• 제목/요약/키워드: anatomical investigation

검색결과 71건 처리시간 0.025초

항문직장기형 재 수술로서 Pena술식 (Pena Operation as a Redo Procedure for Anorectal Malformation)

  • 이종원;김현영;최승은;정성은;이성철;박귀원;김우기
    • Advances in pediatric surgery
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    • 제8권2호
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    • pp.119-125
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    • 2002
  • The aim of this study was to evaluate the posterior sagittal anorectoplasty (PSARP) as a re-do operation in patients who failed initial repair of anorectal malformation. Nine patients (4 boys and 5 girls) who had previous failed surgery for anorectal malformation underwent secondary operations through posterior sagittal approach. The main reasons of surgery were constipation (n=3) and persistent anatomical derangement in spite of previous correction surgery (n=6). In addition to constipation, the former group (n=3) had various anatomical defects, and the latter group (n=6), of course, had constipation in some degrees. Patients ranged in age from 2 to 19 years (median 3 years) with only one over the age of 6 years. The primary procedures included PSARP (n=8) and anoplasty (n=1). The rectum was mobilized from surrounding structures through posterior sagittal approach and anatomical defects were corrected. The rectum underwent reconstruction, which involved relocation of the rectum and anus within the limits of the intact muscle complex. Patients underwent follow-up for periods ranging from 6 to 77 months (mean 37 months) after surgery. Anatomical corrections of all the defects were successfully fulfilled in 9 patients. All the patients were satisfied with the functional results after redo-PSARP compared with the preoperative defecatory function. This study suggests that (1) some of the patients with troublesome constipation may have anatomical defects, prominent or hidden, (2) surgeons should suspect the possibility of anatomical defect as the cause of incontinence and (3) preoperative thorough investigation to reveal the anatomical defects should be included in estimating patients with severe incontinence after previous surgery and planning the correction for failed previous surgery as well.

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소나무(Pinus densiflora S. et Z.)수간내(樹幹內)에 양분형성(兩分形成)된 압축이상재(壓縮異常材)와 그 사이에 존재(存在)하는 간재(間材)의 해부학적(解剖學的) 특성(特性) (Anatomical Characteristics of Bisected Compression Woods and Their Intervened Wood in a Stem of Pinus densiflora S. et Z.)

  • 이필우;정연즙
    • Journal of the Korean Wood Science and Technology
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    • 제16권2호
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    • pp.42-49
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    • 1988
  • Anatomical characteristics on abnormal type of bisected compression woods and light colored wood intervened between these dark colored compression woods on under part and their respective opposite woods on upper parts of cross section in Pinus densiflora S. et Z. stem were compared through optical microscopic investigation. and the obtained results were summarized as follows: 1. Tracheid length increased linearly as the number of rings from the pith increases in all investigated parts, but increasing tendency in tracheid length was similar within bisected two compression woods and their opposite woods. 2. Tracheids were the shortest in bisected two compression woods and tracheid length in intervened wood between these two compression woods was longer than in compression woods but shorter than in the opposite woods. 3. Bisected two compression woods and intervened wood between these two compression woods revealed similar features in tracheid transition from springwood to summerwood, intercellular space, tracheid entanglement, and cross sectional view of tracheid. but spiral check was observed only in these two compression woods, therefore the intervened wood between these two compression woods disclosed anatomical characteristics similar to, not typical of, compression woods.

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만성 족관절 외측 불안정성의 수술적 치료: 봉합술과 재건술의 비교 (Surgical Treatment of Chronic Lateral Ankle Instability: Repair versus Reconstruction)

  • 김근수;박영욱
    • 대한족부족관절학회지
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    • 제23권1호
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    • pp.1-5
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    • 2019
  • Surgical treatment to restore stability in the ankle and hindfoot and prevent further degenerative changes may be necessary in cases in which conservative treatment has failed. Anatomical direct repair using native ligament remnants with or without reinforcement of the inferior retinaculum is the so-called gold standard operative strategy for the treatment of lateral ankle instability. Non-anatomical lateral ligament reconstruction typically involves the use of the adjacent peroneus brevis tendon and applies only those with poor-quality ligaments. On the other hand, anatomic reconstruction and anatomic repair provide better functional outcomes after the surgical treatment of chronic ankle instability patients compared to a non-anatomic reconstruction. Anatomical reconstruction using an autograft or allograft applies to patients with insufficient ligament remnants to fashion direct repair, failed previous lateral ankle repair, high body mass index, or generalized ligamentous laxity. These procedures can provide good-to-excellent short-term outcomes. Arthroscopic ligament repair is becoming increasingly popular because it is minimally invasive. Good-to-excellent clinical outcomes have been reported after short and long-term follow-up, despite the relatively large number of complications, including nerve damage, reported following the procedure. Therefore, further investigation will be needed before widespread adoption is advocated.

In search of subcortical and cortical morphologic alterations of a normal brain through aging: an investigation by computed tomography scan

  • Mehrdad Ghorbanlou;Fatemeh Moradi;Mohammad Hassan Kazemi-Galougahi;Maasoume Abdollahi
    • Anatomy and Cell Biology
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    • 제57권1호
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    • pp.45-60
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    • 2024
  • Morphologic changes in the brain through aging, as a physiologic process, may involve a wide range of variables including ventricular dilation, and sulcus widening. This study reports normal ranges of these changes as standard criteria. Normal brain computed tomography scans of 400 patients (200 males, 200 females) in every decade of life (20 groups each containing 20 participants) were investigated for subcortical/cortical atrophy (bicaudate width [BCW], third ventricle width [ThVW], maximum length of lateral ventricle at cella media [MLCM], bicaudate index [BCI], third ventricle index [ThVI], and cella media index 3 [CMI3], interhemispheric sulcus width [IHSW], right hemisphere sulci diameter [RHSD], and left hemisphere sulci diameter [LHSD]), ventricular symmetry. Distribution and correlation of all the variables were demonstrated with age and a multiple linear regression model was reported for age prediction. Among the various parameters of subcortical atrophy, BCW, ThVW, MLCM, and the corresponding indices of BCI, ThVI, and CMI3 demonstrated a significant correlation with age (R2≥0.62). All the cortical atrophy parameters including IHSW, RHSD, and LHSD demonstrated a significant correlation with age (R2≥0.63). This study is a thorough investigation of variables in a normal brain which can be affected by aging disclosing normal ranges of variables including major ventricular variables, derived ventricular indices, lateral ventricles asymmetry, cortical atrophy, in every decade of life introducing BW, ThVW, MLCM, BCI, ThVI, CMI3 as most significant ventricular parameters, and IHSW, RHSD, LHSD as significant cortical parameters associated with age.

Hemodynamic Interpretation of Various Extraanatomical Bypasses: Clinical & Engineering Views

  • Lee, Byung-Boong;Kim, Young-Wook;Suh, Sang-Ho;Roh, Hyung-Woon;Kim, Dong-Ik;Yoo, Sang-Sin;Cho, Min-Tae;Huh, Sung
    • International Journal of Vascular Biomedical Engineering
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    • 제1권1호
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    • pp.32-40
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    • 2003
  • Axillo-bifemoral (Ax-Fem) bypass are now well accepted for bilateral iliac artery occlusion as the second best option. This extra-anatomical (unnatural) bypasses, however, have various hemodynamic liabilities affecting the patency. Hemodynamic conditions of each different type of Ax-Fem bypass were assessed with computer simulation model to determine the hemodynamically more sound type. Simulation models of five different types of Ax-Fem bypass were constructed. Our investigation based on the computer simulation models have shown distinct differences between two most popular Lazy-S type and Inverted-C type on the distribution of flow volume, shear stress and recirculation zone, etc., though both types have shown similar clinical results. Lazy-S type has shown better hemodyanmic status than inverted-C type. The theoretical advantage of "Lazy-S" type has never been adequately proved for its superiority clinically over the inverted-C type. Inverted-C type is now in more favor with clinically better results in spite of many hemodynamic liabilities including retrograde flow to the branching graft. The improvement of over-all long-term patency rate of various extra-anatomical bypasses is still warranted through proper correction of the hemodynamic liability. Even though clinical outcome of the extra-anatomical bypass has been equal regardless of the type of crossover femoral graft configuration, there are distinct differences on the hemodynamic characteristics among various types of configuration. Further hemodynamic study in the pulsatile flow status is warranted to correct hemodynamic defects with proper modification of various hemodynamic factors of each model.

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<고려 나전칠기> 제작에 사용된 목공기술과 자개의 해부학적 특징에 대한 기초 연구 (Basic study of the woodworking techniques used in the production of Goryeo mother-of-pear-linlaid lacquerware and the anatomical features of the shell for the mother-of-pearl)

  • 박영만;김태하;고수린
    • 박물관보존과학
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    • 제25권
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    • pp.27-34
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    • 2021
  • 국립중앙박물관 고려나전향상(高麗螺鈿香箱)은 당대의 제작기법과 미학적 표현을 종합적으로 보여주는 대표 문화재이다. 본 연구에서는 원형복원에 필요한 백골 제작에 사용된 수종 및 목공기술과 나전의 해부학적 특징을 조사하였다. 조사 결과 고려나전향상은 삼나무로 만들었으며 이는 일본과 교역관계를 짐작할 수 있으며 뚜껑 하단에 있는 띠 부분 부착하기 위하여 모서리 부분에 "주름꺾기법"을 사용한 것과 상판과 측판의 결합을 위하여 나무못을 사용한 것은 얇은 판재를 효율적으로 사용하기 위한 것으로 판단된다. 그리고 사용된 나전의 해부학적 특징을 조사한 결과 얇은 판상의 적층구조가 확인되었다. 이러한 특징은 일부 패각류에서 관찰되며 정확한 패각의 식별을 위한 연구가 필요하다.

The branching patterns and termination points of the facial artery: a cadaveric anatomical study

  • Vu Hoang Nguyen;Lin Cheng-Kuan;Tuan Anh Nguyen;Trang Huu Ngoc Thao Cai
    • 대한두개안면성형외과학회지
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    • 제25권2호
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    • pp.77-84
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    • 2024
  • Background: The facial artery is an important blood vessel responsible for supplying the anterior face. Understanding the branching patterns of the facial artery plays a crucial role in various medical specialties such as plastic surgery, dermatology, and oncology. This knowledge contributes to improving the success rate of facial reconstruction and aesthetic procedures. However, debate continues regarding the classification of facial artery branching patterns in the existing literature. Methods: We conducted a comprehensive anatomical study, in which we dissected 102 facial arteries from 52 embalmed and formaldehyde-fixed Vietnamese cadavers at the Anatomy Department, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam. Results: Our investigation revealed eight distinct termination points and identified 35 combinations of branching patterns, including seven arterial branching patterns. These termination points included the inferior labial artery, superior labial artery, inferior alar artery, lateral nasal artery, angular artery typical, angular artery running along the lower border of the orbicularis oculi muscle, forehead branch, duplex, and short course (hypoplastic). Notably, the branching patterns of the facial artery displayed marked asymmetry between the left and right sides within the same cadaver. Conclusion: The considerable variation observed in the branching pattern and termination points of the facial artery makes it challenging to establish a definitive classification system for this vessel. Therefore, it is imperative to develop an anatomical map summarizing the major measurements and geometric features of the facial artery. Surgeons and medical professionals involved in facial surgery and procedures must consider the detailed anatomy and relative positioning of the facial artery to minimize the risk of unexpected complications.

Investigation of candidated genes for molecular characterization of DongGyeong dog populations (Gyeongju)

  • Park, Chang-Eun;Lee, Eun-Woo;Sung, Ki-Chang;Choi, Seog-Gyu
    • 한국동물위생학회지
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    • 제33권4호
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    • pp.361-366
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    • 2010
  • This study was carried out to investigate the characters of short-tailed dogs (DongGyeong dogs) with anatomical insights, molecular genetics in Gyeongju. The present study was conducted to further characterize of short-tailed dog population in Gyeongju. The short-tailed dog was analyzed in the distribution of 55 individual. The anatomical insights were by x-ray. For discovery of specific genes expressions were measured by Hot-start PCR analysis. Anatomy survey, the number of vertebral typical consists of more than 20. 88.9% of short-tailed dog populations consists of 3-8 vertebrates. The 54 individuals of the 47 observe the vestigial tailed of the sacrum. No detected sacrococcygeal vertebrae degradation individuals were malformation defects. The 3 genes were DEGs (differentially expressed genes) in Dong-Gyeong dogs. We succeeded in finding 3 novel DongGyeong dogs specific genes by using Hot-start PCR analysis, this study suggests that these novel genes may play role (s) in DongGyeong dogs.

지황 기내배양시 투명화된 잎과 정상잎간의 조직학적 관찰 (Anatomical Observation of Vitrified and Glaucous Leaf from Rehmannia glutinosa Plant Produced in Vitro)

  • 백기엽;유광진;박상일;신성련
    • 식물조직배양학회지
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    • 제24권6호
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    • pp.323-327
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    • 1997
  • 배지내 생장억제제의 첨가는 투명화 방지에 효과가 없었다. 기내에서 생산된 건전묘와 투명화묘에 있어서 잎과 기공의 구조적 및 형태적 특징을 조사해본 결과 기내건전묘나 포장활착묘는 책상 및 해면세포의 발달이 양호하고 세포간극이 차지하는 면적이 적었으나 기내 투명화묘는 책상세포의 발달이 불량하고 세포간극이 차지하는 면적이 현저히 많았다. 기공의 특성을 조사해본 결과 기내 건전묘는 포장활착묘에 비해 기공의 크기가 작았으며 둥근형태를 띄고 있었으나 투명화묘에 비해 공변세포와 부세포의 구별이 명확하였다. 또한 투명화묘에서는 기공의 형태가 비정상적이었고 표피 왁스의 발달이 전혀 관찰되지 않았다.

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Individual Differences in Regional Gray Matter Volumes According to the Cognitive Style of Young Adults

  • Hur, Minyoung;Kim, Chobok
    • 감성과학
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    • 제22권4호
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    • pp.65-74
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    • 2019
  • Extant research has proposed that the Object-Spatial-Verbal cognitive style can elucidate individual differences in the preference for modality-specific information. However, no studies have yet ascertained whether this type of information processing evinces structural correlations in the brain. Therefore, the current study used voxel-based morphometry (VBM) analyses to investigate individual differences in gray matter volumes based on the Object-Spatial-Verbal cognitive style. For this purpose, ninety healthy young adults were recruited to participate in the study. They were administered the Korean version of the Object-Spatial-Verbal cognitive style questionnaire, and their anatomical brain images were scanned. The VBM results demonstrated that the participants' verbal scores were positively correlated with regional gray matter volumes (rGMVs) in the right superior temporal sulcus/superior temporal gyrus, the bilateral parahippocampal gyrus/fusiform gyrus, and the left inferior temporal gyrus. In addition, the rGMVs in these regions were negatively correlated with the relative spatial preference scores obtained by individual participants. The findings of the investigation provide anatomical evidence that the verbal cognitive style could be decidedly relevant to higher-level language processing, but not to basic language processing.