• Title/Summary/Keyword: ascending

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Surgical Management of Aneurysm of the Ascending Aorta with Aortic Insufficiency (대동맥판부전이 동반된 상행대동맥류의 외과적 치험)

  • 박만실
    • Journal of Chest Surgery
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    • v.26 no.6
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    • pp.457-462
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    • 1993
  • We retrospectively studied 34 patients who underwent operations of ascending aortic aneurysm and aortic valve replacement from August 1979 to July 1992 at the Yonsei Cardiovascular Center. Eight patients underwent supracoroanry non-composite graft replacement and separate aortic valve replacement[group I]. Twenty six patients underwent valved composite graft replacement with reimplantation of coronary arteries[group II]. Two cases in group II died within 1 month after the operation. Among the 32 survivors 28 patients have been followed up for an average of 59 months ranging from 1 months to 159 months. During the follow up periods, a pseudoaneurysm around the ascending aorta and a newly developed dissecting aneurysm in remaining aorta were noted in group II. There were 6 late deaths: 2 cases in group I and 4 cases in group II. Three cases among the 6 late deaths have stigmata of Marfan`s syndrome[1 cases in group I and 2 case in group II]. There was no statistically significant difference in actuarial survival rates between group I and group II[p > 0.05]. This study suggests that non-composite supracoronary graft interposition with separate aortic valve replacement is a safe surgical technique in patients who have normal aortic annulus and normal position of coronary ostia. However in degenerative disease such as cystic medial necrosis, composite graft replacement is recommended because this procedure eliminates entire abnormal tissue.But it seems to be important that the suture technique and strict follow-up in patients with diseased aortic wall.

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Surgical Treatment of Aortic Aneurysm (대동맥류의 외과적 치료)

  • Im, Seung-U;Lee, Dong-Hyeop;Han, Seung-Se
    • Journal of Chest Surgery
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    • v.24 no.7
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    • pp.685-692
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    • 1991
  • Twelve patients underwent surgical interventions for aortic aneurysms consecutively from September 1986 to September 1990 in the Department of Thoracic and Cardiovascular Surgery, Yeungnam University Hospital. They were all men ranging in age from 25 to 68 years with the mean age of 48 years. Five patients of them had aneurysms involving ascending aorta, one aneurysm involving both ascending and descending aorta, four aneurysms involving descending thoracic aorta, and the others had aneurysms involving abdominal aorta. According to morphological classification, six cases of them were in dissection and the others in fusiform aneurysms. All the cases were pathologically true aneurysms and four of them were in acute status. According to causal classification, seven patients of them had atherosclerosis, three cystic medial necrosis, and the others had syphilis and trauma respectively. Six patients with ascending aortic aneurysm had annuloaortic ectasia with aortic regurgitation and underwent ascending aortic graft and aortic valve replacement[Bentall`s operation]. The others with descending thoracic and abdominal aortic aneurysms underwent Dacron graft replacement. Both hemorrhage necessitating reopening of the chest and wound dehiscence were observed in three patients and hoarseness in one patient. Cerebrovascular accident occurred three and a quarter years postoperatively in one patient and he died two days later. The others were followed up via OPD and have been doing well postoperatively.

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Numerical Study on the Natural Circulation Characteristics in an Integral Type Marine Reactor for Inclined Conditions

  • Kim, Tae-Wan;Park, Goon-Cherl;Kim, Jae-Hak
    • Nuclear Engineering and Technology
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    • v.33 no.4
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    • pp.397-408
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    • 2001
  • A marine reactor shows very different thermal-hydraulic characteristics compared to a land- based reactor. Especially, study on the variation of flow field due to ship motions such as inclination, heaving and rolling is essential since the flow variation has great influence on the reactor cooling capability. In this study, the natural circulation characteristics of integral type marine reactor with modular steam generators were analyzed using computational fluid dynamics code, CFX-4, for inclined conditions. The numerical analyses are performed using the results of natural circulation experiments for integral reactor which are already conducted at Seoul National University. From the results, it was found that the flow rate in the ascending steam generator cassettes increases due to buoyancy effect. Due to this flow variation, temperature difference occurs at the outlets of the each steam generator cassettes. which is mitigated through downcomer by thermal mixing. Also, around the upper pressure header the flow from descending hot leg goes up to the ascending steam generator cassettes due to large natural circulation driving force in ascending steam generator cassettes. From this result, the increase of How rate in the ascending steam generator cassettes could be understood qualitatively.

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"Ascending to Heaven and Becoming an Immortal": Sublime Words with Deep Meaning and Ultimate Value in Daoist Culture (道文化终极价值的文字学阐释: 兼论「大巡」「道通真境」之人文意涵)

  • Zeng, Yong
    • Journal of the Daesoon Academy of Sciences
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    • v.34
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    • pp.293-321
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    • 2020
  • The value embodied by "Ascending to Heaven and Being an Immortal" (Yuhua Dengxian in Chinese) implies the core gist of Daoist culture as well as its ultimate value. From the perspective of Philology, each word, "Yu", "Hua", "Deng", and "Xian" benefits us through a philosophy of life, learning skills, the pursuit of the mysteries of Daoist immortality, and the ways of life characteristics and spiritual transcendence. "To become an immortal" is becoming adept at life. "Yuhua" refers to learning transcendental skills, and "Deng" expresses the promotion of life. "Ascending to Heaven and Becoming an Immortal" integrates the goal- oriented values of Daoist Culture, learning transcendental skills, and the state of being alive into a unified whole. Namely, it is the perfect combination of an adept's supreme pursuit of value and zenith of life. By way of contrast, in Daesoon Jinrihoe, the concepts of "Daesoon" and "Perfected Unification with the Dao" not only advocate "physical and mental transformation" and "spiritual development" for Dao cohorts, but also personal cultivation and service to society, and participation in "The Creation of an Earthly Paradise." These are unified under the ideal humanistic value of "the earthly paradise of the Later World."

Hwa-Byung Treated by Using Ascending Kidney Water and Descending Heart Fire Pharmacopuncture: Three Case Studies

  • Jo, NaYoung;Roh, JeongDu
    • Journal of Pharmacopuncture
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    • v.20 no.2
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    • pp.132-138
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    • 2017
  • Objectives: We report the results of three case studies on the clinical efect of ascending kidney water and descending heart fre (AKDH) pharmacopuncture on patients with Hwa-Byung. Methods: Tis study involved three patients, all female, who had been admitted to a hospital of traditional Korean medicine and had been diagnosed as having Hwa-Byung by using the Hwa-Byung Structure Clinical Interview for DSM-IV. AKDH pharmacopuncture is administered by injecting pharmacopuncture at a specifc acupoint to change from a state of water-fre disharmony to one of water-fre harmony. For our three patients, Hwangyeonhaedoktang (黃連解毒湯) pharmacopuncture was injected at GB21 and GB20 on both sides; a total of 0.4 cc was injected, with 0.1 cc being injected at each point. Fel ursi, Bezora bovis and moschus (BUM) pharmacopuncture was injected at CV17, CV12, and CV6; a total of 0.15 cc was injected, with 0.05 cc being injected at each point. Treatment was done daily. Progress was evaluated using the Hwa-Byung diagnostic interview (HBDIS), beck depression inventory (BDI), and numeric rating scale (NRS) scores. Results: For the frst patient (case 1), after treatment, the HBDIS score was reduced from 44 to 30 points, the BDI score from 37 to 14, and the NRS score from 10 to 7. For the second patient (case 2), after treatment, the HBDIS score was reduced from 41 to 27 points, the BDI score from 13 to 7, and the NRS score from 10 to 5. For the third patient (case 3), after treatment, the HBDIS score was reduced from 42 to 28 points, the BDI score from 12 to 9, and the NRS score from 10 to 4. Conclusion: Ascending kidney water and descending heart fre pharmacopuncture treatment can be efective for improving ascending kidney water and descending heart fre energy and can be used to alleviate Hwa-Byung.

Reconstruction of Trochanteric Pressure Sores using Perforator-based Flap from the Ascending Branch of Lateral Circumflex Femoral Artery (외측대퇴회선동맥 상행가지의 천공지피판을 이용한 대전자부 욕창의 재건)

  • Kim, Jun-Hyung;Eo, Su-Rak;Cho, Sang-Hun
    • Archives of Plastic Surgery
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    • v.37 no.5
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    • pp.595-599
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    • 2010
  • Purpose: Trochanteric pressure sores management has been improved through the development of musculocutaneous flaps. But it has many drawbacks such as donor site morbidity and functional muscle sacrifice. With the introduction of perforator flap, it is possible to use in every location where musculocutaneous perforators are present. We have reconstructed trochanteric pressure sores using perforator-based flaps from the ascending branch of lateral circumflex femoral artery. Methods: Between May of 2006 and April of 2008, we performed six cases of perforator-based flap from the ascending branch of lateral circumflex femoral artery for the coverage of trochanteric pressure sores. For identifying perforators, a line was drawn from the anterior superior iliac spine to the superolateral border of the patella as the vertical axis, from the pubis to the trochanteric prominence as the horizontal axis. In the lateral aspect of the intersection of these two axes, various flap were designed according to its defects. The flap was raised in the subcutaneous plane above the fascia and the pedicle was traced by doppler and identified. The pedicle was meticulously dissected not to injure the periadventitial tissues and transposed to the defect. The donor site was closed primarily. Results: The mean age of patients was 56.2 years. Four male and two female patients were studied. Five patients were paraplegic. The mean defect size was $6{\times}4\;cm$. The largest flap dimension was $14{\times}7\;cm$. Donor sites were closed primarily without any complications. All flaps survived completely without necrosis, hematoma or infection. There were no recurrence during the follow-up period. Conclusion: Trochanteric pressure sores using perforator-based flap from the ascending branch of lateral circumflex femoral artery can be performed safely and it would be a reliable option for coverage of trochanteric pressure sores with minimal donor site morbidity.

A Study of The Idea of Zecharia Sitchin Shown in SF Films Contents -Focusing on a Film - (SF영화에 나타난 제카리아 시친의 사상연구 -영화 <쥬피터 어센딩>을 중심으로)

  • Kim, Seong-Hoon
    • The Journal of the Korea Contents Association
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    • v.18 no.9
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    • pp.498-509
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    • 2018
  • involves philosophical perspectives that are different from other SF movies. This perspective was derived from that of Zecharia Sitchin, in which he tells the history of the earth and mankind from a very unique perspective. He claimed that the intelligent beings (according to Sitchen, we called them the gods) on this planet created mankind and brought them ancient civilizations. The purpose of this study is to analyze under the determination that a comparative analysis can be made between SF movies and an art genre, in the outlook that Sitchin's perspectives are under extraordinary attention of religious and academic circles and are assisting in solving many mysteries on earth with currently excavated archaeological evidences, to identify the factors of consensus between the message Sitchin wanted to convey and SF movies and find the historical perspectives of Sitchin in the cross-section between Sitchin and the narratives in .

The First Formant Characteristics in Vocalize of One Soprano (소프라노 1인의 모음곡 발성 시 제 1 포먼트의 변화양상)

  • Song, Yun-Kyung;Jin, Sung-Min
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.16 no.1
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    • pp.10-14
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    • 2005
  • Background and Objectives : Vowels are characterized on the basis of formant patterns. The first formant(F1) is determined by high-low placement of the tongue, and the second formant (F2) by front-back placement of the tongue. The fundamental frequency(F0) of a soprano often exceed the normal frequency of the first formant. And the vocal intensity is boosted when F0 is high and a harmonic coincides with a formant. This is called a formant tuning. Experienced singers thus learned how to tune their formants over a resonable range by lowering the tongue to maximize their vocal intensity. So, the current study aimed to identify the formant tuning in one experienced soprano by comparing the first formants of vowel [i] in three different voice production : speech, ascending scale, and vocalize. Materials and Method : All voices recordings of vowel [i] in speech, ascending scale (from F4 note to A4 note), and vocalize(:Ridente la calam") were made with digital audio tape-corder in a sound treated room. And the captured data were analyzed by the long term average(LTA) power spectrum using the FFT algorithm of the Computerized Speech Lab(CSL, Kay elementrics, Model, 4300B). Results : Although the first formant of vowel [i] in speech was 238Hz, those of ascending scale [i] were 377Hz, 405Hz, 453Hz respectively in F4(349z), G4(392Hz), A4(440Hz) note, and 722Hz, 820Hz, 918Hz respectively in F5 (698Hz), G5(784Hz), A5(880Hz) note. In vocalize, first formants of [i] were 380Hz, 398Hz, 453Hz respectively in F4, G4, A4 note, and 720Hz, 821Hz, 890Hz respectively in F5, G5, A5 note. Conclusion : These results showed that the first formant of ascending scale and vocalize sustained higher frequency than fundamental frequency in high pitch. This finding implicates that the formant tuning of vowel [i] in ascending scale was also noted in vocalize.

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The Theta Analysis on the Components of Ground Reaction Force According to the Ground Conditions During Gait (보행 시 지면조건에 따른 지면반력 성분의 세타 분석)

  • Ryew, Che-Cheong;Hyun, Seung-Hyun
    • Korean Journal of Applied Biomechanics
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    • v.25 no.3
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    • pp.241-248
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    • 2015
  • Objective : The purpose of this study was to investigate the theta on the components of ground reaction force according to the ground conditions during gait. Method : Six healthy women(mean age: 22 yrs, mean height: $166.14{\pm}2.51cm$, mean body weights: $56.61{\pm}4.58kg$) participated in this study. The medial-lateral GRF(Fx 1), anterior-posterior GRF(Fy 1, Fy 2), vertical GRF(Fz 1, Fz 2, Fz 3), and impact loading rate were determined from time function and frequency domain. Also, GRF theta were time function and forces. Results : Fx 1, Fy 1 and Fy 2 of stair descending showed significant statistically higher forces than that of level walking, and ascending. Fz 1 of stairs descending showed significant statistically higher forces than that of level walking and stairs ascending(theta $88.62^{\circ}$). Also, Fz 2 of level walking showed significant statistically higher forces than that of stairs ascending and descending(theta $65.78^{\circ}$). Fz 3 of stairs ascending showed significant statistically higher forces than that of level walking and stairs descending($65.26^{\circ}$). Impact loading rate of stairs descending showed significant statistically higher forces than that of level and ascending walking. The GRF showed similar correlation with GRF theta(r=.603) according to the ground conditions during gait. Conclusion : These results suggest that the GRF theta can be used in conjunction with a gait characteristics, prediction of loading rate and dynamic stability.

Assessment of Ascending Capacity of Migratory Fish in Fishways by Eco-hydraulic Experiments (II) (어도 생태수리실험에 의한 회유성 어류의 소상능력 평가(II) - 계단식 어도 -)

  • Park, Sang-Deok
    • Journal of Korea Water Resources Association
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    • v.34 no.4
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    • pp.381-390
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    • 2001
  • This is to evaluate the ascending capacity of migratory fish in the pool and weir type fishways. Ascending environment of the migratory fish in rivers is analyzed through eco-hydraulic experiments using sweetfish, Plecoglossus altivelis, trout, Oncorhnchus mykiss, and surveying the fall height of existing pool and weir type fishways. When the fall height is less than 16.0cm, the ascending capacity of sweetfish in the pool and weir type fishways is greater than trout. On the other hand when the fall height is over 20.0 cm, the ascending capacity of trout is greater than sweetfish. A sweetfish may prefer to jump for upward moving than trout. And its endurance after upward jumping over wear is greater than that of sweetfish. Because of high fall height of existing pool and weir type fishways the migratory environment in rivers is so poor. When the pool and weir type fishways are designed and constructed in river the fall height of weir must be considered for the variety of migratory fish living in river and the fall height of weir less than 20.0cm is suggested.

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