• Title/Summary/Keyword: dissection process

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A Case of Ascending Aortic Dissection with Severe Aortic Regurgitation Diagnosed by Echocardiography (심장초음파검사로 진단된 중증 대동맥판역류를 동반한 상행대동맥박리증 1예)

  • Kim, Sung-Hee;Lee, Ok-Kyoung
    • Korean Journal of Clinical Laboratory Science
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    • v.52 no.4
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    • pp.425-429
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    • 2020
  • Aortic dissection refers to the separation of the aorta into a true and false lumen as the medial membrane of the aorta is torn along the long axis due to a high aortic pressure when a minute rupture occurs in the aortic lining. The mortality rate is very high, and aortic dissection occurs 2~5 times more in men than women. The prevalent age range is 50~70 years old. In this case, the authors experienced a diagnosis of aortic dissection that occurred in a young woman in her 30s, which does not occur frequently. In the process of tracking severe aortic regurgitation, aortic valve prolapse was initially suspected. We report this case because aortic dissection could be diagnosed by observing the intimal flap of the ascending aorta in the process of confirming this suspected part.

Unexpected Lymph Node Pathology in Neck Dissection for Head and Neck Cancer (두경부 종양환자에서 경부 림프절의 예기치 않은 병리적 소견)

  • Oh Kyung-Kyoon;Lee Guk-Haeng;Lim Sang-Moo;Shim Yoon-Sang
    • Korean Journal of Head & Neck Oncology
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    • v.10 no.1
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    • pp.3-6
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    • 1994
  • Neck dissection has become an integral part of the staging and management of head and neck tumors. This paper reports a series of head and neck patients who had pathological findings in their neck dissection specimens, which were unrelated to their primary tumors. In 7 cases, there was unexpected pathology in the cervical lymph nodes which was not related to the primary tumor. Four cases were squamous cell carcinomas and 3 were thyroid carcinomas. In 3 cases of squamous cell carcinomas, there were no evidence of metastatic squamous cell carcinoma in neck dissection specimen; however, the lymph nodes were found to be involved by metastatic papillary carcinoma in one larynx cancer, metastatic adenocarcinoma in the other larynx cancer, tuberculosis in one nasopharynx cancer. In three of neck dissection specimen of carcinoma(two thyroid carcinomas, one laryngeal carcinoma), dual nodal pathology was found: Each of these specimen contained carcinoma with tuberculosis of the lymph nodes in three cases. In one thyroid carcinoma, there was no evidence of metastasis; however, the lymph nodes were found to be involved by tuberculosis. Preoperative assessment did not reveal any findings to alert us to the possibility of a synchronous pathological process in the cervical nodes of this group of 7 patients. In particular, there was no evidence of active pulmonary tuberculosis in the 5 patients with active lymph node disease.

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Anatomical Location of the Tendinous Intersections of the Rectus Abdominis Muscle in Korean Women (한국 여성의 배곧은근에서 나눔힘줄(Tendinous Intersection)의 위치)

  • Suh, Hyun Suk;Eom, Jin Sub;Lee, Taik Jong
    • Archives of Plastic Surgery
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    • v.33 no.4
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    • pp.469-473
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    • 2006
  • Purpose: The transverse rectus abdominis myocutaneous(TRAM) flap has become a reliable method for autogenous breast reconstruction. However, dissection of the tendinous intersections of rectus abdominis is technically difficult. The tendinous intersection has significant vascularity within its fascial layers raising in importance of technique in elevation. If tendinous intersections are damaged during the elevation of the rectus muscle, circulation to TRAM flap can be endangered. The purpose of this study is to evaluate the number of tendinous intersections and to predict anatomical position of the tendinous intersections. Methods: We dissected 182 consecutive TRAM flaps and measured the distance between xiphoid process and each tendinous intersection and evaluated the statistic correlation among the distance, patient's height and position of umbilicus. Results: In this study, in 30.7% of patients, two tendinous intersections were observed in one rectus abdominis muscle, in 67.7% three tendinous intersections, and in 1.6% four tendinous intersections, respectively. But there was no correlation between patient's height and the distance between xiphoid process and each tendinous intersection. Conclusion: It still remains difficult to predict the position of tendinous intersections just by topography before the dissection. Careful and meticulous dissection of the tendinous intersections is still required.

DISSECTION TECHNIQUE FOR EFFICIENT JOIN OPERATION ON SEMI-STRUCTURED DOCUMENT STREAM

  • Seo, Dong-Hyeok;Lee, Dong-Gyu;Ryu, Keun-Ho
    • Proceedings of the KSRS Conference
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    • 2007.10a
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    • pp.11-13
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    • 2007
  • There has been much interest in stream query processing. Various index techniques and advanced join techniques have been proposed to efficiently process data stream queries. Previous proposals support rapid and advanced response to the data stream queries. However, the amount of data stream is increasing and the data stream query processing needs more speedup than before. In this paper, we proposed novel query processing techniques for large number of incoming documents stream. We proposed Dissection Technique for efficient query processing in the data stream environment. We focused on the dissection technique in join query processing. Our technique shows efficient operation performance comparing with the other proposal in the data stream. Proposed technique is applied to the sensor network system and XML database.

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Dissecting Aortic Aneurysm - Case Report - (해리성 대동맥류 1례 보)

  • 이준영
    • Journal of Chest Surgery
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    • v.20 no.2
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    • pp.367-373
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    • 1987
  • Dissecting aneurysm has long been recognized as an ominous and highly lethal form of aortic disease. Aortic dissection are characterized by longitudinal separation of aortic media and extension proximally, distally or both from the site of intimal tear. DeBakey and associates defined three types based on where the process originates and how far extends. In type I, intimal tear is located in the ascending aorta and extend beyond the descending aorta. We experienced a case of dissecting aneurysm, Type I of DeBakey`s classification which dissection extend to the left iliac artery. The patient was 61 years old woman and suffered from excruciating pain on admission. Excision of aneurysm and ascending aorta reconstruction using to Dacron Vascular Prosthesis were performed under extracorporeal circulation. The post-operative course was uneventful and follow up is continued.

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Transaxillary Endoscopic Breast Augmentation

  • Sim, Hyung-Bo
    • Archives of Plastic Surgery
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    • v.41 no.5
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    • pp.458-465
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    • 2014
  • The axillary technique is the most popular approach to breast augmentation among Korean women. Transaxillary breast augmentation is now conducted with sharp electrocautery dissection under direct endoscopic vision throughout the entire process. The aims of this method are clear: both a bloodless pocket and a sharp non-traumatic dissection. Round textured or anatomical cohesive gel implants have been used to make predictable welldefined inframammary creases because textured surface implants demonstrated a better stability attributable to tissue adherence compared with smooth surface implants. The axillary endoscopic technique has greatly evolved, and now the surgical results are comparable to those with the inframammary approach. The author feels that this technique is an excellent choice for young patients with an indistinct or absent inframammary fold, who do not want a scar in the aesthetic unit of their chest.

Surgical Anatomy of Lateral Extracavitary Approach to the Thoracolumar Spine - Cadaveric Study - (흉요추부 외측 강외 접근법(Lateral Extracavitary Approach)의 수술해부학적 구조 - 사체해부실험 -)

  • Kim, Sang-Don;Suh, Jung-Keun;Ha, Sung-Kon;Kim, Joo-Han;Cho, Tae-Hyung;Park, Jung-Yul;Kim, Hyun
    • Journal of Korean Neurosurgical Society
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    • v.30 no.10
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    • pp.1187-1192
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    • 2001
  • Objective : The lateral extracavitary approach(LECA) to the thoracolumbar spine is known as one of procedure which allows not only direct vision of pathologic lesion, but also ventral decompression, and dorsal fixation of the spine through the same incision. However, some drawbacks of LECA, including the technically- demanding, time-consuming, unfamiliar surgical anatomy and excessive blood loss, make surgeons to hesitate to use this approach. This study is to provide the surgical anatomy of LECA using cadavers, for detailed informations when LECA is considered for the surgery. Methods : We performed the 10 cadaveric studies, 7 male and 3 female, and careful dissection was carried out on right side of thoracolumbar region, except one for thoracic region. The photographs with micro-lens were taken to depict the close-up findings and for demonstrating detailed anatomy. Results : The photographs and hand-drawings demonstrated the relationships among the musculature, segmental vessels and nerve roots seen during each dissection plane. The lateral branches of dorsal rami of spinal nerve and the transverse process were confirmed to be the most important landmark of this approach. Conclusion : We concluded that detailed anatomical findings for LECA through this step-by-step dissection would be useful during operative intervention to reduce the intraoperative complications in LECA.

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Deterioration Assessment and Dissection Process for Rock Properties of Stone Pagoda in the Mireuksaji Temple Site, Korea (익산 미륵사지 석탑의 해체과정과 구성부재의 훼손도 평가)

  • Yang, Hee Jae;Kim, Sa Dug;Lee, Chan Hee;Choi, Seok-Won
    • Journal of Conservation Science
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    • v.16 s.16
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    • pp.77-88
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    • 2004
  • This study evaluates the occurrences, phyfical weathering and biological deterioration on rock properties during the dissection process an object of stone pagoda in the Mireuksaji temple site. For restoration and conservation, all kinds of rock properties are carried out detailed scientific investigation and diagnosis. Constituting rocks of the pagoda composed mainly of equi-granular medium grained biotite that rock properties presumed to be use about 3,000 materials. Main external properties of the pagoda are total 446 materials, and the rock properties under the concentration load on the each floors occurred with overlapping fracture, weathering and deteriorations. The 84 materials show highly degraded about $18.8\%$ among the external properties. Representative physicochemical deteriorations are fracture, loss, break, exfoliation, degradation, grain shaped dissolution, relief surface, discoloration and hydroxide precipitates, in this study, the deterioration state of each properties give a precisely description and analysis. Coverage of lichen and algae on the rock surface represented about $85\%$. As the some properties, biological contaminants withered up when spray rock surface with diluted cleaning chemicals. Results of the study are utilized an application for restoration system and detailed investigation during the dissection process of stone cultural properties.

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Giant Leiomyoma of the Esophagus - A Case Report - (거대 식도평활근종 수술치험 1예)

  • 이두연
    • Journal of Chest Surgery
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    • v.22 no.3
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    • pp.518-523
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    • 1989
  • A 42-year old male was seen with symptoms of dysphagia, chest pain and dyspnea of 9 months duration. A benign tumor of the posterior mediastinum was diagnosed from x-ray studies and a transthoracic needle aspiration biopsy which was inconclusive. A left thoracotomy revealed a huge mass occupying the retrocardiac space and the contra-lateral mediastinum. It was resected by blunt dissection and, during this process, a 3.0 cm laceration was created in the esophageal wall. This was repaired with Tevdec sutures and staplers and was reinforced with an intercostal muscle flap to prevent leakage. The postoperative course was entirely uneventful.

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A Geomorphic Surface Analysis Using Remote Sensing in DMZ of Chugaryeong Rift Valley, Central Korea (위성영상을 이용한 추가령열곡 DMZ 지역의 지형면 분석)

  • LEE, Min-Boo
    • Journal of The Geomorphological Association of Korea
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    • v.17 no.1
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    • pp.1-14
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    • 2010
  • This paper deals with the classification and distribution of geomorphic surfaces and analysis on effects of geomorphic processes on the landforms in the inaccessable DMZ (Demilitarized Zone) to Wonsan Bay of East Sea coast of Chugaryeong Rift Valley, Central Korea. DEM (Digital Elevation Model) and Landsat images are used for the above anlaysis. The geomorphic surfaces are classified by TPI (Topographical Position Index) for the analysis of the convexity and concavity calculated using topographical elements such as elevation, steepness, and relief. In the Chugayreong Valley, 10 geomorphic surfaces are classified as steep valley, shallow valley, upland drainage, U-shaped valley, plain, open slope, upper slope, local ridge, midslope ridge, and high ridge. Zonal Statistics presents average characteristics of geomorphological processes of surfaces by the relationships between bedrock and relief, surface and relief, and between surface and NDVI. So, these analysis can help to understand geomorphological process such as dissection of lava plateau and watershed divide evolution.