• Title/Summary/Keyword: Shunting

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외상성 척수공동증의 치료를 위한 지주막하강 재건술 - 증례보고 - (Subarachnoid Space Reconstruction for Treatment of Posttraumatic Syringomyelia - A Case Report -)

  • 정대진;김성민;김훈;심영보;박용기;최선길
    • Journal of Korean Neurosurgical Society
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    • 제29권2호
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    • pp.255-260
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    • 2000
  • The authors report a posttraumatic syringomyelia in a 30-year-old man who has complained pain, weakness of upper arm and dissociation sensory loss since 2 months before. He was underwent by decompressive laminectomy from T12 to L1, reduction of encroached bony fragments, transpedicular screw fixation from T12 to L2 and posterolateral bony fusion due to burst fracture of L1 at other hospital 3 years ago. Preoperative spinal MRI was highly suggestive of wide-spread, multiseptated syringomyelia from C3 to thoracolumbar junction. We performed wide decompressive laminectomy from T10 to L2 and subarachnoid space reconstrucion composed of microdissection of meningeal fibrosis widely, iatrogenic meningocele formation with lefting the dura mater opened for treatment of spinal-spinal pressure dissociation. Clinical manifestations and radiological findings of the patient were improved after the operation. This technique was thought to be superior to shunting procedures in cases of wide-spread, multiseptated post-traumatic syringomyelia.

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Vibration control laws via shunted piezoelectric transducers: A review

  • Qureshi, Ehtesham Mustafa;Shen, Xing;Chen, JinJin
    • International Journal of Aeronautical and Space Sciences
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    • 제15권1호
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    • pp.1-19
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    • 2014
  • Attaching a piezoelectric transducer to a vibrating structure, and shunting it with an electric circuit, gives rise to different passive, semi-passive, and semi-active control techniques. This paper attempts to review the research related to structural vibration control, via passive, semi-passive, and semi-active control methods. First, the existing electromechanical modeling is reviewed, along with the modeling methods. These range from lumped parameters, to distributed parameters modeling of piezostructural systems shunted by electrical networks. Vibration control laws are then discussed, covering passive, semi-passive, and semi-active control techniques, which are classified according to whether external power is supplied to the piezoelectric transducers, or not. Emphasis is placed on recent articles covering semi-passive and semi-active control techniques, based upon switched shunt circuits. This review provides the necessary background material for researchers interested in the growing field of vibration damping and control, via shunted piezostructural systems.

Mapping of Carbon Flow Distribution in the Central Metabolic Pathways of Clostridium cellulolyticum: Direct Comparison of Bacterial Metabolism with a Soluble versus an Insoluble Carbon Source

  • DESVAUX, MICKAEL,
    • Journal of Microbiology and Biotechnology
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    • 제14권6호
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    • pp.1200-1210
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    • 2004
  • Metabolic flux analysis was established by adapting previous stoichiometric model developed during growth with cellulose to cell grown with cellobiose for further direct comparison of the bacterial metabolism. In carbon limitation with cellobiose, a shift from acetate-ethanol fermentation to ethanol-lactate fermentation is observed and the pyruvate overflow is much higher than with cellulose. In nitrogen limitation with cellobiose, the cellodextrin and exopolysaccharide overflows are much higher than on cellulose. In carbon and nitrogen saturation with cellobiose, the cellodextrin, exopolysaccharide, and free amino acids overflows reach the highest levels observed but all remain limited on cellulose. By completely shunting the cellulosome, the use of cellobiose allows to reach much higher carbon consumption rates which, in return, highlights the metabolic limitation of C. cellulolyticum. Therefore, the physical nature of the carbon source has a profound impact on the metabolism of C. cellulolyticum and most probably of other cellulolytic bacteria. For cellulolytic bacteria, the use of soluble carbon substrate must carefully be taken into consideration for the interpretation of results. Direct comparison of metabolic flux analysis from cellobiose and cellulose revealed the importance of cellulosome, phosphoglucomutase and pyruvate-ferredoxin oxidoreductase in the distribution of carbon flow in the central metabolism. In the light of these findings, future directions for improvement of cellulose catabolism by this bacterium are discussed.

Microsurgical Fenestration of Middle Cranial Fossa Arachnoid Cyst

  • Kim, In-Soo;Kim, Dong-Won
    • Journal of Korean Neurosurgical Society
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    • 제40권2호
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    • pp.69-73
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    • 2006
  • Objective : The optimal surgical treatment for symptomatic middle cranial fossa arachnoid cysts is controversial. Therapeutic options include endoscopic fenestration, excision, cyst shunting, and craniotomy for fenestration of basal cistern. We reviewed the results of surgically treated middle cranial fossa arachnoid cysts. Methods : We performed a retrospective study in 18 cases of middle cranial fossa arachnoid cysts who had been treated with microsurgical fenestration between 1995 to 2003. The analysis was based on the results of the patients' age, sex distribution, developed area, clinical symptoms, treatment method, and complications. Results : Eighteen surgical treated middle cranial fossa arachnoid cysts patients were evaluated. The age range of cyst development was between 2 years and 44 years with the average of 16.4 years. The follow-up periods averaged 31.48 months. There were 15 male and 3 female patients, with significantly more cyst development in males than females. The most common clinical symptom was headache, followed by seizure. In the entire series, 77.8% of patients demonstrated a decrease in cyst size In serial imaging studies. Of them, 67.3% demonstrated a complete cyst effacement. Overall, 100% of patients with Grade I cysts, 81.8% of patients with Grade II cysts, 60% of patients with Grade III cysts exhibited evidence of decrease in cyst size during long-term monitoring. Complications included headache, meningitis, and hydrocephalus. Conclusion : Patients who were treated with microsurgical fenestration showed good outcome with acceptable complications. We concluded that microsurgical fenestration is a safe and effective surgical method for middle cranial fossa arachnoid cysts.

낙뢰 Surge 방호를 위한, 독립접지를 공통접지로 개선하는 효율적인 방법에 대한 연구 (A Study on the Effective Surge Protection Method from Induced Lightning Surge to Improve Isolate Grounding to Common Grounding)

  • 우제욱
    • 한국항해항만학회:학술대회논문집
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    • 한국항해항만학회 2013년도 추계학술대회
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    • pp.215-218
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    • 2013
  • 본 논문은 낙뢰 Surge 방호를 위하여 독립접지를 공통접지로 개선하는 효율적인 방법을 제안하였다. 낙뢰 Surge 방호를 위해서는 등전위 이론에 근거하는 공통접지방식이 적합하고, 중성선이 있는 전원계통에서는 공통접지방식을 사용하는 것이 국제적으로 통용되는 기술규격이다. 따라서 낙뢰 Surge에 취약한 문제점을 갖고 있는 기존의 중성선이 없는 전원계통의 독립접지방식을 중성선이 있는 전원계통의 공통접지방식으로 개선을 하고, 정전압소자를 이용하여 낙뢰 Surge를 방호하는 효율적인 등전위 시스템 구축 방법을 제안한다.

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로컬트래픽을 고려한 역시스템 설계에 관한 연구 (A study on the station traffic control system design concerning local traffic)

  • 김영훈;홍순흠;박범환;김유호;이영수;안진;김은희
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2005년도 춘계학술대회 논문집
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    • pp.825-830
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    • 2005
  • Traffic control is the center of the railway traffic control system. The main objective of railway traffic control system is to minimize delays, providing the customers with on-time train operating service according to the given train schedule. Particularly, within the station control area, the departure & arrival of train. the decision on the train priority and the shunting of train are decided by the authority of the local traffic controller. Therefore, it is necessary to have a lot of information and communications between each departments. And for such decision making of the local traffic controller, not only the communication between each stations are needed, but also the communication between other stations are needed too. In this paper, we have analyzed the main work of the local traffic controller in large scale stations and have designed the station traffic control system needed to be built within the station considering the local traffic. And we have proposed not only the communication with other system within station, but also the communication methods for communications with the neighboring stations.

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상대정맥폐쇄증에 의한 전신.문맥계 단락에 따른 국소성 간열소의 출현 (Scintiangiographic Visualization of Systemic-Portal Venous Shunting as a Cause of "hot Spot" in Superior Vena Cava Obstruction)

  • 박정미;정수교;신경섭;박용휘
    • 대한핵의학회지
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    • 제19권1호
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    • pp.145-148
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    • 1985
  • A small number of pathologic entities such as Budd-Chiari Syndrome, cirrhosis, focal nodular hyperplasia, and superior and inferior vena cava obstruction has been reported to result in focal areas of increased uptake of radiocolloid on the hepatoscintigram. We recently studied a patient with focal accumulation of $^{99m}Tc-phytate$ at the inferior aspect of the liver, at the junction of the right and left lobe. The superior vena cava scintiangiogram was taken for the evaluation of the superior vena cava obstruction and collateral circulations. As a result of superior vena caval obstruction a considerable amount of blood flowed to the liver through the anterior parietal and periumblical venous channels. A certain fraction of radiocolloid delivered by the rete mirabile perfused to a localized area of the liver. This would explain the hot spot around the porta hepatis in this case.

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Primary repair of symptomatic neonates with tetralogy of Fallot with or without pulmonary atresia

  • Lee, Chang-Ha;Kwak, Jae Gun;Lee, Cheul
    • Clinical and Experimental Pediatrics
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    • 제57권1호
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    • pp.19-25
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    • 2014
  • Recently, surgical outcomes of repair of tetralogy of Fallot (TOF) have improved. For patients with TOF older than 3 months, primary repair has been advocated regardless of symptoms. However, a surgical approach to symptomatic TOF in neonates or very young infants remains elusive. Traditionally, there have been two surgical options for these patients: primary repair versus an initial aortopulmonary shunt followed by repair. Early primary repair provides several advantages, including avoidance of shunt-related complications, early relief of hypoxia, promotion of normal lung development, avoidance of ventricular hypertrophy and fibrosis, and psychological comfort to the family. Because of advances in cardiopulmonary bypass techniques and accumulated experience in neonatal cardiac surgery, primary repair in neonates with TOF has been performed with excellent early outcomes (early mortality<5%), which may be superior to the outcomes of aortopulmonary shunting. A remaining question regarding surgical options is whether shunts can preserve the pulmonary valve annulus for TOF neonates with pulmonary stenosis. Symptomatic neonates and older infants have different anatomies of right ventricular outflow tract (RVOT) obstructions, which in neonates are nearly always caused by a hypoplastic pulmonary valve annulus instead of infundibular obstruction. Therefore, a shunt is less likely to preserve the pulmonary valve annulus than is primary repair. Primary repair of TOF can be performed safely in most symptomatic neonates. Patients who have had primary repair should be closely followed up to evaluate the RVOT pathology and right ventricular function.

Upward Migration of Distal Ventriculoperitoneal Shunt Catheter into the Heart : Case Report

  • Chong, Jong-Yun;Kim, Jae-Min;Cho, Dong-Cham;Kim, Choong-Hyun
    • Journal of Korean Neurosurgical Society
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    • 제44권3호
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    • pp.170-173
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    • 2008
  • Ventriculoperitoneal (VP) shunt is commonly and effectively used to treat hydrocephalus. Intracardiac migration of the shunt catheter is a rare complication. A 68-year-old woman underwent ventriculoperitoneal shunting for hydrocephalus secondary to subarachnoid hemorrhage due to anterior communicating artery aneurysm rupture. Two weeks after the shunt surgery, she had suffered from the abdominal pain. Plain chest x-rays, computed tomography, and echocardiography revealed the distal catheter which was in the right ventricle of the heart. We tried to remove the catheter through the internal jugular vein by fluoroscopic guidance. But, the distal catheter was kinked and knotted; therefore, we failed to withdraw the catheter. After then, we punctured the right femoral vein and pulled down the multi-knotted shunt catheter to the femoral vein using the snare catheter. Finally, we removed the knotted distal catheter via the femoral vein and a new distal catheter was placed into the peritoneal cavity. We report a case in which the distal catheter of the VP shunt migrated into the heart via the internal jugular vein. We emphasize the importance of careful and proper placement of the distal catheter during the tunneling procedure to prevent life-threatening complications.

Epitaxial growth of Pt Thin Film on Basal-Plane Sapphire Using RF Magnetron Sputtering

  • 이종철;김신철;송종환;이충만
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 1998년도 제14회 학술발표회 논문개요집
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    • pp.41-41
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    • 1998
  • Rare earth metal films have been used as a buffer layer for growing ferroelectric t thin film or a seed layer for magnetic multilayer. But when it was deposited on s semiconductor substrates for the application of magneto-optic (MO) storage media, it i is difficult to exactly measure magnetic cons떠nts due to shunting current, and so it n needs to grow metal films on insulator substrate to reduce such effect. Recently, it w was reported that ultra-thin Pt layer were epitaxially grown on A12O:J by ion beam s sputtering in 비떠 high vacuum and it can be used as a seed layer for the growth of C Co-contained magnetic multilayer. In this stu$\phi$, Pt thin film were epi떠xially grown on AI2D3 ($\alpha$)OJ) by RF magnetron s sputtering. The crystalline structure was analyzed by transmission electron microscope ( (TEM) and Rutherford Back Scattering (RBS)/Ion Channeling. In TEM study, Pt was b believed to be twinned on AI잉3($\alpha$)01) su$\pi$ace about Pt(ll1) plane.Moreover, RBS c channeling spectra showed that minimum scattering yield of Pt(111)/AI2O:J(1$\alpha$)OJ) was 4 4% and Pt(11J)/AI2D3($\alpha$)OJ) had 3-fold symmetry.

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