• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제12권1호
• /
• pp.51-56
• /
• 2009

신경성 식욕부진은 수많은 합병증을 초래하고 높은 치사율을 보이는 만성 질환이다. 저자들은 과다한 체중 감소로 보행이 불가능하여 입원한 13세 남아에서 자발적 위천공 수술 후 말초 정맥 영양과 경구 영양으로 재급식 증후군을 성공적으로 치료한 예를 경험하였기에 이에 보고하는 바이다.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제16권2호
• /
• pp.131-134
• /
• 2013

Cecal volvulus is uncommon in pediatric patients and there are few reports of cecal volvulus with cerebral palsy. Here, we report the case of a 19-year-old male patient who presented with abdominal distension, a history of cerebral palsy, refractory epilepsy due to lissencephaly, and chronic constipation. An abdominal x-ray and computed tomography without contrast enhancement showed fixed dilated bowel intensity in the right lower abdomen. Despite decompression with gastric and rectal tube insertion, symptoms did not improve. The patient underwent an exploratory laparotomy that revealed cecal volvulus. Cecal volvulus usually occurs following intestinal malrotation or previous surgery. In this patient, however, intestinal distension accompanying mental disability and chronic constipation resulted in the development of cecal volvulus. We suggest that cecal and proximal large bowel volvulus should be considered in patients presenting with progressive abdominal distension combined with a history of neuro-developmental delay and constipation.

• Restorative Dentistry and Endodontics
• /
• 제21권1호
• /
• pp.385-402
• /
• 1996

Cytotoxicity of dental restorative materials using cell culture technique has been extensively studied by various quantitative assays. The aim of this study was to investigate the microstructural change of damaged L292 cells which could not observed with light microscope. Cytotoxic effect of ZOE, Prisma APH (Densply International Inc., U.S.A.), Clearfil FII(Kuraray Co., Japan), Fuji II(GC Co., Japan) and Fuji II LC(GC Co., Japan) on cultured L292 cells were observed. Irreversible cell damage and cytolysis were found in ZOE and Fuji II groups. In Clearfil FII, mild to moderate cell damage was observed. APH group showed variable cytotoxicity. Moderate cell damage was found in Fuji II LC group. Cytotoxic effect were as follows : A condensation of the chromatin occureds along or adjacent to the inner membrane of the nuclear envelops. The nuclear envelope remained resonably intact but the contents were partially or completely lost. The cell nucleus contains clusters of markedly electron-dense interchromatin granules. The rough endoplasmic reticulum were dilated. In some mitochondira, matrix was disoriented and fused cristae were discernible. Mitochondiral swelling and woolly appearance were recognized. Large vacuoles and autolysosmes were found in cytoplasm. Some breaks of the cytoplasmic membrane and even cytolysis could be seen in dying cells.

• Journal of Chest Surgery
• /
• 제35권1호
• /
• pp.56-59
• /
• 2002

우심방과 관상정맥동의 선천성 기형은 크게 4 가지로 분류되는데, 전반적으로 확장된 우심방, 단일 낭성 게실(saccular diverticula), 다발성 낭성 게실, 그리고 우심방이나 관상정맥동에서 발생한 류(aneurysm)이다. 환아는 평소 건강하였으며, 우연히 시작된 상기도 감염증상으로 내원하여 시행한 단순 흉부 촬영 및 심초음파에서 다른 동반 기형 없이 우심방의 심한 확장을 발견하였다. 확장된 우심방은 심폐기 보조하에서 광범위한 절제를 시행하였으며, 병리학적 검사에서는 심내막 및 심외막에 경도의 섬유화를 동반한 국소 다발성 심근소실의 소견을 보였다. 본원에서는 6세 환아의 선천성 우심방 류를 광범위한 우심방 절제를 통해 교정했기에 이에 문헌 고찰과 더불어 증례 보고하는 바이다.

• 정보처리학회논문지B
• /
• 제10B권4호
• /
• pp.459-464
• /
• 2003

본 논문에서 제안한 위치 이동에 무관한 웨이블렛 변환을 이용한 홍채 인식 방법은 영상 획득 장비에 의해 획득한 사용자의 눈 영상에 대하여 홍채 영역만을 추출하기 위한 전처리를 수행하고 전처리를 거친 홍채 영상에 의하여 사용자의 신원을 식별하는데 있어서 홍채 영상의 기울어짐 및 이동 문제를 해결하였다. 이를 위해서 일반적인 웨이블렛을 사용하는 대신, 위치 이동에 무관한 웨이블렛 변환을 통하여 최적의 특징값을 추출한후, 이를 코드화하여 저장한 후, 비교하여 본인 여부를 식별하였다. 실험결과 제안된 방법으로 생성된 특징 벡터와 기존에 등록된 특징 벡터의 일치도 측정에 있어서 종래의 웨이블렛 변환 홍채 인식 방법보다 오인식률(FAR) 및 오거부율(FRR)이 현저하게 감소하였다.

• Progress in Superconductivity
• /
• 제5권1호
• /
• pp.38-44
• /
• 2003

The aim of this study is to confirm clinical usefulness of magnetocardiogram (MCG) by analyzing MCG data of health subjects and patients with Wolff-Parkinson-White (WPW) syndrome and dilated cardiomyopathy (DCM). Measurement of MCG signals was done with a home-made 40-channel SQUID system. MCG signals of 30 healthy subjects were measured as the reference of MCG signals. Among the DCM patients, 7 patients showed abnormal the direction of T wave vector. For a WPW syndrome patient, we measured the MCG signals before and after the surgery. and compared the difference. From the measured magnetic field distribution, current vector map was obtained to show the myocardium current activity. By comparing the MCG signals and current maps, we showed the differences in the analysis results between the healthy subjects and patients with heart diseases.

• Childhood Kidney Diseases
• /
• 제19권1호
• /
• pp.8-13
• /
• 2015

Antenatal hydronephrosis (ANH) is one of the most common abnormal findings detected on prenatal ultrasound (US), and it has been reported in 1-5% of all pregnancies. The likelihood of significant postnatal pathologic abnormality in the urinary tract correlates with the degree of anterior-posterior diameter (APD) according to the gestational age. Detection of urologic anomalies prenatally permits fetal interventions that avoid complications in rare cases of bladder outlet obstruction with oligohydramnios even though their final benefits still remain controversial. There is no clear consensus on the extent and mode of postnatal imaging after a diagnosis of ANH. US is the mainstay of the postnatal evaluation and helps guide further testing with voiding cystourethrography (VCUG) and diuretic renography. Although most algorithms continue to recommend generous VCUG for identification of lower urinary tract anomalies, VCUG may be safely reserved for high grade ANH cases or any grade of ANH with dilated distal ureter without increasing the risk of urinary tract infection (UTI). There are conflicting studies about efficacy of postnatal prophylactic antibiotics. It still seems reasonable to consider use of a prophylactic antibiotic to prevent infant UTIs in high-risk populations, such as females and uncircumcised males with high grades of hydronephrosis, hydroureteronephrosis, or vesicouretral reflux.

• 대한한방내과학회지
• /
• 제30권4호
• /
• pp.657-673
• /
• 2009

This experiment was performed to determine the antihypertensive effect of Yangganhwadam-tang(YHT) on hypertension in spontaneously hypertensive rat. The results obtained were as follows : 1. YHT showed scavenging activity on DPPH free radical and SOD-like activity. 2. YHT significantly decreased heart weight. 3. YHT significantly decreased blood pressure and pulse. 4. YHT significantly decreased the level of plasma aldosterone. 5. YHT significantly decreased the level of norepinephrine. 6. YHT significantly decreased the levels of potassium and calcium. 7. YHT significantly decreased the level of BUN. 8. YHT decreased eosinophilic changes in the heart cells, and dilated renal arterioles stenosis. These results suggest that YHT might be effective in treatment and prevention of hypertension.

• Archives of Plastic Surgery
• /
• 제33권5호
• /
• pp.663-665
• /
• 2006

Purpose: Dermatofibroma is a lesion several millimeters to several centimeters in size, arising from dermis or subcutaneous tissue, mostly at extremities of a middle aged female. It is a benign fibrous tumor that to our knowledge metastasis have not been reported and may recur only locally. Here we report a rare case of 36-year-old female with dermatofibroma arising from back and metastasized to both lungs. Methods: We performed an en-block elliptical mass excision for skin lesion and metastatectomy for multiple nodules of both lungs. Results: Histologically, the tumors of both lungs and skin lesion showed dilated cystic airspaces which were lined by respiratory epithelium with underlying layers of tumor cells. The tumor cells were composed of plump to spindled fibrohistiocytic cells arranged in storiform growth pattern. There were no cellular pleomorphism, atypical mitosis, and necrosis. These are the specific features of a dermatofibroma and we could examined the histologic findings of skin and lungs identical. Thus, this indicates that dermatofibroma of back was metastasized to both lungs. Conclusion: We report this case to notice that dermatofibroma is a benign tumor but it rarely metastasizes.

• Applied Microscopy
• /
• 제26권3호
• /
• pp.293-303
• /
• 1996

This paper aims to probe that the effect of high dose of cyclophosphamide to the Sertoli cells of the mouse was examined by transmission electron microscope. In the normal group, Sertoli cells contact each other around the basal aspect of the seminiferous tubule, forming numerous row of tight junction, blood-testis barrier. Sertoli cells contain smooth endoplasmic reticulum, well developed Golgi comples, a number of round mitochondria and microfilament. The cytoplasmic necrosis are observed from the 1-time treated group. In the 2-times treated group, smooth endoplasmic reticulum are more developed than normal group, but cisternae are partially dilated. In the 3-times treated group, the smooth endoplasmic reticulum are not developed. In the 2-times treated group, the inner membrane of the mitochondria are partially disrupted, and cristae are all disrupted in the 3-times treated group. The microfilaments are not observed in the all treated groups. According to the results above, it seems that smooth endoplasmic reticulum, mitochondria, and microfilament are disrupted by toxic effects of the cyclosphamide to the Sertoli cells of the mouse.