• Title/Summary/Keyword: Spontaneous

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An Evaluation of the Thoracotomy in Spontaneous Pneumothorax (개흉술을 시행하였던 자발성 기흉의 임상적 고찰)

  • An, Byeong-Hui;Jang, Won-Chae
    • Journal of Chest Surgery
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    • v.26 no.5
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    • pp.390-394
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    • 1993
  • This study elvaluated clinically the surgical results of the thirty-eight patients who had exploratory thoracotomy for spontaneous pneumothorax between Jan. 1989 and Nov. 1992. Thirty three, or 86.8%, of the patients were male. The most frequent age of the spontaneous pneumothorax requiring thoracotomy was between fifteen years and twenty years. Sudden onset dyspnea and chest pain, which developed in thirty-five patients[89.5%], were the major chief complaints. Bleb and Bulla located in the both upper lobes were the most frequent causes of spontaneous pneumothorax for exploratory thoracotomy. There was no operative death. Postoperative morbidity included three cases of residual air space in the apical pleural space, tow cases of atrial fibrillation, and one each case of reoperation for bleeding, mediasitinitis, and sternal osteomyelitis. All postoperative complications were treated without any serious problems. This study suggests that early exploratory thoracotmy is desirable for patients with prolonged air-leak, massive air-leak, or multiple blebs and giant bullae on the computed tomography of the chest.

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Observation of spontaneous oscillation of optogalvanic signal in a hollow cathode discharge (Hollow cathode discharge에서 자발적 진동의 광검류 신호 측정)

  • 이준회
    • Journal of the Korean Vacuum Society
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    • v.12 no.1
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    • pp.51-54
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    • 2003
  • The spontaneous oscillations in the optogalvanic signals are observed in negative glow region of Ar hollow cathode discharge. The spontaneous oscillations in the optogalvanic signals are observed at low discharge currents less than about 3 mA. Based on the simultaneous measurements of both the density variation of metastable atoms and emission intensities of the 1s-2p transitions, one of the possible mechanisms for the spontaneous oscillation is considered to be related to the stepwise ionization of the metastable atoms due to collisions with slow electrons in the discharge.

Bilateral Spontaneous Resolution of Chronic Subdural Hematoma: A Case Report (양측성 만성 경막하출혈의 자발적 흡수: 증례보고)

  • Seon, Gyeongung;Park, Ji-Min;Eom, Ki Seong
    • Journal of Trauma and Injury
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    • v.28 no.1
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    • pp.43-46
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    • 2015
  • Although spontaneous resolution of chronic subdural hematoma (C-SDH) in the elderly has rarely been reported, spontaneous resolution of bilateral C-SDH is very rare. Here, we report the case of a 73-year-old female patient with no significant head trauma history who had a bilateral C-SDH spontaneously resolve despite receiving only conservative treatment. However, because of a lack of detailed knowledge about the mechanisms of resolution, treatment is often limited to surgical interventions that are generally successful, but invasive and prone to recurrence. We review the literature and discuss the possible relation of C-SDH's spontaneous resolution with its clinical and radiological characteristics.

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Influence of Cromakalim, a $K^{+}$ Channel Opener, and Glibenclamide, a $K^{+}$ Channel Blocker, on Intestinal Movements in Rabbit (토끼의 장운동에 미치는 $K^{+}$ Channel 개방제인 Cromakalim과 $K^{+}$ Channel 차단제인 Glibenclnmide의 영향)

  • Ko, Suk-Tai;Lim, Dong-Yoon
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 2001.11a
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    • pp.96-96
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    • 2001
  • This study was attempted to investigate the effect of cromakalim(CRK). $K^{-}$ channel opener, and glibenclamide(GLY), $K^{-}$ channel blocker, on intestinal function of rabbit. CRK supressed the tension and spontaneous movement of intestinal strips. Such CRK strengthened the tension and spontaneous movement of strips potentiated by acetylcholine, whereas more attenuated those weakened by dopamine. GLY augmented the tension, did not affect to the spontaneous movement of strips. GLY inhibited the acetylcholine-potentiated responses of tension and spontaneous movements in intestinal strips. GLY blocked the weakened responses of tension, while did not affect to the dopamine-weakened responses of spontaneous movements in intestinal strips. The present studies suggest that $K^{-}$ channel opening suppresses intestinal movements, whereas it's blockade enhances intestinal movements in rabbit.abbit.

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A Case of Cervical Emphysema and Spontaneous Pneumomediastinum (경부 기종과 함께 발생한 자연성 종격동 기종 1예)

  • Kim, Hyeonseok;Choi, Hyo Geun;Park, Bumjung
    • Korean Journal of Head & Neck Oncology
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    • v.32 no.1
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    • pp.33-36
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    • 2016
  • Cervical emphysema and Spontaneous pneumomediastinum is an uncommon disease. Cervical emphysema is mainly caused by trauma or head and neck surgery. Here, we report a case of cervical emphysema and spontaneous pneumomediastinum in a 15-year-old man. This case emphasizes that cervical swelling patients with negative inflammation findings should be scrutinized for cervical emphysema and spontaneous pneumomediastinum.

Treatment of Spontaneous Pneumothorax; in Patients 50 Years of Age or Older (노인성 자연 기흉의 치료방법 및 그 결과;50세 이상환자 60례 대상)

  • 조선환
    • Journal of Chest Surgery
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    • v.26 no.7
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    • pp.532-537
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    • 1993
  • To assess the therapy of spontaneous pneumothorax in the aged patients, the treatment methods and results in 60 patients 50 years of age or older were retrospectively reviewed. Most of the patients were male [56 of 60 patients] and the major underlying lung diseases associated with spontaneous pneumothorax were tuberculosis [32 patients] and chronic obstructive lung disease [20 patients]. The recurrence rate of thoracostomy tube drainage with or without chemical pleurodesis using tetracycline was 39.6% [21 of 53 patients], but there was no recurrence in the patients treated with open thoracotomy, pleural abrasion, and chemical pleurodesis using talcum powder[Asbestosis free]. In the patients treated with open thoracotomy, the bullous or bleb lesions were placed in the various sites of both lungs. We concluded that even though thoracostomy tube drainage is the first choice of therapy for spontaneous pneumothorax in the aged patients, the recurrence rate is high, especially in the patients with persistent air leakage for more than 2 days, and the open thoracotomy with pleural abrasion and chemical pleurodesis using talcum powder can prevent the recurrence in the selected patients.

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Influence of Cromakalim, $K^+$Channel Opener, and Glibenclamide, $K^+$ Channel Blocker, on Intestinal Movements in Rabbit (토끼의 장운동에 미치는 $K^+$Channel 개방제인 Cromakalim과 $K^+$Channel 차단제인 Glibenclamide의 영향)

  • 고석태
    • Biomolecules & Therapeutics
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    • v.9 no.4
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    • pp.237-243
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    • 2001
  • This study was attempted to investigate the effects of cromakalim (CRK), $K^{+}$ channel opener, and glibenclamide (GLY), $K^{+}$ channel blocker, on intestinal function of rabbit. CRK supressed the tension and spontaneous movement of intestinal strips. CRK enhanced the tension and spontaneous movement of strips induced by acetylcholine. Also the inhibiting effect of dopamine was potentiated by CRK. GLY augmented the tension, but did not affect the spontaneous movement of strips. GLY inhibited tension and spontaneous movements in intestinal strips induced by acetylcholine, GLY blocked the dopamine-induced attenuation of tension, but not the decrease of spontaneous movements in intestinal strips. The present studies suggest that $K^{+}$ channel opening suppresses intestinal movements, whereas it's blockade enhances intestinal movements in rabbit.abbit.

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Pneumothorax

  • Choi, Won-Il
    • Tuberculosis and Respiratory Diseases
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    • v.76 no.3
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    • pp.99-104
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    • 2014
  • Pneumothorax-either spontaneous or iatrogenic-is commonly encountered in pulmonary medicine. While secondary pneumothorax is caused by an underlying pulmonary disease, the spontaneous type occurs in healthy individuals without obvious cause. The British Thoracic Society (BTS, 2010) and the American College of Chest Physicians (ACCP, 2001) published the guidelines for pneumothorax management. This review compares the diagnostic and management recommendations between the two societies. Patients diagnosed with primary spontaneous pneumothorax (PSP) may be observed without intervention if the pneumothorax is small and there are no symptoms. Oxygen therapy is only discussed in the BTS guidelines. If intervention is needed, BTS recommends a simple aspiration in all spontaneous and some secondary pneumothorax cases, whereas ACCP suggests a chest tube insertion rather than a simple aspiration. BTS and ACCP both recommend surgery for patients with a recurrent pneumothorax and persistent air leak. For patients who decline surgery or are poor surgical candidates, pleurodesis is an alternative recommended by both BTS and ACCP guidelines. Treatment strategies of iatrogenic pneumothorax are very similar to PSP. However, recurrence is not a consideration in iatrogenic pneumothorax.

Spontaneous Rupture of the Diaphragm in an 8 Years-old Girl with Nephrotic Syndrome (저절로 파열된 횡경막 이완증 1예)

  • Lee, Seong-Cheol;Kim, Ki-Hong
    • Advances in pediatric surgery
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    • v.6 no.1
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    • pp.60-63
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    • 2000
  • Spontaneous rupture of the eventrated diaphragm is not common. The authors report a case of spontaneous rupture of the congenital diaphragmatic eventration. An 8 year-old girl with right congenital diaphragmatic eventration and nephrotic syndrome was seen in emergency room because of severe abdominal pain and vomiting. She had intermittent abdominal pain for 1 year. Plain chest X-ray and ultrasonography showed entrapped bowels in the right thoracic area. Exploratory laparotomy revealed a ruptured right eventration. THE displaced abdominal viscera were repositioned into the abdominal cavity and the ruptured diaphragm was trimmed and plicated. The postoperative course was uneventful. Only one case of spontaneous rupture of eventrated diaphragmatic has been reported in the English literature.

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A Study on Autoignition of Fish Meal with Change of Ambient Temperature (주위온도 변화에 따른 어분의 자연발화에 관한연구)

  • 목연수;최재욱
    • Journal of the Korean Society of Safety
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    • v.7 no.1
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    • pp.47-56
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    • 1992
  • Spontaneous ignition charactenstics for fish meal were observed by performing experiments at constant ambient temperature and varying the ambient temperature sinusoidally. As the results of the experiments at a constant ambient temperature, the critical spontaneous ignition temperature of the sample for large, intermediate and small vessels was 170.5$^{\circ}C$, 177.5$^{\circ}C$ and 188.5$^{\circ}C$, respectively. The critical spontaneous ignition temperature decreased as the sample vessel size increased. Apparent activation energy of used fish meal calculated from the Frank-Kamenetskii's thermal ignition theory was 37.60Kcal/mol. In case of varying the ambient temperature sinusoidally, the amplitudes of temperature were 1$0^{\circ}C$, 2$0^{\circ}C$ and 3$0^{\circ}C$ respectively with the period in each amplitude 1hr, 2hrs and 3hrs. The results showed that the critical spontaneous ignition temperatures at the varied amplitudes of temperature were lower than that at the constant anbient temperature and increased as the amplitude increased. At the same amplitude, the critical spontaneous ignition temperature increased with the period.

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