• 제목/요약/키워드: Anus

검색결과 291건 처리시간 0.027초

총폐정맥 환류 이상증에 대한 술후 장기성적 검토 (Long-term Results Following Surgical Repair of Total Anomalous Pulmonary Venous Return)

  • 원태희
    • Journal of Chest Surgery
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    • 제28권6호
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    • pp.565-570
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    • 1995
  • Seventy-three patients with isolated total anomalous pulmonary venous connection the patients associated with other major cardiac anomalies such as single ventricle, DORV[Double Outlet Right Ventricle and large VSD[Ventricular Septal Defect were excluded were underwent surgical repair from January 1980 through October 1993. There were 45 boys and 28 girls. The mean age at operation was 19.9 months[range 6 days to 24 years and mean body weight was 7.1kg[range 2.6kg to 45kg . The anomalous locations of connection were supracardiac in 38, cardiac in 21, infracardiac in 5, and mixed in 9. In 38 patients[52% , the venous drainage was obstructed. The obstruction ratios according to the connection type were as follows: 53%[28/38 in supracardiac, 52%[11/21 in cardiac, 100%[5/5 in infracardiac, 22%[2/9 in mixed type. The associated cardiac anomalies were persistent left SVC[2 , tricuspid valve regurgitation[3 , cor triatriatum[1 , and mitral cleft[1 . And associated noncardiac anomalies were imperforate anus[1 and Neil Weightman syndrome[1 . The operative mortality was 23%. The causes of death were pulmonary hypertensive crisis, perioperative myocardial failure, pneumonia with sepsis, arrhythmia and etc. The statistically significant factors in postoperative mortality were the pulmonary venous obstruction and age [p<0.01 . The operative mortality was high in groups of age under 1 month and pulmonary venous obstruction. The mean follow-up was 27.1 months. There were two late deaths. The first patient was three months old boy with supracardiac type and severe obstructive symptoms. The postoperative echocardiography was showed anastomotic stenosis and reoperations were performed twice but the patients expired due to pneumonia and sepsis. The second patient was three month old boy with supracardiac type and total correction was done and was doing well postoperatively. Eight years later, he expired suddenly due to arrhythmia. But all the other patients were in NYHA Fc I and received no medications. The 5-year survival rate excluding early expired patients is 97.1 $\pm$ 0.03 %. In conclusion, although the operative mortality of total anomalous pulmonary venous connection was relatively high compared to other major cardiac anomalies, we could expect excellent long-term results by early surgical correction.

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서태평양에서 채집된 Pomacanthus xanthometopon 후기자어의 외부형태에 관한 연구 (Morphological Description of a Post Larva of Pomacanthus xanthometopon from the West Pacific)

  • 김성;이은경;유재명
    • 한국어류학회지
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    • 제13권4호
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    • pp.274-278
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    • 2001
  • 청줄돔과 (Family Pomacanthidae)의 한 종인 Pomacanthus xanthometopon 후기자어의 외부형태를 관찰하였다. 표본은 2001년 5월 5일 서태평양 ($26^{\circ}9'N$, $125^{\circ}0'W$)에서 채집되었다. 표본의 체장은 8.0 mm였다. 몸은 현저히 옆으로 측편되어 있으며 체고는 체장의 66.3%였다. 항문은 등지느러미를 기준으로 8~9번째 극조의 하단부에 위치하였다. 2~4개로 구성된 소극이 몸 전체를 덮고 있었다. 성어에서 보이는 강한 전새개골극이 없었다. 점상의 흑색소포는 두정부, 목덜미, 몸통의 위쪽부분과 등지느러미의 1~11번째 극조의 지느러미막에 분포하였다.

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남해에서 채집된 바다뱀과 엽상자어(Leptocephali)의 형태 및 분자 동정 (Molecular and Morphological Identification of Ophichthid Leptocephali from the South Sea of Korea)

  • 지환성;김진구
    • 한국어류학회지
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    • 제22권4호
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    • pp.279-284
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    • 2010
  • 2010년 9월 남해 상주 앞바다에서 정치망으로 바다뱀과 엽상자어 4개체(TL 109.8~129.7mm)를 채집하였다. 형태적으로 엽상자어는 8개의 소낭이 항문 앞까지 존재하고, 전체 근절수가 141~151개, 전장에 대한 체고가 10% 이하인 점, 흑색소포가 항문 뒤부터 꼬리지느러미 앞까지 8~9개 분포하는 특징에 따라 까치물뱀속(Ophichthus sp.) 어류와 유사한 것으로 확인되었다. 형태적 결과와는 달리 미토콘드리아 DNA 12S rRNA 826 bp의 염기서열을 분석한 결과, 엽상자어는 돛물뱀속(Pisodonophis sp.) 성어와 100% 일치하였고, 돌기바다뱀(Pisodonophis cancrivorus) 성어와는 98.1% 일치하였다. 본 연구결과에서는 형태 동정결과가 분자 동정결과와 일치하지 않는 결과를 보였고, 이는 까치물뱀속과 돛물뱀속 엽상자어기의 형태적 구분이 매우 어렵다는 것을 의미한다. 본 연구에서는 처음으로 한국에서 채집된 돛물뱀속 엽상자어의 형태적 특징을 상세히 기술하였다.

틸라피아에 있어서 Edwardsiella tarda의 실험적 감염에 관한 연구 (Experimental infection of Edwardsiella tarda in the Tilapia)

  • 김광희;최동림;정준기;전세규
    • 한국어병학회지
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    • 제5권2호
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    • pp.61-75
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    • 1992
  • 틸라피아에 실험적으로 Edwardsiella tarda를 경구감염 시켰다. 틸라피아의 장을 자극시키지 않았을 때는 E. tarda가 감염되지 않았으나 과산화수소로 장을 자극시킨후 E. tarda를 투여하였더니 감염되었다. 150~200g되는 틸라피아 한마리에 $10^6CFU/m{\ell}$, $10^7CFU/m{\ell}$, $10^8CFU/m{\ell}$를 투여한 4일 후부터 죽은 실험어의 간장, 신장, 비장에 농창이 형성되었다. 또한 장관 장해부에서 세균이 증식되어 전신감염으로 급히 발병되어 죽은 예가 많았다. 자연감염어에서 볼 수 있는 증상이 나타났다.

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해당화약침(藥鍼)이 대사증후군(代謝症候群) 유발억제(誘發抑制) 및 개선활성(改善活性)에 미치는 영향(影響) (The Effects of Rosa Rugosae Radix Herbal Acupuncture on the Metabolic Syndrome in High-fat Diet-fed Mice)

  • 채규원;김종인;김창환;강성길
    • Journal of Acupuncture Research
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    • 제24권1호
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    • pp.165-177
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    • 2007
  • Objectives : This study anus to investigate the effects of Rosa Rugosae Radix (RU) herbal acupuncture on the metabolic syndrome in high-fat diet-fed mice. Methods : The experimental groups were fed with high-fat diet (HFD) for 8 weeks to induce metabolic syndrome. During the induction of metabolic syndrome, RU herbal acupuncture at a dosage of 50 mg/kg was carried out on the point of Sinsu(BL23) every day to measure the body weight, feed efficiency, blood glucose levels, insulin resistance index, lipid levels, blood pressure, and weight of liver and adipose tissues (brown adipose tissue from interscapular fat and white adipose tissue from epididymal fat). And after five weeks' induction of metabolic syndrome, RU herbal acupuncture was also performed for 6 weeks to measure the body weight and blood glucose levels. Results: 1. RU herbal acupuncture inhibited increasing body weight and blood glucose levels, with improved insulin resistance. 2. RU herbal acupuncture inhibited increasing levels of total cholesterol, LDL-cholesterol and free fatty acid, while increased HDL-cholesterol levels. 3. RU herbal acupuncture activated anti-hypertensive action. 4. RU herbal acupuncture inhibited increasing weight of white adipose tissues, but not in brown adipose tissues and liver. 5. RU herbal acupuncture lowered blood glucose levels and inhibited increasing body weight in metabolic syndrome-induced ICR mice. Conclusion : Rosa Rugosae Radix (RU) herbal acupuncture showed effectiveeness in prevention and management of metabolic syndrome in clinical application.

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날붕장어(Echelus uropterus) 엽상자어의 분자동정, 개체발생 및 진화학적 고찰 (Molecular Identification, Ontogeny and Evolutionary Note of Echelus uropterus Leptocephali)

  • 지환성;이수정;김진구
    • 한국어류학회지
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    • 제23권3호
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    • pp.217-224
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    • 2011
  • 동해에서 바다뱀과 엽상자어 7개체(TL 14.6~68.0mm)를 채집하여, 미토콘드리아 DNA 12S rRNA 861 bp 염기서열로 종을 동정하고, 이들의 개체발생을 기술하고, 진화적 관계를 고찰하였다. 바다뱀과 엽상자어 7개체는 날붕장어 성어와 유전거리(d=0.000)에서 잘 일치하였다. 날붕장어 엽상자어 7개체는 9개의 소낭이 항문 앞까지 존재하고, 전체 근절수가 154~158개, 전장에 대한 체고가 10% 이하이며, 흑색소포가 항문 뒤부터 꼬리지느러미 앞까지 8개 분포하는 형태적 특징을 보였다. 엽상자어의 형태 및 분자 분석결과를 통해 날붕장어는 진화학상 바다뱀아과 및 갯물뱀아과 사이에 위치하는 그룹으로 사료된다.

소아 서혜부 탈장에 대한 임상적 고찰; 단일병원 10년간 1244예 후향적 고찰 (Clinical Study of Inguinal Hernia in Pediatric Patients)

  • 윤원화;허찬영;전용순
    • Advances in pediatric surgery
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    • 제15권1호
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    • pp.44-51
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    • 2009
  • This study is a retrospective analysis of 1244 cases of the inguinal hernia in children under the age of fifteen years who were operated at the department of pediatric surgery, Inje University Busan Paik Hospital from March, 1997 to February, 2007. The ratio of male to female was 3.6:1. The type of hernia was indirect in all of the cases. The hernia was on the right side in 656 cases (53.9 %), left side in 467 cases (37.5 %), and bilateral in 121 cases (9.7 %). The hernia presented most frequently in infants under age 12 months; 364 cases (29.2 %). Fifty-nine cases (21.7 %) were in female and 305 cases (31.3 %) in male. There were 428 cases (33.6 %) in 1-3 years age group, 295 cases (23.7 %) in 4-6 years, 112 cases (9.0 %) in 7-9 years, 39 cases (3.1 %) in 10-12 years and 16 (1.2 %) in 13-15 years. The content of hernia sac was small bowel (59 %), omentum (31 %) in males and the ovary and tube (54 %) and small bowel (26 %) in female. The incidence of combined operation at the time was 3.2 %, and consisting of orchiopexy (67.5 %), frenulotomy (12.5 %), appendectomy (10 %), circumcision (5 %), and fistulotomy (5%). The incidence of combined disease was 2.8 % and consisting of undescended testis, Hirschsprung's disease, idiopathic hypertrophic pyloric stenosis, imperforate anus, and congenital heart disease. After unilateral inguinal hernia repairs, contralateral hernias developed in 34 patients. The laterality of the primary site of hernias were left in 19 cases (55.8 %), and right 15 cases (44.1 %). The 936 cases (75.2 %) were operated under general anesthesia; Mask bagging 663 cases (53.2 %), endotrachea intubation 257 cases (20.6 %), and laryngeal mask 16 cases (1.2 %). The remainder 308 cases (24.7 %) were operated under regional caudal anesthesia.

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보류관장의 표준화된 방법을 위한 고찰을 통한 제언; 실험연구방법에 대하여 (The Study for standardized Method of the Retention-Enema; For a Method of Experimental Study)

  • 송은영;이의주;유정희;이준희;고병희;부영민;박재우;김효진;채광민
    • 대한한의학회지
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    • 제35권1호
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    • pp.1-9
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    • 2014
  • Objectives: This study was to propose a standardized method of retention enema by extracting elements associated with published experimental methods of retention enema. Methods: 1) Literature search (1) Data sources: Retrieval was made, using 'Enema' or 'Retention Enema' as search words in Medline, Cochrane library, KISS, RISS, and KDSL DB. (2) Study selection: Two authors excluded irrelevant papers and chose qualified abstracts from the rest of the papers. The chosen studies were reviewed fully by the authors so that they could screen the significant papers based on the exclusion criteria. (3) Data extraction: Data on the total number of subjects, the target disease, the animal species, the type, quality, length, and diameter of catheter, the insertion length of catheter, the sample, the sample volume, the process of retention enema and the number of retention enemas performed were extracted from the selected studies. 2) Performing preliminary experiments about the elements associated with experimental methods of retention enema. Results & Conclusions: The standardized experimental method is as follows: animal: 280-320g SD rat 1) inserting a rectal tube of 8 Fr that measures 8 cm into the animal's anus, 2) injecting herbal medicines at the volume of 6ml and 3) holding them for 10 minutes.

A case of McKusick-Kaufman syndrome

  • Son, Se-Hyung;Kim, Yoon-Joo;Kim, Eun-Sun;Kim, Ee-Kyung;Kim, Han-Suk;Kim, Beyong-Il;Choi, Jung-Hwan
    • Clinical and Experimental Pediatrics
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    • 제54권5호
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    • pp.219-223
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    • 2011
  • McKusick-Kaufman syndrome (MKS) is an autosomal recessive multiple malformation syndrome characterized by hydrometrocolpos (HMC) and postaxial polydactyly (PAP). We report a case of a female child with MKS who was transferred to the neonatal intensive care unit of Seoul National University Children's Hospital on her 15th day of life for further evaluation and management of an abdominal cystic mass. She underwent abdominal sonography, magnetic resonance imaging, genitography and cystoscopy which confirmed HMC with a transverse vaginal septum. X-rays of the hand and foot showed bony fusion of the left third and fourth metacarpal bones, right fourth dysplastic metacarpal bone and phalanx, right PAP and hypoplastic left foot with left fourth and fifth dysplastic metatarsal bones. In addition, she had soft palate cleft, mild hydronephroses of both kidneys, hypoplastic right kidney with ectopic location and mild rotation, uterine didelphys with transverse vaginal septum and low-type imperforated anus. She was temporarily treated with ultrasound-guided transurethral aspiration of the HMC. Our patient with HMC and PAP was diagnosed with MKS because she has two typical abnormality of MKS and she has no definite complications of retinal disease, learning disability, obesity and renal failure that develop in Bardet-Biedl syndrome, but not in MKS until 33 months of age. Here, we describe a case of a Korean patient with MKS.

TNBS 유발 대장염(大腸炎)에 의한 체중 및 혈액상 변화에 대한 인삼(人蔘) 약침(藥鍼)의 효과 (Effects of Ginseng Radix herbal acupuncture on TNBS-induced colitis in rats)

  • 김종성;천상우;박상연;박성익;김경식;김재효;구성태;손인철
    • Korean Journal of Acupuncture
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    • 제23권4호
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    • pp.147-156
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    • 2006
  • Objectives : The purpose of the present study is to evaluate the effects of herbal acupuncture with Ginseng Radix for the treatment to intestinal disease in the rat with 2, 4, 6-trinitrobenzenesulfonic acid (TNBS) induced colitis. Methods : All animals were subjected to the injection of saline $(300{\mu}{\ell},\;500{\mu}{\ell})$ for a study control or TNBS $(300{\mu}{\ell},\;500{\mu}{\ell})$ into the lumen of the colon, 8cm proximal to the anus through the intestine. Ginseng Radix herbal acupuncture ($20mg/m{\ell},\;0.4m{\ell}$) were injected to the both $Hapgok(LI_4)$ acupoints at 2nd injection of TNBS in rats. Thus, the body weight, RBC count, WBC count, total protein, IgG levels and IgM levels were observed to study the effects of Ginseng Radix herbal acupuncture. Results : Ginseng Radix herbal acupuncture on $Hapgok(LI_4)$ for TNBS-induced colitis inhibited the body weight loss rate but did not affect RBC and WBC counts. Furthermore, it inhibited the reduction of total protein concentration and serum IgG and IgM levels in TNBS induced colitis were recovered. Conclusions : Herbal acupuncture with Ginseng Radix helps recover the TNBS-induced colonic damage and may be an important method for treatment of the colitis.

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