• Title/Summary/Keyword: 장천공

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A Case of Trichobezoar in a Child Who Visited with Intermittent Abdominal Pain, Nausea and Vomiting (간헐적 복통과 오심, 구토로 내원한 Trichobezoar 1례)

  • Ahn, Seung-In;Yoo, Jung-Suk;Oh, Kyung-Chang;Kim, Bong-Lim;Kim, Sung-Sup;Kim, Yeun-Ho;Chang, Jin-Keun
    • Clinical and Experimental Pediatrics
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    • v.48 no.4
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    • pp.433-437
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    • 2005
  • Bezoars are concretions commonly found in the stomach and small bowel, and four types of bezoars have been described based on their composition : trichobezoar, phytobezoar, lactorbezoar, and miscellaneous. Bezoars most often develop after gastric operations that alter the motility, emptying, and grinding of food in the stomach. Trichobezoars are most common in female children with normal gastrointestinal function and are usually associated with pica, mental retardation, and psychiatric disorders. Although uncommon, bezoars are a well-recognized cause of chronic abdominal complaints which, when undiagnosed, can result in serious complications including gastric ulceration, bleeding, perforation, intussusception and small bowel obstruction. Mortality rates of up to 30 percent have been reported in adults. Trichotillomania is behaviors surrounding hair-pulling, including stroking and playing with hair before pulling, or biting and swallowing the hair after it has been pulled(trichophagia). The most notorious of the medical sequelae of trichotillomania is the trichobezoar. We experienced a case of trichobezoar in an 11-year-old girl who frequently swallowed her hairs from age 4 years up to age 7 years, resulting in intermittent abdominal pain, nausea, and vomiting.

A Case of Fatal Hyperinfective Strongyloidiasis with Acute Respiratory Failure and Intestinal Perforation in Lung Cancer Patient (폐암환자에서 급성호흡부전과 장천공을 동반한 분선충 감염증 1예)

  • Kim, Hyeon-Sik;Kim, Yu-Eun;Yun, Eun-Young;Ju, Ji-Hyun;Ma, Jeong-Eun;Lee, Gi-Dong;Cho, Yu-Ji;Kim, Ho-Cheol;Lee, Jong-Deok;Hwang, Young-Sil;Jeong, Yi-Yeong
    • Tuberculosis and Respiratory Diseases
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    • v.68 no.1
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    • pp.29-33
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    • 2010
  • Strongyloides stercoralis is an intestinal nematode that is a parasite to humans. The infecting filariform larvae of S. stercoralis enters the host body via the bloodstream, passes through the lungs, penetrates the alveoli, and then ascends the airway to transit down the esophagus into the small bowel. The infection can persist for decades without causing major symptoms and can elicit eosinophilia of varying magnitudes. Of note, this infection can also develop into a disseminated, often fatal, disease (hyperinfection) in patients receiving immunosuppressive corticosteroids. A 65-year-old man who was receiving corticosteroid therapy for the treatment of spinal stenosis was admitted to the emergency room with complaints of abdominal pain and severe dyspnea. We detected many S. stercoralis larvae in the sputum and in the bronchoalveolar-lavage sample collected by bronchoscopy. Here, we report a fatal case of strongyloidiasis with acute respiratory failure and intestinal perforation. In addition, we provide a brief review of the relevant medical literature.

A Case of Ileal Atresia with Hypertrophic Pyloric Stenosis (비후성 유문 협착증을 동반한 선천성 회장 폐쇄증 1례)

  • Lim, Byung Chan;Lee, Jung Ha;Kim, Kwang Sig;Choi, Guk Myung;Shin, Kyung Sue;Hong, Jung Yun;Kim, Youn Woo
    • Clinical and Experimental Pediatrics
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    • v.46 no.4
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    • pp.393-396
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    • 2003
  • Ileal atresia, a subtype of intestinal atresia, is one of the well-recognized causes of bowel obstruction in newborns. Prenatal diagnosis of intestinal atresia is very important in its management and outcome. Unfortunately, there are few cases of ileal atresia diagnosed prenatally, so more appropriate diagnoses and management plans are needed. As an associated gastrointestinal malformation with ileal atresia, hypertrophic pyloric stenosis is rarely reported. We report one case of postnatally diagnosed ileal atresia associated with hypertrophic pyloric stenosis which was complicated initially by bowel perforation and later by vomiting due to pyloric obstruction. Vomiting in the postoperative period is a common problem. But, if vomiting continues after the operation for ileal atresia, hypertrophic pyloric stenosis should be considered as a possible cause of medically retractable non-bilious vomiting.

A Case of Vascular Ehlers-Danlos Syndrome with Novel Mutation c.2931+2dupT in COL3A1 Gene (COL3A1 유전자의 새로운 돌연변이 c.2931+2dupT가 확인된 혈관형 엘러스-단로스 증후군 1례)

  • Yoon, You Min;Kim, Dong Chan;Kang, Min Jae
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.14 no.2
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    • pp.168-173
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    • 2014
  • Vascular Ehlers-Danlos syndrome (vEDS) is an autosomal dominant disorder caused by a mutation of the type III collagen (COL3A1). The manifestation of vEDS can be seen in skin, joints, blood vessels, and internal organs. The diagnosis of vEDS often is missed until the patient presents with a life-threatening complication such as spontaneous arterial rupture or bowel perforation. We report a 16-year-old male who had recurrent right thigh hematoma after simple exercise and minor trauma, respectively. He had a history of surgery due to spontaneous colon perforation at his age of 11 years. Gene test of COL3A1 revealed a novel mutation c.2931+dupT.

Small Bowel-Mesentery-Small Bowel Fistula Caused by Ingested Magnets (삼킨 목걸이 자석으로 인해 발생한 소장-장간막-소장 누공 1례)

  • Kwak, Byeong Gon;Moon, Jin Soo;Jang, Hyun Oh;Nam, Seung Yeon;Kim, Dong Wook;Lee, Chong Guk;Kim, Ki Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.8 no.1
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    • pp.60-63
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    • 2005
  • Accidental foreign body ingestion is one of the general pediatric problems. If more than one magnet are ingested, they can attract each other across the intestinal wall. This kind of event may cause necrosis, perforation or fistula. Therefore, they must be retrieved by gastroduodenoscopy while they are still in the stomach. The authors have experienced an unusual small bowel complication, which was small bowel-mesentery-small bowel fistula, caused by the ingestion of magnets.

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Jejunal Free Graft for Complicated Corrosive Esophageal Stricture (유리공장이식편을 이용한 합병된 부식성 식도협착의 재건술)

  • I Hoseok;Lee Sungsoo;Shim Young Mog
    • Journal of Chest Surgery
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    • v.38 no.6 s.251
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    • pp.445-449
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    • 2005
  • The management of failure of colonic graft or corrosive stricture with impaired colonic circulation continues to be a challenge to surgeons. We present four cases of complicated corrosive esophageal stricture, which were successfully treated using jejunal free graft. As the initial surgical treatment, three patients underwent colonic interposition, and one underwent Whipple's procedure due to panperitonitis. Ore patient underwent transposition of jejunal free patch graft, two underwent interposition of jejunal free graft, and one underwent esophagojejunocolojejunostomy using jejunal free graft. All patients did not show dysphagia after long term follow-up. Complex esophageal reconstruction with jejunal free graft was performed successfully and long term functional outcome was good.

Review on Pre-processing of Earthquake Data from KEPRI Seismic Monitoring System (전력연구원 지진관측자료의 사전자료처리 기법 및 효과적인 활용에 관한 고찰)

  • 연관희;박동희;최원학;장천중
    • Journal of the Earthquake Engineering Society of Korea
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    • v.6 no.2
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    • pp.39-50
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    • 2002
  • Several pre-processing techniques for earthquake data from earthquake monitoring institutes in Korea including Korea Electric Power Research Institute are thoroughly reviewed. Among these techniques for removing an instrumental response, removing the non-causal ringing distortion by FIR filter, checking calibration status of seismic stations, and minimizing the window effect are introduced and applied to real data. It is also recommended that analysts evaluate S/N ratio in the frequency domain and consider the possibility of using the saturated earthquake data.

Analysis for the Reduction of Tonal Noise in the Centrifugal Fan for the Ship Considering Structural and Electromagnetic Characteristics of the Fan-Motor System (팬-모터의 구조 및 전자기적 특성을 고려한 선박용 원심 팬의 순음 저감 분석)

  • Han, Hyung-Suk;Jang, Cheon-Ik;Lee, Sang-Gu;Koo, Ja-Hoon
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2008.04a
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    • pp.359-367
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    • 2008
  • The maximum sound pressure level in a ship is restricted by the international standard such as MIL-Std. 740-1 in order to protect hearing ability for the crew on a ship. Especially, the noise of a fan system is restricted by the maximum level of the sound power according to the military specification such as MIL-F-1900A. In this paper, the reduction of tonal noise for the fan-motor system on a ship is described related to the electrical as well as structural problems. For the electrical problems, the difference of the magnetic flux caused by the variation of the air-gap is described related to the bad concentricity of the motor housing and the shaft-bearing. And for the structural problem, the resonance of the fan motor system is described.

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Best Use of the Measured Earthquake Data (지진관측자료의 효과적인 활용에 관한 고찰)

  • 연관희;박동희;김성주;최원학;장천중
    • Proceedings of the Earthquake Engineering Society of Korea Conference
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    • 2001.09a
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    • pp.36-43
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    • 2001
  • In Korea, we are absolutely short of earthquake data in good quality from moderate and large earthquakes, which are needed fur the study of strong ground motion characteristics. This means that the best use of the available data is needed far the time being. In this respect, several methods are suggested in this paper, which can be applied in the process of data selection and analysis. First, it is shown that the calibration status of seismic stations can be easily checked by comparing the spectra from accelerometer and velocity sensor both of which are located at the same location. Secondly, it is recommended that S/N ratio in the frequency domain should be checked before discarding the data by only look of the data in time domain. Thirdly, the saturated earthquake data caused by ground motion level exceeding the detection limit of a seismograph are considered to see if such data can be used for spectrum analysis by performing numerical simulation. The result reveals that the saturated data can still be used within the dominant frequency range according to the levels of saturation. Finally, a technique to minimize the window effect that distorts the low frequency spectrum is suggested. This technique involves detrending in displacement domain once the displacement data are obtained by integration of low frequency components of the original data in time domain. Especially, the low frequency component can be separated by using discrete wavelet transform among many alternatives. All of these methods mentioned above may increase the available earthquake data and frequency range.

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Determination of the latest fault movement by trench survey at Galgok-Chisil site in the northern Ulsan fault system (울산단층북부 갈곡리 치실 지점의 마지막 단층 운동시기 결정)

  • Choi, Weon-Hack;Chang, Chun-Joong;Inoue, D.;Tanaka, T.
    • Proceedings of the Earthquake Engineering Society of Korea Conference
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    • 2005.03a
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    • pp.11-17
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    • 2005
  • Along the Ulsan Fault System, many Quaternary faults have been reported and investigated with outcrop observation and trench excavation to clarify the neotectonic movements and fault parameters such as length, displacement, slip rate and recurrence interval. In the northern part of the Ulsan fault system, we have interpreted small scale(1:10,000) aerial photographs and extracted lineaments by geomophological features to select trench site. After precise field survey and tracing for lineaments, two trench sites at Galgokri, Gyeongju were selected on the lineament to elucidate the fault movement history. One is successful in finding faults but the other is not. In the Galgok-Chisil trench(3m(w) x 1.5m(d) x 10m(l)), very closed two Quaternary faults cut the alluvial deposits of which age shows about 10-3ka. More than three times of fault movements can be inferred by geologic structures and C-14 dating. Repeatedly fault movements had been occurred before 10 ka, between 10ka-4.9 ka, between 4.9-1.4 ka at Galgok-Chisil trench section.

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