• Title/Summary/Keyword: dilatation

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Study on the Aseptic Care during Labor and Delivery, and their Effects to Peripheral Morbidity (분만시 무균처치와 산후감염의 이환율과의 관계에 대한 연구)

  • 이경혜
    • Journal of Korean Academy of Nursing
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    • v.2 no.1
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    • pp.141-157
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    • 1971
  • The peripheral infection is one of the major causes of maternal death, and although it is preventable through an effective prenatal as well as postnatal care its morbidity is increasing due to bacterial resistant to an effective antibiotics. The primary purpose of this study was to investigate the peripheral morbidity of 949 parturients who were admitted to the Obstetrics and Gynecologic department of Ewha Woman's University Hospital from January 1971 to September 1971. Among the 949 parturients, especially 40 normal parturients were selected (20, control soup was given complete aseptic care during labor and delivery and post delivery: 20, compare group was given the ordinary care practiced during labor and delivery and maternal ward of Ewha Woman's University Hospital) for bacteriologic test on vaginal flora twice, on admission and on complete cervical dilatation of each parturient. The results obtained from this study were as follows; 1. Majority of parturients age were 21 to 35 years old(90.83%), and educational level of 949 parturients was above high school. A large number of parturients socioeconomic level (according to their husbands' job) were moderate. 2, Among the 949 parturients, multipara (55.9%) were a little more than primipara (44. 1%) and 38.84% of parturients had experienced aborition. 3. In deliverty types, normal deliveries (804 cases) were more than cesarean section deliveries (145 cases) The peripheral morbidity after normal deliveries was 0.5%, and cesarean section deliveries, 23.45%. 4. Among 949 parturients incidence of hemorrhage eases (500cc or more bleeding) showed the higher peripheral morbidity (24.86%) than other cases (bleeding less than 500cc, 7.83%). 5. The majority of parturients (81.03%) had teen taking antenatal care, but most of them were taken irregular antenatal care. On the other hand, on admission, the parturients with complication were 30.32%, and their peripheral morbidity showed much higher (7.02%) than those with no complication (2.71%). 6. The incidence of peripheral morbidity in premature ruptured membrane was higher (10.91%) than normal parturienta (1.73%). 7. In the result of aseptic care during labor and delivery and post delivery, the number of cultured bacteria was legs in control group than Compare group (in control group, on admission 17, on complete cervical dilatation 12: in compare group, on admission 21 on complete cervical dilatation 21) . The most common bacteria were Staphylococcus (control group 14 on admission, compare group 16 on admission), and next Streptococcus, E- Coil, Bacillus Subtilis, in order. Also in control group the number. of colony were reduced (43%) more than in Compare group. Transient temperature elevation from 37℃ to 37.4℃ were noted in compare group (50%) than in control group (30%), and there was no one indicated above 38℃. In conclusion, the aseptic care is the test way of preventing peripheral infection as well as decreasing the puerperal morbidity. Therefore the most important nursing care is the aseptic care for each parturient during labor and delivery and peat delivery and also all the instruments must be cleaned and sterilized.

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Self-Expandable metallic Stent in Benign Tracheobronchial Stenosis (양성기관지 협착증 환자에서 팽창성 금속성 스텐트의 사용경험)

  • Shin, Dong-Ho;Park, Sung-Soo;Lee, Jung-Hee;Jeon, Seok-Chol;Chung, Won-Sang;Kim, Kung-Hun
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.4
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    • pp.318-324
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    • 1992
  • Acquired tracheobronchial stenosis has resulted from vehicular accidents, prolonged tracheal intubation, sleeve resection, tuberculosis and sarcodosis. Various modalities of therapy for the relief of such stenosis included surgery, cryotherapy, laser photoresection, and sometimes balloon dilatation. Several recent reports have described the use of self-expandable metal stents for the dilatation of stenotic areas in the tracheobronchial tree. Three patients of benign acquired tracheobronchial stenosis were treated with self-expandable metal stents, who had shown little response to several times of balloon dilatations; One patient had a tracheal stenosis caused by intubation, one a right main bronchial stenosis developed after reconstructive surgery of traumatic bronchial rupture, and the other a left main bronchial stenosis caused by longstanding endobronchial tuberculosis. We found that the using stent in benign acquired tracheobronchial stenosis can be effectively performed with alleviation of clinical symptoms and lung function. And even in longstanding localized stenosis of main bronchus without distal bronchial destruction, lung perfusion also improved.

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Development of a Rabbit Iliac Arterial Stenosis Model Using a Controlled Cholesterol Diet and Pullover Balloon Injury (콜레스테롤 식이 및 내막 손상을 통한 토끼 장골동맥 협착 전임상 모델 개발)

  • Hooney D. Min;Chong-ho Lee;Jae Hwan Lee;Kun Yung Kim;Chang Jin Yoon;Minuk Kim
    • Journal of the Korean Society of Radiology
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    • v.85 no.2
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    • pp.372-380
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    • 2024
  • Purpose This study aimed to develop a rabbit iliac stenosis model and evaluate the effects of different mechanical injury techniques on the degree of arterial stenosis. Materials and Methods Eighteen rabbits were divided into three groups: cholesterol-fed with pullover balloon injury (group A; n = 6), cholesterol-fed with localized balloon dilatation (group B; n = 6), and chow-diet with pullover balloon injury (group C; n = 6). After baseline angiography, the left iliac arteries of all rabbits were injured with a 3 × 10 mm noncompliant balloon using either a wide pullover technique (groups A and C) or a localized balloon dilatation technique (group B). A nine-week follow-up angiography was performed, and the angiographic late lumen loss and percentage of stenosis were compared. Results Group A exhibited the most severe late lumen loss (A vs. B, 0.67 ± 0.13 vs. 0.04 ± 0.13 mm, p < 0.0001; A vs. C, 0.67 ± 0.13 vs. 0.26 ± 0.29 mm, p < 0.05; stenosis percentage 32.02% ± 6.54%). In contrast, group B showed a minimal percentage of stenosis (1.75% ± 6.55%). Conclusion Pullover-balloon injury can lead to significant iliac artery stenosis in rabbits with controlled hypercholesterolemia. This model may be useful for elucidating the pathogenesis of atherosclerosis and for evaluating the efficacy of novel therapeutic interventions.

Effect of Iodine-131 Administration on the Liver of Guinea Pig (방사성 옥소(131I)가 Guinea Pig의 간장에 미치는 영향)

  • Lee, Heung Shik;Lee, Kang Wook
    • Korean Journal of Veterinary Research
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    • v.12 no.1
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    • pp.15-19
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    • 1972
  • This experiment was carried out to investigate the effect on the liver of guinea pig after administration of 4.5mCi per Kg. body wt. with iodine-131. The histological changes in the liver were degeneration of hepatic cells, congestion of sinusoids, dilatation of bile ducts, perivascular infiltration of lymphocytes, and dissociation of hepatic cords. A marked histological changes were produced after treatment for 14 days and the morphological recoveries were observed 28 days after the treatment.

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Renal Cyst in a Mongrel Dog (개의 신낭종의 1례)

  • Han Jeong-Hee;Kim Doo
    • Journal of Veterinary Clinics
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    • v.8 no.2
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    • pp.143-146
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    • 1991
  • Renal cyst was detected in a mongrel dog aged 3 months old. The most prominent clinical abnormalities were vomiting, loss of appetite, depression, abdominal swelling and lethargy. Gross appearances included ascites and bilaterally irregular capsular surfaces of the kidneys. Characteristic microscopical findings were various sized cysts formation, shrunken glomeruli with hypercellularity, connective tissue porliferation in the interstitum, tubular dilatation and sligth leukocytic infiltration. The cause. of the renal disorder in a mongrel dog could not be determined.

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Cavoatrial bypass for Budd-Chiari Syndrome Associated with Obstruction of the Iinferior Vena Cava -Report of One Case- (하공정맥 폐색증에 의한 Budd-Chiari 증후군의 수술치험 -1례 보고-)

  • 권은수
    • Journal of Chest Surgery
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    • v.27 no.9
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    • pp.801-803
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    • 1994
  • We report a case of a 45-year-old woman with Budd-Chiari syndrome caused by the obstruction of the inferior vena cava just below the diaphragm. Transatrial dilatation or membranotomy was not possible due to the severe fibrotic obliteration of the inferior vena cava. Instead, cavoatrial bypass with a Dacron graft[20 mm-Vascutek] was performed under the median sternotomy and median abdominal incision.The postoperative course was uneventful and generalized symptoms were much improved. During the following period[6 month] the graft patency was maintained with no recurrence of symptoms.

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A Case of Infantile Nephrotic Syndrome (부신 석회화가 동반된 영아형 신증후군)

  • Lee, Kyung-A;Shin, Son-Mun;Park, Yong-Hoon
    • Journal of Yeungnam Medical Science
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    • v.9 no.2
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    • pp.427-435
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    • 1992
  • We have experienced a case of infantile nephrotic syndrome confirmed by renal biopsy in a 13-month-old female patient who showed growth and develop mental retardation and persistent proteinuria. She revealed mild eyelid edema, joint laxity, delayed speech development and adrenal cortical calcification on the radiologic study. Renal biopsy showed microcystic tubular change, micro-glomeruli and marked mesangial proliferation.

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Hydrocephalus Developed after Cranioplasty : Influence of Cranioplasty on the CSF Circulation

  • Kim, Seok-Won;Lee, Seung-Myung;Shin, Ho
    • Journal of Korean Neurosurgical Society
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    • v.40 no.3
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    • pp.193-195
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    • 2006
  • Hydrocephalus is usually defined as the condition of ventricular dilatation due to the overproduction of cerebrospinal fluid[CSF] or dysfunction of absorption. The pattern of the CSF circulation may change after a cranioplasty secondary to previous decompressive craniectomy for refractory intracranial hypertension after head injury. The effect of the cranioplasty on CSF hydrodynamics has not been explored exactly. We report two cases of acute hydrocephalus developed after cranioplasty and discuss about the clinical importance with review of literatures.

Dilated Cardiomyopathy in Dogs (개의 확장성 심근증)

  • 최지혜;안용주;이희천;최호정;장동우;엄기동;이영원;권오경;윤정희
    • Journal of Veterinary Clinics
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    • v.16 no.2
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    • pp.509-513
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    • 1999
  • Dilated cardiomyopathy in two dogs showing dyspnea was diagnosed at veterinary teaching hospital. In radiographs, cardiomegaly, pleural effusion, pulmonary edema, ascites, and hepatomegaly were seen at case 1. ‘Reversed D’ shape due to right heart enlargement was shown at case 2. In echocardiography, dilatation of chambers was predominant in case 1 and 2. Arrythmia was complicated in case 2.

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Carcinoma of the Esophagus after Corrosive Esophageal Stricture - One case report - (부식성 식도협착 후 발생한 식도암 1례)

  • 김영진
    • Korean Journal of Bronchoesophagology
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    • v.7 no.2
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    • pp.178-183
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    • 2001
  • A 72-year-old women whose symptom was severe dysphagia and x-ray film revealed esophageal stricture and dilatation. She had attempted suicide by swallowing lye liquids 50 years ago. A conclusive clinical and histological diagnosis of esophageal carcinoma after corrosive stricture was made following a esophagectomy with esophagogastrostomy, I experienced one case of esophageal carcinoma after corrosive stricture and reviewed it with references.

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