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N-아세틸시스테인 투여후 발생한 급성 무기폐 : 증례보고
이광범,안용미,이철승,최준석,박천희 朝鮮大學校 附設 醫學硏究所 2009 The Medical Journal of Chosun University Vol.34 No.1
Causes of atelectasis under general anesthesia are tracheal foreign body, blood clot, aspiration of bronchial secretion, one-lung ventilation and relative predominance of parasympathetic system. N-acetylcysteine is mucolytic agent which improves the capability of sputum drainage. After administration of N-acetylcysteine, an increased volume of liquified bronchial secretions may occur. When cough is inadequate, the airway must be maintained open by mechanical suction. In case that is a mechanical block due to local accumulation, the airway should be cleared by endotracheal aspiration. A 49-year-old female was admitted for bilateral laparoscopic oophorectomy due to ovarian tumors. There was not any problem during a general anesthesia induction. After instillation of N-acetylcysteine into endotracheal tube, acute atelectasis was developed in right lower lung.
이광범,김정률,안용미,최준석,박천희 朝鮮大學校 附設 醫學硏究所 2008 The Medical Journal of Chosun University Vol.33 No.3
Perioperative cerebral infarction is rare but may be fatal. This is a case report of acute cerebral infarction following general anesthesia in geriatric patient. A 72 year old female patient was admitted for transabdominal hysterectomy and bilateral saipingooophorectomy and pelvic lymphnode dissection. Preanesthetic assessment revealed a history of hypertension and diabetes mellitus. After surgery, she was alert but she gradually appeared to have right hemiparesis and confusion. Emergency CT brain scan showed early cerebral infarction in the middle cerebral artery territory. She was transferred to the depart ment of neurology and received treatment. She was discharged at 19 days after surgery with improved symptoms.
李廣範 고려대학교 의과대학 1974 고려대 의대 잡지 Vol.11 No.1
The writer has made a clinical observation in 117 patients with acute and chronic osteomyelitis, who were treated at the department of orthopedic surgery of this hospital during the past 3 and a half years iron September 1969 through April 1973, and following results were obtained. 1. The peak of age incidence was in third decade, nearly one-third of the cases in this age group, and this ailment was rarely seen in the aged (only 4 cases after 50 years of age). This disease was slightly more prevalent in the male with a 1.4:1 ratio of male t o female, but under 10 years of age girls were found more frequently affected than the male. 2. The common sites of involvment were the femur 53 cases (45%), the humerus 21 cases (18%) and the tibia 20 cases (17%). The made of infection in this Faterials was considered t o be of hernatogenous origin in 85 cases (72%) and in the remainder of the cases direct local involvmest secondary t o trauma. 3 The duration of symptoms was less than 1 month in 39 cases (34%), between 1 month to 3 months in 21 cases (18%) and more commonly attributed t o on inadequate treatment, 4. Staphylococci were the most common offender (in 2/3), and other relatively common causative organisms were E. coli and streptococci. 5. only 12 patients (10%) have been treated with antibiotics under conservative measure and 105 cases (90%: have been treated surgicaliy. complete cure was obtained in 85 of 105 surgically treated 6. Recurrences were encountered in 25 cases (21%), pathologic fractures developed in 4 cases (3.4 %), and 6 cases (5.1%) were complicated by arthritis.
Recent Trends in Integrative Insect Nutrition:A Nutritional Geometry Perspective
이광범,장태환,노명석 한국응용곤충학회 2022 한국응용곤충학회지 Vol.61 No.1
Nutrition dictates nearly all biological processes and determines Darwinian fitness in all living organisms, including insects. Research on insect nutrition has a long history in the field of insect physiology and the importance of understanding insect nutrition has become increasingly apparent with the growing need for producing insects as food and feed. Nevertheless, it is only in recent years that we have witnessed a major breathrough in our knowledge of insect nutrition. The multivariate, interactive, and dynamic nature of nutrition has long hampered our complete understanding of insect nutrition. However, the challenge posed by such nutritional complexity has been overcome with the advent of the Nutritional Geometry, which is an integrative and multidimensional framework that enabled us to model complex interactions between multiple nutrients. In this review, we introduce the basic concepts and principles of the Nutritional Geometry and describe how this innovative framework has revolutionized the field of insect nutrition and has placed nutrition in the centre of the interface between physiology, ecology, and evolution. We close this review by discussing potentially fertile research areas that can benefit tremendously from the application of this powerful nutritional paradigm in the future.