• Tuberculosis and Respiratory Diseases
• /
• v.47 no.4
• /
• pp.549-556
• /
• 1999

Benign pulmonary tumors are rare entities, and among them bronchial lipomas are the most uncommon. Up to date, about 80 cases have been reported in the English literature. But, the bronchial lipoma with extrabronchial growth causing middle lobe syndrome and pneumonia is extremely rare. Bronchial lipomas, mainly arising from normal fatty tissue of the proximal portion of the lobar or segmental bronchi, are histologically benign. But if diagnosis and treatments are delayed, they can produce extensive pulmonary parenchymal damage and irreversible brochiectasis distally. So whenever possible, the treatment of choice is resection by means of bronchoscopy via early diagnosis. But if endoscopic removal is not possible because the distal end of the tumor could not be visualized by fiberoptic bronchoscopy or if the nature of the tumor is unclear, surgery is necessary, with lobectomy or pneumonectomy being required in most cases due to the extensively damaged pulmonary parenchyma. We present a case of bronchial lipoma with extrabronchial growth, with a review of the literature and report of an unusual case.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.21 no.1
• /
• pp.41-47
• /
• 1999

The route of bony invasion and spread pattern of tumor in the mandible are important in management of gingival cancer. Ten patients with gingival cancer involving mandibular body region were operated by composite resection. The radiographic and histopathologic features of the mandibular invasion and spread were analysed and compared. Our results showed that histopathologic extent of tumor invasion were greater than the radiographic prediction, especially in width of the tumor. And the pattern of bony invasion in the body area was mostly found in transmedullary spread rather than perineural spread. The vertical involvement in the mandibular body with tumor was evaluated. It indicated that if a oncologic surgeon was to ensure an adequate safety margin for extirpation of tumor, in most cases, the maintenance of the mandibular continuity is difficult. If the mandibular involvement by gingival cancer was identified radiographically and clinically, segmental mandibulectomy was required for the adequate safety margin, in consideration of the spread pattern in the body area.

• Journal of Haehwa Medicine
• /
• v.9 no.2
• /
• pp.251-268
• /
• 2001

We arrived at the following conclusion after we have studied crohn's disease through the literatures of western and oriental medicine. 1. Crohn's disease has a characteristic of granulomatous necrosis and cicatricial inflammation which is called by segmental enteritis, granulomatous enteritis. This falls under the category of "Diarrhea", "Dysentery" and is similar to "small intestinal diarrhea", "acute temesmus", "splenic diarrhea" in oriental medicine. 2. In western medicine, the cause of crohn's disease indefinites, but it is presumed immunological unbalance of alimentary canal. In oriental medicine, it is summarized as the abnormal ascending and descending circulation of stomach and splenic energies, the hepatic stagnation, being the lower part of cleaning qi by exogenous disease, dyspeptic convulsion. 3. The presenting symptoms of crohn's disease are intermittent chronic diarrhea, fever, weight loss, abdominal spastic pain or abdominal discomfort. When anyone has a abdominal mass, a rectal abcess, and a rectal constriction by physical examination, we can doubt crohn's disease. 4. The methods of western medical treatment are a suppression of intestinal toxic contents and inflammatory mediator, a supply of nutritive substanceus to intestinal epithelial cell. Oriental medical treatments of these are "inducing diuresis", "warming kidney to reinforce yang", "nourishing qi to invigorate spleen", "eliminatin dampness by cooling" according to syndrome differentiations. As mentioned above, we can confirm possibility of oriental medical treatment that induces recovery of immunologic control function and we need advanced experiment, study, and clinical approach.

• KSCE Journal of Civil and Environmental Engineering Research
• /
• v.33 no.2
• /
• pp.397-407
• /
• 2013

Recently, a great progress has been made in bridge construction technology through the development of high performance materials and new structural types. However, most of attention has been paid to the cast-in-place technologies and material cost saving. The cast-in-place method is always subject to some environmental damages in construction sites, which frequently causes conflicts with residents. To overcome the disadvantages, a lot of fabrication construction method was developed. Most fabrication construction methods developed up to now have been applied for superstructure of bridges. In contrast, such fabricable methods developed for substructures are extremely rare. A fabricated column using ICH CFT(Internally Confined Hollow CFT) column was developed in a series of previous researches. Included in the previous studies are design and construction methods for the precast segmental coping, the column-coping connection, the column-segment connection, column-foundation connection. In this paper, seismic performance of the fabricated ICH CFT columns was extensively investigated experimentally. Two test specimens were prepared depending on the connection methods of segments; one by mortar-grouting method and the other by reinforcement method using stiffeners.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.31 no.1
• /
• pp.53-60
• /
• 2009

Maxillary deficiency, anterior cross bite, constriction of maxillary arch, malaligned teeth are frequently observed in patients with cleft lip and palate. Surgery and orthodontics, combined intervention are needed to correct maxillary deficiency. Distraction osteogenesis that currently used has many advantages like less relapse tendency, more advancement of maxilla, capable in growing patients. In case 1, 18 years old girl with BCLP had severe midfacial deficiency and multiple missing of teeth. LeFort I osteotomy, followed by maxillary distraction osteogenesis utilizing rigid external distraction device(RED) system, was performed. After a 6-day latency period, distraction proceeded at a rate of 1mm per day (at 1st week, 1.5mm/day). Total advancement was 19mm. The RED device left in place for the additional 4 weeks for consolidation. After the RED device was removed, face mask was applied with elastic traction for 5 weeks. After achieving acceptable facial appearance and occlusion, orthodontic appliance was removed. The results after 4 years follow-up was sustained pretty well without aggravation of velopharyngeal function. In case 2, 22 years old man with UCLP had severe midfacial deficiency and palatally erupted upper 2nd premolars due to arch length discrepancy, but the anterior segment of maxillary did not show constriction and crowding. patient had no arch width discrepancy, crowding was concentrated on premolar region. Segmental LeFort I osteotomy was performed. After a 6 - day latency period, using internal distraction device, distraction proceeded at a 0.5mm per day(at 1st week, 0.75 - 1 mm/day). Total advancement was 15mm. After internal distraction device was removed, face mask was applied with elastic traction for 4 weeks. After surgical-orthodontic treatment, facial appearance and occlusion was improved pretty good, and after 46 months follow-up the result was retained well.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.40
• /
• pp.32.1-32.8
• /
• 2018

Background: The free vascularized fibula flap presents many advantages such as sufficient length of the bony segment, good vascularization, better quality of the bone, and a long vascular pedicle, but it is also associated with some disadvantages with regard to prosthetic rehabilitation because of its limited height. Improvement in bone height is necessary for ideal dental implant treatment of reconstructed mandibles. Case presentation: For two squamous cell carcinoma patients, mandibular bone reconstruction was performed secondarily with the peroneal flap after tumor resection. Since the bone height was insufficient at the time of implant treatment, occlusion reconstruction by dental implant was performed after vertical distraction osteogenesis. Conclusions: Vertical distraction osteogenesis is a suitable treatment option for alveolar ridge deficiency resulting from fibula transplantation for mandibular reconstruction following tumor surgery.

• Journal of Korean Association for Spatial Structures
• /
• v.10 no.4
• /
• pp.49-57
• /
• 2010

This study is the research appling the representative Displacement-Based Design which is the basic concept of Direct Displacement Based Design proposed by Chopra and Goel to original Reinforced Concrete structure and determining the thickness of retrofit Steel Jacket about the Maximum design ground acceleration, and developing the more improved Algorithm as well as program by the Retrofit Design method and Nonlinear analysis by the Performance design method before and after reinforcement appling the determined retrofit thickness. To predict the target displacement of retrofitted columns, a nonlinear analysis model of reinforced concrete columns has been developed to be based on the nonlinear fiber cross-sectional and segmental analysis model, and the seismic displacement level of retrofitted columns is estimated by two procedures, the direct displacement-based design method and the displacement coefficient method. In examples of seismic retrofit design, the current seismic improved design method gives good results in improvements of displacement levels and displacement ductilities of retrofitted columns.

• Tuberculosis and Respiratory Diseases
• /
• v.58 no.4
• /
• pp.404-409
• /
• 2005

An 86 year old woman was admitted complaining of dyspnea and right pleuritic pain with a 5 week durations. A physical examination, chest X-ray, and diagnostic thoracentesis upon admission revealed findings consistent with severe pneumonia and empyema on the right lung. Despite the insertion of a chest tube and negative suction via Emersion pump, the continuous air leakage was sustained, and a bronchopleural fistula (BPF) was found on the chest-CT. A flexible bronchoscopic occlusion with an Endobronchial Watanabe Spigot (EWS) was performed after 56 days of admission. An 5 mm diameter EWS was successfully inserted into the anterior segmental bronchus of the right upper lobe by flexible bronchoscope. There was no aAir leakage detected after this procedure. The patient was discharged 30 days after the EWS occlusion.

• The Journal of the Acoustical Society of Korea
• /
• v.23 no.7
• /
• pp.497-502
• /
• 2004

Both ultrasonic velocity at 3 MHz and absorption coefficient in the frequency range of 0.2-2 MHz were measured for poly (sodium 4-styrenesulfonate) aqueous solution over the concentration range of 5 to 25 % by weight. Pulse echo overlap method was employed to measure the ultrasonic velocity over the temperature range of 10-90 ℃ and the high-a ultrasonic resonator method was used for the absorption coefficient measurement at 20 ℃. The velocity exhibited a maximum value at approximately 55. 59, 63. 67, and 71 ℃ in 25, 20. 15, 10. and 5 wt% solutions, respectively. The velocity increased with poly (sodium 4-styrenesulfonate) concentration at a given temperature. The concentrations dependences of the relaxation frequency and amplitude showed that the relaxation around 200 kHz is related to the structural fluctuations of polymer molecules, such as the segmental motions of the polymer chains and that around 1 MHz resulted from the proton transfer reaction of the oxygen sites of SO₃. Both the absorption and the shear viscosity increase with the Polymer concentration. but decrease with temperature.

• Korean Journal of Bronchoesophagology
• /
• v.10 no.1 s.19
• /
• pp.41-45
• /
• 2004

Tracheostomy and endotracheal intubation are often performed in patients with acute and chronic respiratory failure. Recently, the incidence of iatrogenic tracheal stenosis has increased. Tracheal resection and end-to-end anastomosis would be one of the most physiologic treatment options for severe tracheal stenosis. Also, this treatment can be applied to the management of trachea invaded by thyroid cancer and tracheal neoplasm. The authors aimed to analyze the outcomes of end-to-end anastomosis of trachea following segmental resection in tracheal stenosis and tracheal invasion of cancer that we have recently experienced. Materials and methods Authors retrospectively studied 19 cases treated by tracheal resection with end-to-end anastomosis between Feburuary 1996 and January 2003. 12 patients had tracheal stenosis, 6 patients had tracheal invasion by thryroid cancer and 1 patient had tracheal cancer. We analyzed the direct causes of tracheal stenosis, preoperative vocal cord function, operation technique, early and delayed postoperative complications, and the outcome of end-to-end anastomois. Result Decannulation without significant aspiration was achieved in 16 cases($89.5\%$). A 27 year-old man could not be decannulated because of restenosis. A 62 year-old woman could not be decannulated because of bilateral vocal cord palsy. Conclusion End-to-end anastomosis is a safe and effective surgical method for tracheal stenosis. Case selection for end-to-end anastomosis and preservation of recurrent laryngeal nerve during operation is very important.