• Title/Summary/Keyword: dilatation

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Non-Surgical Management of Critically Compromised Airway Due to Dilatation of Interposed Colon

  • Min, Jinsoo;Cho, Young-Jae
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.2
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    • pp.98-100
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    • 2016
  • We present a rare case of critically compromised airway secondary to a massively dilated sequestered colon conduit after several revision surgeries. A 71-year-old male patient had several operations after the diagnosis of gastric cancer. After initial treatment of pneumonia in the pulmonology department, he was transferred to the surgery department for feeding jejunostomy because of recurrent aspiration. However, he had respiratory failure requiring mechanical ventilation. The chest computed tomography (CT) scan showed pneumonic consolidation at both lower lungs and massive dilatation of the substernal interposed colon compressing the trachea. The dilated interposed colon was originated from the right colon, which was sequestered after the recent esophageal reconstruction with left colon interposition resulting blind pouch at both ends. It was treated with CT-guided pigtail catheter drainage via right supraclavicular route, which was left in place for 2 weeks, and then removed. The patient remained well clinically, and was discharged home.

Ultrastructural Studies of Typhoid Cells

  • Kim Chung-Sook;Lee Yoo-Bock;Kim Dong-Sik
    • Applied Microscopy
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    • v.6 no.1
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    • pp.1-7
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    • 1976
  • To investigate the nature of typhoid cells, three cases of clinically, serologically and histopathologically proven typhoid lesions of the small intestine and regional lymph nodes were studied light and electron microscopically, Light microscopically, typhoid cells were swollen mononuclear cells characterized by abundant amount of eosinophilic cytoplasm and frequent phagocytoses of red blood cells, bacterial clumps and other tissue debris. These cells were pyronin negative, Electron microscopically, these cells showed marked and diffuse dilatation of RER cisternae and disappearance of ordinary cytoplasmic organelles, but frequent phagocytosed materials, The meaning and reason of RER cisternal dilatation and reduction of cytoplasmic organelles were discussed, and are regarded as degenerative process due to bacterial endotoxin. Although there was hot enough cytoplasmic organelles to pinpoint the origin of typhoid cells, active phagocytosis and evidences against being either plasmacytic or lymphocytic nature favored retuculoendothelial nature of the typhoid cells.

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Early Postoperative results of Esophageal Carcinoma using EEA Stapler (EEA Stapler 를 이용한 식도암 수술의 조기 성적)

  • 조성래
    • Journal of Chest Surgery
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    • v.23 no.2
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    • pp.309-315
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    • 1990
  • The introduction of end-to-end anastomosis stapler [EEA stapler] into esophageal surgery has reduced the mortality and morbidity associated with esophageal resection mainly owing to a reduction in the incidence of accidence of anastomotic leak. We now report the results of the 37 patients undergoing esophagectomy or esophagogastrectomy with EEA stapler in the department of cardiothoracic Surgery, Kosin Medical Center No leakage was demonstrated in the 37 esophagogastric anastomotic sites, but dehiscence of the TA stapled gastrotomy suture line occurred in two patient One patient was recovered with conservative treatment but the other patient was died due to hepatic metastasis of esophageal carcinoma during conservative treatment. And one severe esophagogastric anastomotic stricture was developed at the 30th postoperative day, but improved after dilatation with balloon dilatation catheter of Swiss Med. Tech. Company. The other complications were postoperative pneumonia[1 case], wound disruption and infection[3 cases], but all of 4 patients were recovered with conservative treatment. We experienced relative good postoperative results with use of EEA stapler in esophageal surgery. On the basis of our experience, we believe that the EEA stapler has definite place in esophageal surgery.

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LOGHARMONIC MAPPINGS WITH TYPICALLY REAL ANALYTIC COMPONENTS

  • AbdulHadi, Zayid;Alarifi, Najla M.;Ali, Rosihan M.
    • Bulletin of the Korean Mathematical Society
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    • v.55 no.6
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    • pp.1783-1789
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    • 2018
  • This paper treats the class of normalized logharmonic mappings $f(z)=zh(z){\overline{g(z)}}$ in the unit disk satisfying ${\varphi}(z)=zh(z)g(z)$ is analytically typically real. Every such mapping f admits an integral representation in terms of its second dilatation function and a function of positive real part with real coefficients. The radius of starlikeness and an upper estimate for arclength are obtained. Additionally, it is shown that f maps the unit disk into a domain symmetric with respect to the real axis when its second dilatation has real coefficients.

PIV 기법을 이용한 마하 2.0 초음속 노즐의 과대팽창 충격파구조에 대한 연구

  • 김정훈;안규복;김지호;윤영빈
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2002.04a
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    • pp.64-64
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    • 2002
  • Two dimensional velocity distributions outside a Mach 2.0 supersonic nozzle have been investigated using digital particle image velocimetry (PIV). Mean velocities, turbulence intensities, vorticity field and volume dilatation field are obtained from 300 instantaneous PIV images using 0.33 $\mu\textrm{m}$ $TiO_2$ particle. The seeding particle of larger size, 1.4 $\mu\textrm{m}$ $TiO_2$, is also used for the experimental measurements of velocity lag downstream of shock waves according to particle sizes. The results have been compared and analyzed with schlieren photographs and computational fluid dynamics (CFD) results for the velocity distribution, the locations of shock waves and over-expanded shock structure. It was shown that the locations of normal shock and shock waves can be resolved by the axial or radial velocities, and the velocity lag is more significantly increased due to particle inertia as a particle size increases. And it was also found that over-expanded shock structures call be predicted by volume dilatation fields, and streamwise turbulence intensities are influenced significantly by normal shock waves.

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Influence of Bradykinin on Blood Pressure in the Rabbit pretreated with Guanethidine (Bradykinin 이 Guanethidine 전처치(前處置) 가토(家兎)의 혈압(血壓)에 미치는 영향(影響))

  • Lee, D.H.;Kim, G.J.;Park, H.K.
    • The Korean Journal of Pharmacology
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    • v.8 no.1
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    • pp.63-65
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    • 1972
  • It is well known that pharmacological actions of bradykinin are smooth muscle dilatation, increase in capillary permeability, accumulation and migration of leucocytes and inducement of pain. The most significant action of bradykinin is the dilatation of blood vessels. The responses of bradykinin (0.5ug/kg, i. v. injection) on blood pressure were observed before and after single i. v. administration of guanethidine (2mg/kg) in the rabbits. The result of experiment was as follows: In the rabbit pretreated with guanethidine, the depressor response of bradykinin was much pronounced in comparison with that of normal rabbit.

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Radiographic Diagnosis of Canine Gastric Dilatation-volvulus Syndrome (개에서 발생한 위확장-염전증후군의 방사선학적 진단)

  • Kim Sang-Ki;Lee Chai-Yong;Oh Ki-Seok
    • Journal of Veterinary Clinics
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    • v.11 no.1
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    • pp.383-387
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    • 1994
  • The purpose of this report is to describe the radiographic patterns of canine gastric dilatation-volvulus syndrome derived from a case. Radiographs showed the presence of a large amount of gas, fluid and ingesta within the stomach. The gas-filled pyloric antrum was present in the left cranial abdomen in the ventrodorsal view, and located dorsal and slightly cranial to the gas-filled fundus of the stomach in the right lateral recumbent and standing lateral view. On the right lateral recumbent view, the gas-filled stomach was compartmentalized by a soft-tissue dense band caused by the pyloric antral wall folding back and contacting the fundic wall. It was thought that the gastric volvulus in this case occurred In a clock. wise direction by radiographic findings.

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Vertebral Artery Dissection : Natural History, Clinical Features and Therapeutic Considerations

  • Park, Kwan-Woong;Park, Jong-Sun;Hwang, Sun-Chul;Im, Soo-Bin;Shin, Won-Han;Kim, Bum-Tae
    • Journal of Korean Neurosurgical Society
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    • v.44 no.3
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    • pp.109-115
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    • 2008
  • When a tear occurs in one of the major cervicocerebral arteries and allows blood to enter the wall of the artery and split its layers, the result is either stenosis or aneurysmal dilatation of the vessel. Vertebral artery dissection (VAD) is an infrequent occurrence but is a leading cause of stroke in young and otherwise healthy patients. This article discusses recent developments in understanding of the epidemiology and pathogenesis of VAD and the various clinical manifestations, methods of diagnosis, and approaches to treatment.

Dilatometry Analysis of Low Carbon Steel considering Transformation Mismatch Plasticity (변태소성을 고려한 저탄소강 상변태의 Dilatometry 해석)

  • Suh D. W.;Oh C. S.;Kim S. J.
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2005.10a
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    • pp.332-335
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    • 2005
  • A model is developed to quantitatively analyze the dilatometry curve of carbon steel for the evaluation of phase fraction during transformation. The effect of anisotropic volume change due to transformation mismatch plasticity as well as carbon enrichment in austenite during the transformation is considered in the developed model. The developed model is applied for the analysis of dilatometry curves of carbon steels. The result shows that considering the anisotropic dilatation is very essential to quantitatively evaluate the phase fraction from the dilatation curve.

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A Case of the Forme Fruste Choledochal Cyst (Forme Fruste 담관 낭종(FFCC) 1예)

  • Joo, Dae-Hyun
    • Advances in pediatric surgery
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    • v.14 no.2
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    • pp.178-182
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    • 2008
  • Forme fruste choledochal cyst (FFCC) is one of the diverse types of choledochal cyst with little or no dilatation of the extrahepatic bile duct (EHBD). It is considered that FFCC has to do with the pancreatobiliary malunion (PBM). In children, 3 to 6 millimeters of EHBD is assumed to be normal. Even though there is no clear-cut definition, FFCC is likely to be associated with bile duct dilatation less than 10 millimeters. Almost all cases have PBMs and symptoms of the pancreatitis or cholangitis. We experienced a case of FFCC in a 4-year-old boy. His EHBD measures 10 mm diameter. He had symptoms of pancreatitis and elevated hepatic transaminases. The pancreatobiliary common channel was 28 millimeters. He underwent EHBD resection and Roux-en-Y hepaticojejunostomy and was discharged with no specific complications.

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