• Archives of Plastic Surgery
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• 제32권1호
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• pp.105-109
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• 2005

Perineal area is composed of compact structures of urogenital organs and anus requiring a more sophisticated selection of flap and reconstruction. For achieving better outcome then conventional flap surgery, we use the perineal perforator based island flap for its reconstruction. After locating the perforator by Doppler, the flaps were designed according to the defect or expected vaginal orifice. The flaps were elevated bilaterally as island pattern. Finally defect or neovagina was reconstructed with inconspicious linear scar hidden in the inguinal crease. Five cases were performed with the perineal perforator based island flap. There were 3 cases of vulvar cancer, 1 case of transsexualism, and 1 case of ambiguous genitalia because of congenital adrenal hyperplasia. Operative results were satisfactory with good contouring and less prominent donor scar, when they were compared with other flap reconstructions such as latissimus dorsi perforator flap, groin flap, gracilis myocutaneous flap etc. The perineal perforator based island flap is highly recommended with the advantages of easy flap elevation, good rotation arc, and appropriate flap thickness for contouring. Compared with other conventional flaps, it can be selected as a good option for moderate defect of perineal area.

• 한국수의병리학회:학술대회논문집
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• 한국수의병리학회 2002년도 추계학술대회초록집
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• pp.134-134
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• 2002

A stillborn bovine male fetus with abdominal distention, arthrogryposis and atresia ani was presented for diagnostic evaluation. At necropsy, this fetus had a large amount of ascites, urachal obstruction and marked bladder distention. The ventral surface of the bladder had ruptured and attached to the abdominal wall by fibrinous adhesions. There was bilateral hydronephrosis with moderate pelvic dilatation and cortical attenuation. The rectum was filled with meconium but the anus was imperforate. The right forelimb was contracted. The cause(s) of these abnormalities could not be determined; however, we believe that developmental abnormalities during embryogenesis may be the result of chromosomal abnormalities. This report is the first to report congenital urachal obstruction in this species.

• 한국수의병리학회:학술대회논문집
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• 한국수의병리학회 2002년도 추계학술대회초록집
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• pp.147-147
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• 2002

The slowly growing microaerophilic Helicobacter strains were isolated from the fecal pallets of 2 BALB/cA-Hfh11$\^$nu/ mice with rectal prolapse. The rectums of these mice protruded approximately 2 to 3 mm from the anus and varied in color from pale pink to deep red. Histopathologically, chronic proliferative colitis and proctitis were observed. The epithelium were hyperplastic and lymphocytes infiltrated markedly in mucosa and submucosa. Our isolated bactrial strains were characterized by morphological, physiological, molecular methods and special staining, and they were found to be Helicobacter hepaticus. We could not find any other pathogens from both mice. These results demonstrate that this organism may be a pathogen of the inflammatory large bowel disease in immunodeficent mice.

• 동의생리병리학회지
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• 제19권3호
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• pp.586-589
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• 2005

To study on the assignment of the eight trigrams (八卦) for the process on intake, digestion, excretion of food. Being based BEOK-HEE's diagram of eight trigrams order(伏羲次序圖), provisional namely six entera are assigned eight trigrams(八卦). Eight trigrams(八卦) are attached to the air(GEON 乾), the month(TAE 兌), the stomach(LEE 離), the small intestine(JIN 震),the large intestine(SON 巽), the rectum(GAM 坎), the anus(GAN 艮), the excrements(GON 坤). The BEOK-HEE's diagram of eight trigrams order(伏羲次序圖) means immutable order naturally. The process of six entera's digestion is also unchangeable in region and program. Therefore we can set up the process of six entera's digestion as the category of observation on the basis of BEOK-HEE's diagram of eight trigrams order(伏羲次序圖), and then we can arrange eight trigrams(八卦) on the process of six entera's digestion.

• 한국발생생물학회지:발생과생식
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• 제18권4호
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• pp.259-266
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• 2014

The egg development and early life history of Korean spotted sleeper, Odontobutis interrupta which is Korean endemic species from Sora-choen was investigated. The Korean spotted sleeper were caught at Sora-myeon, Yeosu-si, Jeollanamdo, from Korea at May in 2014. The fertilized eggs were $4.23{\pm}0.05mm$ in long diameter and had oil globules. Hatching time of the embryo began about 442 hr 14 min after fertilization under water temperature of $19.5^{\circ}C$. The newly hatched larvae were $4.27{\pm}0.35mm$ in total length and their anus were not yet opened. 3 days after hatching postlarvae was measured $6.20{\pm}0.11mm$ in total length. 10 days after hatching postlarvae was measured $6.69{\pm}0.14mm$ in total length.

• Journal of Oral Medicine and Pain
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• 제42권1호
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• pp.25-27
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• 2017

Crohn's disease is an inflammatory bowel disease which affects whole gastrointestinal tract from mouth to anus. Crohn's disease may present both oral manifestation and gastrointestinal symptom-abdominal pain, diarrhea, weight loss, anorexia, fever, and growth failure. The prevalence rate of oral manifestation is approximately between 0.5% and 20%. The oral lesion could be the first sign of Crohn's disease. We present a case of Crohn's disease in a patient who did not show typical oral manifestations but had nonspecific aphthous like ulceration and burning sensation for many years. Through this case, we suggest approaches for the diagnosis and treatment of the oral lesion of Crohn's disease.

• Advances in pediatric surgery
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• 제8권1호
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• pp.54-61
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• 2002

Hirschsprung's disease (HD) is usually diagnosed in the newborn period and early infancy. The common presentation of HD in newborns consists of a history of delayed passage of meconium within the first 48 hours of life. The differential diagnosis in newborns is one of the clinical challenges of this disorder. A number of medical conditions which cause functional obstruction of the intestines are easily excluded. Neonates with meconium ileus, meconium plug syndrome, distal ileal atresia and low imperforate anus often present in a manner similar to those with HD in the first few days of life. Abdominal radiographs may help to diagnose complete obstruction such as intestinal atresia. Microcolon on contrast enema can be shown in cases with total colonic aganglionosis, ileal atresia or meconium ileus. Suction rectal biopsy or frozen section biopsy at operation is essential for differential diagnosis in such cases. HD is also considered in any child who has a history of constipation regardless of age. Older children with functional constipation may have symptoms that resemble those of HD and contrast enema is usually diagnostic. However, children with other motility disorders generally referred to as chronic idiopathic intestinal pseudoobstruction present with very similar symptoms and radiographic findings. These disorders are classified according to their histologic characteristics.; visceral myopathy, visceral neuropathy, intestinal neuronal dysplasia (IND), hypoganglionosis, immature ganglia, internal sphincter achalasia. Therefore, the workup for motility disorders should include rectal biopsy not only to confirm the presence of ganglion cells but also evaluate the other pathologic conditions.

• 한국수산과학회지
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• 제32권2호
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• pp.134-138
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• 1999

1997년 3월에 부산시 민락동 어시장에서 채집한 등줄숭어 어미들을 실험실로 운반하여 인위적인 방법으로 난을 수정시킨 후, 난의 형태, 난발생과정 및 자어의 성장에 따른 형태변화를 관찰하였다. 1. 등줄숭어의 수정란은 무색투명한 원형의 분리부성란으로, 난경은 0.95$\~$1.06mm이고 부화에 소요된 시간은 수정후 $16.0^{\circ}C$에서 73시 간이였다. 2. 부화 직후의 자어는 전장 1.72$\~$1.92mm로 입과 항문은 열리지 않고, 근절은 19개로 아직 정수에 달하지 않았으며, 몸에는 막대기 모양의 흑색소포가 산재한다. 3. 부화후 5일째의 자어는 전장 2.27$\~$2.49mm로 입이 최초로 열리며 동시에 난황이 완전히 흡수되어 후기자어로 이행한다.

• Advances in pediatric surgery
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• 제8권2호
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• pp.133-137
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• 2002

To evaluate the clinical characteristics and results of treatment of fistula-in-ano and perianal abscess in childhood, we analyzed 95 cases of fistula-in-ano and/or perianal abscess seen in childhood, between January 1995 and June 2001 at the Department of General Surgery of Ewha Womans University Mokdong Hospital. Perianal abscess was in 25 patients, anal fistula in 62 and combined disease (perianal fistula and abscess) in 8. Male predominance was noted (95%). Median age was 8 months and 78% of cases were presented under the age of 1 year. Median duration of symptoms was 60 days. Twenty four abscesses (77%) and 18 lesions (72%) of combined disease (n=25) were located on both lateral sides of the anus, and fistulas located on both lateral sides were 33 (53%). Multiplicity of the lesion was noted in 25% of cases. Sixteen percent of abscess, 81% of fistula and 88% of combination group have had previous perianal abscesses. The perianal abscesses were treated with incision and currettage and fistulas were treated with fistulotomy or fistulectomy. There were no recurrent diseases and no complications after surgical treatment. Although the progresses of the perianal abscess and fistula in ano in childhood may be self-limitied, surgical management was safe and curable.

• Perspectives in Nursing Science
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• 제11권1호
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• pp.74-85
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• 2014

Purpose: The purpose of this study was to investigate the relationships between anxiety, depression, low anterior resection syndrome, and quality of life after lower anterior resection for rectal cancer. Methods: The participants of this study were 105 rectal cancer patients who visited the outpatient department of a hospital in Seoul for treatment or follow-up consultations. Data were collected using self-reported questionnaires and clinical records. To measure the variables, the Hospital Anxiety and Depression Scale, Low Anterior Resection Syndrome Score, and Quality of Life Questionnaire-Core 30 were utilized. Data were subsequently analyzed using the SPSS/WIN 20.0 program. Results: Low anterior resection syndrome was more severe among patients whose cancer was located closer to the anus, and had a greater range of resection in those who received neoadjuvant treatment. When anxiety, depression, and low anterior resection syndrome score were higher, quality of life scores were lower. Conclusion: These results suggest that low anterior resection syndrome may negatively impact quality of life. Therefore, it is necessary to provide patients with symptom management support/assistance through evidence-based nursing interventions, and evaluations of low anterior resection syndrome to relieve anxiety and depression, and thus enhance quality of life.