• 제목/요약/키워드: A case report

검색결과 15,625건 처리시간 0.042초

증상이 심한 신생아 Ebstein 기형의 양심실성교정 -1례 보고- (Biventricular Repair of Critically III Neonate with Ebstein′s Anomaly - Report of 1 case -)

  • 공준혁;김웅한;류재욱;이석기;백만종;임청;김수철;오삼세;나찬영;김수진;박영관;김종환
    • Journal of Chest Surgery
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    • 제35권4호
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    • pp.303-306
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    • 2002
  • 심한 Ebstein기형이 있으면서 신생아시기에 증상이 있는 경우, 심한 심비대를 보이며 이로인해 폐발달의 장애가 생기고 기능적 폐동맥판폐쇄를 보이며, 동맥관의존 폐혈류를 보인다. 지금까지 이런 경우 양심실성교정은 실망적이었으며 근래에 와서 Fontan술식을 목표로 하는 Stames술식으로 좋은 결과를 보고하고 있다. 본원에서는 생후 4일째 심한 심비대와 함께 해부학적 폐동맥판폐쇄가 동반된 Ebstein기형의 환아에서 심방화된 우심실을 수직적 주름성형술, 삼첨판막륜성형술, 우심실유출로재건, 심방중격결손부분폐쇄, 우심방축소술로 양심실고정술을 시행하였다. 술후 환아는 심홉곽비의 현저한 감소와 심초음파검사상 경도의 삼첨판폐쇄부전을 보이며 10개월째 건강한 상태로 외래추적관찰중이다.

이상환경하(異常環境下)의 영양문제(營養問題) 연구(硏究)(제1보) -진동하(振動下)의 영양문제(營養問題)- (Studies on the Nutrition under Abnormal Environment(I) -Nutrition under Vibration-)

  • 유정열
    • Journal of Nutrition and Health
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    • 제4권4호
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    • pp.15-23
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    • 1971
  • On the assumption that the supplementation of certain nutrients or foods to the rice diet (low protein, low fat, and low vitamins) may decrease, to some extent, the degree of suffering from abnormal environments, such as vibration, noises, gases, dusts, smog etc. a series of experiments were started. As the first report the nutrition under vibration was studied in this experiment. Sixty (60) young growing male rats weighing about 65 grams were used, grouping to five (5) groups, twelve (12) rats each group. They were fed on the following five (5) experimental diets: rice diet (basal diet), rice diet+casein, rice diet+vitamins, rice $diet+{\alpha}-tocopherol$, and rice diet+ginseng powder (see the tables 1 and 2) for the period of 14 weeks experiment. During the experiment period the half number of the rats of each group were exposed to the three (3) hours vibration every day. The protective effect of each diet against the vibration may be summarized as follows. 1. The growth of rice diet group was impaired significantly under vibration, However, those of other groups (protein-supplemented, vitamin-supplemented, ${\alpha}-tocopherol-supplemented$ and ginseng-supplemented groups) were impaired much less compared with rice diet group. 2. The feed efficiency of the rice diet group was decreased significantly under vibration. It is estimated that the biological availability of nutrients was impaired under this environment. On the other hand, the feed efficiencies of protein supplemented, of vitamin supplemented, and of ginseng supplemented groups were not decreased under vibration, statistically. 3. There is tendency that the food spillages of vibration groups are higher than those of non-vibration groups. Especially it seems true in the case of rice diet group. The food spillage may be, to some extent, related with mental nervousness of animals. From the point that the food spillage of ginseng supplemented group is significantly lower than those of other groups it is thought ginseng acts some good role in protecting nervous system from suffering from vibration. 4. In all groups except protein supplemented group, liver fat of vibration group tends to be higher than that of non-vibration group. 5. It shows that, in general, the serum alkaline phosphatase activity of the vibration group is significantly higher than that of the non-vibration group. It seems that there may be, to some extent, corelation between the amount of liver fat and serum alkaline phosphatase activity. 6. There is tendency that, in rice diet group, the organs of vibration group are smaller than those of non-vibration group, especially lung is so. It is thought that this may be due to the poor growth of whole body size in vibration group.

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벤처기업의 부실요인에 대한 탐색적 연구 (Probe Study on the Failure Factors of Venture Companies)

  • 이훈;홍재범
    • 벤처창업연구
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    • 제12권1호
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    • pp.25-31
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    • 2017
  • 본 연구는 벤처기업의 부실요인을 파악한 것이다. 이를 위해 기술보증기금에서 기술보증을 받은 벤처기업 중 최근 3개년 간 보증사고가 발생한 210개 기업을 대상으로 한 사례분석을 통하여 부실사유를 분석하였다. 부실사유 분석방법은 다음과 같다. 우선 기업의 재무자료를 활용하여 성장성과 수익성을 기준으로 4개의 유형을 분류하였다. 이후 사고기업의 보증사고발생보고서를 토대로 부실요인을 분석하였다. 보증사고발생보고서란 보증사고가 발생하면 기보에서 직접 기업을 방문하여 그 부실이 이르게 된 원인이나 향후 재기 가능성을 파악한 보고서이다. 분석결과, 374건의 부실요인들이 도출되었으며 벤처기업들이 부실화되어 사업실패에 이르는 가장 큰 이유로 관련 산업 또는 전반적인 경기악화(79건), 주요 납품처의 계획변경, 도산 등으로 수주 감소 취소(54건), 매출채권회수부진(31건), 가격경쟁, 주요 납품처의 요구 등에 따른 제품가격 동결 하락(24건), 국내 또는 해외 원자재의 가격 상승(21건) 등의 순으로 나타났다. 또한 본 연구에서 새롭게 도출된 부실요인으로 앞에서 주기로 표시한 주요 납품처와 관련된 Risk가 있으며 그 외에 일본원전 사고 개성공단 가동중단 소송 등 돌발 악재 발생, 기술개발사업화의 지연, 비효율적 관리로 고비용 저효율 구조 등이 있다.

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경증의 폐동맥 고혈압을 동반한 고령에서의 심내막상 결손 환자 치험 1예 (Case Report of Partial Endocardial Cushion Defect with Mild Pulmonary Hypertension in Old Age)

  • 김우식;안재범;송창민;김미정;정성철;신용철;김병열;김인섭
    • Journal of Chest Surgery
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    • 제39권8호
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    • pp.633-636
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    • 2006
  • 부분 심내막상 결손증은 일차공 결손과 승모판 전엽에 열공을 동반하는 질환으로 완전형 심내막상 결손증에 비해 임상 증상이 심하지 않으나, 승모판 부전이 진행할수록 심비대, 심부전, 폐동맥 고혈압 등이 더욱 쉽게 발현되어 그 예후가 좋지 않고, 따라서 고령에서는 보기 힘든 질환이다. 본원으로 30년 전부터 증상이 있던 67세 부분 심내막상 결손증 환자가 내원하였다. 심도자 검사상 폐동맥압이 45/22 mmHg, 평균 압력은 32 mmHg로 약간의 폐동맥 고혈압이 있었고, 수술 소견상 $3.5{\times}2.5\;cm$ 크기의 일차공 결손과 심한 석회화를 동반한 승모판 전엽의 열공이 보여 일차공 결손 첨포 봉합과 승모판막 치환술을 시행하였다. 수술 후 11일째부터 심한 방설 차단이 발생하여, 영구 심박동기를 삽입하였고, 수술 27일 후 퇴원하였다. 저자들은 임상적으로 보기 드문 고령에서의 부분 심내막상 결손증을 수술적으로 교정하였기에 문헌 고찰과 함께 보고하는 바이다.

어깨통증의 한의학적 치료에 대한 국내 임상 연구 고찰 (A Review of Clinical Research on Korean Medicine for Shoulder Pain Conducted in Korea)

  • 김찬영;양지혜;채인철;최인우;유주영;정은선;김윤식;설인찬;유호룡
    • 대한한의학회지
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    • 제41권3호
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    • pp.221-246
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    • 2020
  • Objectives: Shoulder pain is the third most common musculoskeletal complaint that necessitates physician consultation and significantly diminishes patients' quality of life. In this review, we analyzed clinical studies that investigated the use of Korean Medicine for the treatment of shoulder pain. Methods: We searched the online Korean databases, such as KMBase, DBpia, NDSL, RISS, KISS, and OASIS for clinical studies that report the use of Korean Medicine for shoulder pain. We analyzed the included studies with regard to study design, interventions, evaluations, and results. Results: We analyzed data from the following 29 studies: 14 clinical trials (which included 9 randomized controlled trials) and 15 observational studies (which included 11 case reports). In this review, we observed that post-stroke shoulder pain was the most common cause of shoulder pain, which was reported in 13 out of 29 studies (44.8%), although in actual clinical practice, patients are more likely to present with primary shoulder pain. Most included studies (72.4%) reported manual acupuncture as the most common intervention for shoulder pain. More than 50% of the studies used range of motion (58.6%) and the numeric rating scale (51.7%) to evaluate shoulder function and pain, respectively. Although the result was not statistically significant in all included studies, most studies concluded that Korean Medicine could be considered an effective treatment option in patients with shoulder pain. Conclusions: Based on analysis of studies included in this review, Korean Medicine can be considered useful clinical treatment for shoulder pain.

직·간접석탄액화공정의 경제성 평가 (Economic Evaluations of DCL/ICL Processes)

  • 박주원;배종수;권영진;김학주;정헌;한춘
    • Korean Chemical Engineering Research
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    • 제47권6호
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    • pp.781-787
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    • 2009
  • 석탄액화(Coal to Liquid, CTL) 공정은 직접액화(Direct Coal Liquefaction, DCL) 공정과 간접액화(Indirect Coal Liquefaction, ICL) 공정으로 대분되며, 각 공정의 경제성을 분석하기 위하여 주요 제품(디젤, 납사) 생산량이 50,000 barrel per day(BPD)의 직 간접석탄액화공정을 선정하고 공정에 적합한 검토기준을 세워 건설비용 및 매출액 등을 산정하였다. 또한 석탄액화공정에 대한 중요 변수들의 가격 변동에 따른 민감도 분석을 실시하였다. 생산량을 기준으로 선정된 원료탄(Illinois #6 유연탄)을 사용하였을 때, 총 투자액은 각각 DCL $3,994,858,000, ICL $4,962,263,000로 나타났다. 경제성 분석결과 내부수익률(internal rate of return, IRR)은 기본조건에서 각각 13.27%(DCL), 12.68%(ICL)로 나타났으며, 두 공정 모두 원료석탄 가격과 생산 제품 판매가에 가장 크게 영향을 받는 것으로 나타났다. 원금상환 기간은 DCL이 6.6년, ICL이 6.8년으로 나타났으며, 민감도 분석 결과 제품가격, 원료석탄가격, 건설비의 변동률 순서로 수익률에 변화를 주는 것으로 나타났다.

논문 검색을 통한 피부 부작용 사례 고찰 (A Review on Cases of Skin Adverse Reactions through the Search for Articles)

  • 조혜신;송아련;서형식
    • 한방안이비인후피부과학회지
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    • 제31권3호
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    • pp.50-59
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    • 2018
  • Objectives : The aim of this review is to investigate studies on skin adverse reactions and to demonstrate subjects related to the adverse effects in dermatology. Methods : Electric searches were performed with KISS(Korean studies Information Search System) and the key words were combination of 'skin' and 'adverse effect'. 87 literatures investigated in this review were issued from 1900 to 2016. Results : Among the 87 papers, dermatologic adverse reactions were reported in 83 papers in medicine, accounting for 95.4%. Of the adverse effects seen on the skin, 84 discoloration such as erythema, pigmentation and hemotelangiosis were the most common, accounting for 21%. Among the medical adverse reactions not seen on the skin, 21 infection were the most common, accounting for 25%. Among the subjective adverse reactions, of which 32 pruritus were the most common, accounting for 43%. Among the 87 papers, there were 3 cases with underlying diabetes and 3 cases with underlying hypertension, followed by 2 cases with chronic renal failure, HBV, atopic dermatitis and respectively 1 case with alcoholism, depression addiction, multiple myeloma, arthritis and psoriasis. The most frequent period until adverse reactions appeared was within 2 weeks, accounting for 13 papers. And 4 were the most frequent adverse reactions lasting less than 1 month, and 4 were more than 3 months and less than 6 months. There were 48 cases where adverse reactions were caused by nonmedical practioner's treatment. The adverse reactions by the pharmacist were the highest at 11 cases (23%). There were 17 cases of adverse reactions due to medical treatment, among which dermatologists and nondermatologists accounted for the majority of 5 cases, 29%. The most common cause of adverse reactions was the application of external medicine (41 cases), followed by 36 cases of foreign body implantation, eyebrow tattooing, ear piercing, etc. Conclusions : In this report, we demonstrated patterns of adverse reactions in the medical field of dermatology caused by non-medical personnel than medical personnel. We suggest that more effort should be followed by medical personnel to establish clear awareness of skin disease and by patients to be aware of the risks of the illegal medical treatment by non-medical personnel.

심실중격결손증 수술후 발생한 방실접합부 이소성 빈맥에 대한 저체온 치료 - 1례 보고 - (Hypothermia for the Junctional Ectopic Tachycardia after VSD Closure - one case report-)

  • 김대식;양진영;구원모;문승철;이건;이헌재;임창영
    • Journal of Chest Surgery
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    • 제31권12호
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    • pp.1226-1229
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    • 1998
  • 환아는 생후 50일된 체중 4.5kg의 남아로 선천성 심장질환 및 울혈성 심부전증으로 본원에 내원하여 시행한 심초음파상 막주위형 심실중격결손으로 진단되어 수술하였다. 수술후 중환자실에서 치료하던 중 방실접합부 이소성 빈맥이 발생하면서 혈역학적으로 불안정한 상태가 되었고 요량이 감소하여 강심제 및 이뇨제등의 약물 치료를 하였으나 호전되지 않아서 경도의 저체온(34℃)치료를 병행하였다. 술후 2일 동안 4차례의 저체온 치료로 방실접합부 이소성 빈맥은 정상 동율동으로 전환 되었고 혈역학적으로도 안정되었으며 요량도 증가 되어 수술후 8일에 정상 퇴원하였다.

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척추수술 실패 증후군에 대한 국내 연구 동향: 정의, 치료 방법, 평가 도구를 중심으로 (The Domestic Trend of Failed Back Surgery Syndrome: Definition, Treatment Trials and Instruments for Assessment)

  • 최희승;차윤엽;박원형;신우석;정동훈;손슬기;김종수;김신웅;김세준
    • 한방재활의학과학회지
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    • 제24권4호
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    • pp.41-48
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    • 2014
  • Objectives The present study examines the domestic trend of Failed Back Surgery Syndrome (FBSS) in Korea. Methods The studies on FBSS were investigated via searching Korean web databases. As a result, 41 research papers were found and they were analyzed according to the year of publishment, the titles of journals which have the papers, the types of study, the definition of FBSS, employed treatment trials, and the instruments for assessment. Results The number of the research papers on FBSS published was increased since 2005. The studies on FBSS were mainly published in the Korean Journal of Pain. The most popular type of the studies were the case report and the most studies defined FBSS as persistent or recurring low back pain with or without sciatica after receiving spine surgeries. Various surgical and conservative treatments were employed in the studies and Visual Analogue Scale (VAS), Numeric Rating Scale (NRS), Oswestry Disability Index (ODI) were used as primary means of assessments. Conclusions Reviewing the domestic trends of studies on FBSS and examining the definition of FBSS is essential for the future studies because there is no clear criteria for making diagnosis of FBSS. Therefore, the further studies on FBSS need to be more elaborate with the definition of FBSS, and it is also necessary to apply more assessment tools for the better understanding of FBSS from various aspects. Ultimately, this review is anticipated to benefit the future in-depth study on FBSS.

2019년 충남지역에서 발생한 식중독 현황과 원인분석 (Analysis of Food Poisoning Outbreaks Occurred in Chungnam Korea, 2019)

  • 이현아;남해성;최지혜;박성민;박종진;김현민;천영희;박준혁
    • 한국환경보건학회지
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    • 제46권2호
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    • pp.184-191
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    • 2020
  • Objectives: This study was performed to analyze cases of food poisoning outbreaks reported in Chungcheongnamdo Province in 2019 and report it as effective data for preventing food poisoning in the future. Methods: Food poisoning outbreaks were analyzed to detect virus, bacteria, and protozoa according to the Manual for Detection of Foodborne Pathogens in Outbreaks to clarify the causes of food poisoning that occurred in Chungcheongnam-do Province in 2019. Results: Among the 79 cases of food poisoning outbreaks, 59 cases (74.7%) were in general restaurants, 15 cases (19.0%) in food service institutions, three cases at banquets, and two cases in take-out food. The 42 cases at general seafood restaurants made up the majority of food poisoning in Chungcheongnam-do. Food poisoning pathogens were shown in 13 cases (86.7%) out of the 15 cases at food service institutions, and 10 cases were related to Norovirus. Among the 79 cases, food-borne pathogens were identified in 35 cases of outbreaks, accounting for 44.3%. The confirmed pathogens were as follows: bacteria (24 cases), Norovirus (12 cases) and Kudoa septempunctata. (five cases). The food-borne bacteria were pathogenic E. coli (12 cases), Staphylococcus aureus (six cases), Salmonella spp. (two cases), Campylobacter jejuni, Bacillus cereus, Clostridium perfringens, and Vibrio parahaemolyticus (one case). Conclusions: To prevent food poisoning, it is necessary to analyze regional characteristics and environments and to hold a campaign for the prevention of food poisoning based on that analysis. In addition, when food poisoning occurs, the results of analyzing its cause and spread based on accurate epidemiological survey need to be shared.