• 제목/요약/키워드: Minor

검색결과 4,649건 처리시간 0.029초

복부 둔상으로 인한 소장 천공의 임상 양상에 대한 고찰 (Clinical Characteristics of Small Bowel Perforation due to Blunt Abdominal Trauma)

  • 배정민
    • Journal of Trauma and Injury
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    • 제24권2호
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    • pp.125-128
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    • 2011
  • Purpose: Blunt small bowel injury (SBI) is frequently combined other organ injury. So, clinical outcome and characteristics of SBI are influenced by other combined injuries. Thus, we analyzed isolated SBI patients and studied clinical outcome and characteristics. Methods: Between 2005 and 2010, 36 consecutive patients undergoing laparotomy due to isolated SBI were identified in a retrospectively collected. Database. Clinical outcome and characteristics were analyzed. Results: Laparotomy was performed in 36 patients. Primary repair was performed 17 patients. Segmental resection of small bowel was performed 19 patients. Median time gap from trauma to operation was 9 hours. In 24 hours from trauma, operation was performed 31 patients. Post operative death was 5 patients. Mean hospital stay was 18 days and median hospital stay was 12 days. There were significant differences between operation type and minor complication and hospital stay. And there were significant differences between time gap in 24 hours and minor complication. But, there were no significant between time gap and mortality. Conclusion: Although this study had many limitations, some valuable information was produced. When operation above 24 hours was delayed in SBI, minor complications were significantly increased. Segmental resection of small bowel in SBI were significantly increased minor complications and hospital stay. So, preventive measures for surgical site infection was important to reduce wound complication and hospital stay. Further continuous study and multi-center study were should be performed to improve clinical outcome in SBI.

경추증성 척수증의 증상발현과 경미한 외상 사이의 관련성에 대한 의료감정 1례 (A Case of Medical Examination for the Relationship between Symptom onset of cervical spondylotic myelopathy and minor trauma)

  • 김상현
    • 보험의학회지
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    • 제27권2호
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    • pp.107-111
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    • 2008
  • The Cervical spondylotic myelopathy (CSM) is degenerative compressive myelopathy which initiation of symptoms seems to be induced by minor cervical trauma or spontaneous event. There was a case of Claim medical examination which was requested to discriminate the cause of ambulatory quadriparesis. Patient asserted that the onset of his myelopathy was followed by minor trauma. The author considered the medical recordings, MRI scan, Claim reports by claim manager. The space available for cord was the smallest at C3-4 level. But on MRI findings, the spinal cord at C3-4 level seemed to be already damaged. There were no recent injury evidences such as hemorrhages, spinal cord contusions, edema, soft tissue hemorrhages. If the space available for cord was small enough to compress the spinal cord, the serious neurologic deficits, non-ambulatory quadriplegia, etc were commonly induced by cervical extension trauma. Patient's asserts did not correspond to his clinical course after cervical trauma. The author reports a case of medical examination for the relationship between symptom onset of cervical spondylotic myelopathy and minor trauma within author's experience.

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Damage identification using chaotic excitation

  • Wan, Chunfeng;Sato, Tadanobu;Wu, Zhishen;Zhang, Jian
    • Smart Structures and Systems
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    • 제11권1호
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    • pp.87-102
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    • 2013
  • Vibration-based damage detection methods are popular for structural health monitoring. However, they can only detect fairly large damages. Usually impact pulse, ambient vibrations and sine-wave forces are applied as the excitations. In this paper, we propose the method to use the chaotic excitation to vibrate structures. The attractors built from the output responses are used for the minor damage detection. After the damage is detected, it is further quantified using the Kalman Filter. Simulations are conducted. A 5-story building is subjected to chaotic excitation. The structural responses and related attractors are analyzed. The results show that the attractor distances increase monotonously with the increase of the damage degree. Therefore, damages, including minor damages, can be effectively detected using the proposed approach. With the Kalman Filter, damage which has the stiffness decrease of about 5% or lower can be quantified. The proposed approach will be helpful for detecting and evaluating minor damages at the early stage.

ABSORPTION LINE GRADIENTS OF AN ELLIPTICAL GALAXY

  • Sohn, Young-Jong;Rhee, Myung-Hyun;Yoon, Suk-Jin
    • Journal of Astronomy and Space Sciences
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    • 제16권2호
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    • pp.105-114
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    • 1999
  • Archival long-slit spectra, covering the wavelength range 4050~5150$\AA$, have been used to investigate the radial behavior of absorption line features (G4300, Fe4383, Ca4455, Fe44531, Fe4668, and H$\beta$) of an eliptical galaxy NGC 5322. The heliocentric recession velocity of NGC 5322 has been derived as 1888$\pm$51kms-1. Metallic absorption lines of NGC 5322 show significant radial gradients through the major axis. The minor axis shows much smaller radial metal line gradients than the major axis. The minor axis shows much smaller radial metal line gradients than the major axis. The mean slopes of Fe line gradients to the major and minor axes of NGC 5322 were estimated as -0.433$\pm$0.064 and -0.242$\pm$0.096, respectively. Significant radial gradients of H$\beta$ absorption of NGC 5322 are also detected both on the major and minor axes. It is shown that the radial metallicity gradients in NGC 5322 are smaller than expected in a simple dissipative collapse model. Rather, dissipationless collapse, such as hierarchical merhing, could have contributed during the initial stage of the galaxy formation.

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편측성 불완전 소구순열의 치료 (Repair of Unilateral Incomplete Lesser Form Cleft Lip)

  • 박혜정;정휘동;;정영수
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제35권3호
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    • pp.178-183
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    • 2013
  • Cleft lip arises from congenital underdevelopment with various degrees and patterns. Mulliken named a unilateral incomplete cleft lip with no severe cleft as a lesser-form cleft lip and categorized it into three subgroups. Anatomically categorized subgroups are minor-form, microform, and mini-microform cleft by the extent of vermilion-cutaneous dysjuntion. The vermillion cutaneous notch is more than 3 mm from the regular Cupid's bow peak for minor-form, less than 3 mm for microform, and almost no gap with discontinuity on the vermillion cutaneous border for mini-microform. The treatments are rotational advancement flap for minor-form, double unillimb Z-plasty for microform, and vertical lenticular excision for mini-microform, respectively. This article aims to present the literature review about the incomplete lesser form cleft lip classified by Mulliken and to report our experiences.

Evaluation of Erythrocyte Morphometric Indices in Juvenile Red Spotted Grouper, Epinephelus akaara under Elevated Water Temperature

  • Rahman, Md Mofizur;Baek, Hea Ja
    • 한국발생생물학회지:발생과생식
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    • 제23권4호
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    • pp.345-353
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    • 2019
  • Higher thermal exposure can influence the blood cell morphology and count. Hence, based on the previous results (Rahman et al., 2019), the present study evaluated the morphometric indices of erythrocytes and their nucleus under different water temperatures (25℃, 28℃, 31℃, and 34℃) to investigate their use as an indicator of thermal stress in red spotted grouper, Epinephelus akaara. 180 healthy specimens of E. akaara were exposed to four temperature conditions (25℃ as control, 28℃, 31℃, and 34℃) for 42 days, following 2 weeks of acclimation at 25℃. Erythrocyte major axis (EL), erythrocyte minor axis (EW), nucleus major axis (NL), and nucleus minor axis (NW) were examined from the blood smears on each sampling day (i.e., 2, 7, and 42 days of thermal exposure). EL and NL were significantly decreased, whereas EW and NW were increased at higher water temperature (31℃ and 34℃). The major-minor axis proportions of erythrocytes and their nucleus (EL/EW; NL/NW) were decreased with increasing water temperature (31℃ and 34℃). The strong relationships were observed among the morphometric indices of erythrocytes and their nucleus, especially in EL vs. NL and EW vs. NW. This study reveals that elevated water temperature (31℃ and 34℃) can influence the major and minor axis morphometry of erythrocytes and their nucleus in red spotted grouper. These indices may be used as stress indicators to monitor the health status of E. akaara and probably for other fish species.

소아 신증후군 환자에서 데플라자코트 치료 중 발생된 다형 홍반 3례 (Three Cases of Erythema Multiforme Developed during Deflazacort Therapy in Children with Nephrotic Syndrome)

  • 이승진;강봉화;조민현
    • Childhood Kidney Diseases
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    • 제18권2호
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    • pp.123-127
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    • 2014
  • 다형 홍반은 피부, 구강, 입술 및 생식기 등을 침범하는 급성 피부점막 질환으로 점막 침범 여부에 따라 다형 홍반 minor와 다형 홍반 major로 분류된다. 스티븐스-존슨 증후군과 독성표피괴사용해는 다형 홍반 major에 속하는데, 이들은 증상이 심하고 진행성이며 높은 사망률을 보인다. 코르티코스테로이드는 현재 다형 홍반의 치료제로 사용되고 있다. 저자들은 신증후군을 가진 소아 환자에서 경구 코르티코스테로이드인 데플라자코트를 사용하던 중 발생된 3개의 다형 홍반 증례를 보고하는 바이다.

구강 내 소타액선에 발생한 점액표피양 암종 1예 (A Case of Mucoepidermoid Carcinoma Arising from the Intraoral Minor Salivary Gland)

  • 백훈희;홍석정;이미지;김승우
    • 대한두경부종양학회지
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    • 제33권1호
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    • pp.39-41
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    • 2017
  • Salivary gland tumors comprise almost 5% of head and neck malignancies, and minor salivary gland tumor which account for 10-15% of all salivary gland neoplasm are infrequently malignant. The mucoepidermoid carcinoma (MEC) is second most common tumor in minor salivary gland. It usually presents as a painless, rubbery-hard or soft mass, which may be fixed or mobile into the underlying structure. The predilection sites of intraoral MEC are palate, cheek, mandible, lip, and tongue, etc. There are very few published reports of MEC occurred in retromolar trigone. Only one case has been reported so far. Recently, we experienced a-70-year old man with a mass in retromolar trigone, which was finally diagnosed as MEC. We report the unique case with literature review.

Occurrence of Sclerotinia Rot on Composite Vegetable Crops and the Causal Sclerotinia spp.

  • Kim, Wan-Gyu;Cho, Weon-Dae
    • Mycobiology
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    • 제30권1호
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    • pp.41-46
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    • 2002
  • Composite vegetable crops grown in greenhouses and open fields in Korea were surveyed from 1995 to 1999. Occurrence of Sclerotinia rot was observed in 123 of 277 lettuce fields, in 11 of 18 head lettuce fields, in 12 of 14 endive fields, and in 4 of 38 garland chrysanthemum fields surveyed during the growing seasons. The disease most severely occurred up to 80% on lettuce. Incidence of the disease was as high as 20% at its maximum on endive and garland chrysanthemum but relatively low on head lettuce. Symptoms of the disease developed on leaves of all the composites, crowns of lettuce and head lettuce, and stems of garland chrysanthemum. Out of 240 isolates of Sclerotinia species obtained from the diseased composites, 169 isolates were identified as Sclerotinia sclerotiorum, and the others as S. minor based on their morphological and cultural characteristics. S. sclerotiorum was isolated from all the composites, and S. minor only from lettuce and endive. Eight isolates of S. sclerotiorum and four isolates of S. minor were tested for their pathogenicity to the composites by artificial inoculation. All the isolates of the two Sclerotinia spp. induced rot symptoms on the plants of the composites by artificial inoculation, which were similar to those observed in the fields. The pathogenicity tests revealed that there is no significant difference in virulence of the isolates to the composites and in susceptibility of the composites to the isolates.

Direction of Intercalation of a bis-Ru(II) Complex to DNA Probed by a Minor Groove Binding Molecule 4',6-Diamidino-2-phenylindole

  • Jang, Yoon Jung;Kim, Raeyeong;Chitrapriya, Nataraj;Han, Sung Wook;Kim, Seog K.;Bae, Inho
    • Bulletin of the Korean Chemical Society
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    • 제34권10호
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    • pp.2895-2899
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    • 2013
  • Direction of intercalation to DNA of the planar dipyrido[3,2-a:2',3'-c]phenazine ligands (dppz) of a bis-Ru(II) complex namely, $[Ru(1,10-phenanthroline)_2dipyrido[3,2-a:2^{\prime},3^{\prime}-c]phenazine]^{2+}$ linkered by a 1,3-bis(4-pyridyl)propane, was investigated by probing the behavior of 4',6-diamidino-2-phenylindole (DAPI) that bound deep in the minor groove. Bis-intercalation of DPPZ resulted in a little blue shift and hyperchromism in DAPI absorption band, and a large decrease in DAPI fluorescence intensity which accompined by an increase in the dppz emission intensity. Diminishing the intenisty of the positive induced circular dichroism (CD) and linear dichroism (LD) were also observed. These spectral changes indicated that insertion of dppz ligand caused the change of the binding mode of DAPI, which probably moved to the exterior of DNA from the minor groove and interacted with the phospghate groups of DNA by electrostatic interaction. At the surface of DNA, DAPI binds at the phosphate groups of DNA by electrostatic attraction. Consequently, this observation indicated that the dppz ligand intercalated from the minor groove.