• Journal of Chest Surgery
• /
• v.12 no.3
• /
• pp.289-296
• /
• 1979

For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

• Asia-Pacific Journal of Business Venturing and Entrepreneurship
• /
• v.16 no.6
• /
• pp.249-267
• /
• 2021

The use of big data accumulated along with the progress of digitalization is bringing disruptive innovation to the global agricultural industry. Recently, the government is establishing an agricultural big data platform and a support organization. However, in the domestic agricultural industry, the use of big data is insufficient except for some companies in the field of cultivation and growth. In this context, this study identifies factors affecting the intention to use big data in terms of technology, organization and environment, and also confirm the moderating effect of technical field, focusing on agricultural ventures which should be the main entities in creating innovation by using big data. Research data was obtained from 309 agricultural ventures supported by the A+ Center of FACT(Foundation of AgTech Commercialization and Transfer), and was analyzed using IBM SPSS 22.0. As a result, Among technical factors, relative advantage and compatibility were found to have a significant positive (+) effect. Among organizational factors, it was found that management support had a positive (+) effect and cost had a negative (-) effect. Among environmental factors, policy support were found to have a positive (+) effect. As a result of the verification of the moderating effect of technology field, it was found that firms other than cultivation had a moderating effect that alleviated the relationship between all variables other than relative advantage, compatibility, and competitor pressure and the intention to use big data. These results suggest the following implications. First, it is necessary to select a core business that will provide opportunities to generate new profits and improve operational efficiency to agricultural ventures through the use of big data, and to increase collaboration opportunities through policy. Second, it is necessary to provide a big data analysis solution that can overcome the difficulties of analysis due to the characteristics of the agricultural industry. Third, in small organizations such as agricultural ventures, the will of the top management to reorganize the organizational culture should be preceded by a high level of understanding on the use of big data. Fourth, it is important to discover and promote successful cases that can be benchmarked at the level of SMEs and venture companies. Fifth, it will be more effective to divide the priorities of core business and support business by agricultural venture technology sector. Finally, the limitations of this study and follow-up research tasks are presented.

• KSCE Journal of Civil and Environmental Engineering Research
• /
• v.5 no.4
• /
• pp.1-8
• /
• 1985

Stability analysis of the embankment as to water level varation is the most important problem in the safety of the slope because the stress of embankment inside varies as to drawdown of seepage line. Especially when the water level is rapidly drawdown, because the flow direction of the free surface changes the toe of embankment, the factor of safety comes to small, therefore the embankment is dangered. For the purpose of studing these phenomena, the experimental models are built with sand in the laboratory. In the experimental consideration, the falling seepage line and the shape of failure are measured. This paper intends to study the failure slip surface, the relationship between the factor of safety and drawdown velocity, and hydraulic gradient. The results of the experimental study are summarized as follows; 1. Owing to the drawdown of free surface, sliding failure occurred in the upstream fill, the height of failure is 5~10, 9~15, and 13~21(cm) in each model. 2. In consideration of the distribution of pore water pressure Table-5 shows each factor of safety. In the relationship between the drawdown velocity and the factor of factor it's velocity should be limited to 0.21~0.28 (cm/sec), according to each models. In the relationship between the factor of safety and the hydraulic gradient within the upstream slope, it's gradient must be below 0.36~0.43.

• Archives of Reconstructive Microsurgery
• /
• v.10 no.2
• /
• pp.143-148
• /
• 2001

The hand with amputation of all fingers is useless for activities of daily living and traumatic amputation of some of the fingers can result in the diminished ability to perform power grip and precision grip which is vital to maintain normal function of the hand. Precision grip is used to hold an object between the opposable thumb and flexed fingers. In power grip the object is held between the flexed fingers and the palm while the thumb applies the necessary counterpressure to maintain the grip on the object. A 35 year old male lost his right all fingers including thumb at the level of proximal phalanx from the pressure machinary accident. Thumb was reconstructed using wrap around flap and the second and third fingers were reconstructed using the second and third toe transplantation. Seven years after reconstruction, he uses the reconstructed thumb and the second and the third fingers for eating meals, writing down a paper with a pencil and putting on socks.

• Journal of the Korean Geotechnical Society
• /
• v.28 no.5
• /
• pp.27-39
• /
• 2012

In this paper, a series of centrifuge tests were performed to evaluate the seepage characteristic of reinforced embankment. The centrifuge models simulated an actual embankment reinforced by enlargement of levee cross-section. The centrifuge models have the same conditions except the locations of enlargement with low permeable material : water-side and land-side. In addition, the prototype embankment is constructed on low permeable clay layer. In the case of water-side reinforcement, the reinforced zone makes water head down and the saturated zone of embankment propagates slowly. In the case of land-side reinforcement embankment, the saturated zone enlarged relatively faster but the amount of exit water at land-side toe was very small because of the land-side reinforcement zone. The low permeable clay foundation layer was being continuously saturated by the inflow from the embankment as well as the uplift flow from the permeable layer induced by the excess pore water pressure.

• Geotechnical Engineering
• /
• v.12 no.5
• /
• pp.79-88
• /
• 1996

In this study, prediction of soil behavior under vacuum preloading with vertical drain is explored on the basis of numerical models and toe results were compared with field measurements. Reasonable prediction of the time rate of settlements and pore pressure dissipation under vacuum preloading is the maj or concern. The conventional method for vatsuum preloading is based on modeling vacuum preloading as surcharge loading for the consolidation analysis. However, this modeling may violate the real behavior of soils under vacuum loading since the total stress in the analysis varies due to the modeled surcharge loading whereas in'.situ total stress of soils under vacuum loading is constant. In this study a new method is suggested. Instead of modeling vacuum loading as surcharge loading, negative hydraulic head is applied at the surface drain boundary to simulate the vacuum preloading. Comparisons of predictions and field measurements of soil behavior under vatsuum preloading are presented and the usefulness of the new modeling technique is demonstrated.

• Journal of the Korean Geotechnical Society
• /
• v.39 no.7
• /
• pp.57-67
• /
• 2023

Slope failures during rainfall have been observed in mountainous areas of South Korea as a result of the presence of solar power facilities. The seepage behavior and pore pressure distribution differ from typical slopes due to the presence of impermeable solar panels, and the load imposed by the solar power structures also affects the slope behavior. This study aims to develop a method for evaluating the stability of slopes with solar power facilities and to analyze vulnerable points by considering the maximum slope displacement. To assess the slope stability and predict behavior while considering rainfall seepage, a combined seepage analysis and finite difference method numerical analysis were employed. For the selected site, various variables were assumed, including parameters related to the Soil Water Characteristic Curve, strength parameters that satisfy the Mohr-Coulomb failure criterion, soil properties, and topographic factors such as slope angle and bedrock depth. The factors with the most significant influence on the factor of safety (FOS) were identified. The presence of solar power facilities was found to affect the seepage distribution and FOS, resulting in a decreasing trend due to rainfall seepage. The maximum displacement points were concentrated near the upper (crest) and lower (toe) sections of the slope.