• Title/Summary/Keyword: 심장주기

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The Clinical Evaluation of Anomalous Bronchi Arising From The Trachea and Main Bronchi (기관 및 주기관지에서 발생한 기관지기형의 임상적 고찰)

  • Kim, Jun Chul;Kim, Yeon Jae;Kang, Byung Jun;Youn, Young Deuk;Lee, Se Young;Kwon, Young Lan;Lee, Soo Ok;Jeong, Chi Yeong;Lee, Byung Ki
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.6
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    • pp.664-669
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    • 2005
  • Objectives : To evaluate the clinical significance of abnormal bronchi originating from the trachea or main bronchi. Methods : 21 patients (male:female ratio, 13:8; mean age, 58.2 years, range 34-77), who were diagnosed with major tracheobronchial anomalies by bronchoscopy from January 2001 to March 2005, were enrolled in this study. The anomalous bronchi consisted of 13 tracheal bronchi and 8 cardiac accessory bronchus. The clinical features, bronchoscopic findings, and outcomes were analyzed retrospectively. Results : Common symptoms, including hemoptysis, cough and dyspnea, resulted from the underlying lung disease regardless of the bronchial anomalies. In this series of 13 tracheal bronchi, 7 cases originated from the trachea within 1cm of the carina (carinal type) and 6 cases originated at a higher level(tracheal type). Most patients had favorable outcome with conservative treatment for the underlying lung disease. Conclusion : Most tracheobronchial anomalies are found incidentally in the process of diagnosing lung disease. The clinical outcome of patients with a bronchial anomaly depends on the underlying lung disease.

Heart-Model-Based Automated Method for Left Ventricular Measurements in Cardiac MR: Comparison with Manual and Semi-automated Methods (자동화 방식 모델 기반 좌심방 파라미터 측정법: 수동 및 반자동 방식과의 비교)

  • Chae, Seung Hoon;Lee, Whal;Park, Eun-Ah;Chung, Jin Wook
    • Investigative Magnetic Resonance Imaging
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    • v.17 no.3
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    • pp.200-206
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    • 2013
  • Purpose : To assess the effect of applying an automated heart model based measurements of left ventricle (LV) and compare with manual and semi-automated measurements at Cardiovascular MR Imaging. Materials and Methods: Sixty-two patients who underwent cardiac 1.5T MR imaging were included. Steady state free precession cine images of 20 phases per cardiac cycle were obtained in short axis views and both 2-chamber and 4-chamber views. Epicardial and endocardial contours were drawn in manual, automated, and semi-automated ways. Based on these acquired contour sets, the end-diastolic (ED) and end-systolic (ES) volumes, ejection fraction (EF), systolic volume (SV) and LV mass were calculated and compared. Results: In EDV and ESV, the differences among three measurement methods were not statistically significant (P = .399 and .145, respectively). However, in EF, SV, and LV mass, the differences were statistically significant (P=.001, <001, <001, respectively) and the measured value from automated method tend to be consistently higher than the values from other two methods. Conclusion: An automatic heart model-based method grossly overestimate EF, SV and LV mass compared with manual or semi-automated methods. Even though the method saves a considerable amount of efforts, further manual adjustment should be considered in critical clinical cases.

A study on non-invasive SaO$_2$ measurement algorithm to improve on effect of the motion artifact (동잡음의 영향을 개선한 비관혈식 산소포화도 측정 알고리즘에 대한 연구)

  • 이준하
    • Progress in Medical Physics
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    • v.11 no.2
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    • pp.101-107
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    • 2000
  • Pulse oximetry is a non-invasive optical method which measures arterial oxygen saturation with two different wavelength. We can obtain the pulsating component of the arterial blood superimposed on DC level attenuated by venous blood, skin and other nonpulsatile components. This study is based on computing algorithm of oxygen saturation using the integral ratio of pulsatile components. In this algorithm, we used the half cycle of the pulsatile signal rely on arterial contraction. It's period is about 1/4 in 1 cycle. In the result, Our algorithm with 1/4 period of 1 cycle is similar to existing model. Because of removal that A part have low amplitude and possession in long term from calculating, the effect of the motion-artifact is decrease.

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Biological Approach to Menopausal Syndrome (폐경기 증후군의 생물학적 접근)

  • Kang, Byung-Jo;Lee, Zuk-Nae;Rim, Hyo-Deog;Kang, Suk-Hun
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.1
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    • pp.109-119
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    • 1996
  • Hormone replacement therapy in menopausal women has recently been a hot issue in medical fields. The author reviewed the physiology of menopause and discussed the physiological mechanism and biological management of vascular flushing and menopausal depression. The above symptoms are hard to distinguish from those of psychiatric disorders.

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Delayed Bronchoplasty in Complete Transection of Left Main Bronchus after Blunt Trauma (외상성 좌측주기관지 절단환자의 지연수술 치험)

  • 김명천;이재영;조규식;박주철;유세영
    • Journal of Chest Surgery
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    • v.31 no.2
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    • pp.182-185
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    • 1998
  • Recently, The non-penetrating injury of bronchus has been increased, especially by traffic accident. Early diagnosis and primary repair of bronchial injury not only restore normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair. This report describes about a case of total collapse and consolidation of left lung with the complete transection of nearly bifurcated portion of left main bronchus , lasted for 2weeks after traffic accident. This was diagnosed by fiberbronchoscopy and 3-D chest computed tomography(CT). She underwent the sleeve resection and end to end anastomosis, and postoperative PEEP for 2 days, suctioning twice by fiberbronchoscopy, continue postural drainge and physiotherapy were applied. She had almost full expansion of the left lung at discharge.

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Bridging Bronchus in Adult (어른에서 발견된 다리기관지)

  • Lee, Sung-Soo;Kim, Hyung-Tae;Choi, Ho;Kang, Ji-Sung
    • Journal of Chest Surgery
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    • v.37 no.8
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    • pp.707-710
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    • 2004
  • Bridging bronchus (BB) is an extremely rare tracheobronchial anomaly. This anomaly is often associated with a sling left pulmonary artery (SLPA) and is diagnosed in infancy or at autopsy. A 29-year-old female patient with previous history of pulmonary tuberculosis was admitted because of persistent fever, cough and sputum. Fiberoptic bronchoscope and chest computed tomography revealed a bridging bronchus and associated atelectasis. The right middle and lower lobe was supplied by a bronchus which originates from the left main bronchus and bridges the mediastinum. There was no anomaly of a left pulmonary artery. Right middle and lower bilobectomy was performed.

Left Lower Lobectomy with Bronchoplasty for Treatment of Tuberculous Bronchial Stricture (좌하엽 절제술 및 기관지성형술을 통한 결핵성 기관지협착의 치료)

  • 윤찬식;정재일;김재욱;이홍섭
    • Journal of Chest Surgery
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    • v.34 no.8
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    • pp.640-643
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    • 2001
  • A case of endobronchial tuberculosis with left main bronchial stenosis and atelectasis of left lower lobe in a 26-year-old female is reported. She had taken antituberclous agents for 9 months, but she complained of chest pain and coughing. Bronchoscopy revealed patency of left upper bronchus and bronchiectasis of left lower lobe. She underwent left lower lobectomy with bronchoplasty. After the operation she had significant improvement of pulmonary function. Although surgical treatment of endobronchial tuberculosis is controversial, bronchoplastic surgery can be an effective treatment of tuberculous bronchial stenosis because it relieves patients from symptoms by preserving lung functions.

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Bronchogenic Cyst Causing Mitral Regurgitation (승모판막 폐쇄부전을 유발한 기관지성 낭종)

  • 송종필;정승혁;강경훈;김병열;강경민
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.66-69
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    • 1999
  • Bronchogenic cyst is an uncommon congenital lesion which is derived from the primitive foregut. Most bronchogenic cyst may develope at the tracheal bifurcation, both main bronchi, the lung parenchymeand the mediastinum. A 40-year old male was evaluated for dyspnea and chest tightness. Computed tomography revealed a well dermarcated, 7.2 ${\times}$ 7.9 cm sized, homogeneous mass compressing the left atrium. 2D-echo showed grade III mitral regurgitation. We completely removed the cystic mass and then confirmed the bronchogenic cyst in the pathological diagnosis. During the follow up period, the patient progressed well without any symptoms and showed grade I mitral regurgitation on the 2D-Echo. Therefore, we report a case of the bronchogenic cyst causing grade III mitral regurgitation.

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Surgical Treatment of Catamenial Pneumothorax - A report of two cases - (월경성 기흉의 수술적 치험 - 2예 보고 -)

  • Lee, Jin-Gu;Paik, Hyo-Chae;Lee, Doo-Yun;Haam, Seok-Jin
    • Journal of Chest Surgery
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    • v.41 no.2
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    • pp.285-288
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    • 2008
  • Recurrent pneumothorax was associated with the menstrual cycle in two women 20 to 30 years age; this is referred to as catamenial pneumothorax. This form of pneumothorax occurs within 72 hours before or after the onset of menstruation. The pathophysiology underlying this condition is unknown. We report here on two cases of catamenial pneumothorax that were successfully treated by partial resection of the diaphragm.

시뮬레이션을 이용한 배아줄기세포 유래 심근세포의 페이스메이커 기전 연구

  • Kim, Won-Bae;Kim, Min-Cheol;Choe, Seong-U;Kim, Seong-Jun;Yeom, Jae-Beom
    • Proceeding of EDISON Challenge
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    • 2017.03a
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    • pp.703-707
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    • 2017
  • 배아줄기세포 유래 심근세포는 심근경색 등으로 심장이 제 기능을 다 하지 못할 때 치료적 목적으로 주사하여 환자의 심기능을 정상화 시키는 데에 쓰인다. 배아줄기세포 유래 심근세포는 페이스메이커 활동을 보이면서 막전압 고정상태에서도 주기적인 일과성 내향전류를 보이는 특징을 갖고 있다. 본 연구는 기존에 발표된 배아줄기세포 유래 심근세포의 시뮬레이션 모델을 이용하여 어떻게 하여 페이스메이커 활동이 나타나는지 그 기전을 밝히고자 하였다. 세포내 모든 이온을 고정하였을 때 모델 세포는 여전히 페이스메이커 활동을 보였다. 근장그물내 칼슘 이온을 고정하였을 때도 모델 세포는 페이스메이커 활동을 보였다. 그러나 Na-Ca 교환 전류를 차단하였을 때는 모델 세포의 페이스메이커 활동이 사라졌는데, 여기서 L-type $Ca^{2+}$ 전류의 칼슘 의존성 비활성화 기전을 제거하자 페이스메이커 활동이 지속되었다. 또한 Na-Ca 교환전류와 L-type $Ca^{2+}$ 전류만으로는 페이스메이커 활동이 보이지 않았으나 L-type $Ca^{2+}$ 전류의 크기를 3배로 증가시키자 페이스메이커 활동이 다시 나타남을 확인하였다. 따라서, 배아줄기세포 유래 심근세포의 페이스메이커 활동은 Na-Ca 교환전류와 L-type $Ca^{2+}$ 전류의 역할이 매우 중요하며, Na-Ca 교환전류는 L-type $Ca^{2+}$ 전류가 비활성화되지 않도록 칼슘 이온의 농도를 조절하는 데에 큰 역할을 하는 것으로 결론을 내렸다.

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