• Journal of Chest Surgery
• /
• v.39 no.5 s.262
• /
• pp.354-358
• /
• 2006

Background: Pulsatile pumps for extracorporeal circulation have been known to be better for tissue perfusion than non-pulsatile pumps but be detrimental to blood corpuscles. This study is intended to examine the risks and benefits of $T-PLS^{TM}$ through the comparison of clinical effects of $T-PLS^{TM}$ (pulsatile pump) and $Bio-pump^{TM}$ (non-pulsatile pump) used for coronary bypass surgery. Material and Method: The comparison was made on 40 patients who had coronary bypass using $T-PLS^{TM}\;and\;Bio-pump^{TM}$ (20 patients for each) from April 2003 to June 2005. All of the surgeries were operated on pump beating coronary artery bypass graft using cardiopulmonary extra-corporeal circulation. Risk factors before surgery and the condition during surgery and the results were compared. Result: There was no significant difference in age, gender ratio, and risk factors before surgery such as history of diabetes, hypertension, smoking, obstructive pulmonary disease, coronary infarction, and renal failure between the two groups. Surgery duration, hours of heart-lung machine operation, used shunt and grafted coronary branch were little different between the two groups. The two groups had a similar level of systolic arterial pressure, diastolic arterial pressure and mean arterial pressure, but pulse pressure was measured higher in the group with $T-PLS^{TM}\;(46{\pm}15\;mmHg\;in\;T-PLS^{TM}\;vs\;35{\pm}13\;mmHg\;in\;Bio-pump^{TM},\;p<0.05)$. The $T-PLS^{TM}$-operated patients tended to produce more urine volume during surgery, but the difference was not statistically significant $(9.7{\pm}3.9\;cc/min\;in\;T-PLS^{TM}\;vs\;8.9{\pm}3.6\;cc/min\;in\;Bio-pump^{TM},\;p=0.20)$. There was no significant difference in mean duration of respirator usage and 24-hour blood loss after surgery between the two groups. Plasma free Hb was measured lower in the group with $T-PLS^{TM}\;(24.5{\pm}21.7\;mg/dL\;in\;T-PLS^{TM}\;versus\;46.8{\pm}23.0mg/dL\;in\;Bio-pump^{TM},\;p<0.05)$. There was no significant difference in coronary infarction, arrhythmia, renal failure and morbidity rate of cerebrovascular disease. There was a case of death after surgery (death rate of 5%) in the group tested with $T-PLS^{TM}$, but the death rate was not statistically significant. Conclusion: Coronary bypass was operated with $T-PLS^{TM}$ (Pulsatile flow pump) using a heart-lung machine. There was no unexpected event caused by mechanical error during surgery, and the clinical process of the surgery was the same as the surgery for which $Bio-pump^{TM}$ was used. In addition, $T-PLS^{TM}$ used surgery was found to be less detrimental to blood corpuscles than the pulsatile flow has been known to be. Authors of this study could confirm the safety of $T-PLS^{TM}$.

• Progress in Medical Physics
• /
• v.10 no.2
• /
• pp.73-81
• /
• 1999

Scatter correction for single photon emission computed tomography (SPECT) plays an important role to improve image quality and quantitation. The purpose of this study was to investigate three scatter correction methods using Monte Carlo simulation. Point source and Jaszack phantom filled with Tc-99m were simulated by Monte Carlo code, SIMIND. For scatter correction, we applied three methods, Compton window (CW) method, triple window (TW) method, and dual photopeak window (DPW) method. Point sources located at various depths along the center line within a 20-cm phantom were simulated to calculate the window ratios and corresponding scatter fractions by evaluating the polynomial coefficients for DPW method. Energy windows were located in W$_1$=92-125 keV, W$_2$=124-126 keV, W$_3$=136-140 keV, W$_4$=140-141 keV, and W$_{5}$=154-156 keV. The results showed that in Jaszack phantom with cold sphere and hot sphere, the TW gave the closest contrast and percentage recovery to the ideal image, respectively, while CW overestimated and DPW underestimated the contrast of ideal one. All three scatter correction methods showed an improved image contrast. In conclusion, scatter correction is essential for improving image contrast and accurate quantification. The choice of scatter correction method should be made on the basis of accuracies and ease of implementation.

• Journal of the Computational Structural Engineering Institute of Korea
• /
• v.26 no.1
• /
• pp.9-17
• /
• 2013

In this study, an efficient analytical model for the dynamic analysis of tall buildings with a shear wall-frame structural system has been proposed. A shear wall-frame structural system usually consists of a core wall showing flexural behavior and a frame presenting shear behavior. Therefore, the deformed shape of the shear wall-frame structural system is shown by the combination of flexural mode and shear mode. These characteristics should be considered when an efficient analytical model is developed. To this end, the effect of shear wall and frame on the dynamic behavior of a tall building with a dual system has been separately investigated. In this study, the structural characteristics of a separated individual shear wall model and the frame model without shear wall has been evaluated. In order to consider the effect of the shear wall in the frame model without shear wall, a rigid body was used instead of the shear wall. Each equivalent model for the separated shear wall part and frame part has been independently developed and two equivalent models were then combined to create an efficient analytical model for tall buildings with a shear wall-frame structural system. In order to verify the efficiency and accuracy of the proposed method, time history analyses of tall buildings with a shear wall-frame system were performed. Based on analytical results, it has been confirmed that the proposed method can provide accurate results, requiring significantly reduced computational time and memory.

• Journal of Korean Neurosurgical Society
• /
• v.60 no.5
• /
• pp.597-603
• /
• 2017

Objective : Several surgical methods have been reported for treatment of ossification of the posterior longitudinal ligament (OPLL) in the thoracic spine. Despite rapid innovation of instruments and techniques for spinal surgery, the postoperative outcomes are not always favorable. This article reports a minimally invasive anterior decompression technique without instrumented fusion, which was modified from the conventional procedure. The authors present 2 cases of huge beak-type OPLL. Patients underwent minimally invasive anterior decompression without fusion. This method created a space on the ventral side of the OPLL without violating global thoracic spinal stability. Via this space, the OPLL and anterior lateral side of the dural sac can be seen and manipulated directly. Then, total removal of the OPLL was accomplished. No orthosis was needed. In this article, we share our key technique and concepts for treatment of huge thoracic OPLL. Methods : Case 1. 51-year-old female was referred to our hospital with right lower limb radiating pain and paresis. Thoracic OPLL at T6-7 had been identified at our hospital, and conservative treatment had been tried without success. Case 2. This 54-year-old female with a 6-month history of progressive gait disturbance and bilateral lower extremity radiating pain (right>left) was admitted to our institute. She also had hypoesthesia in both lower legs. Her symptoms had been gradually progressing. Computed tomography scans showed massive OPLL at the T9-10 level. Magnetic resonance imaging of the thoracolumbar spine demonstrated ventral bony masses with severe anterior compression of the spinal cord at the same level. Results : We used this surgical method in 2 patients with a huge beaked-type OPLL in the thoracic level. Complete removal of the OPLL via anterior decompression without instrumented fusion was accomplished. The 1st case had no intraoperative or postoperative complications, and the 2nd case had 1 intraoperative complication (dural tear) and no postoperative complications. There were no residual symptoms of the lower extremities. Conclusion : This surgical technique allows the surgeon to safely and effectively perform minimally invasive anterior decompression without instrumented fusion via a transthoracic approach for thoracic OPLL. It can be applied at the mid and lower level of the thoracic spine and could become a standard procedure for treatment of huge beak-type thoracic OPLL.

• Journal of the Korean Geotechnical Society
• /
• v.37 no.7
• /
• pp.13-23
• /
• 2021

If roads, bridges, buildings, etc. are built on the ground with soft clay or organic soil, there may be a lot of problems in geotechnical engineering such as settlement and stability due to the large settlement and lack of bearing capacity. In extreme cases, it may appear due to shear failure or collapse of the constructed structure, so a ground improvement method is indispensable to increase the strength of the ground and to suppress settlement. In this study, the settlement according to each groundwater level condition was analyzed using the measurement results for the groundwater level conditions, one of the important factors in predicting the settlement in dredged and reclaimed ground, and the groundwater level conditions applied to the settlement analysis were proposed by comparing it with settlement generated 5 years after construction. As a result of the analysis, it is judged that it is reasonable to apply the measured groundwater level during construction and the low water ordinary neap tide (L.W.O.N.T) during load application for the groundwater level in the settlement analysis. In addition, in the case of the dredged and reclaimed ground, it is estimated that the water pressure acting on the clay layer is nonlinear, as the result of the observations of the head of water at the observation points above and below the in-situ clay layer were different.

• Journal of agricultural medicine and community health
• /
• v.35 no.1
• /
• pp.36-45
• /
• 2010

Objectives: This study was performed to examine the healthy lifestyle influenced on the metabolic syndrome among the elderly in the rural area. We examined the changes of risk factors of metabolic syndrome after two years. Method: Out of 134 who did health screening at the J county health center from July 1 to August 31, 2006, 65 aged people confirmed to metabolism syndrome were selected as subjects. For the final analysis, 62 aged people who revisited after two years were selected our subjects. The data were analyzed using SPSS PC+ 12.0 program for descriptive, Chi-square test, t-test and ANOVA analysis. Result: The result of this study indicated that 62 metabolic syndrome patients in 2006 decreased into 53, and women were higher than men. The difference in the metabolic syndrome came from level of education, smoking, health practices, and past illness history. Conclusion: Therefore, the change of lifestyle needs to be induced by the level of education, and for the group of smoking, non-exercise, and past illness history not only regular checkups to prevent metabolic syndrome but also education to have interest on themselves may need intensively.

• Journal of Korean Medical classics
• /
• v.3
• /
• pp.501-552
• /
• 1989

In this thesis, I intend to study the translational and clinical interpretation through the theory of Eum-Yang-Li-Hap', and reached the following conclusions. 1. 'Eum-Yang (陰陽)' in title, means Yin and Yang as method of understanding nature or humanbody, and 'Li-Hap (離合)' in title, means classification and getting together. Especially there are a view that Eum Yang in title means only meridinans within the limit of human body, but the limit needn't, because the word 'Li-Hap of 3Yin-3Yang (三陰三陽之離合)' as meaning of human meridians in the text. 2. The content of the text is generally seperated into 3 parts, the 1st part contents properties of Li Hap of Yin and Yang. 2nd and 3rd parts content the explanation of property of 3Yin and 3Yang, as example of human meridians with local conception, and content nicknames of 3Yin-3Yang and present the Ideo of 'Kae-Hap-Choo (開闔樞)'. 3. 3Yin-3Yang in the text, many of annotators tried to explanate by three types of conception, of human meridians, of the 'Viscera-Bowels (臟腑)', or of the 'Element motions and Natural factors (運氣)'. I think that these three conceptions could be mixed when the text was written, and regarde for the present that 3Yin-3Yang is explanated by the conception of human meridians. 4. 'Eum (陰)' the head-letter of the nicknames of 3Yin-3Yang, I think that it means 'Jok-Gyeong (足經)' related with the words 'The earth belongs to Yin (地爲陰)' in the text. And it i s considered that further studies should be followed on the tail-words of 3Yin-3Yang's nicknams. 5. Kae-Hap-Choo, Used in similitude" as 'Li (離)' of 3Yin-3Yang, are seperated functions by location of 3Yin-3Yang. In text 'Tae-Yang (太陽)' and 'Tae-Eum (太陰)' act as 'Kae (開)', 'Yang-Myeong (陽明)', and 'Gweor-Eum (厥陰)' act as 'Hap (闔)', 'So-Yang (少陽)' and 'So-Eum (少陰)' act as 'Choo (樞).' But there is other theory that Gweor-Eum act as Choo, and So-Eum act as Hap. 6. The theory of Kae-Hop-Choo, including only Jok-Gyeong being main materials of 'Yook Gyeong-Byeon-Jeung (六經辨證) had influence on development of clinical studies. If the theory of Kae-Hap-Choo receives and unions the ideos of '3 burning-Spaces (三焦)', metabolism, etc. more development of medicine is expected.

• Journal of Astronomy and Space Sciences
• /
• v.26 no.3
• /
• pp.355-374
• /
• 2009

We analysed the old automatic clock and time signal system that was used by the national astronomical agency in East Asian Area. Jagyeongnu is a kind of water clock that was operated by the flowing water in Joseon Dynasty. Seowoongwan managed the water clock so as to keep the standard time system in the dynasty from the 16th year (1434) of King Sejong's reign. In 1438 the Okru that was invented in the period. Such kind of clock system already was used in China, which was Shui $y\ddot{u}n$ i hsiang t'ai (水運儀象壹) in 1092. During the period Joseon Dynasty, China and Japan had been kept the time system that one day is divided into 12 shin (12辰) or 100 gak (刻). However detailed part of the system had a little difference among the three countries. Though the whole system of water clock in Joseon had manufactured on the basis of Chinese, it had been gradually developed by own method and idea. In this study we show the historical records of the standard time keeping system in East Asian history. And then we can inform materials on the structure and functional devises for the purpose of new restoration models about the automatic clock and time system.

• Korean Journal of Ichthyology
• /
• v.33 no.4
• /
• pp.252-261
• /
• 2021

The egg development and early life history of short barbel gudgeon Squalidus japonicus coreanus were investigated. For the experiments, the mature adults were collected at the stream Jicheon in Korea. The eggs from the females were obtain by injecting 10 IU/g of human chorionic gonadotropin and inseminated by wet method in the laboratory. The fertilized eggs were 1.12±0.03 mm (1.10~1.16 mm, n=30) in diameter. The embryo began to hatch about 49 hrs after fertilization under water temperature of 23±1℃. The newly-hatched larvae (Yolksac larva) were 3.7±0.1 mm (3.4~3.8 mm, n=16) in total length, and they haven't Melanophore. 5 days after hatching, the Preflexion larva were 5.3±0.2 mm (5.0~5.5 mm, n=16) in total length, and they began to eat a Rotifer. 19 days after hathing, the Flexion larva were 6.0±0.3 mm (5.4~6.5 mm, n=16) in total length, and they began to eat a Brine shrimp. 29 days after hatching, the Postflexion larva were 9.6±0.5 mm (8.3~10.5 mm, n=16) in total length, and dorsal fin rays are were formed. 44 days after hatching, the juvenile were 15.5±1.0 mm (13.5~17.0 mm, n=16) in total length, and all their fin-rays were formed.