• Title/Summary/Keyword: Interspace

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Morphological Variations of the Celiac Plexus in Korean Cadavers (한국인(韓國人) 복강신경총(腹腔神經叢)의 해부학적(解剖學的) 변이(變異))

  • Hur, Chul-Ryung;Yoon, Duck-Mi;Chung, Min-Suck;Chung, In-Hyuk;Oh, Hung-Kun
    • The Korean Journal of Pain
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    • v.2 no.2
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    • pp.135-144
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    • 1989
  • Celiac plexus block is recommended in patients with intractable upper abdominal cancer pain. The success rate of a celiac plexus block is variable among the authors. One of the causes of this is the anatomical variations of the celiac plexus. There has not been a study concerning anatomical observations of the celiac plexus in Korean cadavers. So, anatomical dissections were performed and observations were made of the celiac plexus and related structures in Korean cadavers. The results were as follows: 1) The subjects were 21 male bodies and 5 female bodies. The mean age at death was $69.9{\pm}15.5$ years (range 37~93). The mean height was $155.5{\pm}8.3\;cm$ (range 143~172). 2) The number of celiac ganglia ranged from 1~4. The mean numbers were $2.3{\pm}1.9$ in the right plexus and $1.9{\pm}0.8$ in the left, and the mean sizes were $18.9{\pm}7.7{\times}8.0{\pm}3.8\;mm^2$ and $18.5{\pm}8.3{\times}9.5{\pm}3.9\;mm^2$ respectively. 3) Celiac ganglia were most frequently located at the level of the upper third and middle third of L1 in both sides (65.5% in right, 64.0% in left). The vertical range of celiac ganglia ranged from 1 space, which is one third the height of one vertebral body, to 4 spaces. Mean vertical ranges were $1.5{\pm}0.6$ spaces in the right plexus and $1.6{\pm}0.7$ spaces in the left. The celiac ganglia located at the level of the upper third of L1 in the right and the lower third of L1 in the left side, had the largest vertical ranges respectively ($1.8{\pm}0.5$ spaces in right, $2.3{\pm}0.6$ spaces in left) 4) Right side celiac ganglia were located near the midline of the vertebrae compared to the left ones (mean 5.0 mm) The horizontal dimension was greater in the right ganglia ($24.2{\pm}9.2\;mm$) than in the left ganglia ($l8.8{\pm}7.0\;mm$). 5) There was no vertebral level difference between both celiac ganglia in most cases (60%). However, of the 40% of cases at different levels, in half of these (20%) the right ganglia were located higher than the left ganglia; and in the other 20%, this was reversed. 6) The origin sites of the celiac artery were most frequently in the upper third and middle third of L1 (61.6%). The celiac ganglia were usually located at the same level as the site of origin of the celiac artery (61.6% in right, 52.0% in left). 7) The vertebral level of the splanchnic nerves piercing the abdominal surface of the diaphragm was most frequently in the upper third and middle third of L1 (66.6% in right, 66.7% in left). 8) The level of the origin of diaphragmatic crura from the anterior surface of the vertebral bodies varied from the L1-L2 interspace to the L3-L4 interspace. Right crura most frequently originated at the level of the lower third of L2 to the upper third of L3 (57.6%), while left crura originated from the level of the L2-L3 interspace to the middle third of L3 (69.3%). From the above results, we realized that there were some anatomical variations of the celiac plexus and its relations to adjacent structures in Korean bodies. However, when the needle point is behind the anterior margin of the upper third of L1, it is possible to perform a successful retrocrural splanchnic nerve block.

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Partial Pediculectomy for Spondylolisthesis with Radicular Pain Combined with Severe Osteoporosis (하지 방사통과 심한 골다공증을 동반하는 척추전전위증을 위한 척추경 부분절제술)

  • Park, Myoung Jin;Shin, Ho;Cho, Ha Young;Lee, Seung Myoung;Jeong, Seong Hun;Song, Jin Kyu;Jang, Suk Jung
    • Journal of Korean Neurosurgical Society
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    • v.29 no.1
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    • pp.51-57
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    • 2000
  • Objective : For relief of back pain related to spondylolisthesis, fusion with or without internal fixation may be necessary. Currently, bilateral wide posterior decompression and fusion with or without internal fixation are used for treatment of spondylolisthesis. In case of severe osteoporosis, discectomy may be done without fusion to decompress the nerve roots. However, the procedure may aggravate radicular symptom because slippage may increase and thus foramen may become narrower. In these settings, inferomedial partial pediculectomy has been done in our institution, The object of this study was to evaltuate such cases with regard to per- and postoperative clinical courses. Patients and Methods : Fifteen patients complaining radicular pain with mild or no back pain underwent inferomedial partial pediculectomy. It was done in lytic spondylolisthesis after extension of isthmic defect. In degenerative spondylolisthesis of L4-5 interspace, intertransverse pediculectomy was done via paraspinal approach not to injure the posterior segment with intact isthmus. But, in degenerative spondylolisthesis of L5-S1 interspace however, partial pediculectomy was done after making artificial isthmic defect via midline approach. Then, reconstructive laminoplasty of L5 was performed to avoid iatrogenic instability resulted from artificial isthmic defect. They were followed up for average 14.4 months(3-31 months). Results : Radiating pain was relieved in all cases(100%). Postoperative result was excellent in 7 cases(46.7%), good in 7(46.7%) and fair in 1(6.6%). Only 1 case(6.7%) showed increase in slippage during follow-up period. Conclusion : Inferomedial partial pediculectomy is considered as a useful procedure for severely osteoporotic patients with spondylolisthesis with regards to keeping stability and decompressing the nerve roots.

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The Morphological Characteristics of Pseudo-nitzschia cf. brasiliana Observed in Korea Strait, 2010 (2010년 국내 남해 해역에 출현한 Pseudo-nitzschia cf. brasiliana의 형태 특성)

  • Hur, Young Baek;Park, Jong-Gyu
    • Korean Journal of Environmental Biology
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    • v.32 no.4
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    • pp.335-343
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    • 2014
  • Several species of the genus Pseudo-nitzschia produce the neurotoxin domoic acid (DA) known to be responsible for amnesic shellfish poisoning. Recently off the coast of Geomundo and in Exclusive Economic Zone (EEZ) of Korea Strait, P. cf. brasiliana predominated in summer, 2010. As P. cf. brasiliana was new to Korea, we describe the morphological characteristics of the species. It was observed that cells were linear to lanceolate in valve and girdle view, $51{\sim}76{\mu}m$ long and $1.9{\sim}2.6{\mu}m$ wide. In the central part a large interspace was absent. The number of fibulae and striae in $10{\mu}m$ were 30~37 and 31~37. Each stria contained 2~3 rows of poroids, with 10 to 14 poroids in $1{\mu}m$ length. These morphological features of P. cf. brasiliana were found to be similar with the P. brasiliana, except with the fact that P. cf. brasiliana carred more numbers of fibulae/striae in $10{\mu}m$ and poroids in $1{\mu}m$. Based on our observation, we suggest that P. cf. brasiliana is a newly identified Pseudo-nitzschia species or a variety of P. brasiliana.

Effect on Growth and Quality of Oriental Melon (Cucumis melo L. var. makuwa Makino) by Interspace Mulching between Polyethylene Film House (하우스 동간멀칭이 참외의 생육 및 품질에 미치는 영향)

  • Shin Yong-Seub;Yeon Il-Kweon;Seo Young-Jin;Do Han-Woo;Lee Ji-Eun;Park So-Deuk;Choi Chung-Don
    • Journal of Bio-Environment Control
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    • v.15 no.2
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    • pp.184-189
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    • 2006
  • Effects of interspace mulching between polyethylene film house on growth and quality of oriental melon were followed. Soil moisture in control was 26.0%. Those of black nonwoven fabrics sheet and black film were less 1.2% and 2.9% than control, respectively. Soil temperature in control plot was $2.4^{\circ}$ Those of black nonwoven fabrics sheet and black film were higher $0.8^{\circ}$ and $1.8^{\circ}$ than control, respectively. Black film was better than control in stem length, leaf number and area, chlorophyll content, xylem exudate, first flowering and fruit riping periods. Black film was better in fruit weight and soluble solid, and lesser in fermented and malformed fruit ratios, and increased 28% in marketable fruit ratio to control, 1,864kg. This results were mainly from vinyl coverage between polyethylene film house to intercept rainfall and to increase soil temperature, which fasted growth of roots after transplanting in winter season.

The Ultrastructure of the Cutaneous Cells in Rana temporaria dybowskii Guenther (북방산개구리 피부 색소세포의 미세구조)

  • Kim, Han-Hwa;Chi, Young-Duk;Moon, Young-Wha
    • The Korean Journal of Zoology
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    • v.28 no.3
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    • pp.137-150
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    • 1985
  • The dorsal skin of Rana temporaria dybowskii Guenther was examined under electron microscope. The results of the fine structures in the xanthophores, iridophores and melanophores were as follows: Xanthophores: Xanthophores were filled with pterinosomes and carotenoid vesicles. Type I pterinosomes had a clear limiting membrane. Type II pterinosomes had the inner fibrous structures. Tyep III pterinosomes were characterized by a few superficial lamellae and type IV pterinosomes by multiple concentric lamellae. Especially typical type II and type III pterinosomes were evenly distributed in the cytoplasm. Iridophores: Iridophores were situated between a xanthophore and a melanophore in the outer part of the dermis just below the basement membrane. Iridophores were filled with reflective platelets, each of which is rectangular and convex lens-like in shape. These platelets were closely contiguous and leave no interspace between them. Endoplasmic reticulum and a few mitochondria were observed in the supranuclear cytoplasm. Melanophores: Dermal melanophores contained numerous melanosomes. The dendritic precesses of the melanophore containing the melanin granules extented up the lateral sides of the iridophore. Epidermal melanophores were filled with melanin granules which appered as the same electron density. A few melanin granules were observed in a cornified surface cell.

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A Study on the Depth of the Lumbar Epidural Space from the Skin in Parturients (산모의 요추부 경막외강 깊이에 대한 고찰)

  • Park, Chan-Heum;Song, Pil-Oh;Shin, Myong-Keun;Kim, In-Kyu;Lee, Seang-Ho
    • The Korean Journal of Pain
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    • v.10 no.1
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    • pp.73-76
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    • 1997
  • Background : Epidural anesthesia is now accepted as a popular technique for pain relief and anesthesia. However, accidental dural puncture may occur during placement of the epidural needle. This study was undertaken to evaluate difference of the epidural depth between parturients and non-parturients. Method : Eighty non-parturients receiving epidural anesthesia were assigned to group I, and eighty parturients whose body weight had not yet increased over 15 kg from pregnancy were assigned to group II. With patients in lateral decubitus position, 18 guage Tuohy needle was punctured by approaching at $L_{3-4}$ interspace. Epidural space was identified using loss-of-resistance to air technique. Result : Epidural depth was 4.18 cm and 4.25 cm in group I and group II respectively. There was no significant statistical difference in body mass index(BMI) and ponderal index(PI) (p<0.05), nor in epidural depth between the two groups. Conclusion : Epidural needle need not be placed deeper in parturients than in nonparturients.

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A STUDY ON THE IMAGE MAGNIFICATION IN FOCAL TROUGH OF ORTHOPANTOMOGRAPHY RECORDING (Orthopantomogram의 상층면적에 있어서의 상확대에 관한 연구)

  • Lee Jong-Bock;Khim Jhai-Dhuck
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.21 no.1
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    • pp.119-125
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    • 1991
  • In the study of magnification of image in the focal trough of panoramic radiography, (Yoshida company Panoura - Eight - s), a series of 63 x-ray films were taken with the 8-19 metal pins placed in the holes of the plastic plate, measured and evaluated by 4 observes. The author analyzed the vertical and horizontal magnification rate in the corrected focal trough. Results were as follows: 1. For vertial measurements, magnification rates were minimum 10% maximum 36% and the magnification for image of medial side was larger than that of image of lateral side from image layer. 2. For horizontal measurements, magnification rates were minimum-14% maximum 46% and images of medial side from focal trough were magnified and images of lateral side from focal trough were retrenched. 3. When moved 10㎜ downward occlusal layer, interspace was somewhat narrow between the pins and upper sides of pins were horizontally magnified but images of the end parts of pins showed tapered form. 4. When moved 10㎜ downward from the occlusal layer, opposite images showed overlapping.

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High Spinal Block following Epidural Block for Postoperative Pain Control -A case report- (수술후 통증조절을 위한 경막외 차단후 발생한 고위척추차단 -증례 보고-)

  • Chung, Sung-Su;Yoo, Kyung-Yeon;Chae, Young-Mi
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.260-263
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    • 1996
  • High spinal block is a rare complication during epidural block, but it may result in serious events. 56-year-old man with gall stones was scheduled for cholecystectomy under general anesthesia. After operation, lumbar epidural catheterization was done at $T_{8-9}$ interspace for postoperative pain control. At the recovery room, initial bolus drug (0.1% bupivacaine 10 ml containing fentanyl $100{\mu}g$) was administered via epidural catheter and observed carefully. 15 minutes later, hypotension and bradycardia ouccurred. Hartman' solution was administered rapidly and ephedrine 5 mg was injected. 30 minutes after drug administration, loss of consciousness and respiratory arrest developed. Tracheal intubation was done immediately. Cardiovascular and respiratory functions were monitored continuously. The location of intrathecal catheter was confirmed by cerebrospinal fluid (CSF) seen in syringe after aspiration of catheter. The patient recovered gradually and was placed in the ward 4 hours after drug administration, without any problems. He was discharged 1 week later in good health.

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Esophageal Fistula Related to Anterior Cervical Spine Surgery after Severe Cervical Trauma (심한 경추부 외상후에 전방 경추부 수술후 발생한 식도의 누공)

  • Paeng, Sung Hwa
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.278-282
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    • 2012
  • An esophageal perforation following anterior cervical fusion is rare. Early development of an esophageal perforation after anterior cervical fusion is usually due to iatrogenic injury from retraction, injury associated with the original traumatic incident, improperly placed instruments or a bone graft. A 31-year-old man had a cervical dislocation and spinal cord injury because of severe cervical trauma after a traffic accident. He was quadriplegic and had no feeling below T4 dermatome. Anterior decompression of the cervical spine and anterior fusion with mesh with autobone were performed. An esophagocutaneous fistula occurred 7 days after anterior cervical surgery. A second anterior surgery was done because of pus drainage. The mesh was changed with an iliac bone graft, and the esophagocutaneous fistula site was primary repaired, but pus continued to drain. Conservative treatment, which consisted of wound drainage and intravenous administration of antibiotics, was tried, but was unsuccessful. After all, we removed the plate and screws, but did not removed the iliac bone graft, We closed the esophageal fistula, and transposed the sternocleidomastoid muscle flap to the interspace between the esophagus and the cervical spine. The wound to the esophagus was well repaired. In conclusion, precautionary measures are needed to avoid the complication, and adequate treatment is necessary to resolve those complications when they occur.

Status Analysis for the Confinement Monitoring Technology of PWR Spent Nuclear Fuel Dry Storage System (경수로 사용후핵연료 건식저장시스템의 격납감시 기술현황 분석)

  • Baeg, Chang-Yeal;Cho, Chun-Hyung
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.14 no.1
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    • pp.35-44
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    • 2016
  • Leading national R&D project to design a PWR spent nuclear fuel interim dry storage system that has been under development since mid-2009, which consists of a dual purpose metal cask and concrete storage cask. To ensure the safe operation of dry storage systems in foreign countries, major confinement monitoring techniques currently consist of pressure and temperature measurement. In the case of a dual purpose metal cask, a pressure sensor is installed in the interspace of bolted double lid(primary and secondary lid) in order to measure pressure. A concrete storage cask is a canister based system made of double/redundant welded lid to ensure confinement integrity. For this reason, confinement monitoring method is real time temperature measurement by thermocouple placed in the air flow(air intake and exit) of the concrete structure(over pack and module). The use of various monitoring technologies and operating experiences for the interim dry storage system over the last decades in foreign countries were analyzed. On the basis of the analysis above, development of the confinement monitoring technology that can be used optimally in our system will be available in the near future.