• Title/Summary/Keyword: 실질적 예

Search Result 189, Processing Time 0.024 seconds

Video Assisted Thoracoscopic Surgery, 31 Cases (비디오 흉강경을 이용한 흉부수술 31예)

  • Sung, Sook-Whan;Kim, Kwhan-Mien;Kim, Joo-Hyun
    • Tuberculosis and Respiratory Diseases
    • /
    • v.40 no.5
    • /
    • pp.468-473
    • /
    • 1993
  • Background: Recent advance in video technology, endoscopic equipments, and surgical techniques have expanded the use of thoracoscopy from diagnosis of the pleural diseases to treatment of the various intrathoracic diseases. Video Assisted Thoracoscopic Surgery(VATS) is a pretty new and fascinating thoracic surgical modality, and so we present our early VATS resuls. Methods: Using Video Thoracoscopic techniques in 30 patients for 10 months from July 1992 to April 1993, we had performed a variety of procedures. These incuded (1) bleb resections in 18 patients (19 cases), (2) mediastinal tumor excision in 4, (3) lung biopsies for parenchymal pulmonary disease in 3, (4) pleural biopasies in 3, (5) pleural tumor excision in 1, (6) and pleuropericardial window in 1. Results: There were no mortality associated with the procedures. We had minor 8 complications; prolonged air leak in 3 patients, prolonged serous drainage in 2, recurrence of pneumothorax in 1, Honer's syndrome in 1, and hoarseness in 1 patient. None of the 30 patients had reverted to the conventional full thoracotomies. Mean postoperative hospital stay of non-complicated pneumothoraces was about 5 days, which was a little shorter than conventional thoracotomy group. Conclusion: Though we had somewhat higher postoperative complication rate due to lack of experiences in the begining, we were able to convince that VATS had benifical value for patients; lesser postoperative pain, shorter hospitalization, quicker recovery time, and cosmetically superior scar. The role of VATS can be expanded to the diagnosis and treatment of various thoracic diseases, even to the cardiovascular diseases, with satisfactory outcome and less postoperative morbidity.

  • PDF

Inadvertent Dural Puncture during Epidural Block (경막외 차단시의 경막천자)

  • Kang, Keum-Ye;Min, Ki-Chul;Kim, Dong-Chan;Choe, Huhn
    • The Korean Journal of Pain
    • /
    • v.1 no.2
    • /
    • pp.203-206
    • /
    • 1988
  • Evaluation of inadvertent dural puncture occuring among 308 epidural blocks done for the relief of pain from various conditions was performed. Dural puncture was suspected in 5 out of 308 epidural bloks. (1.6%) Aspiration of CSF was negative in 3 cases in which dural puncture was suspected only after developing spinal anesthesia. Of the 3 negative CSF aspirations, one case had a history of laminectomy. Adhesions of the adjacent tissues might result in the loss of flexibility and a decrease in potential epidural space which might cause dural tearing during injection and subarachoid injection of the local anesthetic followed by high spinal anesthesia. In another case, the needle tip was obstructed by tissue which led to negative aspiration of CSF and failure to feel loss of resistance. The second injection at the same site may cause subarachnoid injection of the local anesthetic through the previously perforated dura mater and in turn, lead to spinal anesthesia. In the last case, there was no reason to suspect dural puncture since the loss of resistance plus air rebound were definite and aspiration of CSF was negative, but dural puncture was suspected after the patient developed spinal anesthesia.

  • PDF

Distal Radius Osteosarcoma (원위 요골 골육종)

  • Song, Won-Seok;Won, Ho-Hyun;Lee, Jeong-Dong;Jeon, Dae-Geun
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.16 no.2
    • /
    • pp.55-61
    • /
    • 2010
  • Purpose: We analyzed the clinical outcome of osteosarcoma developed in distal radius and the effect of delayed treatment on prognosis. Materials and Methods: Twelve patients with distal radius osteosarcoma were analysed. We categorized patients into two groups of standard treatment or non-standard treatment. The patients of standard treatment group are all stage IIB and non-standard treatment group includes five stage IIB and one stage III. Results: Five-year overall survival and disease-free survival rates of standard treatment group were 100% and 83%. Five-year overall survival rate of non-standard treatment group was 44%. Between two group, there are differences in age, tumor size, surgery type, symptom duration. Conclusion: Distal radius osteosarcoma have good prognosis than other extremity osteosarcoma. Survival rate of non-standard treatment group were lower than standard treatment group. Although the prognosis of non standard treatment group is poorer, the duration till death was longer than that of other sites with similar condition. Further multi-institutional study should be needed.

Practical Design and Implementation Methodology for Disturbance Rejection Controller (외란 제거 제어기의 실제적인 설계 및 구현 방법)

  • Yeo Hee-Joo
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.6 no.1
    • /
    • pp.37-47
    • /
    • 2005
  • This Paper proposes a practical design and implementation methodology for a disturbance rejection controller. In a 2 Degree-Of-Freedom (DOF) structure, disturbance rejection performance can be improved without a high gain in forward-loop controller which might cause unwanted side-effects in conventional controller. But, since design methodology of 2 DOF controller is originally derived from the 2 DOF theory, it is not easy to utilize fer various industrial applications. Disturbance observer is a simple, but very effective 2 DOF controller. In this paper, practical issues are discussed from basic idea of DOB to technical procedure for design and implementation. Additionally, a methods and their examples of experimental modeling are explained. The proposed method is demonstrated by two examples of linear-type motor systems.

  • PDF

화학반응에 의한 무기-유기 결합물질에 관하여

  • 조성준
    • Proceedings of the Korea Association of Crystal Growth Conference
    • /
    • 1996.06b
    • /
    • pp.223-237
    • /
    • 1996
  • 플라스틱재료의 강도, 인성, 경직성, 탄성 등과 같은 기계적 특성을 개선시켜 주기 위해 kaoline, talc, sand, quartz 등과 같은 규산염을 첨가하여 복합재료를 만들고자 하는 연구가 상당히 활발하다. 이와 같이 다양한 규산염이 복합재료의 강화재 또는 첨가제로 사용되는 반면에, 규산염가운데 공업적으로 이용도가 가장 높은 montmorillonite는 아직도 복합재료의 강화재로 폭 넓게 이용되고 있지 못한 실정이다. 이론적으로 볼 때, 높은 분자량을 지니는 무기고분자 (예; inorganic montmorillonite)와 유기고분자 (organic polymer)를 gkadbk는 실질적인 무기-유기 결합물질의 생성이 가능할 수 있으며, 이에 대한 연구 또한 시도되고 있다. 이렇게 해서 얻게 되는 무기-유기 복합체, 즉 montmorillonite로 강화된 플라스틱 복합재료 bumper를 사용함으로써 접촉 또는 충돌시 충격완화의 효과를 가져 올 수 있어 안정성이 좋아지고, 내파괴성이 높기 때문에 비강화 플라스틱재료보다 더 오래 사용할 수 있으므로 경제성이 좋을 뿐만 아니라, 폐품의 감소로 인해 환경보호에도 일익을 담당할 수 있다. 따라서, 본 연구에서는 이러한 montmorillonite강화 플라스틱 복합체를 얻기 위해 우선 무기-유기 고분자물질의 형성이 가능한가를 조사분석하였다. 이를 위해 먼저 amontmorillonite의 층사이에서 화학반응이 수행될 수 있는 충분한 공간을 얻고자 Na-Montmorillonite 층사이의 Na+-이온을 긴 알킬사슬을 취하는 유기 양이온으로 치환시켜 주었다; 이렇게 해서 얻은 유기양이온-몬트모릴로나이트 층간화합물 (Organic cation-Montmorillonite Intercalations-complex)내에 유기 단분자 (organic monomer)를 추가적으로 삽입시킨 후, montmorilonite의 층내에서 증합반응시켜 고분자화해 줌으로써 무기고분자와 유기고분자가 서로 결합된 무기-유기고분자 결합물질을 형성하고자 하였다. X-선 및 IR-분석결과 층내에서의 유기단분자의 고분자화 반응이 성공적으로 이루어 졌음이 입증되었다.

  • PDF

Thoracoscopic Removal of an Intrapulmonary Sewing Needle - A case report - (폐실질 내 바늘의 흉강경을 통한 수술적 제거 - 1예 보고 -)

  • Yu, Jeong-Hwan;Kang, Shin-Kwang;Na, Myung-Hoon;Lim, Seung-Pyung;Lee, Young;Yu, Jae-Hyeon
    • Journal of Chest Surgery
    • /
    • v.40 no.11
    • /
    • pp.798-801
    • /
    • 2007
  • A 24 year old man visited our hospital, because an intrapulmonary foreign body had been found incidentally. Simple chest X-ray showed a 5 cm sized foreign body of metallic density, and chest CT confirmed the foreign body, which was like a sewing needle, in the left upper lobe. We performed a simple extraction of the foreign body using VATS (Video Assisted Thoracic Surgery). After the operation, the patient was discharged without any complications.

Multicystic Pulmonary Parenchymal Lesions in a Young Adult with Hemoptysis (폐실질내 다발성 낭종으로 발현한 기관지기원낭)

  • Choi, Kyoung A;Koh, Won-Jung;Lee, Kyung Soo;Han, Joungho;Kim, Kwhanmien
    • Tuberculosis and Respiratory Diseases
    • /
    • v.62 no.1
    • /
    • pp.71-73
    • /
    • 2007
  • Bronchogenic cysts are commonly located in the mediastinum or lung parenchyma, and arise from the abnormal budding of the primitive tracheobronchial tube. Cough and pain are the most common symptoms. Bronchogenic cysts appear as spherical or oval masses with smooth outlines and are usually unilocular and noncalcified. We report a young adult with a bronchogenic cyst presenting as multicystic pulmonary parenchymal lesions. This case is very unusual because a multicystic intrapulmonary bronchogenic cyst is very rare in adults.

Analysis of Sound Attenuation by Chambers in Duct Systems by the Finite Element Method (유한요소법에 의한 소음기의 감음특성해석)

  • 최석주
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
    • /
    • 1991.04a
    • /
    • pp.23-27
    • /
    • 1991
  • 각종 홀 (음악홀, 극장, 사무실건물)의 공조 덕트계에는 미로형소음챔버가 설 치되는 경우가 많다. 이러한 소음장치를 건물내부에 설치하는 경우에는 건물 설계단계에서부터 소음챔버로 인한 감음양(투과손실 : Transmission Loss)의 예측계산이 중요하다. 그렇지만, 일반적인 소음장치는 그 형상이나 내표면의 흡음조건이 아주 복잡하기 때문에, 현단계에서는 간단한 이론만으로 투과손 실예측이 거의 불가능하다. 지금까지 이 문제에 대해서 유한요소법(Finite Element Method : FEM)을 이용해 검토한 예가 종종 소개되었으나, 대부분 소음챔버의 입구와 출구에서의 임의의 점에 대한 음압비를 투과손실로서 구 하고 있다. 그러나, 소음기자체의 실질적인 투과손실특성을 알기 위해서는 소음기의 입력 파워에 대한 출력파워의 비로서 구하지 않으면 안된다. 따라 서, 본 연구에서는 유한요소법에 의한 복소음향인텐시티(Complex sound intensity)의 수치계산법을 각종소음기 (팽창형, 미로형)의 투과손실해석에 적 용하기 위하여 이론적인 면에서 고찰했으며, 프로그램도 개발하여 모델해석 에 적용하였다. 또한, 위에서 언급된 수치해석법의 타당성의 검증을 위하여, 측정에 의한 투과손실예측방법으로서 크로스스펙트럼(Cross Spectrum)법에 의한 음향인텐시티계측법의 이용에 대해서 이론적으로 고찰했으며, 그 이론 을 기초로 한 축척 모형실험을 병행하였다.

  • PDF

The Relationship Among Early Maladaptive Schema, Emotional Dysregulation, and SNS Addiction (초기 부적응 도식, 정서조절곤란, 그리고 SNS 중독의 관계)

  • Kim, Sue-Sung;Lee, Young-Soon;Kang, Jungsuk
    • Science of Emotion and Sensibility
    • /
    • v.20 no.2
    • /
    • pp.33-44
    • /
    • 2017
  • The ultimate purpose of psychotherapy is to identify covert causes of a psychological problem and then to modify and change the causes. The goal of this study is also to make contribution to SNS addiction intervention program development through exploring the covert causes of SNS addiction which recently became social issue. Previous research identified such overt causes of SNS addiction as maladaptive self-concept (e.g., low self-esteem), maladaptive personality (e.g., strong narcissism) and strong negative emotions (e.g., high level of anxiety). Based on previous research, the study explored early maladaptive schema (i.e., cognitive dimension) and emotion dysregulation (i.e., emotional dimension) as the covert causes of SNS addiction and conceptually developed psychological maladaptive mechanism of 'early maladaptive schema ${\rightarrow}$ emotion dysregulation ${\rightarrow}$ SNS addiction.' As a result of a survey with respondents in their 20's who are at high risk for SNS addiction, the mechanism was confirmed for females. However, a significant relationship of 'early maladaptive schema ${\rightarrow}$ SNS addiction' was found for males. The findings offer an implication that interventions of early maladaptive schema for males and females in their 20's and interventions of emotion dysregulation for females in their 20's can fundamentally help cure their SNS addiction.

Clinical Significance of Segmental Parenchymal Excretion Delay on Tc-99m DISIDA Hepatobiliary Scan (Tc-99m DISIDA 간담도 신티그라피에서 간 실질의 분절형 배설지연의 임상적 의의)

  • Kang, Do-Young;Ryu, Jin-Sook;Moon, Dae-Hyuk;Lee, Sung-Koo;Kim, Myung-Hwan;Lee, Hee-Kyung
    • The Korean Journal of Nuclear Medicine
    • /
    • v.32 no.2
    • /
    • pp.161-167
    • /
    • 1998
  • Purpose: Segmental parenchymal excretion delay on Tc-99m DISIDA scan is caused by intrahepatic bile duct obstruction. However, the diagnostic value for intrahepatic bile duct obstruction is unknown. We conducted this study to assess the positive predictive value of segmental excretion delay for the diagnosis of intrahepatic bile duct obstruction, and additional benefit over other noninvasive radiologic studies. Materials and Methods: The study population consisted of 43 patients (48 scans) who showed segmental parenchymal excretion delay on Tc-99m DISIDA scan. The results of abdominal CT or ultrasonography, which was done within 1 month of Tc-99m DISIDA scan, were compared with scintigraphic findings. Results: The etiology of segmental parenchymal excretion delay was determined by ERC or PTC in 31 scans, and follow-up studies in 13 scans. No causes were identified in 4 scans. The positive predictive value of segmental parenchymal excretion delay for intrahepatic bile ductobstruction was 92% (44/48). On the other hand, 13% (5/38) of CT and 28% (5/18) of ultrasonography were normal. In 18% (7138) of CT and 17% (3/18) of ultrasonography, only intraheipatic bile duct dilatation was noted without any diagnostic findings of intrahepatic bile duct obstruction. Conclusion: Segmental parenchymal excretion delay on Tc-99m DISIDA scan had a high positive predictive value for the diagnosis of intrahepatic bile duct obstruction. Tc-99m DISIDA scan may be useful for the diagnosis of intrahepatic bile duct obstruction, especially in patients with nondiagnostic CT or ultrasonography. The diagnostic usefulness need to be confirmed by further prospective studies.

  • PDF