• Title/Summary/Keyword: 천자

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Traumatic Spinal Subdural Hematoma : Value of MRI (Fat Suppression Technique) and Spinal Puncture - 2 Cases Report - (외상성 요추 경막하 출혈 : MRI(Fat Suppression Technique)와 척추천자의 유용성 - 증례보고 -)

  • Park, Sang Hoon;Hyun, Dong Keun;Park, Chong Oon;Ha, Young Soo
    • Journal of Korean Neurosurgical Society
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    • v.29 no.6
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    • pp.810-814
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    • 2000
  • We report two cases of spinal subdural hematoma in the lumbar region after trauma. They developed in a 27-years old man and a 32-year-old woman. They had no other causes such as bleeding tendency, preexisting spinal lesions, lumbar puncture, vascular malformation and anticoagulant therapy. There lesions were diagnosed with MRI(fat suppression) and treated by lumbar puncture.

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Implementation and experiment of bilateral force control for a telemanipulator (원격조작기의 양방향 힘제어의 구현과 실험)

  • 천자홍;정명진
    • 제어로봇시스템학회:학술대회논문집
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    • 1991.10a
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    • pp.838-843
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    • 1991
  • A telemanipulator that reflects grasping force of the slave gripper to the human operator was implemented in order for manipulation to be more delicate and safe. An industrial robot gripper was used as the slave manipulator. The master manipulator was constructed to make it easy for a human operator to direct the slave and to feel the reflected gripping force. Reflected force was generated by the servomotor of the master. The force signal and position signals of the master and the slave was used to generate driving force signal. Basically position-position type control was used. Miner force feedback is added to improve the performance of the system. Implemented system was tested by colliding two fingers of the slave manipulator, and here switching was used to archive more fast and easy manipulation.

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Venous Backflow in a Patent Polytetrafluoroethylene Arteriovenous Graft -A case report- (개존되어 있는 인조혈관(Polytetrafluorethylene)에 정맥성 역류 -1예 보고-)

  • Chon Soon-Ho
    • Journal of Chest Surgery
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    • v.38 no.5 s.250
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    • pp.389-390
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    • 2005
  • We report a case of a 48-year-old woman with end-stage renal failure who had a Polytetrafluoroethylene graft for hemodialysis and who had developed complications of venous outflow stenosis and venous backflow. Although venous backflow is an harbinger of graft failure, it is not enough reason to abandon the graft immediately. The patient was able to utilize her graft for 6 further months.

Energy Distribution of Ion and Electron by Field Emission and Proppagation in a Diod Device) (전계에 의한 이온 및 전자의 방출과 전파에 따른 에너지 분포)

  • 조광섭;최은하;강승언
    • Proceedings of the Korean Vacuum Society Conference
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    • 1998.02a
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    • pp.164-164
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    • 1998
  • 전채 방출에 의한 이온 몇 전자는 현마갱 몇 마이크로 천자소짜 ( (micro-electronic device)둥에 용용봐 어 왔다. 또한 이 온 몇 천짜의 C Cathod- Anode의 Diode구조에셔의 운동역학이 주요한 환심사이다. 현미 청과 같이 접속율 요하는 장쳐들에셔는 이들의 에녀지 분포가 접속도에 칙첩영향을 주는 Chromatic Abberation을 컬갱하게된다. 그라고 Diode 에셔의 이온 몇 천짜의 운동 또한 에너져훈포에 대한 이혜률 근거로 한 다. 본 연구에셔는 전계에 의한 이온 및 전자의 방출구조(mechanism)률 소채한다. 또한 방출극 표면에셔의 이온 몇 전짜가 갖는 에너져 환포와 양극구조에셔 뱀이 천봐하는 과청에셔의 에너져 환포의 특생용 환석한다.

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A Case of Steroid-responsive Pericardial Effusion as an Initial Manifestation of Childhood Systemic Lupus Erythematosus (심낭삼출로 발병하여 스테로이드 단독치료로 호전된 소아 전신성 홍반성 낭창 1례)

  • Lee Jin-Seok;Ha Tae-Sun
    • Childhood Kidney Diseases
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    • v.8 no.1
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    • pp.80-85
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    • 2004
  • The systemic lupus erythematosus(SLE) is a systemic inflammatory disease caused by autoimmune mechanism, involving blood cells, the kidney, the central nervous system, and etc. The heart is one of the frequently involved organs but it is rare as an initial manifestation. Therefore, early suspicion and accurate diagnosis followed by aggressive immunosuppressive therapy including corticosteroid is mandatory for heart-involved patients. We experienced a case of pericardial effusion as an initial manifestation of childhood SLE, which showed immediate response to corticosteroid.

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Fine Needle Aspiration Cytology of Thymic Carcinoid Tumor - A case report - (흉선 유암종의 세침 천자 세포학적 소견 - 1 예 보고-)

  • Kong, Gu;Lee, Jung-Dal
    • The Korean Journal of Cytopathology
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    • v.2 no.2
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    • pp.142-147
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    • 1991
  • Diagnosis of a thymic carcinoid was made on transthoracic fine needle aspiration in a 36-year old woman who had an anterior mediastinal mass on chest X-ray and CT scan. The aspiration smears showed numerous anastomosing ribbons and cords of small round tumor cells. The tumor cells had slightly eccentric nuclei and some granular cytoplasm. The small and uniform nuclei of the tumor cells had finely granular chromatin and thin nuclear membrane. The cytologic diagnosis of a carcinoid was confirmed on histopathologic, immunohistochemical, and electromicroscopic examination of surgical specimen.

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High Frequency Jet Ventilation via Cricothyroid Membrane Puncture under Microlaryngoscopic Surgery (미세 후두현미경술시 윤상갑상막천자를 통한 고빈도 제트환기법)

  • 양훈식;김용주;김춘길
    • Korean Journal of Bronchoesophagology
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    • v.1 no.1
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    • pp.109-115
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    • 1995
  • High frequency Jet ventilation (HFJV) via cricothyroid membrane puncture contols frequency of ventilation as 20-200/min and persuits adequate gas exchange. HFJV was known to have advantages such as improvement of PaO$_2$, lesser barotrauma, stable hemodynamic effects, good operative field and lesser movement of head. The purpose of this study was to clarify the advantages of HFJV in cases of microlaryngeal surgery which operating time was expected even within 30 minutes. Twenty-eight patients were divided two groups : 1)control group : general endotracheal Intubation anesthesia. 2)experimental group : HFJV via cricothyroid membrane puncture with intravenous anesthesia, frequency 40/min, I/E ratio 40%, driving pressure 40 psi. We analyzed blood pressure, arterial blood gas, score of general condition and recovery time after operation. In conclusion, HFJV via cricothyroid membrane puncture had a good score of general condition and rapid recovery of consciousness, although some accumulation of P$CO_2$and elevation of blood pressure.

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Root Cause Analysis: A Medication Error (투약 오류 건에 대한 근본원인분석 시행)

  • Song, Myeng Hee;Chun, Ja Hae;Koh, Hong;Kim, Ki Jun
    • Quality Improvement in Health Care
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    • v.18 no.1
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    • pp.79-87
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    • 2012
  • 문제: 투약오류는 의료기관 전반에서 가장 많이 발생하는 오류의 하나이며, 환자에게 중대한 위해를 초래하기도 한다. 특히 고농축전해질은 문제발생의 가능성과 위험성이 높아 지속적인 관리 및 교육을 필요로 하고 있다. 목적: 발생한 투약오류 건에 대한 근본원인분석을 시행함으로써 유사사례가 발생하는 것을 예방하여 환자안전을 도모하고자 한다. 의료기관: 연세대학교 세브란스병원 질 향상 활동: 투약오류 건에 대해 근본원인분석 시행 후 고위험약물 관련 내규를 보완하였고, 고위험약물에 대한 Alert System 개발, 고위험약물 라벨 부착, 약 처방 관련 의료진 교육을 시행하였다. 개선효과: 고위험약물 투여와 관련된 시스템 개선 활동 이후 유사사례는 발생하지 않았고, 의료진 교육을 통하여 환자안전에 대한 인식과 중요성을 더욱 증가시켰다.

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A study of text embedding technique for issuing digital Certificate (증명서의 온라인 발급을 위한 텍스트 임베딩기법에 관한 연구)

  • 최기철;최종욱
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2000.11a
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    • pp.267-275
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    • 2000
  • 최근 전자상거래가 활성화되면서, 거래 인증서와 같은 온라인 증명서가 광범위하게 사용되고 있다. 그리고 증명서의 위/변조기술이 발전함에 따라서 온라인 거래에 사용되는 증명서의 인증과 위조/변조를 방지하는 기술이 필요하게 되었다. 본 연구는 증명서의 인증에 필요한 기술로서, 메시지 인증함수가 가지는 성질을 포함하고 있다. 본 연구에서 개발한 알고리즘은 증명서에 포함된 텍스트문서가 위조/변조되었을 경우 그 변동 상황을 알아내며, 부정적으로 위조/변조된 부분을 검출하며, 변동상황 검출과 함께 원 증명서의 문서를 복원할 수 있는 기술이다. 만일 이 증명서에 대하여 변동이 진행된 흔적이 발견될 경우, 증명서를 인증하지 않으며, 삽입한 텍스트 데이터를 추출하고 변동을 확인하는 것과 함께 필요한 정보를 복원한다. 본 논문의 시험결과에 근거하면 256$\times$256BMP file Format 이미지에 3만2천자 정도의 텍스트문서를 삽입할 수 있었다.

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A study of neuropeptides related to headaches in children with meningeal irritation signs (수막 자극 증상으로 내원한 환자에서 두통과 관련된 신경 펩타이드에 대한 연구)

  • Seo, Bo Gil;Yoo, Myung Hwan;Shim, Jae Won;Shim, Jung Yeon;Jung, Hye Lim;Park, Moon Soo;Kim, Deok-Soo
    • Clinical and Experimental Pediatrics
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    • v.49 no.5
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    • pp.533-538
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    • 2006
  • Purpose : The headache, one of the symptoms of meningitis, is related to abrupt elevation of intracranial pressure(ICP) or stimulation of intracranial nociceptive structure. However, in cases of mild elevation of ICP or normal findings of cerebrospinal fluid(CSF) analysis, patients sometimes complain of headaches. Therefore, other pathways may contribute to the occurrence of headaches in aseptic meningitis or meningismus. We intend to investigate the role of substance P(SP) and calcitonin gene-related peptide(CGRP) in aseptic meningitis or meningismus. Methods : We measured leukocyte count, the concentration of protein and glucose in CSF and ICP of patients with meningeal irritation sign. We also measured SP and CGRP levels by using immunoassay. We analyzed the relationship between the presence of headache and the value of SP and CGRP. Results : The concentrations of CGRP($18.8{\pm}10.5ng/mL$) in CSF and ICP($14.8{\pm}4.5cmH_2O$) in aseptic meningitis group were significantly higher than in those($14.1{\pm}7.4ng/mL$ and $12.0{\pm}5.1cmH_2O$, respectively) of the meningismus group(P<0.05). There was no significant difference in the SP levels between the two groups. In the aseptic meningitis group, the concentrations of SP and CGRP were significantly higher in the normal ICP group than in the elevated ICP group(P<0.05). Conclusion : Headaches in children with aseptic meningitis or meningismus is considered to be related to the elevation of the CSF levels of SP and CGRP.