• Title/Summary/Keyword: Voiding

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Dissimilar Metal Welding of Medium Carbon Steel and Austenitic Stainless Steel utilize CW Nd:YAG Laser (CW Nd:YAG 레이저를 이용한 중탄소강과 오스테나이트계 스테인레스강의 이종금속 용접)

  • Shin Ho-Jun;Ahn Dong-Gu;Im Kie-Gon;Shin Byung-Heon;Yoo Young-Tae
    • Journal of the Korean Society for Precision Engineering
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    • v.23 no.3 s.180
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    • pp.47-55
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    • 2006
  • Laser welding of dissimilar metals has been widely used to improve a wear resistance and a corrosion resistance of the industrial parts. The objective of this research is to investigate the influence of the process parameters, such as the welding for SM45C and STS304 with CW Nd:YAG lasers. The bead-on-plate welding tests are carried out for several combinations of the experimental conditions. In order to quantitatively examine the characteristics of the dissimilar welding, the welding quality of the cut section, stress-strain behavior and the hardness of the welded metal are investigated. From the results of the investigation, it has been shown that the optimal voiding condition without defects in the vicinity of the welded area and with a good welding quality is 1600W of the laser power, 0.85m/min of welding speed and $4{\ell}/min$ of pressure for shielding gas.

Two Case of Burkholderia cepacia Sepsis (Burkholderia cepacia 패혈증 2례)

  • Park, Seong Shik;Ahn, Sung Ryon;Park, Su Eun;Lim, Young Tak;Chang, Chul Hun
    • Pediatric Infection and Vaccine
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    • v.8 no.2
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    • pp.241-246
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    • 2001
  • Burkholderia cepacia, a widespread gram-negative environmental bacillus associated with nosocomial infection, is considered to be of relatively low virulence and rarely to cause invasive disease in immunocompromised patients. Nosocomial infections resulting from the use of contaminted medication, antiseptics and instruments have also been reported in otherwise healthy hosts. We experienced two cases of B. cepacia sepsis in 10 year-old male who was medicated with the anticancer drugs for the treatment of acute lymphoblastic leukemia(ALL) and in 15 day-old newborn who was examined with voiding vesicourethrography(VCUG) for the evaluation of congenital hydronephrosis. The organism isolated from serial blood culture in ALL patient and from serial blood culture and urine culture in newborn examined with VCUG. The former ALL patient improved after antibacterial medication of imipenem and the latter newborn improved after treatment with imipenem and trimethoprim-sulfamethoxazole.

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Failure of Urination and Defecation after Intrathecal Phenol-glycerin Block for Management of Chronic Perineal Pain -A case report- (만성회음부 통증 치료를 위한 지주막하 페놀글리세린 차단 후 발생한 배변 및 배뇨장애 -증례 보고-)

  • Ahn, Hyun-Jung;Kim, Jong-Il;Lee, Sang-Gon;Ban, Jong-Seouk;Min, Byung-Woo
    • The Korean Journal of Pain
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    • v.12 no.2
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    • pp.268-271
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    • 1999
  • Intrathecal phenol-glycerin block is a potent tool in stepwise approach to intractable perineal pain. At outpatient clinic, intrathecal phenol-glycerin block have been frequently used to control the cancer pain, as this procedure does not require special equipment. However, undesirable effects may occur with any given intrathecal injection. Although most side effects do not last long, they deserve well to prevent. Recently, we have been controlled the perineal and perianal cancer pain with intrathecal phenol-glycerin block without any specific complications. However, one patient we managed experienced that one patient, with this procedure for chronic non-malignant perineal pain control experience gait disturbance and one-week of voiding and defication difficulties. This research reports these practices, including the review of literature.

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Pyogenic Spondylitis with Diffuse Spinal Epidural Abscess - A Case Report - (미만성 척수 경막외 농양을 동반한 화농성 척추염 - 증 례 보 고 -)

  • Kim, Hun;Kim, Sung Min;Chung, Dai Jin;Shim, Young Bo;Park, Yong Kee;Choi, Sun Kil
    • Journal of Korean Neurosurgical Society
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    • v.29 no.8
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    • pp.1074-1079
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    • 2000
  • We report a case of pyogenic spondylitis on L2 and L3 with diffuse epidural abscess up to T4 to L3 and large psoas abscess. A forty-nine-year old male was presented with progressive back pain, left flank pain and ab-dominal distention, weakness of the both legs and voiding and defecation difficulty during last 2 months. Initially multiple coronal hemilaminectomies from T4 to T12 were done for the treatment of diffuse thoracic epidural ab-scess. Then second operation via left retroperitoneal approach was performed for lumbar spondylitis and psoas abscess on third day after initial operation. After removal and curettage of pyogenic psoas and epidural abscess and spondylitis (L2-L3), iliac bone grafting with Keneda instrumentation from L1 to L4 was done simultaneously. Postoperative course has been unevenful without recurrent infection. The literature on diffuse epidural and large psoas abscess with pyogenic spondylitis are reviewed and instrumentation for stabilization of pyogenic spondylitis is also discussed.

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Decompression of the Sciatic Nerve Entrapment Caused by Post-Inflammatory Scarring

  • Son, Byung-Chul;Kim, Deog-Ryeong;Jeun, Sin Soo;Lee, Sang-Won
    • Journal of Korean Neurosurgical Society
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    • v.57 no.2
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    • pp.123-126
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    • 2015
  • A rare case of chronic pain of entrapment neuropathy of the sciatic nerve successfully relieved by surgical decompression is presented. A 71-year-old male suffered a chronic right buttock pain of duration of 7 years which radiating to the right distal leg and foot. His pain developed gradually over one year after underwenting drainage for the gluteal abscess seven years ago. A cramping buttock and intermittently radiating pain to his right foot on sitting, walking, and voiding did not respond to conventional treatment. An MRI suggested a post-inflammatory adhesion encroaching the proximal course of the sciatic nerve beneath the piriformis as it emerges from the sciatic notch. Upon exploration of the sciatic nerve, a fibrotic tendinous scar beneath the piriformis was found and released proximally to the sciatic notch. His chronic intractable pain was completely relieved within days after the decompression. However, thigh weakness and hypesthesia of the foot did not improve. This case suggest a need for of more prompt investigation and decompression of the chronic sciatic entrapment neuropathy which does not improve clinically or electrically over several months.

The Effects of a Urinary Incontinence Management Program for Middle Aged Women in a Rural Area (농촌 중년여성의 요실금 프로그램 효과)

  • Choi, Soon-Young
    • Journal of Korean Academy of Rural Health Nursing
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    • v.4 no.2
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    • pp.94-102
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    • 2009
  • Purpose: The objective of this study was to evaluate the effects of a urinary incontinence management program for middle aged women living in a rural area. Method: The research design was a one-group pretest-posttest design. Forty eight women with urinary incontinence aged 40-64, who lived in a rural area were included in the study. The urinary incontinence management program was composed of urinary incontinence education, pelvic floor muscle exercise, behavior management using a voiding diary. The program had three weekly sessions. Knowledge about urinary incontinence, physical symptoms, self-efficacy, and urinary incontinence related quality of life were measured before and after the program. Results: After carrying the urinary incontinence management program, knowledge score improved significantly compared to before the program ($6.31{\pm}3.30$ vs $7.77{\pm}2.55$, p=.01). But the score for self-efficacy, and urinary incontinence related quality of life did not improve. Conclusion: The 3 week urinary incontinence program had an effect on knowledge related to urinary incontinence, but not self efficacy nor urinary incontinence related quality of life. Thus further study is required to better evaluate the effects of the urinary incontinence program.

Evaluation and Management of Antenatal Hydronephrosis

  • Hong, Young Kwon;Lee, Jun Ho
    • Childhood Kidney Diseases
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    • v.19 no.1
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    • pp.8-13
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    • 2015
  • Antenatal hydronephrosis (ANH) is one of the most common abnormal findings detected on prenatal ultrasound (US), and it has been reported in 1-5% of all pregnancies. The likelihood of significant postnatal pathologic abnormality in the urinary tract correlates with the degree of anterior-posterior diameter (APD) according to the gestational age. Detection of urologic anomalies prenatally permits fetal interventions that avoid complications in rare cases of bladder outlet obstruction with oligohydramnios even though their final benefits still remain controversial. There is no clear consensus on the extent and mode of postnatal imaging after a diagnosis of ANH. US is the mainstay of the postnatal evaluation and helps guide further testing with voiding cystourethrography (VCUG) and diuretic renography. Although most algorithms continue to recommend generous VCUG for identification of lower urinary tract anomalies, VCUG may be safely reserved for high grade ANH cases or any grade of ANH with dilated distal ureter without increasing the risk of urinary tract infection (UTI). There are conflicting studies about efficacy of postnatal prophylactic antibiotics. It still seems reasonable to consider use of a prophylactic antibiotic to prevent infant UTIs in high-risk populations, such as females and uncircumcised males with high grades of hydronephrosis, hydroureteronephrosis, or vesicouretral reflux.

A Case of Intramedullary Schwannoma at the Cervicomedullary Junction - A Case Report - (연수와 경수에 발생한 수내 신경초종 - 증 례 보 고 -)

  • Lee, Jong-Won;Park, Seung-Won;Kim, Young-Baeg;Hwang, Sung-Nam;Choi, Duck-Young
    • Journal of Korean Neurosurgical Society
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    • v.29 no.9
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    • pp.1238-1242
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    • 2000
  • Spinal schwannomas are usually extramedullary intradural tumors and their intramedullary localizations are thought to be extremely rare. A 60-year-old woman complaining spastic quadriparesis, voiding difficulty and dyspnea was admitted. Her cervical MRI revealed an intramedullary mass in the cervicomedullary junction with multiple cyst which extended from lower cervical to C3 spinal cord. The mass showed a low signal on T1WI, high signal on T2WI with an wall enhancement. The patient underwent a suboccipital craniectomy and C1-2 laminectomy and the cystic tumor was totally removed through a midline myelotomy. The tumor was proved as an intramedullary schwannoma by pathologic examination. The Intramedullary presence of a tumor arising from the cells of the nerve sheath is unusual, because the central nervous system fibers do not contain the Schwann cell. There have been several hypotheses, but none has been accepted universally. This rare tumor is considered as a curable benign neoplasm, and an accurate intraoperative diagnosis and surgically total removal are essential.

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Study on the Seam Tracking by Using Fiber Sensor and X-Y Robot (Fiber Sensor와 X-Y Robot을 이용한 용접선 추적에 관한 연구)

  • 배철오;박영산;이성근;김윤식;안병원
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.5 no.1
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    • pp.144-149
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    • 2001
  • There are many types of seam tracking methods actually used in industrial spot. Lately, Non-contact sensor technics are mostly used because non-contact sensor has more advantage than contact sensor in many parts. This paper also concerned about fiber sensor a kind of non-contact sensor. X-Y robot and fiber sensor scan the seam tracking to be weld. After scanning, X-Y robot moves the first working point of being scanned and welding starts automatically. It makes an experiment on some types of Seam tracking like straight line tracking, leaned line tracking and curved line tracking to confirm how well the fibers sensor tracks the seam pass to be weld. And the seam pass that had been tracked was welded by inverter $CO_2$ voiding machine.

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Urethroperineal Fistula Associated with a Severe Ulcerative Dermatosis in a Puppy (자견에서 발생한 중증의 궤양성 피부증과 관련된 요도회음누관증)

  • Choi, Ho-Jung;Lee, Young-Won;Yeon, Seong-Chan;Lee, Hyo-Jong;Lee, Hee-Chun
    • Journal of Veterinary Clinics
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    • v.26 no.1
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    • pp.101-103
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    • 2009
  • 40-day-old mixed male puppy was presented with a 10-day history of tenesmus and extensive ulcerative lesion of perineum. At physical examination, the dog was voiding mainly from an orifice in the perineal fistula. On fistulogram, a urethroperineal fistula was diagnosed. The dog was treated by wet dressing for wound management and antibiotics for 4weeks. Subsequently, the patient improved and no complication or recurrence was presented.