• Title/Summary/Keyword: AV2-9

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Late Outcomes of Pediatric and Congenital Heart Disease Patients Following Cardiac Resynchronization Therapy

  • Jeong Eun Ahn;Susan Taejung Kim;Hye Won Kwon;Sang Yun Lee;Gi Beom Kim;Jae Gun Kwak;Woong Han Kim;Mi Kyoung Song;Eun Jung Bae
    • Korean Circulation Journal
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    • v.52 no.12
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    • pp.865-875
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    • 2022
  • Background and Objectives: Cardiac resynchronization therapy (CRT) is an effective treatment for heart failure. However, in pediatric and congenital heart disease (CHD) patients, current adult indications cannot be directly applied because of heterogeneity in anatomy and diagnosis. Therefore, CRT responses and clinical outcomes in these patients were investigated to derive possible candidates for CRT. Methods: This study retrospectively analyzed 16 pediatric and CHD patients who underwent CRT implantation at a single center in early (0.7±0.2 year) and late (4.7±0.3 years) follow-up period after CRT. Results: The median age at CRT implantation was 2.5 (0.3-37.2) years, and median follow-up duration was 6.3 (0.1-13.6) years. Thirteen had non-transvenous CRT. Two had congenital complete atrioventricular (AV) block with previous right ventricular pacing, 5 had dilated cardiomyopathy (DCM) with left bundle branch block, and 9 had CHD. The mean ejection fraction of the systemic ventricle increased from 28.1±10.0% to 44.3±21.0% (p=0.003) in early and 51.8±16.3% (p=0.012) in late outcome. The mean functional class improved from 3.1±0.9 to 1.8±1.1 after CRT (p=0.003). Twelve patients (75%) showed improvement in ventricular function or functional class after CRT. Proportion of responders differed between patients without CHD (2/2 patients with complete AV block and 5/5 with DCM, 100%) and those with CHD (5/9, 56%), although statistical significance was not reached (p=0.088). Conclusions: CRT improved ventricular function and functional status according to the underlying condition in pediatric and CHD patients. However, further large and longer-term studies are needed to establish the guideline for the patient selection of CRT in these patients.

The Study of Egg Transports and distribution Patterns in the Oviducts of Superovulated Rabbits by Administrations of $PGF_{2\alpha}$ (Prostaglandin $F_{2\alpha}$ 처리에 따른 과배란 가토의 난관내 난자운반 및 분포에 관한 연구)

  • 변태호;심금섭;이재근
    • Korean Journal of Animal Reproduction
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    • v.8 no.1
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    • pp.10-15
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    • 1984
  • This experiment was carried out to study the egg transports and distribution patterns in the oviducts of superovulated rabbits by administrations of PGF2$\alpha$. Group I (3 does) and Group II (3 does) were killed at 24 hours, 48 hours after mating, respectively. Group III (6 does0 received a single injection of 5mg/Kg of body weight of PGF2$\alpha$ at 24 hours after mating and killed at 4 hours after PGF2$\alpha$ administration. The oviducts were frozen in LN-gas, thawed using Howe's method, and cleared in Benzyl-Benzoate sol. using Orsini's technique. The location of the eggs and the AIJ. were identified using transmitted light from a dissecting microscope. The results obtained were as follows: 1. The average numbers of detected eggs from the oviduct were 28.6 (26-32), 26.0 (24-29), and 27.1 (22-34) in Group I, II, and III, respectively. 2. Detection rate was 88.7%, 76.4%, and 84.9% in Group I, II, and III, respectively. 3. The positionof all AIJ. was 44.2% to 55.0%(av. 49.5%) of the distance from the fimbriae to the UTJ.(Utero-Tubal Junction). 4. The changes of egg distribution patterns were as follows: Group I Ampulla : 52.3%, Isthmus : 47.7%, Group II Ampulla : 8.9%, Isthmus : 91.1% Group III Ampulla : 8.0% Isthmus : 92.0%.

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Effects of Packaging on Storage Stability and Chlorophyll Contents of Dried, Roasted and Roasted-Seasoned Laver during Storage (포장지에 따른 건조, 구이, 조미김의 저장 안전성과 Chlorophyll 함량에 관한 연구)

  • 이숙경
    • Journal of Food Hygiene and Safety
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    • v.14 no.2
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    • pp.134-139
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    • 1999
  • The relationship between storage stability and chlorophyll contents of dried laver(DL), roasted laver(RL) and roasted seasoned laver(RSL) according to packaging during storage at 20$\pm$0.5$^{\circ}C$ were investigated by measuring the acid value(AV) and the peroxide value(POV). There results are as follows; 1.The storage stability was decreased in the rank of 0 < 3< 6 < 9 months by storage term, RL < DL < RSL by the kind of laver products and PP/PE/AL/PE/LLDPE(Al) < PP/PE(PP) y packaging. 2. When the silica gel was added to RSL, the storage stability was improved. The more the addition level of silica gel was increased, the more the storage stability was improved. The rank order was 2g < 4g in RSL. 3. Reduction of the total chlorophyll content in RSL were deacreased to 10% when packed with Al and 24% when packed with PP.

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Omega-3 Oxidation State of Fish and Algae Oil Supplements in South Korea (오메가-3 제품의 산화에 대한 안정성 조사)

  • Park, Geon-Yeong;Kim, Young-Suk;Kim, Yang-Hui;Shin, Sang-Woon;Cho, Sang-Hun;Eum, Kyoung-Suk;Hong, Se-Ra;Yoon, Mi-Hye
    • Journal of Food Hygiene and Safety
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    • v.34 no.5
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    • pp.480-488
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    • 2019
  • To ensure the safety of products containing omega-3 fatty acids, twenty fish and algae oil omega-3 products available in a Gyeonggi Province, South Korea market were analyzed for eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) content, as well as for oxidative status. Of the tested products, 90% complied with the CODEX/FAO fish oil standards on a p-anisidine value (p-AV) limit of 20, and 80% complied with the CODEX/FAO fish oil standards on the TOTOX limit of 26, respectively. Fully 100% of the products complied with EPA/DHA content levels. In addition, 90% of the tested products met with a peroxide value (PV) limit of 10 meq/kg while 95% of products were within the a p-AV limit of 30. Also, 95% of the products had a calculated TOTOX value of 50, which is lower than the stringent limits used by the European and British Pharmacopeia and Australian authorities.

Studies on the Characteristics of Phosphorus in the Upland Soil I. Composition of Accumulated Phosphorus Forms and Available Phosphorus (경작지(耕作地) 전토양(田土壤)의 인산특성(燐酸特性)에 관(關)한 연구(硏究) I. 축적인산(蓄積燐酸)의 형태별(形態別) 조성(造成)과 유효인산(有效燐酸) 함량(含量)과의 관계(關係))

  • Shin, Cheol-Woo;Kim, Jeong-Je;Yoon, Jung-Hui
    • Korean Journal of Soil Science and Fertilizer
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    • v.21 no.1
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    • pp.21-29
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    • 1988
  • A laboratory experiment was conducted to evaluate the phosphorus status and define the relationship between composition of phosphorus forms and available phosphorus with 149 phosphorus accumulated soil samples. Distribution percentage of inorganic, organic and available phosphorous to total phosphorus were 68.9 (Saloid-p 2.7, Al-p 26.4, Fe-p 27.6, Ca-p 12.2%), 6.7 and 26.0%, respectively. In the relationship between available phosphorus and inorganic phosphorus in soil, Al-p, Saloid-P, and Ca-P showed significant correlation with available phosphorus which did not showed significant one with Fe-p. Multiple liner regression equation between available and inoganic phosphorus abtained as follow, $Av.P=81.694+0.858Sa-p^{***}+0.648Al-p^{***}+0.091Ca-p^{**}(R=0.826^{***})$ and contribution rates of Saloid-p, Al-p, and Ca-p to available phosphorus were 26.1, 65.2, and 8.7%, respectively. Relationship between available and water soluble phosphorus, water soluble phosphorus and $0.01M-CaCl_2-p$ were highly significant, respectively, and soil solution P extracted with $0.01M-CaCl_2$ for 30 minutes was selected as one of usable diagnostic techniques for soil P status.

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Clinical and Hemodynamic Investigation of Atrial Septal Defect (심방중격결손증의 혈류역학적 상관관계 및 임상적 고찰)

  • 정상조
    • Journal of Chest Surgery
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    • v.24 no.5
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    • pp.445-450
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    • 1991
  • Forty eight patients diagnosed as atrial septal defect, had been operated from April 1986 to December 1990 at the Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, were analysed retrospectively. Of the 48 patients, 12 patients, were male and 36 patients were female, Their ranged from 8 months to 51 years old, and the mean was 18.0 years old. The proceeding two symptoms were exertional dyspnea and frequent upper respiratory infection. But 10 patients [20.8%] were asymptomatic. Electrocardiographic findings were regular sinus rhythm in 100.0%, RVH in 29.2%, incomplete RBBB in 27.1%, and first degree AV block in 2.1%. Hemodynamic studies were performed in 38 of 48 patients. Significant pulmonary hypertension[over 50mmHg in systolic pulmonary arterial pressure], which is the most serious risk factor, was developed in 4 patients[8.3%]. There was statistical significance between size of defect[cm2/BSA-M2] and systolic pulmonary arterial pressure[sPAP] retrospectively[p=0.036]. We could not find the correlationship between age and Qs % size. Anatomically, secundum type constituted 97.9%, in which 43 patients were PFO type[91.6%] and 3 patients were IVC type[6.3%]. 38 of 48 ASD patients were repaired with patch closure[72.9%] and remains were repaired with direct closure[27.1%]. The operative result was excellent except two cases of transient postoperative arrhythmia. There was no operative mortality.

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Geochemical and Stable Isotopic Studies of the Matrix of Pebble Bearing Phyllitic Rocks and Carbonate Rocks from the Suanbo and Susanri District in the Okchon Geosynclinal Zone (옥천지향사대 내 수안보-수산 지역에 분포하는 함력천매암질암 기질의 화학 조성과 탄산염암의 안정동위원소 연구)

  • Kim, Kyu Han;Min, Kyung Duck
    • Economic and Environmental Geology
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    • v.29 no.1
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    • pp.25-33
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    • 1996
  • Stable isotopic ratios of the carbonate rocks and chemical compositions of the matrix of pebble bearing phyllitic rocks known as the Hwanggangri Formation, which are in hot debate on their origin such as tillite, debris flow and turbidite, were determined to interpret their depositional environment. Argillaceous matrix of the pebble bearing phyllitic rocks has a high content of CaO (av. 19.5%) and MgO (av. 8.3%), corresponding to calcareous sandy shale. No difference of chemical compositions including trace elements and REE is in the matrices between the Hwanggangri and the Kunjasan Formations. Carbonate rocks from the Okchon zone and outside of the zone range $-2.5{\sim}+6.1$‰ in ${\delta}^{13}C$ and $+5.8{\sim}+25.9$‰ in ${\delta}^{18}O$, indicating normal marine limestone. However, unusally $^{13}C$ enriched carbonate rocks might be deposited in the highly evaporated sedimentary basin. A wide variation of ${\delta}^{18}O$ values is responsible for metamorphism with a $^{18}O$ depleted meteoric water. Isotopic equilibrium temperatures by graphite-calcite geothermometer show a higher metamorphic temperature ($547{\sim}589^{\circ}C$) in the Okchon zone than those ($265{\sim}292^{\circ}C$) in the Samtaesan Formation of the Chosun group. Rhythmic alternation of relatively thin shale with thin limestone in the Kounri Formation is not cherty layer but thin limesilicate bed by metasomatic replacement. Judging from the isotopic and chemical compositions of the carbonate rocks and calcareous matrix of the pebble bearing phyllitic rocks, the Hwangganari Formation was deposited in the shallow marine environment favorable to debris flow.

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Relationship between Incidental Abnormalities on Screening Thoracic Computed Tomography and Mortality: A Long-Term Follow-Up Analysis

  • Jong Eun Lee;Won Gi Jeong;Hyo-Jae Lee;Yun-Hyeon Kim;Kum Ju Chae;Yeon Joo Jeong
    • Korean Journal of Radiology
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    • v.23 no.10
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    • pp.998-1008
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    • 2022
  • Objective: The present study aimed to assess the relationship between incidental abnormalities on thoracic computed tomography (CT) and mortality in a general screening population using a long-term follow-up analysis. Materials and Methods: We retrospectively collected the medical records and CT images of 840 participants (mean age ± standard deviation [SD], 58.5 ± 6.7 years; 564 male) who underwent thoracic CT at a single health promotion center between 2007 and 2010. Two thoracic radiologists independently reviewed all CT images and evaluated any incidental abnormalities (interstitial lung abnormality [ILA], emphysema, coronary artery calcification [CAC], aortic valve [AV] calcification, and pulmonary nodules). Kaplan-Meier analysis with log-rank and z-tests was performed to assess the relationship between incidental CT abnormalities and all-cause mortality in the subsequent follow-up. Cox proportional hazards regression was performed to further identify risk factors of all-cause mortality among the incidental CT abnormalities and clinical factors. Results: Among the 840 participants, 55 (6%), 171 (20%), 288 (34%), 396 (47%), and 97 (11%) had findings of ILA, emphysema, CAC, pulmonary nodule, and AV calcification, respectively, on initial CT. The participants were followed up for a mean period ± SD of 10.9 ± 1.4 years. All incidental CT abnormalities were associated with all-cause mortality in univariable analysis (p < 0.05). However, multivariable analysis further revealed fibrotic ILA as an independent risk factor for all-cause mortality (hazard ratio, 2.52 [95% confidence interval, 1.02-6.22], p = 0.046). ILA were also identified as an independent risk factor for lung cancer or respiratory disease-related deaths. Conclusion: Incidental abnormalities on screening thoracic CT were associated with increased mortality during the long-term follow-up. Among incidental CT abnormalities, fibrotic ILA were independently associated with increased mortality. Appropriate management and surveillance may be required for patients with fibrotic ILA on thoracic CT obtained for general screening purposes.

Evaluation of Road and Traffic Information Use Efficiency on Changes in LDM-based Electronic Horizon through Microscopic Simulation Model (미시적 교통 시뮬레이션을 활용한 LDM 기반 도로·교통정보 활성화 구간 변화에 따른 정보 이용 효율성 평가)

  • Kim, Hoe Kyoung;Chung, Younshik;Park, Jaehyung
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.43 no.2
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    • pp.231-238
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    • 2023
  • Since there is a limit to the physically visible horizon that sensors for autonomous driving can perceive, complementary utilization of digital map data such as a Local Dynamic Map (LDM) along the probable route of an Autonomous Vehicle (AV) is proposed for safe and efficient driving. Although the amount of digital map data may be insignificant compared to the amount of information collected from the sensors of an AV, efficient management of map data is inevitable for the efficient information processing of AVs. The objective of this study is to analyze the efficiency of information use and information processing time of AV according to the expansion of the active section of LDM-based static road and traffic information. To carry out this objective, a microscopic simulator model, VISSIM and VISSIM COM, was employed, and an area of about 9 km × 13 km was selected in the Busan Metropolitan Area, which includes heterogeneous traffic flows (i.e., uninterrupted and interrupted flows) as well as various road geometries. In addition, the LDM information used in AVs refers to the real high-definition map (HDM) built on the basis of ISO 22726-1. As a result of the analysis, as the electronic horizon area increases, while short links are intensively recognized on interrupted urban roads and the sum of link lengths increases as well, the number of recognized links is relatively small on uninterrupted traffic road but the sum of link lengths is large due to a small number of long links. Therefore, this study showed that an efficient range of electronic horizon for HDM data collection, processing, and management are set as 600 m on interrupted urban roads considering the 12 links corresponding to three downstream intersections and 700 m on uninterrupted traffic road associated with the 10 km sum of link lengths, respectively.

Characteristics of Soil Chemical Properties in Abandoned Coal Mine Forest Rehabilitation Areas in Hwasun, South Jeolla Province (전라남도 화순군 폐탄광 산림복구지 토양의 화학적 특성)

  • Jung, Mun-Ho;Shim, Yon-Sik;Kim, Tae-Heok
    • Korean Journal of Soil Science and Fertilizer
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    • v.44 no.6
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    • pp.1010-1015
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    • 2011
  • The objectives of this study were to investigate soil chemical characteristics for forest rehabilitation and suggest management in abandoned coal mine areas in Hwasun-gun, South Jeolla Province. Total study sites were 8 sites, and soil analysis particular were soil pH, TOC, total-N, C/N ratio, Avail. $P_2O_5$, and CEC. Average soil pH was 5.8 (4.7~6.4). Average contents of TOC, total-N and C/N ratio were 1.1% (0.2~2.0%), 0.08% (0.02~0.13%) and 15.0 (7.9~31.4), respectively. Average Avail. $P_2O_5$ was $8.3mg\;kg^{-1}$ (2.7~15.0) and Average CEC was $13.7cmol_c\;kg^{-1}$ ($9.9{\sim}18.5cmol_c\;kg^{-1}$). Soil pH was decreased according to elapsed time from forest rehabilitation, while TOC, total N and CEC were increased. Av. $P_2O_5$ did not show any relationship with elapsed time. Soil pH was stable comparing with general forest soil in South Jeolla Province (5.1), while contents of TOC and total N were lower than general forest soil in South Jeolla Province (4.9% and 0.18%, respectively). Therefore, sustainable managements such as fertilization for TOC and total N are necessary for good rooting and growth of vegetation.