• Title/Summary/Keyword: Cephalic

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Cercarial Chaetotaxy of Clonoychis sinensis (간흡충 세르카리아의 Chaetotaxy에 관한 연구)

  • 민득영;김재진
    • Parasites, Hosts and Diseases
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    • v.26 no.2
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    • pp.113-116
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    • 1988
  • The pattern of sensory papillae, chaetotaxy, of the cercaria of Clenorchis sinensis was observed, The chaetotaxy was as follows; 5~6 Ci 1, 4~5 Ci 2, 5, ~6 Ci3 at 1st row, 4 Cii 1, 2 Cii2, 4 Cii3, 5~6 Cii4 at 2nd row, 3~4 Ciii 1, 2~3 Ciii 2 at 3rd row, and 2 Civl, 2~3civ2, 2~3 Civ 3, at 4th row, in cephalic region; 2 AiV, 1 AiD, 2 AiiV, 1 AiiD, 2 Aiiiv, 2 AiiiD, 1 AivV, 1 AivD, 1 PiiD, 1 PiiiD, in ventral(V) and dorsal(D) portions of body. Caudal region revealed 2-2-2-2 formula.

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Hemodynamical analysis by viscosity characteristics of artificial blood for μ-PIV experiment of Radio-cephalic arteriovenous fistula(RC-AVF) (μ-PIV기법을 이용한 동정맥루 모사혈관에서의 모사 혈액의 점도특성에 따른 혈류역학적 분석)

  • Song, Ryungeun;Lee, Jinkee
    • Journal of the Korean Society of Visualization
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    • v.14 no.1
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    • pp.33-39
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    • 2016
  • Radio-cephalic arteriovenous fistula(RC-AVF) is the most recommended operation of achieving access for hemodialysis. However, it has high rates of early failure depending on the many haemodynamic conditions. To increase RC-AVF patency rate, many researches were performed by in-vitro experiment via artificial vessel and blood analogue fluid, and there were conflicting opinions about whether the non-Newtonian properties of blood have an influence on the flow in large arteries. To investigate the influence of viscoelasticity of blood within the RC-AVF, we fabricated three dimensional artificial RC-AVF and two kinds of blood analogue fluid. The velocity field of two fluids within the vessel were measured by micro-particle velocimetry(m-PIV) and compared with each other. The velocity profiles of both fluids for systolic phase were matched well while those for diastolic phase did not correspond. Therefore, it is desired to use non-newtonian fluid for in-vitro experiment of RC-AVF.

Taxonomic Study of Marine Nematodes from the Philippines I. Genus Tenuidraconema (Desmodorida: Draconematidae) (필리핀산 해양 선충류의 분류학적 연구 I. 가는도마뱀선충속 (Desmodorida목: 도마뱀선충과))

  • Rho Hyun Soo;Kim Won
    • Animal Systematics, Evolution and Diversity
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    • v.21 no.1
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    • pp.57-66
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    • 2005
  • Tenuidraconema philippinensis, a new species of free-living marine nematode, collected from the shallow subtidal coarse sediments of the Philippines, is described. The new species differs from T. fiersi Decraemer, 1989 and T. koreensis Rho and Kim, 2004, by the following characteristics: the position of 12 cephalic adhesion tubes in both sexes (all 12 cephalic adhesion tubes inserted on the body annules), the number of posterior sublateral adhesion tubes (12 in male and 11 in female) and posterior subventral adhesion tubes (16 in male and 17 in female), and the absence of the intermingled somatic setae in male. This is the first discovery of the genus Tenuidraconema in the Philippines.

Panfacial bone fracture: cephalic to caudal

  • Yun, Seonsik;Na, Youngcheon
    • Archives of Craniofacial Surgery
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    • v.19 no.1
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    • pp.1-2
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    • 2018
  • Theoretically, panfacial bone fractures involve all three areas of the face: frontal bone, midface, and mandible. In practice, when two out of these three areas are involved, the term "panfacial bone fracture" has been applied. We can use physical examination, simple radiologic examination, and computed tomography study for diagnosis. Linear fracture are treated by conservative treatment. But, most of panfacial bone fracture patients need to be treated by open reduction and internal fixation. Facial width is most important thing that we need to care during operation. There are many ways about sequence like "top to bottom," "bottom to top," "outside to inside," or "inside to outside" and the authors prefer "top to bottom" and "outside to inside" ways. The authors apply arch bar from the first of surgery and then, set frontal bone fracture, midface fracture and mandible fracture in sequence. Usually, we remove the stitches for 5 days after surgery and the intraoral stitch removed after 2 weeks. Usually arch bar is going to be removed 4 weeks after surgery. We could get acceptable results with the above way.

Retrieval of an Intravascular Catheter Tip Fracture in a Dog

  • Na, Yeon-Joo;Ko, Hui-Yeon;Geum, MiGyeong;Jeon, Sukhyon;Kim, Se Eun;Kim, Ha-Jung
    • Journal of Veterinary Clinics
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    • v.37 no.5
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    • pp.270-272
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    • 2020
  • An intravenous foreign body was retrieved from a 10-year-old Maltese. A 24 gauze of fracture intravenous (IV) catheter moved into the circulation to a Maltese (3.4 kg) dog through the upper cephalic vein. Radiography was performed to observe the fracture's moving path, followed by fluid therapy. It was found in the upper cephalic vein, moved about 10 cm up to dorsal and near the proximal humerus. Retrieval surgery was performed successfully without complications. The catheter fracture retrieval sometimes remains a challenge because of unknown complications in veterinary medicine. This case report describes that a fracture IV catheter moved to the systemic vein was removed successfully by a surgery.

Cephalic Tetanus Presenting with Dysphagia as an Initial Symptom: A Case Report (초증상으로 연하장애를 호소한 두부형 파상풍 환자 1예)

  • Oh, Kyoung-Ho;Ju, Young-Ho;Kwon, Do-Young;Hong, Seok-Jin;Kwon, Soon-Young
    • Korean Journal of Bronchoesophagology
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    • v.16 no.2
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    • pp.157-160
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    • 2010
  • Tetanus is a life-threatening infection that is rare in the developed country. Because of the rarity: of the disease, the clinician may be unfamiliar with the clinical presentation and unsuspecting of the diagnosis. However, tetanus can rapidly progress into lethal muscle spasms accompanied by respiratory insufficiency, and it has a mortality of 15 to 30%. The most common presenting symptom was trismus, followed by neck pain, dysphagia, generalized pain and facial muscle contractions. Dysphagia is a common symptom of tetanus, but not common as an initial symptom, the correct diagnosis and adequate therapy are likely to be delayed. Treatment involves administration of penicillin, tetanus immune-globulin, debridement of wounds, aggressive supportive care, and initiation of active immunization. We report an elderly woman presenting with dysphagia as an initial symptom of tetanus with review of literature.

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Effectiveness of a Hockey-Stick Probe to Localize a Catheter Fragment in a Dog

  • Kim, Kitae;Oh, Dayoung;Shin, Dongmin;Yoon, Junghee
    • Journal of Veterinary Clinics
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    • v.39 no.4
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    • pp.173-176
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    • 2022
  • Intravenous catheterization is a common procedure in human and veterinary medicine. Occasionally, a catheter might break within the blood vessel, and the fragment may cause embolization, infections, or other severe complications, and therefore must be removed promptly. For a successful and low-risk removal, the fragment should be localized accurately; however, ultrasound may be challenging to perform on small dogs due to inadequate probes. We report the case of a 2-year-old, 2.6 kg, intact female toy poodle that presented to the veterinary medical center owing to a recent onion intake; the owner requested to induce emesis. A 24 gauge peripheral intravenous catheter was inserted into the cephalic vein prior to the emetic injection. When the clinician removed the catheter, a device breakage was observed. A tourniquet was applied immediately proximal to the elbow. Ultrasonography was performed with a high-frequency small-footprint linear array transducer, also called a hockey-stick probe, to localize the fragment. An additional ultrasound was performed before surgery to confirm the location of the catheter piece, which migrated 5 cm proximally. Afterward, a surgical intervention allowed us to retrieve the fragment. This report highlights the effectiveness of a hockey-stick probe to determine the location of a catheter fragment in small breed dogs.

Intraoperative Balloon Angioplasty Using Fogarty Artertial Embolectomy Balloon Catheter for Creation of Arteriovenous Fistula for Hemodialysis: Single Center Experience

  • Jin, Moran;Yoon, Young Chul;Wi, Jin Hong;Lee, Yang-Haeng;Han, Il-Yong;Park, Kyung-Taek
    • Journal of Chest Surgery
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    • v.48 no.2
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    • pp.120-125
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    • 2015
  • Background: The purpose of this study was to evaluate the use of a Fogarty arterial embolectomy catheter (Fogarty catheter) in intraoperative balloon angioplasty of the cephalic vein, in order to determine its effect on the patency of arteriovenous fistulas (AVFs) created for hemodialysis access. Methods: A total of 156 patients who underwent creation of an AVF were divided into two groups, based whether a Fogarty catheter was used during AVF creation. Group A (89 patients) comprised the patients who underwent balloon angioplasty with a Fogarty catheter during the operation. Group B (67 patients) included the patients in whom a Fogarty catheter was not used during the operation. Patient records were reviewed retrospectively and documented. The patency rate was determined by the Kaplan-Meier method. Results: The records of 156 patients who underwent the creation of an AVF from January 2007 to October 2011 were included. The mean follow-up duration was $40.2{\pm}19.4$ months (range, 1 to 97 months). The patency rates in group A at 12, 36, and 72 months were $83.9%{\pm}3.9%$, $78.3%{\pm}4.6%$, and $76.3%{\pm}4.9%$, respectively, while the corresponding patency rates in group B were $92.5%{\pm}3.2%$, $82.8%{\pm}0.5%$, and $79.9%{\pm}5.7%$, respectively. The patency rates in group B were found to be slightly higher than those in group A, but the difference was not statistically significant (p=0.356). Conclusion: Intraoperative balloon angioplasty of the cephalic vein using the Fogarty catheter is a simple and easily reproducible procedure, and it can be helpful in increasing AVF patency in cases of insufficient runoff or a suboptimal cephalic vein.

The Usefulness of Cephalic Vein Cut-Down for Totally Implantable Central Venous Port in Children (소아에서 완전 이식형 중심정맥포트를 위한 두정맥 절개술의 유용성)

  • Jung, Kyu-Whan;Moon, Suk-Bae;Jung, Sung-Eun;Lee, Seong-Cheol;Park, Kwi-Won
    • Advances in pediatric surgery
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    • v.14 no.1
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    • pp.67-74
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    • 2008
  • The usefulness of totally implantable central venous port for long-term intravenous infusion is widely accepted in children. Usually the catheters are placed through the internal or external jugular vein. In case of jugular vein cut-down, two separate incisions are needed for catheter and port respectively. Patients also feel uncomfortable as the catheter run through the neck. However these disadvantages can be overcome by using the cephalic vein (CV). We reviewed our experiences on CV cut-down for totally implantable central venous port in children. From January 2002 to December 2006, 201 patients (M:F=127:74) underwent 218 central venous port insertions. Mean age at operation was 5.9 years (2 months - 19 years). Indications included chemotherapy (N=167), long-term intravenous antibiotics infusion (N=36), and total parenteral nutrition (N=15). CV was selected preferentially. The incision includes the deltopectoral triangle laterally, and both the CV cut-down and port insertion were achieved with a single incision. The number of insertion through external, internal jugular vein, and CV was 77, 66 and 75, respectively. The median age, height and body weight were higher in CV cut-down group. The youngest age for CV cut-down was 8 months, the shortest height was 69 cm and the smallest body weight was 5.9 kg. Of 118 trials of CV cut-down, cut-down was successful in 75 cases (63.6 %). CV was absent in 10 cases(8.4 %) and CV was sacrificed after catheter tip malposition in 10 cases (8.4 %). There was only one complication, in which the catheter was inserted into the minute branch of subclavian artery. The CV cut-down method for totally implantable central venous port was safe and feasible in selected groups of patients in children. In addition, preservation of jugular vein and a more favorable cosmetic effect are other benefits of CV cut-down.

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Bare-Metal Stent in Dysfunctional Hemodialysis Access: An Assessment of Circuit Patency according to Access Type and Stent Location (혈액투석 접근로 기능부전에서의 비피복형 스텐트: 접근로 종류와 스텐트 위치에 따른 개통률 평가)

  • Kyungmin Lee;Je Hwan Won;Yohan Kwon;Su Hyung Lee;Jun Bae Bang;Jinoo Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.1
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    • pp.197-211
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    • 2023
  • Purpose To evaluate the circuit patency after nitinol bare-metal stent (BMS) placement according to the type of access and location of the stent in dysfunctional hemodialysis access. Materials and Methods Between January 2017 and December 2019, 159 patients (mean age, 64.1 ± 13.2 years) underwent nitinol BMS placement for dysfunctional access. The location of stents was as follows: 18 brachiocephalic vein, 51 cephalic arch, 40 upper arm vein, 10 juxta-anastomotic vein, 7 arteriovenous (AV) anastomosis, and 33 graft-vein (GV) anastomosis. Circuit patency was evaluated by the Kaplan-Meier method, and cox regression model. Results A total of 159 stents were successfully deployed in 103 AV fistula (AVF) and 56 AV graft (AVG). AVG showed lower primary and secondary patency at 12-months compared with AVF (primary patency; 25.0% vs. 44.7%; p = 0.005, secondary patency; 76.8% vs. 92.2%; p = 0.014). Cox regression model demonstrated poorer primary patency at 12 months after stenting in the cephalic arch and GV anastomosis compared with the other sites. Conclusion AVF showed better primary and secondary circuit patency at 12 months following the placement of BMS compared with AVG. Stents in the cephalic arch and GV anastomosis were associated with poorer primary patency at 12 months compared to those in other locations.