• Title/Summary/Keyword: 맥아

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Surgical treatment of Supravalvular Aortic Stenosis (판막상부 대동맥협착증의 외과적 요법)

  • 장우익;오삼세;이정렬;김용진;노준량;서경필
    • Journal of Chest Surgery
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    • v.31 no.8
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    • pp.763-769
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    • 1998
  • Background: Supravalvular aortic stenosis is a rare form of congenital cardiac anomaly involving ascending aorta distal to coronary orifice. Materials and methods: We operated 12 cases of supravalvular aortic stenosis between July 1986 and March 1997. Age ranged from 4 to 17(mean 10.2) years and 11 of them were male. Nine patients had clinical features of Williams syndrome. We experienced two types of supravalvular aortic stenosis, including 10 hour glass type and 2 diffuse type. Results: Preoperative transaortic pressure gradient ranged from 40 to 180(mean 92) mmHg by cardiac catheterization. Pulmonary stenosis was associated in 5 and 2 of them required angioplasty. Operative techniques included 6 standard aortoplasty with elliptical patch, 4 extended aortoplasty with inverted Y shaped patch, and 2 modified Brom's repair. There were no operative deaths. Postoperative echocardiographic evaluation was done at a mean interval of 12 months. Grade I or II aortic regurgitation was found in 3 cases. Postoperative cardiac catheterization revealed a mean transaortic pressure gradient of 26 (range 0 to 75) mmHg. A mean pressure drop was 78(range 30 to 114) mmHg. All patients were followed up for a mean of 40(range 1 to 67) months with uneventful clinical course. Conclusions: Our data proved the low mortality and excellent hemodynamic improvement after surgical relief of supravalvular aortic stenosis in children.

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Effect of Planting Date and Cultivation Method on Soybean Growth in Paddy Field (파종기와 재배방법에 따른 논 재배 콩의 품종별 생장분석)

  • Cho Joon-Hyeong
    • Korean Journal of Organic Agriculture
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    • v.14 no.2
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    • pp.191-204
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    • 2006
  • This study was conducted to identify the effect of planting date and cultivation method on soybean growth and yield in paddy field. The plant height of soybeans in single cropping(SC) was higher than those in cultivating after barley culture (CB). Considering planting date and cultivation method, plant height tend to be higher in SC with level row cultivation(LR) and in CB with high ridge cultivation(HR). In this SC method, nodule formation in LR was better than in HR, but number of nodules of cv. Hwangkeumkong was highest, regardless of planting date and cultivation method. In the progress of growth stage, leaf areas of all cultivars were distinctively increased in CB than in SC. However, dry weight of top plants and roots in SC was comparably higher than that in CB due to growing periods of the soybeans. In cultivation methods, general type of dry weight of top plants was higher in LR than in HR, however, root dry weight was via verses. Growth responses varied depending on cultivars, cultivation methods, and planting date and these factors affected to shoot root (T/R) ratio. The T/R ratios in LR and SC were higher than those in HR and CB. In R8 stage, number of pods and ripened seed varied depending on cultivars. cv. Hwaeomputkong, which showed early maturing trait, was lowest. However, both yield factors tended to be higher in HR and CB than in LR and SC. The ratios of ripened seeds percentage of cv. Hwangkeumkong and cv. Eunhakong were higher in CB than in SC. However, yields of cv. Daewonkon and cv. Taekwangkong were higher in CB than in SC.

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Antibacterial Activity of Elven (맥반석의 항균활성)

  • Park, Wonjong;Sung, Changkeun;Ku, Hanmo;Sin, Namgyun
    • Korean Journal of Agricultural Science
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    • v.24 no.1
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    • pp.50-54
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    • 1997
  • Analysis of components in elven(trade name, Holon killer sand) and its antibacterial activity were studied. Zinc was the highest composition by the element analysis in the elven, and heavy metals concentration was quite low on the basis of drinking water standard of this country. The antibacterial activity for 24hr culture was the most effective in Bacillus Subtilis ATCC 6633. In which, there was no growth in 24hr when 50% extract of elven was employed for the culture. And the next strong activity was shown in Stapylococus aaeruginosa ATCC 27853. But, Streptococcus mutans did not reveal any gowth inhibition by when elven extract of 10% was added in the culture broth.

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Classification of ECG arrhythmia using Discrete Cosine Transform, Discrete Wavelet Transform and Neural Network (DCT, DWT와 신경망을 이용한 심전도 부정맥 분류)

  • Yoon, Seok-Joo;Kim, Gwang-Jun;Jang, Chang-Soo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.7 no.4
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    • pp.727-732
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    • 2012
  • This paper presents an approach to classify normal and arrhythmia from the MIT-BIH Arrhythmia Database using Discrete Cosine Transform(DCT), Discrete Wavelet Transform(DWT) and neural network. In the first step, Discrete Cosine Transform is used to obtain the representative 15 coefficients for input features of neural network. In the second step, Discrete Wavelet Transform are used to extract maximum value, minimum value, mean value, variance, and standard deviation of detail coefficients. Neural network classifies normal and arrhythmia beats using 55 numbers of input features, and then the accuracy rate is 98.8%.

Aortic Valve Papillary Fibroelastoma - Report of 1 Case- (대동맥판막에 위치한 유두상 섬유탄력종)

  • Kim Jae Hyun;Oh Sam Sae;Lee Chang-Ha;Baek Man Jong;Kim Chong Whan;Na Chan-Young
    • Journal of Chest Surgery
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    • v.38 no.4 s.249
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    • pp.316-318
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    • 2005
  • Papillary fibroelastomas are benign, and they are the second most common primary cardiac tumors usually involving the cardiac valve. Papillary fibroelastoma attached to the free margin of right coronary cusp of the aortic vlave was found incidentally during the work-up of a 51-year-old woman, who was presented with palpitation and dyspnea. During the operation, the tumor mass was excised without leaving defect on the aortic valve leaflet.

Congenital Quadricuspid Semilunar Valve - A case report - (선천성 사엽성 반월형 판막 - 1예 보고 -)

  • Seo, Min-Bum;Seo, Hong-Joo
    • Journal of Chest Surgery
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    • v.42 no.3
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    • pp.361-363
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    • 2009
  • A 17-year-old male patient was referred with symptoms of dyspnea. Multi-detector computerized tomography (MDCT) and echocardiography evaluation revealed quadricuspid aortic and pulmonary valves, an atrial septal defect (ASD), and pulmonary stenosis. We closed the ASD using a bovine patch and performed a commissurotomy of the pulmonary valve. Quadricuspid semilunar valves are very rare congenital abnormalities that are reported to occur nine times more frequently in the pulmonic valve than in the aortic valve. According to the Hurwitz Roberts classification, the aortic valve was type A, and the pulmonic valve was type B. The aortic valve normal function, but the pulmonic valve was stenotic and had abnormal function.

A Case of Localized Subaortic Stenosis Associated with Aortic Regurgitation (대동맥판폐쇄부전을 동반한 국소성)

  • 김삼현;서필원
    • Journal of Chest Surgery
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    • v.29 no.7
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    • pp.780-784
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    • 1996
  • The localized form of subaortic stenosis shows a spectrum of pathological lesions varing from dis- crete membrane to a thickened flbromuscular collar. Aortic valve is commonly involved late in the pro- cess resulting in regurgitation. Because of the likelihood o the progressive obstruction and aortic regurgitation, early elective oper- ation should be considered for the patient with subaortic stenosis. We experienced a case of localized fibromuscular subaortic stenosis associated with aortic regurgi- tation. Excision of the fibromuscular ridge and septal myectomy-myotomy relieved the subaortic seen- osis. Regurgitant aortic valve was repaired by peeling away the Hbrotic tissue on the cusps and subcommissural annuloplasty at the each commissural area. On postoperative echocardiographic examination, the systolic pressure gradient between left ventricle and aorta decreased markedly and the aortic regurgitation was not detected at all.

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Assessment of Afterload by Doppler Aortic Flow Velocity Measurement (대동맥 혈류속도 측정에 의한 후부하 상태의 평가)

  • 손세정;한재진
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.111-117
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    • 2001
  • 배경: 심근 수축력과 더불어 전신저항은 개심술 후 적절한 심박출량을 유지하기 위한 매우 중요한 요인이다. 후부하의 변화를 비관혈적으로 평가할 수 있는지 알아 보고자 대동맥 혈류파형의 변화를 관찰하였다. 대상 및 방법: 개흉한 8마리의 잡견에서 연속파형 Doppler 심초음파를 이용하여 nitroprusside 단독 또는 epinephrine과의 병합투여 잔후로 상행 대동맥 혈류를 측정하였다. 결과: Nitroprusside의 투여로 동맥압과 전신저항은 약물의 투여량에 비례하여 감소함으로써(p<0.05 vs 기준치), 대동맥 혈류파형의 최고속도, 평균가속 및 분거리(속도시간적분$\times$심박동수)는 증가하였고, 가속시간은 짧아졌으며(p<0.05 vs 기준치), 가속시간/박출시간의 비는 변화가 없었다. Nitroprusside 투여로 인한 전신저항의 변화는 속도시간적분이나 Doppler 시간간격 지표보다는 최고속도(r=0.60, p=0.001)와 평균가속(r=0.52, p=0.003)과 상관관계가 있었다. Epinephrine과의 병합투여로 전신저항이 증가하지 않는 한 nitroprusside 단독투여에 비해서 최고속도, 평균가속 및 속도시간적분이 더 크게 증가했으나, 전신저항이 증가되면 이 Doppler 지표들은 감소하는 경향을 보였다. 결론: Doppler 심초음파를 이용하여 상행 대동맥 혈류파형의 최고속도와 평균가속을 연속적으로 측정함으로써 후부하의 변화를 비관혈적으로 평가할 수 있으리라 생각된다.

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Removal of heavy metal and Hydrogen sulfide/Nitrophenol using Mackban-stone (맥반석을 이용한 중금속과 악취물질/nitrophenol의 제거)

  • Quen, Zhe-Xue;Yin, Cheng-Ri;Jin, Yin-Shu;Seok, Mi-Soo;Lee, Sung-Taik
    • Journal of the Korea Organic Resources Recycling Association
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    • v.9 no.2
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    • pp.45-51
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    • 2001
  • Mackban-stone effectively removed heavy metals, such as Fe, Cu, Cd, and Zn, with best removal of Fe and Cu. And the removal of heavy merals related with ion exchange of Ca. Mackban-stone is also an efficient deodorant of hydrogen sulfide and ammonia and inhibited the growth of E coli. The degradation rare of 4-nitropheno1 by Nocardioides sp. PNP101 and 2,4-dinitrophenol by Strain CJ1 and Rhodococcus sp. DNP 505 are increased by Mackbane-srone.

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One-stage Replacement of the Total Thoracic Aorta (전 흉부 대동맥 동시 치환술 -1례 보고-)

  • 김관민;김성철;박표원
    • Journal of Chest Surgery
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    • v.32 no.6
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    • pp.595-598
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    • 1999
  • Some extensive thoracic aortic aneurysms are not amenable to staged repair, such as extremely large distal aortic aneurysms that are unsuitable for an elephant trunk anastomosis, or aneurysms that are accompanied by complications such as ruptured descending thoracic aneurysm. We report here a case of successful replacement of the aorta from the ascending to the descending aorta in one operation. The patient was 65-year-old man who had an aneurysm which involved the entire thoracic aorta and ruptured in the descending aorta. The operation was performed via transverse thoracosternotomy, and under the deep hypothermic circulatory arrest with retrograde cerebral perfusion. The patient recovered uneventfully and was discharged without any neurologic complications.

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