• Journal of Chest Surgery
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• 제19권3호
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• pp.500-505
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• 1986

Eight patients received operation for ascending aortic aneurysm and aortic regurgitation associated with Marfan`s syndrome from January 1984 to July 1986 at Seoul National University Hospital. The patients` age ranged from 29 to 51 years [mean 37.3 years]. Five patients were male and three were female. All of them showed some stigmata of skeletal system in Marfan`s syndrome. Three patients had dissecting aneurysm and five patients had fusiform aneurysm of ascending aorta. Two patients had concomitant fusiform aneurysm of abdominal aorta. All patients showed aortic regurgitation of grade III to IV. One patient received insertion of intraluminal ringed graft and resuspension of aortic valve, and seven patients received modified Bentall operation [Carol`s method]. There was no hospital death and all showed functional improvement in the 7.4 patient-years follow-up period.

• Journal of Chest Surgery
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• 제44권1호
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• pp.72-75
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• 2011

Aortic thrombi are important because it can cause the central and peripheral embolizations. Aortic thrombi can occur anywhere in the aorta but extremely rare in ascending aorta without atherosclerosis, aneurysm, cardiosurgical or traumatic state. Systemic sclerosis (SSc) is an autoimmune disorder of connective tissue and it can involve multisystem. Enhanced coagulation pathways, decreased fibrinolysis, and endothelial dysfunction probably contribute to vascular events in SSc. We report a case of a highly mobile thrombus in the ascending aorta, presented as an acute embolic stroke in the patient with systemic sclerosis. Surgical removal was performed to prevent recurrent embolic events.

• Journal of Acupuncture Research
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• 제28권4호
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• pp.85-92
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• 2011

Objectives : This study was designed to compare the effect between method of regulating ascending kidney water and descending heart fire and sweet bee venom pharmacopuncture on peripheral facial paralysis. Methods : We investigated 30 cases of patient with peripheral facial paralysis who visited at Dept. of Acupuncture & Moxibustion, of Oriental Medicine Dong-eui University from November 29, 2010 to May 15, 2011. Subjects were divided randomly into two groups, group A and group B. We applied method of regulating ascending kidney water and descending heart fire twice or three times a week for group A and sweet bee venom pharmacopuncture with same cycle for group B. We measured the effect of treatment to each group five times by using Yanagihara's unweighed grading system. at first examination, after 1 week, 2 weeks, 3 weeks, and 4 weeks. Results : Both groups showed significant improvement in Yanagihara's scores. And group A was improved better than group B for two weeks from the first examination significantly. But after one week from then, the Yanagihara's scores of group B were higher than those of group A significantly. There were no significant differences during other period. Conclusions : Method of regulating ascending kidney water and descending heart fire is more effective than sweet bee venom pharmacopuncture on peripheral facial paralysis during acute period. And after acute period, sweet bee venom pharmacopuncture is more effective than method of regulating ascending kidney water and descending heart fire.

• Journal of Chest Surgery
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• 제29권11호
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• pp.1212-1217
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• 1996

경북대학교병원 흉부외과에서는 1993년 12월부터 1995년 5월까지 14례(남자 9명, 여자 5명)의 상행대동맥 및 대동맥궁질환을 수술하였으며, 환자들의 나이는 25세 에서 65세로 평균 50.4세였다. 진단은 급성 대동맥 박리가 6례(43%)로 4례는 파열이 되었으며, 상행 대동맥류가 4례(29%)로 1례에서 대동맥궁까지 확장되어 있었고 3례에서 파열이 되었으며, 대동맥 판륜확장이 3례(21%)로 1례에서 파열이 동반되었고, 대동맥궁류가 1례(7%)였다. 전례에서 심초음파와 컴퓨터 단층촬영을 시행하였으며, 혈관촬영은 2례에서 시행하였다. 수술의 적응은 파열 5례, 급성 대동맥 박리 5례, 심한 울혈성 심부전 2례, 진행성의 대동맥판막 폐쇄부전 1례 및 동맥류가 커서 파열의 위험성이 있는 경우 1례였다. 수술은 10례(71%)에서 응급으로 시행하였다. Cabrol 수술 6례, 대동맥궁 치환을 겸한 Cabrol 수술 1례, 변형된 Bentall수술 1례, 상행 대동맥 치환 4례, 대동맥궁 치환 1례 및 대동맥궁 치환을 겸한 상행 대동맥 치환의 경우가 1례였다. 술후 합병증으로는 순환정지를 62분 시행한 환자가 경련을 보였고, 심방세동이 2례, 흉골 열개가 1례 그리고 종격동염이 1례 있었다. 술후 조기사망은 2례(14%)에서 있었으며 각각 과다 출혈과 다발성 장기부전이 원인이었다. 심실 부정맥으로 인한 만기사망이 1례(7%)에서 있었다. 11명의 생존 환자들의 추적관찰기간은 2개월에서 20개월로 전례에서 경과는 양호하였다.

• 한국산학기술학회논문지
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• 제17권9호
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• pp.265-278
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• 2016

본 연구에서는 국내에서 서식하는 외래어종인 배스와 블루길을 대상으로 소상능력 실험을 수행하였다. 실험은 대상 어류의 크기에 따라 4개 그룹으로 구분한 후 각 그룹별 4단계 유속에 대한 실험을 진행하였다. 분석방법은 유속에 따라 기준선을 통과하는 개체 수를 영상촬영을 이용해 분석하였으며 어류의 유영 및 소상 가능정도를 육안으로 관찰하였다. 또한 고유속 급류로 인해 5분 내 하류로 내려오면 기준선 통과 개체 수에서 제외하였으며 유속은 좌안, 우안, 중앙에서 측정하여 평균값을 사용하였다. 실험 결과 어종 및 개체 크기에 상관없이 유속이 빠를수록 소상하는 외래어종은 감소하는 것으로 나타났다. 어종별 비교 결과 배스의 소상능력이 블루길보다 높게 나타났으나 개체 크기를 고려하면 차이는 크지 않는 것으로 판단된다. 소상 후 급류로 인해 하류로 밀려 내려오는 경우를 제외하고 실험오차를 고려하면 외래어종이 소상 가능한 한계속도는 1.11 m/s 이상인 것으로 판단된다. 실험 결과는 고유속 흐름을 이용한 어류 차단과 외래어종의 관리를 위한 기초자료로 활용이 가능하며 향후 고유속에서 기준선을 통과하는 어류가 돌발속도에 의한 것인지 순항속도에 의한 것인지 판단하기 위해서는 지속적인 실험과 검증 및 모니터링이 필요하다. 또한 외력에 의한 반응 및 유량에 의한 압력 차이 등을 고려한 어류의 반응검토도 필요할 것으로 판단된다.

• Journal of Chest Surgery
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• 제20권4호
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• pp.803-808
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• 1987

Two young male patients were operated on for the Marfan syndrome complicating ascending aortic aneurysm and a moderate degree of aortic regurgitation. We replaced the ascending aorta and aortic valve with Bjork-Shiley aortic valve composite graft and implanted the coronary ostia in the sides of the graft directly. Postoperatively, the atrial fibrillation occurred in one case and the other had uneventful course. They showed improvement in activity at follow-up.

• 한국수학교육학회지시리즈A:수학교육
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• 제31권2호
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• pp.141-144
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• 1992

In this paper, some properties of p-injective ring is studied: The Jacobson radical of a pinjective ring which satisfies the ascending chain condition on essential left ideals is nilpotent. Also, the left singular ideal of a ring which satisfies the ascending chain condition on essential left ideals is nilpotent. Finally, we give an example which shows that a semiprime left p-injective ring such that every essential left ideal is two-sided is not necessarily to be strongly regular.egular.

• 사상체질의학회지
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• 제18권1호
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• pp.11-21
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• 2006

1. Objectives This paper was written in order ro understand the conception on YangQi and YinQi in Sasang Constitutional Medicine. Specially that were focused on the discourse of the symptoms and diseases. 2. Methods We analysis YangQi and YinQi in Gabobon(甲午本) and Sinchukbon(辛丑本) of ${\ulcorner}$Dongyi Suse Bowon${\lrcorner}$ 3. Results and Conclusions The symptomatic-pharmacology of Soeunin and Soyangin was base on the master of reserving life(保命之主). YangQi is ascending Qi and YinQi is descending Qi. that conception is Qi of the large and small organ. And that is appeared hot or cold Qi in body. The influential competition of YinYang is focused on primordial Qi(正氣) of small organ in Gabobon. And focused on small organ's the primordial Qi of the exterior disease and large that of the interior disease in Sinchukbon. YangQi is divided to physiological that and patholgical that at the discourse on the Soyangin’s interior disease in the Sinchukbon. Because YinQi is in proportion to physiological YangQi and inverse proportion to pathological YangQi, physiological that is similar to weak and strong of YinQi that is the master of reserving life. So ascending Yang of Soyangin is more correct as ascending physiological that. YinQi is not divided to physiologica that and patholgical that at the discourse on the Soeumin's interior disease in the Sinchukbon like Soyangin's that. But there is more reasonable that divid physiological YinQi and patholgical that. So descending Yin of Soeumin is more correct as descending physiological that.

• Journal of Chest Surgery
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• 제50권4호
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• pp.270-274
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• 2017

Background: We evaluated the operative outcomes of an extra-anatomic bypass from the ascending aorta to the abdominal aorta in patients with type II or III Takayasu arteritis (TA) with mid-aortic syndrome. Methods: From 1988 to 2014, 8 patients with type II (n=2) or III (n=6) TA underwent an ascending aorta to abdominal aorta bypass. The mean patient age was $43.5{\pm}12.2years$ and the mean peak pressure gradient between the upper and lower extremities was $54.8{\pm}39.0mm\;Hg$. The median follow-up duration was 54.4 months (range, 17.8 to 177.4 months). Results: There were no cases of operative mortality. The mean peak pressure gradient significantly decreased to $-2.4{\pm}32.3mm\;Hg$ (p=0.017 compared to the preoperative value). Late death occurred in 2 patients. The symptoms of upper extremity hypertension and claudication improved in all patients. The bypass grafts were patent at $47.1{\pm}58.9months$ in 7 patients who underwent follow-up imaging studies. Conclusion: An extra-anatomic ascending aorta to abdominal aorta bypass could be an effective treatment option for severe aortic steno-occlusive disease in patients with type II or III TA, with favorable early and long-term outcomes.

• Journal of Chest Surgery
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• 제43권2호
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• pp.194-198
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• 2010

대동맥 벽내 혈종은 대동맥 내벽의 열상 등 손상이 없으면서 대동맥의 혈관벽내의 출혈로 정의되며 고전적인 대동맥 박리로 진행할 수 있는 질환으로 대동맥 박리의 변형된 형태로 여겨지기도 한다. 대동맥 벽내 혈종은 높은 이환율과 사망률을 보이나 궁극적 치료는 아직 확실하지 않다. 하지만 상행 대동맥에 발생한 대동맥 벽내 혈종은 대동맥 파열과 심낭 압전의 위험성으로 인해 보통 수술적인 치료가 고려되고 있다. 저자들은 실신을 주소로 내원한 71세 남환에서 대동맥 벽내 혈종 1예를 수술 치험 하였다. 잘못된 진단으로 인해 응급실 내원 5시간 뒤 시행된 대동맥 단층 컴퓨터 촬영 검사 결과 상행대동맥 벽내 혈종과 심낭 압전 소견이 동반되어 있었으며 이로 인해 급성 신부전, 허혈성 장기손상의 합병증이 발생하였다. 응급 수술로 상행대동맥 및 대동맥궁 치환술을 진행하였고 환자는 수술 14일 뒤 합병증 없이 퇴원하였다.