• Title/Summary/Keyword: 폐쇄성 내만

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The Value of Tc-99m DTPA Diuretic Renography for Assessment of Dilated Upper Urinary Tract in Children (소아의 상부 요관확장증에서 폐쇄 유무 감별에 있어 Tc-99m DTPA 이뇨 신장 신티그램의 유용성)

  • Yang, Ki-Ra;Lim, Gye-Yeon;Sohn, Hyung-Sun;Hahn, Seong-Tae;Lee, Jae-Mun
    • The Korean Journal of Nuclear Medicine
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    • v.33 no.1
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    • pp.57-64
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    • 1999
  • Purpose: The purpose of this study was to evaluate the accuracy of Tc-99m DTPA diuretic renal scans in children with dilated upper urinary tract. Materials and Methods: We reviewed diuretic renal scans of 14 pediatric patients (age range: 3 days to 4 years) with unilateral hydronephrosis diagnosed by ultrasonography. Diuretic renal scan was done using Tc-99m DTPA and standardized protocol. In 3 neonates, diuretic renal scans were performed within 1 week and 3-7 months after birth. Results: Six patients required Pyeloplasty and eight were managed conservatively. All 6 patients requiring Pyeloplasty were diagnosed as having ureteropelvic junction obstruction in the diuretic renal scan. In these 6 patients, post-operative renal scans at 3-12 months after surgery were converted to nonobstructive pattern in 5 and a nonfunctioning pattern in 1. In 3 patients who underwent diuretic renal scan within 1 week after birth, nonobstructive patterns of initial scan were converted to obstructive patterns in the follow-up scan. However, all patients with nonobstructive diuretic renal scans performed after the neonatal period did well on serial ultrasonography and showed favorable clinical outcome without progression to obstruction. Conclusion: Tc-99m DTPA diuretic renal scan with standardized protocol is useful in assessing suspected ureteropelvic junction obstruction in children as an initial diagnostic or post-operative follow-up modality. Nonobstructive or indeterminate scan results in the neonatal period requires follow-up scan to monitor development of the obstructive pattern.

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A Case of Primary Endobronchial Leiomyoma Diagnosed During Treatment of Pneumonia (폐렴치료 중 발견된 원발성 기관지내 평활근종 1예)

  • Kim, Jin-Woo;Lee, Sang-Haak
    • Korean Journal of Bronchoesophagology
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    • v.15 no.2
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    • pp.75-80
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    • 2009
  • A 44 year-old nonsmoker female presented to our hospital with persistent cough with sputum for three months. She had been diagnosed as pneumonia and treated with antibiotics in a local hospital but was transferred to our hospital because of no symptomatic improvement. We performed flexible bronchoscopy and found an ovoid and smooth surfaced mass obstructing the bronchus of right middle lobe. The biopsy specimen revealed a benign tumor composed of spindle cells without dysplasia consistent with leiomyoma. There was no evidence of leiomyoma in uterus. The right middle lobectomy and bronchoplasty were performed and the patient was healthy twelve months later. Primary endobronchial leiomyoma is a rare benign tumor of the lung. Herein we report a case of primary endobronchial leiomyoma diagnosed during treatment of pneumonia.

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Patients' satisfaction on the obturators with different extension heights into defects after maxillectomy (높이가 다른 폐쇄장치에 대한 상악절제술 환자의 만족도)

  • Kwon, Ho-Beom;Lee, Jai-Bong;Yim, Soon-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.48 no.1
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    • pp.41-47
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    • 2010
  • Purpose: The purpose of this study was to compare the functional abilities of the low bulb obturators with those of high bulb obturators in terms of patients' evaluation. Material and methods: This study included 11 maxillectomy patients who underwent postoperative prosthodontic rehabilitations. Two obturators of the same design except for different bulb heights, were fabricated for each of the maxillectomy patient. After two months of alternate use, the functions of the obturators were measured by investigating the patients' subjective evaluations in terms of convenience, speech, nasality, leakage, and mastication and identifying their preferred prostheses. Wilcoxon signed rank test was used as a statistical method (P < .05). Results: There were no significant differences in patient evaluations of low and high bulb obturators (P >.05). And patients' preferences varied. Conclusion: In extreme situation such as in mouth opening limitation, the use of low bulb obturators can be recommended and result in comparable speech function to that of obturators with high lateral walls.

Congenital Bronchial Atresia (선천성 기관지 폐쇄증)

  • Choi, Yo Won;Yoon, Ho Joo;Shin, Dong Ho;Park, Sung Soo
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.4
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    • pp.343-347
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    • 2004
  • Congenital bronchial atresia is a rare anomaly, which results from a congenital focal obliteration of a proximal segmental or subsegmental bronchus, with normal development of the distal structures. The short atretic segment leads to the accumulation of mucus within the distal bronchi, forming a bronchocele and air trapping of the alveoli supplied by these bronchi. The diagnostic CT features include the presence of a branching opacity and the bronchocele, which radiate from the hilum and are surrounded by an area of hyperlucency.

Clinical Analysis of Spontaneous Hemopneumothorax (자연성 혈기흉에 관한 임상적 고찰)

  • 이양행;박동욱;조광현
    • Journal of Chest Surgery
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    • v.31 no.11
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    • pp.1076-1080
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    • 1998
  • Background: Spontaneous hemopneumothorax, occurring in 1% to 12% of patients with spontaneous pneumothorax, is a rare disorder that can potentially lead to life-threatening complications. Materials and methods: We have experienced 15 cases (2.28%) with spontaneous hemopneumothorax among 659 episodes of spontaneous pneumothorax for eight years, from 1990 to 1997, at our hospital. We studied our previously treated patients by retrospective case studies to determine the nature of optimal management. Results: There were 14 male and 1 female patients whose mean age was 27.5 years, ranging from 19 to 58. The sides with disorder were as following: right in 10 cases and left in 5, unilaterally. The amount of initial bleeding ranged from 400 to 1,500 mL and 8 patients received a homologous blood transfusion. Patients exhibited symptoms of chest pain, dyspnea, chest discomfort, and hypovolemic shock. We concluded that causes of this disease in our patients were a torn pleural adhesion (14 cases) and a rupture of vascularized bullae (1 case with an underlying intrinsic lung disease, tuberculosis). All patients underwent closed thoracostomy and had good results except for 3. One patient underwent thoracotomy within 3 days from the onset because of continuous active hemorrhage. Decortication was required in one case because of a reactive fluid collection in the pleural space, which led to impaired lung expansion. Another patient underwent thoracotomy due to a ipsilateral recurrent pneumothorax without blood collection. Conclusions: The goals of treatment include hemostasis and reexpansion of the collapsed lung. Thus, if patients arrive early at hospital, closed thoracostomy and transfusion are thought to be sufficient treatments, although early surgical repair has been considered recently.

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Chronic Obstructive Pulmonary Disease in a Dressage Horse (마장마술마에서 발생한 만성폐쇄성폐질환 증례)

  • Jeong, Hyo-Hoon;Ahn, Kei-Myung;Kim, A-Ram;Roh, Ha-Jung;Oh, Tae-Ho
    • Journal of Veterinary Clinics
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    • v.27 no.2
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    • pp.194-197
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    • 2010
  • A 14-year-old gelded dressage horse weighing 500 kg was presented to the Equine Medical Center of the Seoul Racecourse of Korea Racing Authority (KRA) due to coughing and mucopurulent nasal discharge. The horse was initiated with empirical antibiotic in the first place. However, the clinical signs did not improve but were rather exacerbated even after 3 weeks of therapy. Extensive diagnostic procedures including transtracheal wash (TTW) fluid cytology were undertaken. The localized wheezes and crackles were auscultated and an increase in the amount of mucopurulent exudate in trachea was observed at endoscopy. Infiltration of neutrophils was observed in the TTW fluid cytology implying chronic obstructive pulmonary disease (COPD). Therefore, the systemic glucocorticoid therapy was to be given for 3 weeks with improved ventilation provided at the same time. The respiratory symptoms started to improve in 7 days of therapy and were fully resolved by when the therapy was terminated. The horse is clinically normal now and being monitored for development of any signs of chronic obstructive pulmonary disease.

Analysis of Covert Channel Attack Techniques Based on Acoustic Signals (음향신호 기반 Covert Channel 공격 기술 분석)

  • Wooyoung Son;Soonhong Kwon;Jong-Hyouk Lee
    • Proceedings of the Korea Information Processing Society Conference
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    • 2024.05a
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    • pp.395-396
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    • 2024
  • 최근 국가 핵심 기반시설을 중단시키거나 파괴시킴으로서 사회적 혼란 및 국가 경제적 손실을 일으키는 공격 사례가 증가되고 있는 실정이다. 이와 같은 사이버 공격에 대응하기 위해 각 국가는 인터넷이나 다른 네트워크와 물리적 또는 논리적으로 분리되어 있는 폐쇄망 환경을 기반으로 기반시설을 구성함으로서 높은 수준의 보안성과 안정성을 유지하고자 한다. 하지만, 악의적인 공격자들은 Covert Channel을 통해 폐쇄망 환경 내 민감한 데이터 및 기밀 데이터를 탈취하고 있는 실정이다. 이에 본 논문에서는 음향신호 기반 Covert Channel 공격 기술에 대해 분석함으로써 안전한 폐쇄망 환경 구축의 필요성을 보이고자 한다.

Rectovaginal Fistula with Anal Atresia in Two Dogs (개의 항문폐쇄증 2례)

  • Ki-dong Eom;Jin-min Lim;Sang-bum Song;Jung-hee Yoon;Jong-man Kim;Myung-cheol Kim;Young-won Lee
    • Journal of Veterinary Clinics
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    • v.16 no.2
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    • pp.482-485
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    • 1999
  • 45일된 암컷 English Coca Spaniel(0.65kg, 증례 1)과 60일 된 암컷 진돗개(2.05 kg, 증례 2)가 항문폐쇄증으로 내원하였다. 증례 1은 생후 5일부터 만성적인 설사를 보였으며, 내원 7일 전에 이유시켜 상업용 건사료로 바꾸었다. 내원 당시의 임상증상은 복부팽창, 식욕부진, 항문폐쇄 그리고 질 주위에 오줌과 변으로 오염되어 있었다. 증례 2는 내원 당시 우울증, 복부팽만, 항문폐쇄 등의 임상증상을 보였고 질 주위에 수양성 변으로 오염되어 있었다. 증례 1과 2에서 직장 조영술을 실시해서 직장과 질에 누공이 형성되고, 결장이 팽만되어 있음을 확인하고 수술을 실시하여 누공을 폐쇄하고 항문 형성술을 실시하였다. 증례 1은 수술직후 항문에 변이 불연속적으로 배출되었고, 2달후에는 정상적인 항문괄약근의 운동을 관찰할 수 있었다. 증례 2는 술후 4일에 식욕부진과 원기소실로 폐사하였다.

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생쥐 난포의 radiation apoptosis에 미치는 FSH의 영향

  • 김진규;이창주;이영근;장화형;김원록
    • Proceedings of the Korean Nuclear Society Conference
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    • 1998.05b
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    • pp.730-734
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    • 1998
  • 난포성숙호르몬(FSH)은 난소내 난포의 성장인자로 작용한다. 본 실험은 방사선 조사된 미성숙 생쥐의 난포 폐쇄가 ESH에 의해 억제되는지를 확인하는 한편 방사선어제 개발을 위한 실험모델로서의 가능성을 평가하기 위해 수행되었다. PCNA 에 의한 염색의 정도는 FSH군의 경우, 1이에 최저, 12시간과 8일에 가장 많이 염색되었으며, 방사선을 조사한 후 ESH를 주사한 경우, PCNA에 의한 염색용은 6시간 경과시어 제일 낮게 나타나고 이후 증가하는 경향성을 보였다. 즉, FSH는 방사선에 피폭된 난소내 난포외 apoptosis를 지연시키는 효과를 갖고 있음을 알 수 있었다. 본 연구의 결과, 특정물질의 방사선방어효능 평가를 위한 실험모델로서 난소내 난포를 활용할 수 있으며 특히 FSH가 나타내는 난포폐쇄 억제효과도 방사선방어제 개발을 위한 실험연구에 중요한 역할을 할 것으로 기대된다.

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A cephalometric and dental cast study of obstructive sleep apnea patients (폐쇄성 수면 무호흡 환자의 측모 두부방사선계측사진 및 치아모형 연구)

  • Jung, Mi-Ra;Nam, Ki-Young;Kim, Jong-Bae;Kwon, Oh-Won;Hwang, Sang-Hee
    • The korean journal of orthodontics
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    • v.36 no.3 s.116
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    • pp.228-236
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    • 2006
  • To evaluate the cephalometric and dental characteristics of obstructive sleep apnea (OSA) patients, 23 OSA patients and 15 control, non-OSA, patients who visited the Sleep Disorder Clinic Center, Keimyung University were investigated. Patients who suffered from apnea-hypopnea episodes over 10times per hour were diagnosed as having OSA after polysomnograph testing, Impressions were taken with alginate. Cephalometric radiographs were taken at maximum intercuspation. The dental cast measurements, including transpalatal width, intercanine width, intermolar width and palatal depth did not differ between the control and OAS groups and did not have a positive correlation with the apnea-hypopnea index (AHI). Upper airway width was statistically narrower than the control group. Upper airway width had a low negative correlation with AHI, but, lower airway width had a low positive correlation, and, the higher the AHI score, the longer the mandibular border to hyoid distance.