• 제목/요약/키워드: disease gradient

검색결과 128건 처리시간 0.02초

Mitral and Aortic Valce Replacement with Patch Enlargement of Narrow Aortic Annulus (협소한 대동맥판윤의 첨포확대후 대동맥 및 승모판막 대치술 치험 1예)

  • 강면식
    • Journal of Chest Surgery
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    • 제12권1호
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    • pp.56-60
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    • 1979
  • Replacement of the aortic valve in a normal or large aortic root can be accomplished with ease and safety in most instances. The presence of a narrowed aortic annulus remains a problem in that the replaced smaller prosthetic valve has a significant resting pressure gradient across the orifice. This narrowing causes not only technical difficulties, but also increased mortality and post-op. complication. Therefore this problem deserves special attention. This report presents our experience with a case of a small aortic root caused by rheumatic heart disease [AI and MS]. This is the method of enlargement of the aortic annulus with a woven Dacron patch and replacement of a larger prosthetic aortic valve combined with mitral valve replacement.

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Congenital Aortic Stenosis: Report of 2 Cases (선천성 대동맥 판막 협착증 치험 2예)

  • 송명근
    • Journal of Chest Surgery
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    • 제11권2호
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    • pp.194-198
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    • 1978
  • Congenital aortic stenosis, a relatively uncommon congenital heart disease, may cause heart failure and may be fatal. In recent years, increased clinical awareness and improved diagnostic and operative technique has made accurate diagnosis and successful treatment possible. Recently we experienced 2 cases of congenital aortic stenosis, and which was corrected surgically. The first case was 9 years old boy, and second case was 16 years male. Preoperative diagnosis was entertained by angiography and cardiac catheterization in both cases. In each case, aortic valve opening was widened by incision along the fused commissure between the combined left and right coronary cusp on one side, and the noncoronary cusp on the other side. Post-op. pressure gradient between the aorta and left ventricle markedly reduced, in the first case, 50mmHg, and in the 2nd case, 55mmHg.Both patients discharged with good results 2 weeks after open heart surgery.

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Isolated Cortical Vein Thrombosis with Long Cord Sign

  • Ban, Seung Pil;Chung, Young Seob;Park, Sung Bae;Son, Young-Je
    • Journal of Korean Neurosurgical Society
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    • 제58권5호
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    • pp.476-478
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    • 2015
  • Isolated cortical vein thrombosis (ICVT) is a rare disease, accounting for less than 1% of strokes. A 46-year-old woman presented with progressive left side weakness. Magnetic resonance (MR) imaging with $T2^*$-gradient echo ($T2^*$-GE) sequence showed long cord sign at the right frontal cortex. The patient was treated with low molecular weight heparin, followed by oral warfarin for 6 months. The 3-month follow-up MR imaging showed recanalization of the previously thrombosed cortical vein. She was completely recovered without neurological deficits after 6 months. This provides that MR imaging with $T2^*$-GE sequence can help to diagnosis the ICVT and outcomes of the ICVT are generally favorable.

Supravalvular Pulmonic Stenosis with Pulmonary Hypertension in a Bedlington Terrier Dog

  • Park, Kuk-Te;Hyun, Changbaig
    • Journal of Veterinary Clinics
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    • 제34권4호
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    • pp.268-271
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    • 2017
  • A 1.3 year-old Castrated male Bedlington terrier (10.0 kg of body weight) was presented with heart murmur and occasional coughing. Diagnostic imaging studies revealed supravalvular pulmonic stenosis (maximal velocity 2.91 m/s) from abnormal membranous structure (aperture) distal to the pulmonary valve in the main pulmonary artery. Further study also revealed pulmonic regurgitant (1.82 m/s of peak velocity, 13.2 mmHg of pressure gradient) jets started from the abnormal membranous structure. Since the dog had no obvious clinical signs related to heart failure, no interventional therapy including balloon dilation was considered in this case. Instead, medical treatment for preventing further deterioration of clinical signs related to PS was done with enalapril. This case report described a rare case of type III supravalvular PS in a dog, which has never been reported. Further deterioration of clinical signs has yet been recognized after medical treatment.

Double-chambered right ventricle -One case report- (이강우심실 -1예 보고-)

  • Jo, In-Taek;Kim, Sang-Hyeong;Lee, Dong-Jun
    • Journal of Chest Surgery
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    • 제19권3호
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    • pp.515-521
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    • 1986
  • Double-chambered right ventricle [DCRV] is a rare congenital heart disease caused by anomalous muscle bundle traversing the sinus portion of the right ventricle well beneath the infundibulum. Recently we have experienced a case of DCRV with ventricular septal defect in 7-year old male patient. Preoperative cardiac catheterization and cineangiography revealed 80 mmHg pressure gradient between the proximal and distal chamber of the right ventricle and diagonal shape filling defect by the anomalous muscle bundle in the sinus portion of the right ventricle. Resection of the anomalous muscle bundle and patch closure of the ventricular septal defect was performed with cardiopulmonary bypass. The postoperative course was uneventful and excellent.

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Estimating People's Position Using Matrix Decomposition

  • Dao, Thi-Nga;Yoon, Seokhoon
    • International journal of advanced smart convergence
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    • 제8권2호
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    • pp.39-46
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    • 2019
  • Human mobility estimation plays a key factor in a lot of promising applications including location-based recommendation systems, urban planning, and disease outbreak control. We study the human mobility estimation problem in the case where recent locations of a person-of-interest are unknown. Since matrix decomposition is used to perform latent semantic analysis of multi-dimensional data, we propose a human location estimation algorithm based on matrix factorization to reconstruct the human movement patterns through the use of information of persons with correlated movements. Specifically, the optimization problem which minimizes the difference between the reconstructed and actual movement data is first formulated. Then, the gradient descent algorithm is applied to adjust parameters which contribute to reconstructed mobility data. The experiment results show that the proposed framework can be used for the prediction of human location and achieves higher predictive accuracy than a baseline model.

Identification and HPLC Quantification of a Phytoecdysone and Three Phenolic Glycosides in Lamium takesimense Nakai

  • Nugroho, Agung;Park, Kyoung-Sik;Seo, Dong-Jin;Park, Hee-Juhn
    • Natural Product Sciences
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    • 제24권4호
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    • pp.241-246
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    • 2018
  • The herbs of Lamium takesimense Nakai (Lamiaceae) is used to treat spasmodic and inflammatory disease. The four polar compounds, ecdysterone, isoacteoside, rutin and lamiuside C, were isolated and identified from the BuOH fraction of the L. takesimense MeOH extract. HPLC quantification was performed on a Capcell Pak C18 column ($5{\mu}m$, $4.6mm{\times}250mm$) with a gradient elution of $H_2O$ and 0.05% acetic acid in MeOH. The HPLC method was validated in terms of linearity, sensitivity, stability, precision, and accuracy. The quantitative level in plant material was determined as the following order: lamiuside C (4, 3.75 mg/g dry weight) > ecdysterone (1, 1.93 mg/g) > isoacteoside (2, 1.32 mg/g) > rutin (3, 0.97 mg/g).

Detection and Measurement of Retinoic Acid in Human Liver Samples (간 조직내의 Retinoic Acid 검출 및 측정 방법)

  • 김초일
    • Journal of Nutrition and Health
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    • 제24권3호
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    • pp.199-205
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    • 1991
  • Retinoic acid. the active metabolite of vitamin A. was detected in the human liver for the first time using a new method. A rapid and sensitive technique has been developed using gradient-elution. reverse-phase high performance liquid chromatography. This assay. with simultaneous multiwavelength detection at 294nm, 325nm and 450nm after saponifcation of liver samples. allows us seperation and quantitation of vitamin E, retinoic acid, total retinoids and various carotenoids in one small sample. The proportion of retinoic acid to total retinoids in human liver appears to be quite $consistent(2.4\pm0.2%$ ). With low vitamin A storage in liver, detection at another wavelenth 354nm would increase the sensitivity for retinoic acid of small quantity This method of analysis could be used for other tissues like red blood cells, plasma or serum, also. Hepatic retinoic acid level with total retinoids and carotenoids would serve a better indicator of functional vitamin A nutriture especially for those with disease requiring needle biopsy of liver.

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Functional studies of granulocytes in ruminants 1. Rapid separation of polymorphonuclear leucocytes from circulating blood in bovine (반추동물에서 과립구의 기능에 대한 연구 1. 소의 순환혈액에서 다형핵백혈구의 신속한 분리)

  • 박일규;윤창용;이정원;송희종
    • Korean Journal of Veterinary Service
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    • 제22권4호
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    • pp.377-383
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    • 1999
  • Polymorphonuclear (PMN) leucocytes are fundamental importance to the body's defense mechanism and play a major role in the local and systemic reactions to infectious disease. Investigation of the physiological and pathological role of the various leucocyte subtypes in host defence mechanisms is dependent upon the isolation of adequate numbers of viable, pure leucocyte fractions. This report describes the separate frequency of PMN leucocytes both from buffy coat layer and from packed RBC layer when bovine peripheral blood was treated with various anti-coagulants such as acid-citrate-dextrose(ACD), ethyldiaminetetraacetic acid(EDTA), sodium citrate and heparin. The separate frequencies of PMN leucocytes from buffy coat layer was 60.4$\pm$9.6%(heparin), 56.8$\pm$11.8%(sodium citrate), 30.6$\pm$14.1%(ACD) and 6.2$\pm$3.7%(EDTA), in order. Those from packed RBC layer monitored with EDTA, ACD, sodium citrate and heparin was 85.0$\pm$4.7%, 84.3$\pm$5.5%, 83.8$\pm$6.5% and 76.3$\pm$7.7%, respectively. The Ficoll-hypaque(FH) density gradient method was used to remove a small part of lymphocytes and/or monocytes from leucocytes in packed RBC layer. With the result that it increased separate frequency of PMN leucocytes from EDTA(89.9$\pm$2.4%), ACD(89.5$\pm$3.6%), and sodium citrate(83.6$\pm$10.3%) than heparin(68.4$\pm$13.9%). These results indicate that the use of EDTA and ACD as anticoagulant Is suitable for the separation of PMN leucocytes from bovine peripheral blood, and that the FH density gradient method is able to increase the separate frequency of PMN leucocytes from packed RBC layer.

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The Clinical Outcomes of Damus-Kaye-Stansel Procedure According to Surgical Technique

  • Yang, Chan Kyu;Jang, Woo Sung;Choi, Eun-Suk;Cho, Sungkyu;Choi, Kwangho;Nam, Jinhae;Kim, Woong-Han
    • Journal of Chest Surgery
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    • 제47권4호
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    • pp.344-349
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    • 2014
  • Background: The Damus-Kaye-Stansel (DKS) procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction (SVOTO). However, there have been few reports on which surgical technique shows a better outcome. The objective of this study was to compare the outcome of the DKS procedure according to the surgical technique used. Methods: We retrospectively reviewed 12 consecutive patients who underwent the DKS procedure from March 2004 to April 2013. When the relationship of the great arteries was anterior-posterior, the double-barrel technique (group A) was performed. If the relationship was side-by-side, the ascending aortic flap technique (group B) was performed. Results: There was no early mortality and 1 late mortality in group B. There was no statistically significant difference in the median peak pressure gradient of preoperative subaortic stenosis in both groups: 14 mmHg (range, 4 to 53 mmHg) in group A and 15 mmHg (range, 0 to 30 mmHg) in group B (p=0.526). Further, a significant postoperative pressure gradient was not observed in either group A or group B. More than moderate postoperative neoaortic regurgitation was observed in 1 patient of group B; this patient underwent neoaortic valve replacement 66 months after the DKS procedure. No one had a recurrent SVOTO during follow-up. Conclusion: The DKS procedure is an effective way to minimize the risk of SVOTO, and there is little difference in the outcomes of the DKS procedure according to the surgical technique used.