• Journal of Chest Surgery
• /
• 제46권5호
• /
• pp.340-345
• /
• 2013

Background: This study aims to evaluate whether or not the method of right vertical axillary minithoracotomy (RVAM) is preferable to and as reliable as conventional sternotomy surgery, and also assesses its cosmetic results. Methods: Thirty-three patients (7 males, 26 females) with atrial septal defect were admitted to the Cardiovascular Surgery Clinic of Cukurova University from December 2005 until January 2010. The patients' ages ranged from 3 to 22. Patients who underwent vertical axillary minithracotomy were assigned to group I, and those undergoing conventional sternotomy, to group II. Group I and group II were compared with regard to the preoperative, perioperative and postoperative variables. Group I included 12 females and 4 males with an average age of $16.5{\pm}9.7$. Group II comprised 14 female and 3 male patients with an average age of $18.5{\pm}9.8$ showing similar features and pathologies. The cases were in Class I-II according to the New York Heart Association (NYHA) Classification, and patients with other cardiac and systemic problems were not included in the study. The ratio of the systemic blood flow to the pulmonary blood flow (Qp/Qs) was $1.8{\pm}0.2$. The average pulmonary artery pressure was $35{\pm}10$ mmHg. Following the diagnosis, performing elective surgery was planned. Results: No significant difference was detected in the average time of the patients' extraportal circulation, cross-clamp and surgery (p>0.05). In the early postoperative period of the cases, the duration of mechanical ventilator support, the drainage volume in the first 24 hours, and the hospitalization time in the intensive care unit were similar (p>0.05). Postoperative pains were evaluated together with narcotic analgesics taken intravenously or orally. While 7 cases (43.7%) in group I needed postoperative analgesics, 12 cases (70.6%) in group II needed them. No mortality or major morbidity has occurred in the patients. The incision style and sizes in all of the patients undergoing RVAM were preserved as they were at the beginning. Furthermore, the patients of group I were mobilized more quickly than the patients of group II. The patients of group I were quite pleased with the psychological and cosmetic results. No residual defects have been found in the early postoperative period and after the end of the follow-up periods. All of the patients achieved functional capacity per NYHA. No deformation of breast growth has been detected during 18 months of follow-up for the group I patients, who underwent RVAM. Conclusion: To conclude, the repair of atrial septal defect by RVAM, apart from the limited working zone for the surgeon in these pathologies as compared to sternotomymay be considered in terms of the outcomes, and early and late complications. And this has accounted for less need of analgesics and better cosmetic results in recent years.

• 한국산학기술학회논문지
• /
• 제10권11호
• /
• pp.3260-3268
• /
• 2009

냉각재상실사고이후 원전의 원자로건물집수조 여과기에서 화학적 영향을 고려한 수두손실을 종합적으로 평가하기 위한 시험장치를 개발하였다. 시험장치에서 원자로건물집수조와 시험장치에서 물 부피에 대한 여과기 면적의 비가 일치하도록 시험조건을 설정하고 시험을 수행하였다. TSP pH 조절제 조건에서 칼슘실리케이트는 시험 초기에 수두손실을 급격히 상승시켰기 때문에 원자로건물에서 모든 칼슘실리케이트를 제거하여야 함을 확인하였다. 비상노심냉각계통 살수지속시간의 차이에 따른 시험결과는 장기살수조건이 단기살수조건에 비해 12배 정도 높은 수두손실을 보였다. 살수조건 시험결과를 화학적 영향이 없는 수두손실과 비교하면 단기살수와 장기살수의 각 조건에서 5.6배 및 60.8배 수두손실이 증가하는 결과를 보였다. 화학적 영향은 재순환수에 노출된 물질의 양에 따라 초기의 일정기간 동안 알루미늄 및 아연도금 판의 부식에 의해 급격히 증가하고 이들이 부동피막을 형성한 이후에는 NUKONTM 및 콘크리트 등에서 침출된 화학종의 침전에 기인하여 증가율이 감소하는 경향을 보였다. 실험결과는 TSP에 의한 알루미늄의 부동피막 형성이 살수시간이 길어지고 알루미늄의 양이 많을 경우 효과적이지 않다는 것을 보였다.

• 한국수정란이식학회지
• /
• 제24권1호
• /
• pp.29-32
• /
• 2009

Prostaglandin $F_2{\alpha}$ ($PGF_2{\alpha}$) can facilitate release of epinephrine from the adrenal gland. The objective was to extend these findings and determine the effects of $PGF_2{\alpha}$ on sexual activity and semen collection training in sexually inexperienced boars. Boars (n=32; $281{\pm}18$ days of age) were moved individually once weekly to a semen collection room equipped with an artificial sow. Before entering the semen collection room, boar received i.m. treatments of $PGF_2{\alpha}$ at doses of 5 (n=8), 10 (n=8), or 20 (n=8), and control boar (n=8) were not treated. Reaction time (elapsed time after entering collection pen until the start of mounting) for boars receiving 5mg ($3.3{\pm}0.9\;min$), 10mg ($3.3{\pm}0.8\;min$) $PGF_2{\alpha}$ was shorter (p<0.05) than for controls ($6.7{\pm}0.9min$). Duration of ejaculation (min) per session was longer (p<0.05) for $PGF_2{\alpha}$ (10 mg, 20 mg)-treated boars ($7.3{\pm}0.7\;min$, $6.9{\pm}0.7\;min$), compared to control ($3.4{\pm}0.8\;min$). The number of training session per boars was less (p=0.056) for $PGF_2{\alpha}$ 10mg-treated boars ($1.0{\pm}0.4$), compared to control ($2.0{\pm}0.4$). Semen characteristic such as volume, concentration, the number of total ejaculated sperm, were similar for $PGF_2{\alpha}$-treated and controls. There was no apparent difference on sperm movement characteristics (Mot: motility, VCL : curve linear velocity, VSL : straight line velocity, VAP : average path velocity, LIN : linearity) after semen preservation by collected with or without $PGF_2{\alpha}$ treatment. In summary, administration of $PGF_2{\alpha}$ in boars increased the sexual activity and facilitated the training boars to mount an artificial sow for semen collection, but did not affect semen characteristic.

• 생태와환경
• /
• 제47권3호
• /
• pp.214-218
• /
• 2014

본 연구노트는 K-water가 고안하여 개발한 녹조수상 콤바인 장치에 대하여 소개하고자 하였다. 녹조제거장치는 본체와 부력재, 이송호퍼, 스크린 컨베이어, 슬러지 제거기 및 수거물질 분리대 등 총 5개 모듈로 구성되어 있다. 그리고 스컴성 녹조현상 이하일 때 녹조제거제를 전처리할 수 있는 살포기가 별도로 장착되어 있다. 전반적으로 본 장치의 모듈 시스템은 매우 간단하다. 2014년 5월부터 7월까지 낙동강 및 대청호 현장에서 테스트 운영한 결과, 1일 처리할 수 있는 수표면적은 $500,000m^2day^{-1}$에 해당하였다. 그리고 장치 적용 전후 처리효율은 90%를 상회하였고, 수처리량은 수질 상태에 따라 차이가 있지만 $500,000m^3day^{-1}$은 가능하였다. 또한 장치의 운영기간은 3월~11월(9개월) 동안으로써 기존 계획보다 연장될 수 있었다. 본 장치 및 기술을 통해 상수원과 공공수역의 녹조현상 및 사회문제로 확대된 파급 영향을 해결하는 데 기여할 수 있는 신기술로서 활용되기를 기대한다.

• Parasites, Hosts and Diseases
• /
• 제23권2호
• /
• pp.293-299
• /
• 1985

병원성 자유생활 아메바인 Naegleria fowleri를 CGVS 배지에서 무균적으로 배양하여 그 영향형을 복강내로 주입하여 인위적으로 면역시킨 마우스에 본 원충율 비강내로 감염시켰을때 방어면역이 생성되는지를 관찰하였다. 감염 8일후부터 마우스가 사망하기 시작하였고 이 마우스의 뇌에서 전형적인 원발성 아메바성 뇌수막염이 발생했음을 관찰할 수 있었다. N. fowleri 감염으로 인한 마우스의 사망율은 대조군에서 보다 네가지 항원으로 면역시킨 실험군에서 모두 현저히 낮았으며, 감염에서 사망할 때까지의 생존기간도 면역시킨 실험군에서 대조군보다 연장되었으나, N. fowleri 세포막항원으로 면역시킨 실험군에서는 대조군과 비교할때 차이가 없었다. 또한 N. gruberi 영양형으로 면역시킨 실험군에서도 생존기간이 연장되었다. 이상의 성적을 요약하면 N. fowleri를 마우스 복강내로 주입시켜 면역시킬 때 방어면역이 생성됨을 알 수 있었다.

• 대한수의학회지
• /
• 제1권1호
• /
• pp.1-29
• /
• 1961

A routine hematological observation in the course of starvation was carried out on eight experimentel1y starved rabbits. They were strictly selected and restricted all of food intake with the exception of optional water intake until death. The body weight of each rabbit on the day before starvation was about 2 kilograms. The results are summarized as follows. 1. The average decrememt ratio of body weight on the terminal day before death was $34.3{\pm}7.5$ per cent with the range from 24.5 to 46.3 per cent. The average life duration until death was $10.25{\pm}2.6$ days, the range being from 6 to 14 days. 2. The decrease in number of reticulocytes with a parallel disappearance of polychromatic erythrocytes in peripheral blood in the course of starvation Was the most remarkable change in erythrocytic series, an evidence suggesting marked restriction of the erythropoietic function on 3rd to 4th day and almost complete suspension in about a week of starvation. 3. Erythrocyte count, hemoglobin content and haematocrit value of peripheral blood, were normal or indicative of slight hemoconcentration. 4. Mean Corpuscular Hemogloin Concentration was slightly higher than normal and Mean Corpuscular Volume tended to be low and no appreciable shifts were observed in Mean Corpuscular Diameter and Price-Jones curve of erythrocytes, while fewer macrocytes than normal were seen. These changes were considered to have resulted from a marked decrease in young erythrocytes in peripheral blood in the course of starvation. 5. Neither poikilccytoses or anisosytosis was observed. 6. Leukopenia was observed in all of 8 starved rabbits. The decrement ratio on the terminal day of starvation was between 13 to 64 per cent. The leukopenia was mainly due to fall of lymphocytes in 6 cases and to fall of neutrophilic leukocytes in the other 2 cases. In many cases, irregular fluctuation of neutrophilic leukocytes in its biological curve were seen in contrast to the relatively smooth changes of lymphocytes. Eosinophilic leukocytes tended to decrease in absolute number especially in later stage of starvation. Little significance in regard to monocytes and basophilic leukocytes in this study was discussed. 7. Proplasma cells, rarely plasma cells, appeared with a tendency to increase in number at later stage of starvation. 8. The most characteristic changes on circulating blood cells in complete starvation of rabbits were the leukoponia and failure of regeneration of erythroctes. These changes were considered as adaptive phenomena in response to the catabolic consumption of body constituents.

• Clinical and Experimental Pediatrics
• /
• 제50권8호
• /
• pp.761-766
• /
• 2007

목 적 : 소아에서 진단 목적으로 척수액 검사를 시행한 환아에서 천자 후 부작용으로 발생하는 두통의 발생 빈도와 영향을 끼치는 인자들에 대해 알아보고자 본 연구를 하였다. 방 법 : 2005년 3월부터 2006년 2월까지 조선대학교 병원 소아과에서 진단 목적으로 요추천자를 시행한 4세에서 13세 사이의 환아 중 뇌수막염이 의심되었던 44명을 대상으로 하였다. 요추천자 후 두통의 발생빈도와 성별, 연령, 요추 천자 횟수, 척수액 양, 두통의 과거력, 척수액 압력, 척수액내 백혈구 수의 각 인자들과 두통 발생사이의 상관성, 두통의 발생 시작시간과 지속시간 및 치료에 대해서 조사하였다. 결 과 : 천자 후 두통의 발생빈도를 보면 전체 44명 중 16명(36.4%)에서 발생했으며, 남녀가 각 39.4%(13명), 27.2%(3명)로 성별에서는 유의한 차이는 없었다. 두통의 과거력이 있는 6명중 50%(3명)에서 두통이 발생하였고, 과거력이 없는 38명 중 36.1 %(13명)에서 발생하여 두통의 과거력이 있는 경우 두통이 의의 있게 많이 발생하였다(P=0.037). 척수액내 백혈구 세포수가 많을수록 요추 천자 후 두통의 발생은 통계학적으로 의의 있게 많았다(P=0.012). 그 외 연령, 척수액 검사 횟수, 척수액 양, 척수액 압력과 천자 후 두통 발생 사이에는 통계학적 상관성이 없었다. 결 론 : 요추 천자 후에 두통은 기존의 다른 연구에서 보다 발생 빈도가 더 높았으며 두통의 과거력이 있는 경우와 척수액내 백혈구 세포수는 소아에서 척수액 검사 후 발생한 두통에 영향을 주는 인자로 생각된다.

• The Korean Journal of Pain
• /
• 제2권1호
• /
• pp.66-71
• /
• 1989

It has been standard practice in many institutions to use a combination of a light general anesthesia and an epidural block for lower abdominal and pelvic surgery. This combination of a balanced anesthesia can provide various benefits to the patient such as less bleeding in the surgical field, the use of a lower concentration of general anesthetics, less muscle relaxant, and post operative pain management. However, there are several problems associated with hemodynamics such as bradycardia and hypotension etc. In order to block the pain of the high surgical area with a lumbar epidural puncture postoperatively, a large volume of local anesthetic is required and consequently an extensive blockade of sympathetic, sensory and motor functions can occur causing motor weakness, numbness and postural hypotension. Therefore, the patient is unable to have early ambulation postoperatively. In this study, thoracic epidural catheterization was undertaken to locate the tip of the catheter exactly at the surgical level for upper abdominal surgery, and was followed by general anesthesia. Twenty-one patients scheduled for upper abdominal surgery were selected. Fifteen of them had hepatobiliary operations and the remaining 6 had gastrectomies. Thoracic epidural punctures were performed mostly at T9-T10 (57.1%) and T8-T9. Neuromuscular blocking agents were not used in half of the cases and the, mean doses of relaxant were $3.5{\pm}1.0mg$ in gastrectomies, and $2.7{\pm}0.9mg$ in cases of hepatobiliary operation. Epidural morphine was injected 1 hour before the end of the operation for postoperative pain control. Eight patients did not require additional analgesics and the mean dose of epidural morphine was $2.2{\pm}0.9mg$, and 13 cases were given 0.125% epidural bupivacaine when patients complained of pain. Their initial doses of epidural morphine were $1.9{\pm}0.4mg$ and the mean duration of bupivacaine was 6 hours 20 minutes${\pm}40$ minutes. In conclusion. thoracic epidural analgesia is valuable to reduce postoperative pain in patients with upper abdominal surgery, However, it is not easy to maintain this balanced anesthesia with high epidural analgesia-and light general anesthesia for upper abdominal surgery because of marked hemodynamic changes. Therefore, further practice will be required.

• Environmental Analysis Health and Toxicology
• /
• 제11권1_2호
• /
• pp.19-29
• /
• 1996

Human exposure to volatile compounds in tap water can occur from inhalation and dermal absorption as well as direct ingestion. The relative contribution to total human exposure from these pathways has been considered to be important especially for VOC's (volatile organic compounds). In an attempt to reduce the uncertainty of the risk assessment, it has been suggested that the exposure assessment process could be significantly improved by adopting Monte-Carlo simulation. However, there is no actual data in Korea for each exposure parameter to determine the level of exposure, and the distributional pattern. Therefore, we surveyed water use patterns and behavior related to multi-route exposure to VOC's in household tap water in Korea, and compared these values to the those in western countries. In the first survey, we calculated daily water intake using data from a sample of 1322 persons of several cities in Korea. In the second survey, we obtained questionnaire data on exposure time for showering, bathing and household activities, and tap water intake from 851households in Korea. In the last survey, we measured the exposure parameters (exposure time, water use rate etc.) related to showers, baths, toilets, dish washing, washing and cooking, and tap water intake was surveyed. Also, the subjects were measured their body weight, height and tidal volume, etc. A diary, a flow meter and a measuring cup were used to measure these values as precisely as possible. Average daily water intake was ranged 0.79-1.71 L/day for adults in three surveys. Tap water intake measured by log-sheet during one week in third survey was 1.26 (average), 1.98 L/day (90 percentlie), respectively. These results were comparable with results from EPA (1.4, 2L/day). The average amount of water used by housewives in the third survey was 515.0 $\pm$ 564.6L/day. In usual activity, the amount of water used in the bathroom, the laundry and the kitchen was 140.0 $\pm$ 538.9, 148.0 $\pm$ 174.5, 229.3 $\pm$ 205.4 L/day, respectively. Exposure parameters such as water intake rate, exposure duration, body weight, inhalation rates in surveyed data of Korean people differed from those published from western countries. This could be attributed to variations in lifestyle, dietary habits and physiological characteristics.

• 한국수산과학회지
• /
• 제3권1호
• /
• pp.1-6
• /
• 1970

1969년 3월부터 10월까지의 사이에 먹이 생물인 해산의 Phaeodactylum tricornutum, Platymonas sp. 및 Chlorella sp. 등의 배양 실험을 한 결과는 다음과 같다. 1. 유도기는 Phaeodactylum tricornutum이 가장 잘고 다음이 Platymonas sp., Chlorella sp.의 순서였다. 2. 정치 배양은 유동 배양에 비해 대체로 유도기가 길며 급속 성장기가 짧고 일간 증가량이 현저히 작다. 3. 발육 속도 정수는 Phaeodactylum tricornutum 이 $0.302{\pm}0.028$로서 가장 크고, Chlorella sp.가 $0.226{\pm}0.013$, Platymonas sp..가 $0.151{\pm}0.008$의 순서였다. 4, 3종에 있어 가장 큰 일간 증가량과 일령은 각각 다음 표에서 보는 바와 같다. Phaeodactylum tricornutum 최대 일간 증가량 : 47.5, 일령 : 10 Platymonas sp. 최대 일간 증가량 : 5.6, 일령 : 14, Chlorella sp. 최대 일간 증가량 : 21.1, 일령 : 14 5. 세포수에 대한 침전 세포량은 직선으로서 표시되고, 그 크기 순서는 Phaeodactylum tricornutum, Platymonas sp. 및 Chlorella sp.이며 세포 크기의 순서와 일치한다. 6. 먹이로 사용하는데 알맞는 일령은 Phaeodactylum tricornutum 에서는 12일, Platymonas sp. Chlorella sp.는 각각 16일 내외이다.