• Title/Summary/Keyword: Slush

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Phrenic Nerve Paralysis Complicating Topical Cardiac Hypothermia During Open Heart Surgery - A Report of 4 Cases- (개심술후 합병되는 횡경신경 손상 -4례 보고-)

  • 이종욱
    • Journal of Chest Surgery
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    • v.21 no.4
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    • pp.772-777
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    • 1988
  • Because of increasing myocardial damage by normothermic arrest, most of cardiac surgeons now uses many kinds of method reducing myocardial injury, such as systemic hypothermia, topical cooling and cold cardioplegic solutions. And phrenic nerve paralysis has been reported with the use of iced slush for topical cooling. So we reviewed the preoperative and postoperative chest X-rays of 54 patients undergoing open heart surgery with the use of iced slush for topical cooling to find phrenic nerve paralysis. Four of 54 patients were known to have phrenic nerve paralysis. The first time known to develop phrenic nerve paralysis was from POD 4 1 day to POD 4 3 day and the phrenic nerve paralysis resolved within a month postoperatively except one. A patient have had phrenic nerve paralysis persistently over 7 months. And the effect of unilateral phrenic nerve paralysis was of no clinical significance.

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AN ITERATIVE ALGORITHM FOR EXTENDED GENERALIZED NONLINEAR VARIATIONAL INCLUSIONS FOR RANDOM FUZZY MAPPINGS

  • Dar, A.H.;Sarfaraz, Mohd.;Ahmad, M.K.
    • Korean Journal of Mathematics
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    • v.26 no.1
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    • pp.129-141
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    • 2018
  • In this slush pile, we introduce a new kind of variational inclusions problem stated as random extended generalized nonlinear variational inclusions for random fuzzy mappings. We construct an iterative scheme for the this variational inclusion problem and also discuss the existence of random solutions for the problem. Further, we show that the approximate solutions achieved by the generated scheme converge to the required solution of the problem.

TPO Dynamics in Automotive: The Development of Soft TPO for Better Recycle

  • Cho, Seong-Min;Shin, Dong-Myung;Kim, Chang-Gyou
    • Proceedings of the Polymer Society of Korea Conference
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    • 2006.10a
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    • pp.137-138
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    • 2006
  • TPOs based on polypropylene has been dominating materials in hard automotive parts such as in bumper fascia, instrumental panel and door trim panel owing to their variety of advantages compared to engineering plastics and steels for years. Recently as environmental regulations related to recycle have been strengthened, the use of TPOs in soft automotive parts such as instrument panel skin and door trim skin is being required much more.. Therefore, in this study, we' d like to give an overview of soft TPOs and introduce soft TPO materials requirement and preferable materials composition by vacuum thermoforming and powder slush molding, respectively.

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Clinical experience of open heart surgery -100 cases- (개심술 100예에 대한 임상적 고찰)

  • 공국영
    • Journal of Chest Surgery
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    • v.19 no.4
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    • pp.663-671
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    • 1986
  • 100 cases of open heart surgery were done in the Dept. of Thoracic and Cardiovascular Surgery, Won Kwang University Hospital from July, 1984 to October, 1986. l. Among the 100 cases, there were 51 cases [51%] of acyanotic congenital heart anomalies, 10 cases [10%] of cyanotic congenital heart anomalies and 39 cases [39%] of acquired heart disease. 2. The age distribution of 100 cases was 18 months to 56 years old and mean age was 10.8 years old in congenital heart anomalies and 34.7 years old of acquired heart disease. 3. The overall mortality was 8%. and the mortality in each entity is 5.9% in congenital acyanotic cases, 10% in congenital cyanotic cases and 10.3% in acquired valvular heart disease. 4. For myocardial protection, high concentration potassium of cold blood cardioplegic solution [30mEq/L] had been used, associated with topical cooling of ice-slush.

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A Comparative Study of Antegrade Cardioplegia Versus Retrograde Cardioplegia for Myocardial Protection during the Open Heart Surgery (순행성 관관류법과 역행성 관관류법의 임상적 비교연구)

  • 조완재
    • Journal of Chest Surgery
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    • v.22 no.4
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    • pp.609-619
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    • 1989
  • During aortic valve surgery, cardioplegic solution is delivered through direct cannulation of both coronary ostia. Since this approach may cause an intimal injury leading to acute dissection or late ostial stenosis, this study was undertaken to evaluate myocardial protective effect of retrograde perfusion of cardioplegia [RCSP <% RRAP] in 18 clinical cases, which were compared with antegrade perfusion of cardioplegia in 27 clinical cases. This study were investigated 1] cease and return of electromechanical activity after cardioplegia infusion 2] the myocardial temperature during operation 3] the aortic cross clamping time and total bypass time 4] frequency of DC shock for defibrillation 5] need for inotropic drugs after operation 6] electrocardiographic evidence of myocardial infarction or ventricular arrhythmia after operation 7] the enzymes activity during preoperative and postoperative period as an evaluation of myocardial ischemic injury and 8] operative mortality rate The combination of retrograde cardioplegia and topical cooling with ice slush yielded promptly hypothermia of myocardium and shorter aortic cross-clamping time compared with antegrade cardioplegia [P < 0.05]. The temperature of the interventricular septum was maintained below 20oC by continuous perfusion or intermittent perfusion of cold blood cardioplegia and other results were no statistically significant difference between the two methods [P >0.05]. This technique provides clear operative field and avoids some serious complications which are caused by coronary ostial cannulation. These results suggested that the retrograde perfusion of cardioplegia is a simple, safe, and effective means of myocardial protection during open heart surgery.

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