• 제목/요약/키워드: Small thorax

검색결과 47건 처리시간 0.028초

가잠용외피의 외부구조에 관한 조사연구 (Studies on the External Structure of the Cuticle of Silkworm pupa (Bombyx mori L.))

  • 윤종관
    • 한국잠사곤충학회지
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    • 제20권2호
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    • pp.10-14
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    • 1978
  • 몸을 보호하는 중요한 역할을 하는 외피에 관하여 활발한 운동을 할 수 있는 유충에 있어서는 비교적 많은 연구보고가 있지만 용체외피에 대해서는 그 표면이 장방형의 소구분에 의하여 구갑의 모양을 한다는 정도이므로 이를 더 소상히 조사하기 위하여 용외피의 각 부위에 따른 외부구조에 관한 조사에서 다음과 같은 결론을 얻었다. 1) 두부및 촉지등 성충재의 세포의 발달에 의한 새로이 분화한 부분에 있어서의 외피의 표면에 조각을 이룬 장방형의 소구분은 발견할 수 없지만 복근의 1 부분에 망상으로 조각된 부분을 볼 수 있다. 이 (equation omitted)형의 부분은 직경이 8$\mu$ 내외었고 그 주위는 약간 융기되어 (equation omitted)형의 부분에 비하여 약간 음갈색을 이루고 있다. 2) 복부에 있어서의 조각의 양상은 두부와는 약간 다르다. (equation omitted)형의 부분은 환절에 따라 차이가 있고 전반적으로 두부의 복근에 있는 것에 비하여 뚜렷하지 못하였으며 전포를 거쳐 중포과 후포에 갈수록 (equation omitted)형부의 주위 즉 갈색의 융기된 모양이 분명하지 않다. 3) 체절간막부의 표면은 무색 또는 담황색으로 착색되어 있고 그 전면은 미세한 선에 의하여 호문을 이루고 있다. 4) 복부환절에는 (equation omitted)부의 주위의 융기된 부분에 의하여 구분된 장방형의 많은 소(equation omitted)의 조각된 모양에 의하여 망상을 이루고 있다. 5) (equation omitted)부에 의하여 조각된 모양의 크기는 말단의 환절부근을 제외하면 복부보다는 흉부 동일환절에서는 배면보다는 복면 또한 환절의 후부보다는 환절의 전부에 있어서 작다. 6) 제 7 복절 이후에서는 체절간절막부를 인정할 수 없고 그 부분에 있어서의 외피의 외부구조는 환절에 있어서의 외부구조와 근사하다. 7) 강모는 두부 복근 촉지 및 혈 등 성충아의 세복발달에 의하여 분화된 부분에서는 발견할 수 없고 유충기의 일반세포로 부터 되는 환절의 외피에서도 복면에는 강모가 없고 배면에서도 체절간막부에는 강모가 없다.

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흉벽침습이 있던 T3 비소세포암환자의 완전절제후의 결과 (Result of Complete Resection of T3 Non-Small Cell Lung Cancer Invading the Chest Wall)

  • 최창휴;임수빈;김재현;조재일;백희종;박종호
    • Journal of Chest Surgery
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    • 제34권12호
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    • pp.924-929
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    • 2001
  • 배경 : 흉벽을 침습한 비소세포암의 외과적 절제후의 장기 생존율에는 현재까지 림프절 전이, 완전 절제, 흉벽침습 깊이 등이 관여한다고 알려져 있다. 본 연구에서는 완전절제후의 예후에 관련된 요소들에 대해 알아보고자 한다. 대상 및 방법 : 1988년부터 1998년까지 원발성 비소세포암으로 수술을 받은 680명중, 벽측늑막과 흉벽을 침범한 경우에 완전절제를 실시한 55예(8.0%)에 대해 후향적 방법을 통해 분석하였다. 결과 : 29예(47.3%)에서 총괄절제를 시행하고 26예(52.7%)에서 늑막외절제를 실시하였다. 늑막외절제를 시행한 모든 예에서 침습정도는 벽측늑막에 국한되어 있었고, 총괄절제군에서는 9예(31.0%)에서 벽측늑막에 나머지 20예(69.0%)에서는 흉벽에의 침습이 병리학적으로 판명되었다. 수술사망은 3명에서 발생해 5.4%였으며, 추적은 100%에서 가능하였다. 전체환자군의 5년 생존율은 26%였으며, T3N0M0군의 생존율이 29%로 T3N2M0군의 18% 보다 높기는 하나 통계학적인 유의성은 없었다.(p=0.35) 흉벽침습 깊이정도에 따른 생존율은 림프절 전이의 유무에 관련없이 유의한 차이가 없었다.(p=0.99) 결론 : 흉벽을 침습한 T3 비소세포암에 대해 완전절제를 실시해 만족할 만한 생존율을 보였다. 림프절 전이 여부는 완전절제후의 생존율에 관여하는 바가 크나, 침습 깊이는 관여하는 정도가 덜하다.

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외상성 횡경막 허니아 (Traumatic Diaphragmatic Hernia)

  • 장봉현;한승세;김규태
    • Journal of Chest Surgery
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    • 제20권4호
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    • pp.839-846
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    • 1987
  • The records of 10 patients with traumatic diaphragmatic hernia seen from November 1977 through July 1987 were reviewed. All the patients had a transdiaphragmatic evisceration of abdominal contents into the thorax. We treated 7 male and 3 female patients ranging in age from 3 to 62 years. In 8 patients, diaphragmatic hernia followed blunt trauma and in 2 patients, stab wounds to the chest. The herniation occurred on the right side in 3 patients and on the left side in 7. All the patients sustained additional injuries: rib fractures [7 patients], additional limb, pelvic and vertebral fractures [6], closed head injury [2], lung laceration [1], liver laceration [1], renal contusion [1], ureteral rupture [1], and splenic rupture [1]. Organs herniated through the diaphragmatic rent included the omentum [6 patients], stomach [4], liver [4], colon [3], small intestine [1], and spleen [1]. For right-sided injuries, the liver was herniated in all 3 patients and the colon, in 1. in the initial or latent phase, dyspnea, diminished breath sounds, bowel sounds in the chest were noted in 4 patients, and in the obstructive phase, nausea, vomiting, and abdominal pain were found in all 3 patients. Two patients had a diagnostic chest radiograph with findings of bowel gas patterns, and an additional 8 had abnormal but nondiagnostic studies. Hemothorax, pleural effusion or abnormal diaphragmatic contour were common abnormal findings. Three patients were operated on during the initial or acute phase [immediately after injury], 4 patients were operated on during the latent or intermediate phase [3 to 210 days], and 3 patients were operated on during the obstructive phase [10 to 290 days]. Six patients underwent thoracotomy, 2 required thoracoabdominal incision, and 2 had combined thoracotomy and laparotomy. Primary suture was used to repair the diaphragmatic hernia in 9 cases. One patient required plastic repair by a Teflon felt. Empyema was the main complication in 2 patients. In 1 patient, the empyema was treated by closed thoracostomy and in 1, by decortication and open drainage. There were no deaths.

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6족 보행로봇에 관한 기초연구 (A Basic Study of Hexapod Walking Robot)

  • 강동현;민영봉;반전훈구;매전간웅
    • Journal of Biosystems Engineering
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    • 제32권5호
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    • pp.339-347
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    • 2007
  • A hexapod walking robot had been developed for gathering information in the field. The developed robot was $260{\times}260{\times}130$ ($W{\times}L{\times}H$, mm) in size and 14.7 N in weight. The legs had nineteen degrees of freedom. A leg has three rotational joints actuated by small servomotors. Two servomotors placed at ankle and knee played the roles of vertical joint for up and down motions of the leg and the other one placed at coxa played the role of horizontal joint for forward and backward motions. In addition, a servomotor placed at thorax between the front legs and the middle legs played the role of vertical joint for pumping the two front legs to climb stair or inclination. Walking motion of the robot was executed by tripod gait. The robot was controlled by manual remote-controller communicated by an infrared ray. Two controllers were equipped to control the walking of the robot. The sub-controller using PIC microcomputer (Microchips, PIC16F84A) received the 16 bit command signal from the manual remote controller, decoded it to 8bit and transmitted it to the main microcomputer (RENESAS, SH2/7045), which controlled the 19 servomotors using the PWM command signals. Walking speeds were controlled by adjusting the period of command cycle and the stride. Forward walking speed were within 100 cm/min to 300 cm/min. However, experimental walking speed had the error of 4-40 cm/min to compare with the theoretical one, because of slippage of the leg and the circular arc motion of servomotor of coxa.

Treatment and Outcomes of Ewing Sarcoma in Turkish Adults: A Single Centre Experience

  • Seker, Mehmet Metin;Kos, Tugba;Ozdemir, Nuriye;Seker, Ayse;Aksoy, Sercan;Uncu, Dogan;Zengin, Nurullah
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권1호
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    • pp.327-330
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    • 2014
  • Background: Ewing sarcoma is a small round cell tumor arising from soft tissue and bone that predominantly affects children and adolescents. The most unfavorable prognostic factor is the presence of distant metastasis at the time of diagnosis. Materials and Methods: The records of 26 Ewing sarcoma patients (14 male, 12 female) were re-evaluated retrospectively. Results: The median age was 26.5 (19-42) years. Eight patients (31%) showed a primary tumor in their extremities, 8 (31%) in the thorax, 4 (15%) at the vertebra, 4 (15%) in the head and neck, and 2 (8%) in the abdomen. Five patients (19%) had distant metastasis at diagnosis. The median progression-free survival was 72 months and 10 months in localized and metastatic disease, respectively (p=0.005). The overall survival rate was 19 months in metastatic disease, and the 5-year overall survival rate was 64% in localized disease (p=0.006). Patients who had localized disease in the extremities and were under age 30 had a favorable prognosis. Conclusions: Although Ewing sarcoma is a tumor affecting children and adolescents, it may be seen in adults, where the prognosis is generally worse. Although it is a highly malignant tumor, it is possible to achieve improved survival with combined modality treatments.

Determination of Initial Beam Parameters of Varian 2100 CD Linac for Various Therapeutic Electrons Using PRIMO

  • Maskani, Reza;Tahmasebibirgani, Mohammad Javad;Hoseini-Ghahfarokhi, Mojtaba;Fatahiasl, Jafar
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권17호
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    • pp.7795-7801
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    • 2015
  • The aim of the present research was to establish primary characteristics of electron beams for a Varian 2100C/D linear accelerator with recently developed PRIMO Monte Carlo software and to verify relations between electron energy and dose distribution. To maintain conformity of simulated and measured dose curves within 1%/1mm, mean energy, Full Width at Half Maximum (FWHM) of energy and focal spot FWHM of initial beam were changed iteratively. Mean and most probable energies were extracted from validated phase spaces and compared with related empirical equation results. To explain the importance of correct estimation of primary energy on a clinical case, computed tomography images of a thorax phantom were imported in PRIMO. Dose distributions and dose volume histogram (DVH) curves were compared between validated and artificial cases with overestimated energy. Initial mean energies were obtained of 6.68, 9.73, 13.2 and 16.4 MeV for 6, 9, 12 and 15 nominal energies, respectively. Energy FWHM reduced with increase in energy. Three mm focal spot FWHM for 9 MeV and 4 mm for other energies made proper matches of simulated and measured profiles. In addition, the maximum difference of calculated mean electrons energy at the phantom surface with empirical equation was 2.2 percent. Finally, clear differences in DVH curves of validated and artificial energy were observed as heterogeneity indexes were 0.15 for 7.21 MeV and 0.25 for 6.68 MeV. The Monte Carlo model presented in PRIMO for Varian 2100 CD was precisely validated. IAEA polynomial equations estimated mean energy more accurately than a known linear one. Small displacement of R50 changed DVH curves and homogeneity indexes. PRIMO is a user-friendly software which has suitable capabilities to calculate dose distribution in water phantoms or computerized tomographic volumes accurately.

늑간근에 발생한 폐포성 횡문 근육종 1례 보고 (One Case of Alveolar Rhabdomyosareoma arising from Intercostal Muscle)

  • 김선한
    • Journal of Chest Surgery
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    • 제25권6호
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    • pp.598-604
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    • 1992
  • Rhabdomyosarcoma is the most common soft tissue sarcoma in childhood and acounts for 6% to 15% of all cases of childhood cancer, Rhabdomyosarcoma in seventh most common form of childhood neoplasms, following acute leukemia, tumors of the central nervous system, lymphoma neuroblastoma, Wilm`s tumor, bone tumor. Rhabdomyosarcoma can arise anywhere in the body, but primary site in the thorax is relatively rare. We experienced a case of aveolar rhabdomyosarcoma arising from intercostal muscle, A 12 year-old woman was suffered from the intermittent left chest pain radiating to the scapular area and dyspnea, On physical examination, pulmonary friction rub was heard on the left upper lobe area. Qn adimission, the chest simple radiography revealed a 7 x 6, 5cm sized radio-opaque mass with pleural effusion in the superior mediastinum and the CT showed a well difined radio-opaque mass including the destructed 2nd rib and pleural effusion. The percutaneous tra-nsthoracic needle aspiration biopsy was likely to show blastoma. After the chemotherapy[vincristine, actinomycin-D, cyclophosphamde] was done to treat blastoma, the pleural effussion was subsided and the mass was slightly decreased by 4.5x 4. 5cm. For treatment and diagnosis, we performed en-bloc resection and the defected chest was reconstucted with Gortex patch. Grossly, the specimen was colored graysh-white and arised in between two ribs The microscopic findings showed that the tumor cells were small round with scant pinkish cytoplasm on the H-E stain and the tumor cell nests were grouped by reticulum fibers and showed alveolar pattern on the silver stain The electromicroscopic finding presented that the cytoplasm contained tangled fibrillar and flocculent materials. The histopathologic findings were compatable with laveolar rhabdomyosarcoma. She was discharged without any complication. After discharge, she has been treated with radiation theraphy and chemotheraphy, and not recurred untill last follow-up We report a case of alveolar rhabdomyosarcoma arising to intercostal muscle, developed in 12 year-old waman, with brief review of literatures.

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흉부에서 발생한 악성 섬유성 조직구종 (Malignant Fibrous Histocytoma Originating from the Chest Wall)

  • 이철범;정태열;함시영;김혁;정원상;김영학;강정호;지행옥;박용욱
    • Journal of Chest Surgery
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    • 제33권4호
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    • pp.333-337
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    • 2000
  • Malignant fibrous histiocytoma(MFH) is a deep-seated pleomorphic sarcoma, which occurs principally as a mass of the extremities, abdominal cavity, or retroperitoneum in adults. However, it only rarely occurs in the chest wall. An 85-year-old man had undeergone excision of a small mass on the right posterior chest wall under local anesthesia 14 months age. However, the lesion did not heal and the mass recurred. He was referred to our hospital after the mass had grown to a size of 10.5$\times$8$\times$4cm with a 3$\times$3cm skin defect. Intraoperative frozen biopsy revealed MFH. An en-bloc wide resection and thin-thickness skin graft from his thigh were performed. Although distant metastasis to the lund developed 14 months later and the patient died 2 months later, there was no local recurrence. Thin-thickness skin graft is a simple method for a wide range skin defect, especially in the old age. He recovered in good condition without any physical disabilities.

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치사성 영양위축성 형성이상 1례 (A Newborn with Lethal Metatropic Dysplasia)

  • 조혜정;황선태;이상선;김지은;조애란;심소연;전인상;손동우
    • Neonatal Medicine
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    • 제17권1호
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    • pp.141-146
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    • 2010
  • 영양위축성 형성이상은 드물게 발생하는 척추-골단-골중간 형성이상의 일종으로 진행성의 척추측후만증, 운동제한을 동반한 짧은 사지, 비교적 큰 손과 발, 큰 관절들의 비대 등을 특징으로 한다. 이 기형은 특징적인 임상소견과 방사선소견을 통해 진단할 수 있다. 이 기형은 양성 경과를 보인 다수의 증례들이 보고되어 왔고, 소수에서 치명적인 경과를 보이는 증례도 보고되었다. 저자들은 치사성의 영양위축성 형성이상 1례를 경험하였기에 보고하는 바이다.

대전 및 충남지역의 개에서 발생한 교상에 대한 추적조사 (69예) (Retrospective Study of Bite Wounds of Dogs in Daejeon and Chungnam Area (69 cases))

  • 김영훈;이재연;지현철;박지영;이영원;최호정;박성준;김명철;정성목
    • 한국임상수의학회지
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    • 제24권2호
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    • pp.137-141
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    • 2007
  • The medical records of 69 dogs with history of bite wounds, between 1998 and 2006, were reviewed. Information obtained from these files included the general statistics of the patients (sex, age, breed, weight), season on occurrence of injuries, body areas wounded, therapeutic regime used and mortality rates. Intact male dogs were more frequently bitten. The weight distribution of the bitten population was varied 41% for small, 16% for medium and 17% for large dogs. The highest incidence was in young animals. The distribution of bite wound injuries over the year was recorded with peaks in April (13%), March (12%), August (12%) and September (10%). The common regions of injury were the head (22), fore-limbs (17), hind-limbs (15), abdomen (15), thorax (15) and neck (14). Mortality tends to be increased in cases of thoracic or abdominal injury. The results about the prevalence of bite wounds in Daejeon and Chungnam area are intended to use as a reference data in veterinary practice.