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Congenital Bronchoesophageal Fistula in Adult -Report of Three Cases- (성인의 선천성 식도기관지루 3례 보고)

  • Lee, Yong-Hun;Choe, Pil-Jo;U, Jong-Su
    • Journal of Chest Surgery
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    • v.28 no.5
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    • pp.525-529
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    • 1995
  • We have experienced three cases of congenital bronchoesophageal fistula which is rare and usually has an insidious clinical course. The patients included a thirty year old man and thirty six, thirty eight year old women respectively. Bronchiectatsis was found in all three cases, and bronchoesophageal fistula was found in one case preoperatively by esophagography and esophagoscopy, and other two cases operative field. The fistula was found between right lower esophagus and right lower lobe in all cases and esophageal diverticulum in one case. So they belonged to type I[1 case , II[2 cases of Braimbridge and Keith`s classification of congenital bronchoesophageal fistula . The fistulectomy was performed in all cases and concomitant lobectomy [2 cases and bilobectomy [1 case were done. There were toxic hepatitis in two cases and prolonged air leakage in one case postoperatively. They were discharged on recovered state and have continued to do well.

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A Study on Classification of Bodytype of Elderly Males for Upper Garments Construction (상의 구성을 위한 노년기 남성의 체형 분류)

  • 이선명
    • The Research Journal of the Costume Culture
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    • v.1 no.2
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    • pp.159-179
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    • 1993
  • The purpose of this study is to collect data for he improvement of the accuracy of upper garments construction of the old whose bodies have been changed due to their age. In this study the body measurements with 61 items were taken from 226 men(aged fro m 60 to 80) living in Seoul by the R. Martin's method in 1992. The data were calculate by computer and analyzed by the multivariate method, especially factor and cluster analysis. The results of the study were as follows; 1. The average stature of elderly males was 163.6cm, chest circumference 91.6cm, waist circumference 9\\85.5cm. hip circumference 92.8cm, neck circumference 37cm, arm length 55.4 cm, back length 42.6cm, shoulder breadth 42.9cm and the Roher's Index 1.39, which was a standard body shape. 2. The items of factor analysis were explained to seven, namely, the degree of fatness of the upper body, the size of the frame of body, the length of the upper body, the degree of curve of the front body, the size of shoulder, the shape of the back, and the slope of shoulder. 3. The body types of subjects were classified into four types. The majority was type 4, which was 67% of subjects and considered as balanced body type. The distinctive features of those types are as follows; Type 1. The subjects of this type had a slight skeletal structure and were the thinnest of all the subjects with thin and forward-bent arm. Type 2. The subjects of this type were the tallest of all the subjects. they had the straightest side of body and a well-developed upper arm. The thigh length of this type was longer than the length of trunk. Type. 3. The subjects of this type was only one, so ti could be excluded. Type 4. The subjects of this type had a long trunk, well-developed shoulder, and a crook in their neck and back. The arm length and thigh of this type were short and those circumferences were thick. Type 5. The subjects of this type were the shortest of all, but had the highest degree of fatness in the waist and abdominal. They had well-developed front muscles of body and projected hip.

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Antigenic-types of Salmonella pullorum and Salmonella gallinarum isolated from poultry in Korea (우리나라의 닭에서 분리한 Salmonella pullorum과 Salmonella gallinarum의 항원형)

  • Woo, Yong-ku;Kim, Bong-hwan
    • Korean Journal of Veterinary Research
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    • v.38 no.4
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    • pp.777-783
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    • 1998
  • Antigenic types of 114 Salmonella pullorum and 152 Salmonella gallinarum field isolates were evaluated. All 3 antigenic types were identified among field isolates of S pullorum by factor-serum analysis but the majority of them were standard type(90.4%). Of the 114 S pullorum isolates, only eight(7.0%) were intermediate type and 3(2.6%) were variant type. Using the ammonium sulfate precipitation(ASP) test, one-hundred and three(90.4%) S pullorum isolates were standard type, while intermediate and variant types were 8.4% and 1.4%, respectively. One-hundred and fifty-two S gallinarum isolates were identified as standard type by ASP test and serological analysis. According to the random amplified polymorphisms of DNA(RAPD) patterns, most of S pullorum isolates were differentiated with 3 types in their fragment-patterns. No correlations were found between SDS-PAGE profiles and antigenic types of S pullorum isolates.

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Treatment of Atlantoaxial Fractures (제1,2경추골절의 치료)

  • Jin, Sung-Chul;Kim, Sang-Jin
    • Journal of Trauma and Injury
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    • v.19 no.2
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    • pp.164-172
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    • 2006
  • Background: The authors conducted a retrospective study to evaluate the mechanism of injury, the surgical techniques, the clinical features, the combined injuries, the treatment results, and the surgical complications in patients with atlantoaxial fracture/subluxations. Methods: The authors reviewed 71 cervical fracture/dislocations during a four-year period from September 2002 to August 2006. Among them, there were twenty one C1,2 fracture/subluxations. There were thirteen men (mean age : 43.5 years) and eight women (mean age : 50 years). Their follow-up period was at least 6 months, and the mean follow-up period was 9.6 months. Gardner-Wells tongs traction was used in all patients immediately on presentation. Surgical treatment was performed, depending on the pathologic conditions. Results: Of all 21 cases, 14 cases were injured in motor vehicle accidents, 5 were falls, and 2 were miscellaneous. There were four C1 fracture (5.6%), fourteen C2 fracture (66.7%), one C1 and 2 combined fracture (4.8%), and one C1-2 subluxation (4.8%). The C1 fractures in our series were classified as two Jefferson's fractures and two C1 lateral mass fracture. The C2 fractures were classified as one odontoid type I fracture, two odontoid type II fractures, five odontoid type III fractures, one hangman's fracture, and four C2 body tear-drop fractures. Atlantoaxial fractures were associated with six (28.6%) head injuries, four (19.0%) other spinal injuries, two (9.5%) chest injuries, and three (14.3%) spinal cord injuries. Surgical treatment was performed in nine cases, which included anterior odontoid screw fixation in two cases, transarticular screw fixation with iliac bone graft in one case, posterior fixation by using C2 pedicle screw and C3 lateral mass screw in three cases, lateral mass screw fixation C1-2 with iliac bone graft in one case, O(occipito)-C1-3-4 screw fixation in one case, posterior C2-3 wiring with allograft in one case, and halo vest in six cases. Conservative management was used in the rest of the patients in our trials. Bone fusion was complete in all cases. There were no operation-related complication, except one pin site infection in the case of halo vest. Conclusion: In this study, the choice of appropriate treatment according to the fracture types resulted in safe and effective management of unique atlantoaxial fracture/subluxations.

Study of data flow control algorithm for automatic fault estimation in SCADA (SCADA 자동고장판단을 위한 데이터 흐름제어 알고리즘 연구)

  • Park, Jeong-Jin;Kim, Kern-Joong;Hwang, In-Jun;Yang, Min-Uk;Lee, Jae-Won;Cho, Hui-Chang;Kim, Tae-Won
    • Proceedings of the KIEE Conference
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    • 2008.11a
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    • pp.296-298
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    • 2008
  • Currently SCADA System faces various fault situation. Operator must recognize all fault state and management plans. But it is not easy to recognize all category and acquired error data. So it is needed that automatic fault estimation. Automatic fault estimation is possible to data flow control. Data flow control method is two type. One is alarm processing and the other one is topology processing. This paper provide two type processing method in SCADA data flow control.

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Classification of Snowfalls over the Korean Peninsula Based on Developing Mechanism (발생기구에 근거한 한반도 강설의 유형 분류)

  • Cheong, Seong-Hoon;Byun, Kun-Young;Lee, Tae-Young
    • Atmosphere
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    • v.16 no.1
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    • pp.33-48
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    • 2006
  • A classification of snowfall type based on development mechanism is proposed using previous snowfall studies, operational experiences, etc. Five types are proposed: snowfall caused by 1) airmass transformation (AT type), 2) terrain effects in a situation of expanding Siberian High (TE type), 3) precipitation systems associated with extratropical cyclones (EC type), 4) indirect effects of extratropical cyclones passing over the sea to the south of the Korean peninsula (ECS type), and 5) combined effects of TE and ECS types (COM type). Snowfall events during 1981-2001 are classified according to the 5 types mentioned above. For this, 118 events, with at least one station with daily snowfall depth greater than 20 cm, are selected. For the classification, synoptic weather charts, satellite images, and precipitation data are used. For TE and COM types, local sea-level pressure chart is also used to confirm the presence of condition for TE type (this is done for events in 1990 and thereafter). The classification shows that 109 out of 118 events can be classified as one of the 5 types. In the remaining 8 events, heavy snowfall occurred only in Ullung Island. Its occurrence may be due to one or more of the following mechanism: airmass transformation, mesoscale cyclones and/or mesoscale convergence over the East Sea, etc. Each type shows different characteristics in location of snowfall and composition of precipitation (i.e., dry snow, rain, and mixed precipitation). The AT-type snowfall occurs mostly in the west coast, Jeju and Ullung Islands whereas the TE-type snowfall occurs in the East coast especially over the Young Dong area. The ECS-type snowfall occurs mostly over the southern part of the peninsula and some east cost area (sometimes, whole south Korea depending on the location of cyclones). The EC- and COM-type snowfalls occur in wider area, often whole south Korea. Precipitation composition also varies with the type. The AT-type has a snow ratio (SR) higher than the mean value. The TE- and EC-type have SR similar to the mean. The ECS- and COM-type have SR values smaller than the mean. Generally the SR values at high latitude and mountainous areas are higher than those at the other areas. The SR value informs the characteristics of the precipitation composition. An SR value larger than 10 means that all precipitation is composed of snow whereas a zero SR value means that all precipitation is composed of rain.

A Study on the Status of Illumination Environment in Workplaces (업무공간의 조명 환경 실태 조사 연구)

  • Choi Han-Hee;Ha Mi-Kyoung
    • Korean Institute of Interior Design Journal
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    • v.13 no.6
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    • pp.167-174
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    • 2004
  • The purpose of this study is to examinethe present illumination conditions in office environment and to suggest an efficient illumination plan in office planning process. Illumination conditions in work environment were surveyed in 6 offices to investigate whether the present illumination conditions were appropriate to the work type. The results of this study are as follows: Most of the general Illuminance level in the area of work were all at an adequate level, except one. The average Illuminance level in the all meeting rooms were met for the standard. Illuminance in the all reception area were extremely over the standard, The illuminations of this area were rather designed according to the image of the company than the standard. As for the illumination method in the area of general work, four offices used a general lighting by a direct lighting type, while two offices used a general lighting and a task lighting at the same time. This survey suggested that first, each company should consider illumination plan in the building planning process, second, illumination plan considering the type of places is needed, and third, illumination environment may be differentiated according to the work type. In conclusion, efficient illumination environment should be considered in office building planning process, especially In terms of illumination materials and methods.

Sclerosing Meningioma : Radiological and Clinical Characteristics of 21 Cases

  • Kang, Ho;Kim, Jin Wook;Se, Young-Bem;Dho, Yun-Sik;Choi, Seung Hong;Park, Sung-Hye
    • Journal of Korean Neurosurgical Society
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    • v.59 no.6
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    • pp.584-589
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    • 2016
  • Objective : A rare subtype of meningioma, sclerosing meningioma is not included in the current World Health Organization classification of meningiomas and is classified into the category of other morphological variation subtypes. Sclerosing meningioma is often misdiagnosed to other non-benign meningioma or malignant neoplasm, so it is important to diagnose sclerosing type correctly. We analyzed the radiological and clinical characteristics of a series of sclerosing meningiomas. Methods : Twenty-one patients who underwent surgery in one institute with a histopathologically proven sclerosing meningioma were included from 2006 to 2014. Eighteen tumors were diagnosed as a pure sclerosing-type meningioma, and 3 as mixed type. Magnetic resonance image was taken for all patients including contrast enhancement image. Computed tomography (CT) scan was taken for 16 patients. One neuroradiologist and 1 neurosurgeon reviewed all images retrospectively. Results : In the all 16 patients with preoperative CT images, higher attenuation was observed in the meningioma than in the brain parenchyma, and calcification was observed in 11 (69%). In 15 of the 21 patients (71%), a distinctive very low signal intensity appeared as a dark color in T2-weighted images. Nine of these 15 tumors (60%) exhibited heterogeneous enhancement, and 6 (40%) exhibited homogeneous enhancement that was unlike the homogeneous enhancing pattern shown by conventional meningiomas. Ten patients had a clear tumor margin without peritumoral edema. Conclusion : Although these peculiar radiological characteristics are not unique to sclerosing meningioma, we believe that they are distinctive features that may be helpful for distinguishing sclerosing meningioma from other subtypes.

Left Ventricular Rupture after Mitral Valve Replacement - 3 cases report - (승모판막 치환술후 합병한 좌심실 파열의 외과적 고찰 - 3례 보고 -)

  • 유환국
    • Journal of Chest Surgery
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    • v.23 no.5
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    • pp.987-993
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    • 1990
  • An unusual but often lethal complication of mitral valve replacement is rupture of the left ventricle. From March 1977 through June 1990, 424 mitral valve replacements were performed as isolated or combined procedures. Rupture of the posterior wall of the left ventricle was observed in 3 patients. Their was one type I and two type II rupture. Once the diagnosis was made, all of the patient were connected to the heart-lung machine again and total cardiopulmonary bypass is re-established. Repair was attempted in all of them from the outside of the heart. One of them was successively repaired but two were failed due to myocardial ischemia by circumflex coronary artery injury and failure of adequate closure of the ruptured site. From this results, we concluded that prevention is the best solution. But if we encountered this condition, early diagnosis and rapid treatment may improve the patient`s chances for survival.

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Surgical Treatment of Abdominal Aortic Aneurysm (복부 대동맥류의 외과적 치료)

  • 김동원
    • Journal of Chest Surgery
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    • v.28 no.1
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    • pp.31-36
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    • 1995
  • Between January 1984 to June 1994, fourteen patients from 37 to 80 years of age [mean 66.42 11.71 years of age have undergone surgical treatment of abdominal aortic aneurysm in Kyung Hee Univ. Hospital. There were 11 males and 3 female patients. All but one were infra-renal type. The etiology of the aneurysm consisted of twelve atherosclerotic, one inflammatory and one traumatic abdominal aortic aneurysm.Two patients were operated on for ruptured abdominal aortic aneurysm. We performed dacron graft interposition in all patients and one patient was also performed aorto-renal end to side anastomosis. Two patients died of postoperative complications which was a pulmonary insufficiency in one, acute renal failure in another patient.Remaining twelve patients were discharged with good condition and followed up from 2 months to 87 months.[mean $34.58{\pm}29.79$ months.

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