• Title/Summary/Keyword: CARBO

Search Result 87, Processing Time 0.028 seconds

Clinical Study of Prosthetic Heart Valve Replacement with CarboMedics. (CarboMEdics 기계판막을 이용한 심장판막 치환술의 임상 연구)

  • 장원기;구자홍;조중구;김공수
    • Journal of Chest Surgery
    • /
    • v.33 no.1
    • /
    • pp.45-50
    • /
    • 2000
  • Background: The CarboMedics prosthetic heart valve was produced in an attempt to improve the existing valve designs and was especially concerned with easily the implantation and further reduction of turbulence. Precise positioning of the valve in situ was achieved by the abilityof the valve to rotate relative to the sewing ring. Improved monitoring is possible due to increased radiopacity and the dacron sewing ring is coated with carbon to reduce pannus overgrowth. The leaflets have an opening angle of 78 degrees that apparently allows a rapid synchronous closure The aim of this study was to analyze the clinical performance of the CarboMedics valve prostheses(45 mitral 13 aortic and 7 double aortic-mitral valve replacement) were implanted in 65 patients(mean age 48.75$\pm$9.74 years) Result: The operative mortality was 3.1%(2/65) causes of death were low cardiac output syndrome. Total follow up was 1831 patient-months and mean follow up was 29.06$\pm$10.97 months/patient. No structural failure hemorrhage valve thrombosis and late death have been observed. Embolism occurred at a rate of 0.65%/Patient-year. Actuarial survival and thrombo-mbolism free rate at 36 months were 96.9% and 98.4% respectively. Consclusions: The CarboMedics valve stands for low valve related complicatons.

  • PDF

Ten-year Clinical Experience with CarboMedics Valve (CarboMedics 판막의 10년 임상 성적)

  • 김근직;이응배;조준용;전상훈;장봉현;이종태;김규태
    • Journal of Chest Surgery
    • /
    • v.33 no.8
    • /
    • pp.643-647
    • /
    • 2000
  • From March 1988 to June 1994, 275 CarboMedics cardiac valve prostheses(199 mitral, 70 aortic and 3 tricuspid) were implanted in 226 consecutive patients(mean age 39 years, male/female 90/136) by one surgical team operating on adult cardiac patients at Kyungpook University Hospital. Total follow up represented 16,848 patient-months(mean 76 months) and follow up rate was 96%. One hundred and forty-nine patients(66%) wer in NYHA functional class III or IV preoperatively, and 204 patients(99.5%) were in class I or II postoperatively. Early mortality was 4.9% and late death was 9.3%. The actuarial survival at 81 months was 86.l2$\pm$3.1%. The linearized incidence of valve-related death, prosthetic valve thrombosis, anticoagulation-related hemorrhage, non-structural dysfunction and reoperation were 0.71%, 0.43%, 0.07%, 0.21%, and 0.14% respectively. The 81-month rate of freedom from all valve related complications and deaths including hospital mortality was 88.1$\pm$2.5%. Thee facts suggest that the CarboMedics cardiac valve has excellent result, low incidence of valve-related complications and no structureal deterioration.

  • PDF

Mid term experience with CarboMedics Medical Valve (CarboMedics 기계판막의 임상경험)

  • 김기출
    • Journal of Chest Surgery
    • /
    • v.26 no.10
    • /
    • pp.753-760
    • /
    • 1993
  • The CarboMedics valve is a bileaflet prosthesis with excellent hemodynamic characteristics, but the long term surgical experience with this valve, its durability and its biocompatibility are unknown. During a 5 year period from october 1988 to July 1993, 748 prostheses [402 mitral, 261 aortic, 58 tricuspid, 27 pulmonic] were inserted in 552 patients [mean age 40.2 years]. The operative mortality was 6.6% [37/560, 13.2% in age group below 15 years and 5.7% above 15 years]. and the main causes of death were complex congenital malformation and left ventricular failure. Follow up was totaled 1182 patient- years and mean follow up was 28.3 months/patient. No structural failure has been observed. Hemorrhage was the most frequent valve related complication[1.78% / Patient-year]. Embolism occurred at a rate of 0.93% / Patient-year. There were 5 cases of valve thrombosis [0.42% / Patient-year, two fatal]. There occurred 11 late deaths[6 valve related] and 42 valve related complications. Actuarial survival at 5 years is 97.18 0.94% and actuarial complication free survival at 5 years is 89.07 1.54%. In summary, the CarboMedics valve stands for a durable valve substitute, with low valve related complications.

  • PDF

Preparation and Characterization of Enrofloxacin/Carbopol Complex in Aqueous Solution

  • Chun, Myung-Kwan;Choi, Hoo-Kyun
    • Archives of Pharmacal Research
    • /
    • v.27 no.6
    • /
    • pp.670-675
    • /
    • 2004
  • Since the bitter taste of enrofloxacin apparently limit the patient compliance in the oral formulations of the antibacterial agent, the masking of the taste is essential for the improvement of the therapeutic effectiveness. Therefore, this study was carried out to examine the feasibility of taste masking of enrofloxacin by the retardation of its dissolution rate using the formation of complex between the drug and Carbopol. The complexation between Carbopol and enrofloxacin was confirmed by turbidity, UV spectrophotometry, wide angle X-ray diffraction, and differential scanning calorimetry. The enrofloxacin content in the complexes was 34% (Carbo-enrofloxacin complex I) and 57% (Carbo-enrofloxacin complex II) depending on the prepara-tion method. The dissolution rate of enrofloxacin from the complex increased as the pH was reduced. The dissolution rate of enrofloxacin from the Carbo-enrofloxacin complex I was significantly lower than that of the enrofloxacin powder. Therefore, these observations suggest that Carbo-enrofloxacin complex I can be used to mask the taste of enrofloxacin.

Six-year Clinical Experience with CarboMedics Valve (CarboMedics 판막의 6년 임상 성적)

  • 구본원;허동명
    • Journal of Chest Surgery
    • /
    • v.29 no.9
    • /
    • pp.971-976
    • /
    • 1996
  • From March 1988 to October 1992, 201 CarboMedics cardiac valve prostheses (150 mitral, 50 aortic and 1 tricuspid) were implanted in 166 consecutive patients (mean age 38 years, male/female 66/100) by one surgical team operating on adult cardiac patients at Kyungpook University Hospital. Total follow up represen:toed 6646 patient-months (mean 40mon1hs) and follow up rate was 96%. One hundred and twenty-four patients (74.7 %) were in NYHA functional class 111 or tV preoperatively and 164 patients (98.7 %) were in class I or ll postoperatively. Hospital mortality was 4.2 % and late death was 4.2%. The actuarial survival at 78 months was 89.4%. The linearized incidence of valve related death, prosthetic valve thrombosis, anticoagulant related hemorrhage, non-structural dysfunction and reoperation was 0.72%/pt-yr, 0.18%/pt-yr, 0.18%trapt-yr, 0.18 %/pt-yr and 0. 36%/pt-yr respective y. The 78 month rates of freedom from valve related death, prosthetic valve thrombosis, anticoagulant related hemorrhage, non-structural dysfunction and reoperation were 94.9%, 99.4%, 99.4%, 98.6 % and 97.9 % respectivly. The 78 month rate of freedom from all valve related complications and deaths including hospital mortality was 90.9%. These fact suggest that the CarboMedics cardiac valve has execellent result, low incidence of valve-ie-lated complications and no structural deterioration, and long term follow up study is necessary.

  • PDF

Short-term Clinical Experience with CarboMedics Valve (CarboMedics 기계판막의 단기 임상 성적)

  • 우석정
    • Journal of Chest Surgery
    • /
    • v.25 no.6
    • /
    • pp.661-671
    • /
    • 1992
  • From March 1988 to May 1991, 140 CarboMedics cardiac valve prostheses[75 mitral, 9 aortic and 28 double aortic-mitral] were implanted in 112 consecutive patients[mean age 36.7$\pm$11.6 years, male/female 48/76] by one surgical team operating on adult cardiac patients at Kyoungpook University Hospital Associated Surgical procedures were performed in 19 patients[16.9%]. Total follow up represented 2,345 patient-months[mean 22.4 months] and was 100% complete. Eighty-two patients[73%] were in NYHA functional class IIIor IV preoperatively and 102 patients [95%] were in class I or II postoperatively. Hospital[30 day] mortality was 4.4%, [3/75 mitral, 1/9 aortic, 1/28 double valve replacement] and late death was 1.7%. [1 /74 mitral, 1 /28 double valve replacement] The actuarial survival at 36 months was 94.0% after mitral, 80% after aortic, 92% after double valve replacement, and 93.2% for the total group. The linearized incidence of valve relater death, prosthetic valve thrombosis, anticoagulant related hemorrhage, and reoperation was 1.00%/pt-yr, 0.51%/pt/yr, 0.51%/pt-yr, and 0.51%/pt-yr respectively. The 36 month rates of freedom from valve replated death, thromboembolism, endocarditis, anti-coagulant related hemorrages, and reoperation were 98.75%, 99.08%, 100%, 99.04%, and 99.08% respectively. The 36 month rate of freedom from all valve related complications and deaths including hospital mortality was 90.2%. These fact suggest that the CarboMedics heart valve has excellent short-term result, low incidence of valve-related complications and valve dysfunction, and additional long term follow up study is necessary.

  • PDF

Stable Isotope Studies for Constraining Water and Carbon Cycles in Terrestrial Ecosystems: A Review (안정 동위원소를 이용한 육상 생태계의 물과 탄소의 순환 연구: 재검토)

  • Lee Dongho
    • Korean Journal of Agricultural and Forest Meteorology
    • /
    • v.7 no.1
    • /
    • pp.15-27
    • /
    • 2005
  • The water and carbon cycles in terrestrial ecosystems are the essential database for better understanding of the causes and the current processes of climate change and for the prediction of its future change. CarboKorea and HydroKorea are dedicated research efforts to develop technologies to quantitatively interpret and forecast carbon/water cycles in typical landscapes of Korea. For this, stable isotope studies have been launched to genetically partition various components of carbon/water cycles in terrestrial ecosystems. From stable isotope studies, practical deliverables such as evaporation, transpiration and gross primary productivity (GPP) can be provided at scales from tower (footprint) to large watersheds. Such reliable field-based information will form an important database to be used for validation of the results from various eco-hydrological models and satellite image analysis which constitute main components of Carbo/HydroKorea project. Stable isotope studies, together with other relevant researches, will contribute to derive quantitative interpretation of carbon/water cycles in terrestrial ecosystems and support Carbo/HydroKorea to become a leading research infrastructure to answer pending scientific and socio-economic questions in relation to global changes.

A Design and Implementation of CO2 Infuser for a Carbon Dioxide (카복시 테라피용 CO2 주입기의 설계 및 구현)

  • Park, Sung-Kon;Ahn, Chan-Jin
    • Journal of Digital Contents Society
    • /
    • v.16 no.3
    • /
    • pp.483-492
    • /
    • 2015
  • This thesis analysis the CARBO 3000 that is one of a $CO_2$ infuser and improve its effectiveness. The thesis designs H/W and S/W that controls the $CO_2$ infusing mass compared to the CARBO 3000. Specially the designed H/W has a newly CPU, LCD, a flow velocity controller, a solenoid valve and a flow sensor. Also the designed S/W is composed of GUI and the algorithm to control the $CO_2$ infusing mass. The designed and implemented the $CO_2$ Infuser in this thesis is tested for the performance. The commercial measuring sensor is used for the test. The testing results say that the designed and implemented the $CO_2$ Infuser in this thesis is much more accurate compared to the CARBO 3000 on $CO_2$ infusing.

Long-term Results after 1,144 CarboMedics Mechanical Valve Implantation (CarboMedics 기계판막을 이용한 1,144예 판막치환술의 장기 성적)

  • Kang, Chang-Hyun;Kim, Kyung-Hwan;Kim, Ki-Boong;Ahn, Hyuk
    • Journal of Chest Surgery
    • /
    • v.37 no.7
    • /
    • pp.559-569
    • /
    • 2004
  • The CarboMedics mechanical valve has been reported to show acceptable valve-related complication rates. The aim of this study is to evaluate our clinical experience with the CarboMedics valve. Material and Method: Between August 1988 and September 1999, we implanted 1,144 CarboMedics valves in 850 patients (aortic 179; mitral 385; double-valve 234; tricuspid 52). The mean age was 44.5 $\pm$ 12.5 years. Follow-up was completed in 95.2% and median follow-up period was 7.9 years (6753 patient-years). Result: The overall hospital mortality rate was 3.4% and the mortality rate for each group was 1.7% for aortic group, 2.6% for mitral group, 4.7% for double-valve group, and 9.6% for tricuspid group, Tricuspid group showed significantly higher mortality rate than aortic and mitral group (p〈0.05). The actuarial survival at 10 years was 87.1 $\pm$ 2.6%, 88.9 $\pm$ 1.7%, 82.4 $\pm$ 2.9%, and 77.5 $\pm$ 7.0% for aortic, mitral, double, and tricuspid valve group, respectively. Age and tricuspid valve replacement were significant risk factors for long-term survival in multivariate analysis (p 〈 0.05). Freedom from valve thrombosis at 10 years was 99.4 $\pm$ 0.6%, 98.2 $\pm$ 0.8%, 99.2 $\pm$ 0.8%, and 87.6 $\pm$ 0.5% for aortic, mitral, double and tricuspid valve group. Tricuspid valve group showed significantly higher rate of valve thrombosis (p 〈 0.05). Conclusion: Long-term results of our experience demonstrated that CarboMedics valve showed acceptable incidence of valve-related complications. However, tricuspid valve replacement showed higher rate of early mortality and valve thrombosis than other valve replacement groups.

Breeding Status of the Great cormorant Phalacrocorax Carbo (Phalacrocoracidae) at Paldang Lake in Korea

  • Jeong, Jinmun;Park, Jungho;Byun, Jinsoo;Song, Haengseop;Park, Heonwoo
    • Journal of Forest and Environmental Science
    • /
    • v.34 no.1
    • /
    • pp.57-60
    • /
    • 2018
  • Great cormorant (Phalacrocorax carbo) have been growing on a large scale since they settled on Jokja Island in Lake Paldang in 2010. In 2017, 827 breeding nests were found in Jokja Island and the breeding success rate was $2.60{\pm}0.23$ per nest. Nestling tree did not show any specificity for the species and was severely damaged. As the nesting materials for cormorants, branches and leaves, which were easy to come by around the island, were used. Most of their prey were fish in Lake Paldang. The population the great cormorants showed high breeding success rate, indicating that Jokja Island was a good site for breeding. Thus, it shows that continuous research for them needs to be done.