• Title/Summary/Keyword: sternum

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Development of a Chest Wall Deformity after Conservative Treatment for a Sternal Fracture

  • Kim, Do Wan;Jeong, In Seok;Na, Kook Joo;Song, Sang Yun;Lee, Kyo Seon;Kang, Seung Ku
    • Journal of Trauma and Injury
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    • v.29 no.4
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    • pp.184-186
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    • 2016
  • Although sternal fractures are relatively common, treatment has not been clarified. Thus, the authors report a case of a patient with a sternal fracture associated with a thoracic spinal fracture who had received conservative treatment, but the outcome was not satisfactory.

Study on Vertical Velocity-Based Pre-Impact Fall Detection (수직속도 기반 충격전 낙상 감지에 관한 연구)

  • Lee, Jung Keun
    • Journal of Sensor Science and Technology
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    • v.23 no.4
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    • pp.251-258
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    • 2014
  • While the feasibility of vertical velocity as a threshold parameter for pre-impact fall detection has been verified, effects of sensor attachment locations and methods calculating vertical acceleration and velocity on the detection performance have not been studied yet. Regarding the vertical velocity-based pre-impact fall detection, this paper investigates detection accuracies of eight different cases depending on sensor locations (waist vs. sternum), vertical accelerations (accurate acceleration based on both accelerometer and gyroscope vs. approximated acceleration based on only accelerometer), and vertical velocities (velocity with attenuation vs. velocity difference). Test results show that the selection of waist-attached sensor, accurate acceleration, and velocity with attenuation based on accelerometer and gyroscope signals is the best in overall in terms of sensitivity and specificity of the detection as well as lead time.

Mycobacterium abscessus Osteomyelitis in the Mid Foot (중족부에 발생한 Mycobacterium abscessus 골수염)

  • Chun, Kyung-Ah;Kwak, Yee-Gyung;Suh, Jin-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.1
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    • pp.39-43
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    • 2011
  • Non-tuberculous mycobacterium has a wide-spread occurrence in nature, and skin, soft tissue, bone, lung and disseminated infection can be involved. Non-tuberculous mycobacterium infection occurs both in immunocompetent patients without underlying diseases and in immunocompromised hosts. Non-tuberculous mycobactrial osteomyelitis is a rare cause of granulomatous osteomyelitis, and has been previously reported in the sternum, spine, humerus, femur, tibia or metatarsal. Mycobacterium abscessus osteomyelitis is a very rare infection in the foot and only 1 case has been reported. Authors report a case of Mycobacterium abscessus osteomyelitis involving the tarsal and metatarsal bones in a non-immunocompromized middle aged women.

Axillo-Axillar bypass with Gore-Tex graft for a pulseless disease. (액와동맥간 Bypass Graft 를 이용한 무맥증 수술치험 1례)

  • 이신영
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.466-469
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    • 1985
  • The patient was 17 years old female who complained of coldness of right arm and occasional dizziness, since 4 months prior to admission. On physical examination, the right radial, brachial and common carotid arterial pulses were not palpable. Aortography revealed narrowing of innominate and right common carotid arteries, and complete obstruction of right subclavian artery. The right axillary artery was faintly visualized on the delayed film. Axillo-axillar bypass was done using Gore-Tex graft of 8 mm I.D.. By bilateral subclavicular incision, both side axillary arteries was exposed. End to side anastomosis was made between graft and right axillary artery and the graft was brought out to the left side, subcutaneously, over the sternum, and the anastomosis was made between graft and left axillary artery. Postoperatively, both radial pulses were equally palpable. On follow-up visiting, there were no subjective symptoms and blood pressure in both arms was equal.

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Development of a program for Scoliosis FE Model Automatic Generation (척추측만증 유한 요소 모델 자동 생성 프로그램 개발)

  • 유한규;김영은
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2004.10a
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    • pp.1154-1159
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    • 2004
  • Unexpected postoperative changes, such as growth in rib hump, has been occasionally reported after corrective surgery for scoliosis. However there has been experimental data for explanation of these changes, nor the suggestion of optimal correction method. This numerical study was designed to investigate the main correlating elements in operative kinematics with post-operative changes of vertebral rotation and rib cage deformation in the corrective surgery of scoliosis. To develop a scoliotic spine model automatically, a special program for converting normal spine model to scoliotic spine model was developed. A mathematical finite element model of normal spine including rib cage, sternum, both clavicles, and pelvis was developed with anatomical details. The skeletal deformity of scoliosis was reconstructed, by mapping the X-ray images of a scoliosis into this three dimensional normal spine and rib cage model. The geometric mapping was performed by translating and rotating the spinal colume with the amount analyzed from the digitized 12 built-in coordinate axes in each vertebral image. By utilizing this program, problems generated in mapping procedure such as facet joint overlapping, vertebral body deformity could be automatically resolved.

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Study on the Reproductive Biology of the Giant Freshwater Prawn, Macrobrachium rosenbergii(De Man) III. Structure of Male Reproductive Organ and Spermatophore (대형 담수산새우, Macrobrachium rosenbergii (De Man) 의 생식생현에 관한 연구 III. 수새우 생식기관과 정포의 형태)

  • 권진수;이복규;김병기
    • Journal of Life Science
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    • v.9 no.4
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    • pp.460-465
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    • 1999
  • In the giant freshwater prawn Macrobrachium rosenbergii, the paired testes were united by the testes bridge in a H-shape. During mating male discharged two hemispermtophores from right and left genital pore and they were joined and formed a compound spermatophore in peach shape. Hemispermatophore was considered to be produced at proximal and middle vas deferens region. The compound spermatophore consisted of an eosinophilic inner matrix, a basophilic outer matrix and paired sperm mass burried in the basophilic matrix. The size of compound spermatophore was 6.4∼ 9.3 mm in length and 2.4∼5.1 mm in width regardless of carapace length. After the spermatophore was deposited on female's ventral sternum behind of 5th pereiopod, it was moved to the ventral surface of 3rd and 4th pereiopods by means of the beating of male's 1st and 2nd pleopods.

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Surgical Treatment of the Morgagni Hernia: report of one case (Morgagni 탈장증 수술 1예)

  • 김송명
    • Journal of Chest Surgery
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    • v.12 no.4
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    • pp.429-433
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    • 1979
  • Morgagni hernia is a rare condition of the congenital diaphragmatic hernia which Is located at the anteromedial portion of the diaphragm, and is located immediately posterior to the sternum. Its cause is considered by embryologic defect and the abdominal organs are passed through a defect. The incidence is predirected women over 50 years old. Its synonym is hernia of subcostosternal, retrosternal, parasternal, rectocostoxiphoid, anterior diaphragmatic or Larrey`s. This report presents a symptomatic Morgagni hernia of ten months old male child on whom the diagnosis was established and was operated at the Busan Gospel Hospital. This patient was admitted with the chief complaints of mild cyanosis, frequent upper respiratory infections and protrusion of the right lower anterior chest. Herniorrhaphy was performed through the upper abdominal midline incision, hernial contents of the omentum and the colon, and sac as noticed from the Larrey`s space measuring 4 x 2 cm. in diameter and oval in shape. Interrupted sutures without difficulty repaired the defect. The cyanosis was disappeared and the patient had uneventful course of post-operative period. The patient was discharged at 7th. postoperative day. This case presentation with a brief review of literatures is given.

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Tricuspid Valve Replacement: A Report of 8 Cases (삼첨 판막이식 8례 보고)

  • 김용진
    • Journal of Chest Surgery
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    • v.11 no.2
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    • pp.185-193
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    • 1978
  • Between April 1976 and March 1978, six cases of tricuspid valve replacement were done in the Department of Thoracic Surgery, Seoul National University Hospital. There were 4 men and 2 women and the age of the patients ranged from 17 years of the youngest to 48 years of the oldest. Most of them had characteristic symptoms of tricuspid valve disease, such as a systolic murmur audible over the lower sternum and varying with respiration, pulsatile and distended neck vein, and an enlarged and pulsatile liver. Preoperative functional levels according to NYHA Calcification were class III in 4 cases, and class IV in 2 eases. Most of the cases showed moderate to severe cardiomegaly in chest films and elevated right atrial pressure on preoperative right heart catheterization. Five of them underwent concomittent mitral valve replacement and one pulmonary valvotomy. All of them showed tricuspid insufficiency resulted from massive dilatation of annulus, destructive lesions of valve structure, or both anomalies. One postoperative hospital death was encountered and the cause of death was low out-put syndrome. All survivors showed clinical improvement and cardiomegaly regressed and left hospital in a good condition . *Attendum; Recently 2 more cases of tricuspid valve replacement with mitral valve replacement were done after this review.

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Correction of Funnel Chest: A Report of 4 Cases (누두흉의 수술교정)

  • 노준량
    • Journal of Chest Surgery
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    • v.7 no.2
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    • pp.153-162
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    • 1974
  • Four patients with funnel chest deformity corrected in the Department of Thoracic Surgery, Seoul National University Hospital are presented. The first case was a 21-year old female with cyanosis, clubbed fingers and systolic murmur on the left infrascapular region on physical examination associated with agenesis of the right lung. The deformity was of asymmetrical funnel chest, in which the left hemithorax was more sunken. She was corrected by the method of Funnel Costoplasty of Wada. The second case was a three years old boy whose anterior chest wall was symmetrically deformed, and he was corrected by the method of Ravitch using Adkins strut under the sternum. The third was a 22-year old man with symmetrical deformity, and was corrected by the method described by Shannon in 1973. The last patient was a 22-year old man and he had dyspnea on exertion, palpitation and apical systolic murmur with symmetrical funnel chest deformity. He was also corrected by Ravitch operation, All of them has excellent result.

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Surgical Repair of Pectus Excavatum (누두흉의 수술적 교정)

  • 조덕곤
    • Journal of Chest Surgery
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    • v.23 no.5
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    • pp.1027-1034
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    • 1990
  • Pectus excavatum, commonest developmental anomaly of chest wall, is manifested by depression of the sternum and lower costal cartilages that is of surgical interest. From 1982 through 1990, fifteen patients have undergone surgery for treatment of pectus excavatum and treated by Ravitch operation: 5, Modified Ravitch operation; 4, Wada operation, 1 and Modified Wada operation, 5. There was familial history of pectus excavatum in 3 patients. Associated congenital anomaly were seen in 6 patients; scoliosis in 3 patients, right inguinal hernia in 1, polydactyly in 1 and patent ductus arteriosus in 1 patent. Postoperative minor complications were developed in 3 cases; pneumothorax, 2 cases; pleural effusion, 2 cases; wound infection and dehiscence, 1 cases; pressure sore due to strut malposition, 2 cases; flail chest and 2 cases; seroma. The incidence of the postoperative complications were more common in cases who were treated by metal strut, pin or other prosthetic materials for supporting the chest wall integrity than the standard corrective procedure. All cases have no recurrence of chest wall depression and operative death.

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