• 제목/요약/키워드: Cavity Wall

검색결과 546건 처리시간 0.026초

A Case of Ectopic Peritoneal Paragonimiasis Mimicking Diverticulitis or Abdominal Abscess

  • Kim, Min Jae;Kim, Sung-Han;Lee, Sang-Oh;Choi, Sang-Ho;Kim, Yang Soo;Woo, Jun Hee;Yoon, Yong Sik;Kim, Kyung Won;Cho, Jaeeun;Chai, Jong-Yil;Chong, Yong Pil
    • Parasites, Hosts and Diseases
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    • 제55권3호
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    • pp.313-317
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    • 2017
  • Paragonimiasis is a parasitic disease caused by Paragnonimus species. The primary site of infection is the lung, and extrapulmonary involvement is also reported. When infected with Paragonimus westermani, which is the dominant species in Korea, the central nervous system is frequently involved along with the liver, intestine, peritoneal cavity, retroperitoneum, and abdominal wall. Ectopic paragonimiasis raises diagnostic challenge since it is uncommon and may be confused with malignancy or other inflammatory diseases. Here, we report an ectopic paragonimiasis case initially presented with recurrent abdominal pain. The patient developed abdominal pain 3 times for the previous 3 years and the computed tomography (CT) of the abdomen revealed fluid collection with wall enhancement. Recurrent diverticulitis was initially suspected and part of the ascending colon was resected. However, the specimen showed intact colon wall without evidence of diverticulitis and multiple parasite eggs and granulomas were found instead. The size of about $70{\mu}m$, the presence of an operculum and relatively thick egg shell suggested eggs of Paragonimus species. With appropriate exposure history and a positive antibody test, the definitive diagnosis was made as peritoneal paragonimiasis.

흉부에서 발생한 악성 섬유성 조직구종 (Malignant Fibrous Histocytoma Originating from the Chest Wall)

  • 이철범;정태열;함시영;김혁;정원상;김영학;강정호;지행옥;박용욱
    • Journal of Chest Surgery
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    • 제33권4호
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    • pp.333-337
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    • 2000
  • Malignant fibrous histiocytoma(MFH) is a deep-seated pleomorphic sarcoma, which occurs principally as a mass of the extremities, abdominal cavity, or retroperitoneum in adults. However, it only rarely occurs in the chest wall. An 85-year-old man had undeergone excision of a small mass on the right posterior chest wall under local anesthesia 14 months age. However, the lesion did not heal and the mass recurred. He was referred to our hospital after the mass had grown to a size of 10.5$\times$8$\times$4cm with a 3$\times$3cm skin defect. Intraoperative frozen biopsy revealed MFH. An en-bloc wide resection and thin-thickness skin graft from his thigh were performed. Although distant metastasis to the lund developed 14 months later and the patient died 2 months later, there was no local recurrence. Thin-thickness skin graft is a simple method for a wide range skin defect, especially in the old age. He recovered in good condition without any physical disabilities.

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신체장애 평가에서 유방의 법적 지위 - 장기 해당 여부, 수유장애, 노동력상실에 대하여 - (The legal status of the breast in assessing physical disability)

  • 김봉겸
    • 의료법학
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    • 제18권1호
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    • pp.265-295
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    • 2017
  • 최근 들어서면서 유방에 대한 수술이 종류가 확대술 축소술 재건술로 대별되고 다양해지면서 이에 따른 원치 않은 수술성과에 대한 분쟁이 증가상태에 있으며, 이로 인한 배보상 문제가 최종적으로 대두되면서, '원치 않은 수술성과'를 '수술 후의 문제점' 보다는 "장애'로 보는 관점이 증가되면서, 신체장애 평가에서 유방의 흉부 장기 해당 여부에 따른 노동력상실률이 직접적으로 거론되기에 이에 대한 견해를 발표하고자 한다. 이를 위해, 법령에서 나오는 용어의 사전적 정의 및 의학적 제반 사항을 살펴보았다. 흉부 장기에 유방 포함 여부의 혼란은 용어 선정 후 그 해석이 시대 변화와 맞물려 유발된 것으로 생각된다. 법령에서의 자구 해석을 살펴보면, 유방은 흉부 장기에 해당되지 못함으로 규정된 것으로 사료되며, 수유장애는 낮은 출산율과 실제로 모유수유하는 경우가 현저하게 줄어들고 있는 상황에서 다수의 의견이라고 주장 강조함이 약화되고 있으며, 모유수유를 노동으로 볼 수 있는 유모로서의 직업도 현재 존재하는지 조차 모르는 실정이다. 이런 이유로, 유방을 흉복부 장기 해당 여부에 대한 논란을 잠재우기 위해서, 포함시키려면, (1) 법령집의 용어를 교체하거나(흉복부 장기에서 (ㄱ) 흉복부를 '흉복부 및 흉복강'으로 그리고 (ㄴ) 장기를 '장기 및 기관'으로), (2) 여러 법령에서 용어 변경은 어렵기 때문에, "산업재해보상보험법 시행규칙 [별표 제5호] 신체부위별 장해등급 판정에 관한 세부기준(제48조 관련)"에 유방을 예외적으로 포함시키면 될 것이라고 생각해 본다. 그러나 피부부속기관인 유방을 흉복부 기관 혹은 예외적으로 포함시키면, 당연히 다른 피부부속기관도 포함시켜야 하는 모순관계가 도출되는 문제가 있다고 사료된다. 반면 완전히 배제시키려면, (1) '흉복부'를 '흉복강'으로 하거나, (2) "유방은 제외된다"라는 단서 조항만 삽입하면 될 것이라고 생각해 본다. 법 앞에 만인이 평등하다 하지만 만인 앞에 법이 평등하기 위해서는, 즉 새로운 해석과 판결을 위해서는 사회적인 합의가 있어야 할 것으로 생각된다.

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진도개에서 임신일령에 따른 임신구조물의 초음파상 II. 태아 및 태아외구조물의 측정에 의한 임신일령의 추정 (Ultrasonographic appearance of the gestational structures throughout accurately timed pregnancy in Korea Jin-do dogs II. Estimation of gestational age by measurement of the fetal and extra-fetal structures)

  • 손창호;신창록;강병규;최한선
    • 대한수의학회지
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    • 제36권1호
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    • pp.247-254
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    • 1996
  • Serial ultrasonographic examinations were performed on 9 pregnant Korea Jin-do dog from days 15 to 60 to determine the size of gestational structures throughout pregnancy. Gestational age was timed from the day of ovulation (Day 0), which was estimated to occur when plasma progesterone concentration was first increased above 4.0 ng/ml. Extra-fetal structures were measureable from days 17 to 49. Outer uterine diameter increased from $7.0{\pm}0.7$ ($mean{\pm}SD$)mm at day 17 to $54.0{\pm}2.2mm$ at day 49 and inner chorionic cavity diameter increased from $3.0{\pm}0.7mm$ at day 17 to $37.5{\pm}0.6mm$ at day 49. Uterine wall thickness increased from $2.8{\pm}0.4mm$ at day 17 to $8.3{\pm}0.5mm$ at day 49, placental thickness increased from $1.0{\pm}0.1mm$ at day 22 to $5.7{\pm}0.2mm$ at day 49 and length of chorionic cavity or zonary placenta increased from $5.5{\pm}1.3mm$ at day 20 to $52.3{\pm}2.2mm$ at day 49. Inner chorionic cavity diameter, outer uterine diameter and placental length each increased at a linear rate through day 37, after which time, each had a marked plateau in growth. Of the extra-fetal structures, inner chorionic cavity diameter was the most accurate for estimation of gestational age until day 37. Fetal structures were measureable from days l7 to 60. Crown-rump length, increased from $3.0{\pm}0.7mm$ at day 22 to $118.7{\pm}3.1mm$ at day 49, fetal body diameter increased from $4.0{\pm}0.7mm$ at day 25 to $55.8{\pm}1.7mm$ at day 60 and fetal head diameter increased from $4.3{\pm}0.6mm$ at day 26 to $29.8{\pm}0.8mm$ at day 60. Of the fetal structures, fetal head diameter was the most accurate for estimation of gestational age from day 37 until day 60.

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복강내 확산성 물질의 부위별 흡수속도 (Regional Differences of Entry Rate of Freely Diffusible Substances from Peritoneal Cavity)

  • 조병득;신동훈
    • The Korean Journal of Physiology
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    • 제1권2호
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    • pp.157-168
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    • 1967
  • The entry of antipyrine and urea from the peritoneal cavity of rabbit into organ tissue and blood plasma was studied. Two hundred mg of antipyrine plus 300 mg of urea in 10 ml Ringer's solution was injected into the peritoneal cavity of anesthetized rabbit. The injection was made from above of a rabbit kept tying right side down and it enabled part of the abdominal organs (liver, intestine, kidney) was immersed in the injected solution and kept high concentration gradient throughout the experimental period. The remaining part of the organs was revered only by a thin film of the test solution. Subsequently, in this part of the organs the concentration gradient of the diffusible substances during entry was presumed to decrease as time elapsed. Four pieces of the liver tissue were taken namely, the right superficial, right deep, left superficial and left deep portions. Two were taken from the small intestine, one from the portion which was immersed in. the fluid and the other from that above the fluid mass. Both kidneys were separately analyzed. As a remote organ the gastrocnemius muscle was taken from the right leg of the animal. The intervals which were the time periods elapsed after injections were 5,7,10,15 or 30 minutes. At each point 5 animals were sacrificed and the concentrations of the test substances in the tissue water were measured. The results obtained were as follows. 1. In the liver the right portion which was immersed in the fluid showed higher concentration if the test substances than the left portion and the superficial region exceeded the deep region. The concentrations diminished as the time elapsed after infusion, particulary in the case of antipyrine, suggesting circulatory removal of the substances. In urea such decreasing tendency of the concentration was not obvious, and suggested slower removal rate of it as compared with that of antipyrine. 2. In the small intestine there was no regional difference in the concentration of the test substances. Because of the intestinal motility different portions of the intestine were seemed to have bathed in the fluid of the same concentration. In general the concentrations in the intestinal wall exceeded those of the liver, suggesting a slower removal rate than in the latter. 3. In the kidney the accumulation of the endogenous urea was predominant, and the accumulating mechanism in the renal tissue went on during the period of the experiment. Therefore it revealed increasing tendencies as the time elapsed. The penetration of the test substances in this organ from the peritoneal cavity seemed to be slower than in other abdominal organs, namely liver or small intestine. Part of the test substances in the kidney were obviously brought by the blood stream. 4. Rapid exponential decay of the concentration of antipyrine and of the osmolality of the peritoneal fluid was attributed to the extensive removal through the whole dimension of the peritoneal surface, and the remote organ such as the gastrocnemius muscle attained a fairly close value to that of the abdominal organs in less than 30 minutes. The factors which related to the absorption rate were discussed. They were the concentration gradient, permeability and the regional perfusion rate.

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공팽창이론에 의한 압력식 쏘일네일링의 인발저항력 산정 (Pullout Resistance of Pressurized Soil-Nailing by Cavity Expansion Theory)

  • 서형준;박성원;정경한;최항석;이인모
    • 한국지반공학회논문집
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    • 제25권7호
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    • pp.35-46
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    • 2009
  • 압력식 쏘일네일링 공법은 지반에 네일을 삽입한 후 압력그라우팅을 수행하여 지반과 그라우팅 사이의 인발저항력 증가를 활용한 공법으로 원지반의 강도를 최대한 활용한 공법이다. 최근들어, 쏘일네일링 공법은 절취사면 보강이나 도심지 터파기 및 흙막이 구조물, 옹벽 보강 등 사면안정에 많이 시용된다. 하지만 압력식 쏘일네일링 공법은 그라우팅을 가압하여 주입함에 띠라 주입 시와 주입 후의 지반응력의 변화 양상에 매우 복잡하다. 따라서 압력식 쏘일네일링 공법에 의한 인발저항력의 증가양상을 파악하기가 매우 어렵기 때문에 대부분 경험적인 설계가 이루어 지고 있는 실정이다. 본 연구는 압력식 쏘일네일링 공법의 인발저항력의 증가를 이론적으로 규명하고 실내 및 현장 시힘을 바탕으로 비교하여 인발저항력을 예측히는데 그 목적이 있다. 본 논문에서는 인발저항력의 증가에 영향을 미치는 요소를 공벽에 작용히는 평균연직응력과 인발마찰계수의 증가로 규명하였다. 실내시험을 통해서 측정된 반경방향 변위를 본 논문에서 제안한 공팽창이론에 적용하여 팽창각을 산정하였다. 팽창각이 감소함에 따라 반경방향변위는 증가하고 주입압이 증가함에 따라 팽창각이 증가하는 것을 알 수 있었다. 또한 현장인발시험을 통해서 측정한 인발저항력이 제안된 인발저항력과 거의 통일한 것을 알 수 있었다.

유아성 흑백 신경외배엽성 종양 (Melanotic neuroectodermal tumor of infancy)

  • 송행은;고광준
    • Imaging Science in Dentistry
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    • 제32권3호
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    • pp.181-185
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    • 2002
  • The melanotic neuroectodermal tumor of infancy is a rare neoplasm arising in the first year of life. A 33-day-old female infant had an enlarged alveolar ridge on the right anterior maxilla. Intraoral examination revealed a nonulcerative swelling at the site. An intraoral radiograph showed an ill-defined radiolucency on the right anterior maxilla and displacement of primary incisors from their alveolar sockets. CT scans revealed an expansion of the surrounding bone and partial destruction of the anterior wall of the premaxilla. Histopathologic examination showed the cytoplasm of neuroblastic cells and eosinophilic, epithelioid cells frequently contained a dark brown granular pigment that stained positively to vimentin and HMB45, focally positive to NSE and cytokeratin. Four weeks after the operation, CT scans showed a rapidly growing soft tissue mass occupying right maxillary sinus encroaching to the orbit and nasal cavity. The final diagnosis was made as a malignant melanotic neuroectodermal tumor of infancy.

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A Numerically Efficient Full Wave Analysis of Circular Resonators Microbandes Stacked Involving Multimetallisations

  • Chebbara, F.;Fortaki, T.
    • Journal of Electrical Engineering and Technology
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    • 제10권1호
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    • pp.314-319
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    • 2015
  • The conventional geometry of a plate microstrip resonator is made up of a single metallic patch, which is printed on a monolayer dielectric substrate. Its arrangement is simple and easy to make, but it is limited in its functional abilities. Many searches have been realized to improve the bandwidth and the gain of the microstrip resonators. Among the various configurations proposed in the open literature, the stacked geometry seems to be very promising. By appropriate design, it is able to provide the operation in dual frequency mode, wide bandwidth enough and high gain. The theoretical investigations of structures composed of two stacked anti-reflection coatings, enhanced metallic coatings are available in the literature, however, for the stacked configurations involving three metallic coatings or more, not to exact or approximate analysis was conducted due to the complexity of the structure.

New Record of the Genus Oncholaimus Nematode Species (Nematoda: Oncholaimidae) from the East Sea of Korea

  • Lee, Hyo Jin;Rho, Hyun Soo;Jung, Jongwoo
    • 환경생물
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    • 제33권2호
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    • pp.170-176
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    • 2015
  • Oncholaimid nematode, Oncholaimus secundicollis Shimada, Kajihara and Mawatari, 2009, is firstly reported based on a comparative morphological study. The present specimens of O. secundicollis are collected from rocky intertidal seagrass on the eastern coast of Korea. Oncholaimus secundicollis is distinguished from all of its congeners by the following combination of morphological characteristics: buccal cavity large with thick cuticular wall and three teeth, left subventral tooth larger than right subventral or dorsal teeth, and the presence of two remarkable precloacal papillae with nine pairs of cloacal setae and single ventral tail papilla with two pairs of short setae. In this study, we provide taxonomic description and illustration of unrecorded species of the genus Oncholaimus.

패턴된 기판에 금속 배선 형성 (Metallization on Patterned Substrate)

  • 김남석;강탁;남승우;박용수
    • 한국표면공학회지
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    • 제28권5호
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    • pp.309-319
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    • 1995
  • The substrate patterned with the dry film has the cavity which has the $90^{\circ}$ wall angle. Electroplating Cu on this patterned substrate has the differrent shape history with the electrochemical parameters. By potential theory model, the reason of the variation of the shape change with the these parameters was investigated. The shape history could be explained by the current flow and the correlated area effects. By embedding the Ni layer between the Cu layers, shape history with the time was obtained experimentally and the results was compared with the numerical analysis by BEM. The adhesive Cr-Cu film in TAB application was etched with the various condition. The best condition for the etchant of the Cr-Cu film was found.

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