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Eisenmenger씨 증후군을 동반한 충수돌기염 천공에 의한 복막염 환자의 마취경험 : 증례보고
천경석,박천희,이철승,이철,안용미,최준석 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.3
Eisenmenger's syndrome includes any condition in which communication between the pulmonary and systemic circulation gives rise to pulmonary vascular disease causing a right to left shunt with peripheral cyanosis, It can occur with complex congenital cardiac malformations, such as septal defect and patent ductus arteriosus. We report a case of a 58-year-old woman with an emergency operation for peritonitis due to appendiceal perforation and Eisenmenger's syndrome secondary to large ventricular septal defect. We carefully performed balanced anesthesia with air-O₂-desflurane-remifentanil. She was transferred to the intensive care unit in intubated state postoperatively and discharged two weeks later without any complications.
韓國産 모나무이科(Family Aphalaridae)의 分枝系統的 分析
朴喜千 嶺南大學校附設 基礎科學硏究所 1984 基礎科學硏究 Vol.4 No.-
Four genera-Aphalara, Craspedolepta, Syntomoza and Rhusaphalara of family Aphalaridae(Homoptera) arising from Korea were analysed by the cladistic method. Ten morphological and one host plant characters were selected for the analysis. Genus Craspedolepta and genus Aphalara are separated from the another genera in the phylogenetic distance. And genus Syntomoza is the most derived one in the Korean Aphalaridae.
박천제,배병훈,고경숙,김춘희,임경택 동아대학교 환경문제연구소 1998 硏究報告 Vol.21 No.1
This study was carried out to investigate the distribution and concentration of microorganism by the method of the air contamination using RCS air sampler in underground linac room of two general hospital located in Pusan. The places of air sampling were 4 different spot in two each hopital. Therefore, total 8 places were sampled from June 30, 1996 to May30, 1997. The results obtained were as follows 1. In a agar strip GK-A media for total count of microbial particles, it was estimated to be 76 CFU/ft^(3) in ICR room, and the consulting room was 53 CFU/ft^(3), lobby was XI CFU/ft^(3), linac room was 35 CFU/ft^(3), in the M hospital, respectively. The distribution of organism in the air of M hospital were shown gram positive cocci 72%, gram negative bacilli 15%, gram positive bacilli 6.1%, fungi 6.1%, respectively . On the other hand, in P hospital, it was obtained to be ICR room 74 CFU/ft^(3), lobby- 45 CFU/ft^(3), consulting room 34 CFU/ft^(3), linac room 31 CFU/ft^(3), respectively. The distribution and concentration of microorganism in the air were detected gram positive cocci 75%, fungi 10.3%, gram negative bacilli 8.7%, gram positive bacilli 6.0%. respectively. The results were recognized to be a low frequency in the linac room. 2. In agar strip S media for total counts of M hospital, ICR room was shown the highest organism with 32 CFU/ft^(3), but the lowest organism was detected linac room with 20 CFU/ft^(3). Also, the case of P hospital was estimated high 43 CFU/ft^(3) at ICR room, low organism was shown at linac 17 CFU/ft^(3) Test of coagulase were recognized to be a negative Staphylococci 68.3% in M hospital, 60.7% in P hospital. Coagulase positive cocci was estimated to be 31.7% in M hospital, 39.3% in P hospital. 3. In agar strip C media for coliform bacteria, colony counts at ICR room 10 CFU/ft^(3), consulting room 7 CFU/ft^(3), linac room 6 CFU/ft^(3), lobby 4 CFU/ft^(3) in M hospital, respectively. On the other hand, in P hospital were shown ICR room and main lobby 7 CFU/ft^(3), consulting room 5 CFU/ft^(3), linac room 4 CFU/ft^(3), respectively.
박세진,김희규,김봉준,이천우,옥철호,정만홍 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.2
우리나라에서 인기 있는 게장등의 섭취로2) 성인뿐만 아니라 소아에서도 지속적으로 보고되고 있는 폐흡충증은 다양한 임상양상을 보일 수 있다. 저자들은 방사선 소견상 만성 호산구성 폐렴과 유사하였고, 반복적인 치료로 호전된 폐흡충증 1예를 경험하였기에 보고하는 바이다. Paragonimiasis mostly occurs by ingestion of raw or undercooked freshwater crabs or crayfish. Recently, re-emergence of paragonimiasis is reported because of ingestion of raw food such as freshwater fish and Gejang (marinated raw crabs). As the radiological features as well as the laboratory findings are similar to those of chronic eosinophilic pneumonia, the diagnosis of pulmonary paragonimiasis is often difficult and delayed. A 43 year-old female was visited our hospital for migrating and new developing consolidative lung lesions and peripheral blood eosinophilia. The eosinophil profile of leukocyte was 32% (absolute count 2,690 /mm3). Histologic finding was organizing pneumonia pattern with severe infiltration of eosinophils. Parasite specific antibody IgG forParagonimus westermani was positive (titer:0.61, normal range<0.20). After treatment with praziquantel (75mg/Kg once a day for 2days), the chest x-ray was clearly resolved. Follow-up study showed right pleural effusion, newly developed focal infiltration, and several nodules. After retreatment, we couldn't find any recurrent evidence.
크론병으로 인한 십이지장-대장 누공의 Endoloop과 Hemoclip을 이용한 수술 전 내시경적 결찰 증례보고
박미성 ( Mi Sung Park1 ),김원진 ( Won Jin Kim ),허지혜 ( Ji Hye Huh ),박수정 ( Soo Jung Park ),홍성필 ( Sung Pil Hong ),김태일 ( Tae Il Kim ),김원호 ( Won Ho Kim ),천재희 ( Jae Hee Cheon ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.2
Duodeno-colonic fistula is an enterocolonic fistula that occurs as a complication of Crohn`s disease. Symptoms of duodeno colonic fistula are similar to those of Crohn`s disease, such as weight loss and diarrhea. The treatment of choice is surgery, although medical treatment may also be considered. However, surgery is recommended when all available medical therapies have been ineffective. In this case, we report a secondary duodeno-colonic fistula due to Crohn`s disease that was temporarily managed by an endoscopic procedure with a detached endoloop and hemoclips as a bridging therapy to final surgical repair.
Analytical Model of Fluid Flow through Closed Structures for Vacuum Tube Systems
Park, Chan-Hee,Cheon, Dae-Sung,Park, Joonam Hindawi Limited 2015 Mathematical problems in engineering Vol.2015 No.-
<P>An analytical model is developed to evaluate airtightness, which is one of the most important requirements of vacuum tube transportation systems. The main objective of the model is to anticipate the pressure inside a closed structure, which initially decreases and then rises with time owing to the inflow of the air outside. The model is formulated by using Darcy’s law and by solving the differential equations that consider the air permeability of the material and physical configuration of the tube. Equations are derived for a tube section in two cases: one with constant thickness and another with variable thickness. Although the developed model must be verified experimentally, results simulated by using the model with several assumed sections were consistent with the findings of a previous study. The mathematical model developed here to predict the behavior of the pressure inside a vacuum tube structure could be effectively used to evaluate the airtightness of vacuum tube transportation systems. Such data could provide background technical information for the practical design of the system.</P>