• Title/Summary/Keyword: peripheral drainage

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The Physical Region of China Divided by the Characteristics of Drainage Patterns. (하계망패턴의 특색으로 구분한 중국의 자연지역)

  • Hwang, Sang-Ill
    • Journal of the Korean association of regional geographers
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    • v.2 no.1
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    • pp.151-164
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    • 1996
  • The regional division by the characteristics of the drainage patterns is important to understand its physical environment comprehensively, because the drainage network develops in reflecting characteristics of geological, geographical and climatical features in the drainage basin keenly. This study is the attempt to divide physical region in China whose drainage pattern is diverse. Chinese drainage basin is mainly divided into the interior drainage basin and the peripheral drainage basin. The interior drainage basin is divided into (1)the deranged pattern and (2)the centripetal pattern. The peripheral drainage basin is divided into (1)the dendritic pattern, (2)the parallel pattern, (3)the radial pattern and (4)the anastomatic pattern. Drainage patterns of the interior drainage basin are formed by affecting geographical features and climatic conditions mainly. In the peripheral drainage basin, drainage patterns are formed by other factors: the parallel pattern is connected with geological structure lineament by tectonic movement, the radial pattern with changes of the river channel resulted from the Yellow River's overflow, the anastomotic pattern with human's activities. The distributional features of the physical region in China are as follows: The deranged pattern appears in Zangbai Plateau, the centripetal pattern does in arid basin of the northwest China. the parallel pattern does in Hengduan mountains affected strongly by tectonic movement between Yangtze paraplatform and Indian Plate, does in the upper stream of Yangtze River and Ganges River in the south of Qinghai-Xizang Plateau, the radial pattern in Huaihe Haihe River drainage basin appearing in the alluvial fan region of Yellow River's downstream and the anastomotic pattern does in the delta of Yangtze River, in the northern coastal plain of the Jiangsu-Province and in the delta of Zhujiang River. Except these areas in the peripheral drainage basin, the dendritic pattern is usually found in the other areas.

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Eosinophilic Pleuritis due to Sparganum: A Case Report

  • Oh, Youngmin;Kim, Jeong-Tae;Kim, Mi-Kyeong;Chang, You-Jin;Eom, Keeseon;Park, Jung-Gi;Lee, Ki-Man;Choe, Kang-Hyeon;An, Jin-Young
    • Parasites, Hosts and Diseases
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    • v.52 no.5
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    • pp.541-543
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    • 2014
  • Sparganosis is a rare parasitic disease caused by migrating plerocercoid tapeworm larva of the genus Spirometra. Infection in humans is mainly caused by the ingestion of raw or inadequately cooked flesh of infected frogs, snakes, and chickens. Here, we report a rare case of a 45-year-old man who was admitted to our hospital with left lower chest pain. The chest radiograph and computed tomography (CT) scan revealed localized pleural effusion in the left lower lobe; further, peripheral blood eosinophilia and eosinophilic pleural effusion were present. Percutaneous catheter drainage was performed, which revealed long worm-shaped material that was identified as a sparganum by DNA sequencing. The patient showed clinical improvement after drainage of the sparganum. This study demonstrates the importance of considering parasitic diseases in the differential diagnosis of eosinophilic pleural effusion.

A case series on nonpuerperal mastitis and breast abscess (비수유기 유선염 및 유방농양 환자 증례 보고)

  • Lee, Jong-Deok;Ryu, Sung-Won;Choi, Chang-Min
    • The Journal of Korean Obstetrics and Gynecology
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    • v.19 no.2
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    • pp.295-304
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    • 2006
  • Inflammatory conditions of the breast are uncommon and may be encountered in the puerperal and nonpuerperal setting. Nonpuerperal mastitis is less common and usually presents with inflammation and chronic abscess formation in the periareolar and peripheral region. These abscess have a high rate of recurrence and are often associated with an underlying disease state, such as diabetes, steroid treatment, trauma or other kinds of a deficient immune system. The diagnosis is suggested by the history of sudden onset and the presense of swelling, tenderness, heat, erythema, and in the case of abscess, fluctuation. Ultrasound can also be useful. Treatment consists of antibiotic administration or incision and drainage of the abscess and, in cases of retroareolar abscess, resection of entire underlying duct system. Recently, we have gotten good result from treating two cases of nonpuerperal mastitis and breast abscess which had treatment of antibiotics and drainage three times but recurred. After taking gamijipaesan(加味芷貝散) and acupuncture treatment, they have recovered and haven't recurred in 8 months. So it proves that herb medication and acupuncture are effective on nonpuerperal chronic mastitis and breast abscess.

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Clinical Utility of Portal Venous Circulating Tumor Cells in Pancreatic Cancer (췌장암에서 간 문맥 순환 종양 세포의 임상적인 유용성)

  • Seung Bae Yoon;Sung Woo Ko
    • Journal of Digestive Cancer Research
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    • v.11 no.1
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    • pp.21-29
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    • 2023
  • Despite recent advancements in the diagnosis and treatment of pancreatic cancer, clinical results remain dismal. Furthermore, there are no reliable biomarkers or alternatives beyond carbohydrate antigen 19-9. Circulating tumor cells (CTCs) may be a potential biomarker, but their therapeutic application is constrained by their rarity in peripheral venous blood. Theoretically, the portal vein can be a more appropriate location for the detection of CTCs, because the first venous drainage of pancreatic cancer is portal circulation. According to several studies, the number and detection rate of CTCs may be higher in the portal blood than in the peripheral blood. CTC counts in the portal blood are strongly correlated with several prognostic parameters such as hepatic metastasis, recurrence after surgery, and survival. The phenotypic and genotypic properties analyzed in the captured portal CTCs can assist us to comprehend tumor heterogeneity and predicting the prognosis of pancreatic cancer. The investigations to date are limited by small sample sizes and varied CTC detection techniques. Therefore, a large number of prospective studies are required to confirm portal CTCs as a valid biomarker in pancreatic cancer.

Successful Surgical Resection of Left Atrial Myxoma by Total Cardiopulmonary Bypass - Report of a Case- (좌심방점액종의 개심술절제치험예)

  • 김근호
    • Journal of Chest Surgery
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    • v.10 no.1
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    • pp.164-172
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    • 1977
  • This is a report of a case in which a left atrial myxoma was successfully removed by total cardiopulmonary bypass with total hemodilution and moderate hypothermia. The patient was a 17 old girl with mitral valvular symptoms that occured suddenly three months prior to operation. After the onset of symptoms. it was progressively aggravated to serious general condition. The preoperative diagnosis of left atrial tumor was made from echocardiography. and the tumor was confirmed as myxoma by the histopathological examination of the tumor tissue removed during operation. The myxoma was unusually originated from posterior wall of the left atrium. which was located between drainage orifices of right and left pulmonary veins, The tumor developed in the left atrial cavity and one of the polypoid processes of the myxoma was prolapsed into the the left ventricle through the mitral orifice. Following operation. there was no evidence for peripheral vascular embolism, and all valvular symptoms disappeared. The postoperative course was uneventful.

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Histologic Change of Free Muscle Graft in the Rabbit Pleural Space (토끼에서 늑막강내 자유근육이식의 조직학적 변화: 술후 공기누출방지를 위한 자유근육이식술의 예비실험)

  • 원용순
    • Journal of Chest Surgery
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    • v.22 no.1
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    • pp.10-15
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    • 1989
  • Excision of bullous emphysema or decortication of chronic empyema commonly results in a prolonged air leakage. Prolonged air leakage requires prolonged intercostal drainage, delays recovery, and can be followed complications such as pneumothorax, atelectasis, incomplete expansion of remained lung, secondary infection. To minimize these complications free muscle grafts can be used like a patch to close the opening of visceral pleura and reinforce suture lines without undue tension. From a preliminary study using the latissimus dorsi muscle as a free muscle graft in the rabbit pleural space, viable muscle fibers that seems the result of the process of regeneration can be consistently identified around the degenerating muscle fibers. Voluminous connective tissues and numerous blood vessels are also observed in the peripheral zone. Further studies in that free muscle graft will be sutured with visceral pleura and lung parenchyme will hopefully provide additional information before clinical application.

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Clinical analysis of tuberculous cervical lymphadenitis (경부 결핵성 임파선염의 임상적 고찰)

  • 김영민;송병찬;윤성철;박영민
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.107-107
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    • 1993
  • Tuberculous cervical lymphadenitis is one of the most common causes of neck mass in Korea. But the diagnostic confirmation is difficult and it's effective treatment modalities are still in controversy. Through a retrospective study of 32 cases of tuberculous cervical lymphadenitis treated with surgical treatment during recent 4 years, we have analyzed 5 subtypes of CT finding and surgical treatment modalities and received following results 1. The locations of lymphadenitis were posterior triangle(12 cases), submandibular area(9 cases), supraclavicular area(8 cases), submental area(2 cases), and parotid area(1 case). 2. Five subtypes of CT findings were observed : Homogeneous enhancement type(3 cases), peripheral rim enhancement type(6 cases), peripheral rim enhancement with perinodal fat obliteration type(12 cases), coalescent cold abscess type(8 cases), and mixed type(3 cases). 3. Surgical treatment modalities : Excision (13 cases), incision and drainage(9 cases), selective neck dissection(8 cases), and curettage(2 cases).

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Von Recklinghausen's disease involving the chest -Two cases report- (흉부질환을 병발한 Von Recklinghausen's disease -2예 보고-)

  • Kim, Chi-Kyung;Park, Jae-gil;Lee, Hong-Kyun
    • Journal of Chest Surgery
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    • v.13 no.2
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    • pp.149-153
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    • 1980
  • Von Recklinghausen's disease is a systemic hereditary disorder with varied manifestations in bone, soft tissue, nervous system, and skin, the most common of which is the developement of multiple, small, cutaneous tumors with a characteristic histologic picture. Tumors develop after birth and before puberty in most cases, and they increase in number until old age. Malignant neoplasms that complicate multiple neurofibromatosis include gliomas of the optic nerve, astrocytomaas of the cerebral and cerebellar hemispheres, and sarcomas of peripheral nerves (femoral, tibial and intercostal nerves) and somatic soft tissues. Little attention has been paid to the presence of cystic lung disease in association with neurofibromatosis. Currently, most think of thoracic involvement in neurofibromatosis in terms of posterior mediastinal neuroma, pheochrocytoma, meningocele or, less commonly parenchymal pulmonary neurofibromas. Author have experienced 2 cases of Von Recklinghausen's disease. One case developed a hyge malignant Schwannoma in the parietal pleura of left 4th intercostal space and multiple benign neurofibromas (two in intercostal spacees and one in the neck) , and the other has several episodes of pneumothorax resulting from diffuse cystic lung disease which required closed thoracotomy drainage.

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Ultrasonographic and Computed Tomographic Appearance of Spontaneous Cutaneous Fistula Resulted from Retained Surgical Gauze in a Dog

  • Hwang, Tae-sung;Huh, Chan;Lee, Hee-chun
    • Journal of Veterinary Clinics
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    • v.36 no.4
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    • pp.238-243
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    • 2019
  • A 6-year-old, spayed female Maltese was presented with the condition of a chronic recurrent abscess formation in the left flank region. Despite the antibiotics and drainage therapy given to the dog, the lesion formed a continued serosanguineous to the point that a purulent discharge was evident. In the meantime, an abdominal ultrasound revealed the presence of a well-defined mass with a hypoechoic outer margin, and a hyperechoic inner rim in the cranial of the kidney. A fistula was noted as being present with a connection between the subcutaneous lesion of the left flank and the abdominal mass. It is emphasized that CT scans revealed the existence of a soft tissue dense mass with low attenuation area, as seen in some internal areas and also a peripheral contrast enhancement was noted within a nonenhancing central region. There was additional nonenhancing fluid found dorsal to the inflammatory tract passing under the epaxial muscles and at the peritoneum. Likewise, the tract exited the skin surface in the left flank. A tentative diagnosis of an abdominal abscess with spontaneous cutaneous fistula was made based on the ultrasonographic and CT appearances. A foreign body such as surgical gauze should always be considered a potential cause of draining tract in small animals, as was considered to be the problem in this case.

Eosinophilic Peritonitis (EP) Complicated with Continuous Ambulatory Peritoneal Dialysis (CAPD) (지속적 외래 복막투석 직후 발생하는 비감염성 호산구성 복막염)

  • Paek Kyung-Hoon;Jeon Yun-Ae;Min Jae-Hong;Park Kyung-Mi;Kim Jung-Su;Ha Il-Soo;Cheong Hae-Il;Choi Yong;Ko Kwang-Wook
    • Childhood Kidney Diseases
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    • v.1 no.2
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    • pp.117-122
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    • 1997
  • Purpose : To clarify the clinical findings, laboratory findings and disease course of EP complicated with CAPD and to find out possible predisposing factors to EP. Methods : The medical records of 34 children who underwent CAPD at our hospital between Jan. '94 and Dec. '96 were retrospectively reviewed. The clinical features and laboratory findings of EP were analyzed, and several parameters were evaluated as predisposing factors of EP. Results : EP developed in 7(21%) out of 34 patients. The major symptom of EP was turbid peritoneal fluid without fever, abdominal pain or disturbance of drainage in all cases. The microbiologic culture studies of the peritoneal fluid resulted negative in all cases. Patients with peripheral blood eosinophilia before insertion of CAPD catheter had higher risk of EP than those without eosinophilia (P=0.002). And peripheral blood eosinophilia, noted after insertion of hemodialysis catheter in cases with previous hemodialysis before CAPD, showed significant correlation with the occurrence of EP (P=0.016), too. However, there was no significant correlation between peripheral blood eosinophilia noted after insertion of CAPD cathter and the occurrence of EP. Identification of eosinophils in peritoneal fluids was more accurate with cytospin analysis. Conclusions : An early and accurate diagnosis of EP in patients with CAPD can prevent unnecessary treatment of antibiotics. Peripheral blood eosinophilia before insertion of CAPD catheter is one of the predisposing factors of EP. And, cytospin analysis of peritoneal fluid is an accurate method for diagnosis of EP.

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