• 제목/요약/키워드: Remnant

검색결과 717건 처리시간 0.028초

전방십자인대 재건술시 잔류 조직 보존술이 이식 인대의 활막화(synovialization)에 미치는 영향 - 2차 관절경 소견을 중심으로 - (The Effect of a Tibial Remnant Preservation Technique on the Synovialization of the Graft Tendon in Anterior Cruciate Ligament Reconstruction - Based on the Second Look Arthroscopic Findings -)

  • 안길영;남일현;문기혁;이영현;최성필;유종연
    • 대한관절경학회지
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    • 제17권1호
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    • pp.11-17
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    • 2013
  • 목적: 전방십자인대 재건술을 시행할 때 경골 부착 부위의 잔류 조직 보존 방법이 이식 인대의 활막화에 미치는 영향을 2차 관절경 소견을 통해서 알아보고자 하였다. 대상 및 방법: 전방십자인대의 급성 파열에 대하여, 4가닥의 자가 슬괵건을 이용하여 대퇴 부 흡수못 형태인 RigidFix$^{(R)}$을 사용하여 전방십자인대 재건술을 시행한 환자 63예 중, 술후 1년 이후에 금속 나사못 제거를 시행 할 때에 2차 관절경 수술로 이식건의 상태를 확인할 수 있었던 19예를 대상으로 하였다. 수술 당시 파열된 전방십자인대의 경골 부착부에서 파열 인대의 잔류 조직이 5 mm 이하로 남은 경우를 1군(5예), 6-10 mm사이에 남은 경우를 2군(8예), 11 mm 이상 남아있는 경우를 3군(6예)로 나누었다. 술후 1년에서 2년 사이에 시행한 2차 관절경 소견에서 이식 인대에 활액막이 덮힌 정도를 조사하였다. 결과: 2차 관절경 수술에서 활막화(synovialization)된 정도는 1군에서 평균 55.4%, 2군에서 평균 77.9%, 3군에서는 평균 89.7%이었다. Lysholm 점수와 Tegner 활동도 점수는 술전 평균 74.2점과 7.3점에서 최종 추시 때에 94.1점과 8.5점으로 호전되었다. 결론: 전방십자인대 재건술을 시행할 때에 전방십자인대의 경골 부착 부위에 파열된 인대의 잔류 조직을 많이 남겨 둘수록 이식건의 활막화 면적(비율)이 넓어짐을 확인하였고, 남겨둔 조직의 양과 활막화 면적은 비례 하였다. 이는 이식건의 생착과 고유 감각기능의 보존에 좋은 영향을 미칠 것으로 사료된다.

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방사성요오드 치료를 받는 갑상선암 환자의 삶의 질 변화와 영향요인 (Changes in Quality of Life and Related Factors in Thyroid Cancer Patients with Radioactive Iodine Remnant Ablation)

  • 유선희;최스미
    • 대한간호학회지
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    • 제43권6호
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    • pp.801-811
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    • 2013
  • Purpose: To investigate changes in Quality of life (QOL) and related factors in patients with thyroid cancer undergoing Radioactive Iodine remnant ablation (RAI). Methods: Data were collected longitudinally 3 times for 6 months (2 weeks post-surgery, post RAI, 3 months post RAI) in a hospital located in Seoul. Questionnaires were used to measure levels of physical symptoms, anxiety, depression, and QOL. Ninety-eight patients with thyroid cancer who had RAI were included in the analysis. Data were analyzed using SPSS (18.0). Results: Findings for the three data collection times respectfully were: mean scores for physical symptoms, 0.53, 1.21 and 0.62, patients with depression, 47%, 36.7% and 37.7%, patients with anxiety, 18.4 %, 19.4% and 20.4%, mean scores for QOL, 7.06, 7.01 and 7.28. QOL score was highest 3 months post RAI (p=.031). In the stepwise multiple regression analysis, depression and fatigue were predicting factors for low QOL at all data collection times. Dysponia was a predicting factor for low QOL post RAI and 3 months post RAI. Conclusion: To increase QOL, it is necessary to provide information in advance regarding physical & psychological symptoms and to develop nursing intervention programs to decrease depression and fatigue.

한국인에 있어서 단측 경부 피부연골 새성기형: 증례 보고 (Unilateral cervical chondrocutaneous branchial remnant in Korean: A case report)

  • 이준석;이정호
    • 대한두경부종양학회지
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    • 제36권2호
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    • pp.17-20
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    • 2020
  • Background: Compared to the frequency of occurrence of pre-auricular skin tag, cervical chondrocutaneous branchial remnants is one of congenital, benign neck masses that is very rare all over the world. Most of these rare anomalies are reported in case reports and especially, rare cases of unilateral cervical chondrocutaneous branchial remnants have been reported in Korean. Materials & Methods: A 9-year-old male patient visited the hospital on September 2017 for a rod-shaped mass. As a simultaneous diagnosis and treatment method, complete surgical excision was executed. Results: Excised mass was 0.5cm in diameter, 1.2cm in. Histologically, a hyaline and elastic cartilage was found in the core. As a family history, the same remnant was found in the right Anterior neck area of his mother. Conclusion: In this case, it is possible to diagnose and treat simply at the same time and even an optimal aesthetic result can be obtained.

소음인(少陰人) 곽향정기산(藿香正氣散)의 위해물질에 대한 안전성 연구 (Safety on Hazardous Substances of Soeumin Kwakhyangjeonggi-san)

  • 서창섭;김정훈;황대선;신현규
    • 사상체질의학회지
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    • 제22권3호
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    • pp.132-140
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    • 2010
  • 1. Objective: To compare the contents and transfer rate of hazardous substances in crude, washing solution, crude after washing, decoction and remnant after boiling. 2. Methods: The heavy metal contents of each step were measured by inductively coupled plasma mass spectrometer (ICP-MS) and mercury analyzer (MA-2). In order to analyze pesticides in each sample we used simultaneous multi-residue analysis of pesticides by GC/ECD, which was followed by GC/MSD analysis to confirm the identity of the detected pesticide in each sample. In addition, the contents of sulfur dioxide (SO2) were performed by Monier-Williams distillation method. 3. Results: 1) Contents (mg/kg) of heavy metals in decoction of all herbal medicine prescriptions were not detected. 2) Transfer rates (%) of heavy metals from crude to remnant were As (83.3%), Cd (100.0%), Pb (182.6%) and Hg (100.0%). 3) Contents (mg/kg) of residual pesticides were not detected. 4) Transfer rate (%) of sulfur dioxide (SO2) from crude to remnant was 44.2%. 4. Conclusion: Our results showed that boiled herbal medicine prescriptions which we take is safe from the hazardous substances.

경피적 관상동맥 확장 성형술 도중 우관상동맥 뒤가쪽가지에서 발생한 유도철사 부러짐 (Guide wire fracture during percutaneous coronary intervention)

  • 김학로;임태훈;김병철;이호준;오홍근;주현식;김태진;김용복
    • Journal of Yeungnam Medical Science
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    • 제33권1호
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    • pp.52-55
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    • 2016
  • Guide wire fracture during percutaneous coronary intervention (PCI) is rare. It can cause fatal complications such as thrombus formation, embolization, and perforation. Guide wire fracture could occur during intervention for severely calcified stenotic lesions, and rarely from distal small branches of stenotic lesions. There are several methods for its management depending on the material character, position, length of the remnant, and the patient's condition. If percutaneous retrieval was not achieved, the surgical procedure should be considered for prevention of potential risks, although the remnant guide wire does not usually cause complications. We experienced a patient with a guide wire fracture during PCI, and managed to prevent its complications through surgical removal of the remnant wire. We report this case here.

Near-infrared Spectroscopy of Iron Knots in Cassiopeia A Supernova Remnant

  • Lee, Yong-Hyun;Koo, Bon-Chul;Moon, Dae-Sik
    • 천문학회보
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    • 제35권2호
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    • pp.68.1-68.1
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    • 2010
  • Cassiopeia A supernova remnant is a young (~330 yr) remnant of Type IIb SN explosion with a massive progenitor. It shows two distinct optical knots; fast moving ejecta knots (FMKs) and quasi stationary circumstellar knots (QSFs). These knots offer an unique opportunity to explore the details of the explosion and also the end state evolution of the Type IIb SN progenitor. We have obtained NIR long-slit (30") spectra of 7 positions around the bright rim of Cas A in [Fe II] 1.644 micron using Triplespec which is a cross-dispersed near-infrared spectrograph that provides continuous wavelength coverage from 0.95-2.46um at intermediate resolution of 2700. Most of the FMKs show strong sulfur, silicon, and iron forbidden lines but no hydrogen or helium lines. The QSFs, on the other hand, show a much richer spectrum with strong hydrogen, helium, and iron lines, but no sulfur and silicon lines. We measure their fluxes and radial velocities, and derive their physical parameters such as electron density and temperature. We also measure the proper motion of these knots from two [Fe II] 1.644 micron images obtained at 3-year interval. We analyze the physical properties of these knots and discuss the evolution and explosion of the progenitor of Cas A.

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소부재 연속/공용 절단 데이터 생성 프로그램 개발 (Development of Creating Continuous and Common Cutting NC Data Program)

  • 현성열;오성권;허옥재;심현상
    • 대한조선학회 특별논문집
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    • 대한조선학회 2011년도 특별논문집
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    • pp.101-105
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    • 2011
  • In most shipbuilding company, cutting procedure is proceed by cutting machine which run by CNC(Computer Numerical Code) data. In our cutting process, all CNC data is created by our nesting post processor system automatically. Among them, in case that cutting piece in the remnant plate, our system creates only one piece CNC data. Because remnant plate is not typical shape, and ship designers don't know remnant plate shape and quantity. In can happen some merit and good point if we modify 1:1 piece NC data by shorten cutting path, reducing cutting time or re-arrangement piece. For modifying cutting data, outside workers have to call to ship designer or have to go to NC control room where control the CNC system and cutting machine. It makes stop work process, and it waste time. In this paper, we introduce a program that can modify and replace 1:1 NC data with continuous or common NC data automatically.

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SNR 0104-72.3: A remnant of Type Ia Supernova in a Star-forming region?

  • 이재준;박상욱
    • 천문학회보
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    • 제36권1호
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    • pp.87.2-87.2
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    • 2011
  • We report our 110 ks Chandra observations of the supernova remnant (SNR) 0104-72.3 in the Small Magellanic Cloud (SMC). The X-ray morphology shows two prominent lobes along the northwest-southeast direction and a soft faint arc in the east. Previous low resolution X-ray images attributed the unresolved emission from the southeastern lobe to a Be/X-ray star. Our high resolution Chandra data clearly shows that this emission is diffuse, shock-heated plasma, with negligible X-ray emission from the Be star. The eastern arc is positionally coincident with a filament seen in optical and infrared observations. Its X-ray spectrum is well fit by plasma of normal SMC abundances, suggesting that it is from shocked ambient gas. The X-ray spectra of the lobes show overabundant Fe, which is interpreted as emission from the reverse-shocked Fe-rich ejecta. The overall spectral characteristics of the lobes and the arc are similar to those of Type Ia SNRs, and we propose that SNR 0104-72.3 is the first case for a robust candidate Type Ia SNR in the SMC. On the other hand, the remnant appears to be interacting with dense clouds toward the east and to be associated with a nearby star-forming region. These features are unusual for a standard Type Ia SNR. Our results suggest an intriguing possibility that the progenitor of SNR 0104-72.3 might have been a white dwarf of a relatively young population.

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인접 잉여 피부를 이용한 아랫 눈꺼풀 결손의 재건 (Reconstruction of Lower Eyelid Defect using Neighboring Remnant Skin)

  • 홍창일;김선구;김유진;이세일
    • Archives of Plastic Surgery
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    • 제37권4호
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    • pp.492-495
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    • 2010
  • Purpose: Facial tumor excision is a common cause of lower eyelid defect in old patients. Many methods have been introduced for the reconstruction of lower eyelid. However, conventional surgical method can cause various complications like scar, ectropion and unnatural color matching. Thus, we introduce a simple and aesthetically acceptable method for the reconstruction of lower eyelid defect. Methods: Three elderly patients with skin cancer in the unilateral lower eyelid were operated by the new method. Following a wide excision of skin cancer, subcilliary incision of lower blepharoplasty was carried out. Elevated skin flap of lower eyelid was redrapped for the correction of defect and the remnant skin from lateral portion of lower eyelid was used for full thickness skin graft (FTSG) to correct the remaining defect. Results: All grafts survived and color match of the graft was excellent without ectropion. Furthermore, wrinkles of the lower eyelid were improved after the blepharoplasty. Conclusion: Lower eyelid defect resulting from wide excision of malignant tumor in old patients could be reconstructed successfully by modifying the conventional lower eyelid blepharoplasty along with FTSG using the remnant skin.

고양이에서 발생한 난소 잔존 증후군에 대하여 복강경을 이용한 치료 증례 1 (Laparoscopic Treatment of Ovarian Remnant Syndrome in a Queen)

  • 박지영;이해범;정성목
    • 한국임상수의학회지
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    • 제32권6호
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    • pp.514-518
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    • 2015
  • 1년령의 중성화 암컷, 2.35 kg의 아메리칸 숏헤어 고양이가 난소 자궁 절제술을 실시한 후 3개월 시점으로부터 2개월간 지속된 발정 증상을 주증으로 내원하였다. 방사선 및 초음파 검사상, 양쪽 신장 후방에 위치한 낭성 구조물을 확인하였고, 이는 혈액검사상 나타난 고에스트로겐혈증을 고려하여 난소 조직으로 의심되었다. 복강경을 이용한 복강 탐색을 실시하였고, 양측 신장 후방의 낭성 병변을 초음파 수술도를 이용하여 절제하였다. 환자는 특이사항 없이 회복하여 술 후 2년간 증상의 재발 없이 지내고 있다. 증례를 통하여, 선택적 난소 절제술뿐만 아니라 잔존 난소의 경우에도 복강경을 유용하게 적용할 수 있음을 확인하였다.