• Title/Summary/Keyword: Open-tube

Search Result 310, Processing Time 0.029 seconds

Surgical Outcomes of Pneumatic Compression Using Carbon Dioxide Gas in Thoracoscopic Diaphragmatic Plication

  • Ahn, Hyo Yeong;Kim, Yeong Dae;I, Hoseok;Cho, Jeong Su;Lee, Jonggeun;Son, Joohyung
    • Journal of Chest Surgery
    • /
    • v.49 no.6
    • /
    • pp.456-460
    • /
    • 2016
  • Background: Surgical correction needs to be considered when diaphragm eventration leads to impaired ventilation and respiratory muscle fatigue. Plication to sufficiently tense the diaphragm by VATS is not as easy to achieve as plication by open surgery. We used pneumatic compression with carbon dioxide ($CO_2$) gas in thoracoscopic diaphragmatic plication and evaluated feasibility and efficacy. Methods: Eleven patients underwent thoracoscopic diaphragmatic plication between January 2008 and December 2013 in Pusan National University Hospital. Medical records were retrospectively reviewed, and compared between the group using $CO_2$ gas and group without using $CO_2$ gas, for operative time, plication technique, duration of hospital stay, postoperative chest tube drainage, pulmonary spirometry, dyspnea score pre- and postoperation, and postoperative recurrence. Results: The improvement of forced expiratory volume at 1 second in the group using $CO_2$ gas and the group not using $CO_2$ gas was $22.46{\pm}11.27$ and $21.08{\pm}5.39$ (p=0.84). The improvement of forced vital capacity 3 months after surgery was $16.74{\pm}10.18$ (with $CO_2$) and $15.6{\pm}0.89$ (without $CO_2$) (p=0.03). During follow-up ($17{\pm}17$ months), there was no dehiscence in plication site and relapse. No complications or hospital mortalities occurred. Conclusion: Thoracoscopic plication under single lung ventilation using $CO_2$ insufflation could be an effective, safe option to flatten the diaphragm.

Clinical Observations of the Chest Trauma (흉부 손상에 대한 임상적 고찰)

  • 최명석
    • Journal of Chest Surgery
    • /
    • v.23 no.5
    • /
    • pp.905-915
    • /
    • 1990
  • A clinical evaluation was performed on 545 cases of the chest trauma those had been admitted and treated at the department of thoracic and cardiovascular surgery in Chosun University Hospital during the past 11 years 5 months period from January 1978 to may 1989. Obtained results were as follows: 1. The ratio of male to female was 3.9: 1 in male predominance, and the majority[66.6%] was distributed from 3rd to 5th decade. 2. Nonpenetrating chest trauma was more common than penetrating about 4.6 times, and the most common cause of the nonpenetrating injuries was traffic accident[241/448, 53.8%] and of the penetrating injuries was stab wound[88/97, 90.7%]. 3. Only 79 cases[14.5%] were arrived to our emergency room within one hour after trauma. 4. The most common lesion due to trauma among these admitted patients was rib fracture[390/545, 71.6%], and the others were lung contusion[217/545, 39.8%], hemothorax[35%], hemopneumothorax[19.6%], and pneumothorax[11.8%] et al in decreasing order. 5. The associated injuries those required special treatment of other departments were 223 cases and its distributions were bone fractures[178/545, 32.7%], head injury[5.3%], and abdominal injury[6.6%]. 6. The others, but interesting chest injuries were follows: sternum fracture[3.1%], diaphragm rupture[2.6%], myocardial laceration and rupture[2 cases], bronchial rupture and laceration[2 cases], and traumatic thymoma rupture[1 case]. 7. The incidence of flail chest was 5.8%a[26/448] in the nonpenetrating injury, and the causes were multiple rib fracture which was in rows more than 4 rib fracture[20 cases], and sternum fracture[6 cases]. 8. We could managed the most of the patient with conservative treatment[43.1%] or closed tube thoracostomy[52.7%], but required emergency open thoracotomy in 64 cases

  • PDF

IMMUNOHISTOCHEMICAL STUDY ON THE PERIODONTAL TISSUE REACTION DURING EXPERIMENTAL TOOTH MOVEMENT IN THE ADULT DOG (실험적 치아 이동시 성견 치주조직의 변화에 대한 면역조직화학적 연구)

  • Kim, Mi-Jeong;Yang, Won-Sik
    • The korean journal of orthodontics
    • /
    • v.23 no.1 s.40
    • /
    • pp.89-100
    • /
    • 1993
  • The purpose of this study was to evaluate the effect of orthodontic force on periodontal cellular activity by immunoperoxidase stain of epidermal growth factor, one of the tissue hormone. And supplementarily, to investigate of the changes of periodontal structures, periodontium was stained by H-E, Masson's Trichrome, P. A. S. stain after orthodontic force application. The experimental animals were four young adult dogs of average 8 month old. The fixed orthodontic appliance was cemented on mandibular right 4th premolar and 1st molar of each animal as experimental site. Mandibular left 4th premolar area of the same animal was used as control. The appliance consist of two silver crown soldered with 0.030' tube, $0.018\times0.022'$ S.S. sectional arch wire, and 0.009' open coil spring for manifestating of orthodontic force for bodily tooth movement of mandibular 4th premolar toward mesial direction. Experimental group was sacrificed at 1, 2, 3, 5 weeks from beginning of the experiment, and was investigated immunohistochemically and bistochemically by several staining methods. Findings were as follows: 1. The degree of EGF staining in control group was highest in epithelium of periodontium, and osteoclasts, osteoblasts and fibroblasts around the capillary were stained at higher level in periodontium. Generally, control group shows positive distribution of EGF all around the periodontal area. 2. The degree of EGF staining in control and 5 week group were similar, and did not show the significant different level between tension and pressure side. 3. All of 1, 2, 3 week group showed the same staining degree and distribution of EGF, and the tension side was more positive reaction of EGF stain than the pressure side. 4. The features of collagen fiber and periodontal fiber arrangement observed by H-E, Masson's Trichrome and P. A. S. stain revealed that oblique periodontal fibers were strectched in tension side, compressed in pressure side of all experimental group. Some fiber group in pressure side of 5 week group recovered the regular arrangement along the capillaries.

  • PDF

Effects of Aprotinin on Postoperative Bleeding and Blood Coagulation System in Pediatric Open Heart Surgery (소아개심술시 아프로티닌이 술후 출혈 및 혈액응고계에 미치는 영향)

  • 신윤철;전태국
    • Journal of Chest Surgery
    • /
    • v.29 no.3
    • /
    • pp.303-310
    • /
    • 1996
  • From December of 1994 to April of 1995, we, SHUH Department of Pediatric Thoracic and Cardiovascular Surgery, studied effects of aprotinin. 95 patients were randomly divided into two groups : group I (n=47) with aprotinin and group ll (n=48) without aprotinin. Aprotinin was given as one shot injection to cardiopulmonary bypass perfusion solution with dose of 50,000 KIUikg. Laboratory data such as hemoglobin, hematocrit, BUH, creatinine, fibrinogen, electrolyte concentration, aPTT, PT, and AT R was checked preoperatively, 5 minutes after anesthesia, 5 minutes and 35 minutes after CPB circulation, and 5 minutes, 3 hours, and 24 hours after reperfusion. Also, chest-tube drainage, transfused amount of RBC, platelet concentrate, and fresh frozen plasma within first 24 hours postoperatively were checked and analyzed after transition nn body weight demension. Only RBC transfused postoperatively had statistical significance with P value of less than 0.001. Others had no difference statistical wise. Postoperative side effects of aprotinin was not detected weeks after the surgery and there was no reoperated patient due to postoperative bleeding.

  • PDF

Assessment of Spatial Dose Distribution in the Diagnostic Imaging Laboratory by Monte Carlo Simulation (몬테카를로 전산해석에 의한 X선 실습실의 공간선량분포 평가)

  • Cho, Yun-Hyeong;Kang, Bo Sun
    • Journal of the Korean Society of Radiology
    • /
    • v.11 no.6
    • /
    • pp.423-428
    • /
    • 2017
  • In this study, the calculation of the effective spatial dose distribution of the diagnostic imaging laboratory of K university was performed by the Monte Carlo simulation. The radiation generator has a maximum tube voltage of 150 kVp and a maximum current of 700 mA. Using the results, we compared the spatial effective dose distributions of diagnostic imaging laboratory when the shielding door was closed and opened. In conclusion, it was found that the effective dose in the operating room of the diagnostic imaging laboratory does not exceed the annual dose limit (6 mSv/y) of the student (occasional visitor) even when the door is opened. However, since the effective dose when the door is open is about 16 times higher in front of the lead glass window and about 3,000 times higher in front of the doorway than the case when the door is closed, closing the shielding door at the time of the practical exercising reduces unnecessary radiation exposure by great extent.

Performance Characteristics of Flooded Type Evaporator for Seawater Cooling System with Heat Source Temperature of Mid-year (중간기 열원수 온도에 따른 만액식 해수냉각시스템의 성능 특성)

  • Yoon, Jung-In;Son, Chang-Hyo;Lee, Jeong-Mok;Kang, In-Ho
    • Journal of Power System Engineering
    • /
    • v.21 no.2
    • /
    • pp.64-69
    • /
    • 2017
  • The purpose of this study is to investigate the performance characteristics of seawater cooling system for a fishing vessel. The circulation amount of refrigerant, condensation capacity, evaporation capacity, compression work and coefficient of performance(COP) were analyzed as the heat source temperature changed. The experimental setup consisted of an open-type compressor, a shell&tube type condenser, an evaporator and an expansion valve. The heat source was controlled by a constant temperature chamber. The main results of this study are summarized as follows. The condensation capacity increased with increasing heat source temperature, and it was confirmed that the effect of circulating amount of refrigerant was dominant. The amount of heat for vaporization was almost constant even though the temperature of the heat source increased. On the other hand, the compression power was increased. This is because the compression ratio increases as the condensation pressure, the enthalpy difference between inlet and outlet, the amount of circulating refrigerant increases. The performance coefficient of this system showed a tendency decreasing with increasing heat source temperature. Therefore, the basic data of the seawater cooling system for the maintenance of the catch line of the shore fishing boats was acquired through this study, and it is considered that it will be sufficient for the actual design.

Studies on Enzymes of the Higher Fungi of Korea( II ) - Identification of Cellulolytic Enzyme in Lenzites betulina- (한국산(韓國産) 고등(高等) 균류(菌類)의 효소(酵素)에 관한 연구(硏究)( II ) - 목재부후균(木材腐朽菌)인 조개껍질버섯의 섬유소 분해효소의 확인 -)

  • Park, Wan-Hee;Kim, Tae-Hee;Ro, Ihl-Hyeob
    • The Korean Journal of Mycology
    • /
    • v.14 no.3
    • /
    • pp.225-229
    • /
    • 1986
  • Cellulosic substance which plays an important role in carbon cycle is most abundant in the nature world. Some higher fungi are able to digest cellulose directly to satisfy their carbohydrate requirement. Then, in order to investigate the enzymatic components of Lenzites betulina (Fr.) being wood rot, that fungus was collected in Kwangneung area. The carpophore of the fungus was smashed with cool distilled water, extracted and salted out by ammonium sulfate. And then the precipitate was purified by dialysing with visking tube and dissolved with pH 7.8 ammonia water, and the extract was filtrated. The fraction of filtrate was obtained as light brown powder after lyophilization, and determined cellulolytic activity. Cellulolytic potency of Lenzites betulina (Fr.) was 1. 65 unit/ml. The cellulase of Lenzites betulina (Fr.) was stable at below $45^{\circ}C$ and range of pH $4.5{\sim}6.0$ and is completely inactivated at $60^{\circ}C$ for 15 minutes. The optimum condition for the enzymatic reaction was $40^{\circ}C$ and pH 4.0. The enzyme activity was not influenced by the presence of $Ca^{2+}$ and $Fe^{2+}$.

  • PDF

Trend on Recycling Technologies for Display Wastes analysed by the Patents and Literature Review (특허(特許)와 논문(論文)으로 본 폐(廢) 디스플레이 재활용(再活用) 기술(技術) 동향(動向))

  • Lee, Sung-Kyu;Lee, Chan-Gi;Hong, Hyun-Seon;Cho, Young-Ju;Cho, Bong-Gyoo
    • Resources Recycling
    • /
    • v.21 no.3
    • /
    • pp.65-73
    • /
    • 2012
  • There are several kinds of displays such as liquid crystal display (LCD), cathode ray tube (CRT), plasma display panel(PDP), light emitting diode (LED), organic light emitting diode (OLED), etc. Nowadays, recycling technologies of waste displays have been widely studied from economy and efficiency points of view. In this paper, patents and literature on the recycling technologies of the waste displays have been comprehensively analyzed. The search was limited to the open patents of USA (US), European Union (EU), Japan (JP), and Korea (KR) and SCI journals published from 1980 to 2011. Patents and journals were systematically compiled and collected using key-words search and filtered by pre-set filtering criteria. The trends of the patents and journals were thus analyzed according to the years, countries, companies, and technologies.

A New Type of the Measuring and Anti-Caking Bag for Powder Materials (새로운 형태의 분체용 계량적 Anti-Caking 봉지)

  • Kim, Joong-Man
    • Journal of the Korean Society of Food Science and Nutrition
    • /
    • v.15 no.4
    • /
    • pp.51-55
    • /
    • 1986
  • The general bag for powder materials such as sugar, salt and detergent used at present is a simple rectangular bag. In the practical uses, it has a lot of faults: it is difficult to reseal after partial usages, occurrence of loss in the case of sharing or adding, difficult for measured uses. Author made a new type of the measuring bag for powder materials in order to improve the problems. The new type of the bag for powder materials consists of a body, fall-induced tube with length scale line, and a pin to open and reseal. It shows various effectiveness: measured use$({\pm}0.6g)$ of powder materials, eatings don't occur during long period after opening, and no skin contamination during use of detergent. Consequently, the new one Is suitable for the measured use of powder materials such as sugar, salt, detergent, MSG and so on.

  • PDF

five year experience of thoracic civilian injuries -481 cases- (최근 5년간의 흉부손상 경험 -481 예-)

  • Son, Gwang-Hyeon;Gu, Bon-Il;Kim, Tae-Yeong
    • Journal of Chest Surgery
    • /
    • v.19 no.3
    • /
    • pp.421-428
    • /
    • 1986
  • From January 1981 through December 1985, 481 thoracic civilian injuries were reviewed in the Department of Thoracic Surgery, Paik Hospital in Seoul. Sixty two percent of the injuries were caused by traffic accident, 18% fall down, 15% blunt trauma, 2% crushing injury, 2% stab wound, and 0.4% gunshot wound. Peak incidence of the trauma victim was fourth and fifth decades revealing 22% and 27% respectively. Sex ratio was 3.5:1 with male predominance. Elapsed time before admission was less than one hour in 36% and one to six hour in 30%. The types of the injuries were as follows: Non-penetrating injuries were the most part of the wounded, 97.6%. Rib fracture was the most common lesion occupying 292 patient out of 481 [61%]. Of these 292 patients, 72% was multiple rib fracture. The incidence of hemothorax or hemopneumothorax was 19% [102 patients] [Table 4]. Most common associated condition was head injuries, 98 patients [14%]. Thoracoabdominal injuries were seen in 31 patients [0.6%]. Tube thoracostomy was the definitive measures in the 20% of the wounded. Open thoractomy was performed in 5%. Additional procedures for the associated condition were done in the 16% of the cases, for example, reduction of long bone fracture and trephination for the head injury. Among 481 wounded, fatal complication occurred in 13 patients [2.7%]. This paper has also compared two series of patients according to period; one from 1970 to 1980 and the present series [Table 8]. Conclusively, the fatal complications or trauma death may be reduced by the effort 1] rapid transport of the victim, 2] initial correction or resuscitative measures of the circulatory and ventilatory deficit 3] early decision of definitive thoracostomy or thoracotomy and 4] proper prioritizing for the care of the multiple critically injured patient.

  • PDF