• 제목/요약/키워드: appendage

검색결과 164건 처리시간 0.026초

대동맥판막 및 상행대동맥 대치이식술 1례 - Bentall씨 수술 변형술 - (A Successful Replacement of Ascending Aorta and Aortic Valve With a composite Graft)

  • 조경수
    • Journal of Chest Surgery
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    • 제22권4호
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    • pp.693-697
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    • 1989
  • A forty-eight-year-old female patient with ascending aortic aneurysm with aortic insufficiency underwent a modified Bentall operation. The ascending aorta and the aortic valve were replaced with a composite graft containing a St. Jude valve. The coronary orifices were anastomosed to the tubular Dacron prosthesis by means of a second smaller Gore-Tex tube, and a fistula between the aneurysmal sac and the right atrial appendage was created to drain oozing from the prosthesis. The postoperative course was uneventful and the patient was discharged without complication. She is doing well on the 14 months follow-up.

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Dynamics and control of a large spacecraft with flexible appendages in gravitational field

  • Nohmi, Masahiro;Uchiyama, Masaru
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1995년도 Proceedings of the Korea Automation Control Conference, 10th (KACC); Seoul, Korea; 23-25 Oct. 1995
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    • pp.368-371
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    • 1995
  • This paper describes dynamic analysis and attitude control of a large spacecraft with flexible appendages in gravitational field. The effect of attitude control and vibration control of flexible appendages in gravitational field has been clarified. We demonstrate some simulations in gravitational field for some cases, and suggest the effects of gravitational torque, parameters of flexible appendages, attitude control and vibration control of flexible appendages.

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양성 상공정맥 증후군 -1예 보고- (Benign superior vena cava syndrome -A case report-)

  • 한병선
    • Journal of Chest Surgery
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    • 제19권3호
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    • pp.449-452
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    • 1986
  • A patient with benign superior vena cava syndrome caused by the thrombus and fibrotic membrane in superior vena cava is described. Surgical treatment of superior vena cava syndrome remains controversial still. After endvenectomy and thrombectomy of superior vena cava, angioplasty with use of Gore-Tex patch and bypass graft using 10mm diameter Dacron vessel graft from left innominate vein to right atrial appendage were performed. The early postoperative course was uneventful with achievement of good decompression. But 12 months later, the symptoms of superior vena cava syndrome were reoccurred.

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Taxonomic Studies on the Genus Marssonina in Korea

  • Lee, Hyun-Tae;Shin, Hyeon-Dong
    • Mycobiology
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    • 제28권1호
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    • pp.39-46
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    • 2000
  • Eight species of Marssonina parasitic on 21 species of host plants from Korea are described and illustrated. They are Marssonina brunnea (Ellis & Everh.) Magnus, M. capsulicola (Rostr.) Magnus, M. celastri H.D. Shin & H.T. Lee, M. coronaria (Ellis & Davis) Davis, M. fragariae (Lib.) Kleb., M. juglandis (Lib.) Magnus, M. rosae (Lib.) Died. and M. sennenis (Gonz. Frag.) Vassiljevsky & Karak. Of these, M. capsulicola and M. coronaria sometimes poss three-celled conidia and M. sennenis is characterized by a short appendage at the basal end of the conidia. Morphological features of conidia and host ranges were of taxonomic values for species delimitation.

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해상소각 부선의 부가물 개발을 위한 실험적 연구 (An Experimental Study on the Appendage Development of the Incinerating Vessel)

  • 이귀주;권규혁;이광일
    • 한국해양공학회지
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    • 제13권1호통권31호
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    • pp.18-22
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    • 1999
  • One of the problem areas in designing a barge is its resistance and corese stability when it is towed by a tugboat. In this paper, as a part of design of a incinerating vessel, the results of some experimental studies on the effect of various kinds of anti-yawing skegs to the course keeping stability and on the additional resistance caused by them were summarized.

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Surgery for Partial Anomalous Pulmonary Venous Connections: Modification of the Warden Procedure with a Right Atrial Appendage Flap

  • Kim, Chilsung;Cho, Yang Hyun;Lee, Mina;Yang, Ji-Hyuk;Jun, Tae-Gook;Song, Jin Young;Huh, June;Kang, I-seok
    • Journal of Chest Surgery
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    • 제47권2호
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    • pp.94-99
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    • 2014
  • Background: Surgical repair of a partial anomalous pulmonary venous connection (PAPVC) to the superior vena cava (SVC) may be complicated by sinus node dysfunction or SVC obstruction. We modified the Warden procedure by using a right atrial auricular flap to decrease the occurrence of these complications. Methods: Between February 2005 and July 2012, 10 consecutive patients underwent a modified Warden procedure to correct PAPVC. The median patient age was 5.7 years. Eight patients (80%) had an atrial septal defect. To surgically correct the PAPVC, we made a U-shaped incision on the right atrial appendage and sutured the flap to the posterior wall of the SVC. The anterior wall was reconstructed with various patch materials. Results: No early or late deaths occurred, nor did any patient require early or late reoperation for SVC or pulmonary venous obstruction. No new arrhythmias appeared during follow-up, which was complete in all patients (mean, 29.5 months). Conclusion: Our modification of the Warden procedure seems to be effective and safe. This technique may lower the risk of SVC obstruction, pulmonary venous obstruction, and sinus dysfunction.

특발성 종격동섬유화에 의한 상공정맥증후군일예 (Superior Vena Caval Syndrome -Report of A Case-)

  • 박강식
    • Journal of Chest Surgery
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    • 제12권2호
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    • pp.140-144
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    • 1979
  • This is a report of a case of superior vena caval syndrome due to idiopathic mediastinal fibrosis, which was surgically treated. The patient was 35-year-old Korean male who progressively complained shortness of breath about for 40 days prior to operation. Phlebogram of SVC showed indentation of SVC at the site of cavoatrial junction. The operation was performed under impression of bronchogenic cancer of right hilum. After thoracotomy, it was found a irregular mass in the mediastinum at the level of cavoatrial junction, which was developed to surrounding with SVC, pericardium, trachea and bronchus and they fixed together to immobile. Bypass graft between SVC and right atrial appendage was performed using a pericardial roll tube This is a report of a case of superior vena caval syndrome due to idiopathic mediastinal fibrosis, which was surgically treated. The patient was 35-year-old Korean male who progressively complained shortness of breath about for 40 days prior to operation. Phlebogram of SVC showed indentation of SVC at the site of cavoatrial junction. The operation was performed under impression of bronchogenic cancer of right hilum. After thoracotomy, it was found a irregular mass in the mediastinum at the level of cavoatrial junction, which was developed to surrounding with SVC, pericardium, trachea and bronchus and they fixed together to immobile. Bypass graft between SVC and right atrial appendage was performed using a pericardial roll tube [$1.3{\times}5$ cm]. After that SVC was decompressed very well. SVC pressure was markedly reduced from 32 cm $H_2O$ in preoperative to 21 cm $H_2O$in postoperative. Mediastinal fibrosis was confirmed by histopathological examination postoperatively. The postoperative course was uneventful.

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Safety and Efficacy of Left Atrial Appendage Excision Using a Vascular Stapler

  • Park, Ji Hyeon;Sohn, Suk Ho;Choi, Jae Woong;Park, Eun Ah;Hwang, Ho Young
    • Journal of Chest Surgery
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    • 제53권3호
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    • pp.127-131
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    • 2020
  • Background: This study was conducted to evaluate the safety and efficacy of left atrial appendage (LAA) excision using a vascular stapler. Methods: Fifty consecutive patients (mean age, 68±9 years) who underwent LAA excision using a vascular stapler during concomitant cardiac surgery were enrolled. In all patients, the excision site was evaluated using computed tomography at a median of 7 days (interquartile range, 5-13.3 days) postoperatively. The safety endpoint of this study was the occurrence of LAA excision-related events, which were defined as bleeding from the excision site that required reinforcement sutures or reoperation due to excision site bleeding. The efficacy endpoint was LAA excision failure, which was defined as a remnant LAA (a stump >1 cm in maximum length) or extravasation of radiocontrast dye. Results: LAAs were excised using 60- and 45-mm vascular staplers in 49 patients and 1 patient, respectively. Reinforcement sutures were needed in 4 patients due to staple-line bleeding and in 4 patients due to bleeding of the surrounding tissues. No patient underwent reoperation due to staple-related bleeding. A remnant LAA was observed in 2 patients, while extravasation of radiocontrast dye was not observed in any patients. Conclusion: LAA excision using a vascular stapler may be an effective technique for LAA exclusion. Delicate handling of the stapler device and LA tissue is required to prevent procedure-related complications.

한국산 충생자낭균류의 미기록종에 관하여 (Notes on Three Species of the Laboulbeniales (Ascomycotina) Newly Collected from Korea)

  • 이용보;나영희
    • 한국균학회지
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    • 제27권3호통권90호
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    • pp.208-210
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    • 1999
  • 본 연구는 우리나라에서 충생자낭균류의 자원을 발굴하고, 동정하여 새로운 생물자원을 확보하기 위하여 1996년 10월부터 1997년 9월까지 연구한 결과이다. 현재까지 우리나라의 충생자낭균류는 16속 59종이 기록되어 있으며, 본 연구를 통하여 동정된 충생자낭균류의 미기록 3종을 다음과 같이 보고하고자 한다. Laboulbenia anoplogenii Thaxter는 Stenolophys quinquepustulatus Widemann으로부터 발견되었다. 이 균체의 특징은 탁의 4번층의 세포수가 $2{\sim}3$개으로 되어 있으며, 상부를 향하여 돌출하고 있다. Laboulbenia habui Terada는 Chlaenius variicornis Bates에서 채집되었다. 이 종의 특징은 2차 부속지의 기부세포들이 교대로 2열로 배열된 짧은 원통형으로 되어있다. Laboulbenia pallida Thaxter는 Anisodactylus signatus Panzer에서 채집되었다. 이 종은 Harpalus Sp.에서 발견되어 왔지만, Anisodactylus signatus Panzer에서는 처음으로 발견되었다. 이 종의 특징은 자낭각의 정단부가 둥글며, 의부속지는 기부세포에서 가지쳐 있다. 본 연구로 우리나라의 충생자낭균류는 16속 62종이 기록된다.

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해외 패션시장 진출 사례분석: 자라와 유니클로를 중심으로 (A Case Analysis of Entry in Global Fashion Market : The Case of Zara and Uniqlo)

  • 김효정;권기훈
    • 통상정보연구
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    • 제15권4호
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    • pp.509-532
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    • 2013
  • 본 논문은 패션의류기업의 해외시장 진출 프로세스를 실질적인 기업 사례를 통해 분석하였다. 글로벌 기업인 자라와 유니클로를 대상으로 두 기업의 해외시장 진출을 Malnight(1995)가 제시한 부속(appendage), 참여(participation), 기여(contribution), 통합(integration) 4단계 모델로 분석하였다. 자라와 유니클로 모두 전세계를 대상으로 글로벌화가 이루어졌고 범세계적인 가치사슬을 운영하나, 자라는 철저하게 본국에 중점을 둔 가치사슬을 유지하는 반면, 유니클로는 특정 가치사슬에서는 자회사가 주도적인 역할을 하는 Malnight(1995)의 통합 단계로 운영하고 있음을 알 수 있었다. 글로벌 패션기업의 해외시장 진출에 대한 본 연구는 해외시장 진출 어려움을 겪고 있는 한국패션기업들에게 시사점을 제공할 수 있다. 한국기업들이 해외시장 진출을 기업 수준이 아니라 해당 기능별로 다르게 진행할 수 있고, 국제화 단계 및 조직의 자원과 역량에 적합한 기능별 해외 진출로 연결할 수 있을 때, 좀 더 원활한 해외시장진출이 가능할 수 있다는 실무적인 시사점을 제공한다.

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