• Title/Summary/Keyword: 장폐쇄

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Change of hCG Binding Capacity on the Granulosa Cell of Porcine Ovary During Follicular Atresia (돼지 난소내 여포의 폐쇄과정중 과립세포의 결합능의 변화)

  • Chang, Choul-Soo;Lee, Chang-Joo;Yoon, Yong-DaI;Kim, Moon-Kyoo
    • Clinical and Experimental Reproductive Medicine
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    • v.13 no.1
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    • pp.29-38
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    • 1986
  • In order to study the mechanism of follicular atresia, follicles were classified into the normal groups and the atretic ones, according to the criteria with or without corpus luteum, size of follicles, vascularization, status of granulose cells and the hypertrophy of theca layers in the porcine ovary. To estimate the binding capacity of human chorionic gonadotropin (hCG) receptor on the granulosa cells during atresia, hCG were iodinated by the chloramine-T method and then purified through the column chromatography. The concentration" of hCG receptor in each group were measured by the hCG receptor binding assay. Binding capacity in large normal follicles were 1.16%, but atretic ones were 0.45%. But in medium and small follicles (below 6mm in diameter), the binding capacity in normal follicles were 0.09%, but atretic ones were 0.05%, which was lower than those of large follicles. The present ( ) that the concentrations of hCG receptors on granulosa cells is decreased when the follicles become atretic and be used as a sort of creteria for the identification of follicles atresia.

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Congenital Esophageal Atresia with Tracheoesophageal Fistula -A Case Report- (선천성 식도폐쇄 및 기관식도루 -1례 보고-)

  • Lee, Mun-Geum;Jang, Un-Ha
    • Journal of Chest Surgery
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    • v.27 no.6
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    • pp.489-493
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    • 1994
  • Our patient was a 2.3 kg, male of 33 weeks gestation and spontaneous vaginal delivery. Copious salivary secretion, mild aspiration pneumonia episode due to tracheoesophageal fistula and intermittent cyanotic appearance due to hypoxia were noted shortly after birth. Head up position, frequent upper pouch suction, and adequate fluid and antibiotic therapy were done in incubator. Combined Chest and abdominal film was revealed gas in the stomach and an haziness in right chest with mediastinal shift to the right side. Esophagogram revealed markedly dilated proximal esophagus as blind pouch, and Two dimensional echocardiography showed the Ventricular Septal Defect. The conclusion was congenital esophageal atresia with tracheoesophageal fistula, Vogt-Gross type C, Waterston Risk Category B. Surgical correction with Beardmore anastomosis was performed extrapleurally through 3rd rib bed after the cannulation of umbilical vein and preliminary gastrostomy. The fistula was closed by triple ligation and the upper pouch was then brought down to the presenting surface of the lower esophageal segment that incised, and end to side anastomosis was underwent using interrupt suture placed through the full thickness of both upper pouch and lower esophageal segment. The postoperative patient was well tolerated and recovered uneventfully, permitted feeding on 7th postoperative day after esophagogram.

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The Effect of Algae on Coagulation and Filteration of Water Treatment Process (정수처리과정중 응집및 여과에 미치는 조류의 영향)

  • Lim, Young-Sung;Song, Won-Seb;Cho, Ju-Sik;Lee, Hong-Jae;Heo, Jong-Soo
    • Korean Journal of Environmental Agriculture
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    • v.19 no.1
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    • pp.13-19
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    • 2000
  • Seasonal variations of dominant algae species and the effects of these algae on coagulation and filteration of water treatment were investigated at Chilseo water treatment plant in downstream of Nakdong river from January in 1995 to Desember of 1998. The water quality of Nakdong river was found to be a hyper eutrophic state during the investigation periods. In the measurement, Chlorophyll-a contents ranged $20.7{\sim}180.9{\mu}g/l$ and total nitrogen contents(T-N) and total phosphorus contents(T-P) exceeded more than 3.4mg/l and 0.1mg/l, respectively. The changes in dominant algae species was in the order of Stepanodiscus sp., Asterionella sp., Melosira sp., Microcystis sp. and Synedra sp. from spring to winter. Microcystis sp. especially, was blooming during summer and Synedra sp. and Stepanodiscus sp. during winter. Although most diatomous algae appeared in the water treatment process caused filter clogging and reduced efficiency of coagulation and sedimentation, Synedra sp. and Stepanodiscus sp were revealed as the main trouble algae. Malfunction of water treatment process caused by Synedra sp. and Stepanodiscus sp. started at the algae concentrations of 800cells/ml and 1,820cells/ml, respectively. When chlorophyll-a content was $18.9{\mu}g/l$, the optimum amounts of coagulant were found to be 40mg/l of Alum and 16mg/l of PACS. Under condition of chlorophyll-a content of $154.1{\mu}g/l$, addition of Alum at the level of 75mg/l and PACS at the level of 35mg/l showed the lowest turibidity. The result indicates that increased amounts of the coagulants should be added for a better water treatment as chlorophyll-a contents increased. Addition of Alum at the amount of 60mg/l and 30mg/l of PACS removed Stepanodiscus sp. algae at the rate of 85% and 83%, respectively. In case of Synedra sp., 50mg/l of Alum and 25mg/l of PACS showed removal rates of 79% and 81%, respectively. Synedra sp. algae at the standing crops of 1,500cells/ml started filter clogging and a filtering process was completely inhibited after 8 hours. At this situation the filter clogging by Synedra sp. algae occurred at the depth of 5cm from the top anthracite layer. On the other, other algae did filter clogging at the depth of 10cm.

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Comparison of Seawater Exchange Rate of Small Scale Inner Bays within Jinhae Bay (수치모델을 이용한 진해만 내 소규모 내만의 해수교환율 비교)

  • Kim, Nam Su;Kang, Hoon;Kwon, Min-Sun;Jang, Hyo-Sang;Kim, Jong Gu
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.19 no.1
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    • pp.74-85
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    • 2016
  • For the assessment of seawater exchange rates in Danghangpo bay, Dangdong bay, Wonmun bay, Gohyunsung bay, and Masan bay, which are small-scale inner bays of Jinhae bay, an EFDC model was used to reproduce the seawater flow of the entire Jinhae bay, and Lagrange (particle tracking) and Euler (dye diffusion) model techniques were used to calculate the seawater exchange rates for each of the bays. The seawater exchange rate obtained using the particle tracking method was the highest, at 60.84%, in Danghangpo bay, and the lowest, at 30.50%, in Masan bay. The seawater exchange rate calculated based on the dye diffusion method was the highest, at 45.40%, in Danghangpo bay, and the lowest, at 34.65%, in Masan bay. The sweater exchange rate was found to be the highest in Danghangpo bay likely because of a high flow velocity owing to the narrow entrance of the bay; and in the case of particle tracking method, the morphological characteristics of the particles affected the results, since once the particles get out, it is difficult for them to get back in. Meanwhile, in the case of the Lagrange method, when the particles flow back in by the flood current after escaping the ebb current, they flow back in intact. However, when a dye flows back in after escaping the bay, it becomes diluted by the open sea water. Thus, the seawater exchange rate calculated based on the dye diffusion method turned out to be higher in general, and even if a comparison of the sweater exchange rates calculated through two methods was conducted under the same condition, the results were completely different. Thus, when assessing the seawater exchange rate, more reasonable results could be obtained by either combining the two methods or selecting a modeling technique after giving sufficiently consideration to the purpose of the study and the characteristics of the coastal area. Meanwhile, through a comparison of the degree of closure and seawater exchange rates calculated through Lagrange and Euler methods, it was found that the seawater exchange rate was higher for a higher degree of closure, regardless of the numerical model technique. Thus, it was deemed that the degree of closure would be inappropriate to be used as an index for the closeness of the bay, and some modifications as well as supplementary information would be necessary in this regard.

Significance of Bone Scan in Chest Trauma (흉부외상에서 골스캔의 의의)

  • Kim, Soo-Sung;Kim, Soon
    • Journal of Chest Surgery
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    • v.35 no.6
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    • pp.454-459
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    • 2002
  • Clinical analysis of the relation between the clinical data of chest trauma patients and bone scan results was done to investigate the sensitivity and specificity of bone scan for the diagnosis of rib or chondral fracture. Material and Method: 445 patients treated due to chest trauma in Dongguk University Kyungju Hospital from July 1998 to December 2001 were studied. Age and sex distribution, causes of chest trauma, interval from the injury to arrival at hospital, final diagnosis, relationship between the chest pain and bone scan results, relationship between local tenderness and bone scan results, and sensitivity and specificity of bone scan were studied. Result: The male was 61.6% and the female was 38.4%. Age distribution was nearly even from the twenties to the sixties. The traffic accident was the most common cause of chest injury(60.4%). Most patients(76.6%) were arrived to the hospital within 6 hours after chest trauma. Rib fracture was the most common final diagnosis(46.5 %). The relationship between the duration of chest pain and tenderness and the bone scan results were significant, and the same in the relationship between the duration of local tenderness and the bone scan results, but the latter is more significant. The sensitivity of bone scan was 99.4% and the specificity was 90.4%. Conclusion: If the patient complains the chest pain continuously and the local tenderness around the chest is continued over 3 weeks, it is good to perform the bone scan. Further study including the MRI may be helpful for more evaluation in chest trauma patients.

Effective of Body Temperature Increasing during Brain MRI scan (MRI 검사 시 체온상승 효과: 1.5 T vs 3.0 T)

  • Kim, Myeong Seong;Lee, Jongwoong;Jung, Jaeeun
    • Journal of the Korean Society of Radiology
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    • v.11 no.1
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    • pp.49-54
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    • 2017
  • As the Radiofrequency(RF) increases with the magnetic field strength, the wavelength of the RF excitation field becomes smaller, which leads to more the thermal effect in the human-body placed in the electric field. MRI scanner used was GE signa 1.5T, HDx 3.0T and Philips 3.0T with same routine clinical sequence protocol. Therefore temperature was measured before and after each scan. Taken the temperatures in the ear with ear infra-red type thermometer(Braun co). 3.0T were temperature increases more than $0.15^{\circ}C$ and GE 3.0T MRI equipment about $0.14^{\circ}C$ higher than the Philips 3.0T MRI(p<0.012). Psychogenic status was investigated by the survey respondents about their status can not just answer therefore, a little different from the expected. In our study of Thermal effect of clinical MRI with clinical protocol sequence, we found that the 3.0T in the body-temperature rise was greater than the 1.5T. Therefore, in clinical 3.0T examine the dangerous situation caused by the temperature rise occurred (burns, impaired thermoregulatory mechanism in patients with high-temperature damage, exhaustion occurs due to excessive sweating), not to appear the more watched the patient's condition with procedure.

Complications of Meckel's Diverticulum in Children (소아 멕켈씨 게실의 합병증)

  • Jun, Heung-Man;Nam, So-Hyun;Kim, Dae-Yeon;Kim, Seong-Chul;Kim, In-Koo
    • Advances in pediatric surgery
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    • v.13 no.2
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    • pp.127-134
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    • 2007
  • Meckel's diverticulum is the most common congenital anomaly of gastrointestinal tract in children. The incidence of complicated Meckel's diverticulum is about 4 %. The major complications of Meckel's diverticulum are bleeding, intussusception, obstruction and perforation. The aim of this study was to investigate the clinical manifestations and the role of laparoscopic surgery in complicated Meckel's diverticulum in children. We retrospectively reviewed the medical records of 19 patients with complicated Meckel's diverticulum who underwent operation at Asan Medical Center between Jan. 1990 and Apr. 2007. Male to female ratio was 11:8, and median age was 1 year (1 day-13 years). The most frequent symptom was hematochezia (68%), followed by irritability or abdominal pain (16%), vomiting (11%), and abdominal distension (5%). Two operative procedures were performed; small bowel resection with anastomosis (68%) and diverticulectomy (32%). The operation proven complications of the Meckel's diverticulum were bleeding (68%), intussusception (16%), perforation (11%) and obstruction (5%). Ectopic tissues found by postoperative pathologic examination were gastric (84%) and pancreatic (11%). Hospital stay after laparoscopic operation for bleeding Meckel's was 5 days (median) and average first postoperative feeding was 1.5 days. On the contrary, hospital stay for open surgery was 7 days and first feed was 3 days. In summary, the most common compliation of Meckel's diverticulum in children was bleeding and ectopic gastric tissues were present in 84%. Laparoscopic procedure seemed to be useful for diagnosis as well as for definitive treatment.

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A Review of In-Situ Characterization and Quality Control of EDZ During Construction of Final Disposal Facility for Spent Nuclear Fuel (사용후핵연료 최종처분장 건설과정에서의 굴착손상영역(EDZ)의 현장평가 방법 및 시공품질관리 체계에 관한 사례검토)

  • Kim, Hyung-Mok;Nam, Myung Jin;Park, Eui-Seob
    • Tunnel and Underground Space
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    • v.32 no.2
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    • pp.107-119
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    • 2022
  • Excavation-Disturbed Zone (EDZ) is an important design factor in constructing final disposal facilities for spent nuclear fuel, since EDZ affects mechanical stability including a spacing between disposal holes, and the hydraulic properties within EDZ plays a significant role in estimating in-flow rate of groundwater as well as a subsequent corrosion rate of a canister. Thus, it is highly required to characterize in-situ EDZ with precision and control the EDZ occurrence while excavating disposal facilities and constructing relevant underground research facilities. In this report, we not only reviewed EDZ-related researches carried out in the ONKALO facility of Finland but also examined appropriate methods for field inspection and quality control of EDZ occurrence. From the review, GPR can be the most efficient method for in-situ characterization of EDZ since it does not demand drilling a borehole that may disturb a surrounding environment of caverns. And the EDZ occurrence was dominant at a cavern floor and it ranged from 0 to 70 cm. These can provide useful information in developing necessary EDZ-related regulations for domestic disposal facilities.

High-frequency Radar Observations of Convergence (Downwelling) and Water Temperature Variations in Yeongil Bay (영일만에서 고주파 레이더로 관측된 수렴(침강)과 수온변동)

  • Bo Kyeong Hwang;Young Tae Son;Hyoung Rok Kim;Ji Hye Park
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.29 no.1
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    • pp.1-14
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    • 2023
  • High-Frequency Radar (HF-Radar) data of surface currents in Yeongil Bay (a semi-enclosed sea area of the East Sea) was used to investigate the between wind and horizontal surface currents The variation in horizontal and vertical flow of surface currents correlated closely to the water temperature time-series data of densely spaced (1 to 2 m) layers. During the time-series observation period, when the northeast wind prevailed over the entire Yeongil Bay area, a rapid rise in water temperature was recorded across all the layers. Moreover, currents parallel to the wind direction were clearly observed in low-frequency currents of the surface layer. Time-delayed correlation analysis between wind and surface current confirmed that if northeasterly wind blows in Yeongil Bay and continues unidirectionally, a southwestward surface current occured within a short period of time (1 to 2 hours). Convergence and divergence were calculated from the daily average values of low-frequency surface currents. A rapid rise in temperature occurred in the lower layers of water at the observation points, due to the convergence (downwelling) of the surface seawater (relatively high temperature water) associated with the northeasterly wind.

A cephalometric study in patients with obstructive sleep apnea after use of oral appliance (폐쇄성 수면 무호흡 환자에 있어서 구내장치 반응성에 대한 두부 방사선적 연구)

  • Kyung, Seung-hyun;Park, Young-Chel
    • The korean journal of orthodontics
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    • v.30 no.3 s.80
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    • pp.287-296
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    • 2000
  • It is well known that oral appliance could improve respiratory difficulty in patients with obstructive sleep apnea (OSA). To evaluate the effect of oral appliance, polysomnography and cephalometry were performed in OSA patients before and after oral appliance was used. Twenty four OSA patients were included in this study. Respiratory difficulty index (RDI) was obtained from polysomnography and the movement of soft palate, tongue, posterior pharygeal wall, hyoid bone, and mandible and the variables of the facial pattern were measured on the cephalogram. The changes of cephalometric parameters were compared to the RDI changes and the correlation was tested. After oral appliance was used, RDI decreased from 46.8 to 13.3. There was significant relationship between RDI improvement and the anterior movement of the mandible and superior movement of the hyoid bone. In 8 patients whose RDI was most improved, RDI improvement rate was correlated with the anterior movement of the tongue and anterior-posterior (AP) diameter of the airway at the levels between the lower portion of the soft palate and epiglottis. These results could conclude that anterior movement of the tongue and superior movement of the hyoid bone would be favorable cephalometric parameters for the improvement of OSA.

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