• Title/Summary/Keyword: 장폐쇄

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Clinical Analysis of Adhesive Ileus in Children (소아의 유착성 장폐쇄증에 대한 임상적 고찰)

  • Lee, Jong-Jae;Youn, Hyun-Jo;Jeong, Yeoun-Jun;Kim, Jae-Chun
    • Advances in pediatric surgery
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    • v.7 no.2
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    • pp.118-125
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    • 2001
  • The effectiveness of operative and non-operative management for postoperative adhesive ileus in children has been discussed. This study reviews the clinical characteristics and the treatment consequences of adhesive ileus in our institution. Department of Surgery of Chunbuk National University Hospital, retrospectively. A total of 62 cases of post-operative small bowel obstruction treated between January 1975 and December 1998 under the 15 years of age are included in this study. The patients were divided into two groups, operative(n=26) and non-operative(n=36) groups. The prevalent age was between 11 and 15 years(28 cases; 45.2 %), and the most common previous operation was appendectomy(28 cases; 45.2 %). The most common operative procedures were adhesiolysis(17 cases; 65.4 %). The interval between admission and operation was 1 day in 11 cases(42.3 %). The most common site of adhesion was the ileum in 13 cases(50.0 %) and band constriction was the most frequent pattern(8 cases; 30.8 %). Intestinal resection was significantly high in delayed operations of more than four days, in the patients with three or more classical signs of strangulation(fever, tachycardia, leukocytosis, abdominal pain, rebound tenderness), and in the cases of complete obstruction on plain abdomen film(p < 0.05). In conclusion, operation should be considered in cases with three or more signs of strangulation, no clinical improvement for over four days of conservative treatment, and signs of complete obstruction on plain abdomen film during the observation periods.

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Educational Algorithm to train Renewable Energy Technician (신재생에너지 전문기술 인력양성 교육 알고리즘)

  • Yoon, Yongho
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.20 no.2
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    • pp.271-276
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    • 2020
  • In terms of supply of manpower in the energy industry, domestic universities cannot realistically operate flexibly to meet manpower demand in accordance with various regulations related to the department, and there are only a few independent energy related departments. There are many difficulties in closure, increase and decrease of capacity, and foster convergence. In addition to the limited aspects of human resource development of universities, changes in the energy paradigm, namely: 1) changes in the energy industry from stable supply and energy security to new growth engines and export industries, 2) Revitalization of the energy industry, 3) including diversification of energy sources and the spread of new technologies. Therefore, in this paper, we propose a training program for nurturing new renewable energy specialists to independently develop various high-quality human resources such as intangible and convergent human resources in line with changes in the energy paradigm.

Review on Introduction Possibility of Open Position System in Korea Police (한국경찰의 개방형임용제 도입가능성에 대한 검토)

  • Jo, Hyun-Bin
    • The Journal of the Korea Contents Association
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    • v.11 no.2
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    • pp.397-407
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    • 2011
  • The Open Position System is a new personnel management system started in korea, 1999.Open Position System have purpose to use outstanding talents and to expertise from both public and private sector. Korean government adapted open position system in order to use the right man in the right place. And Korean government incresae application of Open Position System. But, in spite of strong good point of Open Position System, We have limitation to apply Open Position System in police organization, generally. Because police have unique characteristics compare with other public organization. There is constant controversy concerning unique characteristics of police organization. Now, Korean police adopt Open Position System in few division: Chiep of Driver's License Agency, Director General for Audit and Inspection of Nation police Agency, Chiep of police hospital. Therefore, this study explore, extention possibility of Open Position System in Korean police.

Water quality management by bio-purification of bivalve, Mytilus galloprovincialis, in Masan Bay (이매패의 생물정화 기작을 이용한 마산만의 수질개선방안)

  • Hong, Sok Jin;Eom, Ki Hyuk;Jang, Ju Hyung;Park, Jong Su;Kim, Dong Myung;Kwon, Jung No
    • Journal of Wetlands Research
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    • v.9 no.2
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    • pp.71-84
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    • 2007
  • Masan Bay is a representative semi-closed bay acted as a sedimentation reservoir with a slow current velocity and a poor water circulation in Korea. The pollutants from terrestrial sources into the Masan Bay have apparently environmental pollution problems, such as eutrophication, red tied, and hypoxia. In this study, An ecological modeling work was performed to estimate the material circulation including the growth of bivalve in ecosystem. Furthermore, the effect of water purification was calculated by filter feeding bivalve to particulate organic matter just like COD and phytoplankton. And Water quality management strategy by bio-purification of bivalve is derived through selection of location, quantification of bivalve aquaculture farm. The results showed that the optimum location for bivalve farming is where phytoplankton accumulation by physical processes is maximized and the optimum density and area of bivalve are 35 individuals $m^{-3}$ and ca. 500 hectare, respectively. When assuming conditions for the optimum growth of bivalve, COD could decrease by up to 18% even without other reduction of pollution loads.

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A Probabilistic Safety Assessment of a Pyro-processed Waste Repository (A-KRS 처분 시스템 확률론적 안전성 평가)

  • Lee, Youn-Myoung;Jeong, Jongtae
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.10 no.4
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    • pp.263-272
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    • 2012
  • A GoldSim template program for a safety assessment of a hybrid-typed repository system, called A-KRS, in which two kinds of pyro-processed radioactive wastes, low-level metal wastes and ceramic high-level wastes that arise from the pyro-processing of PWR nuclear spent fuels are disposed of, has been developed. This program is ready both for a deterministic and probabilistic total system performance assessment which is able to evaluate nuclide release from the repository and farther transport into the geosphere and biosphere under various normal, disruptive natural and manmade events, and scenarios. The A-KRS has been probabilistically assessed with 9 selected input parameters, each of which has its own statistical distribution for a normal release and transport scenario associated with nuclide release and transport in and around the repository. Probabilistic dose exposure rates to the farming exposure group have been evaluated. A sensitivity of 9 selected parameters to the result has also been investigated to see which parameter is more sensitive and important to the exposure rates.

Recurrence of Choledocholith in the Common Bile Duct after Cholecystectomy in a Dog (개에서 담낭절제술 후 총담관에 재발한 총담관결석증)

  • Chang, Jin-Hwa;Yun, Seok-Ju;Kim, Ju-Hyung;Kang, Ji-Houn;Kim, Gon-Hyung;Na, Ki-Jeong;Chang, Dong-Woo
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.605-609
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    • 2010
  • A 10-year-old spayed female Yorkshire terrier presented with vomiting, and anorexia. Obstructive choledocholith with concurrent pancreatitis and hepatorenal syndrome was diagnosed based on analyses of the blood profiles, abdominal radiographs, ultrasonography and CT. Choledoliths were removed from the common bile duct, yet the patient died suddenly 10 days after surgery. Recurrent choledolithiasis has not been reported in a cholecystectomized dog and this report focuses on the imaging features of ultrasonography and CT of recurrent choledoliths.

Immunohistochemical study of the somatostatin-immunoreactive cells in the gastrointestinal tract of the native korean goat during postnatal periods (생후 발생단계에 따른 한국재래산양 위장관에 있어서 somatostatin 면역반응세포에 대한 면역조직화학적 연구)

  • Lee, Hyeung-sik;Lee, Mal-soon
    • Korean Journal of Veterinary Research
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    • v.40 no.2
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    • pp.237-245
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    • 2000
  • The regional distribution and relative frequency of somatostatin-immunoreactive cells in the gastrointestinal tract were studied during the postnatal development(1 day old, 1 month old, 6-month-old and adult) of the Korean native goat by immunohistochemical methods. Somatostatin-immunoreactive cells were found in the entire gastrointestinal tract and were most predominant in the fundic gland region except for the pyloric gland region of the 1 day old. The number of these cells was observed to decrease along the gastrointestinal tract and to decrease according to the increase with age in all postnatal stages. In this study, immunoreactive cells revealed the differences of regional distribution and the relative frequency in the gastrointestinal tract during postnatal development. These results suggest that although the functional significance of fetal endocrine cells remains unknown, this was caused by changing of feeding habits and physiological conditions during different ages.

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Observation of Shoreline Change Using an Aerial Photograph in Hampyung Bay, Southwestern Coast of Korea (항공사진을 이용한 서남해 함평만의 해안선 변화 관측)

  • Cho, Ju-Whan;Kim, Baeck-Oon;Lim, Dong-Il
    • Journal of the Korean earth science society
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    • v.22 no.4
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    • pp.317-326
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    • 2001
  • The coastline of semi-enclosed Hampyung Bay, southwestern coast of Korea, consists largely of erosional sea-cliffs characterized by steep face slope, low in height (less than 3m), and composition of soft reddish soil. Recession rates of the sea-cliffs in the Haeuri coast of Hampyung Bay, which were Quantified by photogrammetry using single aerial photographs taken 1976 and 1990, respectively, were approximately 1${\sim}2m/yr. This value is in good agreement with the field measurement conducted by Chang et al. (1999). Subsequently, the photogrammetry seems to be a very useful method to measure easily long-term coastline change. This severe erosion of sea-cliff in the semi-enclosed bay environment, furthemore, is probably due to combined effects of typhoon or/and storm surges and weak resistance of soil cliff itself.

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A Study on the Factors that Influence the Surgical Outcomes of Choledochal Cyst in Children (소아에서 담관 낭종의 수술 성적에 영향을 주는 요인에 대한 연구)

  • Kim, Jong-Kyu;Noh, Gyoung Tae;Min, Seok-Ki;Choi, Kum-Ja
    • Advances in pediatric surgery
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    • v.18 no.1
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    • pp.1-11
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    • 2012
  • 담관 낭종은 흔하지는 않지만, 외과적 절제가 필요한 주요 질환이다. 절제하지 않고 남겨두면 다른 질환으로의 이환이나 다양한 합병증에 의한 사망까지도 야기할 수 있기 때문에 적절한 수술적 치료가 필수적이다. 최근 수술에 따른 다양한 문제들이 계속 보고되고 있으며, 출생 전이나 건강 검진 시 발견되는 무증상의 담관 낭종의 수술 시기에 대해서도 아직 논란이 되고 있다. 저자들은 1995년부터 2009년까지 담관 낭종으로 수술 받은 환자 중 수술 받을 당시의 연령이 18세 이하인 32명 환자의 임상 양상과 수술 기록을 후향적으로 분석하여, 수술 성적에 영향을 주는 요인들을 알아보고자 하였다. 전체 32명 중 남자 10명, 여자 22명이었으며, 수술 당시의 평균 연령은 5.4세였다. 췌담관 합류이상은 9명(28.1%)이었으며, 평균 추적 관찰 기간은 34.6개월이었다. 술 전 증상을 호소한 환자는 30명(93.8%)이었으며, 복통(63.3%), 황달(40.0%), 구토(23.3%), 복부종물(16.7%), 발열(16.7%)등의 순서였다. 술 전 혈액 검사에서 AST/ALT의 상승이 18명(56.3%), 고빌리루빈혈증이 8명, 백혈구 증가증이 7명(21.9%)이었다. 술 후 합병증은 5명(15.6%)에서 나타났는데, 2명은 담관염이었고, 나머지 3명은 문합부 협착, 술 후 출혈, 장 폐쇄가 각각 1명 있었다. 술 후 평균 재원 기간은 12.2일 이었으며, 추적 관찰 기간 중 3명(9.0%)이 재입원 하였다. 수술 성적에 영향을 미치는 요인으로, 수술 당시의 나이가 많을수록 평균 수술 시간과 재원 기간이 증가하였다(p=0.004, p=0.028). 증상이 있었던 환자군에서 무증상 환자군보다 재원 기간이 더 길었다(p=0.001). 또한 췌담관 합류이상이 있었던 환자군에서 재입원율이 유의하게 높았다(p=0.005). 소아의 담관 낭종은 진단이 되면 증상 발현 전이라도 조기에 수술하는 것이 수술 시간 및 재원 기간을 단축시킬 수 있으며, 췌담관 합류이상이 동반된 경우에는 술 후에 재입원할 가능성이 높으므로 주의깊게 추적 관찰하는 것이 바람직할 것이다.

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Clinical Evaluation of Traumatic Diaphragmatic Ruptures (외상성 횡격막 파열에 대한 임상적 고찰)

  • 조재민;김은기;이종국;박승일
    • Journal of Chest Surgery
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    • v.29 no.11
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    • pp.1257-1262
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    • 1996
  • From January 1989 to February 1996, 50 patients with a traumatic diaphragmatic rupture were treated at the Yonsei University Wonju College of Medicine. There were 40 male and 10 female patients. The ages ranged from 2 to 80 years, with peak incidence in third decades. Thirty-nine cases had blunt trauma (traffic accident 29, falls down 7, others 3), and 11 cases had penetrating injuries (stab injury 9, gun shot 1, broken glass 1). The most common symptoms were dyspnea (76%), chest pain (58%), and abdominal pain (52%). In blunt trauma, the rupture was located in the left in 30 cases, right in 9 cases and in penetrating trauma, the rupture was located in the left in 8 cases and in the right in 3 cases. Eighteen cases underwent thoracotomy alone, 29 cases underwent laparotomy only and 3 cases had combined thoracotomy and laparotomy. The postoperative mortality occurred in 6% (3 cases), and the cause of death were septic shock (1), intracranial hemorrhage (1), and respiratory failure (1).

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