• 제목/요약/키워드: left factor

검색결과 557건 처리시간 0.027초

Bechet씨 병에 발생한 폐동맥류: 치험 1례 (Pulmonary Artery Aneurysm in Behcet`s Disease - Report of a Case -)

  • 김선한
    • Journal of Chest Surgery
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    • 제25권4호
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    • pp.412-417
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    • 1992
  • Pulmonary artery aneurysm is Behcet`s disease is rare and can be fatal due to rupture. We experienced a case of pulmonary artery aneurysm in Behcet`s disease. The patient was 21 year old woman who was adimitted with three month history of dyspnea, fever and cough. On examination, she had aphthous ulcer in the mouth and erythema nodosum on the left popletial fossa and forearm, but didn`t have any lesion at eyes and genitalia. The latex fixation test for rheumatoid factor, VDRL test for syphillis, antinuclear antibody and LE cell test were all negatives. The third and fourth components of complement in the serum, serum immunoglobulin concentrations[IgG, IgM, IgA] were within normal range. The chest radiography revealed a 5x6cm sized radiopaque mass density in the left hilar region. Two months later, the mass was enlarged to 6x7cm. The IV-DSA showed a single aneurysm at the proximal part of left lower lobe artery with lingular segment artery and no distal perfusion by thombotic obstruction. The steroid therapy was done for a month, but symptoms not improved. We performed resection of lingular segment and lower lobe including the aneurysm. The microscopic findings of the operative specimen were intimal hyperplasia and fragmentation of the internal elastic fibers. She was improved without remarkable event, except infection of the operative wound.

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좌심실 비대와 고혈압성 심혈관 합병증: 소아 심장 의사의 관점 (Left Ventricular Hypertrophy and Prelude to Hypertensive Cardiovascular Diseases: from the Pediatric Cardiologist's Point of View)

  • 조민정
    • Childhood Kidney Diseases
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    • 제15권1호
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    • pp.14-21
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    • 2011
  • 좌심실 비대는 심부전, 허혈성 심질환, 부정맥과 같은 심혈관계 질환의 이환율 및 사망률을 높이는 강력한 위험 인자이며 고혈압으로 초래되는 가장 초기 단계의 심장 변화 이기도 하다. 소아청소년 고혈압 환자들은 분명한 심혈관계 합병증 보다는 무증상의 좌심실 비대만 볼 수 있는 경우가 대부분이나 치료하지 않는 경우 성인에서의 심혈관 합병증으로 이행될 위험이 크다. 표적장기 손상의 가장 대표적인 증거이기도 한 좌심실 비대는 소아청소년에서 고혈압 전 단계 상태에서도 나타나므로 고혈압의 진단 당시와 추후의 추적 진료 중 정기적으로 심초음파를 통한 좌심실 질량의 측정이 이루어 져야 한다. 좌심실 비대가 보인다면 적극적인 약물 치료가 또한 이루어져야 한다.

수술중 급성 대량 출혈을 동반한 자발성 척추경막외혈종 - 증 례 보 고 - (Spontaneous Spinal Epidural Hematoma with Intraoperative Acute Massive Bleeding - Case Report -)

  • 김형종;황수현;박인성;김은상;정진명;한종우
    • Journal of Korean Neurosurgical Society
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    • 제29권9호
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    • pp.1184-1187
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    • 2000
  • Spontaneous spinal epidural hematoma is rare disease and usually presents with a progressive neurological syndrome for which surgical decompression is usually indicated. The cause of bleeding in epidural hematoma remains unknown in most of the cases. The most frequently identified risk factor is coagulopathy or treatment with anticoagulants. Recently, authors experienced a case of spontaneous spinal epidural hematoma with intraoperative profuse bleeding at the cervicothoracic location. Laboratory examination showed no evidence of coagulopathy or hepatic disease. On neurologic examination, left hemiparesis(Grade : II) and left side sensory change were noted. On MRI scan, there was a mass of high signal intensity in T2WI and isosignal intensity in T1WI compressing the cord to left side. The patients had good surgical outcome after decompressive laminectomy and hematoma removal.

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전방신호기가 교통사고에 미치는 영향 연구 (Impacts of Pre-signals on Traffic Crashes at 4-leg Signalized Intersections)

  • 김병은;이영인
    • 한국도로학회논문집
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    • 제15권4호
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    • pp.135-146
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    • 2013
  • PURPOSES : This study aimed to analyze the impact the operation of pre-signals at 4-leg signalized intersections and present primary environmental factors of roads that need to be considered in the installation of pre-signals. METHODS : Shift of proportions safety effectiveness evaluation method which assesses shifts in proportions of target collision types to determine safety effectiveness was applied to analyze traffic crash by types. Also, Empirical Bayes before/after safety effectiveness evaluation method was adapted to analyze the impact pre-signal installation. Negative binomial regression was conducted to determine SPF(safety performance function). RESULTS : Pre-signals are effective in reducing the number of head on, right angle and sideswipe collisions and both the total number of personal injury crashes and severe crashes. Also, it is deemed that each factor used as an independent variable for the SPF model has strong correlation with the total number of personal injury crashes and severe crashes, and impacts general traffic crashes as a whole. CONCLUSIONS: This study suggests the following should be considered in pre-signal installation on intersections. 1) U-turns allowed in the front and rear 2) A high number of roads that connect to the intersection 3) Many right-turn traffic flows 4) Crosswalks installed in the front and rear 5) Insufficient left-turn lanes compared to left-turn traffic flows or no left-turn-only lane.

Methylene Tetrahydrofolate Reductase C677T Mutation and Left Ventricular Hypertrophy in Turkish Patients with Type II Diabetes Mellitus

  • Yilmaz, Hulya;Agachan, Bedia;Ergen, Arzu;Karaalib, Zeynep Ermis;Isbir, Turgay
    • BMB Reports
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    • 제37권2호
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    • pp.234-238
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    • 2004
  • This study was designed to investigate, in the Turkish population, the association of methylene tetrahydrofolate reductase (MTHFR) C677T polymorphism and left ventricular hypertrophy (LVH) in patients with type II diabetes mellitus. Our study included 249 patients with type II diabetes mellitus (102 men, 147 women) and 214 healthy volunteers as controls (91 men, 123 women). MTHFR C677T genotypes were determined by polymerase chain reaction, restriction fragment length polymorphism techniques. No differences were observed in the distribution of MTHFR genotypes or allele frequencies in the cases versus the controls. The frequency of the MTHFR-mutated allele (T) was 31.7% in the type II diabetes mellitus versus 31.1% of the controls. The homozygous mutation (T/T) in the MTHFR gene was identified in 12% of the type II diabetes mellitus versus 9.3% of the controls. Patients with the TT genotype showed a higher prevalence of LVH when compared to patients with the CC and CT genotypes (p = 0.01). The MTHFR gene C677T mutation may be a possible risk factor for the development of LVH in the type II diabetic patients.

ON THE RETRACTS AND RECODINGS OF CONTINUING CODES

  • YOO, JISANG
    • 대한수학회보
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    • 제52권4호
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    • pp.1375-1382
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    • 2015
  • We investigate what happens when we try to work with continuing block codes (i.e., left or right continuing factor maps) between shift spaces that may not be shifts of finite type. For example, we demonstrate that continuing block codes on strictly sofic shifts do not behave as well as those on shifts of finite type; a continuing block code on a sofic shift need not have a uniformly bounded retract, unlike one on a shift of finite type. A right eresolving code on a sofic shift can display any behavior arbitrary block codes can have. We also show that a right continuing factor of a shift of finite type is always a shift of finite type.

루프쉐이핑과 구조적 특이치를 이용한 견실성능 개선 (Analysis of robust performance improvement using loop shaping and structured singular value)

  • 방경호;오도창;박홍배
    • 전자공학회논문지B
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    • 제33B권5호
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    • pp.17-24
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    • 1996
  • In this paper, we present a robust performance improvement method for the NLCF(normalized left coprime factor) uncertain structure using loop shaping and the structure singular value. For this, we select weighting functions for a loop shaping considering condition numer, and transform the NLCF uncertain structure into the 4-block structure. However, we can't get a good performance on account of the restriction of weighting functions. To cope with this, we motivate the use of structured singular vlaue in the robust performance improvement procedure. After all, the robust performance improvement can be obtained by a factor W$_{a}$ and a scaling factor of D-K iteration.

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가토 하치조신경 재생에 있어 Nerve Growth Factor의 효과 (EFFECT OF NERVE GROWTH FACTOR IN REGENERATION OF MANDIBULAR NERVE OF RABBIT)

  • 박광;김현태;이종호
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제18권2호
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    • pp.261-268
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    • 1996
  • An experimental study was performed to evaluate the efficacy of nerve growth factor(NGF) on inferior alveolar nerve in a rabbit model. In 20 New Zealand white rabbits, 14mm of bilat eral alveolar nerve were resected and the defects were repaired with the 17mm silicone conduits. In group I, 5mm autologous nerve segment were located centrally in the left side after tubulization and NGF solution(Sigma chemical 0.1 mg/mL) was instilled into each conduit. In group II, nerve repair modality was the same but no NGF solution was instilled into the conduits. On 2 months and 6 months postoperatively, the results were evaluated by clinical and hist omorphometric assessment. The result was that autologous nerve segment group show the best nerve regeneration effect and NGF instilled group the worst.

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Congenital Intercostal Lung Herniation Combined with an Unusual Morgagni's Hernia

  • Lee, Sang-Kwon;Kim, Do-Hyung
    • Journal of Chest Surgery
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    • 제44권6호
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    • pp.455-457
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    • 2011
  • A 70-year-old male visited urgent care due to coughing for 1 month and left chest pain. He had no history of trauma. The initial chest computed tomography (CT) showed the 7th left intercostal lung herniation. A follow-up CT showed an intercostal lung herniation combined with a bowl herniation, which had developed due to a Morgagni's hernia. An emergency operation was performed due to the incarceration of the bowl and lung. The primary repair of the diaphragm was performed and the direct approximation of the 7th intercostal space was determined. We concluded that the defect of the diaphragm and the intercostal muscle was a congenital lesion, and the recurrent coughing was the aggravating factor of herniation.

지속적인 치통으로 나타난 상악동 악성 림프종 1예

  • 윤정훈;육종인;김진
    • 대한치과의사협회지
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    • 제38권6호통권373호
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    • pp.567-569
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    • 2000
  • Many teeth have been mistakenly extracted or endodontically treated because of an incorrect diagnosis of orofacial pain including toothache, A case report of persistent toothache originating from a malignant lymphoma of left maxilary sinus is presented. Root canal therapy and extraction of left upper quadrant teeth from canine to second molar did not resolve the chief complaint. The patient was referred to a neurologist and was diagnosed with a malignant lymphoma, a rare lesion of the maxillary sinus. The case stresses the importance of malignant neoplasms of maxillary sinus as a potential etiologic factor in the differential diagnosis of orofacial pain.

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