• Title/Summary/Keyword: speculum

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Research about the absorbed dose with speculum material-related in Hysterosalpingography (자궁난관 조영술 검사 시 Speculum 재질에 따른 흡수선량의 변화에 관한 연구)

  • Kim, Yun-Min
    • Korean Journal of Digital Imaging in Medicine
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    • v.13 no.1
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    • pp.1-6
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    • 2011
  • The purpose of our study was to determine the entrance surface dose and absorbed dose in ovary when using the metal speculum and plastic speculum in hysterosalpingography respectively. The examinations was performed in anthropomorphic phantom into which calibrated photoluminescence glass dosimeter were placed on symphysis pubis level surface and ovary area. We checked average fluoroscopy time and spot expose times during the hysterosalpingography. It was average fluoroscopy time 58 sec, spot expose 5 times. We divided the subjects into two different groups to used metal and plastic speculum. We measured 10 times of absorbed dose in the same condition of the anthropomorphic phantom. We compared two groups adsorbed dose on ovary with speculum material-related. The entrance surface dose on of plastic Speculum using group was average 17.23 mGy, absorbed dose on ovary was average 3.51 mGy. The entrance surface dose on ovary of metal Speculum using group was average 19.95 mGy, absorbed dose on ovary was average 4.14 mGy. Plastic speculum using group shows a decrease absorbed dose(17.9%) as compared with metal speculum using group. The method of plastic speculum using in hysterosalpingography. might provide us with lower radiation dose, especially in patients with childbearing stage.

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First record of juvenile of the mirror butterflyfish, Chaetodon speculum Cuvier, 1831 (Perciformes: Chaetodontidae) collected from Pohang, Korea (한국 포항에서 채집된 나비고기과(Chaetodontidae) 어류 1미기록종, Chaetodon speculum의 유어 출현)

  • LEE, Yu-Jin;SONG, Young-Sun;KIM, Jin-Koo
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.57 no.4
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    • pp.374-381
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    • 2021
  • A newly recorded chaetodontid species, Chaetodon speculum Cuvier, 1831 was collected in July, 2021 from Pohang, Korea. Its body color is yellow with black stripe across the eyes and a large spot occupying one fourth of the upper part of the body. C. speculum is very similar to congeneric species, C. zanzibarensis, but it can be distinguished by the size of the spot, shape of the lateral line, number of longitudinal line scales and geographic distribution. C. speculum is readily identified between post-larval stage and adult stage because of its similar external shape. Molecular analysis based on mitochondrial DNA COI sequences showed our specimen perfectly matched C. speculum. Therefore, we propose the new Korean name, "Heug-jeom-na-bi-go-gi" for C. speculum.

A Reading on the Spatial Representations of Urban Center in Seoul from Cultural Perspective of Gender : 'Fl$\check{a}$nerie' Seeing with Speculum (서울 도심의 공간 표상에 대한 젠더문화론적 독해 - '검경(speculum)' 으로 보며 '산보하기(fl$\check{a}$neria)' -)

  • Lee, Su-An
    • Journal of the Korean Geographical Society
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    • v.44 no.3
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    • pp.282-300
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    • 2009
  • This paper attempts to focus the ways in which Seoul as an urban space can be read and interpreted from gender perspective, assuming Seoul as a cultural text which represents modernity and post-modernity. Drawing on discussions of urban sociology and human geography which have analyzed the relationship between material spaces and social subjects, this paper explores the gendered segregation and representations of space in Seoul which has been constructed through the process of modernization. The framework of spatial interpretation of Seoul, concentrating on imageablity and legibility, consists of three dimensions; gendered division of labour and sphere, dichotomy of representations along with femininity and masculinity, and the ways of interlocking between modernity and post-modernity. In this paper, 'fl$\check{a}$nerie', Benjamin's method of interpretation of urban culture and the way of seeing with 'speculum' of Irigaray are adopted as metaphoric methodologies. It is an attempt to develop a new methodology to analyze and interpret urban space from gender-cultural perspective.

A Case of Hematometra Occurred during Estrual Period. of a Bitch (개의 발정기에 발생한 자궁혈증의 1례)

  • 김용준;오홍근;김남수;조정곤;지동범
    • Journal of Veterinary Clinics
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    • v.16 no.2
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    • pp.474-477
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    • 1999
  • A four-year old bitch which showed occasional hemomorragic exudate from the vulva for two weeks after the previous estrus 7 months ago was ovariohysterectomied. About 200m1 of sanguineous fluid was flowed out from the uterus and some scattered blood clots were found in both uterine horns. Hematometra of the bitch which was presumed to occur during the proestrus two weeks ago was thought to progress into early pyometra at the time of diagnosis. To diagnose hematometra, vaginal examination using vaginal speculum or vaginoscope and hematological examination were performed. Radiography and ultrasonography were also proved to be of use to diagnose hematometra. Treatment for hematometra was considered to be the same as for the case of pyometra.

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Suddenly fixed upward ocular deviation under general anesthesia

  • Kim, Won Jae;Park, Sang-Jin;Kim, Myung Mi
    • Journal of Yeungnam Medical Science
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    • v.34 no.2
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    • pp.290-292
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    • 2017
  • Various changes in ocular position are possible during general anesthesia as opposed to the awakening state. However, unexpected ocular deviation under general anesthesia is a disconcerting event as it can lead to difficult complications intraoperatively. To date, sudden fixed upward ocular deviation has been rarely reported previously. This phenomenon was observed in an 8-year-old boy during strabismus surgery. Suddenly fixed upward ocular deviation occurred when the speculum was inserted into the right eye. When the eyeball was pulled down, using forceps, there was some resistance, such as contracture of superior rectus. The eyeball sprang back into the upward position when the forceps was released. These changes could hamper the good exposition of the surgical field, leading to significant intraoperative difficulties and complications. Surgeons should be aware of this possibility, despite general anesthesia; if it occurs, proceed with the surgery as planned preoperatively, and both ophthalmic and anesthetic interventions should be used to solve this problem.

Minimally invasive distal biceps tendon repair: a case series

  • Paul Jarrett;Anna-Lisa Baker
    • Clinics in Shoulder and Elbow
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    • v.26 no.3
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    • pp.222-230
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    • 2023
  • Background: Distal biceps tendon repairs are commonly performed using open techniques. A minimally invasive distal biceps tendon repair technique using a speculum and hooded endoscope was developed to improve visualization, reduce soft-tissue dissection, and minimize complications. This paper describes the technique and reports the outcomes of 75 minimally invasive distal biceps tendon repairs. Methods: The operation reports and outcomes of 75 patients who underwent distal biceps tendon repair using this technique between 2011 and 2021 were retrospectively reviewed. Results: Median time to follow-up was 12 months (interquartile range [IQR], 6-56 months). Primary outcomes were function as measured by the Disabilities of Arm, Shoulder and Hand Score (DASH) questionnaire, and rate of complications. Median DASH score was 1.7 of 100 (IQR, 0-6.8). There were 2 of 75 (2.7%) re-ruptures of the distal tendon. There were no cases of vascular injury, proximal radius fracture, or posterior interosseous nerve, median, or ulnar nerve palsy. Conclusions: In this series, minimally invasive distal biceps repair was safe and effective with a low rate of major complications. Recovery of function, as indicated by low DASH scores, was satisfactory, and inconvenience during recovery was minimized. Level of evidence: IV.

Transcervical Embryo Recovery in Korean Black Goats: A Preliminary Experiment

  • Lee, Doo-Soo;Kim, Dong-Woo;Shin, Sang Tae
    • Journal of Embryo Transfer
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    • v.30 no.3
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    • pp.171-174
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    • 2015
  • Four pluriparous Korean black goat does were superovulated with FSH and mated with fertile bucks. Anesthetized animals were placed in lateral recumbency, then size 8 Foley catheter was inserted into the uterus through the cervix under the vaginal speculum and the balloon was inflated to fix the catheter in the uterine body. The opposite end of the catheter was connected to a 3-way and a flushing medium was infused into the uterus. Modified Dubecco's PBS with 1% FBS was used as the flushing medium. Four goats were allocated in two groups depending on the type of medium infusion into uterus. Injection group; the flushing medium was injected into uterus and the infused medium was collected by to-and-fro method using a syringe. Gravity-flow group; the flushing medium was allowed to enter the uterus by gravity flow by lifting the medium bottle and drained out of the uterus into a collecting tube. All four goats had catheter inserted through the cervix and uteri flushed successfully. The volume (recovery rate) of recovered medium varied considerably from 87 ml/200 ml (43.5%) to 148 ml/160 ml (92.5%). Nine embryos/ova in total were recovered from Gravity-flow group goats. Although the embryo recovery rate was low, the possibility of a transcervical embryo recovery in Korean black goat had been proven in this preliminary experiment.

Microbial Contamination of Masks Worn by Healthcare Professionals (일부 의료기관 종사자가 사용한 마스크의 미생물 오염 사례)

  • Hyekyung Seo
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.33 no.4
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    • pp.395-402
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    • 2023
  • Objectives: Microbial contamination of face masks used by healthcare professionals can vary depending on the degree of exposure to bioaerosols in various healthcare environments. However, research on this topic is limited. Therefore, we analyzed microbial contamination of N95 respirators used in hospital offices, wards, and outpatient settings. Methods: Samples isolated from N95 respirators worn for 2, 4, and 6 hours were incubated at a temperature of 35-37℃ or 25-28℃ for 24 hours or for 3-7 days, and colony-forming units were counted in chocolate agar, tryptic soy agar, and Sabouraud dextrose agar plates. Total indoor airborne bacteria were also measured in the healthcare environments. Finally, microbial species were identified using Gram staining with a microscopic speculum. Results: The three types of environments did not deviate from the maintenance of standard indoor air quality. There was no difference between the microbial species identified in the healthcare environment and mask contamination. However, the number of bacteria in the masks worn in each environment differed, and the degree of contamination increased with mask-wearing time (p<0.05). Conclusions: Therefore, care must be taken to avoid recontamination of masks due to improper use and exposure to biological hazards in healthcare environments. In conclusion, scientific evidence is necessary for safe mask-wearing times. Based on the results of this study, we hope to conduct further research to establish guidelines for the safe use of face masks during respiratory disease epidemics.

Factors Associated with Late Diagnosis of Cervical Cancer in Nepal

  • Gyenwali, Deepak;Pariyar, Jitendra;Onta, Sharad Raj
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.7
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    • pp.4373-4377
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    • 2013
  • Background: The majority of cervical cancers, the most prevalent cancer among Nepali women, are diagnosed in advanced stage leading to high mortality in Nepal. The present study explored factors associated with late diagnosis. Materials and Methods: A cross-sectional study was carried out in two specialized cancer hospitals of Nepal from August 12 to October 12, 2012. Randomly selected 110 cervical cancer patients were interviewed and their medical records were reviewed. Multivariate logistic regression analysis was performed to predict associations. Results: Mean age of patients was 52.7years (SD=10.6), 66% were illiterate and 77% were rural inhabitants. Medical shops (33.6%) and private hospitals (31%) were major first contact points of patients with health care providers (HCP). There was no cervical/per-speculum examination (78.2%) and symptoms misinterpretation (90%) of patients occurred in initial consultation with HCP. Four in every five cases (80.9%) of cervical cancer had late diagnosis. Literate women (adjusted OR=0.121, CI: 0.030-0.482) and women having abnormal vaginal bleeding as early symptom (adjusted OR=0.160, CI: 0.035-0.741) were less likely to suffer late diagnosis. Women who shared their symptoms late (adjusted OR=4.272, CI: 1.110-16.440) and did so with people other than their husband (adjusted OR=12.701, CI: 1.132-142.55) were more likely for late diagnosis. Conclusions: High level of illiteracy among women and their problematic health seeking behavior for gynecological symptoms are responsible for late diagnosis of cervical cancer in Nepal. In the absence of a routine screening program, prevention interventions should be focused on raising awareness of gynecological symptoms and improving health seeking behavior of women for such symptoms.

Spatial Distribution of Phytoplankton Community and Red Tide of Dinoflagellate, Prorocentrum donghaience in the East China Sea during Early Summer (동중국해 식물플랑크톤 군집의 공간분포와 와편모조류 적조)

  • 윤양호;박종식;서호영;황두진
    • Korean Journal of Environmental Biology
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    • v.21 no.2
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    • pp.132-141
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    • 2003
  • We carried out a study on thermohaline structure and phytoplankton com munity in the East China Sea during early summer in 2005. As a result of marine environment and phytoplankton community, three characteristics of water type were identified. The former was characterized by the dominant species with diatoms, Chaetoceros lacinious, Ch. decipiens, Guninardia flaccida, Paralia sulcata, Pseudonitzschia pungens and Pseudosolenia calcar-avis in Chinese coastal waters, the secondary was done by lower water temperature, salinity and the dominant species with dinoflagellates, Prorocentrum donghaiense and Ceratium fusus, in over-all areas and the latter was done by the dominant species with coastal species of diatoms, Skeletonema costafum and Nitzschia longissima and silicoflagellate, Dictyocha speculum var. octopers in the transfer areas of Chinese continental coastal waters. Phytoplankton community in the surface layer identified a total of 66 species belonging to 36 genera. Dominant species was Prorocentrum donghaiense, Chaetoceros lacinious, Skeletonema costatum. Standing crops of phytoplankton in the surface layer flue tuated between $1.5 \times 10^4$cells $L^{-1}$ and $3.5\times 10^{5}$ cells $L^{-1}$. And the highest value appeared in the Changjiang estuaries with high dominance by diatoms and lowest one occurred in the southwestern area of Jeju Island with high dominance by dinoflagellates. Red tides with dinoflagellate, Prororcentrum donghaiense appeared in the frontal areas with mazimum cell density, $3.4\times 10^5$ cells $L^{-1}$. And outbreak environments was low water temperature under $20^{\circ}C$, and low salinity under 31.55 psu. The vertical distribution of red tide organisms went to about 30m depth from surface.