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A Study of Changes of Pulmonary Artery Size after Bidirectional Cavopulmonary Shunt (양방향성 상대정맥-폐동맥 단락술 후의 폐동맥 크기 변화에 관한 연구)

  • 지현근;이정렬
    • Journal of Chest Surgery
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    • v.29 no.5
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    • pp.495-503
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    • 1996
  • The bidirectional cavopulmonary shunt may be useful as an intermediate procedure before Fontal oper- ation in high-risk patients, because it provides adequate relief of cyanosis and relief of ventricular volume overload. But there are no established theory about the effects of bidirectional cavopulmonary shunt on pulmonary arterial development. The purpose of this article is a study of changes of pulmonary artery size after bidirectional cavopulmonary shunt. Ca diac catheterization and angiography procedures were done on 19 patients who underwent bidirectional cavopulmonary shunt from February 1992 to July 1994, their results were reviewed. Preoperative cardiac catheterization and angiography procedures were performed at a mean interval of ).8 $\pm$4.8($\pm$SEM) months before surgery and following catheterization at a mean postoperative interval of 19.6 $\pm$4.8 months. Pulmonary arterial sixte measurement were standardized for body surface area(Pulmon- arty artery index), and for diameter of descending thoracic aorta(McGoon ratio). Patient's age, body stir- face area, pulmonary angioplasty, preoperative McGoon ratio and follow-up intervals were considered as variables. Before bidirectional cavopulmonary shunt, patient's mean age, body surface area, arterial 02 saturation, diameter of right pulmonary artery, diameter of left pulmonary artery, pulmonary artery Index, McGoon ratio were 13.7$\pm$15.6 months, 0.40$\pm$0.12m2, 71.4$\pm$12.4m2, 7.1$\pm$1.7mm, 6.2$\pm$1 , 191.8$\pm$82.7mm21m2, 1.73 $\pm$0.49, respectively. After bidirectional cavopulmonary shunt, the values were changed to 39.9 $\pm$ 16.2 months, 0.58$\pm$0.07 m2, 83.0$\pm$3.8m2, 9.0$\pm$ 1.5 mm, 7.7$\pm$2.0, 197.3$\pm$57.1 mm2/m2, 1.76$\pm$0.32, respect- ively With patients'development (age, body surf'ace area), diameters of pulmonary arteries were increased, but pulmonary artery indices and McGoon ratios were not changed. And there were no effects of age, body surf'ace area, amount of increased 02 saturation, pulmonary angiography and follow-up duration on the increment of pulmonary ar- tery size. But when the McGoon ratio was as low as 1.2, there were significant increase in postoperative pulmonary artery sizes. There was a significant correlation between preoperative pulmonary artery index (PAI) and McGoon ratio (MGR) ; PAI : MGRxl18.0-12.4 In conclusion, bidirectional cavopulmonary shunt provides adequate increment of arterial 02 saturation and does not increase the pulmonary artery size. Further investi ation is mandatory to evaluate the effect of pulsatile bidirectional cavopulmonary shunt on pulmonary artery growth.

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A study on Palpation of the back-shu points (배유혈(背兪穴) 안진(按診)에 관(關)한 고찰(考察))

  • Hong, Mun-Yeup;Park, Won-Hwan
    • The Journal of Dong Guk Oriental Medicine
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    • v.8 no.2
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    • pp.155-173
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    • 2000
  • The diagnosis in Oriental medicine is done by inspection, auscultation and olfaction, interrogation, four diagnostics of pulse feeling and palpation, and various system of identification like identification according to Qi(vital energy), Xue and body fluids, identification according to fair principles, identification according to principles of Wei, Qi, Ying and Xue, identification according to Sanjiao(the triple heater), identification according to four type physical constitution. Sometimes, symptoms and diagnosis techniques according to symptoms is selectively applied for the diagnosis. Among them the pulse feeling and palpation diagnosis technique using the sense of finger and palm of the hand is divided into feeling of pulse and palpation and pressing maneuver. Pressing maneuver is a diagnosis technique pressing and rubbing the affected part in order to attain data of identification including inside and outside condition of the body with regard to the nature, condition and relative seriousness of disease. There are palpation of the skin, palpation the hand and foot, palpation the chest and the abdomen, palpation shu points in pressing maneuver. The diagnosis of the Back Shu points is a technique to examine the change of disease condition from pressure ache, spontaneous ache, tension, relaxation, solidification revealed through channels and collaterals. I investigates starting disease and an attack of disease of twelve pulse and pulse condition through the study relative to the substance and technique of pressing maneuver, and adjusts diagnosis techniques of a region for acupuncture and matters to be attended. The conclusions are as follows. 1. The Shu or stream points in which pathogenic factors go are important to medical treatment of dormant diseases like bowels disease, cold symptom complex and insufficiency symptom complex. 2. Disease classified by system is diagnosed by the condition of process part like pro-trusion, cave-in, tension, relaxation, pressure ache through palpating the Shu or stream points, that is pressing upward or downward left and right sides of the backbone process by hands. 3. In real clinic pressing maneuver of one's back side is very important to patient's diagnosis treatment. Thus, pressing maneuver of one's back side have to be done without omission. 4. Diagnosis must be accomplished through the perception about the diversity of diagnosis technique of bowels disease, the exact knowledge about pressing maneuver of one's back side for enlargement of treatment range and rising of treatment rate, and pressing maneuver of the Shu or the stream points.

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Evaluation of a colloid gel(Slime) as a body compensator for radiotherapy (Colloid gel(Slime)의 방사선 치료 시 표면 보상체로서의 유용성 평가)

  • Lee, Hun Hee;Kim, Chan Kyu;Song, Kwan Soo;Bang, Mun Kyun;Kang, Dong Yun;Sin, Dong Ho;Lee, Du Heon
    • The Journal of Korean Society for Radiation Therapy
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    • v.30 no.1_2
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    • pp.191-199
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    • 2018
  • Purpose : In this study, we evaluated the usefulness of colloid gel(slime) as a compensator for irregular patient surfaces in radiation therapy. Materials and Methods : For this study, colloid gel suitable for treatment was made and four experiments were conducted to evaluate the applicability of radiation therapy. Trilogy(Varian) and CT(SOMATOM, Siemens) were used as treatment equipment and CT equipment. First, the homogeneity according to the composition of colloid gel was measured using EBT3 Film(RIT). Second, the Hounsfield Unit(HU) value of colloid gel was measured and confirmed by CRIS phantom, Eclipse RTP(Eclipse 13.1, Varian) and CT. Third, to measure the deformation and degeneration of colloid gel during the treatment period, it was measured 3 times daily for 2 weeks using an ion chamber(PTW-30013, PTW). The fourth experiment was compared the treatment plan and measured dose distributions using bolus, rice, colloid gel and additional, dose profiles in an environment similar to actual treatment using our own acrylic phantom. Result : First experiment, density of the colloid gel cases 1, 2 and 3 was $1.02g/cm^3$, $0.99g/cm^3$ and $0.96g/cm^3$. When the homogeneity was measured at 6 MV and 9 MeV, case 1 was more homogeneous than the other cases, as 1.55 and 1.98. In the second experiment, the HU values of case 1, 2, 3 were 15 and when the treatment plan was compared with the measured doses, the difference was within 1 % at all 9, 12 MeV and a difference of -1.53 % and -1.56 % within the whole 2 % at 6 MV. In the third experiment, the dose change of colloid gel was measured to be about 1 % for 2 weeks. In the fourth experiment, the dose difference between the treatment plan and EBT3 film was similar for both colloid gel and bolus, rice at 6 MV. But colloid gel showed less dose difference than bolus and rice at 9 MeV. Also, dose profile of colloid gel showed a more uniform dose distribution than the bolus and rice. Conclusion : In this study, the density of colloid gel prepared for radiation therapy was $1.02g/cm^3$ similar to the density of water, and alteration or deformation was not observed during the radiotherapy process. Although we pay attention to the density when manufacturing colloid gel, it is sufficient in that it can deliver the dose uniformly through the compensation of the patient's body surface more than the bolus and rice, and can be manufactured at low cost. Further studies and studies for clinical applications are expected to be applicable to radiation therapy.

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Effect of Wear Training on Temperature Adaptability of the Obese Children (비만아동의 온도적응성에 대한 착의훈련 효과)

  • Jeong, Woon-Seon
    • Journal of the Korean Society of Clothing and Textiles
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    • v.30 no.3 s.151
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    • pp.407-411
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    • 2006
  • This study was carried out to investigate the physiological responses of obese children after a short-term wear training and education. A ten-week program was conducted on thirteen obese elementary school children of six boys and seven girls in the 4th to the 6th grade. During the program, the children were instructed to measure daily ambient temperature and weight of their clothing. Physiological responses of the sedentary children in 100$\%$ cotton short sleeved t-shirt (0.13clo) and T/C short pants(0.09clo) were observed in the climatic chamber of 23.0$\pm$0.5$^{circ}C$ and 50$\pm$5$\%$RH before and after program. During the experiment, internal ear temperature ($T_{ear}$), seven site skin temperatures, systolic blood pressure, diastolic blood pressure, heart rate, and subjective responses of thermal comfort and thermal sensation were measured every 5minutes. Mean skin temperature($T_{sk}$) and mean arterial pressure(MAP) were calculated. Obtained data are statistically analyzed and main results are as follows. There was highly significant correlation between the ambient temperature and the total clothing weight. $T_{ear}$ and MAP were reduced in the post-program compared to the pre-program. The obese girls felt slightly warmer than the obese boys and the girls were likely to prefer lower ambient temperature in the post-program than the pre-program. It was concluded that the 10 week wear training is apt to be more applicable to the obese girls than the obese boys. However, a more comprehensive study including. diverse measurements of deep body temperature with a long-term training would be needed to clarify the improvement of temperature adaptability in the obese children.

Identification of larval Gnathostomn obtained from imported Chinese loaches (중국산 수입 미꾸리로부터 획득한 악구충 제3기 유충의 종 동정)

  • 손운목;이순형
    • Parasites, Hosts and Diseases
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    • v.34 no.3
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    • pp.161-168
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    • 1996
  • We observed the morphological characteristics and identified the species of gnathostome larvae obtained from the imported Chinese loaches. The early third-stage larvae ($EL_3$) were collected from viscera of the loaches and a part of them were infected to mice. The advanced third-stage larvae ($AdL_3$) were recovered from the mice at 4 weeks post-infection. both larval worms were fixed loth 10% formalin, cleared in alcohol-glycerin solution, mounted with glycerin-jelly, and observed. A total of 369 $EL_3$ were collected from viscera of 9,493 Chinese loaches. The whole body of $EL_3$ was covered with about 190 transverse rows of minute cuticular spines and $0.624{\;}{\times}{\;}0.101{\;}mm$ in average size. A pair of lips were protruded at the anterior end, and the muscular esophagus and brownish intestine were followed. The characteristic head bulb was provided with 4 rows of hooklets. The average number of hooklets in the respective row was 36.7, 39.5, 41.6 and 44.3 posteriorly $AdL_3$ was $2.660{\;}{\times}{\;}0.346{\;}mm$ in average size, and retained the esophagus (about 0.755 mm length) and cervical sac (about 0.355 mm length). The average number of hooklets in the respective row on the head bulb was 39.0, 41.9, 43.9 and 45.6, posteriorly. On the basis of the morphological characteristics, they were identified as the third-stage larvae of Gnathostomc hispinun.

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A Comparative Study of the Effects between Mountain-burning Fire Method and Heaven-penetrating Cooling Method at $Zusanli$($ST_{36}$) on Thermographic Change (족삼리(足三里)($ST_{36}$)혈(穴) 자침(刺鍼) 후 시행한 소산화법(燒山火法)과 투천량법(透天凉法)이 체표온도 변화에 미치는 영향 비교)

  • Im, Jeong-Gyun;Lee, Hyung-Geol;Jung, Da-Jung;Yook, Tae-Han;Kim, Jong-Uk
    • Journal of Acupuncture Research
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    • v.29 no.2
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    • pp.1-8
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    • 2012
  • Objectives : This study was performed to compare the effects between Mountain-burning fire method and Heaven-penetrating cooling method on thermographic change. Materials and Methods : The experiment was conducted to 20 students of College of Oriental Medicine, Woosuk University from July 12, 2011 to July 26, 2011. Acupuncture stimulation was applied at left $Zusanli$($ST_{36}$) with Mountain-burning fire method in A group(n=10) and Heaven-penetrating cooling method in B group (n=10). To estimate thermographic change, temperature of left $Zusanli$($ST_{36}$), $Shuigou$($GV_{26}$), $Zhongwan$($CV_{12}$) were measured by DITI(digital infrared thermographic image) before acupuncture stimulation and 30sec, 10min after needle removal. Results : In A group, the temperature of left $Zusanli$($ST_{36}$), $Shuigou$($GV_{26}$), $Zhongwan$($CV_{12}$) were decreased at 30sec after needle removal, statistically. And the temperature of $Zusanli$($ST_{36}$), $Zhongwan$($CV_{12}$) were decreased at 10min after needle removal, statistically. In B group, the temperature of $Zusanli$($ST_{36}$), $Zhongwan$($CV_{12}$) were decreased at 10min after needle removal, statistically. But, there was no significant difference between two groups on thermographic change, statistically Conclusions : Acupuncture stimulation applied at left $Zusanli$($ST_{36}$) with Mountain-burning fire method has more widespread effects than Heaven-penetrating cooling method. But further studies will be needed such as thermographic change with no stimulation and with more subjects.

The Clinical Study on the Thermal Changes and Side Effects after Bee Venom Acupuncture Therapy (봉약침(蜂藥鍼) 시술후(施術後) 체표온도(體表溫度) 변화(變化) 및 신체반응(身體反應)에 관(關)한 연구(硏究))

  • Kim, Kyong-Heon;Shin, Min-Seop;Yook, Tae-Han
    • Journal of Pharmacopuncture
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    • v.4 no.3
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    • pp.7-14
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    • 2001
  • Objective: This study was done to observe the effects on the thermal changes and side effects of Bee Venom acupuncture. The objectives are as follows; If there are remarkable local thermal changes between pre and post Bee Venom acupuncture therapy on D.I.T.I. or not. If there are those, we examine how long it' s changes are maintained, what is the adequate interval on Bee Venom acupuncture therapy, and what the reactions in a local or whole body are on that therapy. Methods: To study the local thermal changes in Bee Venom acupuncture therapy, D.I.T.I. was used. Determination of this analysis periods are pre and post-therapy(5 minutes, 1 hour, 1day,2days, 3days, 5days and 7days later). The study group was divided into two groups. One was BV group(N=19), another was NS(Normal Saline) group. The Bee Venom acupuncture was injected by 0.2ml divided into 0.05ml at the Fengmen(風門:12), Feishu(肺兪:B13), Fufen(附分:B41), Pohu(魄戶: B42) 4 points. Then, in order to analyze the clinical form, we have observed responses of 23 students whenever we checked the thermal changes of their after performing. Results: The following results were obtained. 1. In BV group, there was a significant dermatothermal difference between pre and post therapy. That difference was most remarkable in post-therapy 1 hour to lday, and was not remarkable in post-therapy 5-7days later. 2. There was no significant dermatothermal changes at NS group, but BV group had remarkable changes between operated and non operated area in post-therapy 1hour, 1day, 2days. But there was none 7 days later. 3. Among the physical reactions after Bee Venom acupuncture therapy, operated-area pain, itching, pain on moving and fatigue sign most appeared until post-therapy 3days. Itching and fatigue sign appeared until post-therapy 7days. 4. In comparison the dermatothermal changes with the physical reactions, the decrease of { CT = (Rt Temperature -Lt. Temperature) / Rt. $Temperature{\times}100$} and the disappearance of physical reactions were about the same.

The Predicted Normal Value of Volume of Isoflow on Smokers and Nonsmokers (흡연자와 비흡연자에서 등기류용량(Volume of Isoflow)의 추정정상치에 관한 연구)

  • Park, Jung-Gook;Jung, Tae-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.2
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    • pp.141-149
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    • 1992
  • In order to establish predicted normal values of volume of isoflow($V_{iso}\dot{V}$), $V_{iso}\dot{V}$ were measured in a total 234 healthy adults, consisting of 78 male nonsmokers, 108 male smokers and 48 female nonsmokers. The volumes of isoflow were determined through analysis of maximal expiratory flow volume curves recorded with a mixture of 80% helium and 20% oxygen(He-$O_2$ gas) following one(1VC) and three vital capacity(3VC) maneuver and with room air. Based upon the correlation of the observed values of the parameters to age and physical characteristics, the following regression formulars for the prediction of the parameters, using age in year(A) as a variable, were obtained. 1VC method ($V_{iso}\dot{V}_1$) Male smoker : 0.614A+2.347 Male nonsmoker : 0.370A-2.792 Female nonsmoker : 0.588A-2.459 3VC method ($V_{iso}\dot{V}_3$) Male smoker : 0.467A+1.696 Male nonsmoker : 0.288A-1.538 Female nonsmoker : 0.367A-0.114.

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Surface Flattening criterion of Female's Upper Front Shell Using Grid Method (Grid method에 의한 성인 여성 3차원 형상의 상반신 앞판에 대한 평면전개 기준 연구)

  • Choi, Young-Lim;Nam, Yun-Ja;Choi, Kueng-Mi;Cui, Ming-Hai;Han, Sul-Ah
    • Journal of the Korean Society of Clothing and Textiles
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    • v.32 no.12
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    • pp.1825-1836
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    • 2008
  • Many applications in computer graphics require complex and highly detailed models. However it is often desirable to use approximations in place of excessively detailed models in order to control the processing time. Thus, we aim to develop a notion of optimal matrix to simplify surface which can rapidly obtain the high quality 2D patterns flattening 3D surface as follows. Firstly, two 3D bodies are modeled based on existing Size Korea data. Secondly, each model is divided by shell and block for its pattern draft. Thirdly, each block is flattened by grid and bridge method. Finally, we selected the optimal matrix and demonstrated the efficiency and quality of the proposed method. This proposed approach accommodates surfaces with darts, which are commonly used in the clothing industry to reduce the deformation of surface forming and flattening. The resulting optimal matrix could be an initiation of standardization for pattern flattening. It is expected that this method could facilitate much better approximation in both efficiency and precision.

Study on distribution and extermination of scuticociliatids parasitizing to japanese flounder, Paralichthys olivaceus in southern Korea (남해 양식산 넙치(Paralichthys olivaceus) 치어에 기생한 스쿠티카 섬모충(scuticociliatids) 동태 및 구제에 관하여)

  • Choi, Sang-Duk;Kim, Jin-Man;Kim, Sung-Yeon;Jo, Yong-Chul;Choi, Koang-Kyu;Yang, Han-Choon
    • Journal of fish pathology
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    • v.10 no.1
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    • pp.21-29
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    • 1997
  • We investigated on the prevalence and extermination of scuticociliatids parasitic on cultured japanese flounder, Paralichthys olivaceus in land-marine tank system of southern Korea from January to February in 1997. The gills and the skin showed the highest infection rate(60%), and the brain showed the lowest(22%). Also, fish secreted large quantity of mucus with a bleeding and ulcerated lesions on the infected sites. The number of the parasites in inflowing sea water, surface water and bottom water of farming tank ranged 0~1 individuals/$100m\ell$, 0~413 individuals/$100m\ell$ and $7\sim7.3{\times}10^4$ individuals/$100m\ell$, respectively. This parasite was died within 2 hours in 50~500 ppm, 48 hours of 10 ppm formalin or hydrogen peroxide, 1 hour in 50~500 ppm, 80 minutes of 10 ppm oligo chitosan and 10 minute in 100% but did not died until 48 hours in 10~70% fresh water.

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