• 제목/요약/키워드: stricture

검색결과 289건 처리시간 0.024초

항공기 이 .착륙 시 초대형 부유식 해양구조물의 시간 영역 응답 해석 (Transient Responses of an Airplane Taking off from and Landing Very Large Floating Stricture in Waves)

  • 신현경;이호영;임춘규;강점문;윤명철
    • 한국해양공학회:학술대회논문집
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    • 한국해양공학회 2000년도 추계학술대회 논문집
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    • pp.63-67
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    • 2000
  • Up to this day, Most studies of hydroelasticity are inclined to frequency domain atnlysis. Thos amlysis Q the landing, take-4, and dropping of airaqft on a structure. So, the concern of this prrper is a tra a VLFS subjected to dymmic lazd induced by airplane larndirrg and take-off. To predict added mass, dampr exciting force, the source-dipole distribution method were used The responses are accomplished by Fdoimain analysis method is based on Newmark $\beta$ method to pursuit time step pnzcedure taking advantage function for hvdrodvnumic effects.

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풍선 확장술에서 식도파열의 진단을 위한 압력분석 시스템의 구성 (A Development of the Balloon Pressure Analysis System for the Diagnosis of Esophageal Ruptures)

  • 신동익;송호영;허수진
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1997년도 추계학술대회
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    • pp.428-431
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    • 1997
  • This study is the basic research on esophageal balloon dialation with automatic detection of the pressure change in the balloon and analysis using personal computer. In conventional method, the esophageal stricture is cured by surgically. Recently, balloon dialation method has been proposed and is popularized. In balloon dialation, detecting esophageal rupture is very important. When using radiological investigation, the leak of contrast medium is very dangerous. In proposed method, the detection of esopageal rupture can be peformed by detecting and analyze the pressure change of dialation balloon. Experimental system is composed of balloon catheter, pressure pump, pressure sensor, A/D converter and PC.

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후방 대정맥-우심방 우회술에 의한 하대정맥 미만성 폐쇄의 치험 2 (Dorsal Cavoatrial Bypass for Segmental Obstruction of IVC; Report of 2 cases)

  • 김웅한;안혁
    • Journal of Chest Surgery
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    • 제26권12호
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    • pp.950-954
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    • 1993
  • Two patients with chronic Budd-Chiari syndrome resulting from segmental obstruction of the inferior vena cava underwent operation. There were 1 man and 1 woman. The obstructed segment was directly visualized by a transthoracic, transdiaphragmatic, retroperitoneal approach. In these two cases, severe segmental obstruction of the inferior vena cava was observed just above the right hepatic vein. These patients underwent successful retrohepatic cavoatrial bypass with a polytetrafloroethylene [PTFE] graft [ 16mm plain and 16mm ringed graft ]. There were no operative mortality and postoperative complication. These patients have been followed up for 6months and 36months without evidence of re-obstruction. When there is a severe stricture of the IVC with hepatic veins draining freely into the obstructed segment of the IVC, a dorsal cavoatrial bypass with a PTFE graft, preferably ringed, is the method of choice.

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기관협착증 -1예 보고- (Postintubation tracheal stenosis -One case report-)

  • 조인택;오봉석;이동준
    • Journal of Chest Surgery
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    • 제19권3호
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    • pp.470-474
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    • 1986
  • In the treatment of the acute respiratory failure, ventilatory support with endotracheal intubation or tracheostomy is a life saving procedure in many cases but the development of postintubation tracheal stenosis is a very serious complication. Recently we have experienced one case of postintubation tracheal stenosis which occurred in the region of cuff site. Preoperative tracheogram showed a concentric stricture 3.0 cm in length located 4.0 cm proximal to the carina. Under the general anesthesia, the stenotic segment was resected and end-to-end anastomosis was performed successfully through the right posterolateral thoractomy. Her postoperative course was uneventful and the patient has remained well till now.

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절제불능한 위식도암에 대한 Bypass 수술 4례 (Bypass for Esophageal Stenosis due to Gastro-esophageal Carcinoma:A Report of 4 Cases)

  • 정영환;김근호
    • Journal of Chest Surgery
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    • 제4권1호
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    • pp.35-42
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    • 1971
  • This is a report on four cases of bypass for esophageal stricture due to gastro-esophageal carcinoma in the Department of Thoracic Surgery, Chonnam University Hospital. Bypass was performed intrathoracal esophago-jejunostomy by a segment of jejunum. Three patients received end to end anastomosis and the other one side to end esophagojejunostomy. Postoperative results were as follow; There was no swallowing disturbance with regular diet and the patients appear to be more comfortable by bypass than gastrostomy or jejunostomy. Postoperative condition of all the patients was satisfactory because other organs were intact. However, two patients expired in 12 months and 6 months after operation by wide metastasis and the other 2 cases are living now with regular diet in 4 months and 2 months after operation.

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위-식도 역류질환의 수술적 치료 (Surgical Treatment of Gastroesophageal Reflux Disease)

  • 송교영
    • 대한기관식도과학회지
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    • 제19권1호
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    • pp.11-14
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    • 2013
  • Gastro-esophageal reflux disease (GERD) is a recurrent, long-term gastrointestinal condition characterised by the abnormal reflux of stomach contents into the esophagus. Heartburn is the most dominant symptom, which can be life long and can considerably reduce quality of life. The main goals of treatment are to alleviate symptoms and prevent relapses, esophageal stricture and adenocarcinoma. This paper presents a review comparing the effectiveness of omeprazole with Nissen fundoplication surgery for the treatment of GERD. Nissen fundoplication is more effective in controlling heartburn symptoms, healing esophagitis and preventing relapses than omeprazole. Quality of life, in terms of productivity and ability to work, is difficult to assess in the omeprazole group and, as a result, a comparison of this aspect is limited. Although fundoplication is expensive in the short term, it is more cost-effective than omeprazole. Nurses need to be aware of the effectiveness of omeprazole and fundoplication to provide patients with accurate information, which assists patients in decision making regarding treatment options.

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기관문합수술에서 PTFE(Polytetrafluoroethylene)를 이용한 협착방지에 대한 실험연구 (An Experimental Study for the Prevention of Postanastomotic Tracheal Stenosis using PTFE (Polytetrafluoroethylene) in Tracheal Surgery)

  • 이석열;이길노;고은석
    • 대한기관식도과학회지
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    • 제8권1호
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    • pp.22-28
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    • 2002
  • Background and Objectives : The aim of the this study is to determine the efficacy of an external prosthesis made of ringed Polytetrafluoroethylene to prevent Postanastomotic stenosis after surgical correction of extensive tracheal defects in rabbits. Materials and Methods : Thirty rabbits were used, divided into two groups of 15 animals each. Group A rabbits underwent resection of six-ring segments of the cervical trachea and tracheal end-to-end anastomosis. The Procedure used in group B was similar to that used in group A. but the tracheal anastomosis was supported by an external ringed polytetrafluoroethylene prosthesis. After six months, rabbits were killed and tracheas were resected and then compared the postanastomotic tracheal stenosis using morphometry. Results : Anteroposterior diameter, transverse diameter, cross sectional area and intra luminal perimeter of trachea was greater in group B than group A. Also inflammatory changes of mucosa and submucosa were greater in group A than group B. Conclusion : A ringed PTFE as a external stent was effective to prevent tracheal stenosis resulting from the extensive tracheal resection and tracheal reconstruction in rabbits.

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2세 여아의 항문 및 항문 주위 첨형 콘딜로마 1예 (Anal and Perianal Condyloma Acuminatum in a 2 Years Old Girl)

  • 김현영;이경희;김나래;박연호
    • Advances in pediatric surgery
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    • 제16권1호
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    • pp.32-36
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    • 2010
  • Condyloma acuminatum is an uncommon disease but there is an increased incidence reported in recent years in prepubertal children. Anal and perianal condyloma accuminatum in children may suggest sexual abuse and treatment should include the thorough social evaluation as well as medical treatment. A 25 month old girl presented with multiple sessile nodules around her anal and perianal area, Biopsy confirmed the diagnosis of condyloma accuminatum. There was no definite evidence of sexual abuse, but her father had condyloma accuminatum involving his penis. The patient's lesions were excised totally. At three week follow up there was no anal stricture but there were newly developed small lesions around perianal area. Imiquimod onit was applied for 2 weeks and the recurred lesion disappeared completely. At postoperative 5 month, the operative area was fully epithelialized without recurrence.

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셀프 캘리브레이션 기법을 이용한 행렬 디코딩 D/A 컨버터의 설계에 관한 연구 (Design of the Self-Calibrated OJA Converter with Current Source Matrix Stricture)

  • 임현욱;강호철;김순도;성만영
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 1998년도 춘계학술대회 논문집
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    • pp.243-246
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    • 1998
  • This paper presents a 6-bit self-calibrated D/A converter designed with current cell matrix structure. This structure is based on the current-cell matrix configuration using a regulated gate cascode current cell with 3-way switch. using from CMOS process and 5V power supply, the simulated conversion rate is 45.78MHz and the average mismatching properties among current sources are reduced to 0.02% and 0.005%, respectively when 1% and 0.5% errors of current sources are considered.

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Balloon 확장술에 의한 식도협착증의 치료 (BALLOON DILATATION OF ESOPHAGEAL STRICTURE)

  • 윤성철;나인국;김형종;노영수;임현준;이길우
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1991년도 제25차 학술대회 연제순서 및 초록
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    • pp.33-33
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    • 1991
  • 부식성 식도염에서 속발한 식도협착의 비외과적 치료법으로 사용되었던 종래의 각종 소식자를 이용한 확장술은 그 효과가 일시적이며 소아에서 시행시 많은 문제점이 있다. 근래들어 관상동맥, 요관, 대장 등의 협착에 사용되어온 balloon Catheter를 이용한 식도 확장술은 비교적 안전하고 효과적이어서 소아나 정도가 심한 식도협착의 치료에 큰 도움을 줄 수 있다. 본 교실에서는 최근 2년간 부식성 식도염 후 속발한 식도협착 6 례를 Balloon catheter 확장법으로 치료하여 아래와 같은 결과를 얻었기에 보고하는 바이다. 1) 전체 6명 중 남자가 4명 여자가 2명으로 평균 연령은 45.7세였다. 2) 부식제의 종류는 가성소다가 5명 초산이 1명이였다. 3) 협착부위는 1례가 경부식도이며 5례가 흉부식도였고 이중 1례는 다발성 협착이 였다. 4) 확장 전 식도조영사진 상 협착부위의 평균 내경은 4.3mm였다. 5) 확장술을 시행한 횟수는 2회에서 5회( 평균 3.5회 )로 확장술이 끝난 후의 평균 내경은 13.5mm였다. 5) 확장술시 3례에서 식도파열이 발생하였으나 보존적 치료법으로 치유되었다.

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