• 제목/요약/키워드: Processus

검색결과 29건 처리시간 0.025초

소아의 간접 서혜부 탈장 (Indirect Inguinal Hernia in Pediatric Patients)

  • 정상영
    • Advances in pediatric surgery
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    • 제16권2호
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    • pp.101-107
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    • 2010
  • Herniorrhaphy of Indirect inguinal hernia (IIH) is one of the most frequently performed surgical procedures in children. The overall incidence of inguinal hernias in childhood ranges from 0.8 to 4.4 %. The incidence is up to 10 times higher in boys than girls, especially much higher in premature infants. IIHs in children are basically an arrest of embryologic development rather than an acquired weakness, which explains the increased incidence in premature infants. In normal development, the processus vaginalis closes, obliterating the peritoneal opening of the internal ring between 36th and 40th week of gestation. This process is often incomplete, leaving a small patent processus in many newborns. However, closure continues postnatally, and the rate of patency is inversely proportional to age of the child. The presence of a patent processus vaginalis is a necessary but not sufficient variable in developing a congenital IIH. In other words, all congenital IIHs are preceded by a patent processus vaginalis, but not all patent processus vaginalis go on to become IIHs. The overall incidence of IIH in population is approximately 1 to 2 % and the incidence of a processus vaginalis is approximately 12 to 14%, clinically appreciable IIH should develop in approximately 8 to 12 % of patients with a patent processus vaginalis. Although the classic open inguinal hernia repair remains the gold standard for most pediatric surgeons, laparoscopic repair is being performed in many centers. Like open technique, laparoscopic technique is fundamentally a high ligation of the indirect hernia sac with or without internal ring ligation. The advantages of laparoscopic approach include the ease of examining the contralateral internal ring, the avoidance of access damage to vas and vessels during mobilization of cord, decreased operative time, and an ability to identify unsuspected direct or femoral hernias. Almost all groin hernias in children are IIHs and occur as a result of incomplete closure of processus vaginalis. The treatment is repair by high ligation of hernia sac, which can be done by an open or laparoscopic technique. The contralateral side can be explored by laparoscopy or left alone, open exploration is no longer indicated due to potential risk of infertility.

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Direct Torque Control Strategy (DTC) Based on Fuzzy Logic Controller for a Permanent Magnet Synchronous Machine Drive

  • Tlemcani, A.;Bouchhida, O.;Benmansour, K.;Boudana, D.;Boucherit, M.S.
    • Journal of Electrical Engineering and Technology
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    • 제4권1호
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    • pp.66-78
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    • 2009
  • This paper introduces the design of a fuzzy logic controller in conjunction with direct torque control strategy for a Permanent Magnet synchronous machine. A stator flux angle mapping technique is proposed to reduce significantly the size of the rule base to a great extent so that the fuzzy reasoning speed increases. Also, a fuzzy resistance estimator is developed to estimate the change in the stator resistance. The change in the steady state value of stator current for a constant torque and flux reference is used to change the value of stator resistance used by the controller to match the machine resistance.

복막투석환자에서의 개존된 Processus Vaginalis -방사성핵종복막촬영술로 확진된 2예- (Patent Processus Vaginalis in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis - Two Cases Confirmed by Radionuclide Peritoneal Scintiscan -)

  • 이재태;손상균;이규보;황기석;조동규;고철우
    • 대한핵의학회지
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    • 제23권2호
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    • pp.231-236
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    • 1989
  • Continuous ambulatory peritoneal dialysis (CAPD) is a well established method of treating end stage renal failure, and is commonly used as an alternative to hemodialysis. Several complications have been observed. These include catheter malfunction, abdominal and inguinal hernia, and peritonitis. A relatively frequent complication is swelling of external genitalia, due to bowel fluid passing through a patent processus vaginalis. Special diagnostic procedures are necessary to determine the nature of the abnormality and to guide the surgical correction. We reported two cases of patent processus vaginalis in patient on CAPD proved by radionuclide peritoneal scintiscan using Tc-99 m-tin colloid.

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한우문맥(韓牛門脈)의 분지(分枝)에 관한 해부학적(解剖學的) 연구(硏究) (Anatomical studies on pattern of branches of portal veins in Korean native cattle)

  • 김종섭
    • 대한수의학회지
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    • 제29권2호
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    • pp.1-9
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    • 1989
  • The distribution of portal veins within the liver in 30 Korean native cattle were observed. Vinylite solution was injected into portal veins of eighteen specimens for cast preparation. The angiography was prepared in twelve specimens by injecting 30% barium sulfate solution into portal veins, and then radiographed on a X-ray apparatus(Shimadzu 800MA 120Kvp). The results were summarized as follow: 1. The Vena portae was divided immediately upon entering the liver into a very short Truncus dexter venae portae($14.75{\pm}4.86$ : 6.9~23.1mm) and a long Truncus sinister venae portae($94.16{\pm}9.62$ : 110~150mm). 2. The Truncus sinister venae portae runs of first in the long axis of the liver from the Porta hepatis toward the left lobe. At the boundary between the quadrate and left lobes it bends sharply 50 to 80 degrees toward the Incisura ligamentum teretis, and after a course of 36. 5 to 54.mm between the quadrate and left lobes, ends abruptly. The Truncus sinister venae portae is divided for description into the Pars transversa, from the Porta hepatis to the flexure, and the Pars umbilicalis, from the flexure to the end. 3. The branches of Venae portae were Ramus ventralis lobi sinistri, Ramus intermedius lobi sinistri, Ramus dorsalis lobi sinistri, Ramus lobi quadratii, Ramus ventralis lobi dextri, Ramus intermedius lobi dextri, Ramus dorsalis lobi dextri, Rami processus caudatorum and Rami processus papillarum. 4. The Ramus intermedius lobi sinistri was arised from the left surface of the Pars umbilicalis, and was origined on the common trunk with Ramus dorsalis lobi sinistri(3 cases, 10%) or Ramus ventralis lobi sinistri(3 cases, 10%). 5. The Rami lobi quadratii consisted of the vein(15 cases, 50%) or two veins(15 cases, 50%), and was observed on the arched-shaped at 2 cases (6.6%) of the liver. 6. The Rami processus caudatorum consisted of one vein(28 cases, 93.3%) or two veins(2 cases, 6.6%). The former were formed common trunk with R, dorsalis lobi dextri(7 cases, 23.3%) or R. ventralis lobi dextri (2 cases, 6.6%). 7. The Rami processus papillarum were arised from the dorsal border of Pars transversa, and also gave off many small branches supplied papillary process of the caudate lobe. 8. The anastomosis on the branches of Vena portae was observed in the intralobar and interlobar areas. 9. The Truncus dexter venae portae and Truncus sinister venae were ramified many secondary branches that were radiated within the liver. 10. On the diaphragmatic surface, small vessels of the portal veins were observed, while there were big ones on the visceral surface. 11. The ramified angles at Ramus dorsalis lobi dextri, Rami processus papillarum, Ramus dorsalis lobi sinistri, Ramus intermedius lobi sinistri, Ramus ventralis lobi sinistri, Rami lobi quadratii, Rami processus caudatorum, Ramus ventralis lobi dextri and Ramus intermedius were 10~50, 70~110, 100~150, 140~170, 185~220, 270~330, 240~300, 270~320 and 340~10 degrees, respectively.

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한국재래산양 머리뼈에 대한 두개계측학적 연구 (Craniometric studies on the skull of Korean native goat)

  • 이성준;이흥식
    • 대한수의학회지
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    • 제34권4호
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    • pp.705-714
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    • 1994
  • This study was carried out to identify the craniometric characteristics of the skull of Korean native goat. The results were as follows; The skull index, cranial index, facial index, right orbital index and left orbital index were $55.86{\pm}2.14$, $59.97{\pm}3.68$, $107.03{\pm}5.71$, $92.22{\pm}4.54$and $90.47{\pm}5.48$, respectively. The ratio of facial length to cranial length was 1:1.15 and the ratio of length of cranial base to palatal length was 1:1.35. The skull length was more correlated to the facial length than to the cranial length(p<0.01). The skull width was more correlated to the width between foramina supraorbitales than to the width between foramina infraorbitales. It also showed negative correlation to the medial width between bases of processus cornualis but positive correlation to the lateral width between bases of processus cornualis(p<0.01). The width between tips of both horns showed high positive correlation to the medial width between processus cornualis, but negative correlation to the lateral width(p<0.01).

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한국재래산양 하악골에 관한 해부학적 연구 (Anatomical study on the mandible of the Korean native goat)

  • 이흥식;이성준
    • 대한수의학회지
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    • 제33권3호
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    • pp.351-359
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    • 1993
  • This study was carried out to identify metric and non-metric characteristics of the mandible of the Korean native goat. The results were summarized as follows : The length of the mandible was more correlated with the width of the base of the ramus mandibulae than the margo alveolaris(p<0.01). The height between incisura vasorum facialium and processus condylaris had very high correlation with the height between incisura vasorum facialium and incisura mandibulae(p<0.01). The former was also more correlated to the height of the mandible in front of the first molar tooth than the height of the mandible behind the last molar tooth(p<0.01). The symphysis was formed between both mandibles and it was not able to observe ossification in all case. The number of alveoli for incisor teeth were four each mandible, however three alveoli were observed in two cases. There was usually one or occasionally, two foramina mentalia on the lateral surface of the corpus mandibulae below the margo interalveolaris near the symphysis. The incisura vasorum facialium was poorly developed. A distinct groove was observed rostroventral to the foramen mandibulae. The processus condylaris was shown hammer shape, and the caput mandibulae was flat rectangular form. The processus coronoideus was formed a rectangle and curved laterally. The incisura mandibulae was well developed.

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Two cases of female hydrocele of the canal of nuck

  • Choi, Yu-Mi;Lee, Gyu-Min;Yi, Jung-Bin;Yoon, Kyung-Lim;Shim, Kye-Shik;Bae, Chong-Woo;Choi, Sung-Il;Kim, Hyun-Cheol
    • Clinical and Experimental Pediatrics
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    • 제55권4호
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    • pp.143-146
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    • 2012
  • The processus vaginalis within the inguinal canal forms the canal of Nuck, which is a homolog of the processus vaginalis in women. Incomplete obliteration of the processus vaginalis causes indirect inguinal hernia or hydrocele of the canal of Nuck, a very rare condition in women. Here, we report 2 cases of hydrocele of the canal of Nuck that were diagnosed with ultrasonography in both cases and magnetic resonance imaging in 1 case to confirm the sonographic diagnosis. High ligation and hydrocelectomy were conducted in both patients. In 1 patient, 14 months later, the occurrence of contralateral inguinal hernia was suspected, but did not require surgery. The other patient had a history of surgery for left inguinal hernia 11 months before the occurrence of right hydrocele of the canal of Nuck. In both cases, the occurrence of an inguinal hernia on the contralateral side was noted.

Scrotal pyocele secondary to gastrointestinal perforation in infants: a case series

  • Soo-Hong Kim;Yong-Hoon Cho;Hae-Young Kim;Narae Lee;Young Mi Han;Shin Yun Byun
    • Journal of Yeungnam Medical Science
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    • 제40권1호
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    • pp.86-90
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    • 2023
  • Pyocele in infants is rarely described in the literature, but it is an emergent condition that requires rapid recognition and treatment to prevent testicular loss. If peritonitis due to gastrointestinal perforation occurs, abdominal contamination may spread through a patent processus vaginalis in an infant, which may lead to pyocele. We report the cases of three infants with scrotal pyocele due to the spread of infection or inflammatory material from the intraperitoneal cavity through a patent processus vaginalis. Two infants were surgically treated, while the other was treated with percutaneous aspiration and intravenous antibiotic administration. Although rare, pyocele should be considered in the differential diagnosis of acute scrotum in infants, especially in infants who previously had peritonitis due to gastrointestinal perforation.

소아 음낭 내에서 우연히 발견된 뇌실-복강 단락술 도관 1예 (An Incidentally Detected Ventriculoperitoneal Shunt Catheter in the Scrotum)

  • 문석배;이성철;정성은
    • Advances in pediatric surgery
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    • 제13권2호
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    • pp.212-216
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    • 2007
  • Migration of a peritoneal catheter of a ventriculoperitoneal shunt into the scrotum is a rare complication. We treated a case of catheter migration in the scrotum. A 12-year old boy, who had had a ventriculoperitoneal shunt at the age of 4 months due to neonatal hydrocephalus, visited the outpatient clinic because of a right inguinal hernia. On physical examination, a firm mass was found in the left scrotum. Pelvic X-ray demonstrated a coiled catheter in the left scrotum. The catheter was successfully removed by exploring the left patent processus vaginalis after high ligation of the hernia sac. This case suggests a suction action of the patent processus vaginalis and the possibility of catheter migration long after shunt catheter insertion.

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韓國産 여섯줄 萎縮線蟲屬(Geocenamus )의 1新種 및 1 味記錄種 (A New and An Unkwon Species of Geocenamus (Nematoda: Belonolaimidae) from Korea)

  • Choi Young-Eoun;Kyung-Nyun Kim
    • 한국응용곤충학회지
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    • 제40권1호
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    • pp.15-21
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    • 2001
  • 여섯줄 위축선충속에 1신종 Geocenamus seonunensisn. sp.과 1미기록종 Geocenamus processus (Siddiqi, 1979) Brzeski, 1991를 새로히 채집하였다; Geocenamus seonunensis n. sp.는 G. myungsugae Choi & Geraert, 1993와 비슷하나 구순부가 단추모양이 아니고, 구침 길이가 56~67$\mu$m 으로 훨씬 긴 점이 다르다. G. tumensis(Skwiercz, 1984)Brzeski, 1991와는 둥근 수정낭을 가지고, 구침이 훨씬 긴 것이 다르고, G. superbus(Allen, 1955) Fortuner & Luc, 1990와는 꼬리 끝이 주름 진 것이 다르고, G. brevicaudatus(Peng & Hunt, 1995) Brzeski, 1998와는 구침이 긴 것이 다르고, G. longes (Wu, 1969) Tarjan, 1973. 와는 표피의 종주선의 수가 적은 것이 다르다.

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