• Journal of Chest Surgery
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• v.43 no.3
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• pp.304-307
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• 2010

A 5-day-old neonate (body weight=2.4 kg) with coarctation of the aorta and critical aortic stenosis underwent an interventional balloon valvuloplasty for aortic stenosis. During the intervention, cardiac arrest occurred due to injury of the right carotid artery by the guide wire. An extracorporeal membrane oxygenator (ECMO) was applied. After 1 day's support, total surgical correction was achieved; however, in the immediate postoperative period, cardiac function was severely depressed. We applied a bi-ventricular assist device (bi-VAD) instead of an ECMO and we were able to wean the patient off the bi-VAD device after 3 days' support. The patient was discharged without severe complications.

• Journal of Yeungnam Medical Science
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• v.34 no.2
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• pp.238-241
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• 2017

Background: We investigated the difference in right ventricle (RV) volume and ejection fraction (EF) according to the pulmonary valve (PV) annular extension technique during Tetralogy of Fallot (TOF) total correction. Methods: We divided patients who underwent the procedure from 1993 to 2003 into two groups according to PV extension technique (group I: PV annular extension, group II: no PV annular extension) during TOF total correction. We then analyzed the three segmental (RV inlet, trabecular and outlet) and whole RV volume and EF by cardiac magnetic resonance imaging (MRI). Results: Fourteen patients were included in this study (group I: 10 patients, group II: four patients; male: nine patients, female: five patients). Cardiac MRI was conducted after a 16.1 years TOF total correction follow-up period. There was no statistical difference in RV segmental volume index or EF between groups (all p>0.05). Moreover, the total RV volume index and EF did not differ significantly between groups (all p>0.05). Conclusion: The RV volume and EF of the PV annular extension group did not differ from that of the PV annular extension group. Thus, PV annular preservation technique did not show the surgical advantage compared to PV annular extension technique in this study.

• Clinics in Shoulder and Elbow
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• v.1 no.2
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• pp.175-179
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• 1998

The acromioclavicular joint is commonly affected by traumatic and degenerative conditions. Most injuries are due to direct trauma, such as a fall on the shoulder. Although there is general agreement on treatment of type I, Ⅱ, Ⅳ, V and VI acromioclavicular injuries, the treatment of type Ⅲ injuries remains controversial. Sixty patients, ranging in age from 19 to 57 years(average, 32), were evaluated an average of 57.5 (range, 13 to 96) months after surgical reconstruction for Rockwood type Ⅲ Ⅳ, V acromioclavicular dislocation. Phemister method (47 cases), Bosworth (3 cases), Weaver and Dunn method (10 cases) were used to correct displacement. An increase of the coracoclavicular distance of the injured shoulder over the normal shoulder was average 7.1㎜ at initial, average l㎜ on postoperatively, and average 2㎜ at follow-up. Overall, 54 of 60(90%) patients achieved satisfactory results. Degree of increase of the coracoclavicular distance has no inliluence to clinical results.

• Journal of Chest Surgery
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• v.25 no.1
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• pp.32-41
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• 1992

From August 1982 to December 1991, 58 consecutive infants with tetralogy of Fallot underwent primary repair. Age ranged from 22 days to twelve months [n=58, 8.7$\pm$2.7 months] and body weight from 3.1 to 13 kilograms [n=58, 7.8$\pm$1.7 kilograms]. Qne infant had absence of the pulmonary valve; one had Ebstein`s anomaly and one had supramitral ring. Thirty-two patients [56%] experienced anoxic spell. Preoperative pulmonary artery indices were measured in 38 cases, ranging 126-552mm2/M2BSA[n=38, 251$\pm$79mm2/M2BSA]. All infants required a right ventricular outflow tract patch; in 41, the patch extended across the pulmonary valve annulus, in 13 of them, monocusps were constructed. All had patch closure of ventricular septal defect. Two infants had REV operation for avoiding injury to the canal branch of the right coronary artery which cross the right ventricular out flow tract. Post repair PRV/LV were measured at operating room in 40 cases, which revealed mean value of 0.49$\pm$0.12 [range: 0.25-0.74]. The hospital mortality was 10.3% [6 patients], and causes of deaths were right heart failure due to sustained right ventricular hypertension[4] and right ventricular outflow tract obstruction, intractablesuraventricular tachyarrhythmia[1], hypoxia[1] due to residual right to left shunt across the atrial septal defect in patient associated with Ebstein`s anomaly. All infants were doing well at follow-up from 1 to 101 months[20.6 months /patient, 1, 072 patient-month] Serial postoperative echocardiograms revealed no residual ventricular septal defects and estimated RVOT gradients between 0 and 40 mmHg except 3 cases [50, 50, 60 mmHg]. There were no late deaths and late ventricular arrhythmias or congestive heart failure. Redo operations were done in 2 cases because of residual right ventricular outflow tract obstruction. This experience with infants with tetralogy of Fallot suggests that, if mortality is tolerable, eletive repair of tetralogy of Fallot could be reasonably undertaken during the first year of life, and even better results could be anticipated along with improvement of methods of myocardial protection and postoperative care.

• Korean Journal of Social Welfare
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• v.64 no.4
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• pp.337-357
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• 2012

This study explores a changing social expenditure structure of welfare states on new social risks, using logistic regression analysis with Panel Corrected Standard Errors Model on panel data of 1997-2007 years from 27 OECD nations. The result of this study presents that social expenditure structures have been adjusted with new social risk structure due to trade openness, female employment rates, and child population rates. Greater trade openness, higher women's employment rates, and lower child population rates are, more social investment expenditures are than income security expenditures. Rates of employment in service industries and elderly population rates are not statistically significant on the change of social expenditure structure. This result does not imply a complete switch from demand-based to supply-based social policy, but somewhat reflects transitions of a social welfare system for changing economic and social environments in order to sustain welfare state economically.

• Journal of Digital Convergence
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• v.10 no.11
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• pp.485-491
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• 2012

To investigate the difference in the value of horizontal heterophoria measured in phoria test of about normal 72 college students, using both Von Graefe test and Maddox rod test. We used two different methods which are Von Graefe test and Maddox rod test on full correction condition at the long distance. Using Von Graefe test of horizontal heterophoria Measurement, We measured 21 patients(29%) for orthophoria, 36 patients(50%) for exophoria and 15 patients(21%) for esophoria at distance. Using Maddox rod test of horizontal heterophoria Measurement, We measured 36 patients(50%) for orthophoria, 26 patients(36%) for exophoria and 10 patients(14%) for esophoria at distance. Each test average were $0.93{\Delta}$ BI for Von Graefe test, $0.96{\Delta}$ BI for Maddox rod test. We could not find the definite difference about the value of horizontal heterophoria aby testing method. Furthermore, heterphoria AC/A ratio was found to vary from 1.0 to 8.8 and its relationship to refractive error could not be determined.

• Journal of Korean Ophthalmic Optics Society
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• v.11 no.2
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• pp.151-157
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• 2006

We researched distant & near horizontal heterophoria of myope using von graefe method on full correction condition for young people 49 subjects(98eyes) with myopia after testing the objective refraction. Among the whole subjects, we got the results as Orthophoria 51.00%, Exophoria 38.75%, Esophoria 10.25% and Heterophoria 49.00% at a long distant. At a short distant, they showed Orthophoria 22.45%, Exophoria 67.35, Esophoria 10.20%, and Heterophoria 77.55%, Orthophoria 22.45. At a long distant they showed Orthophoria 4.08%, Exophoria 8.16%, Esophoria 0% on high myopia, Orthophoria 18.37%, Exophoria 12.25%, Esophoria 0% on middle myopia and Orthophoria 28.57%, Exophoria 18.37%, Esophoria 10.20% on low myopia.

• The Journal of the Korean dental association
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• v.53 no.7
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• pp.468-475
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• 2015

In cleft lip and palate (CLP) patients, there are various degree of residual maxillofacial deformities in adolescent period. Usually, orthoganthic surgery for the cleft patients needs Le Fort I osteotomy and/or mandibular set-back surgery. Previous report from other institute had been shown that there is significant relapse after maxillary movement after Le Fort I osteotomy when the surgical advancement of the maxilla was over than 5 or 7mm in average. Recent comphrehensive report showed that most of the relapse was happened within 1 year and the total horizontal relapse of the maxilla was as high as 30% in average. Therefore, overcorrection is needed in maxillary surgery for cleft patients. Another concerns for cleft orthognathic surgery is the anatomical variation in pterygomaxillary region in cleft patients compared to control patients. Patients with CLP had larger and thicker pterygomaxillary dimensions, and the results imply that careful attention to pterygomaxillary anatomy is needed in patients with CLP undergoing Le Fort I surgery. This article reviews the pre and postoperative considering factors for orthognathic surgery for CLP patients.

• Journal of Chest Surgery
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• v.18 no.4
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• pp.623-634
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• 1985

One of the most widely recognized problems in patients with TGA [transposition of the great arteries] after the Senning operation is the occurrence of arrhythmias. From June 1982 through October 1984, 22 patients, 11 with "simple" and 11 with "complex" TGA, underwent correction of TGA by a modification of the Senning operation designed to avoid dysrhythmias. 16 were males and 6 females, with ages ranging from 3 months to 27 months. [mean age 10.8 months] 7 patients [31.8%], 1 with simple TCA and 6 with complex TGA, died in the early post-operative period. The operative mortality was 9.1% in "simple" TGA, and 54.9% in "complex" TGA. There were 4 late deaths but only one of these patients died of a dysrhythmia as a possible factor. The standard ECG [Electrocardiography] checked preoperatively showed sinus rhythm in 17 [77.3%], 1 AV block in 5 [22.7%]. In 22 patients studied postoperative 1st day, the incidence of arrhythmias was 63.6%, with significant incidence compared with preoperative study. [P<0.05]. But, in 15 patients studied postoperatively at intervals from 1 month to 26 months, the incidence of arrhythmias was 26.7%, with no significant incidence compared with preoperative study [P>0.1]. Our results indicate that a modified Senning operation may reduce the frequency of surgically induced arrhythmias. The mean frontal plane P-wave axis also revealed significant deviation to the right side [P<0.05], compared with preoperative study. These findings raise the possibility that what has been called sinus rhythm postoperatively may have a different origin and conduction sequence from normal. But the rhythm seems to be functionally similar.rhythm seems to be functionally similar.

• Journal of the Daesoon Academy of Sciences
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• v.22
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• pp.133-275
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• 2014

『옥추보경』(玉樞寶經)은 송대의 유명한 도교 경전으로 정식 명칭은 『구천응원뇌성보화천존설옥추보경』(九天應元雷聲普化天尊說玉樞寶經)이다. 송·원시대 이후 『옥추보경』은 중국 각 지역에 광범위하게 전해지면서 많은 영향을 끼쳤으며, 명나라의 세종(世宗)과 신종(神宗)은 『옥추보경』을 새로 간행하여 직접 서문을 쓰고 동시에 매우 숭앙하였다. 『옥추보경』의 집주본이 조선에 전해진 시기는 대략 명대 시기로 보고 있으며, 조선시대에 전해졌던 『옥추보경』 집주본은 융경(隆慶) 4년(1570)에 전라도 무등산(無等山) 안심사(安心寺)에서 최초로 발간되었다. 그러나 당시 안심사 판본은 첫 페이지와 경문 중의 또 다른 페이지가 없는 불완전한 판본이었다. 옹정(擁正) 11년(1733)에 송몽삼(宋夢三), 서두추(徐斗樞) 등의 제안에 따라 영변(寧邊) 묘향산(妙香山) 보현사(普賢寺)에서 『옥추보경』을 새로 간행하게 되었다. 하지만 이 또한 불완전한 판본이었으며, 병진년(1736)에 잃어버린 두 페이지를 우연히 찾게 되면서 완전한 판본을 이루게 되었다. 이후 광서(光緖) 무자년(1888)에 김흡(金潝)이 『옥추보경』을 새로 교정하였고, 계룡산(鷄龍山)에서 이를 다시 간행하였다. 명대의 『도장』에 수록된 『옥추보경』 집주본에는 신장도(神將圖)가 포함되어 있지 않았다. 하지만 조선시대 세 종류의 판본은 모두 신장도(神將圖)가 포함되어 있다. 이 외에도 조선시대 간행본과 비슷한 판본으로 영국의 대영도서관 소장본과 일본 천리대학(天理大學) 도서관의 소장본 및 중국 국가 도서관 고적관의 소장본이 있다. 그런데 안심사 판본은 41명, 보현사 판본은 47명, 계룡산 판본은 48명의 신장도가 포함되어 있으며, 대영도서관은 45명, 중국 국가 도서관은 45명 등으로 차이가 있다. 이러한 판본들에 수록된 신상의 수가 다른 이유는 아직 명확하지 않다. 이에 본문에서 필자는 먼저 계룡산 판본 『옥추보경』에 근거하여 48신장의 내력에 대한 초보적인 고찰을 진행하였다. 언어상의 문제로 『옥추보경』과 관련된 한국의 연구 성과를 반영하지는 못했지만, 『옥추보경』의 48장과 대순진리회의 『전경』에 등장하는 48장이 어떠한 연관이 있는지를 조명하는 데 유의미한 기초 작업이 될 것으로 전망한다. 이를 토대로 나아가 대순진리회의 48신상도와 『옥추보경』의 판본간의 형태적 특징에 주목하여 면밀한 상호 분석을 시도함으로써 대순진리회의 신앙체계와 『옥추보경』의 관련성을 규명하는 데 일조할 수 있기를 기대한다.