• Title/Summary/Keyword: 비만 수술

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USEFULNESS OF MIDFACIAL DEGLOVING APPROACH IN ORAL & MAXILLOFACIAL REGION (구강악안면외과 영역에서의 MIDFACIAL DEGLOVING APPROACH의 유용성)

  • Cha, In-Ho;Yoon, Hyun-Joong;Lee, Eui-Wung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.3
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    • pp.214-216
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    • 1998
  • In the treatment of maxillary lesion including a maxillary sinuses, most of oral and maxillofacial surgeons have used the vestibular incision or the Weber-Fergusson incision. However, the vestibular incision has disadvantage which it provides a rather limited exposure and the Weber-Fergusson incision leaves visible scar in the midface. Furthermore, because the scar is confined on unilateral side only, the technique is hesitated to apply especially in children, younger patients and women. Since Casson first introduced midfacial degloving technique, this approach has been used frequently to treat the lesion on nasal cavity, nasopharynx, skull base and paranasal sinuses by ENT surgeons. But, we think this technique can be used usefully in oral and maxillofacial regions. So, we experienced favorable results which it provided a proper exposure, no visible facial scar and it could be used on bilateral midfacial lesions.

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The Current State of Total Shoulder Arthroplasty (견관절 전치환술의 현재)

  • Oh, Joo-Han;Song, Byung-Wook
    • Clinics in Shoulder and Elbow
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    • v.14 no.2
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    • pp.253-261
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    • 2011
  • Purpose: The purpose of the present article is to help orthopedic surgeons better understand the basic principles of unconstrained total shoulder arthroplasty, and to help them perform the best surgical technique for reconstruction. Materials and Methods: In this article, we reviewed in depth current biomechanics, indications & contraindications, surgical techniques, complications and outcomes of unconstrained total shoulder arthroplasty. Additionally, we discussed current issues relevant to total shoulder arthroplasty such as whether a keeled or a pegged glenoid should be used. Results and Conclusion: A thorough understanding of the biomechanics of total shoulder arthroplasty, and the technical details and problems in implantation, are critical to provide the best functional outcome and to avoid the risk of complications.

A case of post-operative chylous ascites after a splenorenal shunt operation in a child with congenital hepatic fibrosis (선천성 간섬유화증에서 비-신장 문합수술 후에 발생한 소아의 유미성 복수증 1례)

  • Yoon, Jong Hyung;Yang, Hye Ran;Ko, Jae Sung;Seo, Jeong Kee
    • Clinical and Experimental Pediatrics
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    • v.49 no.10
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    • pp.1106-1110
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    • 2006
  • Chylous ascites is a rare condition caused by various diseases and conditions that interfere with the abdominal or retroperitoneal lymphatics, and uncommonly it can manifest as a post-operative complication after abdominal, retroperitoneal or mediastinal surgery. Chylous ascites can be diagnosed by a high triglyceride content in ascites. The authors experienced a 5-year-old girl with congenital hepatic fibrosis who presented with chylous ascites after a splenorenal shunt operation, who was successfully managed by fasting and total parenteral nutrition, followed by a lipid-free diet with medium chain triglyceride supplementation. Here, the authors report this case of post-operative chylous ascites after a splenorenal shunt (Warren shunt) operation with a review of the pertinent literature.

Determination of Target Position with BRW Stereoatic Frame in non-orthogonal CT scans (비직교성 전산화단층촬영에서 뇌정위수술용 좌표계를 이용한 표적위치 결정)

  • Park, Tae-Jin;Kim, Ok-Bae;Son, Eun-Ik
    • Progress in Medical Physics
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    • v.3 no.1
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    • pp.53-62
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    • 1992
  • Stereotactic implantation of intracranial lesions, and the development of stereotactic convergent irradiation, radiosurgery, techniques have to obtain the accurate coordinates of the tumor locations and that of critical organ. Computed tomography(CT) provides relatively precise imformations of tumor localization and surround the normal organs for conventional radiotherapy. This CT image use to extend for stereotactic radiosurgery procedures. Since the convergent irradiation technique in linear accelerator requires the target center coincident with gantry isocenter or radosurgery frame, the target coordinates must be described in accurately. We used the BRW stereotactic system for describing the target position in CT images This algorithm provides the coordinate conversions for orthogonal or non-orthogonal CT scan image. In this experiments, the target positions have shown the small discripancy within :to.3mm uncertanty in several known target positions in the phantom through the provided programs and it compared to that of BRW stereotactic systems.

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Popliteal Artery Entrapment Syndrome - A case report - (슬와동맥 포착증후군 - 1예 보고 -)

  • Kim, Duk-Sil;Kim, Sung-Wan;Kim, Byung-Ki;Lee, Hyeon-Jae;Lee, Gun;Lim, Chang-Young
    • Journal of Chest Surgery
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    • v.42 no.5
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    • pp.653-656
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    • 2009
  • The entrapment of the popliteal artery is a rare cause of ischemia of the lower extremities among young males. The development of local occlusive or aneurysmal changes of the popliteal artery is caused by abnormal anatomic relationships between vascular and musculo-tendinous structures in the popliteal fossa. An 18-year-old male visited our outpatient clinic with the chief complaint of claudication in his right calf. Three dimensional CT angiography showed an occlusion of the popliteal artery and less opacified arteries of the right leg. Intraoperatively, the popliteal artery was compressed by an accessory muscle band arising from the medial head of the gastrocnemius. After release of the muscle band, thrombectomy with endarterectomy was done. Three years after surgery, he is doing well without any problems.

Effects of Fundamental Nursing Practice Education Applying Reciprocal Peer Tutoring on Confidence in Performance, Core Nursing Skills, and Practice Satisfaction of Nursing Students (상호동료 교수학습 기반의 기본간호학실습 교육이 간호대학생의 핵심간호술 수행자신감, 숙련도 및 실습만족도에 미치는 효과)

  • Kim, Hyun-Ju
    • Journal of Digital Convergence
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    • v.18 no.4
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    • pp.315-323
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    • 2020
  • This study is a similar experimental study before and after non-equivalence control to examine the effect of fundamental nursing practice education applying reciprocal peer tutoring on confidence in performance, core nursing skills, and practice satisfaction of nursing students. Data collected by 83 people sophomore P university nursing students, the study period is from May 17 to 11 March 2019. As a results, the fundamental nursing practice education applied with the reciprocal peer tutoring method had an effect on the confidence in performance and core nursing skills of 'medium' degree of difficulty, and had a positive effect on the satisfaction of practice. In the future, this study suggests that the method of reciprocal peer teaching is extended to various practical majors and the effects of core nursing skills are tested.

Effects of Testosterone on Adipose Tissue Metabolism (지방조직대사에 대한 testosterone의 영향)

  • Jeong, Sunhyo
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.17 no.12
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    • pp.2995-3000
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    • 2013
  • We investigated the effects of testosterone on the improvement of white adipose tissue explant and its molecular mechanism in adipose tissue of high fat diet-fed male castrated (CAST) mice. The CAST mice treated with testosterone had lower adipose tissue weights, the average size of adipocytes and mRNA levels of $C/EBP{\alpha}$ as well as adipocyte marker genes than the vehicle-treated CAST mice. These results suggest that testosterone prevent the expression of $C/EBP{\alpha}$ and $C/EBP{\alpha}$-mediated adipocyte marker genes, resulting in decreased adipose tissue mass and adipocyte metabolism in male CAST mice. Moreover, this study give a valuable molecular and biological knowledge on testosterone therapy in obese hypogonadal men.

A Modified Technique for Pectus Carinatum Surgery: Partial Costal Cartilage Resection and Pre-sternal Compression with Using a Stainless Steel Bar (새가슴 수술의 변형수기: 부분 늑연골 절제와 스테인리스 금속막대를 이용한 흉골압박)

  • Lee, Seock-Yeol;Oh, Jae-Yun;Lee, Seung-Jin;Lee, Chol-Sae
    • Journal of Chest Surgery
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    • v.41 no.6
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    • pp.742-746
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    • 2008
  • Background: The surgical treatment of pectus carinatum is usually a modified Ravitch operation that consists of complete costal cartilage resection and sternal wedge osteotomy. We tried a simple and easy technique that is resection of only deformed, protruded costal cartilage and pre-sternal compression with using a stainless steel bar and this is done without sternal osteotomy. Therefore, we performed partial cartilage resection and pre-sternal compression with a stainless steel bar and we observed the effects and the efficiency of treatment. Material and Method: From July, 2006 to June, 2008, 10 patients with pectus carinatum underwent our modified technique of pectus carinatum surgery. The effects of surgery and the complications were reviewed. Result: 5 patients with only pectus carinatum underwent our modified technique of pectus carinatum surgery. 5 patients with pectus carinatum and pectus excavatum underwent our modified technique of pectus carinatum surgery and Nuss surgery. The mean patient age was 13.4+3.3 years old. The mean operation time was 137.6+22.9 minutes for the pectus carinatum patients and 234.0+36.5 minutes for the pectus carinatum and pectus excavatum patients. The mean length of hospitalization was 11.8+1.0 days. The Haller pectus index of pectus carinatum was $2.10{\pm}0.21$ preoperatively and this was increased to $2.53{\pm}0.07$ postoperatively. The only complication was simple partial wound disruption in 1 patient. Conclusion: We performed partial cartilage resection and pre-sternal compression with a stainless steel bar in 10 patients with pectus carinatum and its effects were good. Our modified technique of pectus carinatum is easy and simple as compared with the Ravitch operation. But removal of the stainless steel bar has not yet been performed for these patients and long-term follow up is needed to accurately evaluate the. effects of this surgery in many surgical cases.

Effect of swimming exercise on anti-angiogenesis of white adipose tissue in high-fat diet-fed female ovariectomized mice (고지방식이를 섭취한 난소절제 암컷 쥐의 수영운동이 백색지방조직의 항혈관신생에 미치는 효과)

  • Jeong, Sun-Hyo
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.3
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    • pp.385-397
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    • 2020
  • This study investigated whether swimming exercises improves obesity through regulation of angiogenesis in white adipose tissue. Female mice with high-fat diets were divided into sham-operated group (Sham), ovariectomized group (OVX), and swim-trained ovariectomized group (OVX + Swim). Compared to the Sham, OVX increased body weight, adipose tissue mass and size of adipocyte. However, these factors (: such as body weight, adipose tissue mass and size of adipocyte) of OVX + Swim decreased compared with OVX. Compared with the Sham, OVX increased the mRNA expression of angiogenic activator and MMPs and decreased the mRNA expression of angiogenic inhibitors in white adipose tissue. But OVX + Swim decreased the mRNA expression of angiogenic activator and MMPs and increased the mRNA expression of angiogenic inhibitors in white adipose tissue, compared with the OVX. Theses results suggested that swimming exercises the angiogenesis in white adipose tissue, resulting to improve obesity in high-fat diet-fed female OVX mice.

Anti-climacterium Effects of Gagamguibiondam-tang in Ovariectomized Rats (난소적출로 유발된 랫트 갱년기 장애에 대한 가감귀비온담탕의 생리활성 효과 평가)

  • Han, Sang-Gyeom;Kim, Dong-Chul
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.4
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    • pp.18-44
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    • 2017
  • Purpose: The object of this study was to observe the anti-climacterium activity of Gagamguibiondam-tang (GGOT) on ovariectomized (OVX) rats, a well-documented rodent models resembles with women postmenopausal climacterium symptoms, as including cardiovascular diseases, obesity, hyperlipidemia, osteoporosis, organ steatosis and mental disorders. Methods: In this study, anti-climacteric effects were evaluated separated into three categories; 1) anti-obese, 2) anti-uterine atrophy and 3) anti-osteoporotic effects. Five groups were used (8 rats in each group); sham control, OVX control, GGOT 500, 250 and 125 mg/kg administered groups. Twenty-eight days after bilateral OVX surgery, GGOT were orally administered, once a day for 84 days, and then the changes on the body weight and gain during experimental periods, serum estradiol levels, abdominal fat pad and uterus weights with histopathology of abdominal fat pads (total thickness and mean adipocyte diameters) and uterus (total, epithelial and mucosal thickness, percentages of uterine gland regions) for anti-obese and estrogenic effects. In addition, femur, tibia and fourth or fifth lumbar vertebrae (L4 or L5) wet, dry and ash weights, mineral density (BMD), bone strength (failure load), serum osteocalcin and bone specific alkaline phosphatase (bALP) contents, histological and histomorphometrical analyses - bone mass and structure with bone resorption, were monitored for anti-osteoporosis activity. Results: As a result of OVX, noticeable increases of body weight and gains, food and water consumption, weights of abdominal fat pad deposited in dorsal abdominal cavity, serum osteocalcin levels were demonstrated in this experiment with decrease of uterus, femur, tibia and L5 weights, serum bALP and estradiol levels. In addition, marked hypertrophic changes of adipocytes located in deposited abdominal fat pads, uterine disused atrophic changes, decreases of bone mass and structures of femur, tibia and L4 were also observed in OVX control rats with dramatic increases of bone resorption markers, the Ocn and OS/BS at histopathological and histomorphometrical analysis in this study as compared with sham-operated control rats, suggesting the estrogen-deficient climacterium symptoms - obese and osteoporosis were induced by OVX, respectively. However, these estrogen-deficient climacterium symptoms induced by bilateral OVX in rats were significantly inhibited by 84 days of continuous oral treatment of GGOT 500, 250 and 125 mg/kg, respectively. Especially, GGOT 500, 250 and 125 mg/kg showed clear dose-dependent inhibitory activities on the OVX-induced climacterium signs. Conclusion: The results suggest that oral administration of GGOT 500, 250 and 125 mg/kg has clear dose-dependent favorable anti-climacterium effects - estrogenic, anti-obese and anti-osteoporotic activities in OVX rats in this experiment.