• Title/Summary/Keyword: 정맥형

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뉴캣슬병 바이러스의 특성

  • 김순재
    • Journal of the korean veterinary medical association
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    • v.17 no.2
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    • pp.33-41
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    • 1981
  • 뉴캣슬병 바이러스가 발견된지 50여년이 지난 오늘에도 그 발생은 전 세계적으로 광범위하다. NDV가 분리됨으로 백신개발이 이루어져 1930년대말부터 완전하지는 못했으나 그런대로 방역을 맡았으며 그후 개량발전된 백신으로 각국에서 예방접종하고 있으나 여전히 발생하고 있다. NDV는 Paramyxovirus로서 RNA를 가지고 있으며 크기는 $100\~600{\mu}m$ 범위의 크기와 lipoprotein envelope로 쌓여 있다. 분리동정에 이용되는 혈구응집소, neuraminidase의 작용, 용혈성 등 모두 envelope와 관련이 있으며 이와 관련된 연구가 많이 진행되고 있다. NDV가 세포에 침투하는 과정에서 특이한 receptor에 부착하여 envelope의 용해 및 nucleocapsid의 세포속에 침투 등이 밝혀지고 있으며 NDV의 Virion은 RNA의존 RNA 복합체를 가지고 있고 보족 RNA는 바이러스 단백질 및 RNA를 산생하기 위해서 숙주에 의하여 전환을 한다. 1 일령추의 뇌내접종, 정맥내 접종 및 계태 아치사시간 등의 방법으로 Velogenic, Mesogenic Lentogenic type으로 분류하고 감염력에 따라 Virulent 또는 avirulent로 구분된다. 국내에서 분리된 NDV는 현재 Velogenic형으로 분류되고 있으나 앞으로 지역별, 계절별, 감염된 숙주별로 광범위하게 분리하여 국내에서 유행하고 있는 NDV의 성상조사와 특성을 파악 할 필요성이 요청된다.

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A Case of Rotor's Syndrome (로터 증후군(Rotor's syndrome) 1례)

  • Kim, Sung Soo;Park, Jae Ock;Koh, Eun Suk
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.7 no.2
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    • pp.243-247
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    • 2004
  • Rotor's syndrome is a hereditary disorder characterized by predominantly conjugated hyperbilirubinemia with normal hepatic histology. It resembles Dubin-Johnson syndrome but the main differences are no dark brown pigmentation in the hepatic cells and visualization of the gallbladder in oral cholangiography. We experienced a 14 year-old male patient who had icteric sclerae and predominantly conjugated hyperbilirubinemia when he was hospitalized for varicocelectomy. His liver biopsy specimen showed no dark brown pigmentation and any other pathologic abnormalities in the hepatic cells. Hepatobiliary scan shows no evidence of obstructive lesions. His urinary excretion of total coproporphyrin was markedly increased.

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Unroofed Coronary Sinus and its Surgery; Associated with Partial Atrioventricular Canal Defect and Common Atrium (관상정맥동 결손과 좌상대정맥의 좌심방환류에 대한 수술및 수술방법의 연구;부분형 방실관결손과 공통심방이 동반된 1례)

  • 이상호
    • Journal of Chest Surgery
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    • v.26 no.4
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    • pp.312-315
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    • 1993
  • The malformation consisted of persistent left SVC terminating in left atrium, absence of coronary sinus, and atrial septal defect is considered as a developmental complex anomaly. We observed such a case associated with partial atrioventricular canal defect and common atrium. We operated it by intraatrial roofing [tunneling] along its course of the posterior wall of the left atrium using bovine pericardial patch, which was designed to contain some of thebesian veins, thereby, left superior vena caval and some coronary venous blood would be drained into venous side. Associated lesions were also corrected.

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Bilateral Partitioning of Systemic Venous Chamber in Conjunction with Atriopulmonary Anastomoses [Fontan - Kreutzer] - A new technique - (체정맥환류이상을 동반한 복잡심기형환자에 있어 체정맥심방 양분을 이용한 Fonatan 씨 술식 체험 -새로운 수술방법-)

  • Kim, Jin-Guk;Kim, Yong-Jin;Seo, Gyeong-Pil
    • Journal of Chest Surgery
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    • v.21 no.5
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    • pp.948-953
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    • 1988
  • A technique applicated for physiologic correction of complex congenital cardiac disease suitable for Fontan procedure in which drainage of left superior vena cava and hepatocardiac vein to left atrium combined is described. We made one systemic venous baffle from left hepatocardiac vein to left superior vena cava and another systemic venous baffle from right inferior vena cava to the right superior vena cava with rigid prosthetic material[0.5mm thickness PTFE patch]. And then we anastomosed directly between the right sided atrial appendage and right pulmonary artery, and left-sided atrial wall beneath the appendage and left pulmonary artery. We believe that this procedure is superior to the method using intraatrial tube graft to divert the left hepatocardiac venous blood to right atrium, and applicable for physiologic correction of any complex congenital cardiac disease suitable for Fontan-type procedure in which anomalies of systemic venous drainage combined.

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Inguinal Varicocelectomy Under Local Anesthesia (국소마취를 통한 정계정맥류 제거술)

  • Myeong, S.C.;Kim, W.B.;Lee, D.H.;Kim, Y.S.
    • Clinical and Experimental Reproductive Medicine
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    • v.24 no.3
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    • pp.341-345
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    • 1997
  • The management of varicoceles was performed on 24 patients with testicular dragging pain and/or left lower abdominal pain under local anesthesia. The surgery was completed within 20 to 45 minites, postoperative complications were severe cord edema 3 cases, wound infection 1 case, epididymitis 1 case, and postoperative anesthetic duration was 90 to 150 minites. Therefore, these procedures is cost effective and safe surgical method.

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The Physico-Chemical Properties and Cooking Qualities of Barley Isogenic Lines (보리 Isogenic Lines의 이화학적 품질과 취반특성)

  • Lee, Min-Jae;Kwon, Kyoung-Soohn;Chang, Hak-Gil
    • Applied Biological Chemistry
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    • v.40 no.4
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    • pp.301-306
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    • 1997
  • This study is presented to investigate the physico-chemical properties and qualities for the starch isogenic lines bred in barley(Hordeum vulgare L.).The pearling yield showed higher value in Franubet and Wafranubet than others, but the whiteness of pearled barley varied with the cultivars. The milling rate showed excellence in Franubet, fractured granular lines, whereas that of the waxy and round endosperm isogenic lines is poor. Franubet, the lines having fractures starch granule, was highest in starch content. The highest value in swelling power and water-binding capacity of the barley was proved by the lines having waxy and fractured starch endosperms. The amylogram patterns indicated that the waxy lines such as Wanubet and Wafranubet have lower initial gelatinization temperature and higher maximum viscosity than those of the normal lines. ${\beta}-Glucan\;viscosity$ was generally higher in waxy barley but changed greatly with the cultivars. The water absorption, soluble solid and expansibility in cooking property showed the highest value in waxy and fractured starch granular lines, and the whiteness of cooked barley did not differ with cultivars.

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The Clinical Efficacy of Bidirectional Cavopulmonray Shunt in Young Infants (유아 환아에서 양방향성 상대정맥-폐동맥 단락술의 임상적 효율성)

  • Lee Sak;Park Han-Ki;Hong Soon-Chang;Kwak Young-Tae;Cho Bum-Koo;Park Young-Hwan
    • Journal of Chest Surgery
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    • v.39 no.3 s.260
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    • pp.177-183
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    • 2006
  • Background: The bidirectional cavopulmonary shunt (BCPS) is one of the primary palliative procedures for complex congenital heart disease. It has many advantages, but it is known to have high risks in young infants. Material and Method: From 1995 to 2003, 48 infants under the age of one year underwent BCPS. All the patients were Fontan candidates due to functional univentricular heart physiology. There were no significant differences in preoperative variables, except in mean age (67.58$\pm$3.78 vs. 212.91$\pm$13.44 days), and mean body weight (4.51$\pm$0.29 vs. 6.62$\pm$0.27 kg), between group A (<3 months, n=12) and group B ($\ge$3 months, n=36). Result: In group A, the arterial oxygen saturations serially measured were significantly lower. Hospital mortality was $25\%$, and $19\%$, respectively. During follow up, there were 2 late mortalities in group A, and 5 in group B. Conclusion: This study showed that operative risk in young infants was comparable to that of older patients, and BCPS could be a good option as a primary palliative procedure, and may eliminate other repeated palliative procedures which could be the risk factors for Fontan candidates. However, in high-risk patients accompanying pulmonary hypertension, or heterotaxia syndrome, other palliative procedures should be considered.

Evaluation of Patient Radiation Doses Using DAP Meter in Interventional Radiology Procedures (인터벤션 시술 시 면적선량계를 이용한 환자 방사선 선량 평가)

  • Kang, Byung-Sam;Yoon, Yong-Su
    • Journal of radiological science and technology
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    • v.40 no.1
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    • pp.27-34
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    • 2017
  • The author investigated interventional radiology patient doses in several other countries, assessed accuracy of DAP meters embedded in intervention equipments in domestic country, conducted measurement of patient doses for 13 major interventional procedures with use of Dose Area Product(DAP) meters from 23 hospitals in Korea, and referred to 8,415 cases of domestic data related to interventional procedures by radiation exposure after evaluation the actual effectives of dose reduction variables through phantom test. Finally, dose reference level for major interventional procedures was suggested. In this study, guidelines for patient doses were $237.7Gy{\cdot}cm^2$ in TACE, $17.3Gy{\cdot}cm^2$ in AVF, $114.1Gy{\cdot}cm^2$ in LE PTA & STENT, $188.5Gy{\cdot}cm^2$ in TFCA, $383.5Gy{\cdot}cm^2$ in Aneurysm Coil, $64.6Gy{\cdot}cm^2$ in PTBD, $64.6Gy{\cdot}cm^2$ in Biliary Stent, $22.4Gy{\cdot}cm^2$ in PCN, $4.3Gy{\cdot}cm^2$ in Hickman, $2.8Gy{\cdot}cm^2$ in Chemo-port, $4.4Gy{\cdot}cm^2$ in Perm-Cather, $17.1Gy{\cdot}cm^2$ in PCD, and $357.9Gy{\cdot}cm^2$ in Vis, EMB. Dose referenece level acquired in this study is considered to be able to use as minimal guidelines for reducing patient dose in the interventional radiology procedures. For the changes and advances of materials and development of equipments and procedures in the interventional radiology procedures, further studies and monitorings are needed on dose reference level Korean DAP dose conversion factor for the domestic procedures.

Transposition of Great Arteries and Ventricular Septal Defect in Jehovahs Withnesses

  • Yang-Bin Jeon, M.D;Seog-Ki Kee, M.D;Jun-Yong Cho, M.D;Man-Jong Baek, M.D;Soon-Ho Chun, M.D
    • Journal of Chest Surgery
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    • v.34 no.3
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    • pp.243-245
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    • 2001
  • 여호와의 증인을 부모로 둔 환아는 생후 4개월, 5.6kg이었다. 심초음파상 완전 대혈관 전위와 심실 중격 결손, 심방 중격 결손, 동맥관 개존중 및 양측상대 정맥이 관찰되었다. 수술전 혈색소 값은 14.9 g/dl이었다. 수혈없이 심실 중격 결손 교정과 대혈관 치환술을 시행하였으며, 별문제 없이 수술 후 16일에 환아는 퇴원하였다. 퇴원 당시 혈색소 값은 12.8 kg/dl 였다. 복잡 심기형을 가진 영아에서 수술전 eryrhropoietin의 투여, 수술중 철저한 지혈 및 초여과법등의 방법으로 수혈 없이 완전 교정술이 가능하였기에 보고하는 바이다.

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Stenosis of Individual Pulmonary Veins (개별 폐정맥의 협착)

  • Lee, Mira;Choi, Kil Soon;Kim, Nam Su;Yum, Myung Kul;Kim, Yong Joo;Sul, In Jun
    • Clinical and Experimental Pediatrics
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    • v.46 no.6
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    • pp.610-614
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    • 2003
  • Pulmonary hypertension may be associated with variable conditions such as the hyperkinetic state or pulmonary vascular obstruction. In these, stenosis of the individual pulmonary veins without any cardiac or vascular malformation is very rare. We experienced stenosis of individual pulmonary veins in a 10 months old boy who was admitted with recurrent dyspnea and cyanosis and then underwent angiogram and a lung perfusion scan.