• Title/Summary/Keyword: Aspiration Level

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Surgical Treatment of Congenital Cystic Adenomatoid Malformation; 1 Case Report (선천성 낭종성 기형의 외과적치료;1례 보고)

  • Lee, Jeong-Hui;Im, Jin-Su;Choe, Hyeong-Ho
    • Journal of Chest Surgery
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    • v.26 no.4
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    • pp.320-324
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    • 1993
  • Congenital cystic adenomatoid malformation [CCAM] of the lung is extremely rare. The patient was 10 year old female and had no specipic signs and symptoms except right lower chest pain for 5 days ago before admission.On simple chest X-ray and thoracic CT scan, about 9x8x8cm sized, heterogenous marginal enhanced multiseparated hypodence lesion with air fluid level and gas bubbles in posterior pleural space in right lower chest .The culture result of needle aspiration of cavity was apergillus flavus. Right lower lobectomy was carried out and the result of biopsy was congenital cystic adenomatoid malformation.

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Pharyngogastrostomy in an Epiglottectomized Patient -A Case Report- (후두개절제환자에서 시술한 인두위문합술 -1예 보고-)

  • Song, Yo-Jun;Kim, Chong-Whan
    • Journal of Chest Surgery
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    • v.7 no.2
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    • pp.175-178
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    • 1974
  • The patient was 21-year old male who had gastrostomy and tracheostomy after swallowing lye-stuff in July 1971. He could restore his normal voice and breathing after removal of his destructed epiglottis obstructing his upper airway two years later. Pharyngogastrostomy was performed in Nov 1973. The esophagus which was totally obliterated in its full length was removed and the stomach was brought high up to the level of pharynx where it was anastomosed to the posterior wall of pharynx. His postoperative course was temporarily complicated by aspiration of small food into trachea which could be completely relieved with training, and he is doing his normal life quite well on the follow-up.

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A Case Report of Traumatic Tracheoesophageal Fistula (외상성 기관식도루 -수술체험 1례-)

  • 최승호
    • Journal of Chest Surgery
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    • v.27 no.10
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    • pp.888-892
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    • 1994
  • Acquired, traumatic tracheoesophageal fistula [TEF] is rare and difficult problem to manage. This 55 years old man met with a roller accident of a tractor. During accident, he received a penetrating injury on the left upper sternal border. At local clinic, he received closed thoracotomy drainage [CTD]for relief of pneumothorax[left]. Three days after CTD, he complained abdominal pain and hematemesis. The endoscopy revealed large ulcer at the stomach, so he received subtotal gastrectomy. On 10th day post subtotal gastrectomy, he developed aspiration and coughing from a TEF. The esophagogram showed large TEF at the mid-trachea level. So he transfered to our hospital for operation. This patient was operated on for late TEF three weeks after injury. We have used absorble 4-0 Vicryl sutures to repair trachea. We repair all esophageal injuries with two layers of nonabsorbable silk suture. Where suture line on the esophagus, the strap muscle was interposed for reinforcement. And for feeding, the feeding jejunostomy was performed. Postoperatively the osteomyelitis of the manubrium site was developed, so on the 30th postoperative day, an ostectomy of manubrium, both clavicle and fight 1st, 2nd ribs, and the pectoralis major musculo-cutaneous flap coverage were performed.

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AN ECONOMIC PRODUCTION QUANTITY INVENTORY MODEL INVOLVING FUZZY DEMAND RATE AND FUZZY DETERIORATION RATE

  • De, Sujit-Kumar;A. Goswami;P.K. Kundu
    • Journal of applied mathematics & informatics
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    • v.12 no.1_2
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    • pp.251-260
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    • 2003
  • Generally, in deriving the solution of economic production quantity (EPQ) inventory model, we consider the demand rate and deterioration rate as constant quantity. But in case of real life problems, the demand rate and deterioration rate are not actually constant but slightly disturbed from their original crisp value. The motivation of this paper is to consider a more realistic EPQ inventory model with finite production rate, fuzzy demand rate and fuzzy deterioration rate. The effect of the loss in production quantity due to faulty/old machine have also been taken into consideration. The methodology to obtain the optimum value of the fuzzy total cost is derived and a numerical example is used to illustrate the computation procedure. A sensitivity analysis is also carried out to get the sensitiveness of the tolarance of different input parameters.

A Case of Anaplastic Carcinoma Arising Ectopic Thyroid (이소성 갑상선에 발생한 역형성 암종 1예)

  • Kang, Jae-Ho;Choi, Kyung-Min;Kim, Yoon-Jung;Kim, Seung-Woo
    • Korean Journal of Head & Neck Oncology
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    • v.25 no.2
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    • pp.153-155
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    • 2009
  • Ectopic thyroid glands generally occur in the midline as a result of abnormal median migration, and their presence lateral to the midline is extremly rare. We report a 83-year-old male with anaplastic carcinoma admix papillary carcinoma in the extrathyroid area. We suspected left lateral neck metastasis on preoperative fine needle aspiration result and computed tomography. the patient underwent total thyroidectomy and left selective neck dissection(level II, III, IV, V). The patient was diagnosed as having an ectopic thyroid gland on the lateral neck with anaplastic carcinoma admix papillry carcinoma. The patient is alive without incident of tumor recurrence at 5month after surgery and radiotherapy.

Analysis of Career Behaviors on the Women's Second Labor Market Transition (경력단절 여성의 노동시장 재진입 욕구형태에 따른 진로행동 분석)

  • Park, Sung-Mi
    • Journal of Fisheries and Marine Sciences Education
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    • v.22 no.2
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    • pp.165-179
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    • 2010
  • The purpose of this study was to analyze career behaviors(job exploration, job hunting) of the need mode in the women's second labor market transition. To obtain this objective 501 women, who quitted their job in 780 women randomly sampling completed questionnaire. To analyze data, $x^2$, ANOVA were executed. Research results were explained, there were no difference career behaviors, experience of career counseling, experience of career education, aspiration of career behaviors by the need mode in the women's second labor market transition. But, there were difference motivation of labor market entry, career barriers, preference of occupations, level of job competence of career behaviors by the need mode in the women's second labor market transition. The implications of the results on women's second labor market transition of developing career education and counseling programs were discussed and finally suggestions for further study were made.

General Cytological Characters of Malignant Breast Lesions (유방의 세침흡인 세포검사 -악성 병변의 일반적인 세포 소견-)

  • Kim, Jee-Yeon
    • The Korean Journal of Cytopathology
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    • v.18 no.2
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    • pp.100-111
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    • 2007
  • Fine needle aspiration (FNA) cytology of breast disease is recognized to be highly accurate and cost effective, especially when this is used in combination with clinical examination and imaging as part of a triple approach. A probabilistic/categorical approach is used for the classification of breast FNA specimens. Criteria are defined from the perspective of the likelihood of making a definitive diagnosis of cancer on excision. This approach is an accurate way of classifying breast FNA specimens, and this can be reliably applied regardless of the level of experience of the pathologist for interpreting the case. When a definitive diagnosis of malignancy is made, the next step is to determining the specific histologic types of the malignancy according to their cytological features. In order to make an accurate diagnosis of carcinoma and for correct typing a tumor, an adequate, correctly sampled aspirate without any other artifacts is required.

Bronchogenic cyst masquerading as malignant pericardial effusion with tamponade

  • Choi, Kang-Un;Kim, Byung-Jun;Kim, Hong-Ju;Son, Jang Won;Park, Jong-Seon;Shin, Dong-Gu;Kim, Young-Jo
    • Journal of Yeungnam Medical Science
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    • v.34 no.1
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    • pp.91-95
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    • 2017
  • We report on a rare case involving a 23-year-old female patient with mediastinal cystic mass complicated with acute pericarditis and cardiac tamponade. Pericardial fluid demonstrated lymphocyte-predominant exudate and the level of carcinoembryonic antigen (CEA) was unexpectedly elevated. Successive aspiration of mediastinal cystic mass revealed a very high level of CEA (>100,000 U/mL) and carbohydrate antigen 19-9 (>15,000 ng/mL). This patient was clinically diagnosed as an infected bronchogenic cyst complicated with pericarditis and cardiac tamponade. The treatment resulted in alleviation of her symptoms.

Sterile hemorrhagic cystitis occurred by cyclophosphamide therapy in a dog with lymphoma (림프종 이환견에서 Cyclophosphamide 치료에 의한 무균성 출혈성 방광염 발생 증례)

  • Yoon, Byung-Gook;Park, Hyung-Jin;Han, A-Ram;Song, Kun-Ho
    • Korean Journal of Veterinary Service
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    • v.39 no.3
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    • pp.193-197
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    • 2016
  • A 12-years-old Maltese (castrated male) dog with jaundice and purulent discharge from the shoulder was referred to the Veterinary Medical Teaching Hospital of Chungnam National University. A physical and laboratory examination revealed that the mucosa of the conjunctiva and the sclera were icteric, and the liver functional enzyme level and the total bilirubin level were increased. Duodenal caudal deviation caused by suspected masses in diameter of about 2 cm was shown by radiographic and ultrasonographic examinations. Using fine needle aspiration (FNA) and computed tomography (CT), the dog was diagnosed with alimentary lymphoma. The dog was treated with chemotherapy. Hematuria was discovered and dysuria occurred because of sterile hemorrhagic cystitis, which is a unique complication resulting from the use of cyclophosphamide.

An Aerodynamic and Acoustic Analysis of the Breathy Voice of Thyroidectomy Patients (갑상선 수술 후 성대마비 환자의 기식 음성에 대한 공기역학적 및 음향적 분석)

  • Kang, Young-Ae;Yoon, Kyu-Chul;Kim, Jae-Ock
    • Phonetics and Speech Sciences
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    • v.4 no.2
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    • pp.95-104
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    • 2012
  • Thyroidectomy patients may have vocal paralysis or paresis, resulting in a breathy voice. The aim of this study was to investigate the aerodynamic and acoustic characteristics of a breathy voice in thyroidectomy patients. Thirty-five subjects who have vocal paralysis after thyroidectomy participated in this study. According to perceptual judgements by three speech pathologists and one phonetic scholar, subjects were divided into two groups: breathy voice group (n = 21) and non-breathy voice group (n = 14). Aerodynamic analysis was conducted by three tasks (Voicing Efficiency, Maximum Sustained Phonation, Vital Capacity) and acoustic analysis was measured during Maximum Sustained Phonation task. The breathy voice group had significantly higher subglottal pressure and more pathological voice characteristics than the non breathy voice group. Showing 94.1% classification accuracy in result logistic regression of aerodynamic analysis, the predictor parameters for breathiness were maximum sound pressure level, sound pressure level range, phonation time of Maximum Sustained Phonation task and Pitch range, peak air pressure, and mean peak air pressure of Voicing Efficiency task. Classification accuracy of acoustic logistic regression was 88.6%, and five frequency perturbation parameters were shown as predictors. Vocal paralysis creates air turbulence at the glottis. It fluctuates frequency-related parameters and increases aspiration in high frequency areas. These changes determine perceptual breathiness.