• Title/Summary/Keyword: 위원회 이동

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Erythrocyte Sedimentation Rate and C-reactive Protein Values in Patients with Hip Arthroplasty (인공고관절 치환술 전후의 CRP 및 ESR의 변화)

  • Kim, Se-Dong;Lee, Dong-Chul;Park, Dong-Gu
    • Journal of Yeungnam Medical Science
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    • v.9 no.2
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    • pp.218-223
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    • 1992
  • Serum C-reactive protein(CRP) levels and erythrocyte sedimentation rates(ESR) were measured in 46 patients treated with uncomplicated primary hip replacements, 39 total tip replacements and 7 bipolar hip replacements. In uncomplicated primary hip replacements, ESR levels were slightly elevated preoperatively and were variable postoperatively. But CRP was normal before surgery and elevated in postoperative course, but back to normal within three weeks in most cases. Early success of hip arthroplasty is indicated by normalization of CRP within three weeks, regardless of ESR. Since ESR seems to react somewhat differently from the CRP, both methods are useful in the monitoring of complications after hip arthroplasty.

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Surgical Treatment of Atrial Septal Defect in Adult Patients (성인의 심방중격 결손의 외과적 치료)

  • Lee, Dong-Hyup;Lee, Jung-Cheul;Han, Sung-Sae
    • Journal of Yeungnam Medical Science
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    • v.9 no.2
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    • pp.321-326
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    • 1992
  • The study consisted of all patients over 35years old undergoing surgical repair of atrial septal defect for the period from June 1985, to August 1992. The following results were observed. 1. ASD was closed with patch in 11(73%) patients. 2. The relationship of pulmonary artery systolic pressure to Qp/Qs ratio was not significant. 3. Before operation 6 patients were in NYHA functional class II, 8 were in class III, After operation 8 patients were in class I, 6 were in class II. 4. Atrial fibrillation has persisted in 3 patients and returned regular rhythm in 1 patient after surgery. 5. There was no operative mortality and we had good surgical results regardless of patient's age.

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Clinical Analysis of Open Heart Surgery -A report of 111 cases- (개심술 111예에 대한 임상적고찰)

  • Lee, Cheol-Joo;Jung, Tae-Eun;Lee, Dong-Hyup;Kang, Meyun-Shick
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.215-219
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    • 1986
  • During 1986, 111 cases of open heart surgery were performed at Yeungnam University Hospital consisting 88 cases of congenital heart disease and 23 cases of acquired heart disease. Among 88 congenital heart disease, 72 were acyanotic group and 16 were cyanotic. Common congenital heart diseases were ventricular septal defect(51%), atrial septal defect(18%) and Tetralogy of Fallot(16%). Among 23 acquired heart disease, 22 cases were valvular heart disease and one was dissecting aortic aneurysm. Three cases of the postoperative death were present resulting 2.7% of surgical mortality rate.

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Effects of Dimethyl Sulfoxide on the Differentiation of Myocardial and Endothelial Cells (심근세포 및 내피새포의 분화에 미치는 Dimethyl Sulfoxide의 영향)

  • Lee, Dong-Hyup;Park, Yee-Tae;Han, Sung-Sae;Lee, Yung-Chang
    • Journal of Yeungnam Medical Science
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    • v.5 no.2
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    • pp.111-119
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    • 1988
  • To elucidate the effects of dimethyl sulfoxide on myocardial and endothelial cells in culture, the cells were exposed to 10% dimethyl sulfoxide in culture medium for 1 hour at 48 hours after cell isolation. The general morphology and the cytochemical reaction of marker enzymes for mitochondria and Golgi complexes were investigated. The results were summarized as follows. : 1. DMSO induced elongation and narrowing of the cells and increase of mitochondrial reaction in myocardial cells. 2. DMSO induced destruction and disruption of myofibrils in myocardial cells resulting in increase of contractile activities. 3. In the endothelial cells, DMSO suppressed proliferative activities but thiamine pyrophosphatase reactions were enhanced indicating increase of Goigi complex activity. 4. DMSO seemed to hamper with the adhesiveness and motility of the endothelial cells causing the decrease of the number of cells in vitro.

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A Case Report of Primary Pericardial Malignant Epitheloid Mesothelioma (원발성 심막 악성 중배엽 상피종 1예)

  • Chung, Moon-Ho;Hyun, Myong-Su;Kim, Yeung-Cho;Shim, Bong-Sup;Kim, Chong-Sul;Lee, Dong-Hub;Lee, Chul-Ju;Kang, Myun-Sik
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.301-306
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    • 1986
  • Primary pericardial mesothelioma is a rare tumor of mesodermal origin that is infrequently diagnosed antemortem and survival is short. A 60 year old male case of pericardial mesothelioma(epitheloid type) is reported. He was admitted to Yeungnam University Hospital because of chest pain, dyspnea, orthopnea and nonproductive cough. Chest x-ray suggested pericardial effusion, 2-D echocardiography showed echo free spaces of massive pericardial effusion and areas of thick hyperrefractile echoes arising from the pericardium. Pericardiocentesis was attempted and aspirated fluid was bloody exudate. Pericardial window operation with biopsy was done. Swan-Ganz catheterization showed equalization between right atrial pressure and pulmonary capillary wedge pressure. The pathologic diagnosis was established by histologic finding at pericardial biopsy.

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The Clinical Analysis of Patient with Patent Ductus Arteriosus (동맥관개존증의 임상적 고찰)

  • Kang, Meyun-Shick;Lee, Cheol-Joo;Lee, Dong-Hyup;Jung, Tae-Eun
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.287-292
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    • 1986
  • A clinical analysis was performed on 61 cases of patent ductus arteriosus experienced at Yeungnam University Hospital during 3 years period from Aprial, 1984 to December, 1986. Of the 61 patient of PDA, 13 patient were male and 48 patient were female and age ranged 2 months to 26 years old with the average age of 9.4 years. The chief complaints on admission were frequent URI and dyspnea on exertion. Main diagnostic procedure were Doppler Echocardiogram(in 53 among 61). All of the operations were performed the method of ligation of PDA. Three posterative complication were developed, but there was no operative mortality.

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An Aortic Dissection in Pregnant Woman -a case report- (임산부에서 발생한 대동맥 박리 (Aortic Dissection) 1례)

  • Lee, Hyeong-Min;Hong, Eun-Pyo;Lee, Dong-Hyup;Lee, Jung-Cheul;Han, Sung-Sae;Sin, Dong-Gu;Kim, Young-Jo;Shim, Bong-Sup
    • Journal of Yeungnam Medical Science
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    • v.10 no.1
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    • pp.253-259
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    • 1993
  • We have experienced a case of aortic dissecting aneurysm in pregnant woman. She felt initially severe chest pain which was radiated to the neck on the 3days before delivery. Thereafter dyspnea and generalized edema were developed for 1 month after delivery. She was diagnosed as aortic dissection, Debakey typeII. During cardiopulmonary bypass, the selective cerebral perfusion was done through the right and left commom carotid arteries. Aortic replacement with Hemashield vascular graft and reimplantation of innominate artery, resuspension of aortic valve, repair of intimal tear were performed. The postoperative course was uneventful.

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Analysis of the Effects of Traffic Signal Operation Methods (대전시 신호운영체계 개편에 따른 효과분석)

  • Lee, Jung-Beom;Lee, Beom-Kyu
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.9 no.4
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    • pp.60-67
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    • 2010
  • Delay reduction of vehicles at the intersection is highly dependent on the signal operation method. Most previous traffic operations have focused on minimizing delay by adjust traffic offset. However, these methods have limitation in solving traffic problem if the volume reaches or exceeds the capacity. In this paper, it was analyzed that the effectiveness of various signal operation methods such as left-turn prohibition, and using protected mixed with permitted left turn using the traffic data from Daejeon city. In case of the left-turn prohibition of a intersection, the control delay reduced from 54.2 seconds to 22.7 seconds and especially, the delay of the southbound was drastically reduced. In addition, the delay was highly reduced from 27.0 seconds to 12.1 seconds when the operation system was changed to use protected mixed with permitted left turn.

Two Cases Report of Bronchial Carcinoid Tumors (기관지 유암종 2례)

  • Choi, Kyo-Won;Suh, Jeong-Ill;Kim, Sung-Suk;Chung, Jin-Hong;Lee, Kwan-Ho;Lee, Hyun-Woo;Lee, Dong-Hyup;Lee, Jung-Cheul;Han, Sung-Sae
    • Journal of Yeungnam Medical Science
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    • v.10 no.2
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    • pp.525-536
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    • 1993
  • Bronchial carcinoid tumor was a low grade malignant and it was regarded as predictable clinical course and good survivality after surgical resection. But despite of its low grade malignant potentiality, bronchial carcinoid tumor was clearly capable of metastasizing and causing death. We present 2 cases of bronchial carcinoid tumors. One of them was typical carcinoid tumor in 44 year-old female and another was atypical carcinoid tumor in 53 year-old male patient. Currative therapeutic procedure was performed by lobectomy and wedge resection.

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Percutaneous K-wire Fixation of Supracondylar Fracture of Humerus in Children (소아 상완골 과상부 골절의 경피적 K-강선 고정술)

  • Shin, Duk-Seop;Ahn, Jong-Chul;Kim, Se-Dong;Lee, Dong-Woo
    • Journal of Yeungnam Medical Science
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    • v.10 no.2
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    • pp.400-408
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    • 1993
  • During the period from March 1990 to November 1993, 22 children with diplaced supracondylar fracture of humerus were treated by closed reduction and percutaneous K-wire fixation at department of Orthopaedic surgery in Yeungnam University. All fracture were treated with closed reduction under the general anesthesia and percutaneous pinning. After the fracture was internally fixed, intraoperative anteroposterior reontgenograms of each distal humerus were compared. Only anatomical reduction ensured good result, because the main cause of late cubitus varus was medial tilting of distal fragment. We could follow up 10 patients more than one year. By Flynn's criteria, satisfactory result were obtained in 9 of the 10. Unsatisfactory one had a limitation in flexion of elbow joint, but had no problem in cosmetic feature. In short term follow up of 7 patients, 5 patients had a satisfactory result, too. There were no neurovascular complication and hospitalization was shortened to 11.4 days. Closed reduction and percutaneous pinning provided stabillity, vascular safety, simplified management, reduced hospital stay. This is safe and reliable technique for obtaining and maintaining an excellent reduction.

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