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Anatomical studies on pattern of branches of bile and hepatic ducts in Korean native cattle (한우의 담관 및 간관의 분지에 관한 해부학적 연구)

  • Kim, Chong-sup
    • Korean Journal of Veterinary Research
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    • v.34 no.1
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    • pp.1-7
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    • 1994
  • The distribution of the bile and hepatic ducts within the liver of 24 Korean native cattle were observed. Vinylite solution was injected into common bile ducts on 13 cases for cast preparation. The angiography was prepared in 11 cases which were injected 30% barium sulfate solution into the common bile ducts and then radiographed on X-ray apparatus. The results were summarized as follows; 1. The dorsal, intermediate and ventral ducts of left hepatic lobes, ducts of quadrate lobes, and ducts of papillary process were collected into left hepatic ducts. The dorsal and ventral ducts of right hepatic lobe, ducts of caudate process and papillary process were collected into right hepatic ducts. 2. The bile ducts in the left hepatic lobes were collected into dorsal, ventral and intermediate ducts of left hepatic lobes. The intermediate ducts of left hepatic lobes was absent in some cases(5 cases, 20.83%). 3. In some cases, the ventral ducts of right hepatic lobes were collected into right hepatic ducts directly. 4. The ducts of quadate lobes were collected into left hepatic ducts(8 cases, 33.33%), ventral ducts of left hepatic lobes(13 cases, 54.17%), and dorsal duct of left hepatic lobes, intermediate and ventral ducts of left hepatic lobe, common trunk collected into intermediate and ventral duct of left hepatic lobe and left hepatic duct(1 cases, 4.17%) respectively. 5. The ducts of papillary process were collected into left and right hepatic ducts(12 cases, 50%), left hepatic ducts only(11 cases, 45.83%) or right hepatic duct only(1 cases, 4.17%). 6. The average length of right hepatic ducts was 26.87(6-45.8)mm. The average length of left hepatic ducts was 56.68(6-127)mm. The length of gallbladder was 128.60(104-160)mm on the average. The breadth of gallbladder was 67.16(38.4-153.4)mm on the average. But there was a difference in the length and the breadth according to the quantity of bile. 7. The ramified angles of dorsal, intermediate and ventral ducts of left hepatic lobes, ducts of quadrate lobes, ducts of papillary processes and caudate processes, dorsal and ventral ducts of right hepatic lobes and cystic ducts were 130-170, 160-200, 190-250, 240-300, 90-140, 320-350, 30-100, 270-330 and 240-300 degrees respectively.

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The Relationship between Left Ventricular Hypertrophy by Transthoracic Echocardiography and Dampness-Phlegm Diagnosis in Cerebral Infarction Patients (경흉부 심초음파를 이용한 뇌경색 환자의 좌심실 비대와 습담변증(濕痰辨證)의 관련성 연구)

  • Kwak, Seung-hyuk;Woo, Su-kyung;Lee, Eun-chan;Hyun, Sang-ho;Park, Joo-young;Jung, Woo-sang;Moon, Sang-kwan;Cho, Ki-ho;Park, Sung-uk;Ko, Chang-nam
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.13 no.1
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    • pp.13-23
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    • 2012
  • Object : The aim of this study was to assess the relationship between left ventricular hypertrophy and Dampness-Phlegm diagnosis in cerebral infarction patients. Methods : Among 227 of the total recruited patients, 59 patients were diagnosed as left ventricular hypertrophy. We assessed their general characteristics, risk factors, lab findings and Korean medical diagnosis. We compared the assessed variables between left ventricular hypertrophy group and non left ventricular group. We analyzed the relationship between left ventricular hypertrophy and risk factors. And we also analyzed the relationship between left ventricular hypertrophy and dampness-phlegm diagnosis. Results : 1. The rate of left ventricular hypertrophy in female patients was larger than the rate of male patients. 2. There were more patients finally diagnosed hypertension in left ventricular hypertrophy group. 3. According to the analysis about the rate of Dampness-phlegm related Index for Pattern Identification by left ventricular hypertrophy, Sallow complexion and obesity were significantly higher in the left ventricular hypertrophy than in the non left ventricular hypertrophy group. 4. In multivariate analysis, Dampness-phlegm group showed close relationship with left ventricular hypertrophy. Conclusions : According to the analysis, significance between dampness-phlegm diagnosis diagnosed group and left ventricular hypertrophy were clarified. These results can be utilized in the future as a basic material to be used for diagnosis and management of dampness-phlegm diagnosis on cardiovascular diseases.

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Left Atrial Thrombi in Patients With Mitral Stenosis (Risk Factors Related to left Atrial Thrombosis) (승모판협착증 환자의 좌심방혈전)

  • Kim, Kwang-Ho;Hong, Sung-Nok
    • Journal of Chest Surgery
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    • v.15 no.2
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    • pp.204-212
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    • 1982
  • The presence of left atrial thrombus in mitral stenosis has been reported to be associated with several factors. These are age, sex, presence of atrial fibrillation, episodes of congestave heart failure, calcification of mitral valve, embolic episode, etc. Since none of these single factor has been always related to the presence of left atrial thrombus, related risk factors to left atrial thrombosis were studied in patients with mitral stenosis using chi square test. We had operated on 191 cases of mitral valvular heart disease from Jan. 1978 to June 1981 at Severance Hospital, Yunsei University College of Medicine. The left atrial thrombi were present in 41 cases among 191 cases of mitral valvular heart disease and it was present in 31 cases among 89 cases of pure mitral stenosis. Only 10 cases among 74 cases of mitral stenoregurgitation had left atrlal thrombi, whereas no left atrlal thrombus was found in patients with pure mitral regurgitation. Related risk factors studied herein were sex, episodes of congestive heart failure, atrial fibrillation, pulmonary capillary wedge pressure, mitral valve area calculated by Gorlin and Gorlin`s formula cardiac output and left atrial dimension by echocardiogram. In this study presence of atrial fibrillation was deemed to be one of the most potential risk factors and other factors of age, duration of symptoms, episode of embolization, calclfication of mitral valve, associated aortic and tricuspid valve disease, ejection fraction of left ventricle by cineangiocardiogram and echocardiogram were not significantly related to the presence of left atrlal thrombi in a statistical viewpoint.

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Surgical Treatment of Left Subclavian Aneurysm -A case report- (Subclavian artery 의 동맥류 -1예 수술 경험-)

  • Lee, Sung Haing;Lee, Sung Koo;Han, Sung Sae;Lee, Khil Rho;Kim, Song Myung
    • Journal of Chest Surgery
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    • v.9 no.2
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    • pp.245-250
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    • 1976
  • A 33 year-old man was admitted with chief complaints of severe sharp pain on left upper interscapular region and motor weakness of left arm for 9 days. He had a history of blunt trauma over left shoulder about 3 years ago. Physical examination showed a ping pong ball sized mass which was located at the left supraclavicular area and was firm, fixed, and nonpulsatile. No bruit or murmur was obtained over the mass. Ipsilaterally, radial, ulnar, and brachial pulse were very weak and ptosis and anhidrosis were noticed. Neurologic examination revealed moderate or severe weakness of flexion and extension of left elbow, wrist and fingers, and anesthesia of the skin in left C8-T1 dermatome and hypalgesia in left C6-C7 dermatome. Retrograde aortography demonstrated complete obstruction of left subclavian artery. An exploratory operation was performed through the left 4th intercostal space. It was found that the mass was a left subclavian aneurysm of traumatic false type. Proximal and distal ligation of the aneurysm were applied and the sac was partially removed. The continuity of the subclavain artery was established by the use of a 6mm. Dacron graft from the root of the subclavian to the axillary artery. Postoperatively the patient was improved from the circulatory and neurologic disturbances.

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Estimation of the Through Car Equivalent for Left-Turn Movement According to the Left-Turn Curve Radius in the Signalized Intersection (신호교차로에서 곡선반경에 따른 좌회전의 직진환산계수 산정)

  • 오영태;김기형
    • Journal of Korean Society of Transportation
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    • v.19 no.2
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    • pp.21-28
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    • 2001
  • This study is to estimate the through car equivalent for left-turn movement according to left turn radius in the signalized intersection. The saturation flow rate for left-turn movement in 92' KHCM(Korea Highway Capacity Manual) is the same as that for through movement in the signalized intersection where the left turn radius is over 20m. This study uses Duncan 'Test's Test in order to find out the saturated position for queued vehicle in the signalized intersection. It found that the saturated flow rate of left-turn movement in the signalized intersection is less than that of through movement where the left-turn radius is less than 20m. It found that the through car equivalents for left-turn movement according to left-turn radius(8m-20m) are between 1.05 and 1.14.

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A Study on the Left Ventricular Wall Motion with EKG Gated Cardiac Blood Pool Scan (방사성동위원소(放射性同位元素) gated cardiac blood pool scan을 이용(利用)한 좌심실벽(左心室壁) 운동(運動)에 관(關)한 연구(硏究))

  • Ahn, Yong-Tae;Kim, Byung-Tae;Park, Young-Bae;Lee, Myung-Chul;Cho, Bo-Youn;Seo, Jung-Don;Lee, Young-Woo;Koh, Chang-Soon;Lee, Mun-Ho
    • The Korean Journal of Nuclear Medicine
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    • v.17 no.2
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    • pp.25-33
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    • 1983
  • Left ventricular wall motion was observed with EKG gated cardiac blood pool scan in 71 various cardiac diseases and 10 normal controls to evaluate its diagnostic and clinical significance in them. 1) In the presence of left ventricular dysfunction, visual evaluation of the left ventricular wall motion was useful to determine whether it was due to localized or diffuse abnormalities. In cardiomyopathy, marked left ventricular dilatation and severe hypokinesia were noted. 2) In myocardial infarction, regional wall motion abnormalities well represented the location of infarcted areas in majority of cases. Patients with inferior wall infarction had smaller decrease of the left ventricular ejection fraction and wall motion grade than anterior or combined groups. In whom persistent left ventricular failure was present, wall motion analysis with gated cardiac scan provided valuable information for the detection of ventricular aneurysms. 3) Evaluation of the left ventricular wall motion and its grading provided a reliable estimate of the left ventricular function. In conclusion, visual evaluation of left ventricular wall motion and its grading provided valuable information for analyzing the characteristics of regional and global left ventricular dysfunction.

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Studies on the Subgross Anatomy of the Canine Viscera by the Vinylite-Corrosion Technique 2. The Ramification of Portal and Hepatic Vein System of Liver (합성수지주입법(合成樹脂注入法)에 의(依)한 개 내장(內臟)의 준조대해부학적연구(準粗大解剖學的硏究) 제(第)2보(報) 간내(肝內) 문맥계(門脈系) 및 간정맥(肝靜脈) 분지(分枝)에 관(關)하여 (부(附) 신동맥(腎動脈) 및 신정맥(腎精脈) 신내분지(腎內分枝)))

  • Mo, Ki Choul
    • Korean Journal of Veterinary Research
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    • v.7 no.1
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    • pp.8-18
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    • 1967
  • Casting specimens of portal system and hepatic vein system in livers were made by injection of vinylite into the portal vein and postcava in 20 adult dogs. The author classificated the ramification of portal system and hepatic vein system. The results obtained were summerized as follows: 1. Portal system in livers were divided into left and right trunks. The left trunk subdivided into papillary process (caudate lobe,) left medial lobe, left lateral lobe, quadrate lobe and right medial lobe rami. The right trunk were subdivided into right lateral lobe and caudate proccss(caudate lobe.) 2. The lateral superior and medial inferior rami of portal system in left lateral lobe were subdivided 1 or 2 branches from left trunk. 3. The lateral superior ramus of portal system in left medial lobe did not appeared in 40% of the cases examined. 4. Portal system in quadrate lobe were subdivided 1-3 branches from left trunk, 5. Portol system in right medial lobe rami were relatively simple in ramification. 6. The lateral superior and medial inferior rami of portal system in right lateral lobe were subdivided 1 or 2 branches from right trunk. 7. Hepatic vein system of left lateral, left medial, quadrate and right medial lobe rami were originated from same ramus divided from the postcava in all cases. 8. Hepatic vein system of left and right rami in right medial lobe were divided from postcava.

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Esophageal Reconstruction with Isoperistaltic Interposition of Left Colon (동연동성 좌측결장을 이용한 식도재건술)

  • 성시찬
    • Journal of Chest Surgery
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    • v.24 no.9
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    • pp.895-902
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    • 1991
  • The surgical experience on 18 patients with benign or malignant stricture of the esophagus who underwent isoperistaltic interposition of left colon from April 1989 to July 1991 was reviewed. During same period 22 esophageal reconstructions with colon were performed, but 3 patients who had intraabdominal adhesion in the left upper quadrant and one patient who had uncertainty of blood supply of left colic artery could not undergo iso-peristaltic interposition of left colon. There were 12 male and 6 female patients ranging from 16 to 65 years of age. 12 patients had corrosive esophageal stricture, two had cancer of esophagus, and another two had hypopharyngeal cancer. The postoperative complications developed in 7 patients [38.8%] and most frequently encountered complication was cervical anastomotic leakage, which was successfully managed with simple drainage in all cases but one malignant patient. There was no operative mortality. The esophageal reconstruction with isoperistaltic left colon resulted in good function in 14 patients[77.8%], fair in 3 patients[16.7], and poor in 1 patient[5.6%]. In this experience esophageal reconstruction using isoperistaltic left colon is a satisfactory method that can be accomplished with acceptable morbidity and mortality.

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RAD-SUPPLEMENTING MODULES

  • Ozdemir, Salahattin
    • Journal of the Korean Mathematical Society
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    • v.53 no.2
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    • pp.403-414
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    • 2016
  • Let R be a ring, and let M be a left R-module. If M is Rad-supplementing, then every direct summand of M is Rad-supplementing, but not each factor module of M. Any finite direct sum of Rad-supplementing modules is Rad-supplementing. Every module with composition series is (Rad-)supplementing. M has a Rad-supplement in its injective envelope if and only if M has a Rad-supplement in every essential extension. R is left perfect if and only if R is semilocal, reduced and the free left R-module $(_RR)^{({\mathbb{N})}$ is Rad-supplementing if and only if R is reduced and the free left R-module $(_RR)^{({\mathbb{N})}$ is ample Rad-supplementing. M is ample Rad-supplementing if and only if every submodule of M is Rad-supplementing. Every left R-module is (ample) Rad-supplementing if and only if R/P(R) is left perfect, where P(R) is the sum of all left ideals I of R such that Rad I = I.

The Effects of a Mental Image Drawing on Left Neglect: a Case Study (심상그리기가 좌편 무시현상에 미치는 영향: 사례연구)

  • Kim, Ha-Kyung;Hwang, Young-Jin;Jeong, Ok-Ran
    • Speech Sciences
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    • v.12 no.3
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    • pp.91-102
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    • 2005
  • This study investigated to the effects of a mental image drawing in RHD patients with left neglect. Three subjects participated in this study. All subjects were right handed and native speaker of korean. In task 1, the patients were presented with visual stimulus card directly above the response sheet and were asked to draw the picture. In task 2, they were presented with items auditorily and asked to draw the picture(mental image drawing). In all experimental conditions, there was no response time limit. The results showed that the subjects showed left neglect leaving some space on the left side in task 1. And the picture was drawn the left side from the right in direction. However, the neglect disappeared in task 2. And the picture was drawn the right side from the left in direction. The results of the present study suggested that a mental image drawing technique can be effective in treating individuals who exhibit left neglect. Also, the picture direction showed that the korean normality was same.

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