• 제목/요약/키워드: A case report

검색결과 15,627건 처리시간 0.049초

Treatment of Multiple Rib Fracture and Flail Chest with Judet's Strut-105 Case REport- (다발성 늑골골절 및 Flail Chest 환자에서 Judet's strut를 이용한 수술적 고정술 105례)

  • Park, Byeong-Sun;Jo, Wan-Jae;O, Jeong-U
    • Journal of Chest Surgery
    • /
    • 제30권8호
    • /
    • pp.803-808
    • /
    • 1997
  • There were 105 patients with multiple rib fracture or flail chest who had underwent surgical rib fixation using judet's strut from Aug. 1989 to Aug. 1995. They were 86 men and 19 women, and the age distribution was from 17 to 77(mean $48\pm12).$ The most common cause of accident was a traffic accident(81%), The mean number of rib fracture was 5.5 and the distribution of patient were flail chest(72, 64.7%), severe displaced rib Fracture(18, 17.1%), traumatic chest wall deformity(10, 95%) and others(5, 4.7%). The operative mortality was 1 patient(0.96%) and the incidence of postoperative complication were 13 patients(12.3%). The duration of perioperative artificial ventilator therapy was $90.5\pm22.6$ hours. Our method allowed shorter duration of an artificial ventiatin and decreased a functional sequelae. We find this technique to be better than previously published methods, since it provides better stabilization and immobilization of he ribs and thus obviates the need for artificial ventilation and prevents post-traumatic chest deformity.

  • PDF

Surgical Treatment for Renovascular Hypertension and Iliac Artery Occlusion (신혈관성 고혈압 및 장골동맥 폐쇄에 대한 수술)

  • Ryu, Kyoung-Min;Ryu, Jae-Wook;Park, Seong-Sik;Kang, Tae-Soo;Kim, Seok-Kon;Seo, Pil-Won
    • Journal of Chest Surgery
    • /
    • 제40권8호
    • /
    • pp.582-586
    • /
    • 2007
  • A 48-year old male patient visited our hospital with uncontrolled hypertension and pair of the left leg. CT angiography shows atherosclerotic occlusion of both renal artery orifices and the left common iliac artery. Despite of medical treatment for 2 months, the clinical condition of the patient worsened. We performed the surgical revascularization with both renal arteries and aorto-left femoral artery bypass with using an 8 mm artificial vascular graft. He lived well without hypertension with using only angiotensin receptor blocker and an anticoagulant for 10 postoperative months. Using surgical revascularization for renovascular hypertension has decreased due to the development of intervention technology and medication, but this surgery is indicated in cases of renovascular hypertension with extensive atherosclerotic lesions. We report here on a case of surgical revacularization for medically Intractable atherosclerotic renovascular hypertension together with left common iliac artery occlusion.

The Comparison and Analysis of Dust, Soil and Water Pollution Through the Case Study of Demolition Sites (해체공사의 분진발생과 토양, 수질 오염의 특성)

  • Lee, Kyoung-Hee;Kim, Hyo-Jin;Park, Jae-Han;Chu, Kyoung-Hoon;Ko, Kwang-Baik
    • Korean Journal of Construction Engineering and Management
    • /
    • 제11권4호
    • /
    • pp.100-108
    • /
    • 2010
  • With the rapid economic growth and improvement of living conditions in Korea, rebuilding and redevelopment of existing houses has also been rapidly increasing. As a result, considerable construction and demolition wastes have been produced. Demolition wastes, however, must be given special attention because of the various harmful substances in them. The construction waste has been produced most at demolition phase, but the research into that area has not being to make nearly within the country. The aim of this study was to evaluate and compare the contamination figures of the heavy metals and toxin organic substances in the soil and water caused by flying ashes generated and eventually accumulated in building demolition works. AB a result. most of the pollution levels were not worrisome, but some were increased after the demolition with the water used to prevent the dusty air and in the target buildings. However in the vicinity of the demolition sites with explosives there was no report of study in water and soil pollutions, so to minimize pollutions we need to make plans to select the harmful substance in the first place. Thus, this research is expected to be the important materials for future research into the construction waste area.

Immediate Connection of Customized Zirconia Abutment Using Flapless Guided Surgery: A Clinical Report (무절개 수술을 이용한 맞춤형 지르코니아 지대주의 즉시 장착 증례)

  • Lee, Gyeong-Je;Choi, Byung-Ho;Kim, Hee-Jun;Jung, Seng-Mi
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • 제28권2호
    • /
    • pp.201-212
    • /
    • 2012
  • There are some similar aspects at histological and morphological characteristics between the peri-implant tissue and periodontal tissue and the direct attachment between the titanium and soft tissue around the implant called as "Functional ankylosis" can prevent the apical infiltration of inflammatory and bone resorption around implant. But, the repeated connection and disconnection of the abutment can destroy the mucosal barrier of soft tissue around the implant and can cause the marginal bone resorption. The amount of marginal bone resorption may reduced if the prosthetic abutment is placed at that time of surgery. Connection of the prosthetic abutment at surgery was limited because the low accuracy of conventional method, but by using of Cone Beam Computed Tomography(CBCT) and guide surgery, the 3-dimensional accuracy of implant placement became much higher than before and it became possible. This is a clinical case of immediate connection of prosthetic abutment and provisional restoration by using of precise CBCT diagnosis and pre-fabricated zirconia customized abutment at surgery and the alternative method is described in this article because of the clinically contentable results.

Korean English-language Newspapers as Tool of Public Diplomacy: Case Study of Editorials of Korean Republic (영어신문의 외교사적 역할: 코리언 리퍼블릭 (1953.8.15~1954.8.14)의 사설을 중심으로)

  • Lee, Sun-Young
    • Korean journal of communication and information
    • /
    • 제56권
    • /
    • pp.219-236
    • /
    • 2011
  • Since the end of the $19^{th}$ century, Korean English-language newspapers have been published in Korea to inform readers about Korea and Korean people's point of view concerning world problems. Among them was the Korean Republic (KR), the former name of the Korea Herald, founded on August $15^{th}$, 1953 (Korean Liberation Day from Japanese colonial rule). This newspaper was started especially to report on international affairs, just after the Armistice agreement was signed on July $27^{th}$, 1953, at the initiative of the first president of the Republic of Korea, Syngman Rhee. He vehemently expressed his and the Korean people's opinion about Korean problems in world politics where big powers were dominating and deciding small countries' destinies. This paper is written to show that Korean English-language newspapers were used as tool of public diplomacy not only for the readers of target countries but also for Korean readers, well before the media diplomacy theory became popular several decades later. In the deplorable world situation where Korea was colonized and divided into halves by the wills of the super powers, the Korean media participated actively via dialogue in English to solve the Korean problem. This paper studies the editorials of the KR for one year, the year just after its foundation. Vis-a-vis the United States, the KR defended its political system of free democracy by insisting on the Korean people's hopes, the reunification of the peninsula and acquiring American assistance in economic and military areas. Regarding Japan, Korea had doubt about its expansionist policy by way of rearmament. First, the Korean government tried to defend its territorial waters, including Dokdo Island. As for multi-lateral relationships, Korea was concerned about the spread of communism to its territory in the world where socialism was dominating.

  • PDF

Report on Forests Damaged Due to Cutting Trees Infected by Pine Wilt Disease (소나무재선충 고사목 제거에 따른 산림훼손 보고)

  • Hong, Suk-Hwan;Lee, Soo-Dong
    • Korean Journal of Environment and Ecology
    • /
    • 제29권4호
    • /
    • pp.590-598
    • /
    • 2015
  • Despite various control methods for pine wilt disease, the disease has been increasing at an alarming rate every year in Korea. Still there is a lack of research on the problems of the current methods used to curb the disease. One main method to control pine wilt disease is fumigation for eliminating the larva of the pine sawyer beetle (Monochamus alternatus) which is known as the vector insect for pine wilt disease. We surveyed and analyzed the amount of destroyed uninfected trees in the fumigated area by studying 32 survey plots ($100m^2$) in Miryang city. The destroyed trees' crown area was estimated by induced regression between root collar area and crown area of the remaining trees (coniferous tree: $R^2=57.4$, deciduous broad-leaved tree: $R^2=63.8$). According to the analysis results, the infected trees (cut trees) were 18.7% and cut trees which were not infected were 35.5% of the total tree population of the study area on the basis of total crown area. In case of pine trees, 8.4% of uninfected trees were cut off but 62% of uninfected deciduous broad-leaved trees including Quercus spp. were affected and damaged during the fumigation process. Since these broad-leaved trees dominate the sub-canopy layer of the forest, this indiscriminate interruption of broad-leaved trees has the adverse effect of depriving the public benefits such as shadow, a cooler weather, controlling humidity, etc.

Possible Role of Matrix Metalloproteinase in Osteolytic Intracranial Meningiomas

  • Moon, Hyung-Sik;Jung, Shin;Jung, Tae-Young;Cao, Van Thang;Moon, Kyung-Sub;Kim, In-Young
    • Journal of Korean Neurosurgical Society
    • /
    • 제47권1호
    • /
    • pp.11-16
    • /
    • 2010
  • Objective: Abnormalities of the bone are frequently encountered in patients with meningioma, and hyperostosis and endostosis are common bone alterations in these tumors. Extensive bony destruction is very unusual in patients with meningioma. We report six cases of intracranial meningioma associated with an osteolytic lesion of the skull and discuss the underlying mechanisms that may be responsible for bone destruction in patients with meningioma. Methods: Six patients were classified into three groups, severe, moderate and mild, according to the degree of osteolytic bony destruction. The tumor was classified as intracranial or extracranial, depending on its location. We investigated the potential role of matrix metalloproteinase (MMP) in meningioma-associated osteolysis. The levels of MMP expression were determined by gelatin zymography, reverse transcription-quantitative PCR analysis (RT-PCR) and immunohistochemical analysis. Results: Complete surgical removal of the lesion was performed in each patient. Histological examination revealed benign meningioma in four cases, and two cases of atypical meningioma. Patients did not have a poor prognosis except one case of recurred atypical meningioma. Gelatin zymography and RT-PCR detected high levels of MMP-2 in almost all extracranial masses in comparison with the intracranial masses and MMP9 in two. There was no difference in the severity of bone destruction. Immunohistochemical analysis revealed MMP-2 expression in the vicinity of the bone destruction, and a few MMP-9-positive stainings were observed. Conclusion: Osteolysis of the skull in patients with meningiomas might not be indicative of malignant pathological features and poor prognosis. Invasion to the extracranial portion and osteolysis might be associated with MMP-2 expression in meningioma.

Tracking Recent Terrorism Trends in Europe and North America (최근 북미 및 유럽지역의 테러리즘 동향연구: 2012-2017)

  • Park, Gi-Bbeum;Lee, Chang-Han;Yu, Hyo-Eun
    • Korean Security Journal
    • /
    • 제53호
    • /
    • pp.109-133
    • /
    • 2017
  • The purpose of this study is to provide a general trends in recent terrorism in North America and Europe over the last five years. In particular the terrorism which occurred after 2012 shows the transition in trends as terrorists attacks civilians and public places(soft target) rather than targeting national facilities or specific people. For instance, the Parris terror attack and Barcelona vehicle attack shows this changes clearly. The terrorists appeared to attack ordinary people in urban places with high population density. Although the trends are changing, there are still few studies focusing on the current situation, and most of the previous studies have focused on changing in strategies and counter-terrorism in each country after the 9.11 terror. Meanwhile, studies examining the trends of terrorism have been limited to analyzing few cases or using relatively monolithic data of Global Terrorism Data(GTD). While the types of terrorism that occur recent years including 'new terrorism' in many respects, it seems to be difficult to classify with GTD data and/or case studies. Therefore, it is necessary to construct new data that perhaps grasp the recent trend of terrorism from different perspectives. In this point of view, this Based on this, this study collects terrorism data from North America and Europe for the past five years, by using the National Intelligence Service's annual report on terrorism as a sampling framework and analyse the trends and changes. The result shows similarities in the methods of attack, and the type of weapon they used. As vehicle attacks has been raised in few years, damage area has been widen and casualties also have been increased.

  • PDF

Scientific Investigation for Conservation Methodology of Bracket Mural Paintings of Daeungjeon Hall in Jikjisa Temple (직지사 대웅전 포벽화 보존방안을 위한 과학적 조사)

  • Lee, Hwa Soo;Kim, Seol Hui;Han, Kyeong Soon
    • Journal of Conservation Science
    • /
    • 제34권2호
    • /
    • pp.107-118
    • /
    • 2018
  • This report does studied for making the method of conserving bracket murals in Daeungjeon of Jikjisa Temple, through the scientific way. Results of evaluated the conservation status at the braket mural paintings, most serious damage is structural damage like cracks, breakage, and delamination. After optical investigation, a characteristic point wasn't found such as underdrawing or traces of a coat of paint. The ultrasonic examination speed by each wall painting was measured from about 195.8 m/s to 392.7 m/s, according to the location of the surface, and it was able to compare the surface properties according to the location. In Infrared-thermal image measurement shows that wall layer separation and paint layer delamination are closely detected, therefore it was able to judge of damage on the objective way. Material analysis revealed that the walls were made by sand and weathering soil. The wall layer combined sand with less than fine sand size by nearly 5:5, and the finishing layer was found to have mixed medium sand and fine sand at approximately 6:4 rates. However, In case of finishing layer, mixing ratios of sizes less than very fine sand were found to be significantly lower than wall. Therefore, it is estimated that the plysical damage such as the separation between the layers of the walls created in the braket mural paintings, is continuously caused by changes in the internal stresses and volume ratio caused by the density differences between the wall and the finishing layers.

Optimal Production Management Strategy for Non-timber Forest Products using Portfolio Approach - A case study on major fruit trees - (포트포트폴리오 기법을 이용한 단기소득임산물의 최적 생산관리 전략 - 주요 유실수를 중심으로 -)

  • Won, Hyun-Kyu;Jeon, Jun-Heon;Lee, Seong-Youn;Joo, Rin-Won
    • Journal of Korean Society of Forest Science
    • /
    • 제104권2호
    • /
    • pp.248-253
    • /
    • 2015
  • This study applied the portfolio approach as a means to provide decision-making information for the establishment of the optimal production plan for non-timber products. The target items of non-timber forest product were Chestnut, Jujube, Walnut and Astringent Persimmon. The data used in this study were the annual report of forestry production cost survey which contains the annual production, annual gross income, and annual product cost from 2008 to 2013. These data were used to calculate the expected return of non-timber forest product. The objective function in the portfolio models was to minimize the expected return volatility, called risk and the constrain was to achieve the minimum expected return rate. Results indicated that the production ratio of the nuts and fruits in 2013 was 7% for Chestnut, 20% for Jujube, 5% for Walnut and 68% for Astringent Persimmon. Furthermore, portfolio presented that the production ratio was 10% for Chestnut, 9% for Jujube, 3% for Walnut and 78% for Astringent Persimmon in the near future. The cause was analyzed due to maintain stable production and income of Astringent Persimmon and Chestnut. Meanwhile, the revenue of Walnuts and Jujube was in great variation with relatively higher revenues.