cases since 1989. No complications such as pneumothorax and hemothorax occilrred, and neither bleeding after the removal of the catheter was seen.

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Tracheoplasty with using the Costal Cartilage, Including the Perichondrium, for Treating a Tracheoinnominate Artery Fistula - Surgical experience of one case - (기관절개술 후 발생한 기관무명동맥루에서 연골막를 포함한 늑연골을 이용한 기관성형술 - 수술치험 1예 -)

  • Cho, Seong-Ho;Kae, Yoe-Kon;Kim, Jong-In;Cho, Sung-Rae
    • Journal of Chest Surgery
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    • v.40 no.9
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    • pp.651-654
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    • 2007
  • Tracheoinnominate artery fistula (TIF) is a very rare complication that can happen after long standing tracheostomy or insertion of an endotracheal tube and its mortality is very high. This condition requires early diagnosis and urgent management because of the life threatening results from tracheal obstruction or hypovolemic shock that is caused by massive bleeding. We report here on a case of successful tracheoplasty with using the costal cartilage, including the perichondrium, in a patient with laryngeal stricture, and this was done to preserve the trachea for the following operation to relieve the laryngeal stricture.

유식불교에서 심(心)과 신(身)의 이해

  • Han, Ja-Gyeong
    • Journal of Korean Philosophical Society
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    • v.130
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    • pp.363-380
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    • 2014
  • 유식불교에서 신(身)은 안 이 비 설 신 5근(根)을 갖춘 몸인 유근신(有根身)이며, 심(心)은 일단 의식을 일으키는 것, 즉 의식(意識)의 소의(所依)인 의근(意根)이다. 유식은 불교 본래의 무아론적 관점에 따라 의근은 개별적 사유 실체로서의 자아도 아니고, 그렇다고 5근과 마찬가지의 색법, 즉 물리적 심장이나 뇌일 수도 없으며, 나아가 이전 순간의 의식에 불과한 것도 아니라고 논한다. 따라서 유식은 의근을 제6의식과 구별되는 또 다른 식, 제7말나식(자아식)으로 간주한다. 그러나 유식에서 말나식은 실재하는 식이 아니라, 자신(자아)이 실재하지 않는다는 무아(無我)를 모르는 한, 존재하는 망상의 식, 비량(非量)의 식이다. 즉 말나식은 자신보다 더 심층의 식인 제8아뢰야식(일체 현상세계를 형성하는 근본식)의 활동을 알지 못하는 무명 불각(不覺)으로 인해, 자신을 그 세계 속 일부분인 유근신의 주체(자아)로 여기고 집착하는 식이다. 결국 유식에서 궁극의 심(心)은 견(見) 상(相)으로 이원화되기 전의 심층 아뢰야식이고, 개별적인 신(身)과 물리적 세계는 모두 그 아뢰야식의 변현 결과이다.

문인과 인세, 그리고 출판문화

  • Lee, Gwang-Ju
    • The Korean Publising Journal, Monthly
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    • s.245
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    • pp.24-25
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    • 1998
  • 영국에서 명작은 저자에게 명성과 재산을 안겨 주었다. 그러나 문제는 일생 무명으로 가난을 떨칠 수 없던 수많은 서푼 문사의 존재였다. 망망한 대해와도 같은 '펜의 자인들'에게 창조적인 세계는 전쟁터보다도 더 치열하고 가혹한 싸움터일까.

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Modified Norwood Procedure without Circulatory Arrest and Myocardial Ischemia - Report of 2 cases - (완전순환정지와 심근허혈 없이 시행한 변형 Norwood 술식 - 2 례 보고 -)

  • 백만종;김웅한;전양빈;김수철;공준혁;류재욱;오삼세;나찬영;김양민
    • Journal of Chest Surgery
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    • v.34 no.7
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    • pp.547-551
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    • 2001
  • The effects of deep hypothermia and circulatory arrest during aortic arch reconstruction are associated with potential neurologic and myocardial injury. We describe a surgical technique that two patients underwent a modified Norwood procedure without circulatory arrest and myocardial ischemia. One was 13-day-old female patient, weighing 3.1kg, having a variant of hypoplastic left heart syndrome and another was 38-day-old male patient, weighing 3.4 kg, diagnosed Taussig-Bing anomaly with severe aortic arch hypoplasia, coarctation of the aorta, and subaortic stenosis. The arterial cannula was inserted in innominate artery directly. During Norwood reconstruction, regional high-flow perfusion into the inominate artery and coronary perfusion were maintained and there were no neurologic, cardiac, and renal complications in two patients. This technique may help protect the brain and myocardium from ischemic injury in patients with hypoplastic left heart syndrome or other arch anomalies including coarctation or interruption.

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Surgical Treatment of Delayed Traumatic Anuerysm of the Innominate Artery - A case report- (외상 후 발생한 지연성 무명동맥류의 수술적 치료 -1예 보고 -)

  • Park Hoon;Keum Dong Yoon;Kim Hyung Tae;Koo Ja Hyun;Ko Sung Min;Choi Sae Young;Park Nam Hee
    • Journal of Chest Surgery
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    • v.39 no.2 s.259
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    • pp.162-165
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    • 2006
  • The innominate artery aneurysm is an uncommon entity. A 36-year-old man was transferred to our hospital because of incidental finding of right superior mediastinal mass. He had a history of blunt chest trauma due to automobile accident 16 years earlier. Computed tomography scanning demonstrated 5-cm sized sacular aneurysm with thrombus at the innominate artery. The prosthetic bifurcated bypass grafting from the ascending aorta to the right common carotid artery and right subclavian artery was performed under the moderate hypothermic cardioplumonary bypass. We report a successful surgical treatment for a rare case of the innominate artery aneurysm.

Studies on Inorganic Components of Korean Wild Edible Mushrooms - Trace Mineral Elements of Armillariella Mella, Hygrophorous russula, Armillariella tabescens, Lepista nuda and lepista sordida, Hygrocybe conica. - (한국산 야생(野生) 식용버섯의 무기성분에 관한 연구 - 뽕나무버섯, 뽕나무버섯부치, 벚꽃버섯, 민자주방망이버섯, 자주방망이버섯아재비, 붉은산무명버섯의 미량금속원소 -)

  • Park, Wan-Hee
    • The Korean Journal of Mycology
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    • v.21 no.4
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    • pp.273-278
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    • 1993
  • In order to determine of trace mineral elements of wild edible mushrooms in Korea, the dried carpophores of Armillariella mella(Vahl.ex Fr.) karst., Armillariella tabescens(Scop.) Sing., Lepista nuda(Bull.ex Fr.) Cooke and Lepista sordida(Schum.ex Fr.) Sing., Hygrophorus russula (Schaeff.ex Fr.) Qu'el., Hygrocybe conica(Scop.ex Fr.) Kummur were incinerated and analyzed by an atom adsorption spectrophotometry. The six mushrooms contained ubiquitously potassium, iron, zinc, sodium, manganase, copper and calsium in that order, and the content of potassium was the highest than other inorganic components and the content of zinc in Hygrocybe conica was especially the most than the other five mushrooms. Total contents of inorganic components(except Cd) were universally the highest in Hygrocybe conica than other five mushrooms, and decrease in order Hygrophorus russula, lepista nuda, lepista sordida, Aarmillariella mella and Armillariella tabescens. Calsium was not present in Amillariella mella and lepista nuda, and copper not in Hygro­cybe conica, and content of cadimium in Hygrophorus russula and Hygrocybe conica were trace.

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