• Journal of Chest Surgery
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• 제28권6호
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• pp.610-618
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• 1995

Three neonates with interrupted aortic arch with VSD underwent one stage repair using revised technique of cardiopulmonary bypass with short period of circulatory arrest. A left posterolateral thoracotomy was made to permit mobilization of the descending aorta and placement of polytetrafluoroethylene[PTFE graft for distal aortic perfusion. Then the patient was placed in the supine position and a median sternotomy was performed to permit the proximal dissection, VSD repair, and direct anastomosis between the ascending aorta and descending aorta. This technique has advantages to facilitate direct anastomosis between the ascending aorta and the descending aorta, to lessen circulatory arrest time, and to prevent dangerous laceration and post-operative narrowing of the thin small ascending aorta at cannulation site. There was no operative mortality but postoperative stenosis developed in one case which was relieved with balloon aortoplasty.

• Journal of Yeungnam Medical Science
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• 제33권1호
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• pp.29-32
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• 2016

Most ingested foreign bodies pass readily throughout intestinal tract if they reach the stomach. In some cases, foreign bodies may be impacted behind a luminal constriction but are rare in colon. Here, we report the case of a 59-year-old man who did laparoscopic anterior resection due to sigmoid colon cancer 2 years ago and ischemic colitis was repeated on the anastomosis site. He initially presented with symptoms of abdominal pain 3 months before and melena 1 day before admission. Abdomen computerized tomography showed a 3.2 cm segment of luminal narrowing of the proximal colon involving upstream foreign material stasis. Sigmoidoscopic approaches revealed near complete obstruction on the anal verge of 20 cm and scope passing failed. Balloon dilatations were done on the obstruction site four times all and a foreign body impacted above the obstruction site was removed by an alligator without any complications. The foreign body removed looks like plastic or a shell, about 20 mm in size.

• 한국환경복원기술학회지
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• 제17권1호
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• pp.147-162
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• 2014

This study aims to provide the biological and geographical materials to identify the changes in population of Family Ardeidae included Egretta alba modesta, Egretta garzetta, Bubulcus ibis, and Nycticorax nycticorax and establish their conservation measurement in terms of the fragmented and deteriorated habitat by human development such as housing and park projects. Wonjucheon Stream was measured the highest species diversity since the survey site was relatively less interfered by the surrounding human beings showing lower disturbance elements. However, the closer the stream comes downstream, the more the artificial disturbance elements generate, confirming that the species better adapted to contamination grow in more density so that the species composition becomes simplified. It implies that feeding place as well as breeding-growing places is also more closely related to the changes in population structure and species composition of Family Ardeidae. The results of Family Ardeidae immigration in Taejang-dong, Wonju, among the other survey sites, revealed that a total of 231 came to the site in 2006; and 210 in 2011, showing more or less reduction in the population. In the mean while, Namyang-dong in Hwaseong City showed the continuous decrease in population number of Family Ardeidae with 135 before development and 60 during development, resulting in the number never growing but continuously narrowing over and over after development. As a result of surveying the number of Family Ardeidae that bred following the findings above, Taejang-dong in Wonju City had 4 species of Family Ardeidae being bred, however, showing the decrease in number of population from 998 in 2006 to 589 in 2011. Namyang-dong in Hwaseong was confirmed to have as many as 352 of the population in 2006 and 230 in 2008; after the deforestation on their habitat, they had not lived in the site any longer, suggesting that the development would significantly affect Family Ardeidae.

• Journal of Chest Surgery
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• 제31권12호
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• pp.1238-1242
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• 1998

심근교각을 해부학적인 정의을 하면 심외막의 관상동맥 주행중 국한된 부분의 관상동맥이 심근섬유에 의해 둘러싸여 있는 것을 말한다. 이질환은 주로 관상동맥 조영술에서 심근수축시 관상동맥이 좁아지거나 또는 압박효과을 나타내기 때문에 알게된다. 관상동맥중 좌전하행지의 중간부위에 가장 많이 발생 한다. 심근교각은 허혈 효과을 가지고 있어서 건강한 사람에서 협심증, 심근경색, 혹은 사망의 원인이 되기도 한다. 저자들은 좌전하행지 중간부분의 압박으로 협심증을 호소한 2례의 환자을 치험하고 보고 하고자 한다. 수술은 심폐 우회술하에 좌전하행지 동맥상부을 덮은 심근에 근절개술을 시행하였다. 수술후 협심증과 압박효과는 호전되었다.

• 대한족부족관절학회지
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• 제6권1호
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• pp.73-79
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• 2002

Purpose: To evaluate the effectiveness of callotasis using the external fixator for the treatment of brachymetatarsia. Materials and Methods: Eleven patients(15 cases) who underwent callotasis were available. Follow-up averaged 23 months(15-38 months). Both the patients' postoperative satisfaction and the postoperative radiographic results were retrospectively evaluated. Results: The duration from applying the external fixator to remove averaged 15 weeks (8-21 weeks). We did osteotomy again in two cases because of early consolidation at the osteotomy site during distraction period. All cases were evaluated mild claw toe deformity and motional pain in metatarsophalangeal joint, but all patients satisfied the postoperative results except one complained motional pain and stiffness in metatarsophalangeal joint. The metatarsal shortening averaged 13mm(9-18mm) before operation. The amount of distraction for shortened metatarsals averaged 15mm(5-22mm). We found the 6 cases of narrowing of the metatarsophalangeal joint, 2 cases of subluxation of the metatarsophalangeal joint. Conclusion: We think that callotasis with external fixator is good operative method for the brachymetatarsia.

• 대한후두음성언어의학회지
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• 제9권1호
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• pp.27-31
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• 1998

Nasal sounds include nasalized vowels and consonants. Nasal cavity is important for the acoustics of nasal sounds. Evaluating the effects of site-specific nasal obstruction on nasal sound will help us to understand the importance of nasal geometry for the nasal sound and to foretell voice change after nasal surgery This study was designed to analyze the change of nasality and formant characteristics of nasal sound by obstructing different sites around the ostiomeatal unit(OMU). Ten adult male and female volunteers participated. The nasal formants and bandwidths of nasal consonant /n/ were checked in various conditions of nasal obstruction. The nasalance of rabbit, baby, and mama passages were compared in each conditions. Nasalance of all passages decreased when anterior portion of OMU was obstructed. Center frequency of first nasal formant(NF1) of /n/ has decreased in the order of anterior, inferior obstruction. The bandwidth of NF1 decreased in female with anterior obstruction. Anterior portion of OMU is most critical to the change of nasality and acoustics of nasal consonant. When anterior portion of OMU is obstructed, the shift of NF1 to a lower frequency and the narrowing of NF1 bandwidth are the major acoustic changes of nasal consonant /n/.

• Journal of Chest Surgery
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• 제29권11호
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• pp.1263-1266
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• 1996

단국대학교병원 흉부외과에서는 좌전하행지 기시부부터 95% 이상 협착을 보이는 단일혈관질환 1례에서 체외순환없이 제한적 전흉부 개흉으로 좌측내유동맥을 박리하여 박동심장하에서 관상동맥우회술을 성공적으로 시행하였기에 보고하는 바이다.

• 한국임상수의학회지
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• 제18권3호
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• pp.269-272
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• 2001

Fourteen dogs referred to veterinary Medical Teaching Hospital, Seoul National University were diagnosed as esophageal foreign body (9 cases), megaesophagus (4 cases) and esophageal stricture (1 case). Patients showed a variety of clinical signs including regurgitation, vomiting, anorexia, hypersalivation, and retching. Survey radiographic examination included the entire esophagus, including the caudal pharynx and cranial abdomen. contrast radiographs were done to identify lesions or to characterize abnormal radiographic findings on survey films. In case static contrast studies were not sufficient were not sufficient to differentiate the diseases, dynamic fluoroscopic studies were performed. In thoracic megaesophagus, when gas filled, it provided several hallmark findings such as visualization of paired longus colli muscle and tracheal stripe sign. When gas-distended, the caudal thoracic esophagus was seen as a pair of thin, soft-tissue stripes that converged into a point overlying the diaphragm and cranial abdomen. All cases of megaesophagus could be solely identified by survey radiographs. In esophageal foreign body, 6 cases out of 9 patients had the history of having foreign body and others not. Most of esophageal foreign body could be diagnosed on survey radiographs and one case with radiolucent foreign body was confirmed by esophagram. It appeared as radiopaque material along the path of esophagus and the radiopacity was determined by its nature. Obstruction caused by foreign body eventually led to dilation of the esophageal lumen cranial to the site in 3 cases. In esophageal stricture, there was no remarkable findings on survey radiograph of the thorax. However, esophagography with barium sulfate showed the narrowing of the esophagus near hiatus. On fluoroscopy, swallowed barium was stagnated cranial to the site despite the esophageal peristalsis.

• 교육녹색환경연구
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• 제18권1호
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• pp.49-61
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• 2019

이 연구에서는 부지 협소 초등학교 건축 계획 지침에 주는 시사점을 도출하기 위하여 서울특별시에 위치한 부지 협소 초등학교 두 곳의 교직원을 대상으로 면담을 실시하여 현존하는 부지 협소 초등학교의 문제점과 신설 부지 협소 초등학교 시설에 대한 요구를 조사하였다. 조사 결과, 부지 협소 초등학교에 설치된 운동장 대용 공간들은 신체 놀이 활동과 체육 수업 및 기타 교육과정 운영에 적합하지 않은 것으로 밝혀졌다. 이에 교직원들은 초등학교에 적합한 신체 활동 공간 확보를 위하여 학교 건물의 한 층 전체나 옥상 전체를 체육 활동 공간화 할 것을 요구하고 있었다. 또한 부지 협소 초등학교에는 소음 발생, 특별실 부족, 공용 공간 부족 등의 문제가 발생하고 있었는데 이 문제는 부지가 협소한 학교에 과밀한 학생이 수용됨으로써 악화되고 있으므로 부지 협소 초등학교의 경우에 적정 수의 학생이 유지될 수 있도록 하는 정책을 필요로 한다.

• 한국임상수의학회지
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• 제18권2호
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• pp.124-132
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• 2001

The purpose of this study is to know whether single layer continuous connell suture is an acceptable alternative to simple interrupted approximating suture for end-to-end intestinal anastomosis in dogs. Fourteen mixed-breed dogs weighing 2 to 5 kg were allotted to group treated with simple interrupted approximating suture (Group I) and group treated with single layer continuous Connell suture (Group II), each of 7 dogs. All dogs in each suture pattern were compared with time for total operation ad suture elapsed for intestines to anastomose, clinical signs, changing of pre-and postoperative luminal size, status of feces, adhesion at anastomotic site for 14 days after operation. Time for total operation and suture time for intestinal anastomosis were none significant between Group I and Group II, although those in Group II was about 3 minutes shorter than those in Group I, respectively. Group I spent average 47.08${\pm}$11.10 minutes on total operation, 20.97${\pm}$5.54 minutes on suture time for intestinal anastomosis and Group II spent average 44.74${\pm}$7.77 minutes, 17.73${\pm}$3.05 minutes, respectively. All dogs were no special differences in vitality, vomiting, appetite between Group I and Group II for 14 days after operation. All dogs, except one dog in Group I, had showed normal vitality and appetite since 6~8 days after operation. Initial return of fecal passage showed in all dogs before 6 days after operation and thereafter most dogs showed normal feces. According to results, it was thought that all dogs with normal vitality and appetite before 8 days had showed good prognosis. There were no changes of intestinal luminal size in 2 dogs performed Group In and one dog performed Group II between at operation and 14 days after operation. Narrowing rate of intestinal lumen in Group I was average 9.3% of the normal diameter, whereas in Group II, 9.5% of normal diameter. In complications after operation, only one dog in Group I showed intestinal intussusception but the others didn't. Length of adhesion was measured between intestinal anastomotic site and omental graft. Length of adhesion in dogs performed Group II was mostly shorter than that of Group I. Adhesion with proximate intestines occurred in five dogs, which consisted of 3 dogs performed Group I and 2 dogs performed Group II. Concurrently, they had a great length of adhesion between anastomotic site and omental graft. There were no great differences between Group I and Group II about speed of operation, clinical signs, complications such as leakage and stricture. And all dogs performed intestinal anastomosis showed good clinical condition and prognosis. In conclusion, Single layer continuous Connell suture can safely perform an intestinal anastomosis and be an alternative of simple interrupted approximating suture in aspect of speed clinically.