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Pneumothorax Induced by Pulmonary Paragonimiasis: Two Cases Report
김현조 대한흉부외과학회 2014 Journal of Chest Surgery (J Chest Surg) Vol.47 No.3
When the juvenile worms of the genus Paragonimus migrate and cause defects on the surface of the visceral pleura, pneumothorax can develop. A 34-year-old woman was admitted for pneumothorax with which was developed after she ate raw fish and crab. A 21-year-old male soldier presented with recurrent bilateral pneumothorax without eosinophilia, caused after drinking stream water frequently. In both patients, paragonimiasis was suspected from the computed tomography scan and confirmed by an enzyme-linked immunosorbent assay test of the pleural fluid. When pneumothorax develops in patients who have ingested raw fresh-water crab or stream water, paragonimiasis should always be considered in the differential diagnosis.
심근 경색후 발생한 좌심실 파열을 동반한 심실중격 결손의 외과적 치료 -1례 보고-
김현조,김두성,안혁,Kim, Hyun-jo,Kim, Doo-Sang,Ahn, Hyuk 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.9
In a 53-year old male with post-infarction ventricular septal defect [VSD , owing to an acute exacerbation of pulmonary edema, respiratory failure developed, and the ventilatory support and intraaortic balloon counterpulsation [IABP were applied. At the following day, operation was performed with the aid of IABP. Under the cardioplumonary bypass, he underwent infarctectomy, trimming of VSD margin, patch closure of VSD and infarctectomy site. Left ventricular free wall rupture was detected during operation, which was confined with pericardial adhesion. Post-operative course was uneventful, and he could be discharged with minimal degree of dyspnea [NYHA class II .
육계의 생산에 있어 단백질수준 및 급여시기에 관한 연구
김현조,오세정 한국가금학회 1987 韓國家禽學會誌 Vol.14 No.1
본 시험은 육계사료의 단백질수준 및 급여시기가 육계의 생산성에 미치는 효과를 구명하기 위하여 전기와 후기사료의 단백질수준을 각각 22%와 20%, 20%와 18%로 하고 전후기사료의 교체시기를 2, 4 및 6주령으로 하는 6개처리에 육계초생추 216수를 공시하여 1984년 12월 14일부터 1985년 2월 8일까지 8주간에 걸쳐 축산시험장에서 시험을 실시한 결과를 요약하면 다음과 같다. 1. 증체량은 단백질수준이 높을수록 증가하였으며, 전후기사료의 교찬시기가 빠를수록 점차 감소하였지만 사료교체시기에서 4주령과 6주령 간에는 차이가 없었다. 2. 사료섭취량은 처리간에 차이가 없었으며, 사료요구율은 전후기 사료의 단백질수준 22% 및 20%를 4주령 또는 6주령에 교체했을 때 가장 유리하였다. 3. 단위증체당 단백질요구량은 단백질수준이 높아질수록 증가하였다. 4. 육성율은 단백질수준이나 교찬시기에 의하여 영향을 받지 않았다. 5. 도체율은 처리간에 차이가 없었지만 복강지방 축적율은 단백질수준이 증가할수록, 그리고 교체시기가 늦어질수록 점차 감소하였다. 6. 수당소득은 전후기사료의 단백질수준 22% 및 20%를 4주령에 교체한 처리에서 가장 높았다. 이상의 결과를 종합해서 볼 때 육계 전기 및 후기사료의 단백질수준은 각각 22%와 20%, 교체시기는 4주령이 적합할 것으로 사료된다. A total of 216 day-old broiler chickens were randomly assigned to 6 treatment combined 2 dietary protein regimens (22-20%, 20-18% for starter and finisher, respectively) with 3 times of change (2, 4, 6 weeks) to study the effects of different protein levels and time of change from starter to finisher ration on the performance of broilers. Increasing the dietary protein level resulted in not only a significant increase in the body weight gain and the protein requirement per kg body weight gain, but also an improvement of feed efficiency. However abdominal fat accumulation was decreased by adding incremental levels of protein. On the other hand, the earlier time of change from starter to finisher ration, less\ulcorner\ulcornerbody weight gain and the abdominal fat accumulation. But feed intake and viability were not affected by the dietary protein level and/or the time of change from starter to finisher ration. Income was highest for birds fed 22% and 20% protein diet' starter and finisher, respectively changed from starter to finisher at 4weeks of age.
Airway Obstruction Caused by Loculated Mediastinal Effusion after Ivor Lewis Operation
김현조 대한흉부외과학회 2014 Journal of Chest Surgery (J Chest Surg) Vol.47 No.3
Airway obstruction after esophageal surgery is quite rare, and few such cases have been reported. A 57-year-old woman who underwent the Ivor Lewis procedure for esophageal carcinoma complained of a sudden onset of severe dyspnea on postoperative day 3. Chest computed tomography scan revealed that the collection of a large volume of mediastinal fluid caused marked luminal compression on the trachea and the gastric conduit. Explorative thoracotomy revealed a clear serous fluid in the space between the trachea and the gastric conduit, and all respiratory symptoms were relieved after the fluid was drained. The possibility of tracheal compression by loculated effusion, such as chyloma, should be considered in a patient who complains of respiratory deterioration after esophageal surgery.
의료분야의 고에너지 베타선원 사용에 따른 방사선량 평가
김현조,박재우 제주대학교 산업기술연구소 2000 尖端技術硏究所論文集 Vol.11 No.2
Radiation exposure doses resulting from the medical use of the high-energy beta-ray sources have been estimated using MCNP-4C Monte Carlo computer code. The beta-ray sources considered are Sr-90/Y-90, Ho-166 and Re-188, which are currently used as ophthalmic applicator, medical agents of liver cancer therapy and angioplasty therapy, respectively in hospitals. Typical therapeutic procedures are carefully investigated, and eight situations where higher doses are expected are selected for the dose calculation. It is found that in all of the cases considered, the estimated doses are much lower than the dose limit specified in the government regulations.