• Title/Summary/Keyword: capsule structure

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Video-Assisted Thoracic Surgery Lobectomy

  • Kim, Hong Kwan
    • Journal of Chest Surgery
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    • v.54 no.4
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    • pp.239-245
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    • 2021
  • Video-assisted thoracoscopic surgery (VATS) has been established as the surgical approach of choice for lobectomy in patients with early-stage non-small cell lung cancer (NSCLC). Patients with clinical stage I NSCLC with no lymph node metastasis are considered candidates for VATS lobectomy. To rule out the presence of metastasis to lymph nodes or distant organs, patients should undergo meticulous clinical staging. Assessing patients' functional status is required to ensure that there are no medical contraindications, such as impaired pulmonary function or cardiac comorbidities. Although various combinations of the number, size, and location of ports are available, finding the best method of port placement for each surgeon is fundamental to maximize the efficiency of the surgical procedure. When conducting VATS lobectomy, it is always necessary to comply with the following oncological principles: (1) the vessels and bronchus of the target lobe should be individually divided, (2) systematic lymph node dissection is mandatory, and (3) touching the lymph node itself and rupturing the capsule of the lymph node should be minimized. Most surgeons conduct the procedure in the following sequence: (1) dissection along the hilar structure, (2) fissure division, (3) perivascular and peribronchial dissection, (4) individual division of the vessels and bronchus, (5) specimen retrieval, and (6) mediastinal lymph node dissection. Surgeons should obtain experience in enhancing the exposure of the dissection target and facilitating dissection. This review article provides the basic principles of the surgical techniques and practical maneuvers for performing VATS lobectomy easily, safely, and efficiently.

Histological Studies on the Spleen of Mud Turtle (Amyda sinensis) (韓國産 자라(Amyda sinensis)의 脾臟組織에 關하여)

  • Chung, Ho Sam;Lee, Kyung Ro
    • The Korean Journal of Zoology
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    • v.18 no.3
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    • pp.127-130
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    • 1975
  • Histological studies on the spleen of mud turtle(Amyda sinensis) in Korea were made and the results obtained were as follows: 1. Smooth muscle cells are absent in the capsule of the spleen, although reticular, elastic and collagenous fibers are presnet as in the spleen of other mammals. 2. The trabeculs of the spleen tissue are more highly developed than those of frog and do not extend as deeply into the splenic pulp as the trabecula of mammals. 3. The structure of blood system in the spleen is found to be similar to that of mammals. Particularly, the central arteries of spleen are more highly developed, but the splenic sinus appears to be less developed than that of mammals. 4. The ratio of red pulp and white pulp in the splenic pulp appears to be 1. 5. More hemopoietic cells are seen in the spleen of turtle than in the spleen of mammals.

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Bone remodeling of the fibula segment as a form of neocondyle after free vascularized bone transfer: a report of two cases

  • Han Ick Park;Hoon Je Chang;Jee-Ho Lee
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.6
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    • pp.354-359
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    • 2023
  • The temporomandibular joint is a unique structure composed of the joint capsule, articular disc, mandibular condyles, glenoid fossa of the temporal bone, surrounding ligaments, and associated muscles. The condyle is one of the major components of a functional temporomandibular joint. Reconstruction of large mandibular defects involving the condyle is a surgical challenge for oral and maxillofacial surgeons. To restore large mandibular defects, there are different options for free flap method such as fibula, scapula, and iliac crest. Currently, the vascularized fibula free flap is the gold standard for reconstruction of complex mandibular defects involving the condyle. In the present report, neocondyle regeneration after mandible reconstruction including the condyle head with fibula free flap was evaluated. In this report, two patients were evaluated periodically, and remodeling of the distal end of the free fibula was observed in both cases after condylectomy or mandibulectomy. With preservation of the articular disc, trapezoidal shaping of the neocondyle, and elastic guidance of occlusion, neocondyle bone regeneration occured without ankylosis. Preservation of the articular disc and maintenance of proper occlusion are critical factors in regeneration of the neocondyle after mandible reconstruction.

Ultrasounds Image on the Disorders of the Ligaments Surrounding Temporomandibular Joints (측두하악관절 주변인대 질환의 초음파영상)

  • Hong, Soo-Min;Im, Yeong-Gwan;Kim, Byung-Gook
    • Journal of Oral Medicine and Pain
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    • v.33 no.4
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    • pp.387-394
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    • 2008
  • Purpose : The purpose of this study was to verify the usefulness and feasibility of ultrasonographic imaging for the detection of the disorders of the surrounding supporting structure such as articular capsule, retrodiscal tissue and related ligaments, osteoarthritic evidence and associated disc displacement at the temporomandibular joint(TMJ) Materials and Methods : 20 patients(40 joints) with periodic lock and crepitations were investigated prospectively using 12 MHz array transducer. Ultrasonographic Imagings were assessed for osteoarthritic surface changes of condyle, extent of disc displacement and disorders of surrounding structures. Ultrasonographic images were compared with clinical investigations, conventional radiography and Dental Computed Tomographic scans. Results : In clinical and conventional radiography, osteoarthritic changes were diagnosed in 8 joints. Ultrasonographically 7 of the 8 osteoarthritic changes were diagnosed correctly. Sensitivity, specificity, and accuracy of ultrasonography in the osteoarthritic detections were 87.5%, 62.5%, and 67.5% respectively. About the detection of disc displacement, disc displacement were diagnosed in 21 joints clinically. Ultrasonographically 19 of the 21 disc displacements were diagnosed correctly. Sensitivity, specificity, and accuracy of ultrasonography in the osteoarthritic detections were 95%, 90%, and 92.5% respectively. when the disorders of supportive structure were figured out, the disorders of supportive structure were diagnosed in 18 joints clinically. Ultrasonographically 1 of the 18 the disorders of supportive structure were diagnosed correctly. Sensitivity, specificity, and accuracy of ultrasonography in the osteoarthritic detections were 5.5%, 4.5%, and 55% respectively. Conclusion : Ultrasonography is an relatively reliable diagnostic tool for the detection of disc displacement and some of osteoarthritic changes. But it's not an insufficient imaging technique for the detection of the disorders of the surrounding structure.

Effect of Void Formation on Strength of Cemented Material (고결 지반 내에 형성된 공극이 강도에 미치는 영향)

  • Park, Sung-Sik;Choi, Hyun-Seok;Kim, Chang-Woo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.30 no.2C
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    • pp.109-117
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    • 2010
  • Gas hydrate dissociation can generate large amounts of gas and water in gas hydrate bearing sediments, which may eventually escape from a soil skeleton and form voids within the sediments. The loss of fine particles between coarse particles or collapse of cementation due to water flow during heavy or continuous rainfall may form large voids within soil structure. In this study, the effect of void formation resulting from gas hydrate dissociation or loss of some particles within soil structure on the strength of soil is examined. Glass beads with uniform gradation were used to simulate a gas hydrate bearing or washable soil structure. Glass beads were mixed with 2% cement ratio and 7% water content and then compacted into a cylindrical sample with five equal layers. Empty capsules for medicine are used to mimic large voids, which are bigger than soil particle, and embedded into the middle of five equal layers. The number, direction, and length of capsules embedded into each layer vary. After two days curing, a series of unconfined compression tests is performed on the capsule-embedded cemented glass beads. Unconfined compressive strength of cemented glass beads with capsules depends on the volume, direction and length of capsules. The volume and cross section formed by voids are most important factors in strength. An unconfined compressive strength of a specimen with large voids decreases up to 35% of a specimen without void. The results of this study can be used to predict the strength degradation of gas hydrate bearing sediments in the long term after dissociation and loss of fine particles within soil structure.

Structure of hemolymph node in WKY rats (WKY 랫드의 혈림프절 구조)

  • Park, Cheol-beom;Seong, Je-kyung;Lee, In-se;Lee, Heungshik S.;Lee, Joon-sup;Yoon, Yeo-sung
    • Korean Journal of Veterinary Research
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    • v.41 no.3
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    • pp.287-292
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    • 2001
  • It has been known that the hemolymph node is one of the lymphoid organs found normally in ruminants and some rodents, and this organ shares morphological and functional characteristics of lymph node and spleen. To clanify the rigorous definition of morphological structures and functions of the hemolymph node in Wistar Kyoto(WKY)rats, we examined these organs of WKY rats gross anatomically and light microscopically. The hemolymph nodes were normally found in the abdominal cavity and in the neck of WKY rats. This organ was surrounded by a thin connective tissue capsule and there was a hilus. The parenchyma comprised a cortex of lymphatic nodules and diffuse lymphatic tissues, and a medulla of diffuse lymphatic tissues arranged in cords. Afferent and efferent lymph vessels were observed but there was no extensive subcapsular and medullary sinuses. These sinuses were filled with erythrocytes. The stroma of hemolymph nodes was composed of reticular cells and fibers, and many lymphocytes, granulocytes, erythrocytes, plasma cells, macrophages and megakaryocytes were supported by the reticular network. The above findings suggest that the hemolymph nodes of WKY rats may take part in blood formation, blood filtration and immune reaction.

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Structure of hemolymph node in rats (랫드의 혈림프절 구조)

  • Park, Cheol-beom;Seong, Je-kyung;Lee, In-se;Lee, Heungshik S.;Lee, Joon-sup;Yoon, Yeo-sung
    • Korean Journal of Veterinary Research
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    • v.40 no.4
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    • pp.671-675
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    • 2000
  • It has been known that the hemolymph node is one of the lymphoid organs found normally in ruminants and some rodents, and this organ shares morphological and functional characteristics of lymph node and spleen. To clarify the rigorous definition of morphological structures and functions of the hemolymph node in Sprague-Dawley(SD) rats, we examined these organs of SD rats gross anatomically and light microscopically. The hemolymph nodes were normally found in the abdominal cavity and in the neck of SD rats. This organ was surrounded by a thin connective tissue capsule and there was a hilus. The parenchyma comprised a cortex of lymphatic nodules and diffuse lymphatic tissues, and a medulla of diffuse lymphatic tissues arranged in cords. Afferent and efferent lymph vessels were observed but there was no extensive subcapsular and medullary sinuses. These sinuses were filled with erythrocytes. The stroma of hemolymph nodes was composed of reticular cells and fibers, and many lymphocytes, granulocytes, erythrocytes, plasma cells, macrophages and megakaryocytes were supported by the reticular network. The above findings suggest that the hemolymph nodes of SD rats may take part in blood formation, blood filtration and immune reaction.

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Treatment of Edentulous Patient with Neutral Zone Technique : A Clinical Case (무치악 환자 에서 Neutral Zone 방법을 적용한 임상 증례)

  • Kim, Yongsik;Lee, Byunguk
    • Journal of Dental Rehabilitation and Applied Science
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    • v.17 no.2
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    • pp.107-112
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    • 2001
  • The prosthodontic treatment of severely resorbed edentulous patients has been one of the frustrating areas due to extensive loss of tissues. The integrated neuromuscular balance among tongue, lip, and cheek is compromised. The retention, stability, and support are the three major factors to influence the clinical outcome. Fish described a denture as having three surface, with each surface playing an independent and important role in the over all fit, stability, and comfort of the denture. He recommended that the polished surface should be a series of inclines so that pressure from muscular activity will retain dentures. Within the denture space there is an area that has been termed the neutral zone. The neutral zone is that area in the mouth where, during function, the forces of the tongue pressing outward are neutralized by the forces of the cheeks and lips pressing inward. According to Jacobson and Krol, neuromuscular control interacts to provide retention and the relationship of polished surface of denture base to the surrounding muscular structure of orofacial capsule facilitates the stability and retention. This neutral zone concept has been demonstrated with various modification by a number of authors. The theory used to develop the denture base contours is based on the belief that the muscle should functionally mold not only the border but the entire polished surface. Lott and Walsh reported the clinical success on complete mandibular dentures with application of neutral zone concept. A number of studies demonstrated that denture stability and retention are more dependent on correct position of the teeth and correct contour of external surfaces of the denture in a severely resorbed alveolar ridge. This article presents a prosthodontic approach to treatment of a edentulous patient using neutral zone technique to improve the retention and stability of the prosthesis.

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A taxonomic study of Korean Juncus based on the anatomical characters (한국산 골풀속의 해부학적 형질에 의한 분류학적 연구)

  • Jang, Chang-Seok;Oh, Byoung-Un
    • Korean Journal of Plant Taxonomy
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    • v.46 no.4
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    • pp.392-404
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    • 2016
  • The anatomical characters of the 19 taxa of Korean Juncus were reviewed in order to examine their significance in taxonomy. Cross-section analyses were conducted on the stem, leaf, and capsule. Descriptions, line drawings, tables, and a species key of Korean Juncus are provided for species identification based on anatomical characters. The results of this study showed that the arrangements of the vascular bundle, fiber, and air-space structure in the stems as well as the arrangements of the vascular bundle and parenchyma in the leaves and the development of placenta in capsules are the key characters to be used when classifying each species of Juncus. It was revealed that the studied anatomical features were more useful for identification at the subgenera and section levels than at the species level. Therefore, these anatomical characters used in conjunction with external morphological features will make a valuable contribution to establishing a natural classification system for Juncus.

Eyes and Vision of the Bumblebee: a Brief Review on how Bumblebees Detect and Perceive Flowers

  • Meyer-Rochow, V.B.
    • Journal of Apiculture
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    • v.34 no.2
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    • pp.107-115
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    • 2019
  • Bumblebees have apposition compound eyes (one on either side of the head) of about 6,000 ommatidia and three small single-lens ocelli on the frons of their head capsule. The surface of the eye is smooth and interommatidial hairs, as in the honeybee, are not developed. Each ommatidium (approx. 26 ㎛ in diameter) is capped by a hexagonal facet and contains in its centre a 3 ㎛ wide, columnar light-perceiving structure known as the rhabdom. Rhabdoms consist of thousands of regularly aligned, fingerlike microvilli, which in their membranes contain the photopigment molecules. Axons from each ommatidium transmit the information of their photic environment to the visual centres of the brain, where behavioural reactions may be initiated. Since bumblebee eyes possess three classes of spectrally different sensitivity peaks in a ratio of 1:1:6 (UV= 353 nm, blue= 430 nm and green=548 nm) per ommatidium, they use colour vision to find and select flower types that yield pollen and nectar. Ommatidial acceptance angles of at least 3° are used by the bumblebees to discriminate between different flower shapes and sizes, but their ability to detect polarized light appears to be used only for navigational purposes. A flicker fusion frequency of around 110Hz helps the fast flying bumblebee to avoid obstacles. The small ocelli are strongly sensitive to ultraviolet radiation and green wavelengths and appear to act as sensors for light levels akin to a photometer. Unlike the bumblebee's compound eyes, the ocelli would, however, be incapable of forming a useful image.