• Title/Summary/Keyword: upper chest type

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Atypical Coarctation in the Descending Thoracic Aorta: Treated by Bypass Graft (만성 비특이성 동맥염에 의한 비전형적 하행 흉대동맥 협착증: Bypass graft 를 시행한 1예)

  • Jang, Un-Ha;Yu, Hoe-Seong
    • Journal of Chest Surgery
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    • v.11 no.1
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    • pp.81-84
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    • 1978
  • A 15 years Old girl was admitted with chief complaints of intermittent claudication of lower extremity, dizziness, and headache for 5 years. On admission, malignant hypertension was noted in the upper part of body [190-150/120-110] but femoral & dorsalis pedis pulse could not palpate. Once she had experienced C. V. A. due to hypertension of upper part, about years ago. On auscultation, systolic murmur was audible along the left sternal border. E.C.G. Showed left ventricular hypertrophy pattern, and others within normal limit. Retrograde aortography demonstrated diffuse narrowing of entire thoracic aorta with underdeveloped lower abdominal aorta [below the renal artery] & both common lilac artery, and rich collaterals, but normally visualized greater arteries in the aortic arch. On left posterolasteral thoracotomy, entire descending thoracic aorta revealed marked narrowing with mild perivascular adhesion, but no mediastinal pleura adhesion. These findings suggest as congenital type of atypical coarctation in the entire thoracic aorta with mild secondary change. But histopathology was showed the findings of chronic non-specific aortitis, later. Dacron by pass graft was performed with end to side anastomosis between graft and aortic wall. After operation, all her preoperative symptoms & signs were disappeared, and discharged with good general condition.

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Clinical Report about the Adverse Reactions of Taeeumin.Soeumin.Soyangin by Taeeumjowi-tang (태음조위탕(太陰調胃湯)을 복용한 태음인(太陰人) 소음인(少陰人) 소양인(少陽人)의 반응에 대한 임상보고)

  • Kim, Hyo-Jung;Kim, Jong-Yoel
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.6
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    • pp.1600-1605
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    • 2008
  • The objectives of this study were to survey the adverse reactions by Taeeumjowi-tang and to compare the tendency of symptoms by Sasang constitutional type. The clinical data for this study were based on the medical records of 78 cases collected from an oriental clinic. The major results of this survey are following: The 5.8% of Taeeum-in who took Taeeumjowi-tang showed side effects. And the 52.4% of Soeum-in and 41.6% of Soyang-in also showed side effects against Taeeumjowi-tang. They complained of excitation, irritability, restlessness, hypersensitivity, tinnitus, insomnia, upper abdominal discomfort, poor appetite, thirst, perspiration, dizziness, chest pain, tremor and evacuation troubles in common. And these adverse symptoms were similar to that by Ma-hwang. Therefore if we make a suitable medication guide for Ma-hwang based on Sasang constitutional type, it will be able to maximize the efficacy and minimize the adverse effect.

Clinical and Hemodynamic Investigation of Atrial Septal Defect (심방중격결손증의 혈류역학적 상관관계 및 임상적 고찰)

  • 정상조
    • Journal of Chest Surgery
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    • v.24 no.5
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    • pp.445-450
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    • 1991
  • Forty eight patients diagnosed as atrial septal defect, had been operated from April 1986 to December 1990 at the Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, were analysed retrospectively. Of the 48 patients, 12 patients, were male and 36 patients were female, Their ranged from 8 months to 51 years old, and the mean was 18.0 years old. The proceeding two symptoms were exertional dyspnea and frequent upper respiratory infection. But 10 patients [20.8%] were asymptomatic. Electrocardiographic findings were regular sinus rhythm in 100.0%, RVH in 29.2%, incomplete RBBB in 27.1%, and first degree AV block in 2.1%. Hemodynamic studies were performed in 38 of 48 patients. Significant pulmonary hypertension[over 50mmHg in systolic pulmonary arterial pressure], which is the most serious risk factor, was developed in 4 patients[8.3%]. There was statistical significance between size of defect[cm2/BSA-M2] and systolic pulmonary arterial pressure[sPAP] retrospectively[p=0.036]. We could not find the correlationship between age and Qs % size. Anatomically, secundum type constituted 97.9%, in which 43 patients were PFO type[91.6%] and 3 patients were IVC type[6.3%]. 38 of 48 ASD patients were repaired with patch closure[72.9%] and remains were repaired with direct closure[27.1%]. The operative result was excellent except two cases of transient postoperative arrhythmia. There was no operative mortality.

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Surgical Treatment of Atrial Septal Defect (심방중격결손증의 외과적 요법)

  • 조형곤
    • Journal of Chest Surgery
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    • v.18 no.2
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    • pp.174-181
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    • 1985
  • From Jun. 1980 to Mar. 1984, 33 cases of atrial septal defect, secundum type, operated at the department of Thoracic and Cardiovascular Surgery, School of Medicine, Keimyung University, were analyzed retrospectively. They were 24.3% of all congenital heart diseases operated in the same period. Among the 33 cases, 17 cases were males and 16 cases were females. Their ages were ranged from 4 to 42 years and cases of over 15 years of age were 60.6%. Main symptoms at admission were exertional dyspnea [69.7%], palpitation [63.6%] and frequent upper respiratory infections [51.5%], but 2 cases [6.1%] were asymptomatic. All 33 cases were operated under the direct vision with cardiopulmonary bypass. All cases were secundum type defect of atrial septal defect and single defect were in 29 cases [90.6%], and oval type defect were in 31 cases [96.9%]. In 7 cases [21.9%], other lesions of cardiovascular system were associated, and the most common lesion was pulmonic valvular stenosis [4 cases; 12.5%]. The defects were closed directly in 27 cases and in 6 cases with Dacron patch. Postoperative complications were occurred in 8 cases [24.2%], and they were pleural effusion, congestive heart failure, and alopecia mainly. One case died due to air embolism postoperatively and operative mortality was 3.1%.

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Analysis of Ventricular Septal Defect (심실중격결손증의 외과적 고찰)

  • 신제균
    • Journal of Chest Surgery
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    • v.18 no.2
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    • pp.151-156
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    • 1985
  • A clinical analysis was done on 50 cases of ventricular septal defect, operated from April 1981 to March 1984 at the department of Thoracic and Cardiovascular Surgery, School of Medicine, Keimyung University. Among 50 cases, 34 cases were males and 16 cases were females. Their age ranged from 1 to 26 years and the mean age was 9.7 years. The main symptoms at admission were frequent upper respiratory infection [50%], exertional dyspnea [42%] and palpitation [34%]. In anatomical classification by Kirklin, type I constituted 20%, type II 76%, type IV 4%. Associated congenital cardiac lesions were pulmonic stenosis [6 cases], patent foramen ovale [5 cases], aortic insufficiency [3 cases] and persistent left superior vena cava [1 case]. When a normal electrocardiogram pattern was present, Qp/Qs, Rp/Rs and pulmonary artery systolic pressure and Pp/Ps were relatively low. Among cases of above 1 cm2/M2 BSA in size of defect, Pp/Ps and pulmonary artery systolic pressure were increased than the cases of below 1 cm2/M2 BSA [P=0.01]. The postoperative right bundle branch block was occurred in 21 cases [75%] among 28 cases of right ventriculotomy approach. The operative mortality was 2% [1 case] among 50 cases and complication rate was 14% [7 cases].

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The study on the breast types and characteristics of Chinese female adults. (Ver. 2) - Focused on the female college students in Shanghai - (중국 성인여성용 유방유형 및 특성에 관한 연구(제 II보) - 상해지역 20대 전반 여성을 중심으로 -)

  • Cha, Su-Joung;Sohn, Hee-Soon
    • Journal of Fashion Business
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    • v.14 no.1
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    • pp.57-75
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    • 2010
  • This study is done in Shanghai area by sample survey of female college students in their lower 20s. Through direct contact survey, this study collected and analyzed information on figure to understand feature of breasts and measurements of body to provide base information to improve product of brassiere for adult female in China. Data was analyzed by using SPSSWIN 13.0 Program and SAS 9.0. 1. From a result of factor analysis on 40 items of measures to derive the components of the shape of the breast, 6 factors were derived such as the factors to show the obesity of the bust, to show the ratio of the upper and lower area of the lower bust, droop and volume, to show the internal shape and broadness of the bust, to show the location and vertical size of the bust, to show the protrusion of the bust and the eternal shape of the bust. 2. From a result of classification on the shape of the breast of the Chinese women in their early 20s, 4 types were selected. Type 1 is the protrusion type that a woman has a broad drooped breast due to the development in the upper and lower parts of the chest as well as the highest height, a high degree of obesity in the bust part, big volume and much protrusion. Type 2 is the hemisphere type that the degree of obesity in the breast is second to Type 1 and a breast is located at a region higher than Type 1 as the degree of obesity in the breast is secondly highest, the lower part of the bust is bigger than the Type 1 and the degree of being broad and drooped is second to Type 1. Type 3 is the cone type with a breast of being drooped and broad a little bit and a certain degree of a volume. Type 4 is the flat type with the smallest value in the item that shows the obesity of the bust area and with the smallest value in the R$\ddot{o}$hrer index to have the small and slender body type for the bust area, which is somewhat flat due to a low slope at the internal side of the bust.

Collective Review of Pulmonary Hamartoma in Korea (폐과오종 [Collective Review])

  • Jo, Gyu-Seok;Park, Ju-Cheol;Yu, Se-Yeong
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.470-473
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    • 1985
  • We performed clinical analysis about 20 cases of pulmonary parenchymal and intrabronchial hamartoma in Korea by literatures of the Korean Journal of Thoracic and Cardiovascular Surgical Society during 8 years from September 1976 to September 1984 and in addition to our hospital experienced 4 cases of pulmonary parenchymal hamartoma during same periods. 1] There were no cases below second decades. 2] Patients of pulmonary parenchymal hamartoma were asymptomatic, but patients of intrabronchial hamartoma were symptomatic [dyspnea & frequent upper respiratory tract infections]. 3] Pulmonary parenchymal hamartoma were confirmed by removal of mass, but intrabronchial hamartoma were confirmed by bronchoscopic biopsy. 4] There were no malignant changes in both type of pulmonary hamartoma.

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Congenital esophageal atresia and tracheoesophageal fistula: report of 4 cases (선천성 식도 폐쇄 및 기관식도루 4례 보고)

  • 채성수
    • Journal of Chest Surgery
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    • v.16 no.1
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    • pp.127-130
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    • 1983
  • Esophageal atresia and Tracheoesophageal fistula may occur as separate entities but usually occur in combination. First described by Durston in 1970, esophageal atresia was not successfully treated until 1939 when the first two survivors of staged correction were described by Ladd and Leven. In 1941, Haight and Towsley performed the first successful primary repair. Authors report four cases of esophageal atresia of which two cases were treated surgically in success with Haight`s method. The type of four cases were all the same as upper blind pouch and lower tracheoesphageal fistula. Two of them were associated with verterbral defect, imperforate anus and/or rib fusion. Two cases died within seven days due to parent`s refusal for operative therapy, others were treated surgically with Haight`s method. Operative patients tolerated all the operative procedure and recovered uneventfully, permitted feeding on 7th postoperative day. On follow up study, one patient revealed intermittent regurgitation and corrected with bougienation another with good health without complication.

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Adenosquamous Carcinoma of the Lung - One Case Report - (폐에 발생한 선편평상피세포암종;1례 보고)

  • 백효채
    • Journal of Chest Surgery
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    • v.25 no.10
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    • pp.1082-1086
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    • 1992
  • Adenosquamous carcinoma of the lung is a rare disease entity and its clinical characteristics, treatment, and prognosis are poorly described. Stage I disease are amenable to operation as in bronchogenic carcinoma of non-small cell type, but stage III adenosquamous carcinoma shows highly aggressive behavior with rapid progression. We have experienced a case of stage III adenosquamous carcinoma of the lung in a 38-year-old male with a large mass in the right upper lobe with multiple metastasis in the mediastinal lymph nodes. Interestingly, all of the metastatic lymph nodes proved to be adenous component histologically. After right pneumonectomy and extensive lymph node dissection, the patient had received one cycle of chemotherapy. However, clinical signs of distant metastasis to bone and brain were discovered within 5 months postoperatively.

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A Comparative Study on the Anthropometric Method - Anthropometric Point and Line - (인체측정(人體測定) 방법(方法)에 관(關)한 비교(比較) 연구(硏究) - 인체측정(人體測定) 기준점(基準點), 기준선(基準線)을 중심(中心)으로 -)

  • Kwon, Young-Ja;Shim, Boo-Ja
    • Journal of Fashion Business
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    • v.5 no.4
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    • pp.89-100
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    • 2001
  • The major purpose of this study is to show exact and convenient devices and minimize error in body measurement. This study was referred to 13 records and compared 6 items that the investigator's opinion has been differed about anthropometric point and line and suggested convenient and radical device, and measured by if need be. The 30 students from 20 to 25 ages were measured and data was analyzed by mean, std. deviation and paired t-test. The results are as follows. 1. Side neck point has been suggested many devices, but was suggested in this study to decide by M. trapezius, cervicale point and fossa jugularis point. 2. Shoulder point was suggested to decide by point of 1/2 armhole depth, upper arm depth and shoulder depth except acromion point. 3. Waist circumference line has been differed between horizontal line and natural line. The result of measurements was no significant difference between two methods and natural line was convenience. Waist circumference line must considered two methods together for garment construction and somato type. 4. The standard of hip circumference line has been differed between buttock point and trochanterion point. The result of measurements was significant difference between two methods, but two point must considered together because of body type. 5. Chest circumference line at scye has been differed between horizontal line and natural line. The result of measurements was significant difference between two methods and natural line was convenience. Chest circumference line at scye must studied to decide method the line for garment construction.

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