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Ebstein`s Anomaly A Case Report of Plication and Tricuspid Annuloplasty (Ebstein 심기형 수술치험 1례 보고)

  • 이종수
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.391-397
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    • 1985
  • Ebstein`s anomaly is a rare congenital cardiac malformation and characterized by downward displacement of an abnormal tricuspid valve cusps. But until now, the ideal surgical correction is still controversial. We present a case of Ebstein`s anomaly experienced lately. The patient was 13 year old girl with the complaints of dyspnea on exertion, fatigability and cyanosis. Echocardiography revealed downward displacement of septal leaflet of tricuspid valve and atrialized right ventricle. Cardiac catheterization and cineangiography revealed ASD and large right atrium. During operation, the atrialized right ventricle was plicated and tricuspid annuloplasty was done. And the two secundum type ASD`s were closed by direct suture closure. The patient`s postoperative course was uneventful and discharged on the 24th postoperative days.

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Intralobar Pulmonary Sequestration A Case Report (내엽형 폐격리증 수술 1례 보고)

  • 이종수
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.482-486
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    • 1985
  • Pulmonary sequestration is an uncommon congenital malformation characterized by the presence of non-functioning lung tissues which receives its blood supply from an anomalous systemic artery instead of a pulmonary arterial branch. We present a case of intralobar pulmonary sequestration experienced lately. The patient was 7 years old girl with the complaints of chronic productive cough and right lower chest pain. Serial chest films showed a large cyst with or without a air-fluid level on the right lower lung field. Aortography revealed an aberrant artery originating from thoracic aorta just above the diaphragm and that drained into the right inferior pulmonary vein. During operation, a large abscess cavity measuring 6.5x5x5 cm in dimension at the right lower lobe was noted. And the two aberrant arteries, measuring 3 mm in diameter, arising from thoracic aorta 5 cm above the diaphragm was noted. After division and ligation of the aberrant arteries, right lower lobectomy was performed and the patient`s postoperative course was uneventful.

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Malignant Localized Fibrous Mesothelioma - Report of one case - (악성 국한성 섬유성 중피종 - 1예 보고 -)

  • 박해문
    • Journal of Chest Surgery
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    • v.20 no.3
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    • pp.593-597
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    • 1987
  • Mesothelioma is a primary tumor of the pleura. There are two forms of mesotheliomas; diffuse form and localized form. The majority of localized mesotheliomas are benign, but the tumor with pedicle recur at 20% after removal of it. Malignant localized fibrous mesothelioma is differential diagnosed pathologically and clinically with diffuse mesothelioma. Symptoms of localized mesothelioma are generally related to the size of the tumor. We presented one case of malignant localized fibrous mesothelioma. The patient was 32 years old female and chief complaints were dyspnea and dry cough. Sputum cytology and needle lung biopsy were not able to diagnose definitely the tumor. Explothoracotomy was carried out for definite tissue biopsy. At the time of operation, huge adult head size mass was in the right thoracic cavity. The surface of the mass was nodular, multilobular and had hard consistency. Pedicle was formed above first rib and its diameter was 4.5cm. There was no adhesion except to RUL. Frozen biopsy suggested mesothelioma. Extirpation of the mass, right upper lobectomy. and partial pleurectomy were carried out.

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A Surgical Experience of Infected Left Atrial Myxoma (감염된 좌심방 점액종 치험)

  • 노태훈
    • Journal of Chest Surgery
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    • v.20 no.3
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    • pp.570-573
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    • 1987
  • A surgical operation on a patient with infected left atrial myxoma is presented. The patient was a 50-year-old woman who was admitted to the Kyung Hee Medical Center Hospital on March 7 1987 with complaints of high fever, cough and dyspnea that occurred a few days prior to admission. She, who no definite history of the previous cardiac-related problems was obtained from, had visited a dentist to have her eight teeth pulled out a few months prior to this admission. A preoperative 2-D echocardiogram revealed a left atrial tumor, strongly suggesting myxoma and two blood cultures drawn prior to surgery yielded streptococcus viridans. Under the preoperative impression of an infected left atrial myxoma, the tumor was removed through a biatrial approach after establishing CPB and cold cardioplegic. Pathologic examination of the tumor demonstrated a typical myxoma with bacterial colonies within. Postoperative course was uneventful and she was completely well at discharge from the hospital. To our best knowledge, this report is the first surgical experience of infected left atrial myxoma in the Korean literature.

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Low-cost Method for Preventing Noise from Urban Excavation Construction (도심 굴착공사에서의 소음 저감방안)

  • 손기상
    • Journal of the Korean Society of Safety
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    • v.17 no.3
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    • pp.90-95
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    • 2002
  • Den have been many construction projects in urban n We have a lot of problems which have to be solved especially against residence complaints existing building damage due to construction worts. We sometimes have to pay a certain amount of cost to solve the above problem, not in planning. In addition to, we have to suffer from work delay due to confronting problem. Almost all of these are due to blasting work to break solid rock to be excavated. Therefore, this study is focused on finding out how to reduce noise more cheaply. Four cases(4) as cheaper but more effective way have been tested to find out which way of local fence will have better moise reduce function in a field site. Where five(5) large breakers are being operated. It is concluded that more form and shape of local movable panel than the site of panel can be influenced on noise reduce.

On the study of the measurement of blasting Vibration and Sound influenced to housing structure at Wire-Tunnelling (부산 통신구굴진 발파작업으로 인한 지상주택 구조물에 미치는 진동폭음영향계측조사보고)

  • Huh Ginn
    • Explosives and Blasting
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    • v.8 no.2
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    • pp.3-17
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    • 1990
  • The Caustious blasting have often increased Complaints of ground Vibration and Sound when the Wire-Tunnel Constructed in Pusan. In order to prevent the influence to housing structure, it was necessary to predict blasting-Induced Vibration and Sound. The Suveyer determined the Burden and spacing of Drill holes, minimum delay charges within a allowable Vibration and Sound Level. Tunnel drilling and Ignition patterns are made as follows; No. 1 Tunel (Stable rock, hard rock) No.2 Tunnel (Instable plastic rock; wethered rock) and other Tunnels (Instable rock). The result of 1st testing blasting of No. 1 Tunnel was recorded Under allowable Vibration Level but sound was over 75 Db of allowable value. So Tunnel drilling pattern was amended with 52 Non-charg holes to reduce the blast-sound. The other pattern had no need to amend.

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화장용 제품안전 개선의 사례연구

  • 정국삼;윤상원
    • Proceedings of the Korean Institute of Industrial Safety Conference
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    • 1998.05a
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    • pp.321-326
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    • 1998
  • One aspect of customer dissatisfaction, safety or more correctly, the lack of product safety has received Particular attention in courts and in legislatures, especially in the developed countries. Therefore, many companies have always regarded safety elements as an essential part of product manufacturing. In this paper, the case study on the product safety of infant cosmetics manufactured by a small-medium enterprise is presented We have focused our study on safety level and control system of product safety, also analyzed the product defects caused by mixing process and all departments. It is found that the product defects( Complaints, Enquiries ) is considerably decreased. These results could be used to deal with a product recall which companies hope never happens to them

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A Case Report of Rectal Cancer Treated by Sojukjeongwon-san. (대장암 환자의 소적정원산 및 한방치료 관찰 1례)

  • Shin, Won-Tak;Kwon, O-Sun;Lee, Jae-Jun;Hong, Sang-Hoon
    • The Journal of Korean Medicine
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    • v.28 no.3 s.71
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    • pp.108-115
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    • 2007
  • Objectives : The purpose of this study was to investigate the effect of Sojukjeongwon-san (이하 SJJWS) on a rectal cancer patient. Methods : This clinical case was analyzed on a patient who was admitted on August 11th and discharged on September 7th, 2006. We recordedhis abdominal pain, urine, anal pain, bleeding, mucous stools, frequency and hardness and amount of the stools, weight, lab follow-ups and so on. Results : After the treatment, the chief complaints of the patient, such as rectal pain, bloody excrement, loss of weight, etc., had improved. Conclusion : In this study we suggest that SJJWS reduced symptoms for a rectal cancer patient and improved the patient's quality of life.

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An experimental study on structural behaviour of the MMA double wide flanged GFRP pipe composite structures (II) (MMA 이중 플랜지를 갖는 GFRP 복합관 구조거동에 관한 실험 연구 (II))

  • Ji, Hyo-Seon;Mamdouh, El-Badry
    • Journal of the Korean Society for Advanced Composite Structures
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    • v.6 no.3
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    • pp.50-61
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    • 2015
  • This paper presents on the structural behavior of the the methyl methacrylate monomer (MMA) double wide flanged the glass fiber-reinforced polymer(GFRP) pipe composite structures for the manhole raise. The evaluation of structural performance on this composite structure was conducted by the axial load, fatigue load, and ultimate load test. The assessment indicates that the MMA double wide flanged GFRP pipe composite structures was confirmed safety, durability and reliability in result as expected. It was found that this composite structure was able to short working times to around 30-50% and construction costs to around 10-23% with compare other construction methods. Also, environmental pollution and civil complaints will be prevented because there will be no longer any noises, vibrations, dust, or construction wastes.

Storage Space of the Elderly Residents in Traditional Farm Houses (노인거주 재래농가의 수장공간)

  • 이인수
    • Korean Institute of Interior Design Journal
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    • no.15
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    • pp.39-48
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    • 1998
  • This study has been peformed to investigate storage space types of old-fashioned traditional dwelling units where older couples maintain their traditional farming lives. In this study it is observed that residents of the traditional farm-houses are exposed to higher level of environmental and emotional pressures. However it is also observed that the older residents are generally manifesting a consistent subculture of the old-timers without noticeable complaints. The usage and morphology of storage spaces are as follows: (1) Storage space in the ceiling are under control of old couple and used for seasonally varied farm products and household equipment. (3) All the households use longterm storage space under wooden floor; the hidden ground is used for keeping miscellaneous tools and fermented foods for years. Overall in this stud it is observed that traditional farm houses are well modified for physically and emotionally frail elderly residents.

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