• Title/Summary/Keyword: 폐쇄성 내만

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Endobronchial Chondroid Hamartoma - A case report- (기관지 내 연골성 과오종 -1예 보고-)

  • Lee Song Am;Kim Jun Seok;Lee Tae Hoon;Lim So Dug;Hwang Eun Gu;Kim Yo Han;Hwang Jae Joon
    • Journal of Chest Surgery
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    • v.39 no.3 s.260
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    • pp.240-243
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    • 2006
  • Pulmonary hamartoma is a common benign tumor of the lung, but endobronchial hamartoma is a rare tumor. Although bronchoscopic rcemoval or removal by bronchotomy or sleeve resection with preservation of the lung may be possible, when irreversible lung damage has occurred because of chronic obstruction and pneumonitis, pulmonary resection may be indicated. We herein report a case of endobronchial hamartoma which was treated by left upper lobectomy. A 42-year-old female with 3-week history of cough and left chest pain visited our hospital. Bronchoscopy showed total occlusion of the orifice of the left upper lobe bronchus by a lobulated endobronchial tumor and bronchoscopic biopsy was failed due to bleeding. A left upper lobectomy was performed because of severe consolidation of the left upper lobe by chronic obstruction. The patient was discharged on postoperative 14th day.

Erectile Dysfunction in Patients with Chronic Obstructive Pulmonary Disease (만성폐쇄성폐질환 환자에서 발기부전)

  • Rhee, Yang Keun;Kim, Jin Ho;Lee, Heung Bum;Lee, Yong Chul;Park, Jong Kwan
    • Tuberculosis and Respiratory Diseases
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    • v.54 no.3
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    • pp.304-310
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    • 2003
  • Background : Recent discoveries on the physiology of an erection have demonstrated that the organic causes of impotence are more common, and psychogenic impotence is correspondingly less common than was formally believed. The incidence of sexual dysfunctions in chronic obstructive pulmonary disease (COPD) patients is largely unknown or may be perfunctorily attributed to the associated illness or to aging. This study investigated whether or not the impotence was related to the COPD itself as well as whether or not it nay stem from organic causes in a notable proportion of such patients. Methods : The sexual function was evaluated in 10 COPD patients and 10 normal control subjects. A nocturnal Rigi Scan was performed to evaluate the erectile function of each group. The level of hormones such as the free testosterone, prolactin and thyroid stimulating hormone (TSH) was measured, and a pulmonary function test and arterial blood gas analysis was performed. Results : The time duration and frequency of a penile erection were significantly lower in COPD patients than the controls (p<0.05). In addition, the $PaO_2$ levels correlated with the time duration of the penile erection. Conclusion : These results suggest that COPD is one of the causes of organic erectile dysfunction.

A Clinical Study of Congenital Duodenal Obstruction (선천성 십이지장 폐쇄증의 임상적 고찰)

  • Huh, Young-Soo;Suh, Bo-Yang;Kwun, Koing-Bo
    • Journal of Yeungnam Medical Science
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    • v.7 no.2
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    • pp.39-48
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    • 1990
  • Congenital duodenal obstruction in the newborn infant may be due to a variety of causes. Duodenal obstruction often presents with bilious vomiting and upper abdominal distention. Diagnosis is usually established on plain x-ray of the abdomen by the classic finding of the double-bubble. In the period July 1986 to June 1990, 16 patients with congenital duodenal obstruction were operated and the following results were obtained. 1. Sixteen patients were comprised of 11 males and 5 females, the ratio of male and female was 2.2:1. 2. Thirteen patients(81%) had been admitted to our hospital during one month of life. 3. Congenital duodenal obstruction was in 16 cases; malrotation in eight(50%), annular pancreas in six(38%), type 1 atresia in one(6%), and wind-sock anomaly in one(6%). 4. There were two premature patients and six patients of small for gestational age. 5. Overall, bilious vomiting, occurring in three fourths, was the single most frequent presenting complaint. 6. Polyhydramnios occurred in two of the patients. 7. Diagnosis was possible with clinical symptom and simple abdomen. 8. The operative procedures performed were ; duodenoduodenostomy in five, duodenojejunostomy in two, excision of wind-sock membrane in one, and Ladd's procedure in eight. 9. A total of ten asociated congenital anomalies were found in six patients. 10. Postoperative complications occurred in five cases(31%).

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A Study on the Causes of Injury Codes by Case-Based Injury Code of External Causes Frequency Analysis (사례 중심의 손상코드 별 손상외인코드 빈도수 분석에 따른 손상코드 발생 원인에 관한 연구)

  • Eun-Mee Choi;Hye-Eun Jin;Jin-Hyoung Jeong
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.16 no.1
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    • pp.50-59
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    • 2023
  • The purpose of this study was to analyze the patients hospitalized with damage by injury code based on data for two years in 2020 and 2021 of A institution located in Gangneung, Gangwon-do. Analyzed the injury codes with a large number of occurrences per year, and analyzed the injury codes of external causes accordingly. The cause of the injury code was analyzed by analyzing the frequency of the injury code of external causes. Injury code S0650 had the highest frequency of injury code of external causes W189 and X5999, which was judged to be the cause of traumatic subdural hemorrhage without open intracranial wounds when falling in an unspecified place or toilet. Injury code S72120 had the highest frequency of injury code of external causes W010 and W180, and it was judged to be the cause of obstructive femoral intertrochanteric fracture that occurs when falling in the residence. The injury code S32090 had a high frequency of X5999, and it was analyzed that it caused the obstructive fracture of the lumbar region due to an accident caused by exposure in an unspecified place, and the injury code S72.090 had a high frequency of W010 and W180. It was confirmed that the cause of the obstructive fracture of the femoral neck was mainly caused by slipping or slipping in the residence, and the injury code S0220 had a high frequency of the injury code of external causes Y049, and it was confirmed that the fibula was fractured mainly by the force or fist. As such, the cause of the injury code was analyzed by analyzing the frequency of the injury code for each injury code of external causes.

A Case of Spontaneously Regressed Endobronchial Sarcoma after Obstructive Pneumonia (폐쇄성 폐렴 후 자연 퇴행을 보인 기관지내 육종 1예)

  • Park, Sun Hyo;Jeon, Yong June;Kwon, Kun Young;Han, Seung Beom
    • Tuberculosis and Respiratory Diseases
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    • v.63 no.1
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    • pp.94-99
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    • 2007
  • The spontaneous regression (SR) of cancer is defined as the complete disappearance of a malignant disease without adequate treatment. SR is a very rare biological event, particularly in a pulmonary sarcoma. We report the first documented case of an endobronchial sarcoma that regressed spontaneously in Korea. We encountered a rare case of a 72-year-old woman with an undiagnosed intrapelvic cystic mass, who presented with a smooth surfaced endobronchial tumor obstructing the orifice of the right lower lobe bronchus on a bronchoscopic examination. She had a prior history cervical cancer and adenocarcinoma in the right middle lobe lateral segment of her lung for which she had undergone radiation therapy. The tumor was diagnosed as an endobronchial sarcoma by the histopathology findings and immunohistochemistry. It was unclear if the tumor was a primary sarcoma of the lung or a metastatic lesion of an intrapelvic cystic mass because she refused a diagnostic exploratory laparotomy. Two months later, obstructive pneumonia of the right lower lobe with parapneumonic effusion developed with fever above 38.5degrees C for 10 days. After recovering from pneumonia, she was followed up regularly in the outpatient clinic without any specific treatment. One year later after treating the obstructive pneumonia, the follow-up bronchoscopy revealed complete SR of endobronchial sarcoma. It is believed that the obstructive pneumonia accompanied by fever above 38.5degrees C for 10 days might have played a role in this SR.

Engineering Approach to Crop Production in Space (우주에서 작물 생산을 위한 공학적 접근)

  • Kim Yong-Hyeon
    • Journal of Bio-Environment Control
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    • v.14 no.3
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    • pp.218-231
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    • 2005
  • This paper reviews the engineering approach needed to support humans during their long-term missions in space. This approach includes closed plant production systems under microgravity or low pressure, mass recycling, air revitalization, water purification, waste management, elimination of trace contaminants, lighting, and nutrient delivery systems in controlled ecological life support system (CELSS). Requirements of crops f3r space use are high production, edibility, digestibility, many culinary uses, capability of automation, short stems, and high transpiration. Low pressure on Mars is considered to be a major obstacle for the design of greenhouses fer crop production. However interest in Mars inflatable greenhouse applicable to planetary surface has increased. Structure, internal pressure, material, method of lighting, and shielding are principal design parameters for the inflatable greenhouse. The inflatable greenhouse operating at low pressure can reduce the structural mass and atmosphere leakage rate. Plants growing at reduced pressure show an increasing transpiration rates and a high water loss. Vapor pressure increases as moisture is added to the air through transpiration or evaporation from leaks in the hydroponic system. Fluctuations in vapor pressure will significantly influence total pressure in a closed system. Thus hydroponic systems should be as tight as possible to reduce the quantity of water that evaporates from leaks. And the environmental control system to maintain high relative humidity at low pressure should be developed. The essence of technologies associated with CELSS can support human lift even at extremely harsh conditions such as in deserts, polar regions, and under the ocean on Earth as well as in space.

Hypoxia Estimation of Coastal Bay through Estimation of Stratification Degree (성층강도 산정을 통한 내만의 Hypoxia 산정)

  • Jung, Woo-Sung;Lee, Won-Chan;Hong, Sok-Jin;Kim, Jin-Lee;Kim, Dong-Myung
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.20 no.5
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    • pp.511-525
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    • 2014
  • Goal of this study is estimating of validity of calculated vertical diffusion coefficient for Masan bay is semi-enclosed bay by using eco-hydrodynamic model that is used to analysis of physical structure of coastal waters and calculates the vertical diffusion coefficient. physical structure of coastal waters is calculated by EFDC model, vertical diffusion coefficient calculated as the density gradient is bigger, the vertical diffusion coefficient as density gradient is increases, the vertical diffusion coefficient is decreased. Validity of vertical diffusion coefficient estimated by reproducibility of concentration of dissolved oxygen that calculated in ecosystem model is constructed by Stella program. The Results of model in 2008~2009 were $R^2$ value of 2008 is 0.529~0.700 and $R^2$ value is 0.542~0.791. This results were similar to observed data and simulated to hypoxia at that time. The 'vertical diffusion coefficient' represents stratification and physical stable of a water body, and will be useful for prediction of Hypoxia outbreak.

Environmental Assessment of the Shihwa Lake by using the Benthic Pollution Index (저서오염지수(BPI)를 이용한 시화호 환경평가)

  • Lee, Jae-Hac;Park, Ja-Yang;Lee, Hyung-Gon;Park, Heung-Sik;Kim, Dong-Sung
    • Ocean and Polar Research
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    • v.25 no.2
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    • pp.183-200
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    • 2003
  • In order to assess the ecological changes induced by organic pollutants of the Shihwa Lake, BPI (Benthic Pollution Index) based on the benthic faunal community was employed. It was modified from Infaunal Trophic Index (ITI), and recommended as a pollution detecting method for the environmental assessment. The BPI values were calculated from the benthos data, which were collected for three terms: in 1980, before the Shihwa Lake was built up; in 1994-1997, which the Shihwa Lake was completely isolated from the outer seawater; in 1997-1999, after inflow of the outer seawater. Since the Shihwa Dike was constructed in February 1994, the pollution intensity of the lake had been increased from the narrow and inner part of the former Gyeonggi Bay and spread fast along the coast line of the Shihwa Lake. Then, in 1996 it showed the very high BPI levels all around the Lake. This serious polluted condition had been lasted till 1997, when the inflow of the seawater was begun. In 1998, from the nearest part of the Shihwa Gate, the BPI levels gradually became low in most area of the Lake, except its inner and narrow part. These greatly lowered BPI levels mean that the seawater inflow could be assumed to affect positively in the lake. Furthermore, BPI gave the same results from the other environmental assessment based on the abundance and the species richness of macrobenthic community. It shows that BPI could be useful as an effective method to assess the marine environment and evaluate the status of environmental conditions.

Dual Stent Application on Congenital Tracheobronchial Stenosis - 1 case - (선천성 기관기관지 협착에서의 이중 스텐트의 적용 - 1례 보고 -)

  • 강문철;황성욱;김용진;김희수;김종성;성명훈
    • Journal of Chest Surgery
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    • v.35 no.2
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    • pp.149-152
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    • 2002
  • We report successful application of dual trachcobronchial stcnt to the diffuse tracheal stenosis. An one-month-old boy was transferred to the emergency room due to tachypnea and respiratory difficulty with COB retention. Preoperative computed tomography revealed pulmonary artery sling with diffuse tracheal stenosis. We found that the diameter of the both main bronchus was less than 3mm and the trachea was a complete ring. We divided the left pulmonary artery and implanted it to the main pulmonary artery under cardiopulmonary bypass. After that, tracheoplasty was performed with autologous pericardium. However, after the initial measures, CO2 retention and respiratory difficulty persisted due to the granulation tissue and dynamic obstruction of the airway ensued by the overlying pericardial flap. Therefore, we decided to apply a single tracheal stunt. After the insertion of tracheal stent, residual stenosis of the both main bronchus opening continued to cause respiratory difficulty Finally we applied dual tracheobronchial stent and resolved the airway obstruction.

Analysis of Energy Balance in Closed Transplants Production System (폐쇄형 묘생산 시스템의 에너지 수지 분석)

  • Kim, J.K.;Kim, Y.H.;Lee, M.G.;Choe, Y.H.
    • Journal of Bio-Environment Control
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    • v.12 no.3
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    • pp.147-152
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    • 2003
  • This study was conducted to analyze the energy balance in closed transplants production system (CTPS) for the production of high quality transplants. Potato (Solanum tuberosum L. cv. Dejima) plug seedlings were grown for 15 days at air temperature of 20$^{\circ}C$, relative humidity of 70%, photoperiod of 16/8 h, and photosynthetic photon flux (PPF) of 200 ${\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$ following 5 days of tooting in CTPS. Electric energy consumption was 46% for lighting, 35% for cooling, 16% for heating, 2% for air circulation, and 1% for humidifying. The electric energy utilization efficiency and the short-wave energy utilization efficiency were 0.5% and 5.4%, respectively. These results suggest that CTPS has the feasibility for the commercial production of potato plug seedlings if the electric energy consumption in CTPS is reduced and the electric energy utilization efficiency is increased.