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Biliary ascariasis results not only in biliary tract disease, but also in secondary stone formation, hemorrhage into biliaty tract, acute cholecystitis, biliary perforation, invasion to pancreatic duct, pancreatitis, he%atitis, and liver abscess. In recent, we experienced a case of biliary ascariasis with concomitant biliary stones, which was identified by ultrasonogram percutaneous transhepatic cholangiography, and computed tomography, thereby reporting it herein with a review of literatures.
In Ron Tong Pyun(論痛編), pathological mechanisms are explained on the basis of the so-called 'Eum-Yang(陰陽)" theory. Summerizing the contents of the Ron Tong Fyun(論痛編) in reference to the contents of successive generation note. the contents were as follows: Through the hard and soft of muscle, strenth and weakness of skeleton, densty and sparseness of complexion, thick and thin of the intestines and the stomach, we find out the difference of the pain by the acupuncture and moxibustion, tolerance of the drug. The people of the thick muscle, smooth skin, strenthen skeleton have a tolerence of the acupuncture and moxibustion. The people of the thick stomach, black skin, stenthen skeleton have the tolerence of drug.
With the widespread use of fertility medications and techniques of in vitro fertilization, multiple gestation has become epidemic in modern obstetric practice. Delivery of the initial fetus in a multiple gestation usually is followed by delivery of the subsequent fetus or fetuses shortly thereafter. However in rare circumstances, the delivery is delayed for days due to disappearance of uterine contraction after delivery of the first fetus. When uterine activity ceases after the delivery of the first neonate, a policy of nonintervention may be considered in case of an immature or very premature delivery, in order to achieve a gestational age for the remaining fetus(es) more compatible with neonatal survival. We report a case of twin gestation with prolongation of the delivery interval between the twins for 46 days.
A 28-year-old primigravida at 33 weeks gestation was referred to our hospital because of aggravation of seizures which occurred intermittently for the past 2 years. A brain magnetic resonance imaging scan taken at 33 weeks gestation showed a large brain tumor (7 × 5 × 4 cm) in the left high frontal lobe. She had a cesarean section under general anesthesia at 38 weeks and 1 day gestation. General anesthesia was induced with thiopental 250 mg, succinyleholine 75 mg and lidocaine 60 mg after a vecuronium 0.8 mg intravenous injection. The hyperventilation and mannitol used to reduce increased intracranial pressure (ICP) in this patient may be harmful and detrimental to the fetus before delivery. Achieving both ICP control and fetal well being at the same time during a cesarean section can be challenging to anesthesiologists. We report the anesthetic management of a cesarean section in a patient with a large brain tumor. (Korean J Anesthesiol 2002; 43: 515~519)
Features of the forearm bone are common and results from severe trauma, accompained with many associated injuris. Authors analysed 49cases who had received operative treatment at department of orthopedic surgery from Feb. 1989 to Feb.1994. The most common cause of injury was a traffic accident and average age was 29.6 years, the ratio of male to female was 28 to 16cases. We treated these fractures surgically in most cases and obtained satisfactory result. Injured patients were admitted and treated by open reduction and internal fixation using plates(36cases) and IM nailing(8 cases) The average time of bone union in the closed fracture was 15.8 weeks in the radius. The complications were delayed union in 10 cases non-union in 2 cases and nerve injury in 9 cases. We caused obtain good results by accurate understanding to the fracture complexity before operation.
A study on the 'Mac Do Pyun(脈度編)」 of the Young Chu(靈樞). one of the classic book of oriental medicine, was carrid out analytically for the right coment. The principal ideas of this thesis can be summarized as follows: The 'Mac Do Pyun」 is consist of five chapter chapter Ⅰ, discribed the length and flow lines that 12 meridian and Conception Vessel(任脈), Governer Vessel(督脈). chapter Ⅱ, discribed the function about meridian and Kwankveak(關格) chapter Ⅲ, discribed a point of departure and terminal in Kyomac(○脈) chapter Ⅳ, discribed the circulation o f meridian in Five viscera(五臟) and the Six bowles(六腑) chapter Ⅴ, discribed cycle of the Kyomac(○脈) A study on the 'Mac Do Pyun(脈度編), can understanding the lengh and flow about meridian in human body. meridian s ability that connects internal organ, exterior covering, and origin of Kuan-Gerk(關格)
To investigate the effects of short-term administration of DDB(Biphenyl Dimethyl Dicarboxylate) for decreasing elevated serum aminotransferase levels in chronic liver diseases, authors applied 3 capsules of DDB per day at each meal time for 35 patients and compared with 35 patients treated with other conservative management. The following results were obtained. 1. Serum alanine aminotransferase (ALT) levels significantly decreased from 247.1± 180.0 IU/L of pretreatment level to 96.6±126.0 IU/L, 61.1±62.7 IU/L and 38.0±26.8 IU/L after 1, 3 and 6 months of treatment(p<0.05) and effective rates were observed in 60.0%, 71.4% and 88.6% of patients after 1, 3 and 6 months of treatment. 2. Serum aspartate aminotransferase (AST) levels decreased also significantly from 167.8±96.9 IU/L of pretreatment levels to 124.4±155.0 IU/L, 77.9±49.6 IU/L, 60.6± 46.9 IU/L after 1, 3 and 6 months of treatment(p<0.05), but decreasing pattern of serum AST was less significant than that of serum ALT. 3. No significant difference were observed in the serum ALT and AST changes according to the cause and duration of hepatitis. 4. No significant adverse effects were observed in whole patients treated with DDB. It is suggested that small dose administration of DDB is effective for decreasing serum aminotrans ferase levels in chronic liver disease in which other conservative management was not effective.
In the conventionally formed thin films, it is difficult to solve many of the problems created by the columnar structure. The IAD (Ion Assisted Deposition) is a technique for improving the properties of thin films by ion bombardment. The objective of this study is to analyze the properties of thin films prepared by the IAD method. The ion beam energy extracted from the Kaufman type ion source can vary from 100 to 3000 eV. To minimize the deterioration of film by sputtering, it was maintained below 500 eV. In this experiment, the SiO₂is deposited by the resistance evaporator on the glass or silicon wafer substrate. To investigate the properties of thin films, various test methods such as scotch tape test, pull-off test (for adhesive test), 3% NaCl test (for corrosive test), XRD test (for the understanding of crystal structures) and RBS test (for the examination of density) have been carried out. From the results of these tests, it is found that the film made by IAD method is superior to one by conventional method.