• Title/Summary/Keyword: 누관

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Surgical Treatment for a Primary Arterioenteric Fistula between a Common Iliac Artery Aneurysm and the Terminal Ileum with Massive Bleeding (대량출혈을 동반한 총장골동맥류와 회장 사이에 생긴 일차성 동맥-장관루의 치험)

  • Lee, Hyung-Chae;Jun, Hee-Jae;Choi, Kwang-Ho;Lee, Yang-Haeng;Hwang, Youn-Ho;Lee, Seong-Kwang
    • Journal of Chest Surgery
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    • v.42 no.5
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    • pp.635-638
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    • 2009
  • A 72-year-old man with progressive, unexplained lower gastrointestinal bleeding presented to the emergency department with abdominal pain and shock. Computed tomography of the abdomen showed a fistula between a right common iliac artery aneurysm and the small intestine. Laparotomy demonstrated a saccular aneurysm of the common iliac artery with a fistulous communication to the terminal ileum. Aneurysmectomy, aortoiliac graft replacement and segmental ileocecal resection with end-to-side anastomosis were all successfully performed. For a patient having an arterioenteric fistula along with lower gastrointestinal bleeding, making an early diagnosis using computed tomography and then performing immediate surgery can be expected to save the patient's life.

Development of Porous polyurethane Arterial-Venous Shunt by Thermal Control (온도 조절을 통한 다공성 폴리우레탄 동정맥 누관의 개발)

  • Jeong, J.S.;Ryu, G.H.;Kim, J.;Min, B.G.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.478-481
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    • 1997
  • A technique or the preparation of porous polyurethane vascular prostheses was investigated. Small-diameter vessels are not in general clinical use due to their limited long-term biocompatibility and low patency rates in experimental trial. These limits are mainly due to the failure of mechanical unction of the vascular grafts. This failure has been suggested to result partially from compliance mismatch. The long-term patency is considered to depend critically on the properties of the material and the fabrication process of the graft. So the control of pores is very important and main points to develop a available vascular grafts. Two-kind polymer sheets was compared. One was the porous PU-sheet made at room temperature by the solvent/non-solvent exchange. And the other was the porous PU-sheet which was fabricated by thermal phase transition and solvent-/non-solvent exchange using the thermal controller. The polymer sheets had a uniform pore size and pore occupation. According to the result of the above experiments, polyurethane solution was injected into a mold designed or U-type tube. The average pore size and pore occupation were easily changed by changing polyurethane concentration, freezing temperature, and methods. This technique can give a proper pore size ($10{\sim}45\;{\mu}m$) or tissue in growth, and suitable compliances or matching with arteries and veins. Besides, the fabrication of more complicated shaped vessels such as the U-type vascular grafts is easily controlled by using the fixed mold. this method might give a desired compliant graft or artificial implantation with the presently valid medical polymers.

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Feasibility of Dacryoscintigraphy in Normal Dogs (정상 개에서 누비공신티그라피의 적용)

  • Cho, Young-Kwon;Lee, Ki-Chang
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.559-564
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    • 2010
  • The purpose of this study was to evaluate the value of dacryoscintigraphy with Tc-99 m Pertechnetate, which is useful in functional nasolacrimal duct obstruction diagnosis in human medical science, by applying it to normal dogs. Dacryoscintigraphy was performed on six clinically healthy beagle dogs to confirm normal passage of their lacrimal ducts. The scintigraphic images of both lacrimal system were obtained at 5 min, 10 min, and 20 min after Tc-99 m Pertechnetate administration, respectively. If lacrimal duct does not come into view within 20 min, delayed images at 30min, 45min and 60 min were gained. After drawing ROI of left and right canaliculus, lacrimal sac, and nasolacrimal duct acquired after dacryoscintigraphy, we measured each counting rate and developed a counting rate table for each time interval. Of the total of 12 places, 10 (83.3%) showed patency within 20 min, and 11 (91.6%) showed patency within 30 min. In one dog, a functional obstruction of right lacrimal canal was observed. Dacryoscintigraphy could provide useful information about functional and anatomical lacrimal duct obstruction in veterinary medicine as well as in clinical research.

Replantation of a Traumatically Amputated Penis in a Dog (외상에 의해 절단된 음경의 재접합술 1례)

  • Park, Jin-Uk;Cho, Ki-Rae;Han, Tae-Sung;Choi, Seok-Hwa;Kim, Gon-Hyung
    • Journal of Veterinary Clinics
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    • v.24 no.4
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    • pp.627-630
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    • 2007
  • A mixed-breed hunting dog suffered penile amputation and lacerations in the femoral and inguinal areas while hunting wild boar. The penis was replanted by anastomoses of the urethra, cavernous body, and the left and right dorsal veins of the penis. The transected penis recovered anatomically and functionally. No evidence of postoperative necrosis or edema was detected at the distal portion of the penis. In addition, fistulas and stenosis were not found on urethrogram 20 days after the surgery. Aside from surgery, we performed experimental cavernosography to identify the importance of the anastomosis of the dorsal veins of the penis in three beagle dogs. The cavernosograms revealed that, the contrast medium, which was injected into the bulbus glandis, drained by the left and right dorsal veins of the penis, then converged into one vessel at the ischial arch and diverged into the left and right internal pudendal veins. Thus, reanastomosis of the left and right dorsal veins of the penis in cases of transected canine penis appears to be important for positive postoperative prognosis.

Effects of Concentrate to Roughage Ratios on Duration and Frequencies of Rumination and Chewing in Hanwoo Steers (농후사료와 조사료의 비율이 한우의 저작 및 반추시간과 빈도에 미치는 영향)

  • Lee, W.S.;Lee, B.S.;Oh, Y.K.;Kim, K.H.;Kang, S.W.;Lee, Sang.S.;Ha, J.K.
    • Journal of Animal Science and Technology
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    • v.46 no.1
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    • pp.55-60
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    • 2004
  • The effects of concentrate to roughage ratios on duration and frequencies of rumination and chewing in Hanwoo steers were determined. Five Hanwoo steers fitted with rumen fistula were used to evaluate the effects of concentrate to rice straw ratio on eating and ruminating behavior. Experimental diets were formulated with different concentrate to rice straw ratios(50 : 50, 60: 40, 70: 30, 80: 20, 90: 10). When level of roughage feed was increased by 10, 20, 30, 40 to 50% of total dry matter of the diet, total chewing time was increased linearly from 286.99, 321.09, 390.29, 406.63 to 423.30 min/d, which was mainly due to increased ruminating time from 204.91 to 342.80 min/day. However, the level of roughage did not affect eating time. The number of chews per day for rumination and number of chews per rumination were significantly decreased(p < 0.05) as roughage level was increased. In summary, the duration and frequencies of rumination in Hanwoo increased with increased rice straw level.

Examination of Availability of Whole Crop Silage TMR for Late Fattening Hanwoo Steers in the Cattle (비육후기 거세한우 용 사료작물 사일리지 TMR의 소 체내 이용성 조사)

  • Jugder, Shinekhuu;Choi, Seong Ho;Lee, Jeong Ju;Lee, Gyeong Geun;Lee, Sang Suk;Song, Man Kang
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.33 no.2
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    • pp.131-138
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    • 2013
  • The present study was conducted with three ruminally cannulated non-lactating Holstein cattle in a $3{\times}3$ Latin square design to determine the fermentation characteristics and effective degradability (ED) in the rumen, as well as the whole tract digestibility of whole crop silage based total mixed ration (TMR) in comparison with conventional separate feeding of concentrate and rice straw for late fattening Hanwoo steers. The cattle in each group were fed separate feeding of concentrate and rice straw (control), whole crop barley silage based TMR (BS-TMR) or whole crop rye silage based TMR (RS-TMR). The ruminal fermentation characteristics such as pH, ammonia-N concentration and total volatile fatty acid were not affected by the experimental diet. The molar portion of acetate ($C_2$) was lowest in rumen fluid 1 h after feeding when cattle were fed BS-TMR (p<0.033). Molar proportions of propionate ($C_3$), butyrate and $C_2/C_3$ were not influenced by the experimental diet. There were no differences in effective degradability or whole tract digestibility of feed components among any of the experimental diets. The data obtained from the metabolism trial indicate that the feeding value of TMR with BS or RS is equal to that of a conventional separate feeding of concentrate and rice straw.

Effects of Types of TMR on Rumen Fermentation Characteristics and Nutrients Digestibility in Sheep (유형별 완전혼합사료 급여가 반추위내의 발효성상 및 영양소 소화율에 미치는 영향)

  • Li, D.Y.;Ko, J.Y.;Choi, N.J.;Lee, Sang S.;Song, J.Y.;Lee, S.Y.;Park, S.H.;Sung, H.G.;Ha, J.K.
    • Journal of Animal Science and Technology
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    • v.45 no.5
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    • pp.805-812
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    • 2003
  • This study was conducted to examine effects of feeding dry TMR(DTMR), wet TMR(WTMR) and fermented TMR(FTMR) on rumen fermentation, enzyme activity and digestibility in the total tract of sheep. Three rumen cannulated sheep were used in a 3${\times}$3 latin square design. The present results showed that pH, NH3-N, total and individual VFA, A/P ratio and enzymes (CMCase, Xylanase and Protease) activity in the rumen were higher in WTMR and FTMR compared with DTMR. In addition, dry matter, organic matter, crude protein, ether extract, NDF and ADF digestibility in the total tract were also higher in WTMR and FTMR compared with DTMR. Therefore, the present results showed that WTMR and FTMR are better than DTMR for rumen fermentation and nutrients digestibility.

Development of U-shaped Arterialvenous Shunt Using Porous Polyurethane (다공성 폴리우레탄을 이용한 동정맥 누관의 개발)

  • 정재승;김희찬;박광석;최진욱;민병구
    • Journal of Biomedical Engineering Research
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    • v.20 no.2
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    • pp.221-230
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    • 1999
  • A new technique for the preparation of porous polyurethane vascular prostheses was investigated. Synthetic vascular grafts with porous wall have been widely proposed, claiming that strength, suture retention, kink resistance, and other handling properties are improved over those with nonporous solid wall. Related to these facts, the control of pores and compliance match have been very important and interesting issues. Two kinds of polymer sheets were compared. One was the porous PU-sheet made at room temerature by the solvent/non-solvent exchange. And the other was the porous PU-sheet fabricated by thermal phase transition and solvent/non-solvent exchange in the thermal controlled bath. According to the result of the above experiments, polyurethane solution was injected into a mold designed for U-type graft. After freezing at low temperature, solvent was dissolved out with alcohol at < $0^{\circ}C$ and water at room temperature to form porous vessels. The average pore size and pore occupation were easily changed by changing polyurethane concentration and freezing rate. This technique can give a proper pore size for tissue ingrowth, and suitable compliances for matching with arteries and veins. In addition, the fabrication of more complicated shaped vessels such as the U-type vascular grafts is easily controlled by using a mold. This method might give a desired compliact graft for artificial implantaion with the commercially available medical polymers.

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Effects of Different Fat Sources on Fermentative Characteristics and Microbial Efficiency in the Rumen, and Nutrients Digestibility of Dairy Cows (지방첨가원에 따른 젖소의 반추위 발효성상 미생물 합성 효율 및 영양소 소화율 영향 연구)

  • Choi, N.J.;Maeng, H.J.;Kim, H.J.;Lee, H.G.;Ha, J.K.
    • Journal of Animal Science and Technology
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    • v.46 no.3
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    • pp.347-354
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    • 2004
  • Four Holstein cows were used in a 4 ${\times}$ 4 Latin square experiment to study effects of fat sources on rumen metabolism and digestibility of nutrients. All cows were fed a total mixed diets containing 60% silage and 40% concentrate. The four concentrates were formulated to contain either Megalac(MEG), formaldehyde-treated whole linseed(LIN), a mixture (50 : 50, oil basis) of fish oil and formaldehyde-treated whole linseed(MIX), or no fat source in the concentrate but 500g per day of linseed oil being infused into the duodemm (OIL). The rumen pH was lowest in OIL among the treatments(P < 0.05), but ammonia N concentration in the rumen was not significantly different among the treatments. The differences of total VFA, acetate, propionate, iso-butyrate and iso-valerate concentrations were not significant among the treatments. While, butyrate and valerate were highest in OIL and lowest in MEG(P < 0.05 and P <0.01, respectively). In addition, A:P ratio was also highest in OIL and lowest in MEG(P < 0.05). As expected, intake of nutrients(DM, OM, NDF and ADF) was lowest in OIL among the treatments(P < 0.01). However, all nutrients flow to the duodenum, and digestion in the rumen and total tract were not significantly different among the treatments. Intake of N was highest in MEG, but lowest in OIL treatment(P < 0.01). Duodenal flow of total N, nonammonia N and microbial N was not significantly different across the treatments. In addition, microbial synthesis and ammonia N and total N digestibility were not affected by different dietary fat sources. The present results show that fermentative characteristic and microbial efficiency in the rumen, and nutrients digestibility in the rumen and total tract were not depressed by supplementation of as much as 6% dietary fat sources.

Effects of Dietary Replacement of Rice Straw with Fermented Spent Mushroom (Flammuliua velutipes) Compost on Availability of Feeds in Sheep, and Growth Performance of Hanwoo Steers (발효 팽이버섯폐배지의 볏짚 대체 급여가 사료의 면양 체내 이용성 및 거세한우의 성장에 미치는 효과)

  • Shinekhuu, Jugdder;Ji, Byung-Ju;Jin, Guang-Lin;Choi, Seong-Ho;Song, Man-Kang
    • Journal of Animal Science and Technology
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    • v.51 no.3
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    • pp.241-248
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    • 2009
  • Metabolic trial with 3 fistulated sheep was conducted in a 3 $\times$ 3 Latin square design and feeding trial with 24 Hanwoo steers in 12 month of age for 20 months was conducted to investigate the replacing effect of rice straw with fermented spent mushroom (Flammuliua velutipes) compost (FSMC) on fermentation characteristics, ruminal effective degradabilty and whole tract digestibility of nutrients in sheep, and to examine the growth performance of Hanwoo steers. Experimental diets for the metabolic trial with sheep were commercial concentrates and rice straw in the ratio of 70 : 30 (CON, DM basis). Same concentrate with 30% FSMC and 70% rice straw (FSMC-30) and 60% FSMC and 40% rice straw(FSMC-60). Diets for Hanwoo steers in three treatments were same as for metabolic trial in replacing ratio of rice straw with FSMC. pH of rumen fluid in sheep was not affected by FSMC. Ammonia-N content in the rumen fluid was highest in the sheep fed FSMC-60 at 3h (P<0.045). The CON diet increased (P<0.001) acetate proportion at 1h and 3h post feeding compared to FSMC-60 diet while propionate proportion was highest in the sheep fed FSMC-60 diet for all the sampling times (P<0.027~P<0.002). Increased proportion of butyrate was observed at 30 min prior to feeding (P<0.031), and 1h (P<0.011) and 6h(P<0.039) post feeding from sheep fed FSMC-30 diet compared to those from sheep fed other diets. Effective degradability in the rumen was not influenced by experimental diets. Whole tract digestibility of crude protein (P<0.031) and neutral detergent fiber (P<0.006) tended to be increased in the sheep fed CON diet while corresponding values were lowest in the sheep fed FSMC-60 diet. Total body weight gain of Hanwoo steers for 8 months was not different among diets, thus daily body gain was not influenced by the experimental diets.