• The Korean Journal of Pain
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• 제2권2호
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• pp.135-144
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• 1989

Celiac plexus block is recommended in patients with intractable upper abdominal cancer pain. The success rate of a celiac plexus block is variable among the authors. One of the causes of this is the anatomical variations of the celiac plexus. There has not been a study concerning anatomical observations of the celiac plexus in Korean cadavers. So, anatomical dissections were performed and observations were made of the celiac plexus and related structures in Korean cadavers. The results were as follows: 1) The subjects were 21 male bodies and 5 female bodies. The mean age at death was $69.9{\pm}15.5$ years (range 37~93). The mean height was $155.5{\pm}8.3\;cm$ (range 143~172). 2) The number of celiac ganglia ranged from 1~4. The mean numbers were $2.3{\pm}1.9$ in the right plexus and $1.9{\pm}0.8$ in the left, and the mean sizes were $18.9{\pm}7.7{\times}8.0{\pm}3.8\;mm^2$ and $18.5{\pm}8.3{\times}9.5{\pm}3.9\;mm^2$ respectively. 3) Celiac ganglia were most frequently located at the level of the upper third and middle third of L1 in both sides (65.5% in right, 64.0% in left). The vertical range of celiac ganglia ranged from 1 space, which is one third the height of one vertebral body, to 4 spaces. Mean vertical ranges were $1.5{\pm}0.6$ spaces in the right plexus and $1.6{\pm}0.7$ spaces in the left. The celiac ganglia located at the level of the upper third of L1 in the right and the lower third of L1 in the left side, had the largest vertical ranges respectively ($1.8{\pm}0.5$ spaces in right, $2.3{\pm}0.6$ spaces in left) 4) Right side celiac ganglia were located near the midline of the vertebrae compared to the left ones (mean 5.0 mm) The horizontal dimension was greater in the right ganglia ($24.2{\pm}9.2\;mm$) than in the left ganglia ($l8.8{\pm}7.0\;mm$). 5) There was no vertebral level difference between both celiac ganglia in most cases (60%). However, of the 40% of cases at different levels, in half of these (20%) the right ganglia were located higher than the left ganglia; and in the other 20%, this was reversed. 6) The origin sites of the celiac artery were most frequently in the upper third and middle third of L1 (61.6%). The celiac ganglia were usually located at the same level as the site of origin of the celiac artery (61.6% in right, 52.0% in left). 7) The vertebral level of the splanchnic nerves piercing the abdominal surface of the diaphragm was most frequently in the upper third and middle third of L1 (66.6% in right, 66.7% in left). 8) The level of the origin of diaphragmatic crura from the anterior surface of the vertebral bodies varied from the L1-L2 interspace to the L3-L4 interspace. Right crura most frequently originated at the level of the lower third of L2 to the upper third of L3 (57.6%), while left crura originated from the level of the L2-L3 interspace to the middle third of L3 (69.3%). From the above results, we realized that there were some anatomical variations of the celiac plexus and its relations to adjacent structures in Korean bodies. However, when the needle point is behind the anterior margin of the upper third of L1, it is possible to perform a successful retrocrural splanchnic nerve block.

• Journal of Korean Neurosurgical Society
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• 제29권1호
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• pp.51-57
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• 2000

Objective : For relief of back pain related to spondylolisthesis, fusion with or without internal fixation may be necessary. Currently, bilateral wide posterior decompression and fusion with or without internal fixation are used for treatment of spondylolisthesis. In case of severe osteoporosis, discectomy may be done without fusion to decompress the nerve roots. However, the procedure may aggravate radicular symptom because slippage may increase and thus foramen may become narrower. In these settings, inferomedial partial pediculectomy has been done in our institution, The object of this study was to evaltuate such cases with regard to per- and postoperative clinical courses. Patients and Methods : Fifteen patients complaining radicular pain with mild or no back pain underwent inferomedial partial pediculectomy. It was done in lytic spondylolisthesis after extension of isthmic defect. In degenerative spondylolisthesis of L4-5 interspace, intertransverse pediculectomy was done via paraspinal approach not to injure the posterior segment with intact isthmus. But, in degenerative spondylolisthesis of L5-S1 interspace however, partial pediculectomy was done after making artificial isthmic defect via midline approach. Then, reconstructive laminoplasty of L5 was performed to avoid iatrogenic instability resulted from artificial isthmic defect. They were followed up for average 14.4 months(3-31 months). Results : Radiating pain was relieved in all cases(100%). Postoperative result was excellent in 7 cases(46.7%), good in 7(46.7%) and fair in 1(6.6%). Only 1 case(6.7%) showed increase in slippage during follow-up period. Conclusion : Inferomedial partial pediculectomy is considered as a useful procedure for severely osteoporotic patients with spondylolisthesis with regards to keeping stability and decompressing the nerve roots.

• 환경생물
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• 제32권4호
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• pp.335-343
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• 2014

규조류 Pseudo-nitzschia는 아미노산의 일종 신경독인 기억상실성 패독 domoic aicd (DA)를 생산하여 주목받고 있는 속이다. 최근 2010년 여름철에 남해 EEZ 골재채취 단지와 거문도에서 Pseudo-nitzschia cf. brasiliana가 최고 우점종으로 출현하여 그 형태 특성을 관찰하였다. P. cf. brasiliana는 개각(valve)의 모양이 선형이었고, 길이와 폭은 각각 $51{\sim}76{\mu}m$, $1.9{\sim}2.6{\mu}m$이었으며 중간 공간(central interspace)은 없었다. $10{\mu}m$ 안의 등줄안다리(fibulae) 수와 점무늬열(striae) 수는 각각 30~37, 31~37이었다. 미소공(poroid)은 2~3줄이었으며, $1{\mu}m$안에 10~14개가 있었다. 이러한 형태 특성은 $10{\mu}m$ 안에 있는 등줄안다리(fibulae) 수와 점무늬열(striae)의 수, 미소공(Poroid) 수에서 P. brasiliana와 크게 차이가 났다. 따라서 P. cf. brasiliana는 P. brasiliana의 변종이나 신종으로 추정된다.

• 생물환경조절학회지
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• 제15권2호
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• pp.184-189
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• 2006

하우스와 하우스 사이에 비닐 멀칭이 참외의 생육 및 품질에 미치는 영향을 검토한 결과는 다음과 같다. 토양수분은 무처리구의 26.0%에 비하여 흑색부직포 및 흑색필름 처리구에서 각각 1.2%, 2.9%정도 적었으나, 지온은 무처리구 $2.4^{\circ}C$에 비하여 흑색부직포 및 흑색필름 처리구에서 각각 $0.8^{\circ}C,\;1.8^{\circ}C$ 더 높았다. 무처리구에 비하여 흑색필름 처리구에서 초장, 엽수, 엽록소 함량, 엽면적 및 일비액량 등 초기생육이 우수하였으며, 개화도 빠르고 성숙 소요일수도 단축되었다. 과중, 당도 등 과실의 품질도 흑색필름 처리구에서 우수하였고 발효과율 및 기형과율이 감소하여 상품과율이 증가하여 10a당 상품과수량은 무처리구의 1,864kg에 비하여 흑색필름 처리구에서 28%증가하였다. 이와 같이 흑색필름 처리구에서 참외의 과중이 무겁고, 당도가 높고 발효과 발생이 감소하고 상품수량이 증가한 것은 하우스 동간 멀칭으로 수분 유입이 차단되어 지온이 상승하여 뿌리의 활착이 빨라 생육이 촉진됨에 따라 과실의 품질이 향상된 것으로 생각된다.

• 한국동물학회지
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• 제28권3호
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• pp.137-150
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• 1985

북방산개구리 피부의 색소포(황색색소포, 홍색색소포 및 멜라닌색소포)를 전자현미경으로 관찰하여 다음과 같은 결과를 얻었다. 황색색소포 : 황색색소포는 많은 pterinosome과 소수의 carotenoid vesicle의 색소소기관으로 구성되었다. 그중 pterinosome은 소낭속의 내용물질에 따라 소낭속에 내용물질이 없고 뚜렷한 한계막만이 있는 형태인 제1형 pterinosome, 소낭속에 섬유물질이 산재해 있는 형태인 제2형 pterinosome, 소낭속에 소수의 lamellae 층을 형성하는 형태인 제3형 pterinosome 및 소낭속에 전자밀도가 높은 여러개의 동심원적 lamellae층을 형성하고 있는 형태인 제4형 pterinosome이 관찰되었다. 이 pterinosome들 중 특히 제2형과 제3형 pterinosome은 전형적인 형으로 잘 발달되었다. 홍색색소포 : 홍색색소포는 기저막 아래에 있는 황색색소포와 진피내 멜라닌 색소포 사이에 위치하였다. 홍색색소포는 장방형 또는 볼록렌즈모양의 반사소판으로 채워져 있었다. 이 반사소판들은 일접하게 접촉하였고, 그들 사이에는 좁은 interspace로 구획되었다. 반사 소판이 없는 일부의 핵상부 세포질에는 endoplasmic reticulum과 소수의 mitochondria가 산재하였다. 멜라닌색소포 : 멜라닌색소포는 수많은 멜라닌과립으로 채워져 있었다. 이 멜라닌과립이 채워져 있는 멜라닌색소포의 수상돌기는 홍색색소포의 측면에 뻗어 있었고, 일부는 황색색소포와 홍색색소포 사이에서 나타났다. 표피 멜라닌색소포는 같은 전자밀도를 나타내는 멜라닌과립으로 채워져 있고, 소수의 멜라닌과립이 각질표면층에서 관찰되었다.

• The Korean Journal of Pain
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• 제10권1호
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• pp.73-76
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• 1997

Background : Epidural anesthesia is now accepted as a popular technique for pain relief and anesthesia. However, accidental dural puncture may occur during placement of the epidural needle. This study was undertaken to evaluate difference of the epidural depth between parturients and non-parturients. Method : Eighty non-parturients receiving epidural anesthesia were assigned to group I, and eighty parturients whose body weight had not yet increased over 15 kg from pregnancy were assigned to group II. With patients in lateral decubitus position, 18 guage Tuohy needle was punctured by approaching at $L_{3-4}$ interspace. Epidural space was identified using loss-of-resistance to air technique. Result : Epidural depth was 4.18 cm and 4.25 cm in group I and group II respectively. There was no significant statistical difference in body mass index(BMI) and ponderal index(PI) (p<0.05), nor in epidural depth between the two groups. Conclusion : Epidural needle need not be placed deeper in parturients than in nonparturients.

• 치과방사선
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• 제21권1호
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• pp.119-125
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• 1991

In the study of magnification of image in the focal trough of panoramic radiography, (Yoshida company Panoura - Eight - s), a series of 63 x-ray films were taken with the 8-19 metal pins placed in the holes of the plastic plate, measured and evaluated by 4 observes. The author analyzed the vertical and horizontal magnification rate in the corrected focal trough. Results were as follows: 1. For vertial measurements, magnification rates were minimum 10% maximum 36% and the magnification for image of medial side was larger than that of image of lateral side from image layer. 2. For horizontal measurements, magnification rates were minimum-14% maximum 46% and images of medial side from focal trough were magnified and images of lateral side from focal trough were retrenched. 3. When moved 10㎜ downward occlusal layer, interspace was somewhat narrow between the pins and upper sides of pins were horizontally magnified but images of the end parts of pins showed tapered form. 4. When moved 10㎜ downward from the occlusal layer, opposite images showed overlapping.

• The Korean Journal of Pain
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• 제9권1호
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• pp.260-263
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• 1996

High spinal block is a rare complication during epidural block, but it may result in serious events. 56-year-old man with gall stones was scheduled for cholecystectomy under general anesthesia. After operation, lumbar epidural catheterization was done at $T_{8-9}$ interspace for postoperative pain control. At the recovery room, initial bolus drug (0.1% bupivacaine 10 ml containing fentanyl $100{\mu}g$) was administered via epidural catheter and observed carefully. 15 minutes later, hypotension and bradycardia ouccurred. Hartman' solution was administered rapidly and ephedrine 5 mg was injected. 30 minutes after drug administration, loss of consciousness and respiratory arrest developed. Tracheal intubation was done immediately. Cardiovascular and respiratory functions were monitored continuously. The location of intrathecal catheter was confirmed by cerebrospinal fluid (CSF) seen in syringe after aspiration of catheter. The patient recovered gradually and was placed in the ward 4 hours after drug administration, without any problems. He was discharged 1 week later in good health.

• Journal of Trauma and Injury
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• 제25권4호
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• pp.278-282
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• 2012

An esophageal perforation following anterior cervical fusion is rare. Early development of an esophageal perforation after anterior cervical fusion is usually due to iatrogenic injury from retraction, injury associated with the original traumatic incident, improperly placed instruments or a bone graft. A 31-year-old man had a cervical dislocation and spinal cord injury because of severe cervical trauma after a traffic accident. He was quadriplegic and had no feeling below T4 dermatome. Anterior decompression of the cervical spine and anterior fusion with mesh with autobone were performed. An esophagocutaneous fistula occurred 7 days after anterior cervical surgery. A second anterior surgery was done because of pus drainage. The mesh was changed with an iliac bone graft, and the esophagocutaneous fistula site was primary repaired, but pus continued to drain. Conservative treatment, which consisted of wound drainage and intravenous administration of antibiotics, was tried, but was unsuccessful. After all, we removed the plate and screws, but did not removed the iliac bone graft, We closed the esophageal fistula, and transposed the sternocleidomastoid muscle flap to the interspace between the esophagus and the cervical spine. The wound to the esophagus was well repaired. In conclusion, precautionary measures are needed to avoid the complication, and adequate treatment is necessary to resolve those complications when they occur.

• 방사성폐기물학회지
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• 제14권1호
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• pp.35-44
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• 2016

Leading national R&D project to design a PWR spent nuclear fuel interim dry storage system that has been under development since mid-2009, which consists of a dual purpose metal cask and concrete storage cask. To ensure the safe operation of dry storage systems in foreign countries, major confinement monitoring techniques currently consist of pressure and temperature measurement. In the case of a dual purpose metal cask, a pressure sensor is installed in the interspace of bolted double lid(primary and secondary lid) in order to measure pressure. A concrete storage cask is a canister based system made of double/redundant welded lid to ensure confinement integrity. For this reason, confinement monitoring method is real time temperature measurement by thermocouple placed in the air flow(air intake and exit) of the concrete structure(over pack and module). The use of various monitoring technologies and operating experiences for the interim dry storage system over the last decades in foreign countries were analyzed. On the basis of the analysis above, development of the confinement monitoring technology that can be used optimally in our system will be available in the near future.