• Title/Summary/Keyword: 해부학적 특성

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Operative Treatment of Congenitally Corrected Transposition of the Great Arteries(CCTGA) (교정형 대혈관 전위증의 수술적 치료)

  • 이정렬;조광리;김용진;노준량;서결필
    • Journal of Chest Surgery
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    • v.32 no.7
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    • pp.621-627
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    • 1999
  • Background: Sixty five cases with congenitally corrected transposition of the great arteries (CCTGA) indicated for biventricular repair were operated on between 1984 and september 1998. Comparison between the results of the conventional(classic) connection(LV-PA) and the anatomic repair was done. Material and Method: Retrospective review was carried out based on the medical records of the patients. Operative procedures, complications and the long-term results accoding to the combining anomalies were analysed. Result: Mean age was 5.5$\pm$4.8 years(range, 2 months to 18years). Thirty nine were male and 26 were female. Situs solitus {S,L,L} was in 53 and situs inversus{I,D,D} in 12. There was no left ventricular outflow tract obstruction(LVOTO) in 13(20%) cases. The LVOTO was resulted from pulmonary stenosis(PS) in 26(40%)patients and from pulmonary atresia(PA) in 26(40%) patients. Twenty-five(38.5%) patients had tricuspid valve regurgitation(TR) greater than the mild degree that was present preoperatively. Twenty two patients previously underwent 24 systemic- pulmonary shunts previously. In the 13 patients without LVOTO, 7 simple closure of VSD or ASD, 3 tricuspid valve replacements(TVR), and 3 anatomic corrections(3 double switch operations: 1 Senning+ Rastelli, 1 Senning+REV-type, and 1 Senning+Arterial switch opera tion) were performed. As to the 26 patients with CCTGA+VSD or ASD+LVOTO(PS), 24 classic repairs and 2 double switch operations(1 Senning+Rastelli, 1 Mustard+REV-type) were done. In the 26 cases with CCTGA+VSD+LVOTO(PA), 19 classic repairs(18 Rastelli, 1 REV-type), and 7 double switch operations(7 Senning+Rastelli) were done. The degree of tricuspid regurgitation increased during the follow-up periods from 1.3$\pm$1.4 to 2.2$\pm$1.0 in the classic repair group(p<0.05), but not in the double switch group. Two patients had complete AV block preoperatively, and additional 7(10.8%) had newly developed complete AV block after the operation. Other complications were recurrent LVOTO(10), thromboembolism(4), persistent chest tube drainage over 2 weeks(4), chylothorax(3), bleeding(3), acute renal failure(2), and mediastinitis(2). Mean follow-up was 54$\pm$49 months(0-177 months). Thirteen patients died after the operation(operative mortality rate: 20.0%(13/65)), and there were 3 additional deaths during the follow up period(overall mortality: 24.6%(16/65)). The operative mortality in patients underwent anatomic repair was 33.3%(4/12). The actuarial survival rates at 1, 5, and 10 years were 75.0$\pm$5.6%, 75.0$\pm$5.6%, and 69.2$\pm$7.6%. Common causes of death were low cardiac output syndrome(8) and heart failure from TR(5). Conclusion: Although our study could not demonstrate the superiority of each classic or anatomic repair, we found that the anatomic repair has a merit of preventing the deterioration of tricuspid valve regurgitations. Meticulous selection of the patients and longer follow-up terms are mandatory to establish the selective advantages of both strategies.

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Molar-Incisor Malformation: Three Cases of a Newly Identified Dental Anomaly (Molar-Incisor Malformation: 최근 확인된 치아 이상의 증례 보고)

  • Choi, Suji;Lee, Jewoo;Song, Jihyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.3
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    • pp.370-377
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    • 2017
  • Molar-incisor malformation (MIM) is a recently described dental anomaly characterized by root malformation in permanent first molars accompanied sometimes by abnormal root forms in primary second molars or enamel defects in maxillary central incisors. This report presents three cases of MIM along with a review of previous studies. Three patients exhibited abnormal root forms in the permanent first molars, with varying degrees of deformation. Two of the patients experienced medical events at birth. One of the patients was a monozygotic twin, whose twin sister exhibited normal dentition without any significant abnormalities. The present report also reviews recently reported cases of MIM in literature. In the management of MIM-associated clinical issues, consideration of microscopic features and accompanying characteristics might facilitate early diagnosis and comprehensive treatment planning.

Morpho-anatomical Characteristics on Spikelet Filling of Different Tiller Orders in Rcie (벼 분얼경의 해부 형태학적 특성과 등숙성 비교)

  • Kim, Jae-Duk;Vergara, B.S.
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.36 no.6
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    • pp.521-531
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    • 1991
  • Greenhouse experiments were conducted at the International Rice Research Institute during the 1989 dry season to investigate varietal differences in morpho-anatomical characters affecting spikelet filling in different tiller orders. There were varietal differences in tiller initiation and heading dates, and tiller duration. The main culm bad competitive advantage over the other tillers. The maximum contribution to filled spikelet weight was made by primary tillers in low tillering cultivars and by secondary tillers in high tillering cultivars. The reduction in inner vascular bundle (IVB) by tiller orders and the namber of IVB and outer vascular bundles (OVB) varied amop.g cultivars. The number of IVB in the peduncle of IR30, Rewa and Hybrid was more than OVB but in IR47705, Silewah, Unbongbyeo and SR14453, OVB was more than IVB. Early formed tillers produced more IVB than the late formed tillers. The number of IVB was positively correlated with number of spikelet and filled spikelet weight, however percent of filled spikelet did not show significant differences as well as 1000 spikelet weight in all types of cultivars.

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Varietal Differences in Ovipositional Preference of the Striped Rice Borer Moths (Chilo suppressalis W.) (이화명나방 산란선호성의 수도품종간차이)

  • Choi S. Y.;Lee H. R.;Lee J. O.;Park J. S.
    • Korean journal of applied entomology
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    • v.15 no.1 s.26
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    • pp.23-27
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    • 1976
  • Screenhouse experiments were conducted to find out the varietal difference in ovipositional preference of the striped rice borer moths (Chilo suppressalis W.) on eight varieties of rice and its association with several plant morphological characters. The results indicated the strong preference of the moths for ovipositing on several varieties. The varieties Tongil (Suweon 213-1), Yushin, Jinheung and TKM-6 had comparatively more egg masses and more eggs than the varieties IR-26, IR-747, Rexoro and Juckna. The strong ovipositional preference of moths of Tongil, as compared to the resistant variety TKM-6 and the susceptible variety Rexoro, was. always consistent in this study whenever the number of tillers were uniformed and each two varieties were paired. It could be concluded that the moths definitely preferred Tongil among the test varieties. There was not any significant correlations between the ovipositional preference and the plant characters; such as number of tillers per plant, plant height, external diameter of stem, and size of leaf. The cause of strong perference of the moths for ovipositing on short type varieties Tongil and Yushin were still suspectable.

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Characteristics of White Charcoal Produced from the Charcoal Kiln for Thermotherapy (온열욕 겸용 숯가마에서 생산된 백탄의 특성)

  • Kwon, Gu Joong;Kim, Ah Ran;Lee, Hee Soo;Lee, Seung Hwan;Hidayat, Wahyu;Febrianto, Fauzi;Kim, Nam Hun
    • Journal of the Korean Wood Science and Technology
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    • v.46 no.5
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    • pp.527-540
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    • 2018
  • In this study, the characteristics of the white charcoal from charcoal kilns made for both charcoal production and thermotherapy and from the traditional charcoal kiln were compared and examined. A charcoal kiln for thermotherapy as a secondary purpose was made to minimize environmental problems such as fine dust and harmful gas generated from sealed charcoal kiln in consideration of comfort and safety. White Charcoal produced from the charcoal kiln for both charcoal production and thermotherapy had higher ash and volatile matter and lower fixed carbon than that from the traditional charcoal kiln. The density of the white charcoal produced from the charcoal kiln for both charcoal production and thermotherapy was slightly higher than that of the traditional one, but the equilibrium moisture content and pH were not significantly different. The calorific value, refinement degree, hardness and anatomical structure were not different between the two. It was concluded that the white charcoal produced from the advanced charcoal kiln for thermotherapy as a secondary purpose meets the quality certification standards of Korea Forest Research Institute.

Selection of Personalized Head Related Transfer Function Using a Binary Search tree (이진 탐색 트리를 이용한 개인화된 머리 전달 함수의 탐색)

  • Lee, Ki-Seung;Lee, Seok-Pil
    • The Journal of the Acoustical Society of Korea
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    • v.28 no.5
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    • pp.409-415
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    • 2009
  • The head-related transfer function (HRTF), which has an important role in virtual sound localization has different characteristics across the subjects. Measuring HRTF is very time-consuming and requires a set of specific apparatus. Accordingly, HRTF customization is often employed. In this paper, we propose a method to search an adequate HRTF from a set of the HRTFs. To achieve rapid and reliable customization of HRTF, all HRTFs in the database are partitioned, where a binary search tree was employed. The distortion measurement adopted in HRTF partitioning was determined in a heuristic way, which predicts the differences in perceived sound location well. The DC-Davis CIPIC HRTF database set was used to evaluate the effectiveness of the proposed method. In the listening test, where 10 subjects were participated, the stimuli filtered by the HRTF obtained by the proposed method were closer to those by the personalized HRTF in terms of sound localization. Moreover, performance of the proposed method was shown to be superior to the previous customization method, where the HRFT is selected by using anthropometric data.

Morphology and Chlorophyll Contents of Leaf and Wood Anatomical Characteristics of Three Schisandraceae Species in Korea (국내자생 오미자과(科) 3수종의 잎 형태, 엽록소 함량 및 목부해부학적 특성)

  • Kim, Sea-Hyun;Lee, Keb-Yean;Baik, Eul-Sun;Han, Jin-Gyu;Kang, Moon-Su
    • Korean Journal of Plant Resources
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    • v.23 no.1
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    • pp.31-37
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    • 2010
  • It was investigated that morphological characteristics of leaf and stomata, chlorophyll contents and wood anatomy characteristics in Schisandra chinensis, Schisandra nigra and Kadsura japonica. Leaf morphological characteristics were significant at 5% levels within the species and within the individuals as a male, a female and monoecious. K. japonica was the longest in the leaf length, followed by S. chinensis and S. nigra. For the leaf length among S. nigra individuals, the female was longer than male and monoecious. As for the Petiole length, S. nigra was twice longer than S. chinensis and K. japonica. Stomata length was ranged from $92.5\;{\mu}m$ to $105.9\;{\mu}m$ for S. nigra, $79.9\;{\mu}m$ for S. chinensis, $76.2\;{\mu}m$ for K. japonica. S. nigra was longer than the others in length and width, while its stomata density was lower than the others. The size of vessel elements and xylem fiber showed a similar tendency to stomata, significant at 5% levels within S. nigra individuals (male, female and monoecious). Chlorophyll contents were also variable in inter and intra species and in general K. japonica showed higher levels of chlorophyll contents than Schisandra spp. plants.

Acutrak Screw Fixation for Radial Head Fracture -7 Cases Report- (Acutrak 나사를 이용한 요골두 골절의 치료 -7례 보고-)

  • Kim, Kwang-Yul;Lim, Moon-Sup;Shin, Heung-Sub;Choi, Shin-Kwon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.1
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    • pp.75-80
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    • 2006
  • Purpose: To evaluate the efficiency of Acutrak screw fixation for radial head fracture (Mason type 2) without considering the safe Bone of radial head. Materials and Methods: Consecutive seven radial head fracture of Mason type II underwent internal fixation with Acutrak screws from May 2001 to February 2003. The mean follow-up period was 1.2years (ranged, $6 months{\sim}2.5 years$). The mean age of patients was 47 years old (ranged, $36{\sim}60years$ old). The cause of injury were fall down -4 cases and traffic accident -3 cases. The results were evaluated by Mayo Clinic results scoring system. Results: Functional Rating Index of Mayo Clinic was excellent- 2 cases and good- 5 cases. There were no nonunion, loosening, heterotopic ossification, infection or degenerative changes. The postoperative range of motion in elbow joint is nearly full for flexion, extension, pronation and supination in this study Conclusion: Consideration of safe zone is not necessary when Acutrak screws are used for radial head fracture. It seems to be a useful method that Acutrak screw fixation for radial head fracture (Mason type II) could achieve good radiologic and clinical results without influencing proximal radio-ulnar joint and has powerful fixation.

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Cytogenetic and Physiological Studies in Natural Populations of Torreya nucifera (비자나무 천연생집단(天然生集團)의 세포유전학적(細胞遺傳學的) 및 생리학적(生理學的) 연구(硏究))

  • Kim, Yeung Du;Kwon, Yeong Cheol
    • Journal of Korean Society of Forest Science
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    • v.78 no.1
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    • pp.42-54
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    • 1989
  • These studies were carried out to examine the anatomical, karyological characteristics, the variation of isozymes in needle and the frost damage of tissue for the purpose of investigating the relationships among the three natural Torreya nucifera populations of Cheju-do, Namhae, and Mt. Naejang in Korea. The results obtained can be summed up as follows : 1. The numbers of endodermal cells and inner layer cells of mucilage canal of needle conductive tissue were different in each population. The number of those of Cheju-do population was the largest. 2. In somatic chromosome, Namhae population showed one more secondary constriction. The values of $b^{arm}/a^{arm}$ were the same in all the three populations, but Cheju-do population particularly showed a different minimum value. And the karyotype formulas of each population showed difference. 3. During the meiosis, each population showed no significant difference in the irregular phenomena of chromosome. 4. In isoperoxidase and esterase variations of needle, each population showed its particular number and variation of bands. Cheju-do population showed the largest number and greatest variation of bands. 5. Under the same freeging conditions, the frost damage of Mt. Naejang population was comparatively slight, and Cheju-do population suffered from a greater frost damage than the others.

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Short Term Result of Total en Bloc Spondylectomy in Spine Tumor (원발성 및 전이성 척추종양에 대한 전 척추 절제술의 단기 추시 결과)

  • Kim, Jae-Do;Jang, Jae-Ho;Park, Chan-Jae;Chung, Jae-Yoon
    • The Journal of the Korean bone and joint tumor society
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    • v.13 no.1
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    • pp.37-42
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    • 2007
  • Purpose: Because of the anatomical characteristics, it is difficult to perform radical operation in spinal tumor. Numerous operations on primary and metastatic spinal tumor have been performed and among those total en bloc spondylectomy has produced decent clinical result. Clinical and radiological results have been analyzed based on five total en bloc spondylectomy on primary and metastatic spinal tumor. Materials and Methods: Patients included in this study were one with primary and four with metastatic spinal tumors, from June 1997 to January 2006. Two of the four were originated form kidney. One was from breast and the other one was not identified. McAfee's 4 point scale, VAS and Frankel's classification have been used as clinical assessment of pain and neurological symptoms. Clinical assessment have been conducted for every 3 months after operation including local recurrence, bone union and complications. Results: Assessment of pain decreased from average of 3 before operation to 1.6 after operation in McAfee's scale and VAS decreased from average of 9.2 to 1.6. Neurological deficit after operation improved from C to D in Frankel's category. Local recurrence has been detected on metastatic adenocarcinoma of L4 during follow up. Conclusion: Total en bloc spondylectomy is evidently useful operational method for primary and metastatic spinal tumor since it completely decompresses spinal nerves, decreases axial pain immediately and improves the quality of remaining life.

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