• Title/Summary/Keyword: 심기

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The Outcome of Cardiac Surgery in Low Birth Weight Infants (저체중 출생아의 심기형 수술의 성적)

  • 성시찬;김시호;이영석
    • Journal of Chest Surgery
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    • v.35 no.6
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    • pp.430-438
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    • 2002
  • It is known that low birth weight is a risk factor for poor outcome in cardiac surgery for many cardiac defects. We reviewed our recent surgical experiences on congenital heart defect (other than patent ductus arteriosus) in low birth weight babies. Material and Method: From September 1994 to February 2001, 31 consecutive infants weighing 2500 g or less underwent cardiac surgery with (OHS group n=12) or without cardiopulmonary bypass (CHS group n=19). A retrospective study was carried out to evaluate short-and intermediate-term outcome. Mean gestational age and age at operation were 36.9 weeks(range, 32.3-42weeks) and 32.1days (range, 0-87days) respectively. Mean body weight at birth and operation were 1972g (range, 1100-2500g) and 2105g (range, 1450-2500 g) respectively. There was no difference between the two groups in age and body weight. Defects included ventricular septal defect (VSD) (n=3), VSD with arch anomaly (n=2), total anomalous pulmonary venous return (n=2), transposition of the great arteries (TGA) (n=2), truncus arteriosus (n=2), and univentricular heart with cor triatriatum (n=1) in OHS group, and coarctation of aorta (n=7), tetralogy of Fallot (TOF) (n=3), TOF with pulmonary atresia (n=3), multiple muscular VSDs (n=1), double outlet right ventricle (n=1), pulmonary atresia with intact ventricular septum (n=2), tricuspid atresia (n=1), and TGA with multiple VSD (n=1) in CHS group. 13 patients (41.9%) were intubated pre-operatively. Result: There were 4 early deaths(<30 days); 1 (8.3%) in OHS group and 3 (15.8%) in non-OHS group. All these early deaths were related to the pulmonary artery banding(PAB). There was no operative mortality in infants undergoing complete repair and palliative operations other than PAB. Delayed sternal closure was required in 3 patients. Prolonged postoperative mechanical ventilation (>7 days) was required in 7 patients(58.3%) in OHS and 7(38.8%) in CHS group. Late mortality occurred in 3 patients, two of which were non-cardiac. A patient in OHS group was documented to have neurologic sequelae. All the survivors except two are in NYHA class 1. Conclusion: Complete repair and palliative operations other than PAB can be performed in low birth weight infants with low operative mortality and an acceptable intermediate-term result. However, about a half of the patients required long-term postoperative mechanical ventilation.

The Construction of 3D Spatial Imagery Information of Dam reservoir using LiDAR and Multi Beam Echo Sounder (LiDAR와 MBES를 이용한 댐 저수지 3차원 공간영상정보 구축)

  • Lee, Geun-Sang;Choi, Yun-Woong
    • Spatial Information Research
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    • v.18 no.3
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    • pp.1-11
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    • 2010
  • Recently, the construction of three dimensional spatial information of Dam reservoir area is very important part in Dam management work such as sediment survey, but it is difficult to acquire detailed terrain data because totalstation and single beam echo sounder are applied to terrain survey. This study presented method to construct detailed terrain data of Dam reservoir area using LiDAR and multi beam echo sounder. First, LiDAR survey was carried out in land zone and calibration process was applied by ground control point. And also the DEM of land zone was constructed by using algorithm, which eliminated building and vegetation class. As the result of validation of LiDAR DEM using GPS terrain survey, it was possible to construct three dimensional terrain data that was satisfied with the tolerance error of LiDAR, which was the standard error of LiDAR DEM showed as 0.108m. Also multi beam echo sounder was applied to the survey of water zone and it could construct spatial information that was satisfied with bathymetry surveying tolerance error of International Hydrographic Organization by validation with terrain survey data. And LiDAR and multi beam echo sounder data were integrated and it was possible to construct three dimensional spatial imagery information that can be applied to Dam management work such as the estimation of sediment amounts or the monitoring of terrain change by linking with high resolution orthophoto.

A Case of Multisystem Inflammatory Syndrome in Children (MIS-C) with Acute Myocarditis

  • Lim, Jin Gyu;Lee, Da Hye;Oh, Kyung Jin;Choi, Sujin;Song, Young Hwan;Lee, Joowon;Lee, Hyunju
    • Pediatric Infection and Vaccine
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    • v.28 no.3
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    • pp.173-180
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    • 2021
  • After initial reports of multisystem inflammatory syndrome in children (MIS-C) in April 2020 in Europe, this disease has been known to occur in children with recent history of coronavirus disease 2019 (COVID-19) and most cases have been reported in Europe and the Unites States of America. We report a case of a 14-year-old girl who was diagnosed with MIS-C with acute myocarditis and successfully treated with intravenous immunoglobulin (IVIG), methylprednisolone, and anakinra. At initial presentation, she had persistent high fever, generalized rash, generalized swelling, abdominal pain, and low blood pressure. She showed a remarkably elevated level of inflammation and cardiac enzyme markers and had a previous history of COVID-19 5 weeks before the initial presentation. After extensive work up, other infectious and non-infectious causes were excluded. She was diagnosed with MIS-C and initially treated with IVIG and high-dose methylprednisolone; however, despite treatment, her heart function deteriorated and coronary artery dilatation progressed. Therefore, anakinra, an interleukin-1 receptor antagonist, was administered on hospital day 6, after which her cardiac function exhibited improvement. She was discharged on hospital day 19 without any symptoms, and follow-up echocardiography after 1 month revealed fully recovered heart function with normal coronary arteries.

입자영상속도 측정기를 이용한 조영심초음파에 의한 심장 내 소용돌이 혈류 측정의 임상적 이용

  • Hong, Geu-Ru
    • Journal of the KSME
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    • v.50 no.8
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    • pp.36-40
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    • 2010
  • 심장 내의 와동은 심장 내에서 일어나는 모든 혈류의 흐름에 중요한 역할을 하며, 조영심초음파를 이용하여 이를 정량적으로 측정할 수 있는 방법이 최근에 개발 되었다. 심혈관 질환에 있어서 와동의 측정 및 분석은 기존의 영상 기법으로 설명하기 힘든 환자의 증상이나 혈류역학적 상태를 잘 설명해 줄 수 있을 것으로 기대되고, 심장 질환의 조기 진단 및 치료에 큰 도움을 줄 것으로 생각된다. 심장 내 와동 혈류 측정은 새로운 심혈관계 영상기법으로, 조기에 심기능을 평가할 수 있는 도구로서 매우 유용할 것으로 기대하며 기술적인 문제 등이 보완된다면 임상적인 적용이 점차 확대 될 수 있을 것이라 생각된다.

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농업기술 - 현대인의 스트레스 해소 명약, 쥐오줌풀 재배방법

  • An, Yeong-Seop
    • 농업기술회보
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    • v.50 no.3
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    • pp.26-27
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    • 2013
  • 약용식물 중에는 뿌리에서 쥐 오줌 냄새와 비슷한 특이한 향이 있어 붙여진 이름의 '쥐오줌풀(Valeriana fauriei Briquet, 한약재명 길초근)'이라는 식물이 있다. 천연 신경안정제로 효능이 매우 다양하게 밝혀져 있어 유럽, 미국, 호주 등 전세계적으로 차, 음료, 정제, 분말캡슐, 액상류 등 건강식품 원료로 널리 이용한다. 농촌진흥청에서는 2010년부터 2012년까지 3년 동안 '쥐오줌풀'의 대량번식방법과 직파 또는 육묘이식방법, 심기 적당한 간격과 비료랑, 재배적지 등의 재배기술을 개발하여 농가에서 대량생산할 수 있도록 하였다.

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CANDU용 핵연료 다발의 End Region이 노물리 특성에 미치는 영향 분석

  • 민병주;심기섭;석호천;김봉기
    • Proceedings of the Korean Nuclear Society Conference
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    • 1997.05a
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    • pp.71-76
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    • 1997
  • CANDU 원자로용 핵연료 다발의 양 끝에 있는 endcap과 endplate가 원자로의 노물리 특성에 미치는 영향이 MCNP와 WIMS-AECL 계산코드로 계산되었다. 이 계산에 의하면 end region을 고려한 경우의 차이가 0.15% 이내로 거의 무시할 수 있다. 그러므로 end region을 고려할 수 없는 격자코드로 계산을 수행해도 노물리 특성에 미치는 영향이 거의 무시될 수 있으므로 CANDU 원자로의 격자 특성 계산에 사용될 수 있음이 증명되었다.

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Surgical Treatment of Ebstein`s Anomaly Report of a case (Ebstein 심기형의 개심술 1례)

  • Park, Guk-Yang;Lee, Jeong-Ho;Yu, Hoe-Seong
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.436-439
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    • 1985
  • A patient of Ebstein`s anomaly underwent surgical repair on Oct. 24th, 1984. Tricuspid valve was replaced by 31mm St. Jude mechanical valve without plication of atrialized right ventricle. The annulus has been placed below the coronary sinus, with care not to damage the conduction system. But postoperatively complete heart block developed. Permanent pacemaker was implanted on his 12th POD. Now he has been followed up for 9 months. There was no hemodynamic problems yet.

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형질전환체의 xylanase유전자의 유전해석과 효소학적 성질

  • 성낙계;심기환;장덕화;전효곤
    • Proceedings of the Korean Society for Applied Microbiology Conference
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    • 1986.12a
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    • pp.519.2-519
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    • 1986
  • 고온 호알카리성 Bacillus K-17의 xylanase유전자의 구조해명과 대량 생산 균주를 개발하기 위채 Bacillus K-17의 염색체를 pER 322를 사용하여 E. coli에 형질전환시켜 xylanase 활성을 나타내는 형질전환체를 얻었다. 이 형질전환체에서 hybrid plasmid를 분리하여 제한효소로 mapping하였고 이 유전자가 Bacillus K-17유래인가를 hybridization에 의해 확인하였다. Recombinant plasmid pAX 1113은 5.1kb HindIII 절편을 가졌으며 BgIII site가 두곳, ECoRI과 pst site가 한곳이었으며 효소를 정제한 결과 Bacillus K-17이 생산하는 두 가지 xylanase중에서 xylanase I과 동일하였다.

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CANFLEX-NU 핵연료봉 봉단마개 부위에서의 열.기계적 거동 해석

  • 심기섭;박광석;정창준;석호천
    • Proceedings of the Korean Nuclear Society Conference
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    • 1996.05c
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    • pp.65-70
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    • 1996
  • 중수로용 핵연료봉의 봉단마개 부위는 열.기계적 작용에 의해 핵연료봉 파손이 쉽게 발생할 수 있는 취약 부위로 알려져 있다. 따라서, 핵연료봉 설계시 봉단마개 부위의 열.기계적 거동을 해석하고, 이 결과를 설계에 반영하여 파손 가능성이 없음을 확인하여야 한다. 여기에서는 중수로용 개량 핵연료인 CANFLEX-NU 핵연료봉 봉단마개에서의 열.기계적 거동을 해석하였는데, 이 결과 CANFLEX-NU 핵연료봉은 출력이 매우 낮아서 열중성자속 집중을 고려하더라도 봉단마개 부위 건전성을 충분히 유지하는 것으로 나타났다.

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